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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 $ (48,782) $ (33,577)
Adjustments to reconcile net loss to net cash used in operating activities:    
Share-based compensation expense 9,084 4,950
Depreciation and amortization 1,002 944
Non-cash interest 347  
Changes in operating assets and liabilities:    
Accounts receivable 5,544 (2,685)
Research and development incentives receivable 1,318 937
Prepaid expenses and other current assets (719) (773)
Operating lease right-of-use assets (2,024) 570
Other assets (955) (719)
Accounts payable 270 193
Accrued expenses and other current liabilities (521) 1,030
Operating lease liabilities 2,123 (193)
Deferred revenue 28,473 27,782
Other long-term liabilities 481 369
Net cash used in operating activities (4,359) (1,172)
Cash used in investing activities:    
Purchases of property and equipment (963) (716)
Net cash used in investing activities (963) (716)
Cash flows from financing activities:    
Proceeds from the issuance of ADSs, net of issuance costs 102,595 46,373
Issuance of ordinary shares pursuant to the Ionis share purchase agreement 7,558  
Proceeds from the exercise of share options 4,908 98
Proceeds from issuance of debt 15,000 15,000
Payments of debt issuance costs   (373)
Proceeds from the exercise of warrants   1
Net cash provided by financing activities 130,061 61,099
Effect of exchange rate changes on cash (1,205) (1,486)
Net increase in cash 123,534 57,725
Cash at beginning of period 135,990 92,117
Cash at end of period 259,524 149,842
Supplemental disclosure of cash flow information    
Cash paid for interest 1,753  
Cash paid for income taxes 87 124
Public offering costs accrued but not paid   50
Cash paid for amounts included in the measurement of operating lease liabilities 676 823
Purchases of property and equipment included in accounts payable and accrued expenses $ 298 40
Debt issuance costs accrued but not paid   $ 200