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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2019
Income Tax Disclosure [Abstract]  
Schedule of Income before Income Tax, Domestic and Foreign
Loss before the provision for income taxes for the years ended December 31, 2019, 2018 and 2017 consisted of the following:
Year Ended December 31,
(in thousands)201920182017
United States$(52,314) $(33,285) $(21,994) 
Foreign (Austria)(493) —  —  
$(52,807) $(33,285) $(21,994) 
Schedule of Effective Income Tax Rate Reconciliation
A reconciliation of the U.S. federal statutory income tax rate to the Company's effective income tax rate is as follows:

Year Ended December 31,   
201920182017
U.S. federal statutory income tax rate(21.0)%(21.0)%(34.0)%
State income taxes, net of federal benefit(5.8) (6.2) (8.4) 
Foreign rate differential (0.1) —  —  
Research and development tax credits(1.1) (3.7) (1.8) 
Change in fair value of preferred stock warrant liability0.1  2.4  (2.2) 
Other permanent differences1.4  0.9  0.5  
Remeasurement of deferred taxes due to tax reform—  —  27.8  
Change in deferred tax asset valuation allowance26.8  27.8  18.1  
Other(0.3) (0.2) —  
Effective income tax rate— %— %— %
Schedule of Deferred Tax Assets and Liabilities
Net deferred tax assets as of December 31, 2019 and 2018 consisted of the following:
December 31,
(in thousands)20192018
Net operating loss carryforwards$65,487  $15,482  
Research and development tax credit carryforwards3,654  2,710  
Capitalized research and development expenses2,626  2,837  
Capitalized license fees—  221  
Accrual-to-cash basis conversion—  1,367  
Lease liabilities765  —  
Other1,413  180  
Total deferred tax assets73,945  22,797  
Valuation allowance (73,410) (22,797) 
Deferred tax assets, net of valuation allowance$535  $—  
Right of use assets535  —  
Total deferred tax liabilities $535  $—  
Total deferred tax assets, net$—  $—  
Summary of Valuation Allowance
Changes in the valuation allowance for deferred tax assets during the years ended December 31, 2019, 2018 and 2017 related primarily to the increases in net operating loss carryforwards and research and development tax credit carryforwards and were as follows:

Year Ended December 31,
(in thousands)201920182017
Valuation allowance, beginning of year$(22,797) $(13,546) $(9,738) 
Increases recorded to income tax provision(14,485) (9,251) (3,808) 
Acquisition of business(36,128) —  —  
Valuation allowance, end of year $(73,410) $(22,797) $(13,546)