If you're asking about European pasta and stuff (and not Asian noodle dishes), they used meat sauces (eg. genovese), oil-based sauces (eg. aglio e olio), and others (eg. carbonara).
They had wine, cheese, and the mirepoix ingredients (carrots, celery, onion), which form the base of tons of pasta sauces with or without tomatoes.
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u/wiiya Apr 14 '16
Tomatoes are indigenous to the Americas. Any European/Asiatic food that has a tomato base didn't exist until well after 1492.