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Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities    
Net loss $ (197,723) $ (143,883)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 620 521
Stock-based compensation 24,133 16,812
Issuance of PIK interest debt 3,484 990
Accrued interest on revenue interest financing liability 14,079  
Amortization of debt discount 2,110 3,595
Other 1,329 823
Changes in operating assets and liabilities:    
Prepaid expenses and other current assets (includes changes in related party amounts of $0 and $82, respectively) (1,860) 605
Accounts payable and accrued expenses (includes changes in related party amounts of $1,139 and $2,766, respectively) 8,679 (9,791)
Accrued clinical trial expenses (1,402) (18,595)
Accrued interest 377 165
Operating right-of-use assets and lease liabilities (238) 98
Other long-term assets (118) 203
Net cash used in operating activities (146,530) (148,457)
Cash flows from investing activities    
Cash paid for property, plant and equipment (1,041) (328)
Net cash used in investing activities (1,041) (328)
Cash flows from financing activities    
Proceeds from issuance of common stock from exercise of stock options   1,944
Repayment of long-term debt   (54,125)
Net proceeds from issuance of long-term debt   96,889
Net proceeds from revenue interest financing transaction 95,446  
Net cash provided by financing activities 120,042 44,708
Net decrease in cash and cash equivalents and restricted cash (27,529) (104,077)
Cash and cash equivalents – beginning of period 183,419 287,496
Cash and cash equivalents – end of period 155,890 183,419
Supplemental disclosure of cash flow information    
Interest paid 7,033 4,069
Supplemental disclosure of noncash investing and financing activities    
Issuance of common stock warrants in connection with long-term debt   1,290
Property and equipment purchases included in accounts payable and accrued expenses 138 2
Final interest payment fee   7,500
Settlement of ESPP liability in common stock 909 819
Settlement of 401(k) liability in common stock 1,116 $ 903
Operating lease liabilities arising from obtaining right-of-use assets 554  
At-the-Market Offering Program    
Cash flows from financing activities    
Net proceeds from issuance of common stock $ 24,596