ASCO GUIDELINES Bundle

NSCLC Stage IV with Driver Alterations

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15 Summary of Recommendations Recommendation # Description 13.1 13.2 For patients with stage IV NSCLC and driver alterations in NTRK • In the first-line setting, entrectinib or larotrectinib may be offered or standard treatment based on the ASCO/OH non-driver mutation guideline may be offered (Moderate recommendation: IC-L). 14.1 14.2 For patients with stage IV NSCLC and driver alterations in NTRK • In the second-line setting, if NTRK-targeted therapy was given in the first-line setting, standard treatment based on the ASCO/OH non-driver mutation guideline may be offered (Moderate recommendation: IC-L). • In the second-line setting, if NTRK-targeted therapy was not given in the first-line setting, entrectinib or larotrectinib may be offered (Moderate recommendation: IC-L). Unless otherwise noted, type of recommendation is evidence-based. (cont'd)

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