After a while with extending the nozzles with the inside of a pair of comply tips (with the foam stripped off) and then putting large triple-flange tips on, I have still been having trouble keeping the seal intact while I'm drumming. I ordered a set of Sony hybrid tips (various sizes) but none seal well enough for me - I think it's due to large ear canals. I also got a multi-pack of westone true-fit and star tips, and I think perhaps the largest size of the star tips is actually going to do the trick... I've been satisfied with my listening so far. I'm playing this weekend, so will get a chance to try them out with motion and sweat thrown into the mix! They are narrow-bore (I couldn't actually get them stretched over, but my wife has a little more dexterity and got them on), but I didn't notice any unpleasant impact on the sound. And the bass may be better with a wide bore than a narrow one, but it will be much better with a narrow one that stays sealed than a wide one that doesn't. I didn't do the ring mod, but if they're close this way I'll give that a shot to see if it makes a difference.
I tried spinfits, too, but they weren't large enough to keep the seal in my right ear (always the problem one).
If the westone's don't work, I also got a pair of decibullz bz-100 that I'll try... to say I'm skeptical of custom-molded tips for $25 would be a huge understatement, but it sounds like they've worked well for some others, even if it takes a couple of tries to get them just right.
If that fails, I think I'm down to using a plunger and an exacto knife to try to build something large enough for my ears...