CYP2C19

Chr 10AR

cytochrome P450 family 2 subfamily C member 19

Also known as: CPCJ, CYP2C, CYPIIC17, CYPIIC19, P450C2C, P450IIC19

This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and is known to metabolize many xenobiotics, including the anticonvulsive drug mephenytoin, omeprazole, diazepam and some barbiturates. Polymorphism within this gene is associated with variable ability to metabolize mephenytoin, known as the poor metabolizer and extensive metabolizer phenotypes. The gene is located within a cluster of cytochrome P450 genes on chromosome 10q24. [provided by RefSeq, Jul 2008]

GeneReviewsOMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

Clopidogrel, impaired responsiveness toMIM #609535
AR
Mephenytoin poor metabolizerMIM #609535
AR
Omeprazole poor metabolizerMIM #609535
AR
Proguanil poor metabolizerMIM #609535
AR
12
Active trials
Pubs (1 yr)
P/LP submissions
P/LP missense
1.87
LOEUF
Multiple*
Mechanism· predicted
📖
GeneReview available — CYP2C19
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
1.87LOEUF
pLI 0.000
Z-score -1.63
OE 1.42 (1.031.87)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint?
-2.37Z-score
OE missense 1.41 (1.291.53)
378 obs / 268.6 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios?
LoF OE?1.42 (1.031.87)
00.351.4
Missense OE?1.41 (1.291.53)
00.61.4
Synonymous OE?1.46
01.21.6
LoF obs/exp: 25 / 17.6Missense obs/exp: 378 / 268.6Syn Z: -3.50

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CYP2C19 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

CYP2C19 Genetic Variants

CYP2C19 Variants and Limonene Metabolism

RECRUITING
NCT05078723Phase NAStanford UniversityStarted 2021-10-30
Limonene
Atrial Fibrillation (AF)Upper Gastrointestinal Bleeding (UGIB)Gastrointestinal Hemorrhage (Clinically Important, Upper)

FENOX Trial (Comparative Effectiveness of Fexuprazan Co-therapy in Patients Receiving Non-Vitamin K Antagonist Oral Anticoagulants)

NOT YET RECRUITING
NCT07497893Phase NAEwha Womans University Mokdong HospitalStarted 2026-12-01
FexuprazanNOAC therapy
Coronary Artery DiseasePercutaneous Coronary Intervention

Precision PCI Registry

ACTIVE NOT RECRUITING
NCT06143709University of FloridaStarted 2020-07-17
DNA sample collection
Acute Coronary Syndromes (ACS)Recent Myocardial InfarctionRecent Stroke

The Pharmacokinetics and Pharmacodynamics Study of Evategrel CG-0255 Besylate)and Plavix® in Healthy Participants

RECRUITING
NCT07619885Phase PHASE1Shanghai CureGene Pharmaceutical Co., Ltd.Started 2026-06
CG-0255 Besylate for InjectionCG-0255 Besylate CapsuleClopidogrel
Coronary Artery Disease (CAD) (E.G., Angina, Myocardial Infarction, and Atherosclerotic Heart Disease (ASHD))Peripheral Artery Disease

REGistry of Long-term AnTithrombotic TherApy-1

RECRUITING
NCT04347200National Medical Research Center for Cardiology, Ministry of Health of Russian FederationStarted 2015-01-15
Antiplatelet Drug
PRS-based Primary Prevention of CVD

Polygenic Risk Driven Pragmatic Statin Trial for Heart Disease Prevention

ACTIVE NOT RECRUITING
NCT06820086Phase PHASE4Mikk JÜRISSONStarted 2025-03-26
Rosuvastatin 20mg
Acute Coronary SyndromeCYP2C19 Polymorphism

POPular GUILTY PILOT: Genotype-guided Clopidogrel Monotherapy

RECRUITING
NCT05926271Phase PHASE2St. Antonius HospitalStarted 2023-07-15
Clopidogrel
Anxiety

Pharmacogenetically-guided Escitalopram Treatment for Pediatric Anxiety: Aiming to Improve Safety and Efficacy (PrEcISE)

RECRUITING
NCT04623099Phase PHASE4University of CincinnatiStarted 2021-03-08
Escitalopram
Healthy Volunteers

Identification of New Tools for Predicting Natural Metabolic Performance of the Liver

RECRUITING
NCT07014930Phase PHASE1Caroline SamerStarted 2024-12-05
Control sessionInhibition sessionInduction session
Pharmacogenetic Testing

Pharmacogenetic Testing at Community Pharmacy

NOT YET RECRUITING
NCT06210321Phase NAChantal CsajkaStarted 2025-08-15
Prescription of escitalopram using pharmacogenetic testing
Driving Under the Influence of Cannabis

Pilot-Study for the Comparison of Biomarkers Between Regular Cannabis Users and Non-Users

RECRUITING
NCT06975020Phase NAUniversity of BaselStarted 2025-12-19
Participants will prepare their cannabis product ad libitum and inhale the prepared product as usual for a maximum of 15 minutes.
ACS - Acute Coronary SyndromeCYP2C19 Polymorphism

CYP2C19 Genotype-Guided P2Y12 Receptor Inhibitor Selection After Complex Percutaneous Coronary Intervention

RECRUITING
NCT06283888Phase PHASE4Zunyi Medical CollegeStarted 2024-04-01
CYP2C19 Genotype Guided DAPTConventional DAPT