Inspections, Compliance, Enforcement, and Criminal Investigations

November 28, 2012: Local Pediatrician and Co-Conspirator Convicted of Fraud in Stem Cell Case

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Food and Drug Administration
Office of Criminal Investigations

U.S. Department of Justice Press Release


For Immediate Release
November 28, 2012

United States Attorney
District of Nevada
Contact: Natalie Collins
(702) 388-6508


LAS VEGAS - Following almost four weeks of trial, a well-known Henderson pediatrician and a co-conspirator, were convicted today of conspiracy and fraud for taking thousands of dollars from chronically ill patients for a stem cell implant procedure that they were told might cure or provide relief for their diseases, including multiple sclerosis and cerebral palsy, announced Daniel G. Bogden, United States Attorney for the District of Nevada.

Ralph M. Conti, M.D, 51, of Henderson, and Alfred T. Sapse, 86, of Las Vegas, were each convicted of conspiracy to commit mail fraud and wire fraud. Conti was also convicted of two counts of mail fraud, and two counts of wire fraud. Sapse was also convicted of seven counts of mail fraud and 11 counts of wire fraud. They face up to five years in prison on the conspiracy count and up to 20 years in prison on each fraud count, and fines of up to $250,000 on each count and must forfeit of money or property of up to $913,748. Sentencings for both defendants are scheduled for Feb. 27, 2013, at 9:00 a.m.

"Persons who commit health care fraud on individuals and the health care system will be vigorously prosecuted by the U.S. Attorney's Office for Nevada," said U.S. Attorney Bogden. "These defendants allowed greed rather than compassion to control their actions, and they must now suffer the consequences and penalty."

"The Food and Drug Administration (FDA) will never turn its back on patients who are victimized twice, first by fate and then by predators who prey on these vulnerable victims," said Special Agent in Charge Antoinette V. Henry of the FDA Office of Criminal Investigations, Metro Washington Field Office. "Our Office of Criminal Investigations is dedicated to exposing fraudulent practices of this kind and seeing those responsible prosecuted to the fullest extent of the law."

According to the superseding indictment and evidence introduced by the government at trial, from about January 2005 to current, Sapse, who purports to be a retired foreign physician but who has never been licensed to practice medicine in Nevada or any other state, convinced chronically ill patients to undergo experimental implant procedures and convinced investors to pay him large amounts of money without knowing the short- or long-term effects of the implant procedures he promoted. The procedures involved the implantation of portions of placental tissue into the abdomen of the patients for the treatment of their diseases. Sapse allegedly targeted extremely sick patients, by claiming that his "proprietary" procedure was especially effective for patients with multiple sclerosis, cerebral palsy and retinitis pigmentosa (a disease of the retina which can cause blindness.)

In the fall of 2005, Sapse hired Conti, a pediatrician in Henderson who had no prior stem cell training, to perform the procedures. At Sapse's direction, between approximately February 2006 and November 2006, Conti performed the implant procedure on approximately 34 patients in Las Vegas, knowing that it would not benefit the patients. During 2006, procedures performed by Dr. Conti resulted in the infection of at least two patients. In November 2006, the FDA sent Sapse and Conti a warning letter explaining that their procedure violated federal law, but after that date Conti performed at least one more implant and Sapse coordinated the implantation of a least two more patients.

Sapse and Conti made a number of misrepresentations to prospective patients and investors, including that the placental tissue used in the procedures was obtained only from Caesarian section births, so as to reduce the risk of passing infection, or otherwise to prevent "damage" to the placenta; that he had achieved "considerable success" with a procedure that was going to "revolutionize medicine as it is known today"; that wheelchair bound patients would "definitely walk again"; and that he subjected the placental tissue he obtained to a "proprietary process."

Sapse failed to obtain any approvals from the FDA, as he knew he was required to do, prior to coordinating the implantation of placental cells in patients by Conti. Sapse and Conti made false representations to FDA regulatory investigators regarding their involvement in the scheme, conducted no meaningful follow-up with the patients who underwent the implant procedures, and concealed from patients and prospective patients the adverse effects suffered by previous patients.

In about February 2007, Sapse relocated his fraudulent scheme to Mexico and entered into an arrangement with a Mexican physician in Nuevo Progresso, Mexico, to perform his implant procedure. At Sapse's direction, the Mexican physician performed the implant procedure on approximately 100 patients between approximately February 2007 and May 2010 in Mexico.

Sapse received approximately $1 million from patients and investors, approximately $700,000 of which he spent on personal expenditures and for gambling at local casinos. Conti received in excess of $60,000 from the fraudulent procedures, all of which was in cash and none of which was reported on the accounting books of his medical practice. Sapse or Conti did not use any of the money for laboratory research, animal studies or human clinical studies relating to the short- and long-term effects of the implant procedures they were promoting.

This case was investigated by the FDA Office of Criminal Investigations and prosecuted by Assistant U.S. Attorney Crane M. Pomerantz and First Assistant U.S. Attorney Steven W. Myhre.


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