Table 1

Erythropoiesis-stimulating compounds and techniques prohibited in sports

Compound/techniqueManufacturerDevelopment/approval statusPharmacologic references
Recombinant products    
    Originator epoetins (α, β, θ), biosimilar epoetins (α, κ, ζ) Recombinant DNA technology Epo-transfected CHO cells Country- and product-specific marketing authorization in North America, Australia, Asia, European Union 28(R), 29(R), 46(R), 58(R) 
    Epoetin-α copies Epo-transfected CHO cells Marketed in Asia, Central and South America, Africa 29(R), 46(R), 125(R) 
    Epoetin-ω Epo-transfected BHK cells Marketed in South Africa 46(R) 
    Epoetin-δ Cytomegalovirus promoter-transfected HT-1080 cells No longer available (marketing stopped in 2009) 29(R), 46(R), 125(R) 
    Methoxy-PEG-epoetin-β Epo-transfected CHO cells, pegylated Marketed in European Union and Asia 29(R), 45(R), 46(R) 
    Darbepoetin-alfa Mutated Epo-transfected CHO cells, hyperglycosylated Marketed in European Union, North America, Australia, Asia 42, 43, 29(R), 46(R) 
Epo fusion proteins Recombinant DNA technology Clinical trials 48, 125(R) 
    Epo-Epo, Epo-Fc, Epo-βHCG    
Peptidic Epo mimetics Chemical synthesis Clinical trials 29(R), 46(R) 
    Pegisenatide PEG coupled  49,–51  
    CNTO 528, CNTO 530 Fused to recombinant immunoglobulin  52, 53  
Epo gene activators Chemical synthesis  125(R) 
    HIF stabilizers   55(R), 65(R), 66(R) 
        Cobalt  Unapproved administration 59, 61, 60(R) 
        α-Ketoglutarate competitors  Clinical trials 67  
    GATA inactivators  Preclinical trials 68,–70  
Epo gene transfer In vivo gene transfer Preclinical trials 71,,,–75  
 In vitro gene transfer Clinical trials 79  
Compound/techniqueManufacturerDevelopment/approval statusPharmacologic references
Recombinant products    
    Originator epoetins (α, β, θ), biosimilar epoetins (α, κ, ζ) Recombinant DNA technology Epo-transfected CHO cells Country- and product-specific marketing authorization in North America, Australia, Asia, European Union 28(R), 29(R), 46(R), 58(R) 
    Epoetin-α copies Epo-transfected CHO cells Marketed in Asia, Central and South America, Africa 29(R), 46(R), 125(R) 
    Epoetin-ω Epo-transfected BHK cells Marketed in South Africa 46(R) 
    Epoetin-δ Cytomegalovirus promoter-transfected HT-1080 cells No longer available (marketing stopped in 2009) 29(R), 46(R), 125(R) 
    Methoxy-PEG-epoetin-β Epo-transfected CHO cells, pegylated Marketed in European Union and Asia 29(R), 45(R), 46(R) 
    Darbepoetin-alfa Mutated Epo-transfected CHO cells, hyperglycosylated Marketed in European Union, North America, Australia, Asia 42, 43, 29(R), 46(R) 
Epo fusion proteins Recombinant DNA technology Clinical trials 48, 125(R) 
    Epo-Epo, Epo-Fc, Epo-βHCG    
Peptidic Epo mimetics Chemical synthesis Clinical trials 29(R), 46(R) 
    Pegisenatide PEG coupled  49,–51  
    CNTO 528, CNTO 530 Fused to recombinant immunoglobulin  52, 53  
Epo gene activators Chemical synthesis  125(R) 
    HIF stabilizers   55(R), 65(R), 66(R) 
        Cobalt  Unapproved administration 59, 61, 60(R) 
        α-Ketoglutarate competitors  Clinical trials 67  
    GATA inactivators  Preclinical trials 68,–70  
Epo gene transfer In vivo gene transfer Preclinical trials 71,,,–75  
 In vitro gene transfer Clinical trials 79  

Modified from Jelkmann.125 

(R) indicates review.

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