This study looks at the safety and effectiveness of a new drug, **GDC-4198**, for people with a type of breast cancer called *estrogen receptor-positive* (ER+) and *human epidermal growth factor receptor-negative* (HER2-) breast cancer. It will test GDC-4198 alone and with another drug called **giredestrant**. The study compares these with a known treatment, **abemaciclib** and giredestrant. The study has two parts: *Phase Ib*, focusing on safety and how the drug moves in the body, and *Phase II*, comparing how well the drugs work. Participants should have advanced cancer that has worsened during or after specific treatments.
- Study has two parts: Phase Ib (safety) and Phase II (effectiveness).
- Participants must have advanced ER+, HER2- breast cancer.
- Cannot join if they had recent chemotherapy or poor vein access.