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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows from operating activities:      
Net loss $ (175,850) $ (38,988) $ (24,067)
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization 1,987 1,958 1,964
Accretion of premium/discount on marketable securities (4,895) 0 0
Noncash lease expense 444 321 290
Stock-based compensation expense 99,958 5,945 2,530
Change in fair value of stock warrants 0 182 (30)
Change in fair value of contingent consideration 3,242 2,714 (712)
Change in operating assets and liabilities:      
Prepaid expenses, other current assets and other assets (750) (837) 113
Accounts payable 5,672 1,372 (1,477)
Accrued compensation 1,641 1,460 947
Accrued clinical trial site costs (1,567) 171 (198)
Operating lease liabilities (183) (309) (302)
Other liabilities 1,205 1,071 161
Net cash used in operating activities (69,096) (24,940) (20,781)
Cash flows from investing activities:      
Purchases of property and equipment (218) 0 (13)
Purchases of marketable securities (356,464) 0 0
Maturities of marketable securities 131,000 0 0
Net cash used in investing activities (225,682) 0 (13)
Cash flows from financing activities:      
Proceeds from issuance of debt, net of issuance costs 49,888 0 0
Proceeds from the sale of common stock, net of issuance costs 148,955 0 0
Proceeds from the sale of common stock, common stock warrants and pre-funded stock warrants, net of issuance costs 0 137,857 14,108
Proceeds from exercise of common stock and pre-funded stock warrants 12,866 41,815 0
Proceeds from exercise of stock options 1,316 347 0
Tax withholding payments for net share-settled equity awards 0 0 (16)
Net cash provided by financing activities 213,025 180,019 14,092
Net increase (decrease) in cash and cash equivalents (81,753) 155,079 (6,702)
Cash and cash equivalents, beginning of period 169,681 14,602 21,304
Cash and cash equivalents, end of period 87,928 169,681 14,602
Supplemental disclosure of non-cash operating and financing information      
Operating lease right-of-use assets obtained in exchange for operating lease obligations 2,835 597 0
Non-cash exercise of 2018 PIPE Warrants 0 183 0
Purchases of property and equipment included in accounts payable 1 0 0
Debt issuance costs included in accounts payable $ 62 $ 0 $ 0