Case Report: [225Ac]Ac-PSMA-617 therapy in a patient with metastatic castration-resistant prostate cancer (mCRPC) and intracranial meningioma - Takeaways - MDSpire

Case Report: [225Ac]Ac-PSMA-617 therapy in a patient with metastatic castration-resistant prostate cancer (mCRPC) and intracranial meningioma

  • By

  • Iskander Musabaev

  • Sergey Goryaynov

  • Tatiana Yu Kochetova

  • Valerii Krylov

  • Sergey Ivanov

  • May 29, 2026

  • 0 min

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  • 1

    Prostate cancer is the most commonly diagnosed cancer in men globally, while meningioma is a prevalent primary CNS tumor.

  • 2

    The patient received four administrations of [225Ac]Ac-PSMA-617 after PET/CT showed high uptake in both metastatic prostate cancer and meningioma.

  • 3

    Post-treatment, the patient exhibited a 99.8% decrease in PSA levels and a 90.6% reduction in meningioma size, with stable hematological parameters.

  • 4

    High-grade xerostomia was noted as an unfavorable symptom following treatment, indicating potential side effects of the therapy.

  • 5

    This case expands the understanding of PSMA RLT as a treatment for both prostatic and non-prostatic tumors, including meningiomas.

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