CYP2D6

Chr 22AR

cytochrome P450 family 2 subfamily D member 6 (gene/pseudogene)

Also known as: CPD6, CYP2D, CYP2D7AP, CYP2D7BP, CYP2D7P2, CYP2D8P2, CYP2DL1, CYPIID6

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 as many as 25% of commonly prescribed drugs. Its substrates include antidepressants, antipsychotics, analgesics and antitussives, beta adrenergic blocking agents, antiarrythmics and antiemetics. The gene is highly polymorphic in the human population; certain alleles result in the poor metabolizer phenotype, characterized by a decreased ability to metabolize the enzyme's substrates. Some individuals with the poor metabolizer phenotype have no functional protein since they carry 2 null alleles whereas in other individuals the gene is absent. This gene can vary in copy number and individuals with the ultrarapid metabolizer phenotype can have 3 or more active copies of the gene. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2014]

GeneReviewsOMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

{Codeine sensitivity}MIM #608902
AR
{Debrisoquine sensitivity}MIM #608902
AR
12
Active trials
668
Pubs (1 yr)
P/LP submissions
P/LP missense
1.94
LOEUF
Multiple*
Mechanism· predicted
📖
GeneReview available — CYP2D6
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
1.94LOEUF
pLI 0.000
Z-score -2.57
OE 1.64 (1.211.94)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint?
-2.00Z-score
OE missense 1.32 (1.221.44)
403 obs / 304.9 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios?
LoF OE?1.64 (1.211.94)
00.351.4
Missense OE?1.32 (1.221.44)
00.61.4
Synonymous OE?1.43
01.21.6
LoF obs/exp: 31 / 18.9Missense obs/exp: 403 / 304.9Syn Z: -3.99

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CYP2D6 · 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

Carcinoma, Intraductal, NoninfiltratingRecurrence, Local NeoplasmBreast Neoplasms

Trial of Low Dose Tamoxifen in Women With Breast Intraepithelial Neoplasia - Long Term Follow-up

ACTIVE NOT RECRUITING
NCT01357772Phase PHASE3Andrea DeCensiStarted 2008-11-12
Tamoxifenplacebo
FibromyalgiaDuloxetine

Duloxetine Metabolism and Fibromyalgia

RECRUITING
NCT06866444University of UtahStarted 2025-05-01
Observational
Postoperative Pain

Personalizing Perioperative Analgesia in Children

ACTIVE NOT RECRUITING
NCT01140724Senthil SadhasivamStarted 2022-02-07
PolypharmacyPharmacogeneticsPharmacogenomic Testing

Individual Risk Profiles for Adverse Drug Reactions in Geriatric Patients

NOT YET RECRUITING
NCT05247814RWTH Aachen UniversityStarted 2022-07
Pharmacogenomic testing of a panel of important pharmacogenes to detect genetic variants and evaluate the association between genetically predicted and measured drug metabolismAdverse Drug Reaction detectionFalls Efficacy Scale International (FES-I)
Opioid Use DisorderPregnancy Related

Predicting and Preventing Adverse Maternal and Child Outcomes of Opioid Use Disorder in Pregnancy

RECRUITING
NCT05942313Ilana HullStarted 2023-08-28
Buprenorphine/ Methadone exposure
Epilepsy

Precision Medicine in the Treatment of Epilepsy

RECRUITING
NCT05450822Gitte Moos KnudsenStarted 2022-02-18
LevetiracetamLevetiracetam TabletsLamotrigine tablet
PPAPSpine Fusion

Personalized Perioperative Analgesia Platform (PPAP) for Pediatric Spine Fusion Surgery (sIRB)

RECRUITING
NCT05367609Phase NASenthil SadhasivamStarted 2022-09-20
Preoperative Genotyping
AnalgesiaCardiac Surgery

Precision Analgesia for Cardiac Surgery

NOT YET RECRUITING
NCT05612399Kathirvel SubramaniamStarted 2026-10
Lumbar Spine StenosisLumbar Spine Degeneration

OpalGenix- Personalized Postoperative Pain Management Following Lumbar Spinal Fusion and Decompression Surgery in Adults

RECRUITING
NCT05452694OpalGenix, IncStarted 2022-11-01
Risk FactorsPolypharmacyDrug Interactions

Telecommunication Technology-based Online Survey

RECRUITING
NCT06159699Tomsk National Research Medical Center of the Russian Academy of SciencesStarted 2022-12-02
Online SurveyGenetic Testing
Vasovagal Syncope

Study of Atomoxetine in the Prevention of Vasovagal Syncope

RECRUITING
NCT05159687Phase PHASE3University of CalgaryStarted 2022-06-01
Atomoxetine HydrochloridePlacebo
Depression - Major Depressive Disorder

Pharmacogenetic-Guided Antidepressant Treatment in Depression

NOT YET RECRUITING
NCT07480486Phase NAMohammed V University in RabatStarted 2026-04-01
Pharmacogenetic-Guided TreatmentUsual Care