0000950170-24-097002 | 10-Q | XBRL Viewer

Description of Business and Basis of Presentation	6 Months Ended
Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Description of Business and Basis of Presentation	1. Description of Business and Basis of Presentation Description of Business scPharmaceuticals LLC was formed as a limited liability company under the laws of the State of Delaware on February 19, 2013. On March 24, 2014, scPharmaceuticals LLC was converted to a Delaware corporation and changed its name to scPharmaceuticals Inc. (“the Company”). The Company is a pharmaceutical company focused on developing and commercializing products that have the potential to optimize the delivery of infused therapies, advance patient care and reduce healthcare costs. The Company’s strategy is designed to enable the subcutaneous administration of therapies that have previously been limited to intravenous (“IV”) delivery. The Company’s headquarters and primary place of business is Burlington, Massachusetts. Basis of Presentation The accompanying condensed consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States (“U.S. GAAP”) for interim financial information and have been prepared on a basis which assumes that the Company will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. The condensed consolidated financial statements reflect the operations of the Company and its wholly-owned subsidiary, scPharmaceuticals Securities Corporation. Certain information and disclosures normally included in financial statements in accordance with U.S. GAAP have been condensed or omitted. Accordingly, these condensed consolidated financial statements should be read in conjunction with the Company’s audited financial statements and related notes for the year ended December 31, 2023 included in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on March 13, 2024. The Company has determined that it operates in one segment. The accompanying condensed consolidated balance sheet as of June 30, 2024, the condensed consolidated statements of operations and comprehensive loss and stockholders’ equity for the three and six months ended June 30, 2023 and 2024 and condensed consolidated statements of cash flows for the six months ended June 30, 2023 and 2024 are unaudited. The unaudited condensed consolidated financial statements have been prepared on a basis consistent with that used to prepare the Company’s audited annual financial statements and include, in the opinion of management, adjustments, consisting of normal recurring items, necessary for the fair statement of the condensed consolidated financial statements. The operating results for the three and six months ended June 30, 2024 are not necessarily indicative of the results expected for the full year ending December 31, 2024. Liquidity As of June 30, 2024, the Company had an accumulated deficit of approximately $312.5 million and cash and cash equivalents of $38.5 million. Management expects to continue to incur operating losses for the foreseeable future. On October 13, 2022, the Company entered into a Credit Agreement and Guaranty (the "Oaktree Agreement") with, among others, the lenders from time to time party thereto and Oaktree Fund Administration, LLC, in its capacity as administrative agent for the lenders (Note 9). On August 9, 2024 (the "Closing Date"), the Company entered into a Credit Agreement and Guaranty (the "Credit Agreement") with, among others, the guarantors from time to time party thereto, the lenders from time to time party thereto (the "Lenders"), and Perceptive Credit Holdings IV, LP, in its capacity as administrative agent for the Lenders (in such capacity, the "Agent") (Note 13). On the Closing Date, the Company also entered into a revenue participation right purchase and sale agreement (the "Revenue Purchase and Sale Agreement") with Perceptive Credit Holdings IV, LP (the "Purchaser") for a purchase price of $50.0 million, in the aggregate (Note 13). The Credit Agreement establishes a $75.0 million term loan facility, consisting of (i) $50.0 million (the “Tranche A Loan”) funded on the Closing Date, (ii) $25.0 million (the “Tranche B Loan”) and, together with the Tranche A Loan, collectively, the “Term Loan”) that the Company may borrow in a single borrowing on or prior to March 31, 2026; provided, in the case of the Tranche B Loan, that the Company and its subsidiaries have obtained certain regulatory approval and achieved certain net sales targets, each as described in the Credit Agreement. The Company will use the proceeds of the Term Loan to (a) on the Closing Date, prepay all outstanding loans under the Oaktree Agreement, (b) support the Company’s commercialization efforts for FUROSCIX and (c) other working capital and general corporate purposes, including the payment of fees and expenses associated with the Credit Agreement. On August 12, 2024, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with Leerink Partners LLC and TD Securities (USA) LLC, as representatives of the several underwriters named in Schedule A thereto (collectively, the “Underwriters”), relating to an underwritten offering of 12,000,000 shares (the “Shares”) of the Company’s common stock, $0.0001 par value per share (the “Common Stock”), and, in lieu of Common Stock to select investors, pre-funded warrants (the “Pre-funded Warrants”) to purchase 500,000 shares of Common Stock (the “Offering”) (Note 13). Historically, the Company has financed its operations to date from proceeds from the sale of common stock, preferred stock and the incurrence of debt. The Company plans to continue to fund its operations through cash and cash equivalents on hand, as well as through future equity offerings, including access to funds pursuant to an at-the-market offering program with Cowen and Company, LLC (Note 10), debt financings and other third-party funding. There can be no assurance that additional funds will be available when needed from any source or, if available, will be available on terms that are acceptable to the Company. Even if the Company raises additional capital, it may also be required to modify, delay or abandon some of its plans which could have a material adverse effect on the Company’s business, operating results and financial condition and the Company’s ability to achieve its intended business objectives. Any of these actions could materially harm the Company’s business, results of operations and future prospects. The Company's existing cash and cash equivalents, including the available proceeds from the Credit Agreement, the Revenue Purchase and Sale Agreement, and the Offering, will be sufficient to meet its cash commitments for at least the next 12 months after the date that the interim condensed consolidated financial statements are issued. Additionally, the Company expects to have access to funds pursuant to an at-the-market offering program with Cowen and Company, LLC (Note 10), or could otherwise seek additional funding through a combination of public or private equity offerings if it believes additional resources are needed. Additional financing may not be available on a timely basis on terms acceptable to the Company, or at all.

Description of Business and Basis of Presentation

6 Months Ended

Jun. 30, 2024

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Description of Business and Basis of Presentation

1. Description of Business and Basis of Presentation

Description of Business

scPharmaceuticals LLC was formed as a limited liability company under the laws of the State of Delaware on February 19, 2013. On March 24, 2014, scPharmaceuticals LLC was converted to a Delaware corporation and changed its name to scPharmaceuticals Inc. (“the Company”). The Company is a pharmaceutical company focused on developing and commercializing products that have the potential to optimize the delivery of infused therapies, advance patient care and reduce healthcare costs. The Company’s strategy is designed to enable the subcutaneous administration of therapies that have previously been limited to intravenous (“IV”) delivery. The Company’s headquarters and primary place of business is Burlington, Massachusetts.

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States (“U.S. GAAP”) for interim financial information and have been prepared on a basis which assumes that the Company will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities and commitments in the normal course of business. The condensed consolidated financial statements reflect the operations of the Company and its wholly-owned subsidiary, scPharmaceuticals Securities Corporation. Certain information and disclosures normally included in financial statements in accordance with U.S. GAAP have been condensed or omitted. Accordingly, these condensed consolidated financial statements should be read in conjunction with the Company’s audited financial statements and related notes for the year ended December 31, 2023 included in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on March 13, 2024. The Company has determined that it operates in one segment.

The accompanying condensed consolidated balance sheet as of June 30, 2024, the condensed consolidated statements of operations and comprehensive loss and stockholders’ equity for the three and six months ended June 30, 2023 and 2024 and condensed consolidated statements of cash flows for the six months ended June 30, 2023 and 2024 are unaudited. The unaudited condensed consolidated financial statements have been prepared on a basis consistent with that used to prepare the Company’s audited annual financial statements and include, in the opinion of management, adjustments, consisting of normal recurring items, necessary for the fair statement of the condensed consolidated financial statements. The operating results for the three and six months ended June 30, 2024 are not necessarily indicative of the results expected for the full year ending December 31, 2024.

Liquidity

As of June 30, 2024, the Company had an accumulated deficit of approximately $312.5 million and cash and cash equivalents of $38.5 million. Management expects to continue to incur operating losses for the foreseeable future.

On October 13, 2022, the Company entered into a Credit Agreement and Guaranty (the "Oaktree Agreement") with, among others, the lenders from time to time party thereto and Oaktree Fund Administration, LLC, in its capacity as administrative agent for the lenders (Note 9). On August 9, 2024 (the "Closing Date"), the Company entered into a Credit Agreement and Guaranty (the "Credit Agreement") with, among others, the guarantors from time to time party thereto, the lenders from time to time party thereto (the "Lenders"), and Perceptive Credit Holdings IV, LP, in its capacity as administrative agent for the Lenders (in such capacity, the "Agent") (Note 13). On the Closing Date, the Company also entered into a revenue participation right purchase and sale agreement (the "Revenue Purchase and Sale Agreement") with Perceptive Credit Holdings IV, LP (the "Purchaser") for a purchase price of $50.0 million, in the aggregate (Note 13). The Credit Agreement establishes a $75.0 million term loan facility, consisting of (i) $50.0 million (the “Tranche A Loan”) funded on the Closing Date, (ii) $25.0 million (the “Tranche B Loan”) and, together with the Tranche A Loan, collectively, the “Term Loan”) that the Company may borrow in a single borrowing on or prior to March 31, 2026; provided, in the case of the Tranche B Loan, that the Company and its subsidiaries have obtained certain regulatory approval and achieved certain net sales targets, each as described in the Credit Agreement. The Company will use the proceeds of the Term Loan to (a) on the Closing Date, prepay all outstanding loans under the Oaktree Agreement, (b) support the Company’s commercialization efforts for FUROSCIX and (c) other working capital and general corporate purposes, including the payment of fees and expenses associated with the Credit Agreement.

On August 12, 2024, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with Leerink Partners LLC and TD Securities (USA) LLC, as representatives of the several underwriters named in Schedule A thereto (collectively, the

“Underwriters”), relating to an underwritten offering of 12,000,000 shares (the “Shares”) of the Company’s common stock, $0.0001 par value per share (the “Common Stock”), and, in lieu of Common Stock to select investors, pre-funded warrants (the “Pre-funded Warrants”) to purchase 500,000 shares of Common Stock (the “Offering”) (Note 13).

Historically, the Company has financed its operations to date from proceeds from the sale of common stock, preferred stock and the incurrence of debt. The Company plans to continue to fund its operations through cash and cash equivalents on hand, as well as through future equity offerings, including access to funds pursuant to an at-the-market offering program with Cowen and Company, LLC (Note 10), debt financings and other third-party funding. There can be no assurance that additional funds will be available when needed from any source or, if available, will be available on terms that are acceptable to the Company. Even if the Company raises additional capital, it may also be required to modify, delay or abandon some of its plans which could have a material adverse effect on the Company’s business, operating results and financial condition and the Company’s ability to achieve its intended business objectives. Any of these actions could materially harm the Company’s business, results of operations and future prospects.

The Company's existing cash and cash equivalents, including the available proceeds from the Credit Agreement, the Revenue Purchase and Sale Agreement, and the Offering, will be sufficient to meet its cash commitments for at least the next 12 months after the date that the interim condensed consolidated financial statements are issued. Additionally, the Company expects to have access to funds pursuant to an at-the-market offering program with Cowen and Company, LLC (Note 10), or could otherwise seek additional funding through a combination of public or private equity offerings if it believes additional resources are needed. Additional financing may not be available on a timely basis on terms acceptable to the Company, or at all.

Stockholders' Equity	6 Months Ended
Jun. 30, 2024
Equity [Abstract]
Stockholders' Equity	10. Stockholders’ Equity 2021 At-the-Market Issuance Sales Agreement On March 23, 2021, the Company entered into an Open Market Sale Agreement (the “2021 ATM Agreement”) with Cowen and Company, LLC (“Cowen”) with respect to an at-the-market offering program under which the Company could offer and sell shares of its common stock (the “2021 ATM Shares”), having an aggregate offering price of up to $50.0 million through Cowen as its sales agent. The Company agreed to pay Cowen a commission up to 3.0% of the gross sales proceeds of such 2021 ATM Shares. On March 13, 2024, the Company amended and restated the 2021 ATM Agreement and entered into a new $50.0 million Open Market Sales Agreement with Cowen (the "2024 ATM Agreement"). As of March 13, 2024, the Company had sold a total of 1,726,043 2021 ATM Shares under the 2021 ATM Program at a weighted average gross selling price of $9.01 per share for net proceeds of $15.2 million. 2024 At-the-Market Issuance Sales Agreement Pursuant to the 2024 ATM Agreement, the Company could offer and sell shares of its common stock (the “2024 ATM Shares”), having an aggregate offering price of up to $50.0 million through Cowen as its sales agent (the "2024 ATM Program"). The offering and sale of the 2024 ATM Shares will be made pursuant to the Company's shelf registration statement on Form S-3, which was declared effective by the SEC on March 22, 2024. There were no shares issued under the 2024 ATM Program as of June 30, 2024.

Stockholders' Equity

6 Months Ended

Jun. 30, 2024

Equity [Abstract]

Stockholders' Equity

10. Stockholders’ Equity

2021 At-the-Market Issuance Sales Agreement

On March 23, 2021, the Company entered into an Open Market Sale Agreement (the “2021 ATM Agreement”) with Cowen and Company, LLC (“Cowen”) with respect to an at-the-market offering program under which the Company could offer and sell shares of its common stock (the “2021 ATM Shares”), having an aggregate offering price of up to $50.0 million through Cowen as its sales agent. The Company agreed to pay Cowen a commission up to 3.0% of the gross sales proceeds of such 2021 ATM Shares. On March 13, 2024, the Company amended and restated the 2021 ATM Agreement and entered into a new $50.0 million Open Market Sales Agreement with Cowen (the "2024 ATM Agreement"). As of March 13, 2024, the Company had sold a total of 1,726,043 2021 ATM Shares under the 2021 ATM Program at a weighted average gross selling price of $9.01 per share for net proceeds of $15.2 million.

2024 At-the-Market Issuance Sales Agreement

Pursuant to the 2024 ATM Agreement, the Company could offer and sell shares of its common stock (the “2024 ATM Shares”), having an aggregate offering price of up to $50.0 million through Cowen as its sales agent (the "2024 ATM Program"). The offering and sale of the 2024 ATM Shares will be made pursuant to the Company's shelf registration statement on Form S-3, which was declared effective by the SEC on March 22, 2024. There were no shares issued under the 2024 ATM Program as of June 30, 2024.

- Definition

The entire disclosure for equity.

+ References

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+ Details

Property and Equipment - Additional Information (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 5,000	$ 6,000	$ 11,000	$ 12,000

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Current assets
Cash and cash equivalents	$ 38,504	$ 46,814
Short-term investments		29,199
Accounts receivable, net	6,116	4,489
Inventory, net	15,308	8,840
Prepaid expenses	2,330	2,436
Deposits and other current assets	373	1,160
Total current assets	62,631	92,938
Property and equipment, net	47	58
Right-of-use lease assets - operating, net	1,309	1,401
Deposits and other assets	1,471	82
Total assets	65,458	94,479
Current liabilities
Accounts payable	5,294	4,001
Accrued expenses	7,399	8,901
Lease obligation - operating, short-term	190	176
Other current liabilities	47	56
Total current liabilities	12,930	13,134
Term loan, long-term	39,990	38,811
Derivative liability	1,841	3,857
Lease obligation - operating, long-term	1,184	1,282
Other liabilities	263	177
Total liabilities	56,208	57,261
Commitments and contingencies (Note 12)
Stockholders’ equity
Preferred stock, $0.0001 par value; 10,000,000 shares authorized and no shares issued and outstanding
Common stock, $0.0001 par value; 150,000,000 shares authorized as of June 30, 2024; 35,968,510 and 36,139,802 shares issued and outstanding as of December 31, 2023 and June 30, 2024, respectively	4	4
Additional paid-in capital	321,790	318,561
Accumulated deficit	(312,544)	(281,346)
Accumulated other comprehensive income		(1)
Total stockholders’ equity	9,250	37,218
Total liabilities and stockholders’ equity	$ 65,458	$ 94,479

Commitments and Contingencies

6 Months Ended

Jun. 30, 2024

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

12. Commitments and Contingencies

Operating Leases

The Company leases office facilities and equipment under long-term, non-cancelable operating lease agreements. The leases expire at various dates through 2029 and do not include renewal options.

Certain leases provide for increases in future minimum annual rental payments as defined in the lease agreements. The leases generally also include real estate taxes and common area maintenance charges in the annual rental payments.

Short-term leases are leases having a term of twelve months or less. The Company recognizes short-term leases on a straight-line basis and does not record a related lease asset or liability for such leases.

The following is a maturity analysis of the annual undiscounted cash flows of the operating lease liabilities as of June 30, 2024 (in thousands):


Year ended:
December 31, 2024	$	171
December 31, 2025		341
December 31, 2026		349
December 31, 2027		358
December 31, 2028		367
Thereafter		249
Total minimum lease payments		1,835
Less imputed interest		(461	)
Total	$	1,374


	Six Months Ended June 30,
	2023			2024
Lease cost:
Operating lease cost	$	226		$	172
Short-term lease cost		19			25
Total lease cost	$	245		$	197
Other information
Cash paid for amounts included in the measurement of lease liabilities	$	326		$	169
Operating cash flows from operating leases	$	(101	)	$	7
Weighted-average remaining lease term - operating leases	0.5 years			5.2 years
Weighted-average discount rate - operating leases		10.2	%		11.7	%

Research and Development Agreements

As part of the Company’s research and development efforts, the Company enters into research and development agreements with certain companies. These agreements contain varying terms and provisions which include fees and milestones to be paid by the Company. Some of these agreements also contain provisions which require the Company to make payments for exclusivity in the development of products in the area of loop diuretics.

Significant Accounting Policies

6 Months Ended

Jun. 30, 2024

Accounting Policies [Abstract]

Significant Accounting Policies

2. Significant Accounting Policies

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reported periods. Actual results could differ from those estimates.

Cash and Cash Equivalents

Cash and cash equivalents consists of bank deposits and money market accounts with financial institutions. Cash equivalents are carried at cost which approximates fair value due to their short-term nature and which the Company believes do not have a material exposure to credit risk. The Company considers all highly liquid investments with maturities of three months or less from the date of purchase to be cash equivalents. The Company’s cash and cash equivalent accounts, at times, may exceed federally insured limits. The Company has not experienced any losses in such accounts.

Accounts Receivable

Accounts receivable are recorded net of any estimated expected credit losses. The Company's measurement of expected credit losses is based on relevant information about past events, current conditions, and reasonable and supportable forecasts that affect the collectability of the reported amount. The Company does not currently have a material credit loss allowance for uncollectible trade receivables.

Concentration of Credit Risk

Financial instruments that subject the Company to credit risk primarily consist of cash and cash equivalents. The Company maintains its cash and cash equivalent balances with high-quality financial institutions and, consequently, the Company believes that such funds are subject to minimal credit risk. The Company has adopted an investment policy that limits the amounts the Company may invest in any one type of investment and requires all investments held by the Company to hold a minimum rating, thereby reducing credit risk exposure.

Customer and Supplier Concentration

The Company has a limited number of specialty pharmacy customers and distributors. As of December 31, 2023 and June 30, 2024, three customers represented 99% and two customers represented 99% of accounts receivable, respectively. For the three and six months ended June 30, 2024, two customers represented 99% and three customers represented 99% of revenue, respectively. For the three and six months ended June 30, 2023, one customer represented 99% and 94% of revenue, respectively.

The Company has a limited number suppliers and contract manufacturers utilized in the production of its product. As of December 31, 2023 and June 30, 2024, one supplier represented 47% and 38% of accounts payable, respectively. For the three and six months ended June 30, 2024, two suppliers represented 69% and 48% of purchases, respectively. For the three and six months ended June 30, 2023, two suppliers represented 43% and 41% of purchases, respectively.

The Company depends on suppliers for raw materials, active pharmaceutical ingredients ("API"), and other components that are subject to stringent FDA requirements. Some of these materials may only be available from one or a limited number of sources. Establishing additional or replacement suppliers may take a substantial period of time, as suppliers must be approved by the FDA. If the Company is unable to secure, on a timely basis, sufficient quantities of the materials it depends on to manufacture its products, it could have a materially adverse effect on the Company's business, financial condition and results of operations.

Investments

The Company invests excess cash balances in available-for-sale debt securities. The Company determines the appropriate classification of these securities at the time they are acquired and evaluates the appropriateness of such classifications at each balance sheet date. The Company reports available-for-sale investments at fair value at each balance sheet date and includes any unrealized gains and losses in accumulated other comprehensive income (loss), a component of stockholders’ equity. Realized gains and losses are determined using the specific identification method and are included in other income. If any adjustment to fair value reflects a decline in the value of the investment, the Company considers all available evidence to evaluate the extent to which the decline is “other than temporary,” including the intention to sell and, if so, marks the investment to market through a charge to the Company’s consolidated statements of operations and comprehensive loss.

Inventory

Inventory is stated at the lower of cost and net realizable value and consists of raw materials, work-in-process and finished goods. The Company began capitalizing inventory costs following U.S. Food and Drug Administration ("FDA") approval of FUROSCIX on October 7, 2022. Inventory is sold on a first in, first out ("FIFO") basis. The Company periodically reviews inventory for expiry and obsolescence and writes it down accordingly, if necessary. Prior to FDA approval of FUROSCIX, the Company expensed all inventory-related costs, including that used for clinical development, to research and development ("R&D") costs in the period incurred.

Leases

The Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use (“ROU”) lease assets, current portion of lease obligations, and long-term lease obligations on the Company’s balance sheets.

ROU lease assets represent the Company’s right to use an underlying asset for the lease term and lease obligations represent the Company’s obligation to make lease payments arising from the lease. Operating ROU lease assets and obligations are recognized at the commencement date based on the present value of lease payments over the lease term. As most of the Company’s leases do not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at the commencement date in determining the present value of lease payments. The ROU lease asset excludes lease incentives. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term.

Debt Issuance Costs

Debt issuance costs are amortized to interest expense using the effective interest rate method over the term of the debt. Debt issuance costs paid to the lender and third parties are reflected as a discount to the debt in the consolidated balance sheets.

Revenue Recognition

The Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines are within the scope of Accounting Standards Codification ("ASC") Topic 606, Revenue from Contracts with Customer (“Topic 606”), the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when the Company satisfies a performance obligation. The Company only applies the five-step model to contracts when it is probable that it will collect the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of Topic 606, the Company assesses the goods or services promised within each

contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price that is allocated to the respective performance obligation when the performance obligation is satisfied. The Company has identified one performance obligation, the delivery of FUROSCIX to its customers. The Company has not incurred any incremental costs associated with obtaining contracts with customers. The Company’s revenues consist solely of the sale of FUROSCIX to customers in the United States.

Product Net Sales

FUROSCIX was approved by the FDA on October 7, 2022. The Company launched sales of FUROSCIX in the first quarter of 2023 and its customers consist of specialty pharmacies (“SPs”) and specialty distributors ("SDs"). The Company recognizes revenue from product sales at a point in time, typically upon receipt of product at the SPs and SDs, the date at which the rights, title, interest and risk of loss are transferred. Revenues from product sales are recorded at the net sales price, which includes estimates of variable consideration that result from (a) sales discounts, (b) rebates (c) co-pay assistance, and (d) product returns. Reserves are established for the estimates of variable consideration based on the amounts earned or to be claimed on the related sales. The reserves for variable consideration are reflected as either as a reduction to the related account receivable or as an accrued liability, depending on how the consideration is settled. The amount of variable consideration that is included in the transaction price may be constrained and is included in net product revenues only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts of consideration ultimately received may differ from the Company's estimates. If actual results vary from its estimates, the Company adjusts these estimates, which would affect net product revenue and earnings in the period such variances become known.

Sales Discounts: Sales discounts are agreed-upon discounts, from negotiated contracts, taken directly off the Company’s sales invoices. Sales discounts are recorded as an offset to revenue based on contractual terms at the time revenue from the sale is recognized.

Rebates: Allowance for rebates include mandated discounts under the Medicaid Drug Rebate Program and the Medicare Part D prescription drug benefit, TRICARE program and contractual rebates with commercial payers. Rebates are amounts owed after the final dispensing of the product to a benefit plan participant and are based upon contractual agreements or statutory requirements. The allowance for rebates is based on contracted or statutory discount rates and expected utilization by benefit plan participants. The Company’s estimates for expected utilization of rebates are based on utilization data received from the SPs since product launch. Rebates are generally invoiced and paid in arrears so that the accrual balance consists of an estimate of the amount expected to be incurred for the current quarter’s activity, plus an accrual balance for prior quarters’ unpaid rebates. If actual future rebates vary from estimates, the Company may need to adjust prior period accruals, which would affect revenue in the period of adjustment.

Co-Payment Assistance: The Company offers co-payment assistance to commercially insured patients meeting certain eligibility requirements. Co-payment assistance is accrued at the time of product sale to SPs based on estimated patient participation and average co-pay benefit to be paid per a claim. The Company’s estimated amounts are compared to actual program participation and co-pay amounts paid using data provided by third-party administrators. If actual amounts differ from the original estimates the assumptions being applied are updated and adjustment for prior period accruals will be adjusted in the current period.

Product Returns: Consistent with industry practice, the Company offers SPs and SDs limited product return rights for damages, shipment errors, and expiring product, provided that the return is within a specified period around the product expiration date as set forth in the applicable individual distribution agreement. The Company does not allow product returns for product that has been dispensed to a patient. As the Company receives inventory reports from the SPs and has the ability to control the amount of product that is sold to the SPs, it is able to make a reasonable estimate of future potential product returns based on this on-hand channel inventory data and sell-through data obtained from the SPs. Currently, sales to SDs are limited and there is no access to on-hand channel inventory or sell through data. As these arrangements mature, the Company will utilize any data that they can provide as part of this analysis. In arriving at its estimate, the Company also considers historical product returns, the underlying product demand, and industry data specific to the specialty pharmaceutical distribution industry.

Research and Development Costs

Research and development costs are expensed as incurred. Nonrefundable advance payments, if any, for goods or services used in research and development are initially recorded as an asset and then recognized as an expense as the related goods are delivered or services are performed. Research and development expenses include contract services, consulting, salaries, materials and supplies and overhead.

Income Taxes

The Company accounts for income taxes in accordance with the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASC”) 740, Income Taxes. Deferred tax assets and liabilities are recorded to reflect the impact of temporary differences between amounts of assets and liabilities for financial reporting purposes and such amounts as measured under enacted tax laws. A valuation allowance is required to offset any net deferred tax assets if, based upon the available evidence, it is more likely than not that some or all of the deferred tax asset will not be realized.

The Company provides reserves for potential payments of tax to various tax authorities related to uncertain tax positions. The tax benefits recorded are based on a determination of whether and how much of a tax benefit taken by the Company in its tax filings or positions is “more likely than not” to be realized following resolution of any uncertainty related to the tax benefit, assuming that the matter in question will be raised by the tax authorities. Potential interest and penalties associated with such uncertain tax positions are recorded as a component of income tax expense. At June 30, 2024, the Company had no such accruals.

As part of the Tax Cuts and Jobs Act of 2017 ("TCJA"), beginning with the Company’s fiscal year ended December 31, 2022, the Company is required to capitalize research and development expenses, as defined under section 174 of the Internal Revenue Code of 1986, as amended. For expenses that are incurred for research and development in the United States, the amounts will be amortized over 5 years, and expenses that are incurred for research and experimentation outside the United States will be amortized over 15 years.

Significant Accounting Policies (Policies)	6 Months Ended
Significant Accounting Policies (Policies)	Jun. 30, 2024
Accounting Policies [Abstract]
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reported periods. Actual results could differ from those estimates.
Cash and Cash Equivalents	Cash and Cash Equivalents Cash and cash equivalents consists of bank deposits and money market accounts with financial institutions. Cash equivalents are carried at cost which approximates fair value due to their short-term nature and which the Company believes do not have a material exposure to credit risk. The Company considers all highly liquid investments with maturities of three months or less from the date of purchase to be cash equivalents. The Company’s cash and cash equivalent accounts, at times, may exceed federally insured limits. The Company has not experienced any losses in such accounts.
Accounts Receivable	Accounts Receivable Accounts receivable are recorded net of any estimated expected credit losses. The Company's measurement of expected credit losses is based on relevant information about past events, current conditions, and reasonable and supportable forecasts that affect the collectability of the reported amount. The Company does not currently have a material credit loss allowance for uncollectible trade receivables.
Concentration of Credit Risk	Concentration of Credit Risk Financial instruments that subject the Company to credit risk primarily consist of cash and cash equivalents. The Company maintains its cash and cash equivalent balances with high-quality financial institutions and, consequently, the Company believes that such funds are subject to minimal credit risk. The Company has adopted an investment policy that limits the amounts the Company may invest in any one type of investment and requires all investments held by the Company to hold a minimum rating, thereby reducing credit risk exposure The Company has a limited number of specialty pharmacy customers and distributors. As of December 31, 2023 and June 30, 2024, three customers represented 99% and two customers represented 99% of accounts receivable, respectively. For the three and six months ended June 30, 2024, two customers represented 99% and three customers represented 99% of revenue, respectively. For the three and six months ended June 30, 2023, one customer represented 99% and 94% of revenue, respectively. The Company has a limited number suppliers and contract manufacturers utilized in the production of its product. As of December 31, 2023 and June 30, 2024, one supplier represented 47% and 38% of accounts payable, respectively. For the three and six months ended June 30, 2024, two suppliers represented 69% and 48% of purchases, respectively. For the three and six months ended June 30, 2023, two suppliers represented 43% and 41% of purchases, respectively. The Company depends on suppliers for raw materials, active pharmaceutical ingredients ("API"), and other components that are subject to stringent FDA requirements. Some of these materials may only be available from one or a limited number of sources. Establishing additional or replacement suppliers may take a substantial period of time, as suppliers must be approved by the FDA. If the Company is unable to secure, on a timely basis, sufficient quantities of the materials it depends on to manufacture its products, it could have a materially adverse effect on the Company's business, financial condition and results of operations.
Investments	Investments The Company invests excess cash balances in available-for-sale debt securities. The Company determines the appropriate classification of these securities at the time they are acquired and evaluates the appropriateness of such classifications at each balance sheet date. The Company reports available-for-sale investments at fair value at each balance sheet date and includes any unrealized gains and losses in accumulated other comprehensive income (loss), a component of stockholders’ equity. Realized gains and losses are determined using the specific identification method and are included in other income. If any adjustment to fair value reflects a decline in the value of the investment, the Company considers all available evidence to evaluate the extent to which the decline is “other than temporary,” including the intention to sell and, if so, marks the investment to market through a charge to the Company’s consolidated statements of operations and comprehensive loss
Inventory	Inventory Inventory is stated at the lower of cost and net realizable value and consists of raw materials, work-in-process and finished goods. The Company began capitalizing inventory costs following U.S. Food and Drug Administration ("FDA") approval of FUROSCIX on October 7, 2022. Inventory is sold on a first in, first out ("FIFO") basis. The Company periodically reviews inventory for expiry and obsolescence and writes it down accordingly, if necessary. Prior to FDA approval of FUROSCIX, the Company expensed all inventory-related costs, including that used for clinical development, to research and development ("R&D") costs in the period incurred.
Leases	Leases The Company determines if an arrangement is a lease at inception. Operating leases are included in right-of-use (“ROU”) lease assets, current portion of lease obligations, and long-term lease obligations on the Company’s balance sheets. ROU lease assets represent the Company’s right to use an underlying asset for the lease term and lease obligations represent the Company’s obligation to make lease payments arising from the lease. Operating ROU lease assets and obligations are recognized at the commencement date based on the present value of lease payments over the lease term. As most of the Company’s leases do not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at the commencement date in determining the present value of lease payments. The ROU lease asset excludes lease incentives. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term
Debt Issuance Costs	Debt Issuance Costs Debt issuance costs are amortized to interest expense using the effective interest rate method over the term of the debt. Debt issuance costs paid to the lender and third parties are reflected as a discount to the debt in the consolidated balance sheets
Revenue Recognition	Revenue Recognition The Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that the Company determines are within the scope of Accounting Standards Codification ("ASC") Topic 606, Revenue from Contracts with Customer (“Topic 606”), the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when the Company satisfies a performance obligation. The Company only applies the five-step model to contracts when it is probable that it will collect the consideration it is entitled to in exchange for the goods or services it transfers to the customer. At contract inception, once the contract is determined to be within the scope of Topic 606, the Company assesses the goods or services promised within each contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. The Company then recognizes as revenue the amount of the transaction price that is allocated to the respective performance obligation when the performance obligation is satisfied. The Company has identified one performance obligation, the delivery of FUROSCIX to its customers. The Company has not incurred any incremental costs associated with obtaining contracts with customers. The Company’s revenues consist solely of the sale of FUROSCIX to customers in the United States. Product Net Sales FUROSCIX was approved by the FDA on October 7, 2022. The Company launched sales of FUROSCIX in the first quarter of 2023 and its customers consist of specialty pharmacies (“SPs”) and specialty distributors ("SDs"). The Company recognizes revenue from product sales at a point in time, typically upon receipt of product at the SPs and SDs, the date at which the rights, title, interest and risk of loss are transferred. Revenues from product sales are recorded at the net sales price, which includes estimates of variable consideration that result from (a) sales discounts, (b) rebates (c) co-pay assistance, and (d) product returns. Reserves are established for the estimates of variable consideration based on the amounts earned or to be claimed on the related sales. The reserves for variable consideration are reflected as either as a reduction to the related account receivable or as an accrued liability, depending on how the consideration is settled. The amount of variable consideration that is included in the transaction price may be constrained and is included in net product revenues only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts of consideration ultimately received may differ from the Company's estimates. If actual results vary from its estimates, the Company adjusts these estimates, which would affect net product revenue and earnings in the period such variances become known. Sales Discounts: Sales discounts are agreed-upon discounts, from negotiated contracts, taken directly off the Company’s sales invoices. Sales discounts are recorded as an offset to revenue based on contractual terms at the time revenue from the sale is recognized. Rebates: Allowance for rebates include mandated discounts under the Medicaid Drug Rebate Program and the Medicare Part D prescription drug benefit, TRICARE program and contractual rebates with commercial payers. Rebates are amounts owed after the final dispensing of the product to a benefit plan participant and are based upon contractual agreements or statutory requirements. The allowance for rebates is based on contracted or statutory discount rates and expected utilization by benefit plan participants. The Company’s estimates for expected utilization of rebates are based on utilization data received from the SPs since product launch. Rebates are generally invoiced and paid in arrears so that the accrual balance consists of an estimate of the amount expected to be incurred for the current quarter’s activity, plus an accrual balance for prior quarters’ unpaid rebates. If actual future rebates vary from estimates, the Company may need to adjust prior period accruals, which would affect revenue in the period of adjustment. Co-Payment Assistance: The Company offers co-payment assistance to commercially insured patients meeting certain eligibility requirements. Co-payment assistance is accrued at the time of product sale to SPs based on estimated patient participation and average co-pay benefit to be paid per a claim. The Company’s estimated amounts are compared to actual program participation and co-pay amounts paid using data provided by third-party administrators. If actual amounts differ from the original estimates the assumptions being applied are updated and adjustment for prior period accruals will be adjusted in the current period. Product Returns: Consistent with industry practice, the Company offers SPs and SDs limited product return rights for damages, shipment errors, and expiring product, provided that the return is within a specified period around the product expiration date as set forth in the applicable individual distribution agreement. The Company does not allow product returns for product that has been dispensed to a patient. As the Company receives inventory reports from the SPs and has the ability to control the amount of product that is sold to the SPs, it is able to make a reasonable estimate of future potential product returns based on this on-hand channel inventory data and sell-through data obtained from the SPs. Currently, sales to SDs are limited and there is no access to on-hand channel inventory or sell through data. As these arrangements mature, the Company will utilize any data that they can provide as part of this analysis. In arriving at its estimate, the Company also considers historical product returns, the underlying product demand, and industry data specific to the specialty pharmaceutical distribution industry.
Research and Development Costs	Research and Development Costs Research and development costs are expensed as incurred. Nonrefundable advance payments, if any, for goods or services used in research and development are initially recorded as an asset and then recognized as an expense as the related goods are delivered or services are performed. Research and development expenses include contract services, consulting, salaries, materials and supplies and overhead
Income Taxes	Income Taxes The Company accounts for income taxes in accordance with the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASC”) 740, Income Taxes. Deferred tax assets and liabilities are recorded to reflect the impact of temporary differences between amounts of assets and liabilities for financial reporting purposes and such amounts as measured under enacted tax laws. A valuation allowance is required to offset any net deferred tax assets if, based upon the available evidence, it is more likely than not that some or all of the deferred tax asset will not be realized. The Company provides reserves for potential payments of tax to various tax authorities related to uncertain tax positions. The tax benefits recorded are based on a determination of whether and how much of a tax benefit taken by the Company in its tax filings or positions is “more likely than not” to be realized following resolution of any uncertainty related to the tax benefit, assuming that the matter in question will be raised by the tax authorities. Potential interest and penalties associated with such uncertain tax positions are recorded as a component of income tax expense. At June 30, 2024, the Company had no such accruals. As part of the Tax Cuts and Jobs Act of 2017 ("TCJA"), beginning with the Company’s fiscal year ended December 31, 2022, the Company is required to capitalize research and development expenses, as defined under section 174 of the Internal Revenue Code of 1986, as amended. For expenses that are incurred for research and development in the United States, the amounts will be amortized over 5 years, and expenses that are incurred for research and experimentation outside the United States will be amortized over 15 years.

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ (17,090)	$ (14,154)	$ (31,198)	$ (25,364)

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

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-Section S99
-Paragraph 1B
-Subparagraph (SX 210.13-02(a)(5))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480097/470-10-S99-1B

Reference 32: http://www.xbrl.org/2003/role/disclosureRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 60B
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-60B

Reference 33: http://www.xbrl.org/2003/role/disclosureRef
-Topic 205
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 7
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483499/205-20-50-7

Reference 34: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 230
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 28
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482740/230-10-45-28

Reference 35: http://www.xbrl.org/2003/role/disclosureRef
-Topic 220
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 1A
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482790/220-10-45-1A

Reference 36: http://www.xbrl.org/2003/role/disclosureRef
-Topic 220
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 1B
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482790/220-10-45-1B

Reference 37: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 942
-SubTopic 220
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-04(22))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478524/942-220-S99-1

+ Details

Commitments and Contingencies - Additional Information (Details) - USD ($)	6 Months Ended
	Jun. 30, 2024	Dec. 31, 2023
Commitments And Contingencies [Line Items]
Operating leases expire	2029
Short-term lease asset	$ 1,309,000	$ 1,401,000
Short-term lease liability	190,000	$ 176,000
Short-term Leases Recognized on Straight-line Basis
Commitments And Contingencies [Line Items]
Short-term lease asset	0
Short-term lease liability	$ 0

Investments

6 Months Ended

Jun. 30, 2024

Investments, Debt and Equity Securities [Abstract]

Investments

4. Investments

Cash in excess of the Company’s immediate requirements is invested in accordance with the Company’s investment policy that primarily seeks to maintain adequate liquidity and preserve capital.

A summary of the Company’s available-for-sale classified investments as of December 31, 2023 consisted of the following (in thousands):


	At December 31, 2023
Investments - Current:	Cost Basis		Accumulated Unrealized Gains		Accumulated Unrealized Losses			Fair Value
United States Treasury securities	$	13,967	$	2	$	-		$	13,969
Commercial paper	$	9,427	$	-	$	(2	)		9,425
Corporate bonds		3,815		-		-			3,815
United States Government Agency securities		1,991		-		(1	)		1,990
Total	$	29,200	$	2	$	(3	)	$	29,199

The Company did not have any investments as of June 30, 2024.

Stock-Based Compensation - Additional Information (Details) - USD ($) $ in Millions			6 Months Ended
	Dec. 29, 2023	Feb. 01, 2023	Jun. 30, 2024	Dec. 31, 2023
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Additional options granted			1,056,047
Stock option, number of shares outstanding			5,545,026	4,681,326
Number of options exercised	24,343		8,411
Unrecognized compensation expense			$ 6.1
Recognition period (in years)			2 years 6 months
Restricted Stock Units (RSUs)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Unrecognized compensation expense			$ 2.6
Recognition period (in years)			3 years 2 months 12 days
2017 Stock Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock option and incentive plan effective date			Nov. 30, 2017
Stock option and incentive plan expiration date			Oct. 31, 2027
Stock option, number of shares outstanding			4,818,231
Number of common shares authorized for issuance			8,779,641
Stock options, available for issuance			3,162,548
Term of option granted			10 years
2017 Stock Plan \| Minimum
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock option vesting term			1 year
2017 Stock Plan \| Maximum
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock option vesting term			4 years
2017 Stock Plan \| Restricted Stock Units (RSUs)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of restricted stock units outstanding			732,807
2014 Stock Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Additional options granted			0
Stock option and incentive plan expiration date			Nov. 30, 2017
Stock option, number of shares outstanding			571,095
Number of options forfeited			366,823
2017 Employee Stock Purchase Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of common stock shares issued			85,393
Number of common stock shares available for issuance			1,377,173
2023 Employment Inducement Award Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock option, number of shares outstanding			155,700
Stock options, available for issuance			344,300
Equity awards granted under the inducement , Granted		500,000
Term of option granted			10 years

Property and Equipment

6 Months Ended

Jun. 30, 2024

Property, Plant and Equipment [Abstract]

Property and Equipment

6. Property and Equipment

Purchased property and equipment consist of the following (dollars in thousands):


	ESTIMATED USEFUL LIFE	December 31, 2023			June 30, 2024
Office equipment	5 years	$	31		$	31
Office furniture	7 years		64			64
Computer equipment	3 years		15			15
Leasehold improvements	Life of lease		9			9
			119			119
Less: Accumulated depreciation			(61	)		(72	)
Property and equipment, net		$	58		$	47

Depreciation expense for the three months ended June 30, 2023 and 2024 was $6,000 and $5,000, respectively.

Depreciation expense for the six months ended June 30, 2023 and 2024 was $12,000 and $11,000, respectively.

Document and Entity Information - shares	6 Months Ended
Document and Entity Information - shares	Jun. 30, 2024	Aug. 13, 2024
Document Information [Line Items]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2024
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q2
Trading Symbol	SCPH
Entity Registrant Name	SCPHARMACEUTICALS INC.
Entity Central Index Key	0001604950
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Current Reporting Status	Yes
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Interactive Data Current	Yes
Title of 12(b) Security	Common stock, par value $0.0001 per share
Security Exchange Name	NASDAQ
Entity File Number	001-38293
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	46-5184075
Entity Address, Address Line One	25 Mall Road
Entity Address, Address Line Two	Suite 203
Entity Address, City or Town	Burlington
Entity Address, State or Province	MA
Entity Address, Postal Zip Code	01803
City Area Code	617
Local Phone Number	517-0730
Document Quarterly Report	true
Document Transition Report	false
Entity Common Stock, Shares Outstanding		50,028,787

Debt - Additional Information (Details) - USD ($)		3 Months Ended		6 Months Ended
Debt - Additional Information (Details) - USD ($)	Oct. 13, 2022	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Debt Instrument [Line Items]
Loan and security agreement, amount		$ 50,000,000		$ 50,000,000		$ 50,000,000
Exercise price per share		$ 0.001		$ 0.001
Fair market value per share of common stock				$ 3.84	$ 5.31
Unamortized debt discount		$ 10,010,000		$ 10,010,000		$ 11,189,000
Minimum
Debt Instrument [Line Items]
Contractual life				5 years 6 months	5 years 6 months
Maximum
Debt Instrument [Line Items]
Contractual life				6 years 8 months 12 days	7 years
Oaktree Agreement [Member]
Debt Instrument [Line Items]
Loan agreement, maturity date	Oct. 13, 2027
Proceeds from (Repayments of) Debt, Total	$ 9,800,000
Payment of financing and stock issuance costs	2,700,000
Long term additional debt discount exit fee				$ 1,000,000
Embedded derivative liability upon issuance of Term Loan	8,900,000
Fair value of embedded derivative liability		1,800,000		1,800,000
Amortization of debt discount		604,000	$ 488,000	1,200,000	$ 947,000
Unamortized debt discount	$ 13,600,000
Exit fee		$ 45,000	$ 36,000	$ 87,000	$ 70,000
Prepayment premium percentage one	0.02
Oaktree Agreement [Member] \| Maximum
Debt Instrument [Line Items]
Loan and security agreement, amount	$ 100,000,000
Oaktree Agreement [Member] \| Warrants
Debt Instrument [Line Items]
Exercise price per share	$ 5.4
Relative fair value of detachable warrants	$ 2,000,000
Risk-free rate	4.11%
Contractual life	7 years
Fair market value per share of common stock	$ 5.5
Exercise price per warrant	$ 5.4
Expected volatility	77.00%
Oaktree Agreement [Member] \| Warrants \| Maximum
Debt Instrument [Line Items]
Purchase shares of common stock	516,345
Oaktree Agreement [Member] \| SOFR
Debt Instrument [Line Items]
Basis spread on variable base rate	8.75%
Oaktree Agreement [Member] \| SOFR \| Interest Rate Floor [Member]
Debt Instrument [Line Items]
Basis spread on variable base rate	1.00%
Oaktree Agreement [Member] \| SOFR \| Interest Rate Cap [Member]
Debt Instrument [Line Items]
Basis spread on variable base rate	3.00%
Oaktree Agreement [Member] \| Borrowings One [Member]
Debt Instrument [Line Items]
Loan and security agreement, amount	$ 50,000,000
Proceeds from term loan	37,500,000
Unrestricted cash	15,000,000
Oaktree Agreement [Member] \| Borrowings Two [Member]
Debt Instrument [Line Items]
Loan and security agreement, amount	50,000,000
Unrestricted cash	20,000,000
Oaktree Agreement [Member] \| Borrowings Three [Member]
Debt Instrument [Line Items]
Loan and security agreement, amount	$ 50,000,000

Stock-Based Compensation - Schedule of RSU Activity (Details) - Restricted Stock Units (RSUs)	6 Months Ended
	Jun. 30, 2024 $ / shares shares
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
RSUs outstanding \| shares	368,411
RSUs Granted \| shares	457,635
RSUs Released \| shares	(79,108)
RSUs Forfeited \| shares	(14,131)
RSUs outstanding \| shares	732,807
AVERAGE GRANT DATE FAIR VALUE, RSUs outstanding \| $ / shares	$ 6.33
AVERAGE GRANT DATE FAIR VALUE, Granted \| $ / shares	5.73
AVERAGE GRANT DATE FAIR VALUE, Released \| $ / shares	6.14
AVERAGE GRANT DATE FAIR VALUE, Forfeited \| $ / shares	5.92
AVERAGE GRANT DATE FAIR VALUE, RSUs outstanding \| $ / shares	$ 5.98

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (Unaudited) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Other Comprehensive Income (Loss)
Beginning Balance at Dec. 31, 2022	$ 72,433	$ 3	$ 298,934	$ (226,536)	$ 32
Beginning Balance, Shares at Dec. 31, 2022		34,257,916
Net loss	(11,210)			(11,210)
Issuance of common stock under at-the-market offering, net of issuance costs	13,628	$ 1	13,627
Issuance of common stock under at-the-market offering, net of issuance costs, Shares		1,511,157
Stock-based compensation	980		980
Unrealized gain (loss) on short term investments	(24)				(24)
Ending Balance at Mar. 31, 2023	75,807	$ 4	313,541	(237,746)	8
Ending Balance, Shares at Mar. 31, 2023		35,769,073
Beginning Balance at Dec. 31, 2022	72,433	$ 3	298,934	(226,536)	32
Beginning Balance, Shares at Dec. 31, 2022		34,257,916
Net loss	(25,364)
Unrealized gain (loss) on short term investments	(38)
Ending Balance at Jun. 30, 2023	63,427	$ 4	315,329	(251,900)	(6)
Ending Balance, Shares at Jun. 30, 2023		35,849,482
Beginning Balance at Mar. 31, 2023	75,807	$ 4	313,541	(237,746)	8
Beginning Balance, Shares at Mar. 31, 2023		35,769,073
Net loss	(14,154)			(14,154)
Issuance of common stock upon exercise of stock options	101		101
Issuance of common stock upon exercise of stock options, Shares		18,000
Issuance of common stock under at-the-market offering, net of issuance costs	332		332
Issuance of common stock under at-the-market offering, net of issuance costs, Shares		33,333
Stock-based compensation	1,179		1,179
Unrealized gain (loss) on short term investments	(14)				(14)
Issuance of common stock through employee stock purchase plan	176		176
Issuance of common stock through employee stock purchase plan, Shares		29,076
Ending Balance at Jun. 30, 2023	63,427	$ 4	315,329	(251,900)	(6)
Ending Balance, Shares at Jun. 30, 2023		35,849,482
Beginning Balance at Dec. 31, 2023	37,218	$ 4	318,561	(281,346)	(1)
Beginning Balance, Shares at Dec. 31, 2023		35,968,510
Net loss	(14,108)			(14,108)
Issuance of common stock upon exercise of stock options	181		181
Issuance of common stock upon exercise of stock options, Shares		32,754
Vesting of restricted stock	(166)		(166)
Vesting of restricted stock, Shares		53,145
Stock-based compensation	1,440		1,440
Unrealized gain (loss) on short term investments	1				1
Ending Balance at Mar. 31, 2024	24,566	$ 4	320,016	(295,454)
Ending Balance, Shares at Mar. 31, 2024		36,054,409
Beginning Balance at Dec. 31, 2023	37,218	$ 4	318,561	(281,346)	$ (1)
Beginning Balance, Shares at Dec. 31, 2023		35,968,510
Net loss	$ (31,198)
Issuance of common stock upon exercise of stock options, Shares	8,411
Unrealized gain (loss) on short term investments	$ 1
Ending Balance at Jun. 30, 2024	9,250	$ 4	321,790	(312,544)
Ending Balance, Shares at Jun. 30, 2024		36,139,802
Beginning Balance at Mar. 31, 2024	24,566	$ 4	320,016	(295,454)
Beginning Balance, Shares at Mar. 31, 2024		36,054,409
Net loss	(17,090)			(17,090)
Stock-based compensation	1,491		1,491
Issuance of common stock through employee stock purchase plan	283		283
Issuance of common stock through employee stock purchase plan, Shares		85,393
Ending Balance at Jun. 30, 2024	$ 9,250	$ 4	$ 321,790	$ (312,544)
Ending Balance, Shares at Jun. 30, 2024		36,139,802

Property and Equipment (Tables)

6 Months Ended

Jun. 30, 2024

Property, Plant and Equipment [Abstract]

Schedule of Purchased Property and Equipment

Purchased property and equipment consist of the following (dollars in thousands):


	ESTIMATED USEFUL LIFE	December 31, 2023			June 30, 2024
Office equipment	5 years	$	31		$	31
Office furniture	7 years		64			64
Computer equipment	3 years		15			15
Leasehold improvements	Life of lease		9			9
			119			119
Less: Accumulated depreciation			(61	)		(72	)
Property and equipment, net		$	58		$	47

Stock-Based Compensation

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement [Abstract]

Stock-Based Compensation

11. Stock-Based Compensation

Stock Options

The Company’s 2017 Stock Option and Incentive Plan (the “2017 Stock Plan”) became effective in November 2017, upon the closing of the Company’s initial public offering and will expire in October 2027. Under the 2017 Stock Plan, the Company may grant incentive stock options, non-statutory stock options, restricted stock awards, restricted stock units (“RSUs”) and other stock-based awards. The Company’s 2014 Stock Incentive Plan (the “2014 Stock Plan”) was terminated in November 2017 effective upon the completion of the Company’s initial public offering and no further options will be granted under the 2014 Stock Plan. At June 30, 2024, there were 571,095 options outstanding under the 2014 Stock Plan.

As of June 30, 2024, there were 8,779,641 shares of the Company’s common stock authorized for issuance under the 2017 Stock Plan, including 366,823 options that have been forfeited from the 2014 Stock Plan.

At June 30, 2024, there were 3,162,548 options available for issuance under the 2017 Stock Plan, 4,818,231 options outstanding and 732,807 RSUs outstanding.

On February 1, 2023, the Board of Directors of the Company adopted the 2023 Employment Inducement Award Plan (the "Inducement Plan") and, subject to the adjustment provisions of the Inducement Plan, reserved 500,000 shares of the Company’s common stock for issuance pursuant to equity awards granted under the Inducement Plan. At June 30, 2024, there were 344,300 options available for issuance under the Inducement Plan, and 155,700 options outstanding.

Awards granted under the 2017 Stock Plan and the Inducement Plan have a term of ten years. Vesting of awards under the 2017 Stock Plan and Inducement Plan is determined by the board of directors, but is generally over one to four-year terms.

The fair value of options at date of grant was estimated using the Black-Scholes option-pricing model with the following assumptions:


	Six Months Ended June 30,
	2023		2024
Risk-free interest rate	3.40% - 4.17%		3.78% - 4.59%
Expected dividend yield	0%		0%
Expected life	5.5-7.0 years		5.5-6.7 years
Expected volatility	77%-85%		77%-79%
Weighted-average grant date fair value	$	5.31	$	3.84

The following table summarizes information about stock option activity during the six months ended June 30, 2024 (in thousands, except share and per share data):


	NUMBER OF SHARES			WEIGHTED- AVERAGE EXERCISE PRICE		WEIGHTED- AVERAGE REMAINING CONTRACTUAL TERM		AGGREGATE INTRINSIC VALUE
Outstanding, December 31, 2023		4,681,326		$	6.09
Granted		1,056,047			5.48
Exercised		(8,411	)		4.70
Forfeited		(183,936	)		6.54
Outstanding, June 30, 2024		5,545,026		$	5.96		7.06	$	506
Vested and exercisable, June 30, 2024		3,386,606		$	6.14		5.91	$	455
Vested and expected to vest, June 30, 2024		5,087,634		$	5.99		6.89	$	497

24,343 options were exercised on December 29, 2023 and the shares settled on January 2, 2024. The share issuance has been recognized on the Company's Condensed Consolidated Statements of Stockholders' Equity for the quarter ending March 31, 2024.

The following table summarizes information about RSU activity during the six months ended June 30, 2024:


	RSUs			AVERAGE GRANT DATE FAIR VALUE (IN DOLLARS PER SHARE)
RSUs outstanding, December 31, 2023		368,411		$	6.33
Granted		457,635			5.73
Released		(79,108	)		6.14
Forfeited		(14,131	)		5.92
RSUs outstanding at June 30, 2024		732,807		$	5.98

Unrecognized compensation expense related to unvested options as of June 30, 2024 was $6.1 million and will be recognized over the remaining vesting periods of the underlying awards. The weighted-average period over which such compensation is expected to be recognized is 2.5 years. Unrecognized compensation expense related to unvested RSUs as of June 30, 2024 was $2.6 million and will be recognized over the remaining vesting periods of the underlying awards. The weighted-average period over which such compensation is expected to be recognized is 3.2 years.

Employee Stock Purchase Plan

In October 2017, the board of directors approved the 2017 Employee Stock Purchase Plan (the "ESPP") which became effective in November 2017, upon the closing of the Company's IPO. As part of the ESPP, eligible employees may acquire an ownership interest in the Company by purchasing common stock, at a discount, through payroll deductions. Eligible employees who elected to participate were able to participate in the ESPP beginning September 1, 2021.

During the six months ended June 30, 2024, 85,393 shares were issued under the ESPP. As of June 30, 2024, there were 1,377,173 shares of common stock available for issuance under the ESPP.

The Company recorded stock-based compensation expense in the following expense categories of its accompanying condensed consolidated statements of operations and comprehensive loss for the three and six months ended June 30, 2023 and 2024 (in thousands):


	Three Months Ended June 30,				Six Months Ended June 30,
	2023		2024		2023		2024
Research and development	$	365	$	410	$	705	$	775
General and administrative		814		1,081		1,454		2,156
Total	$	1,179	$	1,491	$	2,159	$	2,931

Stock-Based Compensation (Tables)

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement [Abstract]

Schedule of Estimated Fair Value of Options Valuation Assumptions

The fair value of options at date of grant was estimated using the Black-Scholes option-pricing model with the following assumptions:


	Six Months Ended June 30,
	2023		2024
Risk-free interest rate	3.40% - 4.17%		3.78% - 4.59%
Expected dividend yield	0%		0%
Expected life	5.5-7.0 years		5.5-6.7 years
Expected volatility	77%-85%		77%-79%
Weighted-average grant date fair value	$	5.31	$	3.84

Summary of Information about Stock Option Activity

The following table summarizes information about stock option activity during the six months ended June 30, 2024 (in thousands, except share and per share data):


	NUMBER OF SHARES			WEIGHTED- AVERAGE EXERCISE PRICE		WEIGHTED- AVERAGE REMAINING CONTRACTUAL TERM		AGGREGATE INTRINSIC VALUE
Outstanding, December 31, 2023		4,681,326		$	6.09
Granted		1,056,047			5.48
Exercised		(8,411	)		4.70
Forfeited		(183,936	)		6.54
Outstanding, June 30, 2024		5,545,026		$	5.96		7.06	$	506
Vested and exercisable, June 30, 2024		3,386,606		$	6.14		5.91	$	455
Vested and expected to vest, June 30, 2024		5,087,634		$	5.99		6.89	$	497

Schedule of RSU Activity

The following table summarizes information about RSU activity during the six months ended June 30, 2024:


	RSUs			AVERAGE GRANT DATE FAIR VALUE (IN DOLLARS PER SHARE)
RSUs outstanding, December 31, 2023		368,411		$	6.33
Granted		457,635			5.73
Released		(79,108	)		6.14
Forfeited		(14,131	)		5.92
RSUs outstanding at June 30, 2024		732,807		$	5.98

Summary of Stock-Based Compensation Expense


	Three Months Ended June 30,				Six Months Ended June 30,
	2023		2024		2023		2024
Research and development	$	365	$	410	$	705	$	775
General and administrative		814		1,081		1,454		2,156
Total	$	1,179	$	1,491	$	2,159	$	2,931

Accrued Expenses (Tables)

6 Months Ended

Jun. 30, 2024

Accrued Liabilities, Current [Abstract]

Schedule of Accrued Expenses

Accrued expenses consist of the following (in thousands):


	December 31, 2023		June 30, 2024
Employee compensation and related costs	$	4,375	$	3,195
Sales allowances and related costs		1,418		1,575
Manufacturing costs		434		842
Contract research and development		1,202		863
Consulting and professional service fees		945		606
Royalty		249		212
Financing costs		—		49
Inventory in transit		150		—
Other		128		57
Total accrued expenses	$	8,901	$	7,399

Investments - Summary of Available-for-Sale Classified Investments (Details) $ in Thousands	Dec. 31, 2023 USD ($)
Marketable Securities [Line Items]
Cost Basis	$ 29,200
Accumulated Unrealized Gains	2
Accumulated Unrealized Losses	(3)
Fair Value	29,199
United States Treasury Securities
Marketable Securities [Line Items]
Cost Basis	13,967
Accumulated Unrealized Gains	2
Fair Value	13,969
Commercial Paper
Marketable Securities [Line Items]
Cost Basis	9,427
Accumulated Unrealized Losses	(2)
Fair Value	9,425
Corporate Bonds
Marketable Securities [Line Items]
Cost Basis	3,815
Fair Value	3,815
United States Government Agency Securities
Marketable Securities [Line Items]
Cost Basis	1,991
Accumulated Unrealized Losses	(1)
Fair Value	$ 1,990

- Definition

Amount of investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale).

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 103
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482078/820-10-55-103

Reference 2: http://www.xbrl.org/2003/role/exampleRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 100
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482078/820-10-55-100

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (bbb)(2)(i)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (bbb)(2)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (bbb)(1)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
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-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
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-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 1
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481830/320-10-45-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 210
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.9-03(6))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478546/942-210-S99-1

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 326
-SubTopic 30
-Name Accounting Standards Codification
-Section 45
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479130/326-30-45-1

+ Details

Inventory - Additional Information (Details) - USD ($)	6 Months Ended	12 Months Ended
Inventory - Additional Information (Details) - USD ($)	Jun. 30, 2024	Dec. 31, 2023
Inventory Disclosure [Abstract]
Allowance for excess, damaged and obsolete inventory	$ 50,000	$ 0

Description of Business and Basis of Presentation - Additional Information (Details) - USD ($) $ / shares in Units, $ in Thousands			3 Months Ended
	Aug. 12, 2024	Aug. 09, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Dec. 31, 2023
Description Of Business And Basis Of Presentation [Line Items]
Accumulated deficit					$ (312,544)	$ (281,346)
Cash and cash equivalents					38,504	46,814
Term loan facility					$ 50,000	$ 50,000
Common stock, par value					$ 0.0001	$ 0.0001
Common Stock
Description Of Business And Basis Of Presentation [Line Items]
Number of shares sold			33,333	1,511,157
Subsequent Event \| Underwriting Agreement \| Common Stock
Description Of Business And Basis Of Presentation [Line Items]
Number of shares sold	12,000,000
Common stock, par value	$ 0.0001
Prefunded warrant shares	500,000
Credit Agreement \| Subsequent Event
Description Of Business And Basis Of Presentation [Line Items]
Term loan facility		$ 75,000
Credit Agreement \| Tranche A Loan \| Subsequent Event
Description Of Business And Basis Of Presentation [Line Items]
Term loan facility		50,000
Credit Agreement \| Tranche B Loan \| Subsequent Event
Description Of Business And Basis Of Presentation [Line Items]
Term loan facility		25,000
Revenue Purchase and Sale Agreement \| Subsequent Event
Description Of Business And Basis Of Presentation [Line Items]
Purchase price		$ 50,000

Fair Value of Financial Instruments

6 Months Ended

Jun. 30, 2024

Fair Value Disclosures [Abstract]

Fair Value of Financial Instruments

8. Fair Value of Financial Instruments

FASB ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”), provides a fair value hierarchy, which classifies fair value measurements based on the inputs used in measuring fair value. Observable inputs are inputs that market participants would use in pricing the asset or liability based on market data obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions about the inputs that market participants would use in pricing the asset or liability, and are developed based on the best information available in the circumstances. The fair value hierarchy applies only to the valuation inputs used in determining the reported fair value of the investments and is not a measure of the investment credit quality. The three levels of the fair value hierarchy are described below:

Level 1—Valuations based on unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

Level 2—Valuations based on quoted prices for similar assets or liabilities in markets that are not active or for which all significant inputs are observable, either directly or indirectly.

Level 3—Valuations that require inputs that reflect the Company’s own assumptions that are both significant to the fair value measurement and observable.

To the extent that valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. Accordingly, the degree of judgment exercised by the Company in determining fair value is greatest for instruments categorized in Level 3. A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.

The carrying values of the Company’s cash and restricted cash, prepaid expenses and deposits approximate their fair values due to their short-term nature. The carrying value of the Company’s loan payable is considered a reasonable estimate of fair value because the Company’s interest rate is near current market rates for instruments with similar characteristics.

The following tables summarize the Company’s assets that are measured at fair value on a recurring basis and indicates the level of the fair value hierarchy utilized to determine such fair values (in thousands):


	As of December 31, 2023
	TOTAL		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets:
Cash equivalents	$	44,202	$	44,202	$	—	$	—
Total cash equivalents		44,202		44,202		—		—

United States Treasury securities		13,969		13,969		-		—
Commercial paper		9,425		—		9,425		—
Corporate bonds		3,815		—		3,815		—
United States Government Agency securities		1,990		—		1,990		—
Investments		29,199		13,969		15,230		—

Total	$	73,401	$	58,171	$	15,230	$	—
Liabilities:
Derivative liability	$	3,857	$	—	$	—	$	3,857

Total	$	3,857	$	—	$	—	$	3,857

	As of June 30, 2024
	TOTAL		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets:
Cash equivalents	$	37,260	$	37,260	$	—	$	—

Total	$	37,260	$	37,260	$	—	$	—

Liabilities:
Derivative liability	$	1,841	$	—	$	—	$	1,841

Total	$	1,841	$	—	$	—	$	1,841

Changes in the fair value of the Company's Level 3 derivative liability for the six months ended June 30, 2024 are as follows (in thousands):


At December 31, 2023	$	3,857
Change in fair value of derivative liability		(2,016	)
At June 30, 2024	$	1,841

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 107
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482078/820-10-55-107

Reference 2: http://www.xbrl.org/2003/role/exampleRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 55
-Paragraph 100
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482078/820-10-55-100

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (c)(3)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-6A

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2E
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2E

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Subparagraph (h)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-6A

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Subparagraph (f)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-6A

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Subparagraph (e)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-6A

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-6A

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
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-Name Accounting Standards Codification
-Section 50
-Paragraph 2
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 820
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482106/820-10-50-2

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 940
-SubTopic 820
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147478119/940-820-50-1

+ Details

Commitments and Contingencies - Schedule of Maturity Analysis of Annual Undiscounted Cash Flows of Operating Lease Liabilities (Details) $ in Thousands	Jun. 30, 2024 USD ($)
Year ended:
December 31, 2024	$ 171
December 31, 2025	341
December 31, 2026	349
December 31, 2027	358
December 31, 2028	367
Thereafter	249
Total minimum lease payments	1,835
Less imputed interest	(461)
Total	$ 1,374

Net Loss per Share (Tables)

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Computation of Basic and Diluted Net Loss Per Share of Common Stock

The following table sets forth the computation of basic and diluted net loss per share of common stock (in thousands, except share and per share data):


	Three Months Ended June 30,						Six Months Ended June 30,
	2023			2024			2023			2024
Net loss	$	(14,154	)	$	(17,090	)	$	(25,364	)	$	(31,198	)
Weighted-average shares used in computing net loss per share		38,692,624			38,984,745			38,249,255			38,968,438
Net loss per share, basic and diluted	$	(0.36	)	$	(0.44	)	$	(0.66	)	$	(0.80	)

Schedule of Antidilutive Securities Excluded from Computation of Net Loss Per Share

The Company’s potentially dilutive securities, which include unexercised stock options outstanding, unexercised warrants and unvested restricted stock units, have been excluded from the computation of diluted net loss per share as the effect would be to reduce the net loss per share. Therefore, the weighted average number of common shares outstanding used to calculate both basic and diluted net loss per share attributable to common stockholders is the same. The Company excluded the following potential common shares, presented based on amounts outstanding at each period end, from the computation of diluted net loss per share attributable to common stockholders for the periods indicated because including them would have had an anti-dilutive effect.


	Three Months Ended June 30,				Six Months Ended June 30,
	2023		2024		2023		2024
Stock options to purchase common stock		4,734,049		5,545,026		4,734,049		5,545,026
Warrants to purchase common stock		516,345		516,345		516,345		516,345
Unvested restricted stock units		341,408		732,807		341,408		732,807
Total		5,591,802		6,794,178		5,591,802		6,794,178

Fair Value of Financial Instruments - Schedule of Changes in Fair Value of Level 3 Derivative Liability (Details) - Significant Unobservable Inputs (Level 3) [Member] $ in Thousands	6 Months Ended
	Jun. 30, 2024 USD ($)
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Beginning balance	$ 3,857
Change in fair value of derivative liability	$ (2,016)
Fair Value, Liability, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]	Other Nonoperating Income (Expense)
Ending balance	$ 1,841

Investments (Tables)

6 Months Ended

Jun. 30, 2024

Investments, Debt and Equity Securities [Abstract]

Summary of Available-for-Sale Classified Investments

A summary of the Company’s available-for-sale classified investments as of December 31, 2023 consisted of the following (in thousands):


	At December 31, 2023
Investments - Current:	Cost Basis		Accumulated Unrealized Gains		Accumulated Unrealized Losses			Fair Value
United States Treasury securities	$	13,967	$	2	$	-		$	13,969
Commercial paper	$	9,427	$	-	$	(2	)		9,425
Corporate bonds		3,815		-		-			3,815
United States Government Agency securities		1,991		-		(1	)		1,990
Total	$	29,200	$	2	$	(3	)	$	29,199

The Company did not have any investments as of June 30, 2024.

Commitments and Contingencies - Schedule of Lease Cost and Other Information of Operating Lease Liabilities (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Lease cost:
Operating lease cost	$ 172	$ 226
Short-term lease cost	25	19
Total lease cost	197	245
Other information
Cash paid for amounts included in the measurement of lease liabilities	169	326
Operating cash flows from operating leases	$ 7	$ (101)
Weighted-average remaining lease term - operating leases	5 years 2 months 12 days	6 months
Weighted-average discount rate - operating leases	11.70%	10.20%

Inventory - Schedule of Inventory (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Inventory Disclosure [Abstract]
Inventory, Net, Total	$ 15,308	$ 8,840
Raw materials	2,694	4,256
Work-in-process	11,315	4,188
Finished goods	$ 1,299	$ 396

Inventory

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Inventory

5. Inventory

The Company's inventory balance consists of the following (in thousands):


	December 31, 2023		June 30, 2024
Raw materials	$	4,256	$	2,694
Work-in-process		4,188		11,315
Finished goods		396		1,299
	$	8,840	$	15,308

Inventory is stated at the lower of cost and net realizable value and consists of raw materials, work-in-process and
finished goods. The Company began capitalizing inventory costs following FDA approval of FUROSCIX in October 2022 and has not recorded any significant inventory write-downs since that time. At December 31, 2023 and June 30, 2024, the Company has an allowance for excess, damaged and obsolete inventory in the amount of $0 and $50,000, respectively. The Company currently uses a limited number of third-party contract manufacturing organizations ("CMOs") to produce its inventory.

Net Loss per Share - Schedule of Antidilutive Securities Excluded from Computation of Net Loss Per Share (Details) - shares	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from calculation of diluted net loss per share	6,794,178	5,591,802	6,794,178	5,591,802
Stock Options to Purchase Common Stock
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from calculation of diluted net loss per share	5,545,026	4,734,049	5,545,026	4,734,049
Warrants to Purchase Common Stock
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from calculation of diluted net loss per share	516,345	516,345	516,345	516,345
Unvested Restricted Stock Units
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]
Anti-dilutive securities excluded from calculation of diluted net loss per share	732,807	341,408	732,807	341,408

Net Loss per Share - Additional Information (Details)	Jun. 30, 2024 $ / shares
Earnings Per Share [Abstract]
Exercise price per share	$ 0.001

Debt - Schedule of Future Principal Payments Due (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
December 31, 2025	$ 2,500
December 31, 2026	10,000
December 31, 2027	37,500
Total minimum principal payments	50,000	$ 50,000
Unamortized debt discount	(10,010)	(11,189)
Carrying value of term loan	$ 39,990	$ 38,811

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/exampleRef
-Topic 835
-SubTopic 30
-Name Accounting Standards Codification
-Section 55
-Paragraph 8
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482949/835-30-55-8

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(f))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-1

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
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-Paragraph 3
-Subparagraph (SX 210.12-04(a))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-3

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
-Section 50
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-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 5: http://www.xbrl.org/2003/role/exampleRef
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Reference 6: http://www.xbrl.org/2003/role/exampleRef
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Reference 7: http://www.xbrl.org/2003/role/exampleRef
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Reference 8: http://www.xbrl.org/2003/role/exampleRef
-Topic 470
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-URI https://asc.fasb.org/1943274/2147481568/470-20-55-69F

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
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-Paragraph 1B
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

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Reference 12: http://www.xbrl.org/2003/role/disclosureRef
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Reference 14: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1F

Reference 24: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1F
-Subparagraph (b)(2)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1F

Reference 25: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1I
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1I

Reference 26: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 835
-SubTopic 30
-Name Accounting Standards Codification
-Section 45
-Paragraph 2
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482925/835-30-45-2

Reference 27: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 835
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482900/835-30-50-1

+ Details

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - $ / shares	Jun. 30, 2024	Dec. 31, 2023
Statement of Financial Position [Abstract]
Preferred stock, par value	$ 0.0001	$ 0.0001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.0001	$ 0.0001
Common stock, shares authorized	150,000,000	150,000,000
Common stock, shares issued	36,139,802	35,968,510
Common stock, shares outstanding	36,139,802	35,968,510

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)	3 Months Ended				6 Months Ended		12 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Cash flows from operating activities
Net loss	$ (17,090,000)	$ (14,108,000)	$ (14,154,000)	$ (11,210,000)	$ (31,198,000)	$ (25,364,000)
Adjustments to reconcile net loss to cash used in operating activities
Depreciation expense	5,000		6,000		11,000	12,000
Amortization expense - right-of-use leased assets - operating					92,000	202,000
Accretion on short-term investments					(120,000)	(871,000)
Allowance for excess, damaged and obsolete inventory					50,000		$ 0
Stock-based compensation					2,931,000	2,159,000
Non-cash interest expense					1,265,000	1,017,000
Fair value adjustment to derivative liability					(2,016,000)	(1,250,000)
Changes in operating assets and liabilities
Accounts receivable					(1,627,000)	(1,610,000)
Inventory					(6,519,000)	(4,602,000)
Prepaid expenses and other assets					(495,000)	456,000
Accounts payable, accrued expenses and other liabilities					(302,000)	(784,000)
Net cash used in operating activities					(37,928,000)	(30,635,000)
Cash flows from investing activities
Purchases of property and equipment						(3,000)
Maturities of short-term investments					29,320,000	28,100,000
Purchases of short-term investments						(11,670,000)
Net cash provided by investing activities					29,320,000	16,427,000
Cash flows from financing activities
Proceeds from at-the-market offering, net						14,038,000
Proceeds from employee stock purchase plan					283,000	176,000
Proceeds from the exercise of vested stock options					181,000	101,000
Settlement of restricted stock units for tax withholding obligations					(166,000)
Net cash provided by financing activities					298,000	14,315,000
Net increase (decrease) in cash and cash equivalents					(8,310,000)	107,000
Cash and cash equivalents at beginning of period		$ 46,814,000		$ 71,243,000	46,814,000	71,243,000	71,243,000
Cash and cash equivalents at end of period	$ 38,504,000		$ 71,350,000		38,504,000	71,350,000	$ 46,814,000
Supplemental cash flow information
Interest paid					2,970,000	2,970,000
Taxes paid					$ 128,000	156,000
Supplemental disclosure of non-cash activities
Transfer of issuance costs from other noncurrent assets to equity						$ 79,000

Net Loss per Share

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Net Loss per Share

3. Net Loss per Share

Net Loss per Share Attributable to Common Stockholders

The following table sets forth the computation of basic and diluted net loss per share of common stock (in thousands, except share and per share data):


	Three Months Ended June 30,						Six Months Ended June 30,
	2023			2024			2023			2024
Net loss	$	(14,154	)	$	(17,090	)	$	(25,364	)	$	(31,198	)
Weighted-average shares used in computing net loss per share		38,692,624			38,984,745			38,249,255			38,968,438
Net loss per share, basic and diluted	$	(0.36	)	$	(0.44	)	$	(0.66	)	$	(0.80	)

Basic and diluted weighted average shares of common stock outstanding for the three and six months ended June 30, 2024 include the weighted average effect of outstanding pre-funded warrants for the purchase of shares of common stock for which the remaining unfunded exercise price is $0.001 per share.


	Three Months Ended June 30,				Six Months Ended June 30,
	2023		2024		2023		2024
Stock options to purchase common stock		4,734,049		5,545,026		4,734,049		5,545,026
Warrants to purchase common stock		516,345		516,345		516,345		516,345
Unvested restricted stock units		341,408		732,807		341,408		732,807
Total		5,591,802		6,794,178		5,591,802		6,794,178

Inventory (Tables)

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Schedule of Inventory

The Company's inventory balance consists of the following (in thousands):


	December 31, 2023		June 30, 2024
Raw materials	$	4,256	$	2,694
Work-in-process		4,188		11,315
Finished goods		396		1,299
	$	8,840	$	15,308

Significant Accounting Policies - Additional Information (Details)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2024 USD ($) Customer Supplier	Jun. 30, 2023 Customer Supplier	Jun. 30, 2024 USD ($) Customer Supplier	Jun. 30, 2023 Customer Supplier	Dec. 31, 2023 Customer Supplier
Schedule Of Accounting Policies [Line Items]
Potential interest and penalties associated with uncertain tax positions, accruals \| $	$ 0		$ 0
Amortized period for expenses incurred for research and development in united states			5 years
Amortized period for expenses incurred for research and development outside united states			15 years
Accounts Receivable
Schedule Of Accounting Policies [Line Items]
Number of Customer \| Customer			2		3
Revenue
Schedule Of Accounting Policies [Line Items]
Number of Customer \| Customer	2	1	3	1
Accounts Payable
Schedule Of Accounting Policies [Line Items]
Number of Suppliers \| Supplier			1		1
Purchases
Schedule Of Accounting Policies [Line Items]
Number of Suppliers \| Supplier	2	2	2	2
Customer Concentration Risk \| Accounts Receivable \| Customer Three
Schedule Of Accounting Policies [Line Items]
Percentage of concentration risk			99.00%		99.00%
Customer Concentration Risk \| Revenue \| Customer Three
Schedule Of Accounting Policies [Line Items]
Percentage of concentration risk	99.00%		99.00%
Customer Concentration Risk \| Revenue \| Customer One
Schedule Of Accounting Policies [Line Items]
Percentage of concentration risk		99.00%		94.00%
Supplier Concentration Risk \| Accounts Payable \| Supplier One
Schedule Of Accounting Policies [Line Items]
Percentage of concentration risk			38.00%		47.00%
Supplier Concentration Risk \| Purchases \| Supplier Two
Schedule Of Accounting Policies [Line Items]
Percentage of concentration risk	69.00%	43.00%	48.00%	41.00%

Accrued Expenses - Schedule of Accrued Expenses (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Accrued Liabilities, Current [Abstract]
Employee compensation and related costs	$ 3,195	$ 4,375
Sales allowances and related costs	1,575	1,418
Manufacturing costs	842	434
Contract research and development	863	1,202
Consulting and professional service fees	606	945
Royalty	212	249
Financing costs	49
Inventory in transit		150
Other	57	128
Total accrued expenses	$ 7,399	$ 8,901

Accrued Expenses

6 Months Ended

Jun. 30, 2024

Accrued Liabilities, Current [Abstract]

Accrued Expenses

7. Accrued Expenses

Accrued expenses consist of the following (in thousands):


	December 31, 2023		June 30, 2024
Employee compensation and related costs	$	4,375	$	3,195
Sales allowances and related costs		1,418		1,575
Manufacturing costs		434		842
Contract research and development		1,202		863
Consulting and professional service fees		945		606
Royalty		249		212
Financing costs		—		49
Inventory in transit		150		—
Other		128		57
Total accrued expenses	$	8,901	$	7,399

Subsequent Events - Additional Information (Details) - USD ($)			3 Months Ended
	Aug. 12, 2024	Aug. 09, 2024	Jun. 30, 2023	Mar. 31, 2023	Jul. 31, 2024	Jun. 30, 2024	Dec. 31, 2023
Subsequent Event [Line Items]
Term loan facility						$ 50,000,000	$ 50,000,000
Common stock, par value						$ 0.0001	$ 0.0001
Warrant, exercise price						$ 0.001
Common Stock
Subsequent Event [Line Items]
Purchase shares of common stock			33,333	1,511,157
Subsequent Event
Subsequent Event [Line Items]
Approximate value of damaged inventory					$ 439,000
Subsequent Event \| 2024 Public Offering \| Underwriting Agreement
Subsequent Event [Line Items]
Warrant, exercise price	$ 0.001
Selling price per share	$ 4
Common stock additional shares exercisable period	30 days
Pre-funded warrants issued price per share	$ 3.999
Proceeds from offering	$ 53,500,000
Subsequent Event \| Common Stock \| Underwriting Agreement
Subsequent Event [Line Items]
Purchase shares of common stock	12,000,000
Prefunded warrant shares	500,000
Common stock, par value	$ 0.0001
Subsequent Event \| Common Stock \| 2024 Public Offering \| Underwriting Agreement
Subsequent Event [Line Items]
Purchase shares of common stock	12,000,000
Prefunded warrant shares	500,000
Common stock, par value	$ 0.0001
Common stock additional shares exercisable	1,875,000
Common stock additional shares price per share	$ 4
Subsequent Event \| Credit Agreement
Subsequent Event [Line Items]
Term loan facility		$ 75,000,000
Scheduled repayments outstanding		$ 0
Debt instrument, maturity date		Aug. 09, 2029
Yield protection premium percentage year one		5.00%
Yield protection premium percentage year two		3.00%
Yield protection premium percentage year three		1.00%
Yield protection premium percentage after year three		0.00%
Warrant, exercise price		$ 4.5902
Warrants exercise period		6 years
Subsequent Event \| Credit Agreement \| Common Stock
Subsequent Event [Line Items]
Warrants to purchase of shares		300,000
Subsequent Event \| Credit Agreement \| SOFR
Subsequent Event [Line Items]
Basis spread on variable base rate		6.75%
Frequency of periodic payment		monthly
Subsequent Event \| Credit Agreement \| SOFR \| Interest Rate Floor [Member]
Subsequent Event [Line Items]
Basis spread on variable base rate		3.25%
Subsequent Event \| Credit Agreement \| Funded Immediately
Subsequent Event [Line Items]
Term loan facility		$ 50,000,000
Subsequent Event \| Credit Agreement \| Up to Two Draws on or Prior to March 31, 2026
Subsequent Event [Line Items]
Term loan facility		$ 25,000,000
Subsequent Event \| Revenue Purchase and Sale Agreement
Subsequent Event [Line Items]
Percentage of purchase price with related to purchaser revenue payment		200.00%
Purchase price		$ 50,000,000

Subsequent Events

6 Months Ended

Jun. 30, 2024

Subsequent Events [Abstract]

Subsequent Events

13. Subsequent Events

The Company considers events or transactions that occur after the balance sheet date but prior to the issuance of the financial statements to provide additional evidence relative to certain estimates or to identify matters that require additional disclosure.

In July 2024, the Company was notified that inventory was damaged during transport to a contract manufacturing organization. As a result, this inventory is unsaleable. The approximate value of the damaged inventory is $439,000. An insurance claim has been filed, but the Company has no assurance it will be successful in recouping any of the loss.

Perceptive Financing

On August 9, 2024 (the “Closing Date”), the Company entered into the Credit Agreement and Revenue Purchase and Sale Agreement. The Credit Agreement establishes a $75.0 million term loan facility, consisting of (i) $50.0 million funded immediately upon closing and (ii) $25.0 million (together with (i), the Term Loan”) that the Company may borrow in a single borrowing on or prior to March 31, 2026. The Company will use the proceeds of the Term Loan to (a) on the Closing Date, prepay all outstanding loans under the Oaktree Agreement, (b) support the Company’s commercialization efforts for FUROSCIX and (c) other working capital and general corporate purposes, including the payment of fees and expenses associated with the Credit Agreement.

Borrowings under the Term Loan will bear interest at a rate per annum equal to one-month term SOFR (subject to a 3.25% floor), plus an applicable margin of 6.75%, payable monthly in arrears. There will be no scheduled repayments of outstanding principal on the Term Loan prior to August 9, 2029 (the “Maturity Date”). The Company may voluntarily prepay the outstanding Term Loan, subject to a yield protection premium equal to (i) 5.0% of the principal amount of the Term Loan prepaid, if prepaid on or prior to the first anniversary of the Closing Date, (ii) 3.0% of the principal amount of the Term Loan if prepaid after the first anniversary of the Closing Date through and including the second anniversary of the Closing Date, (iii) 1.0% of the principal amount of the Term Loan if prepaid after the second anniversary of the Closing Date through and including the third anniversary of the Closing Date, with no prepayment premium due after the third anniversary of the Closing date through the Maturity Date. On the Closing Date, the Company is required to issue to the Lenders of such Term Loan warrants to purchase 300,000 of shares of the Company’s common stock, in the aggregate (the “Warrant”), at an exercise price of $4.5902. The Warrant is immediately exercisable, and the exercise period will expire 6 years from the date of issuance.

On the Closing Date, the Company also entered into the Revenue Purchase and Sale Agreement with the Purchaser. Under the Revenue Purchase and Sale Agreement, in exchange for the Purchaser's payment to the Company of a purchase price of $50.0 million, in the aggregate, the Company has agreed to sell to the Purchaser its right to receive payment in full of a tiered single digit percentage of net sales of FUROSCIX. The Purchaser’s right to receive the Revenue Payment terminates and the Company no longer has the obligation to pay Purchaser Revenue Payments once the Purchaser receives 200.0% (subject to reductions on September 30, 2027 and September 30, 2029 depending on the amount of Revenue Payments received by such dates) of the Purchase Price. The Company may also buy-out the Purchaser’s rights to receive the Revenue Payments by paying Purchaser a tiered multiple on the Purchaser Price.

FDA Approval of Supplemental Drug Application Expanding the FUROSCIX Indication to Include NYHA Class IV Chronic Heart Failure

On August 12, 2024, the Company announced that the U.S. Food and Drug Administration (FDA) approved its supplemental new drug application to expand FUROSCIX® for the treatment of congestion due to fluid overload in adults with New York Heart Association Class IV chronic heart failure.

2024 Public Offering

On August 12, 2024, the Company entered into the Underwriting Agreement with the Underwriters, relating to an underwritten offering of 12,000,000 shares of the Company’s common stock, $0.0001 par value per share, and, in lieu of Common Stock to select investors, pre-funded warrants to purchase 500,000 shares of Common Stock.

The offering price of the Shares to the public is $4.00 per share, and the offering price of the Pre-funded Warrants to the public is $3.999 per underlying share, which is equal to the price per share of Common Stock being sold in this offering, minus $0.001, which is the exercise price per share of the Pre-funded Warrants. Under the terms of the Underwriting Agreement, the Company

also granted the Underwriters an option exercisable for 30 days to purchase up to an additional 1,875,000 shares of Common Stock at a price of $4.00 per share, less underwriting discounts and commissions. On August 12, 2024, the Underwriters exercised this option in full. The closing of the Offering (including the sale of the Shares subject to the Underwriters’ option to purchase additional shares) took place on August 13, 2024.

The net proceeds from the Offering are expected to be approximately $53.5 million, after deducting underwriting discounts and commissions and estimated offering expenses payable by the Company. The Company does not intend to list the Pre-funded Warrants on Nasdaq or any other nationally recognized securities exchange or trading system.

Stock-Based Compensation - Summary of Information about Stock Option Activity (Details) - USD ($) $ / shares in Units, $ in Thousands		6 Months Ended
	Dec. 29, 2023	Jun. 30, 2024
NUMBER OF SHARES
Number of shares outstanding, beginning balance		4,681,326
Number of shares granted		1,056,047
Number of shares exercised	(24,343)	(8,411)
Number of shares forfeited		(183,936)
Number of shares outstanding, ending balance		5,545,026
Vested and exercisable, ending balance		3,386,606
Vested and expected to vest, ending balance		5,087,634
WEIGHTED-AVERAGE EXERCISE PRICE
Weighted average exercise prices, outstanding beginning balance		$ 6.09
Weighted average exercise prices, granted		5.48
Weighted average exercise prices, exercised		4.7
Weighted average exercise prices, forfeited		6.54
Weighted average exercise prices, outstanding ending balance		5.96
Weighted average exercise prices, vested and exercisable ending balance		6.14
Weighted average exercise prices, vested and expected to vest ending balance		$ 5.99
WEIGHTED-AVERAGE REMAINING CONTRACTUAL TERM
Weighted average remaining contractual term, outstanding		7 years 21 days
Weighted average remaining contractual term, vested and exercisable		5 years 10 months 28 days
Weighted average remaining contractual term, vested and expected to vest		6 years 10 months 20 days
AGGREGATE INTRINSIC VALUE
Aggregate intrinsic value, outstanding ending balance		$ 506
Aggregate intrinsic value, vested and exercisable ending balance		455
Aggregate intrinsic value, vested and expected to vest ending balance		$ 497

Commitments and Contingencies (Tables)

6 Months Ended

Jun. 30, 2024

Commitments and Contingencies Disclosure [Abstract]

Schedule of Maturity Analysis of Annual Undiscounted Cash Flows of Operating Lease Liabilities

The following is a maturity analysis of the annual undiscounted cash flows of the operating lease liabilities as of June 30, 2024 (in thousands):


Year ended:
December 31, 2024	$	171
December 31, 2025		341
December 31, 2026		349
December 31, 2027		358
December 31, 2028		367
Thereafter		249
Total minimum lease payments		1,835
Less imputed interest		(461	)
Total	$	1,374

Schedule of Lease Cost and Other Information of Operating Lease Liabilities


	Six Months Ended June 30,
	2023			2024
Lease cost:
Operating lease cost	$	226		$	172
Short-term lease cost		19			25
Total lease cost	$	245		$	197
Other information
Cash paid for amounts included in the measurement of lease liabilities	$	326		$	169
Operating cash flows from operating leases	$	(101	)	$	7
Weighted-average remaining lease term - operating leases	0.5 years			5.2 years
Weighted-average discount rate - operating leases		10.2	%		11.7	%

Fair Value of Financial Instruments - Summary of Assets Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Liabilities:
Derivative liability	$ 1,841	$ 3,857
Fair Value, Measurements, Recurring
Assets:
Cash equivalents	37,260	44,202
Investments		29,199
Total		73,401
Liabilities:
Derivative liability	1,841	3,857
Total	1,841	3,857
Fair Value, Measurements, Recurring \| Commercial Paper
Assets:
Investments		9,425
Fair Value, Measurements, Recurring \| United States Treasury securities
Assets:
Investments		13,969
Fair Value, Measurements, Recurring \| United States Government Agency securitites
Assets:
Investments		1,990
Fair Value, Measurements, Recurring \| Corporate Bonds
Assets:
Investments		3,815
Fair Value, Measurements, Recurring \| Quoted Prices in Active Markets (Level 1) [Member]
Assets:
Cash equivalents	37,260	44,202
Investments		13,969
Total		58,171
Fair Value, Measurements, Recurring \| Quoted Prices in Active Markets (Level 1) [Member] \| United States Treasury securities
Assets:
Investments		13,969
Fair Value, Measurements, Recurring \| Significant Other Observable Inputs (Level 2) [Member]
Assets:
Investments		15,230
Total		15,230
Fair Value, Measurements, Recurring \| Significant Other Observable Inputs (Level 2) [Member] \| Commercial Paper
Assets:
Investments		9,425
Fair Value, Measurements, Recurring \| Significant Other Observable Inputs (Level 2) [Member] \| United States Government Agency securitites
Assets:
Investments		1,990
Fair Value, Measurements, Recurring \| Significant Other Observable Inputs (Level 2) [Member] \| Corporate Bonds
Assets:
Investments		3,815
Fair Value, Measurements, Recurring \| Significant Unobservable Inputs (Level 3) [Member]
Liabilities:
Derivative liability	1,841	3,857
Total	$ 1,841	$ 3,857

Debt (Tables)

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Schedule of Carrying Value of Debt Balnce

The following table presents the carrying value of the Company's debt balance as of December 31, 2023 and June 30, 2024 (in thousands):


	December 31, 2023			June 30, 2024
Face value	$	50,000		$	50,000
Less: discount		(11,189	)		(10,010	)
Total		38,811		$	39,990
Less: current portion		—			—
Long-term portion	$	38,811		$	39,990

Schedule of Future Principal Payments Due

As of June 30, 2024, future principal payments due under the Oaktree Agreement were as follows (in thousands):


Year ended:
December 31, 2024	$	—
December 31, 2025		2,500
December 31, 2026		10,000
December 31, 2027		37,500
Total minimum principal payments		50,000
Less unamortized discount		(10,010	)
Carrying value of term loan	$	39,990

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Jun. 30, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Net Loss per Share - Computation of Basic and Diluted Net Loss Per Share of Common Stock (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Earnings Per Share [Abstract]
Net loss	$ (17,090)	$ (14,154)	$ (31,198)	$ (25,364)
Weighted-average shares used in computing net loss per share, basic	38,984,745	38,692,624	38,968,438	38,249,255
Weighted-average shares used in computing net loss per share, diluted	38,984,745	38,692,624	38,968,438	38,249,255
Net loss per share, basic	$ (0.44)	$ (0.36)	$ (0.8)	$ (0.66)
Net loss per share, diluted	$ (0.44)	$ (0.36)	$ (0.8)	$ (0.66)

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

Debt

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Debt

9. Debt

The following table presents the carrying value of the Company's debt balance as of December 31, 2023 and June 30, 2024 (in thousands):


	December 31, 2023			June 30, 2024
Face value	$	50,000		$	50,000
Less: discount		(11,189	)		(10,010	)
Total		38,811		$	39,990
Less: current portion		—			—
Long-term portion	$	38,811		$	39,990

Oaktree Agreement

On October 13, 2022 (“Oaktree Closing Date”), the Company entered into a Credit Agreement and Guaranty (the “Oaktree Agreement”) with Oaktree Fund Administration, LLC as administrative agent, and the lenders party thereto (collectively “Oaktree”) to borrow up to $100.0 million in three tranches with a maturity date of October 13, 2027.

The first tranche of $50.0 million was drawn immediately, with $9.8 million of the proceeds used to repay in full the outstanding loan and fees under the 2019 Loan Agreement with SLR Investment Corp. and Silicon Valley Bank and $2.7 million in fees and expenses incurred in connection with the financing, leaving $37.5 million in available proceeds from the first tranche. The ability to draw the remaining $50.0 million was contingent upon reaching certain net sales revenue milestone targets prior to September 30, 2024 and December 31, 2024, respectively.

The term loan initially bears interest at the three-month term Secured Overnight Financing Rate (“SOFR”) plus an applicable margin of 8.75% (with a SOFR floor of 1.00% and a 3.00% cap).

In connection with entering into the Oaktree Agreement, the Company granted warrants to Oaktree to purchase up to an aggregate of 516,345 shares of the Company’s common stock at an exercise price of $5.40 per share. Upon inception, the Company evaluated the warrants and determined that they met all the requirements for equity classification under ASC Topic 815 Derivatives and Hedging ("ASC 815"). This transaction was accounted for as a detachable warrant at its fair value, using the relative fair value method, which is based on a number of unobservable inputs and is recorded as an increase to additional paid-in-capital on the consolidated statement of stockholder’s equity. The relative fair value of the warrants, $2.0 million, was reflected as a discount to the term loan and will be amortized over the life of the term loan using the effective interest method. The Company used the Black-Scholes option pricing model to determine the fair value of the warrants. Assumptions included the fair market value per share of common stock on the valuation date of $5.50, the exercise price per warrant equal to $5.40, the expected volatility of 77%, the risk-free interest rate of 4.11%, the contractual term of 7 years and the absence of a dividend. The warrants are immediately exercisable and the exercise period expires on October 13, 2029.

The Company identified a number of embedded derivatives that require bifurcation from the term loan and that were separately accounted for in the consolidated financial statements as one compound derivative liability. Certain of these embedded features include contingent interest rate reset upon event of default, contingent put options, including change in control and going concern provisions, and additional costs as a result of changes in law. These embedded features met the criteria requiring these to be bifurcated because they were not clearly and closely related to the host instrument in accordance with ASC 815-15 and the derivative liability is presented separately in the condensed consolidated balance sheet as of June 30, 2024. The fair value of the embedded derivative liabilities associated with the term loan was estimated using a hybrid between the discounted cash flow and Monte Carlo simulation methods. This involves significant Level 3 inputs and assumptions including an estimated probability and timing of a change in control. The Company re-evaluates this assessment each reporting period and any changes in estimated fair value is recorded as other income (expense). The initial recognition of the embedded derivative liability upon issuance of the Term Loan was $8.9 million. At June 30, 2024, the fair value of the embedded derivative liability was $1.8 million.

In connection with the issuance of the term loan, the Company recorded a debt discount of $13.6 million, inclusive of debt issuance costs, the derivative liability and the relative fair value of the warrants. The discount will be amortized over the life of the term loan using the effective interest method. For the three months ended June 30, 2023 and 2024, the Company recorded $488,000 and $604,000 related to the amortization of the debt discount associated with the Oaktree Agreement, respectively. For the six months ended June 30, 2023 and 2024, the Company recorded $947,000 and $1.2 million related to the amortization of the debt discount associated with the Oaktree Agreement, respectively.

Prepayments of the term loan, in whole or in part, will be subject to a prepayment fee which declines each year until the fourth anniversary date of the Oaktree Closing Date, after which no prepayment fee is required. The Company is also required to pay an exit fee upon any payment or prepayment equal to 2.0% of the aggregate principal amount of the loans funded under the Oaktree Agreement. The Company recorded an additional debt discount of $1.0 million related to the exit fee. For the three months ended June 30, 2023 and 2024, the Company recorded $36,000 and $45,000 related to the amortization of the exit fee associated with

the Oaktree Agreement, respectively. For the six months ended June 30, 2023 and 2024, the Company recorded $70,000 and $87,000 related to the amortization of the exit fee associated with the Oaktree Agreement, respectively.

The Oaktree Agreement contains customary representations, warranties and affirmative and negative covenants, including financial covenants requiring the Company to (i) maintain unrestricted cash of at least $15.0 million at all times, increasing to $20.0 million upon accessing the second tranche of the term loan and (ii) meet minimum quarterly net sales revenue targets.

As of June 30, 2024, future principal payments due under the Oaktree Agreement were as follows (in thousands):


Year ended:
December 31, 2024	$	—
December 31, 2025		2,500
December 31, 2026		10,000
December 31, 2027		37,500
Total minimum principal payments		50,000
Less unamortized discount		(10,010	)
Carrying value of term loan	$	39,990

In conjunction with the closing of the Perceptive Financing (Note 13), the Company used a portion of the proceeds of the term loan to prepay all outstanding loans under the Oaktree Agreement, including the exit fee, on the Closing Date.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481544/470-10-50-6

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481544/470-10-50-6

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 405
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477092/405-40-50-1

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 405
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)(3)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477092/405-40-50-1

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 405
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)(2)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477092/405-40-50-1

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 405
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)(1)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477092/405-40-50-1

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 405
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147477092/405-40-50-1

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1B
-Subparagraph (h)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(c))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480678/235-10-S99-1

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 470
-Name Accounting Standards Codification
-Publisher FASB
-URI https://asc.fasb.org/470/tableOfContent

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 835
-SubTopic 30
-Name Accounting Standards Codification
-Section 45
-Paragraph 2
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482925/835-30-45-2

Reference 12: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1B
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1B
-Subparagraph (g)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 14: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1B
-Subparagraph (i)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1B

Reference 15: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1C
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1C

Reference 16: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1C
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1C

Reference 17: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1C
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1C

Reference 18: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1E
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1E

Reference 19: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1I
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1I

Reference 20: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1I
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1I

Reference 21: http://www.xbrl.org/2003/role/disclosureRef
-Topic 470
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1I
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147481139/470-20-50-1I

+ Details

Stockholders' Equity - Additional Information (Details) - Common Stock - USD ($)		3 Months Ended		6 Months Ended
	Mar. 23, 2021	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Mar. 13, 2024
Stockholders Equity Note [Line Items]
Number of shares sold		33,333	1,511,157
2021 ATM Agreement \| Cowen
Stockholders Equity Note [Line Items]
Number of shares sold				1,726,043
Proceeds from sale of shares, Net				$ 15,200,000
2021 ATM Agreement \| Cowen \| Maximum
Stockholders Equity Note [Line Items]
Aggregate offering price	$ 50,000,000
Percentage of commission on gross sales proceeds	3.00%
2021 ATM Agreement \| Cowen \| Weighted Average
Stockholders Equity Note [Line Items]
Selling price per share				$ 9.01
2024 ATM Agreement \| Cowen
Stockholders Equity Note [Line Items]
Number of shares sold				0
2024 ATM Agreement \| Cowen \| Maximum
Stockholders Equity Note [Line Items]
Aggregate offering price					$ 50,000,000

Property and Equipment - Schedule of Purchased Property and Equipment (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Property Plant And Equipment [Line Items]
Property and equipment, gross	$ 119	$ 119
Less: Accumulated depreciation	(72)	(61)
Property and equipment, net	$ 47	58
Office Equipment
Property Plant And Equipment [Line Items]
ESTIMATED USEFUL LIFE	5 years
Property and equipment, gross	$ 31	31
Office Furniture
Property Plant And Equipment [Line Items]
ESTIMATED USEFUL LIFE	7 years
Property and equipment, gross	$ 64	64
Computer Equipment
Property Plant And Equipment [Line Items]
ESTIMATED USEFUL LIFE	3 years
Property and equipment, gross	$ 15	15
Leasehold Improvements
Property Plant And Equipment [Line Items]
Property, Plant, and Equipment, Useful Life, Term, Description [Extensible Enumeration]	us-gaap:UsefulLifeTermOfLeaseMember
Property and equipment, gross	$ 9	$ 9

Fair Value of Financial Instruments (Tables)

6 Months Ended

Jun. 30, 2024

Fair Value Disclosures [Abstract]

Summary of Assets Measured at Fair Value on Recurring Basis


	As of December 31, 2023
	TOTAL		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets:
Cash equivalents	$	44,202	$	44,202	$	—	$	—
Total cash equivalents		44,202		44,202		—		—

United States Treasury securities		13,969		13,969		-		—
Commercial paper		9,425		—		9,425		—
Corporate bonds		3,815		—		3,815		—
United States Government Agency securities		1,990		—		1,990		—
Investments		29,199		13,969		15,230		—

Total	$	73,401	$	58,171	$	15,230	$	—
Liabilities:
Derivative liability	$	3,857	$	—	$	—	$	3,857

Total	$	3,857	$	—	$	—	$	3,857

	As of June 30, 2024
	TOTAL		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets:
Cash equivalents	$	37,260	$	37,260	$	—	$	—

Total	$	37,260	$	37,260	$	—	$	—

Liabilities:
Derivative liability	$	1,841	$	—	$	—	$	1,841

Total	$	1,841	$	—	$	—	$	1,841

Schedule of Changes in Fair Value of Level 3 Derivative Liability

Changes in the fair value of the Company's Level 3 derivative liability for the six months ended June 30, 2024 are as follows (in thousands):


At December 31, 2023	$	3,857
Change in fair value of derivative liability		(2,016	)
At June 30, 2024	$	1,841

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Income Statement [Abstract]
Product revenues, net	$ 8,054	$ 1,638	$ 14,156	$ 3,701
Revenue from Contract with Customer, Product and Service [Extensible Enumeration]	us-gaap:ProductMember	us-gaap:ProductMember	us-gaap:ProductMember	us-gaap:ProductMember
Operating expenses:
Cost of product revenues	$ 2,300	$ 354	$ 4,085	$ 959
Research and development	2,677	2,934	5,403	5,050
Selling, general and administrative	17,508	12,096	34,955	22,992
Total operating expenses	22,485	15,384	44,443	29,001
Loss from operations	(14,431)	(13,746)	(30,287)	(25,300)
Other income (expense)	(1,189)	239	1,783	1,229
Interest income	664	1,363	1,541	2,678
Interest expense	(2,134)	(2,010)	(4,235)	(3,971)
Net loss	$ (17,090)	$ (14,154)	$ (31,198)	$ (25,364)
Net loss per share - basic	$ (0.44)	$ (0.36)	$ (0.8)	$ (0.66)
Net loss per share - diluted	$ (0.44)	$ (0.36)	$ (0.8)	$ (0.66)
Weighted average common shares outstanding - basic	38,984,745	38,692,624	38,968,438	38,249,255
Weighted average common shares outstanding - diluted	38,984,745	38,692,624	38,968,438	38,249,255
Other comprehensive loss:
Unrealized loss on short-term investments		$ (14)	$ 1	$ (38)
Comprehensive loss	$ (17,090)	$ (14,168)	$ (31,197)	$ (25,402)

Debt - Schedule of Carrying Value of Debt Balance (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Disclosure [Abstract]
Face value	$ 50,000	$ 50,000
Less: discount	(10,010)	(11,189)
Total	39,990	38,811
Long-term portion	$ 39,990	$ 38,811

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References + Details

Stock-Based Compensation - Summary of Stock Based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Total stock-based compensation expense	$ 1,491	$ 1,179	$ 2,931	$ 2,159
Research and Development
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Total stock-based compensation expense	410	365	775	705
General and Administrative
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Total stock-based compensation expense	$ 1,081	$ 814	$ 2,156	$ 1,454

Stock-Based Compensation - Schedule of Estimated Fair Value of Options Valuation Assumptions (Details) - $ / shares	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Risk-free interest rate, minimum	3.78%	3.40%
Risk-free interest rate, maximum	4.59%	4.17%
Expected dividend yield	0.00%	0.00%
Expected volatility, minimum	77.00%	77.00%
Expected volatility, maximum	79.00%	85.00%
Weighted-average grant date fair value	$ 3.84	$ 5.31
Minimum
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Expected life	5 years 6 months	5 years 6 months
Maximum
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Expected life	6 years 8 months 12 days	7 years