Recurrent Metastatic Esthesioneuroblastoma: First-in-human α/β PRRT With Actinium-225/Lutetium-177-DOTA-LM3 SSTR Antagonist Achieving Partial Response After Failure of Lutetium-177-DOTATOC PRRT.
Elisabetta Perrone, Kriti Ghai, Aleksandr Eismant et al.
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Case in brief
A 45-year-old woman with recurrent metastatic esthesioneuroblastoma, previously treated and symptomatic, received a novel peptide receptor radionuclide therapy (PRRT) using a somatostatin receptor antagonist labeled with actinium-225 and lutetium-177. Following two treatment cycles, imaging revealed intense uptake in multiple lesions, and after the second cycle, there was a documented partial response with significant clinical improvement, including pain reduction.
Diagnostic / clinical pearl
This case highlights the potential of combined alpha- and beta-emitting SSTR-antagonist PRRT in managing advanced esthesioneuroblastoma, demonstrating a partial response after prior treatment failures.