ASCO GUIDELINES Bundle

NSCLC Stage IV without Driver Alterations

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11 Received first-line immunotherapy Received first-line combination immunotherapy + chemotherapy No standard algorithm; consider any single-agent chemotherapy option not received in first-line a Driver alterations including EGFR, ALK, ROS-1, BRAF V600E, MET exon 14, NTRAK, KRAS, and RET. S Standard non-platinum- based chemotherapy (if platinum is contraindicated) S Standard platinum-based chemotherapy Strength of Recommendation W Strong Moderate Weak M S

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