Lutetium-177 PSMA Radioligand Therapy Improves Disease Control but Not Yet Overall Survival in mCRPC: A Critical Appraisal of a Six‑RCT Meta-Analysis

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Patients with metastatic castration‑resistant prostate cancer (mCRPC) treated with lutetium‑177 PSMA radioligand therapy ([177Lu]Lu‑PSMA) show markedly higher PSA responses and objective response rates and a robust reduction in radiographic progression risk; no statistically significant overall survival (OS) benefit was observed in the pooled randomized evidence, and grade ≥3 adverse events were not increased.

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