Article
CYP2C19 genotype-guided dosing of proton pump inhibitors: progress in clinical trials and real-world use.
Expert review of clinical pharmacology - 1 Jan 2026
Thuy Han Minh, Sugimoto Mitsushige, Quang Pham Minh Ngoc, Yamaoka Yoshio
Abstract excerpt
INTRODUCTION: Proton pump inhibitors (PPIs) are widely used to treat acid-related disorders; however, treatment response varies significantly due to Cytochrome P450 2C19 (CYP2C19) genetic polymorphisms that alter individual drug metabolism. Such variation can lead to insufficient acid suppression, resulting in treatment failure or adverse events. Genotype-guided PPI therapy represents an important step toward...
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