Therapy for METX14skipping altetation

Have been diagnosed with NSCLC 2021.
Was treated with RT (SBRT) with resolution until 2023, when multiple ground glass lesions were found on followup CT/PET surveillance. Robotic bronchoscopic biopsies of 4 lesions were pathologically the same as original lesion (Adenocarcinoma NSCLC)
Treated with Tepmetko twice with partial lesion resolution. No extrapulmonary metastasis.
Treatment stopped twice after several months due to intolerable side effect. Massive edema, lymphedema etc.
Had partial therapy with Keytruda, but stopped due to immunological interstitial pneumonia, which responded to steroids.
No therapy since 8/1/2025…next CT/PET 11/05/2025
Need wisdom and guidance regarding any new therapy or advice how to proceed. Thank you so much