Phase 1, Open-label Study of the Absorption, Metabolism, and Excretion of [14C]-KW-6356

This is an open-label, single-dose study in healthy male subjects to investigate the absorption, metabolism, and excretion (AME) of KW-6356.

Subjects will be screened to assess their eligibility to enter the study within approximately 4 weeks prior to dose administration. Subjects will be confined to the Clinical Research Unit (CRU) for their entire participation in this study. Eight subjects will be enrolled to allow 6 subjects to complete the study. Each subject will report to the CRU and be confined from Day -1 (the day before dosing) through at least Day 8 (168 hours postdose). A single dose of study drug will be administered on Day 1 (0 hour). On Day 8, subjects can be asked to remain as a resident within the CRU for an additional period to allow for ongoing 24-hour urine, fecal, and blood sample collections. These collections can continue up to a maximum of 336 hours postdose (Day 15). Subjects can be discharged prior to Day 15 if the following individual subject discharge criteria have been satisfied: ≥ 90% of the 14C dose recovered in combined urine and feces, and ≤ 1% of the total radioactive dose is recovered in combined excreta (urine and feces) in 3 consecutive 24-hour periods in which a fecal sample is provided.

Eligibility Criteria:
Inclusion Criteria:

1. Males, of any race, between 18 and 65 years of age, inclusive.
2. Body mass index between 18.0 and 30.0 kg/m2, inclusive.
3. In good health, determined by no clinically significant findings from medical history, physical examination, 12 lead ECG, vital sign measurements, and clinical laboratory evaluations.
4. Able to sign an ICF and willing to abide by the study restrictions.
5. Will agree to use contraception.
6. History of at least 1 bowel movement per day.

Exclusion Criteria:

1. Any clinically significant illness as determined by the Principal Investigator.
2. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance.
3. Have received any investigational drug within 30 days or 5.5 half-lives, whichever is longer, prior to study dosing.
4. History of drug or alcohol abuse or dependence within 2 years prior to signing of ICF.
5. Hospital admission, surgery, within 3 months before investigational product administration.
6. Positive hepatitis B surface antigen or hepatitis C RNA, or positive for acquired human immunodeficiency virus.
7. Positive urine drug screen for drugs of abuse.
8. History of requiring treatment for urinary retention within 3 months before investigational product administration.
9. History of seizures.
10. Subjects with history of, or active suicidal ideation, or suicide attempt.
11. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed). Subjects with cholecystectomy will not be allowed.
12. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including inducers/inhibitors of CYP3A4 and St. John's wort, within 30 days prior to Day 1.
13. Use or intend to use any prescription medications/products within 30 days or 5.5 half-lives (if known), whichever is longer, prior to Check-in.
14. Use or intend to use slow-release medications/products considered to still be active within 30 days or 5.5 half-lives (if known), whichever is longer, prior to Check-in.
15. Use of any nonprescription medications (for 14 days prior to Check-in).
16. Use of tobacco- or nicotine-containing products within 3 months prior to Check-in, or positive cotinine.
17. Receipt of blood products within 2 months prior to Check-in.
18. Donation of blood (\> 200 mL) from 3 months prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening.
19. Poor peripheral venous access.
20. Have previously completed or withdrawn from this study or any other study investigating KW-6356, and have previously received the investigational product.
21. Subjects with exposure to significant diagnostic or therapeutic radiation (eg, serial X-ray, computed tomography scan, barium meal) or current employment in a job requiring radiation exposure monitoring within 12 months prior to Check-in.
22. Subjects who have participated in a radiolabeled drug study where exposures are known to the Investigator within the previous 4 months prior to admission to the clinic for this study or participated in a radiolabeled drug study where exposures are not known to the Investigator within the previous 6 months prior to admission to the clinic for this study.
23. Subjects who, in the opinion of the Investigator, should not participate in this study.