A second NGS assay found a possible resistance mutation of c.6012T>G (p.F2004L)...nivolumab (200 mg, d1), nedaplatin (120 mg, d1), and pemetrexed (800 mg, d1) every 3 weeks were started to administered to the patient...The patient achieved a partial response to ICT...Unfortunately, it was not long before the disease progressed again...patients with PD-L1-positive ROS1-rearrangement NSCLC, and suggests that ICT might not be a better option than lorlatinib regimen in the second-line setting.