Response of Bony Metastasis to Tyrosine Kinase Inhibitors in Non-Small Cell Lung Cancers With Actionable Driver Mutations.

Inclusion Criteria:

1. Provision to sign and date the consent form

2. Stated willingness to comply with all study procedures and be available for theduration of the study

3. Be a male or female aged 18-100 years

4. Pathologically confirmed non-small cell lung cancer

5. Molecular testing through a CLIA-validated NGS assay. This can be done using eithertissue based samples or blood-based samples (ctDNA)

6. ECOG PS 0-2

7. Decision to be on a particular standard of care TKI or chemotherapy +/-immunotherapy (clinical decision that would occur prior to study enrollment)

8. Patients who will be treated with an osteoclast inhibitor must receive dentalclearance prior to starting treatment

9. Bone metastases must be detected through radiographic imaging prior to enrollment onthis study.

Exclusion Criteria:

1. Actionable driver mutation NSCLC patient who has been on anti-bone resorptivetherapy a. Excluded anti-bone resorptive therapy includes: zolendronic acid, pamidronate,alendronate, denosumab or any medication that acts as an osteoclast inhibitor

2. Have any condition or illness that, in the opinion of the investigator, wouldcompromise participant safety or interfere with evaluation while on standard of caretreatments for the NSCLC.

3. Patients with actionable driver mutation who received TKI in past or currently onTKI prior to screening

4. Bone metastases that have received prior radiotherapy unless unequivocal progressionhas occurred since radiation therapy