ASCO GUIDELINES Bundle

NSCLC Stage IV with Driver Alterations

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9 NTRK First-line Recommendation 13.1 ➤ For patients with an NTRK fusion, a performance status of 0–2, previously untreated NSCLC, clinicians may offer entrectinib or larotrectinib (Moderate recommendation; IC-L). Recommendation 13.2 ➤ For patients with an NTRK fusion, a performance status of 0–2, previously untreated NSCLC, clinicians may offer standard therapy based on the ASCO/OH non-driver mutation guideline (Moderate recommendation; IC-L). NTRK Second-line Recommendation 14.1 ➤ For patients with an NTRK fusion, if NTRK-targeted therapy was not given in the first-line setting, clinicians may offer standard therapy based on the ASCO/OH non-driver mutation guideline (Moderate recommendation; IC-L). Recommendation 14.2 ➤ For patients with an NTRK fusion previously treated NSCLC who have not received an NTRK inhibitor, clinicians may offer entrectinib or larotrectinib (Moderate recommendation; IC-L).

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