XML 39 R27.htm IDEA: XBRL DOCUMENT v3.23.1
Nature of Operations and Basis of Presentation - Additional Information (Details) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended 34 Months Ended
Jul. 15, 2023
Jun. 15, 2023
May 30, 2023
May 15, 2023
Apr. 01, 2023
Jan. 30, 2023
Mar. 14, 2022
Mar. 04, 2022
Mar. 19, 2021
Jan. 25, 2021
Apr. 30, 2020
Mar. 18, 2020
Nov. 09, 2018
May 15, 2023
May 15, 2023
Mar. 31, 2023
Dec. 31, 2022
Mar. 31, 2022
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Mar. 31, 2023
Jun. 30, 2023
May 31, 2023
May 12, 2023
Jan. 31, 2023
Dec. 29, 2022
Aug. 19, 2022
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Accumulated deficit                               $ 157,027,975 $ 140,747,269     $ 140,747,269   $ 157,027,975            
Cash and cash equivalents                               6,379,977 2,329,218     2,329,218   6,379,977            
Net cash used in operating activities                               (9,017,890)   $ (3,013,255)                    
Reimbursement payment                 $ 14,000,000.0                                      
Development payments                 10,000,000.0                                      
Threshold equity value as per Nasdaq capital market listing standards                               2,500,000                        
Threshold market value as per Nasdaq capital market listing standards                               35,000,000                        
Threshold net income from continuing operations as per Nasdaq capital market listing standards                               500,000                        
Threshold number of business days for market value of listed securities                                     30 days                  
Threshold number of calendar days to regain compliance                                     180 days                  
Current liabilities                               38,000,318 18,951,700     18,951,700   38,000,318            
Deferred collaboration funding, current                               2,890,097 8,412,971     $ 8,412,971   2,890,097            
Threshold bid price per share for continued listing on nasdaq                                                     $ 1.00  
Lincoln Park                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Issuance of common stock, net of issuance costs, shares                                       772,057                
Proceeds from issuance of common stock gross                                       $ 1,100,000   4,000,000.0            
Collaboration Agreement | Relief Therapeutics Holding AG                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Cash payment received                 10,000,000.0                       $ 10,000,000.0              
Repayment of outstanding balance of prior loan and interest                 4,000,000.0 $ 4,000,000.0                                    
Reimbursement payment                 14,000,000.0 $ 14,000,000.0                                    
Development payments                 $ 20,000,000.0                                      
Net profit split ratio based on territory                 60.00% 60.00%                                    
Net profit split ratio                   60%:40%                                    
Percentage of royalty net sales received                 15.00% 15.00%                                    
Milestone payment to be received                 $ 6,000,000.0 $ 6,000,000.0                                    
SWK Credit Agreement | Lenders Party and SWK Funding LLC | SOFR                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, periodic payment, principal           $ 600,000                   600,000 $ 1,300,000                      
SWK Credit Agreement | Bridge Loan | Lenders Party and SWK Funding LLC | If ACER-001 Approval does not Occur on or Before September 30, 2022                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument repayment percentage on outstanding principal amount               150.00%                                        
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Minimum cash balance required by the loan covenants           $ 1,500,000                   3,000,000.0           3,000,000.0            
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC | Scenario Forecast                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Principal amortization payments   $ 600,000                                                    
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC | Repayment Occurs On Or After April 16, 2023 But Prior to May 16, 2023                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument repayment percentage on outstanding principal amount           1.28667%                                            
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC | Repayment Occurs On Or After May 16, 2023 But Prior to June 16, 2023                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument repayment percentage on outstanding principal amount           1.39334%                                            
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC | Repayment Occurs On Or After June 16, 2023                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument repayment percentage on outstanding principal amount           1.50%                                            
SWK Credit Agreement | Second Term Loan | Lenders Party and SWK Funding LLC | Subsequent Event                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Principal amortization payments       $ 600,000                                                
SWK Credit Agreement | Second Term Loan | Original Term Loan And Swk Loans                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, principal amount                                                   $ 7,000,000.0    
SWK Credit Agreement | Third Term Loan | Lenders Party and SWK Funding LLC                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Minimum cash balance required by the loan covenants                               $ 3,000,000.0           3,000,000.0            
SWK Credit Agreement | Third Term Loan | Lenders Party and SWK Funding LLC | Scenario Forecast                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Principal amortization payments $ 500,000 $ 600,000                                                    
Minimum cash balance required by the loan covenants     $ 1,750,000                                       $ 1,250,000 $ 1,250,000        
SWK Credit Agreement | Third Term Loan | Lenders Party and SWK Funding LLC | Subsequent Event                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Principal amortization payments       $ 600,000                                                
Minimum cash balance required by the loan covenants     $ 1,750,000                                         $ 1,250,000 $ 3,000,000.0      
SWK Credit Agreement | Original Term Loan | Lenders Party and SWK Funding LLC                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, principal amount               $ 6,500,000                                        
Debt instrument, interest rate, increase           3.00%                                            
Origination fees             $ 100,000                                          
Warrant issued to purchase common stock           250,000   150,000                                       100,000
Warrant, exercise price           $ 2.39   $ 2.46                                       $ 1.51
SWK Credit Agreement | Original Term Loan | Lenders Party and SWK Funding LLC | If ACER-001 Approval does not Occur on or Before December 31, 2022                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, maturity date           Mar. 04, 2024                                            
Debt instrument repayment percentage on outstanding principal amount           150.00%                                            
SWK Credit Agreement | Original Term Loan | Lenders Party and SWK Funding LLC | SOFR                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, interest rate           1.00%                                            
Debt instrument, basis spread on variable rate           11.00%                                            
Marathon Credit Agreement | Term Loan | Lender Party and Marathon                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, principal amount               $ 42,500,000                                        
Debt instrument, interest rate               13.50%                                        
Debt instrument, frequency of periodic payment                               quarterly                        
Debt instrument, maturity date               Dec. 31, 2028                                        
Termination agreement date               Jan. 30, 2023                                        
Marathon Credit Agreement | Marathon Convertible Notes | Subsequent Event                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Termination agreement date                             Jan. 30, 2023                          
Marathon Convertible Note Purchase Agreement | Marathon Convertible Notes | MAM Aardvark, LLC and Marathon Healthcare Finance Fund, L.P.                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, principal amount               $ 6,000,000.0                                        
Debt instrument, interest rate               6.50%                                        
Debt instrument, frequency of periodic payment                               quarterly                        
Conversion price               $ 2.50                                        
Number of business days for repurchase of convertible note           5 days                                            
Increase in Buy-Out percentage           0.2500                                            
Number of business days for payment in full of all senior indebtedness           5 days                                            
Buy-Out percentage     212.50%     200.00%                                            
Minimum | Marathon Convertible Note Purchase Agreement | Marathon Convertible Notes | MAM Aardvark, LLC and Marathon Healthcare Finance Fund, L.P.                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Gross Proceeds from Issuance or Sale of Equity Debt Hybrid Securities loans or Other Financing           $ 40,000,000.0                                            
Weighted Average | Lincoln Park                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Issuance of common stock, gross sale price per share                                       $ 1.42                
Maximum                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Public float                               $ 75,000,000           75,000,000            
Maximum | Lincoln Park                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Shares value might be issued under agreement                     $ 15,000,000.0                                  
Maximum | Collaboration Agreement | Relief Therapeutics Holding AG                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Development payments                 $ 20,000,000.0 $ 20,000,000.0                                    
Maximum | SWK Credit Agreement | Lenders Party and SWK Funding LLC | SOFR                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Debt instrument, periodic payment, principal           $ 1,300,000                                            
At-the-Market Facility                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Remained available under facility                               29,400,000   $ 29,400,000       29,400,000            
Common stock offering costs                               $ 100,000                        
Issuance of common stock, net of issuance costs, shares                               1,462,254   0                    
Proceeds from issuance of common stock, net of issuance costs                               $ 4,000,000.0                        
Proceeds from issuance of common stock gross                               $ 4,100,000           $ 20,600,000            
At-the-Market Facility | Subsequent Event                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Common stock offering costs         $ 14,000                 $ 14,000                            
Issuance of common stock, net of issuance costs, shares         456,886                 456,886 456,886                          
Proceeds from issuance of common stock, net of issuance costs         $ 300,000                 $ 300,000 $ 300,000                          
Proceeds from issuance of common stock gross         $ 400,000                 $ 400,000                            
Issuance of common stock, net price per share       $ 0.7635                   $ 0.7635 $ 0.7635                          
At-the-Market Facility | Weighted Average                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Issuance of common stock, gross sale price per share                               $ 2.8095                        
At-the-Market Facility | Weighted Average | Subsequent Event                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Issuance of common stock, gross sale price per share         $ 0.7912                 $ 0.7912                            
At-the-Market Facility | Maximum                                                        
Organization Consolidation and Presentation of Financial Statement [Line Items]                                                        
Aggregate offering price of common stock                       $ 50,000,000.0 $ 50,000,000.0