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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows from operating activities:    
Net loss $ (58,489) $ (43,731)
Adjustments to reconcile net loss to net cash used in operating activities:    
Stock-based compensation expense 4,571 4,030
Depreciation and amortization expense 367 248
Non-cash lease expense 1,031 588
Accretion of debt discount 557 389
Loss on extinguishment of debt 0 162
Other 283 (219)
Changes in operating assets and liabilities:    
Prepaid expenses, other current assets and research and development incentive receivable (14) (2,420)
Accounts payable (695) 121
Accrued expenses 1,069 1,722
Lease liabilities (473) (904)
Operating lease right-of-use asset, net of non-cash portion 59 1,300
Net cash used in operating activities (51,852) (41,314)
Cash flows from investing activities:    
Acquisition of property, equipment and intangible assets (602) (1,060)
Net cash used in investing activities (602) (1,060)
Cash flows from financing activities:    
Proceeds from exercise of stock options and pre-funded warrants and issuance of shares of common stock under employee stock purchase plan 157 468
Employee taxes paid related to net share settlement of vested restricted stock units 0 (278)
Proceeds from borrowings under loan and security agreements, net of issuance costs 0 4,888
Proceeds from sale of shares of common stock, redeemable common stock and pre-funded warrants, net of issuance costs 51,518 (313)
Settlement and retirement of redeemable common stock (2,000) 0
Net cash provided by financing activities 49,675 4,765
Effect of exchange rate changes on cash, cash equivalents and restricted cash (203) 240
Net decrease in cash, cash equivalents and restricted cash (2,982) (37,369)
Cash, cash equivalents and restricted cash at beginning of period 80,702 128,086
Cash, cash equivalents and restricted cash at end of period 77,720 90,717
Supplemental disclosure of non-cash investing and financing activities:    
Acquisition of property, equipment and right-of-use assets included in accounts payable and accrued expenses 0 2,052
Acquisition of right-of-use asset financed by lease liabilities 1,343 4,646
Issuance costs not yet paid related to sale of shares of common stock, redeemable common stock and pre-funded warrants $ 0 $ 178