{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:33:24Z","timestamp":1791894804128,"version":"4.3.4"},"reference-count":15,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"26","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["J Clin Oncol"],"published-print":{"date-parts":[[2026,9,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      <jats:boxed-text orientation=\"portrait\" position=\"float\" specific-use=\"update-notice\">\n                        <jats:p>\n                          <jats:bold>This guideline has been updated.<\/jats:bold>\n                        <\/jats:p>\n                        <jats:p>\n                          This ASCO Living Guideline is reviewed on an eight-week cycle. Please see the\n                          <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\" https:\/\/ascopubs.org\/guidelines\/therapy-stage-iv-non-small-cell-lung-cancer-without-driver-alterations\">online dynamic version<\/jats:ext-link>\n                          for the latest updates.\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">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<\/jats:italic>\n                      <jats:italic toggle=\"yes\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.asco.org\/practice-patients\/guidelines\/guideline-methodology\">ASCO Guidelines Methodology Manual<\/jats:ext-link>\n                      <\/jats:italic>\n                      .\n                      <jats:italic toggle=\"yes\">ASCO Living Guidelines follow the<\/jats:italic>\n                      <jats:italic toggle=\"yes\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.asco.org\/about-asco\/legal\/conflict-interest-coi\">ASCO Conflict of Interest Policy Implementation for Clinical Practice Guidelines<\/jats:ext-link>\n                      <\/jats:italic>\n                      <jats:italic toggle=\"yes\">\n                        . 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 (\n                        <jats:xref ref-type=\"app\">Appendix 1<\/jats:xref>\n                        and\n                        <jats:xref ref-type=\"app\">Appendix 2<\/jats:xref>\n                        , online only). Updates are published regularly and can be found\n                      <\/jats:italic>\n                      on\n                      <jats:italic toggle=\"yes\">the<\/jats:italic>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/ascopubs.org\/guidelines\/therapy-stage-iv-non-small-cell-lung-cancer-driver-alterations\">\n                        <jats:italic toggle=\"yes\">ASCO Publications website<\/jats:italic>\n                      <\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/jco-26-01479","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T19:59:07Z","timestamp":1782763147000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":5,"title":["Therapy for Stage IV Non\u2013Small Cell Lung Cancer With Driver Alterations: ASCO Living 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