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Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Year
Summary Compensation Table Total for PEO(1)
Compensation Actually Paid to PEO(2)
Average Summary Compensation Table Total for Non-PEO Named Executive Officers(3)
Average Compensation Actually Paid to Non-PEO Named Executive Officers(4)
Value of Initial Fixed $100 Investment Based On:
Net Income (Losses) (in thousands)(7)
Company Selected Measure Product Revenue, Net(8)
Total Shareholder Return(5)
Peer Group Total Shareholder Return(6)
(a)(b)(c)(d)(e)
(f)
(g)(h)
(i)
2024
$15,603,652 $19,828,992 $5,648,667 $8,452,068 $282.95 $113.59 $89,159 $290,515 
2023
$6,223,894 $11,691,488 $2,891,594 $1,369,806 $224.07 $115.17 $10,932 $50,699 
2022
$3,256,467 $4,302,713 $2,849,410 $3,909,078 $143.08 $111.02 $(139,975)$— 
2021
$7,350,978 $6,803,554 $5,875,094 $6,229,932 $126.28 $124.74 $(69,570)$— 
2020
$763,773 $763,773 $1,298,268 $1,364,719 $108.30 $126.00 $(32,167)$— 
       
Company Selected Measure Name Product Revenue, Net        
Named Executive Officers, Footnote The dollar amounts reported in column (b) are the amounts of total compensation reported for Mr. Krishnan (our CEO) for each corresponding year in the “Total” column of the Summary Compensation Table. For 2022, 2023, and 2024, refer to “Compensation of Named Executive Officers – Summary Compensation Table” in this Proxy Statement and for 2021 and 2020, refer to the Summary Compensation Table in our definitive proxy statement filed on Form DEF 14A with the SEC on April 4, 2023.        
Peer Group Issuers, Footnote
(6)    Represents the weighted peer group TSR, weighted according to the respective companies’ stock market capitalization at the beginning of each period for which a return is indicated. The peer group used for this purpose is the following published industry index: Nasdaq Biotechnology Index.
       
PEO Total Compensation Amount $ 15,603,652 $ 6,223,894 $ 3,256,467 $ 7,350,978 $ 763,773
PEO Actually Paid Compensation Amount $ 19,828,992 11,691,488 4,302,713 6,803,554 763,773
Adjustment To PEO Compensation, Footnote The dollar amounts reported in column (c) represent the amount of “compensation actually paid” to Mr. Krishnan, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual amount of compensation earned by or paid to Mr. Krishnan during the applicable year. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to Mr. Krishnan’s total compensation for each year to determine the compensation actually paid:
YearReported Summary Compensation Table Total for PEOReported Value of Equity Awards(a)Equity Award Adjustments(b)Compensation Actually Paid to PEO
2024
$15,603,652 $(13,953,625)$18,178,965 $19,828,992 
2023$6,223,894 $(4,900,261)$10,367,855 $11,691,488 
2022$3,256,467 $(2,189,636)$3,235,882 $4,302,713 
2021$7,350,978 $(6,342,047)$5,794,623 $6,803,554 
2020$763,773 $— $— $763,773 
The grant date fair value of equity awards represents the total of the amounts reported in the “Stock Awards” and “Option Awards” columns in the Summary Compensation Table for the applicable year.
(b) The equity award adjustments for each applicable year include the addition (or subtraction, as applicable) of the following: (i) the year-end fair value of any equity awards granted in the applicable year that are outstanding and unvested as of the end of the year; (ii) the amount of change as of the end of the applicable year (from the end of the prior fiscal year) in fair value of any awards granted in prior years that are outstanding and unvested as of the end of the applicable year; (iii) for awards that are granted and vest in same applicable year, the fair value as of the vesting date; (iv) for awards granted in prior years that vest in the applicable year, the amount equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value; (v) for awards granted in prior years that are determined to fail to meet the applicable vesting conditions during the applicable year, a deduction for the amount equal to the fair value at the end of the prior fiscal year; and (vi) the dollar value of any dividends or other earnings paid on stock or option awards in the
applicable year prior to the vesting date that are not otherwise reflected in the fair value of such award or included in any other component of total compensation for the applicable year. The valuation assumptions used to calculate fair values did not materially differ from those disclosed at the time of grant. The amounts deducted or added in calculating the equity award adjustments are as follows:
YearYear End Fair Value of Equity AwardsYear over Year Change in Fair Value of Outstanding and Unvested Equity AwardsFair Value as of Vesting Date of Equity Awards Granted and Vested in the YearYear over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the YearFair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the YearValue of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total CompensationTotal Equity Award Adjustments
2024$13,707,750 $2,337,064 $— $2,134,151 $— $— $18,178,965 
2023$7,517,625 $2,993,526 $— $(143,296)$— $— $10,367,855 
2022$2,762,886 $614,495 $— $(141,499)$— $— $3,235,882 
2021$5,794,623 $— $— $— $— $— $5,794,623 
2020$— $— $— $— $— $— $— 
       
Non-PEO NEO Average Total Compensation Amount $ 5,648,667 2,891,594 2,849,410 5,875,094 1,298,268
Non-PEO NEO Average Compensation Actually Paid Amount $ 8,452,068 1,369,806 3,909,078 6,229,932 1,364,719
Adjustment to Non-PEO NEO Compensation Footnote The dollar amounts reported in column (d) represent the average of the amounts reported for the Company’s Named Executive Officers (“NEOs”) as a group (excluding Mr. Krishnan, who has served as our CEO since the Company’s inception) in the “Total” column of the Summary Compensation Table in each applicable year. The names of each of the NEOs (excluding Mr. Krishnan) included for purposes of calculating the average amounts in each applicable year are as follows: (i) for 2024 and 2020, Suma M. Krishnan and Kathryn A. Romano; and (ii) for 2023, 2022, and 2021, Suma M. Krishnan, Kathryn A. Romano, and Andrew C. Orth.
(4)    The dollar amounts reported in column (e) represent the average amount of “compensation actually paid” to the NEOs as a group (excluding Mr. Krishnan), as computed in accordance with Item 402(v) of Regulation
S-K. The dollar amounts do not reflect the actual average amount of compensation earned by or paid to the NEOs as a group (excluding Mr. Krishnan) during the applicable year. Average Compensation Actually Paid to Non-PEO NEOs for 2023 is less than the reported Average Summary Compensation for Non-PEO NEOs due to Mr. Orth’s resignation in August 2023. His resignation resulted in forfeiture and cancellation of all of his unvested equity awards which resulted in a negative equity award value and decrease in Average Compensation Actually Paid. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to average total compensation for the NEOs as a group (excluding Mr. Krishnan) for each year to determine the compensation actually paid, using the same methodology described above in Note 2:
Year
Average Reported Summary Compensation Table Total for NON-PEO NEOs
Average Reported Value of Equity AwardsAverage Equity Award AdjustmentsAverage Compensation Actually Paid to Non-PEO NEOs
2024$5,648,667 $(4,784,100)$7,587,501 $8,452,068 
2023$2,891,594 $(2,286,788)$765,000 $1,369,806 
2022$2,849,410 $(2,189,636)$3,249,304 $3,909,078 
2021$5,875,094 $(5,346,844)$5,701,682 $6,229,932 
2020$1,298,268 $(573,561)$640,012 $1,364,719 
YearYear End Fair Value of Equity AwardsYear over Year Change in Fair Value of Outstanding and Unvested Equity AwardsFair Value as of Vesting Date of Equity Awards Granted and Vested in the YearYear over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the YearFair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the YearValue of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total CompensationTotal Equity Award Adjustments
2024$4,699,800 $1,507,108 $— $1,380,593 $— $— $7,587,501 
2023$2,505,875 $1,660,270 $— $(822,345)$(2,578,800)$— $765,000 
2022$2,762,886 $670,436 $— $(184,019)$— $— $3,249,304 
2021$5,555,821 $119,739 $— $26,121 $— $— $5,701,682 
2020$640,012 $— $— $— $— $— $640,012 
       
Compensation Actually Paid vs. Total Shareholder Return
The following graph demonstrates the amount of compensation actually paid (“CAP”) to Mr. Krishnan and the average amount of compensation actually paid to the Company’s NEOs as a group (excluding Mr. Krishnan) and
the Company’s cumulative TSR over the five years presented in the Pay Versus Performance Table. Cumulative TSR is calculated using a $100 initial investment on January 1, 2020.

image (25).jpg
       
Compensation Actually Paid vs. Net Income
The following table presents the relationship between the CAP amounts to Mr. Krishnan and the other NEOs as a group (excluding Mr. Krishnan) and our Net Income (Loss) over the five years presented in the Pay Versus Performance Table.

image (26).jpg
       
Compensation Actually Paid vs. Company Selected Measure
The following table presents the relationship between the CAP amounts to Mr. Krishnan and the other NEOs as a group (excluding Mr. Krishnan) and our Product Revenue, Net over the five years presented in the Pay Versus Performance Table.

image (28).jpg
       
Total Shareholder Return Vs Peer Group
As demonstrated by the following graph, the Company’s cumulative TSR over the five-year period presented in the Pay Versus Performance Table was 183.0%, while the cumulative TSR of the peer group presented for this purpose, the Nasdaq Biotechnology Index, was 13.6%. TSR is calculated using a $100 initial investment on January 1, 2020. For more information regarding the Company’s performance and the companies that the Compensation Committee considers when determining executive compensation, refer to “Compensation of Named Executive Officers – Compensation Discussion and Analysis.”
image (27).jpg
       
Total Shareholder Return Amount $ 282.95 224.07 143.08 126.28 108.30
Peer Group Total Shareholder Return Amount 113.59 115.17 111.02 124.74 126.00
Net Income (Loss) $ 89,159,000 $ 10,932,000 $ (139,975,000) $ (69,570,000) $ (32,167,000)
Company Selected Measure Amount 290,515 50,699 0 0 0
PEO Name Mr. Krishnan        
Additional 402(v) Disclosure
(5)    Cumulative Total Shareholder Return (“TSR”) is calculated using a $100 initial investment on January 1, 2020 and dividing the difference between the Company’s share price at the end and the beginning of the measurement period by the Company’s share price at the beginning of the measurement period.
(7)    Other than 2024 and 2023, the Company reported net losses for the applicable years as it was a clinical stage biotechnology company without any commercialized products.
(8)    Other than 2024 and 2023, the Company reported no Product Revenue, Net as it was a clinical stage biotechnology company without any commercialized products.
       
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (13,953,625) $ (4,900,261) $ (2,189,636) $ (6,342,047) $ 0
PEO | Equity Awards Adjustments, Excluding Value Reported in Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 18,178,965 10,367,855 3,235,882 5,794,623 0
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 13,707,750 7,517,625 2,762,886 5,794,623 0
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,337,064 2,993,526 614,495 0 0
PEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,134,151 (143,296) (141,499) 0 0
PEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
PEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (4,784,100) (2,286,788) (2,189,636) (5,346,844) (573,561)
Non-PEO NEO | Equity Awards Adjustments, Excluding Value Reported in Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 7,587,501 765,000 3,249,304 5,701,682 640,012
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 4,699,800 2,505,875 2,762,886 5,555,821 640,012
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,507,108 1,660,270 670,436 119,739 0
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 0 0 0 0
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,380,593 (822,345) (184,019) 26,121 0
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0 (2,578,800) 0 0 0
Non-PEO NEO | Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 0 $ 0 $ 0 $ 0 $ 0