• Eli Lilly's 177Lu-PNT2002 demonstrated efficacy in chemotherapy-naïve mCRPC patients progressing on ARPIs, with a median rPFS of 9.5 months, compared to 6 months for ARPIs.
• The overall survival analysis showed a hazard ratio of 1.14, but adjusted for crossover, the HR was reduced to 0.68, suggesting a potential survival benefit.
• 177Lu-PNT2002 offers a more patient-friendly dosing schedule compared to Novartis' Pluvicto, with lower dosage, longer intervals, and fewer cycles.
• Despite negative OS results, the FDA may view 177Lu-PNT2002 favorably due to the high crossover rate, similar to Pluvicto's approval circumstances.