ASCO GUIDELINES Bundle

NSCLC Stage IV without Driver Alterations

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12 Treatment Figure 3. Third-Line Treatment Options for Patients With Stage IV NSCLC Without Driver Alterations Patients with stage IV NSCLC, PS 0–1 SCC or non-SCC Driver alteration a negative Received chemotherapy ± bevacizumab and immune checkpoint inhibitors a Driver alterations including EGFR, ALK, ROS-1, BRAF V600E, MET exon 14, NTRAK, KRAS, and RET. S For patients with non-SCC only Single-agent docetaxel (If not received in first- or second-line) S Single-agent pemetrexed (If not received in first- or second-line) W Paclitaxel + bevacizumab (If not received in first- or second-line) Strength of Recommendation W Strong Moderate Weak M S

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