What is a Therapeutic Use Exemption (TUE)?

Table Tennis Players, like all people, may have illnesses or conditions which require them to take particular medications. In line with the World Anti-Doping Code (the Code) and its International Standard for Therapeutic Use Exemptions (ISTUE), the ITTF Anti-Doping Rules (ADR), permit players with or without a disability and their physicians to apply for a Therapeutic Use Exemption (TUE) i.e. permission to use, for therapeutic purposes, substances or methods contained in the List of Prohibited Substances and Methods.

In accordance with the ADR, a panel of experts (the TUE Committee – TUEC) has been appointed by the ITTF Executive Committee. After the TUEC has reviewed the application, you may be given authorization to take the medicine required.

What are the criteria for granting a TUE?
The criteria are:
• The athlete would experience significant health problems without taking the prohibited substance or method;
• The therapeutic use of the substance would not produce significant enhancement of performance;
• There is no reasonable therapeutic alternative to the use of the otherwise prohibited substance or method;
• The requirement to use that substance or method is not due to the prior use of the substance or method without a TUE which was prohibited at the time of use.
For the TUE to be granted, all four criteria must be met.

Who should apply to ITTF for a TUE ?

The Code and the ADR differentiates between the players’ level, as defined in the ADR:

  • If you are an International-Level Athlete, ie:

In Table Tennis:

The first 250 Men and 200 Women in the General List of ITTF World Ranking, available on http://www.ittf.com/rankings/

In Para Table Tennis:

The first 8 Men and Women in each Class in the Para Table Tennis rating, available on http://www.ipttc.org/rating/,

you must apply directly to ITTF for a TUE (see below how to apply to ITTF for a TUE).

If you have already a TUE granted to you by your National Anti-Doping Organisation (NADO), ITTF recognizes that TUE for international-level competitions, provided that such TUE has been reported in accordance the ISTUE, including, in particular, the relevant clinical medical information.

This means that you do not have to submit again your application. Through the ADAMS system, ITTF will liaise directly with your NADO to validate that recognition.

  • If you are NOT an International-Level Athlete:

ITTF shall recognize a TUE granted to you your NADO. If ITTF chooses to test you, and you are not also a National-Level Athlete as defined by your NADO, ITTF shall permit you to apply for a retroactive TUE for any Prohibited Substance or Prohibited Method that you are using for therapeutic reasons.

 

If you have a doubt as regards to which organization you should apply for a TUE, or as to the recognition process, please contact either:

 

When to apply to ITTF for a TUE ?

  • You should apply for a TUE as soon as possible when the need arises.
  • For substances prohibited In-Competition only, the Player should apply for a TUE at least 30 days before his/her next Competition, unless it is an emergency or exceptional situation.

 

How to apply to ITTF for a TUE ?

You must complete a ITTF TUE Application Form and attach a complete medical file.

  • Whenever possible, the forms must be submitted through ADAMS. If you do not have an ADAMS account, please contact fdagouret@ittfmail.com, to have an account set up.
  • Otherwise, you can download the ITTF TUE Application Form, and once duly completed and signed, send it together with the required medical information by e-mail to fdagouret@ittfmail.com.

 

Submission tips and requirements:

  • The TUE Application Form has to be filled in English, in capital letters or typing
  • Ensure that you include all the required documentation including all the medical information, tests, laboratory results, imaging studies, clinical information to enable the TUEC to reach a decision.
  • To assist your doctor in providing the correct medical documentation we suggest that he/she consults the WADA’s documents entitled “Medical Information to Support the Decisions of TUECs” to access the medical information required to support TUE application for treatments of several common medical conditions.
  • It is not necessary to translate all the medical documents into English. However, an English summary that explains the diagnosis and key elements of the medical exams, medical tests and treatment plan is required.
    • Any TUE application that is not complete or legible will not be dealt with and will be returned to the player, who will need to submit it again.

Will the information on the athlete’s TUE Application remain confidential?
All the information contained in a TUE Application will be kept strictly confidential, the same as any medical information normally kept by your doctor. All members of the TUEC are required to sign confidentiality agreements and if they require advice from other scientific experts on a particular case, your name is not used when circulating the application outside the TUEC.

How to find more about TUEs – Useful links and contact information:

WADA International Standard For Therapeutic Use Exemptions (ISTUE)

WADA Guidelines for Therapeutic Use Exemptions

WADA Q&A on Therapeutic Use Exemptions

ITTF TUE Application Form

ITTF Anti-Doping Manager: Françoise Dagouret: fdagouret@ittfmail.com