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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Cash flows from operating activities:    
Net loss $ (61,342) $ (39,981)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization expense 564 415
Stock-based compensation expense 5,058 2,516
Non-cash interest expense 306 45
Amortization and accretion on marketable securities (645)  
Change in fair value of preferred stock warrant liability   110
Changes in operating assets and liabilities:    
Prepaid expenses and other current assets (321) (2,219)
Operating lease, right-of-use assets 2,384  
Accounts payable (623) 1,481
Accrued expenses and other current liabilities 1,651 2,399
Operating lease liabilities (2,322)  
Deferred rent   (87)
Other assets   18
Net cash used in operating activities (55,290) (35,303)
Cash flows from investing activities:    
Purchase of marketable securities (65,118)  
Purchases of property and equipment (683) (124)
Proceeds from maturities and sales of marketable securities 55,675  
Net cash used in investing activities (10,126) (124)
Cash flows from financing activities:    
Proceeds from initial public offering, net of underwriting discounts and commissions   55,801
Proceeds from issuance of convertible preferred stock, net of issuance costs   99,606
Proceeds from issuance of long-term debt 29,649  
Payment of debt issuance costs (125)  
Payments on long-term debt, including final payment   (4,698)
Proceeds from repayment of promissory notes issued upon early exercise of stock options   290
Payments of initial public offering costs   (3,524)
Proceeds from issuance of common stock upon stock option exercises 132 127
Proceeds from exercises of common stock warrants   79
Net cash provided by financing activities 29,801 147,681
Net increase (decrease) in cash, cash equivalents and restricted cash (35,615) 112,254
Cash, cash equivalents and restricted cash at beginning of period 115,017 16,646
Cash, cash equivalents and restricted cash at end of period 79,402 128,900
Supplemental disclosure of cash flow information:    
Interest paid 784 105
Supplemental disclosure of noncash investing and financing information:    
Vesting of common stock subject to repurchase   4
Deferred offering costs included in accounts payable and accrued expenses 61 $ 114
Jefferies Sales Agreement [Member]    
Cash flows from financing activities:    
Proceeds from issuance of common stock from the Jefferies sales agreement (net of issuance costs, $0.2 million) 145  
Payments of initial public offering costs $ (200)