An Open-Label, Phase I Study of GDC-0927 in Postmenopausal Women with Locally Advanced or Metastatic Estrogen Receptor Positive Breast Cancer

This is an open-label, dose-finding, safety, pharmacokinetics (PK), and
evidence-of-activity study of GDC-0927 in postmenopausal women with locally advanced or
metastatic Estrogen Receptor Positive (ER+) Human Epidermal Growth Factor Receptor 2
(HER2) breast cancer. The study will be conducted in two parts: Dose escalation and Dose
expansion. During dose escalation, GDC-0927 will be administered orally as a single dose
on Day -7 for PK evaluation during the lead-in period. Depending on safety and
tolerability, participants will be assigned sequentially to escalating doses of GDC-0927
using standard 3+3 design. During dose expansion, there will be no PK week lead-in
period. All participants will be treated until disease progression, unacceptable
toxicity, participant withdrawal of consent or study termination.

Inclusion Criteria:

- Histologically or cytologically proven diagnosis of adenocarcinoma of the breast
with evidence of either locally recurrent disease not amenable to resection or
radiation therapy with curative intent, or metastatic disease, both progressing
after at least 6 months of hormonal therapy for ER+ breast cancer

- ER-positive tumor, HER2-negative breast cancer

- No prior treatment with GDC-0810 (allowed only during dose expansion stage)

- No more than 2 prior chemotherapies in the advanced or metastatic setting

- At least 2 months must have elapsed from the use of tamoxifen

- At least 6 months must have elapsed from the use of fulvestrant

- At least 2 weeks must have elapsed from the use of any other endocrine therapy

- At least 3 weeks must have elapsed from the use of any chemotherapy

- Females, 18 years of age or older

- Postmenopausal status as defined by the protocol

- Eastern Cooperative Oncology Group (ECOG) Performance status less than or equal to
(

- Adequate organ function

Exclusion Criteria:

- Untreated or symptomatic brain metastases

- Current treatment with any systemic anti-cancer therapies for advanced disease or
any systemic experimental treatment on another clinical trial

- Any of the following within 12 months prior to enrollment: myocardial infarction,
severe/unstable angina, ongoing cardiac dysrhythmias of Grade greater than or equal
to (>/=) 2, atrial fibrillation of any grade, coronary/peripheral artery bypass
graft, symptomatic congestive heart failure, or cerebrovascular accident including
transient ischemic attack

- Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, or
upper gastrointestinal surgery including gastric resection

- Known Human Immunodeficiency Virus (HIV) infection

- Major surgery within 4 weeks prior to enrollment

- Radiation therapy within 2 weeks prior to enrollment