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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities:      
Net loss $ (180,664) $ (112,717) $ (66,819)
Adjustments to reconcile net loss to net cash used in operating activities:      
Share-based compensation expense 32,477 26,779 12,083
Depreciation and amortization 6,546 3,689 1,409
Non-cash interest 383 442 468
Deferred income tax provision (benefit) 3,306 (4,976) (1,668)
Other non-cash charges 661    
Changes in operating assets and liabilities:      
Accounts receivable 2,482 (1,641) 4,543
Research and development incentives receivable (3,684) (9,707) (1,866)
Prepaid expenses and other assets (2,072) (2,020) (2,974)
Operating lease rightofuse assets 4,186 2,698 404
Accounts payable 8,002 2,561 1,196
Accrued expenses and other current liabilities 2,398 12,362 1,185
Operating lease liabilities (4,109) (2,114) (582)
Deferred revenue 68,951 (2,135) 37,117
Other long-term liabilities 509 668 710
Net cash used in operating activities (60,628) (86,111) (14,794)
Cash used in investing activities:      
Purchases of property and equipment (2,929) (18,987) (2,030)
Net cash used in investing activities (2,929) (18,987) (2,030)
Cash flows from financing activities:      
Proceeds from the issuance of ADSs and non-voting ordinary shares, net of issuance costs 249,345 5,703 290,984
Issuance of ordinary shares pursuant to the Ionis share purchase agreement     7,558
Proceeds from the exercise of share options and sale of ordinary shares 682 989 7,183
Proceeds from issuance of debt     15,000
Net cash provided by financing activities 250,027 6,692 320,725
Effect of exchange rate changes on cash, cash equivalents and restricted cash 1,346 (1,120) (1,211)
Net increase (decrease) in cash, cash equivalents and restricted cash 187,816 (99,526) 302,690
Cash, cash equivalents and restricted cash at beginning of period 339,154 438,680 135,990
Cash, cash equivalents and restricted cash at end of period 526,970 339,154 438,680
Reconciliation of cash, cash equivalents and restricted cash      
Cash and cash equivalents 526,423 339,154 438,680
Restricted cash included in other assets 547 0  
Total cash, cash equivalents and restricted cash 526,970 339,154 438,680
Supplemental disclosure of cash flow information      
Cash paid for interest 2,753 2,793 2,515
Cash paid for income taxes 562 2,228 73
Cash paid for amounts included in the measurement of operating lease liabilities 5,595 3,154 911
Changes in purchases of property and equipment in accounts payable and accrued expenses (1,744) 1,564 324
Non-cash impact to right-of-use asset and operating lease liabilities $ 3,898 $ 3,120 $ 13,846