Has DNA sequencing been done on your tumor? That is sometimes the ticket into a clinical trial, although ascites that has to be drained sometimes disqualifies you. (I had some ascites when I started my first clinical trial, but I didn't need to get it drained.)

Has it been tested for HER2? High levels of HER 2 would qualify you for Enhertu, which works for some people.

But I would think the Drs at Moffitt would suggest both these things and more. My (non-medical) feeling is that you need to start something ASAP. If Lenvima/Keytruda is what is available soonest, that might be the best choice. Hopefully that will improve things at least somewhat and give you time to think about what your next option will be.

We're you completely off treatment for the last 4-6 weeks?