ClinicalTrials.gg
RecruitingNCT04747626B-SAFERUpdated Oct 9, 2025

B-SAFER: Branched Stented Anastomosis Frozen Elephant Trunk Repair

An interventional study of B-SAFER in Thoracic Aortic Aneurysm, Aortic Dissection and Congenital Aortic Anomaly, sponsored by Eric Roselli, M. D.. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-09.

Sponsored by Eric Roselli, M. D. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2021; still recruiting 5 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
590
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A prospective, single-center, non-blind, non-randomized safety and feasibility study of the hybrid repair of thoracic aortic pathologies requiring repair of the aortic arch proximal to the origin of innominate artery.

Read the detailed description

The proposed Investigational Device Exemption (IDE) is to assess the safety and preliminary effectiveness of the simplified hybrid frozen elephant trunk repair technique Branched Stented Anastamosis Frozen Elephant Trunk Repair (B-SAFER) which involves a physician modified endovascular stentgraft to treat the proximal aorta in subjects with aortic disease involving multiple segments. The study will also evaluate the device functionality when using this operative technique for device implantation including multiple components.

02

Conditions studied

  • Thoracic Aortic Aneurysm
  • Aortic Dissection
  • Congenital Aortic Anomaly
03

In context

Aortic Aneurysm, Thoracic

131 studies on the registry are indexed under Aortic Aneurysm, Thoracic; 33 are open to participants now.

This study's planned enrollment of 590 is above the median of 50 across 62 interventional studies indexed under Aortic Aneurysm, Thoracic.

Browse Aortic Aneurysm, Thoracic studies →

Lead sponsor

This is the only study on the registry with Eric Roselli, M. D. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. At least 18 years of age
  2. Subject is willing and able to give written to participate in the study or the subject's legally authorized representative has given written informed consent for the subject to participate in the study.
  3. Expected of greater than two years after repair
  4. Subject has aortic pathology and requires repair or replacement of multiple damaged or diseased segments of the thoracic aorta (at least one of the following condition): Thoracic aortic aneurysm considered at increased risk for rupture or complications, Acute aortic dissection requiring urgent repair, Congenital aortic disease requiring repair

Exclusion criteria

Exclusion Criteria:

  1. Subject is unfit for open surgical repair involving circulatory arrest
  2. Subject is comatose or suffering from irreversible severe brain malperfusion
  3. Subject has known sensitivity to components of the devices
  4. Subject has an active systemic infection that, in the opinion of the investigator, would compromise the outcome of the surgical procedure
  5. Subject is enrolled in another active study and has received an product (device, pharmaceutical or biologic) within 6 months prior to the date of the implant or has not reached the primary endpoint of the study
  6. Subject has an uncorrectable bleeding anomaly
  7. Subject has any other medical, social or psychological problems that in the opinion of the investigator preclude them from receiving this treatment and the procedures and evaluations pre- and post- procedure
  8. Subject is pregnant
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
590 participants (estimated)

Study arms

  • Experimental
    Treatment

    Implantation of a physician-modified endovascular stentgraft(s) to treat the proximal aorta in subjects with aortic disease involving multiple segments.

    Device: B-SAFER

Interventions

  • DeviceB-SAFER

    Simplified hybrid frozen elephant trunk repair will be performed by utilizing B-SAFER technique which involves a physician modified endovascular stentgraft to treat the proximal aorta in subjects with aortic disease involving multiple segments.

06

What researchers measure

Primary outcomes

  1. All-cause mortality

    Individual rate of occurrence of the death from all-cause

    Time frame: Up to 30 days

  2. Stroke, excluding TIA

    Individual rate of occurrence of stroke

    Time frame: Up to 30 days

  3. Paralysis, excluding paraparesis

    Individual rate of occurrence of paralysis

    Time frame: Up to 30 days

  4. Technical success

    Composite of the following criteria: successful delivery of the device through the vasculature, successful deployment of the device at the intended location, and patient survival

    Time frame: 24 hours

  5. Patency of all graft/endograft components

    Patent graft/endografts confirmed by CT imaging assessment

    Time frame: At hospital discharge or at 1 month

  6. Complete sealing of the aortic pathology

    Absence of Type Ia and IIIa/b endoleak, complete coverage of PAU cases, and isolation of the primary entry tear in dissection cases confirmed by CT imaging assessment

    Time frame: At hospital discharge or 1 month

Secondary outcomes

  1. Aortic related death

    Individual rate of the aortic related death

    Time frame: Up to 36 months after the index procedure

  2. Pseudoaneurysm at the treatment sites

    Individual rate of the pseudoaneurysm at the treatment sites

    Time frame: Up to 36 months after the index procedure

  3. Unanticipated aortic or branch-related re-operation

    Individual rate of the unanticipated aortic or branch-related re-operation

    Time frame: Up to 36 months after the index procedure

  4. Late Type I endoleak

    Individual rate of the Type I endoleak confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  5. Late Type III endoleak

    Individual rate of the Type III endoleak confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  6. Non-cardiac/non-aortic re-operations

    Individual rate of non-cardiac/non-aortic re-operations

    Time frame: Up to 36 months after the index procedure

  7. Vocal Cord paralysis

    Individual rate of vocal cord paralysis

    Time frame: Up to 36 months after the index procedure

  8. Myocardial infarction

    Individual rate of myocardial infarction

    Time frame: Up to 36 months after the index procedure

  9. Respiratory failure

    Individual rate of respiratory failure

    Time frame: Up to 36 months after the index procedure

  10. Renal failure requiring dialysis

    Individual rate of renal failure requiring dialysis

    Time frame: Up to 36 months after the index procedure

  11. Thromboembolic events

    Individual rate of thromboembolic events

    Time frame: Up to 36 months after the index procedure

  12. Failed patencies in graft, or endovascular stent-graft including the branch(es)

    Individual rate of failed patencies in gaft or endovascular stent-graft including branch(es)

    Time frame: Up to 36 months after the index procedure

  13. Secondary unplanned interventions in the treated vascular segment or related to the original pathology

    Individual rate of secondary unplanned interventions in the treated vascular segment or related to the original pathology

    Time frame: Up to 36 months after the index procedure

  14. Aortic rupture

    Individual rate of aortic rupture

    Time frame: Up to 36 months after the index procedure

  15. Device integrity failures

    Individual rate of device integrity failures confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  16. Device crimping/kinking

    Individual rate of device crimping/kinking confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  17. Device migration

    Individual rate of device migration (\>10 mm based on the position of the device implantation) compared to baseline confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  18. Thrombosis of the device lumen

    Individual rate of thrombosis of the device lumen confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  19. Surgical graft/stentgraft infection

    Individual rate of surgical graft/stentgraft infection

    Time frame: Up to 36 months after the index procedure

  20. Incidence of all endoleak types

    Individual rate of all endoleak types confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  21. Migration of the distal extension

    Individual rate of distal extension migration (\>10 mm based on the position of the device implantation) confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  22. Non-serious and serious adverse events

    Individual rate of non-serious adverse events

    Time frame: Up to 36 months after the index procedure

  23. Failure of device-extension integrity resulting in a compromised seal and blood leakage or movement of the device

    Individual rate of the extension device integrity issues confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  24. Incidence of Type III endoleak related to the extension device

    Individual rate of the Type III endoleak related to the extension device confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  25. Incidence of failed patency of the device-extension overlap

    Individual rate of failed patency of the device-extension overlap confirmed by CT imaging assessment

    Time frame: Up to 36 months after the index procedure

  26. Incidence of MAE at 30 days post-extension

    Individual rate and type of MAE at 30 days post-extension

    Time frame: Up to 36 months after the index procedure

  27. Incidence of secondary procedures related to the extension

    Individual rate secondary procedures related to the extension

    Time frame: Up to 36 months after the index procedure

07

Study locations

1 of 1 sites recruiting
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
    Recruiting
    • Eric Roselli, M. D. · Contactroselle@ccf.org · 216-444-0995
    • Yuki Kuramochi, BSN, RN · Contactkuramoy@ccf.org · 216-445-4063
    • Eric Roselli, M. D. · Principal investigator
    • Faisal Bakaeen, M. D. · Sub investigator
    • Patrick Vargo, M. D. · Sub investigator
    • Edward Soltez, M. D. · Sub investigator
    • Michael Tong, M. D. · Sub investigator
    • Shinya Unai, M. D. · Sub investigator
    • Haytham Elgharably, M. D. · Sub investigator
    • Francis Caputo, M. D. · Sub investigator
    • Lee Kirksey, M. D. · Sub investigator
    • John Quatromoni, M. D. · Sub investigator
    • Marc Gillinov, M. D. · Sub investigator
    • Marijan Koprivanac, M. D. · Sub investigator
    • Sean Steenberge, M. D. · Sub investigator
    • Ali Khalifeh, M. D. · Sub investigator
    • Ravi Ambani, M. D. · Sub investigator
    • Anthony Zaki, M. D. · Sub investigator
    • Tarek Malas, M. D. · Sub investigator
    • Xiaoying Lou, M. D. · Sub investigator
    • Donna Kilmmaliardjuk, M. D. · Sub investigator
08

References and documents

Publications

  • Roselli EE, Vargo PR, Bakaeen F, Koprivanac M, Burns D, Kuramochi Y, Gillinov M; B-SAFER Investigators. Branched stented anastomosis frozen elephant trunk repair: Early results from a physician-sponsored investigational device exemption study. J Thorac Cardiovasc Surg. 2024 Sep;168(3):746-756. doi: 10.1016/j.jtcvs.2023.09.069. Epub 2023 Oct 5. PubMed 37802330 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2021 (actual). Primary completion is estimated for Dec 2030, 117 months after the start.

Of 28 interventional studies with no phase under Aortic Aneurysm, Thoracic, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 107. This study's planned 117 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 5, 2021
First posted
Feb 10, 2021
StartActual
Mar 25, 2021
Primary completionEst.
Dec 31, 2030
CompletionEst.
Dec 31, 2030
Last update
Oct 9, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04747626
Lead sponsor
Eric Roselli, M. D.
Responsible party
Eric Roselli, M. D. (Sponsor/Principal Investigator, The Cleveland Clinic) — Sponsor-investigator
First posted
Feb 10, 2021
Start date
Mar 25, 2021
Primary completion
Dec 31, 2030 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Oct 9, 2025

Study contacts

Eric Roselli, M. D.
Contact
roselle@ccf.rg
216-444-0995
Yuki Kuramochi, BSN, RN
Contact
kuramoy@ccf.org
2164454063
Eric Roselli, M. D.
principal investigator · The Cleveland Clinic

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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