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Stock-based Compensation (Tables)
12 Months Ended
Dec. 31, 2019
Share-based Payment Arrangement [Abstract]  
Summary of stock option activity
The following table summarizes stock option activity during the twelve months ended December 31, 2019:
 
Shares
 
 
Weighted
average
exercise price
 
 
Weighted
average
remaining
contractual
life (years)
 
 
Aggregate
intrinsic value
(in thousands)
 
Outstanding at January 1, 2019
   
1,132,618
    $
48.52
     
     
 
Options granted
   
378,500
     
118.70
     
     
 
Options exercised
   
(20,131
)    
11.67
     
     
 
Options cancelled
   
(29,000
)    
175.78
     
     
 
                                 
Outstanding at December 31, 2019
   
1,461,987
    $
64.67
     
7.37
    $
68,604
 
                                 
Exercisable at December 31, 2019
   
943,399
    $
40.38
     
6.94
    $
63,995
 
Summary of unvested restricted share activity
The following table summarizes restricted share activity during the year ended December 31, 2019:
 
Shares
 
 
Weighted
average
exercise price
 
Outstanding at January 1, 2019
   
52,063
    $
9.45
 
Vested
   
(52,063
)    
9.45
 
                 
Outstanding at December 31, 2019
   
    $
 
                 
Schedule of stock-based compensation expense
Stock-based compensation expense during the years ended December 31, 2019, 2018 and 2017 was as follows (in thousands):
 
Years Ended December 31,
 
 
2019
 
 
2018
 
 
2017
 
Stock-based compensation expense by type of award:
   
     
     
 
Stock options
  $
22,487
    $
12,997
    $
2,662
 
Restricted stock
   
272
     
492
     
592
 
                         
Total stock-based compensation expense
  $
22,759
    $
13,489
    $
3,254
 
                         
Effect of stock-based compensation expense by line item:
   
     
     
 
Research and development
  $
8,277
    $
3,707
    $
883
 
General and administrative
   
14,482
     
9,782
     
2,371
 
                         
Total stock-based compensation expense included in net loss
  $
22,759
    $
13,489
    $
3,254