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CompletedNCT00182273Updated Mar 15, 2024

Canalith Repositioning Procedure for BPPV in Primary Care

A Phase 3 interventional study of Canalith repositioning maneuver (CRM) in Benign Paroxysmal Positional Vertigo, sponsored by McMaster University. Completed at 1 site in Canada. Open to participants aged 18 Years to 105 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-15.

Sponsored by McMaster University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 105 Years
Sex
All
01

Study summary

The purpose of this study is to see whether family doctors can treat benign paroxysmal positional vertigo (BPPV), or dizziness, using a procedure in the office. The study is looking at whether the treatment procedure cures the dizziness in more patients compared to patients that receive a "sham" or placebo procedure.

Read the detailed description

Many patients consult their family physicians because of dizziness. This is a disabling condition with serious consequences, especially in older people, as it may lead to falls and consequent fractures. One of the most common causes of dizziness is the so-called Benign Paroxysmal Positional Vertigo (BPPV). Patients with BPPV typically have severe vertigo provoked by a change in head position.

Benign Paroxysmal Positional Vertigo can now be accurately diagnosed, and distinguished form other dizziness producing conditions, in the physician's office and without any sophisticated diagnostics tools. Furthermore, it can be treated in the office setting by specific head positioning maneuvers (Canalith Repositioning Procedure) that are easy to learn and perform.

The Canalith Repositioning Procedure is currently almost exclusively performed in specialized settings by ear nose and throat (ENT) and Internal Medicine specialists. Its efficacy has been demonstrated in these settings. However, to-date no studies have been conducted in the primary care settings about the use and efficacy of the procedure, where the condition is first seen and assessed.

This is a randomized controlled trial to determine whether the procedure performed by family doctors cures dizziness.

02

Conditions studied

  • Benign Paroxysmal Positional Vertigo

Keywords

  • Benign paroxysmal positional vertigo
  • Canalith repositioning maneuver
  • Dizziness
  • Primary Care
03

In context

Vertigo

248 studies on the registry are indexed under Vertigo; 39 are open to participants now.

This study's enrollment of 56 is close to the median of 57 across 186 interventional studies indexed under Vertigo.

Browse Vertigo studies →

Lead sponsor

McMaster University is the lead sponsor of 720 studies on the registry; 124 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 105 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • confirmed BPPV by positive Dix-Hallpike test

Exclusion criteria

Exclusion Criteria:

    • Positive results of the Dix-Hallpike maneuver in both right and left head-hanging position;

      • Evidence of ongoing central nervous system disease (e.g., transient ischemic attack);
      • Otitis media;
      • Osteosclerosis;
      • Inability to tolerate a diagnostic Dix-Hallpike head-hanging maneuver;
      • Severe degenerative disc disease of cervical spine;
      • Severe and uncontrolled angina or hypertension
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single
Enrollment
56 participants

Interventions

  • ProcedureCanalith repositioning maneuver (CRM)
06

What researchers measure

Primary outcomes

  1. Self-reported resolution (affirmative response to question: "Do you feel that the dizziness has completely resolved?") of vertigo and/or a negative result of the Dix-Hallpike maneuver

Secondary outcomes

  1. Duration of cure, relapse rates

07

Study locations

1 site
  • McMaster University
    Hamilton, Ontario L8N 3Z5, Canada
08

References and documents

Publications

  • Munoz JE, Miklea JT, Howard M, Springate R, Kaczorowski J. Canalith repositioning maneuver for benign paroxysmal positional vertigo: randomized controlled trial in family practice. Can Fam Physician. 2007 Jun;53(6):1049-53, 1048. PubMed 17872784 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00182273
Lead sponsor
McMaster University
First posted
Sep 16, 2005
Start date
Jan 2002
Completion
Jun 2005
Last update
Mar 15, 2024

Study contacts

Juan Munoz, MD
principal investigator · McMaster University
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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