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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2019
Income Tax Disclosure [Abstract]  
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]
The following table summarizes the reporting of total stock-based compensation expense resulting from stock options, restricted stock units and the employee stock purchase plan (in thousands):
 
Years Ended December 31,
 
2019
 
2018
 
 
Research and development
$
1,168

 
$
518

Selling, general and administrative
5,316

 
1,210

     Total stock-based compensation expense
$
6,484

 
$
1,728

Summary of Valuation Allowance [Table Text Block]
A reconciliation of the beginning and ending amounts of valuation allowances for the years ended December 31, 2019 and 2018 is as follows (in thousands):
Valuation allowance at December 31, 2017
 
$
(14,124
)
     Increase for 2018 activity
 
(18,538
)
Valuation allowance at December 31, 2018
 
(32,662
)
     Increase for 2019 activity
 
(36,288
)
Valuation allowance at December 31, 2019
 
$
(68,950
)
Schedule of Effective Income Tax Rate Reconciliation
A reconciliation of the expected income tax benefit computed using the federal statutory income tax rate of 21% to the Company’s effective income tax rate is as follows: 
 
 
Years Ended December 31,
(in thousands)
 
2019
 
2018
Federal tax benefit at statutory rate
 
$
(26,468
)
 
$
(12,617
)
State tax benefit, net of federal benefit
 
(5,570
)
 
(1,842
)
Research and development and orphan drug credits
 
(2,912
)
 
(2,279
)
Uncertain tax positions
 
342

 
603

Permanent adjustments to expenses
 
169

 
45

Stock-based compensation
 
683

 
76

Return to provision adjustment
 
(3,278
)
 
(2,470
)
Rate impact of deferred tax balance
 

 
(63
)
Statutory rate differential
 
(51
)
 

Other
 
339

 
9

Changes in valuation allowance
 
36,288

 
18,538

Total income tax benefit
 
$
(458
)
 
$

Schedule of Deferred Tax Assets and Liabilities
Significant components of the Company’s deferred tax assets and liabilities are as follows: 
 
 
December 31,
(in thousands)
 
2019
 
2018
Deferred tax assets:
 
 
 
 
   Net operating losses
 
$
55,110

 
$
25,372

   Federal research and orphan drug credits
 
8,309

 
5,426

   Stock-based compensation
 
1,092

 
267

   Other temporary differences
 
4,648

 
1,679

   Valuation allowance
 
(68,950
)
 
(32,662
)
       Total assets
 
209

 
82

Deferred tax liabilities:
 
 
 
 
   Fixed and intangible assets
 
(155
)
 
(82
)
   Other deferred tax liabilities
 
(54
)
 

       Total liabilities
 
(209
)
 
(82
)
       Net deferred tax assets
 
$

 
$