Ok, super embarrassing! The nab is abraxane, but at least I really didn't know what VMAT was.
I'm waiting for results from a contrast ultrasound to see if I qualify for histotripsy which also destroys lesions in the liver. I also have some peritoneal nodules which "feel" like they are continuing to grow; last Naliri session my ca19-9 indicated I wasn't responding it as it tripled to almost 9,000. I recall there can still be a peak after first treatment so I'll find how effective 2nd treatment was at this week's 3rd Naliri treatment. Wishing you all the best. I have your husband's mutations along with TP53 so mine very aggressive.

This is the chemo my husband is receiving for his PC, started 6/4, along with a clinical trial drug. He's had 3 chemo treatments so far, tolerating reasonably well, side effects are not terrible, but he's lost so much weight, eating (really digesting) is still an issue, he's very tired too, not able to do much, he has good days and crappy days.