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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Cash flows from operating activities:    
Net loss $ (67,636) $ (32,566)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 192 168
Stock-based compensation 7,238 5,684
Non-cash expense related to warrant modifications 0 1,112
Non-cash lease expense 677 473
Non-cash expense related to equity consideration for a service agreement 494 0
Loss on impairment of intangible assets 45,020 0
Deferred income tax benefit (9,987) 0
Unrealized loss on foreign exchange rate changes 396 1,142
Changes in assets and liabilities:    
Prepaid expenses and other current assets 1,365 1,147
Accounts payable (468) (547)
Collaboration and device development payable 0 (1,975)
Accrued expenses (407) 585
Operating lease liabilities (548) (538)
Net cash used in operating activities (23,664) (25,315)
Cash flows from investing activities:    
Purchase of property and equipment (279) (291)
Net cash used in investing activities (279) (291)
Cash flows from financing activities:    
Proceeds from issuance of common stock and warrants, net of issuance costs 27,390 20,246
Proceeds from ATM Program, net of expenses 4,843 0
Proceeds from research and development funding arrangement 1,000 2,800
Proceeds from exercise of common stock warrants 0 141
Principal payments on loans payable (3,872) (3,229)
Proceeds from Paycheck Protection Program loan 0 547
Principal payments on Paycheck Protection Program loan 0 (547)
Net cash provided by financing activities 29,361 19,958
Net increase (decrease) in cash, cash equivalents, and restricted cash 5,418 (5,648)
Cash, cash equivalents, and restricted cash - beginning of year 17,084 22,732
Cash, cash equivalents, and restricted cash - end of year 22,502 17,084
Supplementary disclosure of non-cash activity:    
Operating lease liabilities arising from obtaining right-of-use assets 2,141 249
Prepayment of insurance through third-party financing $ 1,321 $ 1,056