Super shoes. Most shoes have carbon plates in them now, they act as a spring, storing energy and propelling athletes forwards.
Better understanding of fuelling. Most athletes are taking between 100-120g carbs (sugar) per hour. Bicarbonate of soda has also been effective.
Better planning tools. Athletes look at elevation, headwind, tailwind and will plan a strategy around going harder into the hard stuff and knowing when they can back off and rest.
And to be honest, probably a metric tonne of PEDs (performance enhancing drugs) - unfortunately this is very common across all sports at the top level.