Therapy for Stage IV Non–Small Cell Lung Cancer Without Driver Alterations: ASCO Living Guideline, Version 2025.1

D Dwight H. Owen B Balazs Halmos S Sonam Puri A Angel Qin (University of Michigan Health System, Ann Arbor, MI) N Nofisat Ismaila (American Society of Clinical Oncology (ASCO), Alexandria, VA, US) F Fawzi Abu Rous (Henry Ford Hospital, Detroit, MI) K Krishna Alluri (Texas Oncology, San Antonio, TX) J Janet Freeman-Daily (The ROS1ders, Seattle, WA) N Narinder Malhotra (Yolanda G. Barco Cancer Institute, Meadville, PA) K Kristen Ashley Marrone (John Hopkins Medical Center, Baltimore, MD, US) L Lyudmila Bazhenova (University of California, San Diego, San Diego, CA, US)

Abstract

Living guidelines are developed for selected topic areas with rapidly evolving evidence that drives frequent change in recommended clinical practice. Living guidelines are updated on a regular schedule by a standing expert panel that systematically reviews the health literature on a continuous basis, as described in the ASCO Guidelines Methodology Manual . ASCO Living Guidelines follow the ASCO Conflict of Interest Policy Implementation for Clinical Practice Guidelines . Living Guidelines and updates are not intended to substitute for independent professional judgment of the treating clinician and do not account for individual variation among patients. See appendix for disclaimers and other important information ( Appendix 1 and Appendix 2 ). Updates are published regularly and can be found at https://ascopubs.org/nsclc-non-da-living-guideline .

Article Details

Volume / Issue Vol. 43, Issue 24
Published August 20, 2025
ISSN 0732-183X
Publisher Lippincott Williams & Wilkins

Journal Info

Journal of Clinical Oncology

Lippincott Williams & Wilkins

ISSN: 0732-183X Health Sciences

Authors (11)

D

Dwight H. Owen

B

Balazs Halmos

S

Sonam Puri

A

Angel Qin

University of Michigan Health System, Ann Arbor, MI

N

Nofisat Ismaila

American Society of Clinical Oncology (ASCO), Alexandria, VA, US

F

Fawzi Abu Rous

Henry Ford Hospital, Detroit, MI

K

Krishna Alluri

Texas Oncology, San Antonio, TX

J

Janet Freeman-Daily

The ROS1ders, Seattle, WA

N

Narinder Malhotra

Yolanda G. Barco Cancer Institute, Meadville, PA

K

Kristen Ashley Marrone

John Hopkins Medical Center, Baltimore, MD, US

L

Lyudmila Bazhenova

University of California, San Diego, San Diego, CA, US