ASCO GUIDELINES Bundle

NSCLC Stage IV with Driver Alterations

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13 Summary of Recommendations Recommendation # Description 8.1 8.2 8.3 For patients with stage IV NSCLC and driver alterations in with BRAF V600E mutation • In the second-line setting, if previous BRAF/MEK (dabrafenib/trametinib) targeted therapy was given in the first-line setting, standard treatment based on the ASCO/ OH non-driver mutation guideline should be offered (Moderate recommendation: IC-L). • In the second-line setting, if BRAF-targeted therapy was not given in the first-line setting, dabrafenib/trametinib may be offered (Moderate recommendation: IC-L) or dabrafenib or vemurafenib alone may be offered (Weak recommendation: IC-L). • If previous chemotherapy, immunotherapy, and/or BRAF- targeted therapy were given in the first- or subsequent-line setting, standard treatment based on the ASCO/OH non- driver mutation guideline should be offered (Moderate recommendation: IC-L). 8.4 For patients with stage IV NSCLC and driver alterations in with BRAF mutations other than V600E • In the second-line setting, standard treatment based on the ASCO/OH non-driver mutation guideline should be offered (Moderate recommendation: IC-L). 9.1 9.2 For patients with stage IV NSCLC and MET exon 14 skipping mutation • In the first-line setting, for patients with a MET exon 14 skipping mutation MET-targeted therapy with capmatinib or tepotinib may be offered or standard treatment based on the ASCO/OH non-driver mutation guideline may be offered (Moderate recommendation: IC-L). (cont'd)

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