0001558370-22-017592 | 10-Q | XBRL Viewer

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Document and Entity Information - shares	9 Months Ended
Document and Entity Information - shares	Sep. 30, 2022	Nov. 07, 2022
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2022
Document Transition Report	false
Entity File Number	001-38410
Entity Registrant Name	BioXcel Therapeutics, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	82-1386754
Entity Address, Address Line One	555 Long Wharf Drive
Entity Address, City or Town	New Haven
Entity Address, State or Province	CT
Entity Address, Postal Zip Code	06511
City Area Code	475
Local Phone Number	238-6837
Title of 12(b) Security	Common Stock
Trading Symbol	BTAI
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	true
Entity Ex Transition Period	true
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		28,023,225
Entity Central Index Key	0001720893
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2022
Document Fiscal Period Focus	Q3
Amendment Flag	false

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Current assets
Cash and cash equivalents	$ 232,314	$ 232,968
Inventory	1,408
Prepaid expenses	5,509	2,888
Other current assets	2,430	956
Total current assets	241,661	236,812
Property and equipment, net	1,187	1,294
Operating lease right-of-use assets	1,045	1,247
Other assets	925	86
Total assets	244,818	239,439
Current liabilities
Accounts payable	5,872	4,678
Accrued expenses	13,949	11,492
Due to related parties	269	204
Accrued interest	2,896
Other current liabilities	392	293
Total current liabilities	23,378	16,667
Long-term portion of operating lease liabilities	868	1,105
Derivative liabilities	1,891
Long-term debt	91,695
Total liabilities	117,832	17,772
Commitments and contingencies (Note 15)
Stockholders' equity
Common stock, $0.001 par value, 100,000 shares authorized as of September 30, 2022 and December 31, 2021; 28,023 and 27,980 shares issued and outstanding as of September 30, 2022 and December 31, 2021, respectively	28	28
Preferred stock, $0.001 par value, 10,000 shares authorized; no shares issued and outstanding as of September 30, 2022 and December 31, 2021
Additional paid-in-capital	483,695	467,427
Accumulated deficit	(356,737)	(245,788)
Total stockholders' equity	126,986	221,667
Total liabilities and stockholders' equity	$ 244,818	$ 239,439

CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares shares in Thousands	Sep. 30, 2022	Dec. 31, 2021
CONSOLIDATED BALANCE SHEETS
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized (in shares)	100,000	100,000
Common stock, shares issued (in shares)	28,023	27,980
Common stock, shares outstanding (in shares)	28,023	27,980
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized (in shares)	10,000	10,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
CONSOLIDATED STATEMENTS OF OPERATIONS
Revenues	$ 137		$ 137
Operating expenses
Cost of goods sold	11		11
Research and development	22,062	$ 11,933	58,780	$ 40,183
Selling, general and administrative	17,054	14,879	48,097	40,621
Total operating expenses	39,127	26,812	106,888	80,804
Loss from operations	(38,990)	(26,812)	(106,751)	(80,804)
Other (income) expense
Interest expense (income), net	2,877	(1)	4,251	2
Other (income) expense, net	62		53
Net loss	$ (41,805)	$ (26,811)	$ (110,949)	$ (80,806)
Basic net loss per share attributable to common stockholders (in dollars per share)	$ (1.49)	$ (0.96)	$ (3.96)	$ (3.13)
Diluted net loss per share attributable to common stockholders (in dollars per share)	$ (1.49)	$ (0.96)	$ (3.96)	$ (3.13)
Weighted average shares outstanding - basic	28,022	27,972	27,997	25,832
Weighted average shares outstanding - diluted	28,022	27,972	27,997	25,832

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY - USD ($) shares in Thousands, $ in Thousands	Common stock	Additional Paid in Capital	Accumulated Deficit	Total
Beginning Balance at Dec. 31, 2020	$ 24	$ 345,529	$ (138,857)	$ 206,696
Beginning Balance (in shares) at Dec. 31, 2020	24,417
Stock-based compensation		5,565		5,565
Exercise of stock options	$ 1	851		852
Exercise of stock options (in shares)	214
Net loss			(26,376)	(26,376)
Ending Balance at Mar. 31, 2021	$ 25	351,945	(165,233)	186,737
Ending Balance (in shares) at Mar. 31, 2021	24,631
Beginning Balance at Dec. 31, 2020	$ 24	345,529	(138,857)	206,696
Beginning Balance (in shares) at Dec. 31, 2020	24,417
Net loss				(80,806)
Ending Balance at Sep. 30, 2021	$ 28	465,191	(219,663)	245,556
Ending Balance (in shares) at Sep. 30, 2021	27,980
Beginning Balance at Mar. 31, 2021	$ 25	351,945	(165,233)	186,737
Beginning Balance (in shares) at Mar. 31, 2021	24,631
Issuance of common stock, net of issuance costs	$ 3	101,024		101,027
Issuance of common stock, net of issuance costs (in shares)	3,279
Stock-based compensation		6,769		6,769
Exercise of stock options		497		497
Exercise of stock options (in shares)	59
Net loss			(27,619)	(27,619)
Ending Balance at Jun. 30, 2021	$ 28	460,235	(192,852)	267,411
Ending Balance (in shares) at Jun. 30, 2021	27,969
Stock issuance costs		(34)		(34)
Stock-based compensation		4,885		4,885
Exercise of stock options		105		105
Exercise of stock options (in shares)	11
Net loss			(26,811)	(26,811)
Ending Balance at Sep. 30, 2021	$ 28	465,191	(219,663)	245,556
Ending Balance (in shares) at Sep. 30, 2021	27,980
Beginning Balance at Dec. 31, 2021	$ 28	467,427	(245,788)	$ 221,667
Beginning Balance (in shares) at Dec. 31, 2021	27,980			27,980
Stock-based compensation		3,825		$ 3,825
Net loss			(31,472)	(31,472)
Ending Balance at Mar. 31, 2022	$ 28	471,252	(277,260)	194,020
Ending Balance (in shares) at Mar. 31, 2022	27,980
Beginning Balance at Dec. 31, 2021	$ 28	467,427	(245,788)	$ 221,667
Beginning Balance (in shares) at Dec. 31, 2021	27,980			27,980
Issuance of stock purchase warrants				$ 3,245
Net loss				(110,949)
Ending Balance at Sep. 30, 2022	$ 28	483,695	(356,737)	$ 126,986
Ending Balance (in shares) at Sep. 30, 2022	28,023			28,023
Beginning Balance at Mar. 31, 2022	$ 28	471,252	(277,260)	$ 194,020
Beginning Balance (in shares) at Mar. 31, 2022	27,980
Stock-based compensation		4,482		4,482
Issuance of stock purchase warrants		3,245		3,245
Exercise of stock options		185		185
Exercise of stock options (in shares)	38
Net loss			(37,672)	(37,672)
Ending Balance at Jun. 30, 2022	$ 28	479,164	(314,932)	164,260
Ending Balance (in shares) at Jun. 30, 2022	28,018
Stock-based compensation		4,483		4,483
Exercise of stock options		48		48
Exercise of stock options (in shares)	5
Net loss			(41,805)	(41,805)
Ending Balance at Sep. 30, 2022	$ 28	$ 483,695	$ (356,737)	$ 126,986
Ending Balance (in shares) at Sep. 30, 2022	28,023			28,023

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (Parenthetical) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended
	Jun. 30, 2021	Jun. 30, 2021
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
Stock Issuance Costs	$ 3,076	$ 3,542

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
OPERATING CASH FLOW ACTIVITIES:
Net loss			$ (110,949)	$ (80,806)
Reconciliation of net loss to net cash used in operating activities
Depreciation	$ 85	$ 76	246	221
Accretion of debt discount and amortization of financing costs	217		538
Change in fair value of derivative liabilities			(63)
Stock-based compensation expense			12,790	17,219
PIK interest			403
Loss on disposal of equipment				46
Changes in operating assets and liabilities:
Inventory			(1,408)
Prepaid expenses, other current assets and other assets			(4,934)	(1,739)
Operating lease right-of-use assets			202	199
Accounts payable, accrued expenses, and other liabilities			3,795	2,807
Accrued interest			2,896
Operating lease liabilities			(218)	(168)
Net cash used in operating activities			(96,702)	(62,221)
INVESTING CASH FLOW ACTIVITIES:
Purchases of equipment and leasehold improvements			(139)	(433)
Net cash used in investing activities			(139)	(433)
FINANCING CASH FLOW ACTIVITIES:
Proceeds from long-term debt			98,600
Debt issuance costs			(2,646)
Proceeds from issuance of common stock, net of issuance costs				100,993
Exercise of stock options			233	1,454
Net cash provided by financing activities			96,187	102,447
Net (decrease) increase in cash and cash equivalents			(654)	39,793
Cash and cash equivalents, beginning of the period			232,968	213,119	$ 213,119
Cash and cash equivalents, end of the period	$ 232,314	$ 252,912	232,314	$ 252,912	$ 232,968
Supplemental cash flow information:
Issuance of stock purchase warrants			$ 3,245

Nature of the Business

9 Months Ended

Sep. 30, 2022

Nature of the Business

Nature of the Business

Note 1. Nature of the Business

BioXcel Therapeutics, Inc. (“BTI”) is a biopharmaceutical company focused on drug development that utilizes artificial intelligence (“AI”) to identify improved therapies in neuroscience and immuno-oncology. BTI's drug re-innovation approach leverages existing approved drugs and/or clinically validated product candidates together with big data and proprietary machine learning algorithms to identify new therapeutic indices. BTI's two most advanced clinical development programs are BXCL501, a proprietary, orally dissolving, thin film formulation of the adrenergic receptor agonist dexmedetomidine (“Dex”), for the treatment of agitation, and BXCL701, an orally administered, systemic innate immune activator for the treatment of a rare form of prostate cancer and advanced solid tumors that are refractory or treatment naïve to checkpoint inhibitors.

As used in these condensed consolidated financial statements, unless otherwise specified or the context otherwise requires, the terms the “Company” or “BTI” refer to BioXcel Therapeutics, Inc., and “BioXcel LLC” refers to the Company’s former parent and current significant stockholder, BioXcel LLC and, its predecessor, BioXcel Corporation. OnkosXcel refers to BTI’s wholly-owned subsidiary for its advanced immuno-oncology assets, OnkosXcel Therapeutics, LLC.

The Company was incorporated under the laws of the State of Delaware on March 29, 2017. The Company’s principal office is in New Haven, Connecticut.

Impact of COVID-19 Pandemic

During the first quarter ended March 31, 2020, the novel coronavirus disease (“COVID-19”) was declared a pandemic and spread to multiple regions across the globe, including the U.S. and Europe. The outbreak and government response measures have significantly impacted, both directly and indirectly, businesses and commerce, as worker shortages have occurred; supply chains have been disrupted; facilities and production have been suspended; and demand for certain goods and services spiked, while demand for other goods and services have decreased.

The Company continues to work closely with its clinical sites to monitor the potential impact of the evolving COVID-19 pandemic and the spread of its variants. BTI remains committed to its clinical programs and development plans. To date, BTI has not experienced any significant delays in any of its ongoing or planned clinical trials, except for occasional COVID-19-related disruptions to its TRANQUILITY II trial. However, this could rapidly change.

Basis of Presentation

9 Months Ended

Sep. 30, 2022

Basis of Presentation

Basis of Presentation

Note 2. Basis of Presentation

The accompanying unaudited interim condensed consolidated financial statements do not include all of the information and notes required by Generally Accepted Accounting Principles in the U.S. (“GAAP”). The accompanying year-end balance sheet was derived from audited financial statements but does not include all disclosures required by GAAP. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the audited annual financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary for the fair statement of the Company’s financial position as of September 30, 2022, the results of its operations for the three and nine months ended September 30, 2022 and 2021, and its cash flows for the nine months ended September 30, 2022 and 2021. The results for the three and nine months ended September 30, 2022 are not necessarily indicative of results to be expected for the year ending December 31, 2022, any other interim periods or any future year or period. The accompanying unaudited interim condensed consolidated financial statements of the Company should be read in conjunction with the audited financial statements

and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021 filed with the Securities and Exchange Commission on March 10, 2022.

The Company’s condensed consolidated financial statements include the accounts for the Company and all entities where BTI has a controlling financial interest after elimination of all intercompany accounts and transactions.

As of September 30, 2022, the Company had cash and cash equivalents of $232,314 and an accumulated deficit of $356,737. BTI has incurred substantial net losses and negative cash flows from operating activities in nearly every fiscal period since inception and expects this trend to continue for the foreseeable future. The Company recognized net losses of $41,805 and $26,811 for the three months ended September 30, 2022 and 2021, respectively and $110,949 and $80,806 for the nine months ended September 30, 2022 and 2021, respectively, and had net cash used in operating activities of $96,702 and $62,221 for the nine months ended September 30, 2022 and 2021, respectively. The Company believes that its existing cash and cash equivalents will be sufficient to cover its cash flow requirements for at least the next twelve months from the issuance date of these condensed consolidated financial statements. However, the Company’s future requirements may change and will depend on numerous factors.

Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2022

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

Note 3. Summary of Significant Accounting Policies

Use of Estimates

The preparation of financial statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the condensed consolidated financial statements and notes thereto. Although these estimates are based on the Company’s knowledge of current events and actions it may undertake in the future, actual results may ultimately materially differ from these estimates.

Cash and Cash Equivalents

The Company considers all highly liquid investments with an original maturity of three months or less at the date of purchase to be cash equivalents. As of September 30, 2022 and December 31, 2021, cash equivalents were comprised primarily of money market funds. Cash and cash equivalents held at financial institutions may at times exceed federally insured amounts. BTI management believes it mitigates such risk by investing in or through major financial institutions.

Accounts Receivable

The accounts receivable arise from sales of IGALMI^TM and represent amounts due from distributors. Payment terms generally range from 30 to 75 days from the date of the sale transaction, and accordingly, do not involve a significant financing component. Receivables from product sales are recorded net of allowances which generally include distribution fees, prompt payment discounts, chargebacks, and credit losses. Allowances for distribution fees, prompt payment discounts and chargebacks are based on contractual terms. The Company estimated the current expected credit losses of its accounts receivable by assessing the risk of loss and available relevant information about collectability, existing contractual payment terms, actual payment patterns of its customers, individual customer circumstances, and reasonable and supportable forecast of economic conditions expected to exist throughout the contractual life of the receivable. Based on its assessment, as of September 30, 2022, the Company determined that an allowance for credit losses was not required. The Company did not have product sales prior to the third quarter of 2022 and therefore would not have required an allowance for credit losses.

Concentrations of Credit Risk

The Company sells IGALMI^TM through a drop-ship program under which orders from hospitals and similar healthcare institutions are processed through wholesalers, but shipments of the product are sent directly to the individual hospitals and similar healthcare institutions. BTI also contracts directly with intermediaries such as group purchasing organizations (“GPOs”).

Inventory

Inventory is stated at the lower of cost or net realizable value. Cost of inventory is determined on a first-in, first-out basis.

BTI capitalizes inventory costs associated with the Company’s products prior to regulatory approval, when, based on management’s judgment, future commercialization is considered probable and the future economic benefit is expected to be realized; otherwise, such costs are expensed as research and development expense in the Condensed Consolidated Statements of Operations.

The Company performs an assessment of the recoverability of capitalized inventory during each reporting period and writes down any excess and obsolete inventories to their estimated realizable value in the period in which the impairment is first identified. Such impairment charges, should they occur, will be recorded within cost of goods sold in the Condensed Consolidated Statements of Operations. The determination of whether inventory costs will be realizable requires estimates by management. If actual market conditions are less favorable than projected, write-downs of inventory may be required.

Property and Equipment

Property and equipment are recorded at cost and depreciated and amortized over the shorter of their remaining lease term or their estimated useful life on a straight-line basis as follows:


Equipment	3-5 years
Furniture	7 years
Leasehold improvements	Lesser of life of improvement or lease term

Expenditures for maintenance and repairs which do not improve or extend the useful lives of the respective assets are expensed as incurred. When assets are sold or retired, the related cost and accumulated depreciation are removed from their respective accounts and any resulting gain or loss is included within selling, general and administrative expenses in the Condensed Consolidated Statements of Operations.

Long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to undiscounted future net cash flows expected to be generated. Impairment charges are recognized at the amount by which the carrying amount of an asset exceeds the fair value of the asset. Assets to be disposed of are reported at the lower of the carrying amount or the fair value less costs to sell.

Leases

The Company determines if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”) assets, other current liabilities, and the long-term portion of operating lease liabilities in the Condensed Consolidated Balance Sheets.

ROU assets represent BTI’s right to use an underlying asset for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the lease. Operating lease ROU assets and lease liabilities are recognized at commencement date based on the present value of lease payments over the lease term. As BTI’s leases do not provide an implicit rate, it used an incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The Company uses the implicit rate when readily determinable. The operating lease ROU asset also includes any prepaid lease payments made and excludes lease incentives. The Company’s leases may include options to extend the lease; such options are included in determining the lease term when it is reasonably certain that BTI will exercise that option. Renewal options were not included in the calculation of the related asset and liability since it is not reasonably certain BTI will exercise the relevant option. Lease expense for lease payments is recognized on a straight-line basis over the lease term.

Expenses Accrued Under Contractual Arrangements

As part of the process of preparing the Company’s condensed consolidated financial statements, BTI is required to estimate its accrued expenses. This process involves reviewing open contracts and purchase orders, communicating with the applicable personnel to identify services that have been performed on BTI’s behalf and estimating the level of service performed and the associated cost incurred for the service when the Company has not yet been invoiced or otherwise notified of actual cost. BTI makes estimates of its accrued expenses as of each balance sheet date in its condensed consolidated financial statements based on facts and circumstances known to it at that time. The Company periodically confirms the accuracy of its estimates with the service providers and makes adjustments if necessary.

BTI bases its expenses related to clinical trials on its estimates of the services received and efforts expended pursuant to contracts with multiple research institutions and contract research organizations (“CROs”) that conduct and manage clinical trials on its behalf. The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows. Payments under some of these contracts depend on factors such as the successful enrollment of patients and the completion of clinical trial milestones. In accruing expenses, the Company estimates the time period over which services will be performed and the level of effort to be expended in each period, which is based on an established protocol specific to each clinical trial. If the actual timing of the performance of services or the level of effort varies from the Company’s estimate, it adjusts the accrual accordingly. Although BTI does not expect its estimates to be materially different from amounts actually incurred, its understanding of the status and timing of services performed relative to the actual status and timing of services performed may vary and may result in the Company reporting amounts that are too high or too low in any particular period.

Debt and Detachable Warrants

Detachable warrants are evaluated for classification as either equity instruments, derivative liabilities, or liabilities depending on the specific terms of the warrant agreement. In circumstances in which debt is issued with equity-classified warrants, the proceeds from the issuance of debt are first allocated to the debt and the warrants at their estimated fair values. The portion of the proceeds allocated to the warrants are accounted for as paid-in capital and a debt discount. The remaining proceeds, as further reduced by discounts created by the bifurcation of any embedded derivatives, are allocated to the debt. Detachable warrants classified as derivative liabilities are accounted for as indicated under “Derivative Assets and Liabilities” section of this Note and as a debt discount. The Company accounts for debt as liabilities measured at amortized cost and amortizes the resulting debt discount from the allocation of proceeds to interest expense using the effective interest method over the expected term of the debt instrument. The Company considers whether there are any embedded features in debt instruments that require bifurcation and separately accounts for them as derivative financial instruments pursuant to ASC 815, Derivatives and Hedging.

The Company entered into financing arrangements, the terms of which involve significant assumptions and estimates, including future net product sales, in determining interest expense, amortization period of the debt discount, as well as the classification between current and long-term portions. In estimating future net product sales, the Company assesses prevailing market conditions using various external market data against the Company’s anticipated sales and planned commercial activities. Consequently, the Company imputes interest on the carrying value of the debt and records interest expense using an imputed effective interest rate. The Company reassesses the expected payments during each reporting period and accounts for any changes through an adjustment to the effective interest rate on a prospective basis, with a corresponding impact to the classification of the Company’s current and long-term portions of the debt.

Derivative Assets and Liabilities

Derivative assets and liabilities are recorded on the Company`s Condensed Consolidated Balance Sheets at their fair value on the date of issuance and are revalued on each balance sheet date until such instruments are settled or expire, with changes in the fair value between reporting periods to be recorded as other income or expense.

The Company does not use derivative instruments for speculative purposes or to hedge exposures to cash-flow or market risks. Certain financing facilities entered into by the Company include freestanding financial instruments and/or embedded features that require separate accounting as derivative assets and/or liabilities.

Revenue Recognition

The Company’s revenues consist of product sales of IGALMI^TM.

Under ASC 606, Revenue from Contracts with Customers (“ASC 606”), an entity recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects the consideration that the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the entity 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, including variable consideration, if any; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the entity satisfies a performance obligation. Arrangements that include rights to additional goods or services that are exercisable at a customer’s discretion are generally considered options. The Company assesses if these options provide a material right to the customer and if so, they are considered performance obligations. The exercise of a material right may be accounted for as a contract modification or as a continuation of the contract for accounting purposes.

For contracts determined to be within the scope of ASC 606, the Company assesses whether the goods or services promised within each contract are distinct to identify those that are performance obligations. This assessment involves subjective determinations and requires management to make judgments about the individual promised goods or services and whether such goods and services are separable from the other aspects of the contractual relationship. Promised goods and services are considered distinct provided that: (i) the customer can benefit from the good or service either on its own or together with other resources that are readily available to the customer and (ii) the entity’s promise to transfer the good or service to the customer is separately identifiable from other promises in the contract.

The Company allocates the transaction price (the amount of consideration it expects to be entitled to from a customer in exchange for the promised goods or services) to each performance obligation and recognizes the associated revenue when (or as) each performance obligation is satisfied. The Company’s estimate of the transaction price for each contract includes all variable consideration to which the Company expects to be entitled.

BTI distributes IGALMI^TM in the U.S. through arrangements with a distributor, wholesalers and GPOs. The distributor and wholesalers help process and fulfill orders from hospitals on the Company’s behalf. Based on the guidance in ASC 606, the Company believes the hospitals are its customers.

The Company recognizes product revenues, net of consideration payable to customers, as well as variable consideration related to certain allowances and accruals that are determined using either the expected value or most likely amount method, depending on the type of the variable consideration, in its condensed consolidated financial statements at the point in time when control transfers to the customer, which is typically when the product has been delivered to the customer’s location. The amount included in the transaction price is constrained to the amount for which it is probable that a significant reversal of cumulative revenue recognized will not occur. The Company’s only performance obligation identified for IGALMI^TM is to deliver the quantity of product ordered to the location specified by the customer’s order. The Company records shipping and handling costs associated with delivery of product to its customers within selling, general and administrative expenses on its Condensed Consolidated Statements of Operations. Under the Company’s current product sales arrangements, BTI does not have contract assets (unbilled receivables), as it generally invoices its customer at the time of revenue recognition, and contract liabilities, as the Company generally does not receive prepayments from its customers prior to product delivery.

BTI sells IGALMI^TM at wholesale acquisition cost and calculate product revenue net of variable consideration and consideration payable to third parties associated with distribution of product. The Company records reserves, based on contractual terms, for the following components of consideration related to product sold during the reporting period. Calculating these amounts involves estimates and judgments, and the Company reviews these estimates quarterly and

records any material adjustments in the period they are identified, which affects net product revenue and earnings in the period such variances occur.

Trade Discounts and Allowances

The Company provides the distributor and wholesalers with discounts for prompt payment and pays fees to the distributor, wholesalers and GPOs related to distribution of the product. BTI expects the relevant third parties to earn these discounts and fees, and therefore it deducts such amounts from gross product revenue and accounts receivable at the time it recognizes the related revenue.

Government Rebates

IGALMI^TM is eligible for purchase by, or qualifies for reimbursement from, Medicaid and other U.S. government programs that are eligible for rebates on the price they pay for the product. To determine the appropriate amount to reserve for these rebates, BTI applies the applicable government discount to these sales, and estimates the portion of total rebates that it anticipates will be claimed. The Company deducts certain government rebates from gross product revenue and accounts receivable at the time it recognizes the related revenue; other government rebates are recognized as an accrued liability at the time BTI recognizes the related revenue.

Chargebacks

BTI provides product discounts to hospitals associated with certain GPOs. The Company estimates the chargebacks that it expects to be obligated to provide based upon the terms of the applicable arrangements. BTI deducts such amounts from gross product revenue and accounts receivable at the time it recognizes the related revenue.

Product Returns

The Company provides contractual return rights to its customers including the right to return product within six months of product expiration and up to 12 months after product expiration, as well as for incorrect shipments, and damaged or defective product, which the Company expects to be rare. Management expects product returns to be minimal, thus BTI recognizes a nominal allowance for product returns at the time of each sale. In the future, if any of these factors and/or the history of product returns changes, the Company will adjust the allowance for product returns.

BTI classifies all fees paid to the distributor, other than those discussed above and those related to warehouse operations, as selling, general and administrative expenses on its Condensed Consolidated Statements of Operations. Fees paid to the distributor for warehouse operations are classified as costs of goods sold on BTI’s Condensed Consolidated Statements of Operations.

Cost of Goods Sold

Cost of goods sold includes the cost of producing and distributing inventories that are related to product revenues during the respective period (including salary-related and stock-based compensation expenses for employees involved with production and distribution and freight costs). Cost of goods sold may also include costs related to excess or obsolete inventory adjustment charges, as well as costs related to warehouse operations paid to distributors.

Stock-Based Compensation

The Company accounts for stock-based compensation in accordance with ASC 718, Compensation-Stock Compensation, which requires the measurement and recognition of compensation expense based on estimated fair value for all share-based awards made to employees, non-employees and directors, including stock options and restricted stock units (“RSUs”). The Company’s 2017 Equity Incentive Plan (the “2017 Plan”) became effective in August 2017. The Company’s 2020 Incentive Award Plan (the “2020 Plan”) became effective in May 2020. Following the effective

date of the 2020 Plan, the Company ceased granting awards under the 2017 Plan; however, the terms and conditions of the 2017 Plan continue to govern any outstanding awards granted thereunder.

The Company’s stock-based awards are valued at fair value on the date of grant and that fair value is recognized as an expense in the Condensed Consolidated Statements of Operations over the requisite service period using the accelerated attribution method. The estimated fair value of stock-based awards was determined using the Black-Scholes pricing model on the date of grant. Prior to the Company’s initial public offering (“IPO”), significant judgment and estimates were used to estimate the fair value of these awards. Stock awards granted by the Company subsequent to the IPO are valued using market prices at the date of grant.

The Black-Scholes pricing model is affected by the Company’s stock price, as well as assumptions regarding a number of variables including, but not limited to, the strike price of the instrument, the risk-free rate, the expected stock price volatility over the term of the awards, and time until expiration of the instrument. The Company has elected to account for forfeitures as they occur, by reversing compensation cost when the award is forfeited.

Research and Development Costs

Research and development expenses include wages, benefits, stock-based compensation, facilities, supplies, external services, clinical study, manufacturing costs related to clinical trials and other expenses that are directly related to the Company’s research and development activities. At the end of the reporting period, the Company compares payments made to third-party service providers to the estimated progress toward completion of the research or development objectives. Depending on the timing of payments to the service providers and the progress that the Company estimates has been made for the program as a result of the level of service provided, the Company may record net prepaid or accrued expense relating to these costs. Such estimates are subject to change as additional information becomes available. The Company expenses research and development costs as incurred.

Patent Costs

Costs related to filing and pursuing patent applications are recorded in selling, general and administrative expenses and are expensed as incurred since recoverability of such expenditures is uncertain.

Fair Value of Financial Instruments

The Company applies the provisions of ASC 820, Fair Value Measurement (“ASC 820”), for financial assets and liabilities measured at fair value which requires disclosure that establishes a framework for measuring fair value. ASC 820 defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. ASC 820 establishes a fair value hierarchy that distinguishes between (1) market participant assumptions developed based on market data obtained from independent sources, or observable inputs, and (2) an entity’s own assumptions about market participant assumptions developed based on the best information available in the circumstances, or unobservable inputs. The fair value hierarchy consists of three broad levels, which gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). ASC 820 requires that fair value measurements be classified and disclosed in one of three categories:

Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities. The fair value hierarchy gives the highest priority to Level 1 inputs.

Level 2: Directly or indirectly observable inputs as of the reporting date through correlation with market data, including quoted prices for similar assets and liabilities in active markets and quoted prices in markets that are not active. Level 2 also includes assets and liabilities that are valued using models or other pricing methodologies that do not require significant judgment since the input assumptions used in the models, such as interest rates and volatility factors, are corroborated by readily observable data from actively quoted markets for substantially the full term of the financial instrument.

Level 3: Unobservable inputs that are supported by little or no market activity and reflect the use of significant management judgment. These values are generally determined using pricing models for which the assumptions utilize management’s estimates of market participant assumptions.

In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible, as well as considering counterparty credit risk in its assessment of fair value.

Earnings (Loss) Per Share

Earnings (loss) per share (“EPS”) is calculated in accordance with ASC 260, Earnings Per Share. Basic EPS is calculated by dividing net income or loss attributable to common stockholders by the weighted average number of shares of common stock that were outstanding. Diluted EPS is calculated by adjusting the weighted average number of shares of common stock that were outstanding for the dilutive effect of common stock equivalents. In periods in which a net loss is recorded, no effect is given to potentially dilutive securities, since the effect would be antidilutive.

Segment Information

The Company operates in a single segment. Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision maker in making decisions regarding resource allocation and assessing performance. To date, the Company’s chief operating decision maker has made such decisions and assessed performance at the Company level as one segment.

Recent Accounting Pronouncements

Recently adopted accounting pronouncements

In December 2019, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (“ASU No. 2019-12”), which amends the existing guidance relating to the accounting for income taxes. ASU No. 2019-12 is intended to simplify the accounting for income taxes by removing certain exceptions to the general principles of accounting for income taxes and to improve the consistent application of GAAP for other areas of accounting for income taxes by clarifying and amending existing guidance. ASU No. 2019-12 was effective for interim and annual periods beginning after December 15, 2020. The adoption of ASU No. 2019-12 did not have a material impact on the Company’s condensed consolidated financial statements.

Accounting Pronouncements effective in future periods

In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, and subsequent amendments to the initial guidance (collectively, “Topic 326”). Topic 326 requires measurement and recognition of expected credit losses for financial assets held. Topic 326 was to be effective for reporting periods beginning after December 15, 2019, with early adoption permitted. In November 2019, the FASB issued ASU No. 2019-10, Financial Instruments - Credit Losses (Topic 326), Derivatives and Hedging (Topic 815), and Leases (Topic 842) - Effective Dates, which deferred the effective dates of Topic 326 for the Company, until fiscal year 2023. The Company does not expect the adoption of Topic 326 to have a material impact on its condensed consolidated financial statements.

Common Stock Financing Activities

9 Months Ended

Sep. 30, 2022

Common Stock Financing Activities

Common Stock Financing Activities

Note 4. Common Stock Financing Activities

In June 2021, the Company sold, in a registered offering, 3,155 shares of its common stock at a public offering price of $31.70 per share. The Company received proceeds of $96,937, net of issuance costs of $3,076.

In May 2021, the Company entered into an Open Market Sale Agreement (the “Sale Agreement”) with Jefferies LLC (“Jeffries”) pursuant to which the Company could offer and sell shares of its common stock, having an aggregate

offering price of up to $100,000, from time to time, through an “at the market offering” program under which Jefferies will act as sale agent. The Company sold 124 shares under the Sale Agreement in June 2021. As of December 31, 2021, the Company received proceeds of $4,056, net of issuance costs of $500. The Company did not sell any shares, and thus did not receive any proceeds under this program, for the nine months ended September 30, 2022.

Transactions with BioXcel LLC

9 Months Ended

Sep. 30, 2022

Transactions with BioXcel LLC

Transactions with BioXcel LLC

Note 5. Transactions with BioXcel LLC

The Company entered into a Separation and Shared Services Agreement with BioXcel LLC that took effect on September 30, 2017 (as amended and restated, the “Services Agreement”), pursuant to which services provided by BioXcel LLC, through its subsidiaries in India and the U.S., will continue indefinitely, as agreed upon by the parties. These services are primarily for drug discovery, chemical, manufacturing and controls (“CMC”) and administrative support.

Service charges recorded under the Services Agreement for the three and nine months ended September 30, 2022 and 2021 were as follows:


	Three Months Ended September 30,				Nine months ended September 30,
	2022		2021		2022		2021

Research and development	$	287	$	269	$	892	$	899
Selling, general and administrative		55		72		184		166
Total	$	342	$	341	$	1,076	$	1,065

As of September 30, 2022, and December 31, 2021, $162 and $204, respectively, of these service charges are included in due to related parties in the Company’s Condensed Consolidated Balance Sheets.

Under a Second Amended and Restated Shared Services Agreement signed in April 2022, the Company has an option, exercisable until December 31, 2024, to enter into a collaborative services agreement with BioXcel LLC pursuant to which BioXcel LLC shall perform product identification and related services for us utilizing EvolverAI, its proprietary pharmaceutical discovery and development engine. The parties are obligated to negotiate the collaborative services agreement in good faith and to incorporate reasonable market-based terms, including consideration for BioXcel LLC reflecting a low, single-digit royalty on net sales and reasonable development and commercialization milestone payments, provided that (i) development milestone payments shall not exceed $10,000 in the aggregate and not be payable prior to proof of concept in humans and (ii) commercialization milestone payments shall be based on reaching annual net sales levels, be limited to 3% of the applicable net sales level, and not exceed $30,000 in the aggregate. In conjunction with the Second Amended and Restated Shared Services Agreement, the Company agreed to pay BioXcel LLC $18 per month to extend the option to December 31, 2024, from its prior expiration of March 13, 2023.

Net Earnings (Loss) Per Share

9 Months Ended

Sep. 30, 2022

Net Earnings (Loss) Per Share

Net Earnings (Loss) Per Share

Note 6. Net Earnings (Loss) Per Share

The calculations of basic and diluted net loss per share are as follows:


	Three Months Ended				Nine months ended
	September 30,				September 30,
	2022		2021		2022		2021

Net loss (numerator)	$	(41,805)	$	(26,811)	$	(110,949)	$	(80,806)
Weighted average shares (denominator)		28,022		27,972		27,997		25,832
Basic and diluted net loss per share	$	(1.49)	$	(0.96)	$	(3.96)	$	(3.13)

Potentially dilutive securities outstanding consists of stock options and RSUs. The Company had common stock equivalents outstanding at September 30, 2022 and 2021 of 4,986 and 4,152 shares, respectively.

Inventory

9 Months Ended

Sep. 30, 2022

Inventory

Inventory

Note 7. Inventory

Inventory consists of the following:


	September 30,
	2022

Raw materials	$	682
Work-in-process		122
Finished goods		604
Total inventory	$	1,408

There were no write-downs of inventory for the three and nine months ended September 30, 2022. The Company did not have commercial inventory as of December 31, 2021.

Property and Equipment, net

9 Months Ended

Sep. 30, 2022

Property and Equipment, net

Property and Equipment, net

Note 8. Property and Equipment, net

Property and Equipment, net consists of the following:


	September 30,		December 31,
	2022		2021

Computers and equipment	$	275	$	167
Furniture		579		572
Leasehold improvements		1,181		1,133
Construction-in-process		—		24
Total property and equipment	$	2,035	$	1,896
Accumulated depreciation		(848)		(602)
Total property and equipment, net	$	1,187	$	1,294

Depreciation expense was $85 and $76 for the three months ended September 30, 2022 and 2021, respectively, and $246 and $221 for the nine months ended September 30, 2022 and 2021, respectively.

Accrued Expenses

9 Months Ended

Sep. 30, 2022

Accrued Expenses

Accrued Expenses

Note 9. Accrued Expenses

Accrued expenses consist of the following:


	September 30, 2022		December 31, 2021

Accrued research and development expenses	$	6,601	$	5,762
Accrued compensation and benefits		4,746		3,968
Accrued professional expenses		1,800		1,324
Accrued taxes		529		302
Other accrued expenses		273		136
Total accrued expenses	$	13,949	$	11,492

Debt and Credit Facilities

9 Months Ended

Sep. 30, 2022

Debt and Credit Facilities

Debt and Credit Facilities

Note 10. Debt and Credit Facilities

Debt, net of unamortized discounts and financing costs, consists of the following:


	September 30, 2022

Credit Agreement and Guaranty	$	70,402
Revenue Interest Financing Agreement		30,000
Long-term debt, gross	$	100,402
Less:
Original issue discount		(1,400)
Discount from issuance of BTI Warrants		(3,245)
Discount from issuance of Equity Investment Right		(1,340)
Discount from issuance of OnkosXcel Warrants		(614)
Debt issuance costs		(2,646)
Plus:
Accretion of discounts and amortization of financing costs		538
Long-term debt	$	91,695

On April 19, 2022 (the “Effective Date”), the Company entered into two strategic financing agreements: a Credit Agreement and Guaranty (the “Credit Agreement”) by and among the Company, as the borrower, certain subsidiaries of the Company from time to time party thereto as subsidiary guarantors, the lenders party thereto (the “Lenders”), and Oaktree Fund Administration LLC (“OFA”) as administrative agent, and a Revenue Interest Financing Agreement (the “RIFA”; and together with the Credit Agreement, the “OFA Facilities”) by and among the Company, the purchasers party thereto (the “Purchasers”) and OFA as administrative agent. Under the OFA Facilities, the Lenders and the Purchasers have agreed to, in the aggregate between the two OFA Facilities, provide up to $260,000 in gross funding to support the Company’s commercial activities of IGALMI^TM sublingual film. In addition, the OFA Facilities are intended to support the expansion of clinical development efforts of BXCL501, which includes a Phase 3 program for the acute treatment of agitation in patients with Alzheimer’s disease, and for general corporate purposes. The Lenders and Purchasers are comprised of funds of Oaktree Capital Management, L.P. (“Oaktree”) and Qatar Investment Authority (“QIA”).

A summary of the OFA Facilities is provided below.

Credit Agreement

The Credit Agreement provides up to $135,000 in senior secured term loans, of which the initial Tranche A of $70,000 was funded on April 28, 2022, and the remaining tranches may be borrowed at the Company’s option prior to December 31, 2024, subject to satisfaction of certain conditions, including regulatory and financial milestones. Tranche B of the Credit Agreement is $35,000 and is available upon satisfaction of certain conditions, including receipt of certain regulatory and financial milestones. Tranche C of the Credit Agreement is $30,000 and is available upon satisfaction of certain conditions, including specified minimum net sales of the Company attributable to sales of BXCL501 for a trailing twelve consecutive month period. As of September 30, 2022, $65,000 remained available under the Credit Agreement, subject to achievement of the specified conditions and milestones.

The loans under the Credit Agreement do not amortize and mature on the fifth anniversary of the effective date; provided that the Company may, at its option, extend the maturity date to the sixth anniversary if, prior to December 31, 2024, the Company receives and satisfies certain conditions including receipt of certain regulatory and financial milestones. Borrowings under the Credit Agreement are issued at a 200-basis point original issue discount and bear interest at a fixed annual rate of 10.25%, payable quarterly. Of such interest, 225 basis points per annum is, at the Company’s option, payable in kind by capitalizing and adding such interest to the outstanding principal amount of loans from the first payment date on which such interest is owed through, and including, the third anniversary of such payment date, unless, with respect to any payment date, the Company elects to pay all or a portion of such interest in cash. The Company is required to pay a ticking fee equal to 0.75% per annum on the undrawn amount of the

commitments, payable quarterly commencing 120 days after the funding of the Tranche A term loan through the termination of the commitments, which is expensed as incurred and recognized as interest expense in the Condensed Consolidated Statements of Operations. The Company may voluntarily prepay the Credit Agreement at any time subject to a prepayment fee.

The Company’s obligations under the Credit Agreement are guaranteed by BTI’s existing and subsequently acquired or organized subsidiaries, subject to certain exceptions. BTI’s obligations under the Credit Agreement and the related guarantees thereunder are secured, subject to customary permitted liens and other agreed upon exceptions, by (i) a pledge of all of the equity interests of all of the Company’s existing and any future direct subsidiaries, and (ii) a perfected security interest in all of its and the guarantors’ tangible and intangible assets (except that the guarantees provided by the BXCL701 Subsidiaries (defined below) are unsecured).

The Credit Agreement contains customary representations and warranties and customary affirmative and negative covenants, including, among other things, restrictions on indebtedness, liens, investments, mergers, dispositions, prepayment of other indebtedness, and dividends and other distributions, subject to certain exceptions, including specific exceptions with respect to product commercialization and development activities. The Company must also comply with certain financial covenants, including (i) maintenance of cash or permitted cash equivalent investments in accounts controlled by OFA for the Lenders, of at least (a) $15,000 from the Effective Date until the date on which the second tranche of loans are funded (the “Step-Up Date”) and (b) $20,000 from and after the Step-Up Date, provided, in the case of (a) and (b), that following any Permitted BXCL701 Release Event (as defined below), such amount will increase by $12,500, and following such time as unaffiliated third parties hold ownership of at least 30% of the equity interests in the BXCL701 Subsidiaries (as defined below), such amount will increase by an additional $5,000 (provided, that such amount will in no event exceed 50% of the aggregate amount of loans outstanding at any time); and (ii) a minimum revenue test, measured quarterly beginning with the Company’s fiscal quarter ending on December 31, 2023, that requires it and its subsidiaries’ consolidated net revenue for the six consecutive month period ending on the last day of each such fiscal quarter to not be less than a minimum revenue amount specified in the Credit Agreement. The Company’s failure to comply with the financial covenants will result in an event of default, subject to certain cure rights with respect to the revenue covenant.

Notwithstanding the foregoing, the Credit Agreement permits OnkosXcel (together with OnkosXcel Employee Holdings LLC, a wholly owned subsidiary of BTI, and their respective subsidiaries, the “BXCL701 Subsidiaries”) to receive third-party investment or transfer all or substantially all of their assets to an unaffiliated third-party, in each case subject to terms and conditions set forth in the Credit Agreement, including the escrow of certain proceeds received by BTI and its subsidiaries (other than the BXCL701 Subsidiaries) in respect of these disposition events and, under circumstances set forth in the Credit Agreement, the mandatory prepayment of such escrowed amounts. The Company’s equity interests in the BXCL701 Subsidiaries have been pledged in support of its obligations under the Credit Agreement, and the BXCL701 Subsidiaries have provided direct guarantees of BTI’s obligations under the Credit Agreement on an unsecured basis. However, the pledge, guarantee and other obligations of the BXCL701 Subsidiaries under the Credit Agreement will be released upon certain agreed upon events (“Permitted BXCL701 Release Events”), including an initial public offering by the BXCL701 Subsidiaries or the ownership by unaffiliated third parties of at least 20% of the equity interests in the BXCL701 Subsidiaries.

The Credit Agreement contains events of default that are customary for financings of this type relating to, among other things, payment defaults, breach of covenants, breach of representations and warranties, cross default to material indebtedness, bankruptcy-related defaults, judgment defaults, breach of the financial covenants described above, and the occurrence of certain change of control events. In certain circumstances, events of default are subject to customary cure periods. Following an event of default and any applicable cure period, the Lenders will have the right upon notice to terminate any undrawn commitments and may accelerate all amounts outstanding under the Credit Agreement, in addition to other remedies available to them as the Company’s secured creditors.

Revenue Interest Financing Agreement

The RIFA provides up to $120,000 in financing in exchange for a capped revenue interest on net sales of IGALMI^TM, and other future BXCL501 products, if any, that receive regulatory approval for sale. The initial Tranche A

of $30,000 was funded on July 8, 2022, and the remaining tranches may be borrowed at the Company’s option prior to December 31, 2024, subject to satisfaction of certain conditions, including certain regulatory, patent, and financial milestones. The effective interest rate on the RIFA as of September 30, 2022 is approximately 21%.

Under the terms of the RIFA, the Purchasers will receive tiered revenue interest payments on U.S. net sales of IGALMI^TM, and other future BXCL501 products, if any, that receive regulatory approval for sale, equal to a royalty ranging from 0.375% to 7.750% of net sales of IGALMI^TM, and other future BXCL501 products, if any, approved for sale in the U.S., subject to a hard cap equal to 1.75x the total amount funded. In addition, if the conditions to the second tranche of the financing provided under the RIFA have been met, once payments equal to the hard cap have been received by the Purchasers, the Company will be required to make revenue interest payments equal to a flat 0.375% royalty on U.S. net sales of IGALMI^TM, and other future BXCL501 products, if any, that receive regulatory approval for sale, through and including March 31, 2036 (the “Tail Royalty”). The Company is also required to make certain additional payments to the Purchasers from time to time to ensure that the aggregate amount of payments received by the Purchasers under the RIFA is at least equal to certain agreed upon minimum levels as of certain specified dates, subject to terms and conditions set forth in the RIFA. Revenue interest payments due under the RIFA are payable quarterly based on net sales.

Any time after the initial funding of the RIFA, BTI has the right (the “BTI Call Option”), but not the obligation, to buy out the Purchasers’ interests in the revenue interest payments at an agreed upon repurchase price. The BTI Call Option can be exercised in year one, two, three and thereafter at a multiple of the Purchasers invested capital of 1.225x, 1.375x, 1.525x and 2.25x, respectively. The Purchasers will not be entitled to any Tail Royalty if the BTI Call Option is exercised before the third anniversary of the Effective Date.

The Company’s obligations under the RIFA are secured, subject to customary permitted liens and other agreed upon exceptions and subject to an intercreditor agreement between OFA for the Credit Agreement and RIFA, by a perfected security interest in (i) accounts receivable arising from net sales of BXCL501 products in the U.S. and one or more segregated bank accounts maintained for the purpose of receiving payments in respect of such accounts receivable, (ii) intellectual property that is claiming or covering BXCL501 itself or any method of using, making or manufacturing BXCL501 and (iii) regulatory approvals, clinical data, and all other assets that underlie BXCL501.

The RIFA contains customary representations and warranties and certain restrictions on the Company’s ability to incur indebtedness and grant liens on intellectual property related to BXCL501. In addition, the RIFA provides that if certain events occur, including certain bankruptcy events, failure to make payments, a change of control, an out-license or sale of all of the rights in and to BXCL501 in the U.S., in each case except a permitted licensing transaction (as defined in the RIFA) and, subject to applicable cure periods, material breach of the covenants in the RIFA, OFA, at the direction of the Purchasers, may require the Company to repurchase the Purchasers’ interests in the revenue interest payments at an agreed upon repurchase price.

Tranche B and C of the RIFA are each $45,000 and are available upon satisfaction of certain conditions, including receipt of certain regulatory and patent related milestones and specified minimum net sales of BXCL501 during any consecutive twelve-month period. As of September 30, 2022, $90,000 remained available under the RIFA, subject to achievement of the specified conditions and milestones.

Warrants and Equity Investment Right

In connection with the Credit Agreement, on the Effective Date, the Company granted warrants to the Lenders to purchase up to 278 shares of its common stock (the “BTI Warrants”) at an exercise price of $20.04 per share. The BTI Warrants will expire on April 19, 2029, are freely transferable and may be net exercised at the holder’s election. In addition, pursuant to the Credit Agreement, the Lenders have the right to purchase shares of the Company’s common stock after the Effective Date, so long as borrowings under the Credit Agreement are outstanding, for a purchase price of $5,000 at a price per share equal to a 10% premium to the volume-weighted average price of the common stock over the 30 trading days prior to the Lenders’ election to proceed with such equity investment (the “Equity Investment Right”). BTI entered into a registration rights agreement with the Lenders and filed a registration statement on Form S-3 to register the shares issuable upon exercise of the BTI Warrants and, if issued, the shares related to the Equity

Investment Right, for resale. The maximum shares of BTI common stock issuable under the BTI Warrants and Lenders’ Equity Investment Right is 5,593.

As part of the Credit Agreement, OnkosXcel, a wholly owned subsidiary of BTI, granted warrants to the Lenders to purchase 175 individual limited liability company units (which number of units is not in thousands; referred to herein as the “OnkosXcel Warrants”). The strike price of the OnkosXcel Warrants is formulaic based on the value of OnkosXcel at the time of exercise and can only be exercised upon occurrence of an equity related liquidity event for OnkosXcel of at least $20,000. The exercise price per unit of the OnkosXcel Warrants will be set upon the earlier of the closing of the next sale (or series of related sales) by OnkosXcel of equity securities of OnkosXcel with aggregate proceeds of not less than $20,000 to unrelated third parties (the “Next Equity Financing”) at an exercise price per unit equal to a 10% premium over the price per unit of the equity securities sold by OnkosXcel in such Next Equity Financing or, in the event of a sale of OnkosXcel prior to the Next Equity Financing or an initial public offering constituting the Next Equity Financing, the lesser of (x) 75% of the fair value of the consideration to be paid for a unit upon the consummation of such transaction and (y) 150% of the valuation applicable to the initial profits units issued by OnkosXcel after the closing of the Credit Agreement. The OnkosXcel Warrants are transferable with approval from BTI, which cannot be unreasonably withheld, expire on April 19, 2029, and may be net exercised at the holder’s election.

Maturities of long-term debt are expected to be as follows:


	September 30, 2022

Remainder of 2022	$	—
2023	$	—
2024	$	—
2025	$	—
2026	$	6,261
2027	$	94,141

Interest expense was as follows:


	Three Months Ended				Nine months ended
	September 30,				September 30,
	2022		2021		2022		2021

Interest expense	$	3,483	$	—	$	4,755	$	—
Accretion of debt discount and amortization of financing costs		217		—		538		—
Total interest expense	$	3,700	$	—	$	5,293	$	—

- 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://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-URI https://asc.fasb.org/topic&trid=2208564

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1B
-Subparagraph (h)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495323-112611

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1C
-Subparagraph (c)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495334-112611

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1I
-Subparagraph (a)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495371-112611

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
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-SubTopic 20
-Section 50
-Paragraph 1I
-Subparagraph (d)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495371-112611

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08(c))
-URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1B
-Subparagraph (g)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495323-112611

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1C
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495334-112611

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1C
-Subparagraph (a)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495334-112611

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1E
-Subparagraph (b)
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
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Reference 12: http://www.xbrl.org/2003/role/disclosureRef
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-Name Accounting Standards Codification
-Topic 470
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Reference 13: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 470
-SubTopic 20
-Section 50
-Paragraph 1B
-Subparagraph (i)
-URI https://asc.fasb.org/extlink&oid=123466505&loc=SL123495323-112611

+ Details

Derivative Financial Instruments

9 Months Ended

Sep. 30, 2022

Derivative Financial Instruments

Derivative Financial Instruments

Note 11. Derivative Financial Instruments

The Company does not enter into derivative financial instruments for speculative or hedging purposes. Derivative financial instruments recognized and accounted for by BTI are the result of transactions entered into as part of the ongoing operations of the Company.

BTI identified certain freestanding financial instruments and/or embedded features that require separate accounting from the borrowings under the OFA Facilities. This includes the OnkosXcel Warrants and Equity Investment Right held by the Lenders, along with certain put/call options. The OnkosXcel Warrants and Equity Investment Right do not meet certain scope exceptions under ASC 815, primarily because the exercise prices and number of shares of the Company’s common stock issuable under the instruments are variable, and the instruments meet the definition of a derivative instrument under ASC 815. Therefore, these instruments are recorded as derivative liabilities in the Condensed Consolidated Balance Sheets. The respective derivative liabilities are recorded at fair value on the date of issuance and are revalued on each balance sheet date until such instruments are settled or expire, with

changes in the fair value between reporting periods recorded as other income or expense in the Company’s Condensed Consolidated Statements of Operations.

Fair Value Measurements

9 Months Ended

Sep. 30, 2022

Fair Value Measurements

Fair Value Measurements

Note 12. Fair Value Measurements

The Company groups its assets and liabilities measured at fair value in three levels based on the nature of the inputs and assumptions used to determine fair value. Refer to Note 3, Summary of Significant Accounting Policies, for additional information on the accounting policies related to fair value.

The carrying amounts of cash and accounts payable approximate fair value due to the short-term nature of these instruments. As of September 30, 2022, and December 31, 2021, the Company had $189,569 and $228,584, respectively, primarily in money market funds that hold U.S. government cash equivalent instruments (included in cash and cash equivalents) which were valued based on Level 1 inputs. There were no transfers between levels within the hierarchy during the nine months ended September 30, 2022, and the year ended December 31, 2021.

Derivative liabilities measured at fair value on a recurring basis are summarized below.


	Nine months ended
	September 30, 2022
	Fair Value		Level 1		Level 2		Level 3		Total

Derivative liability - Equity Investment Right	$	1,281	$	—	$	—	$	1,281	$	1,281
Derivative liability - OnkosXcel Warrants		610		—		—		610		610
Total derivative liabilities	$	1,891	$	—	$	—	$	1,891	$	1,891

Derivative liabilities are comprised of the OnkosXcel Warrants and Equity Investment Right held by the Lenders. The fair value of the derivative liabilities was determined using Monte Carlo simulation models for the Equity Investment Right, and Binomial Option Pricing and Distribution models for the OnkosXcel Warrants.

The following table presents changes in Level 3 liabilities measured at fair value for the nine months ended September 30, 2022. Both observable and unobservable inputs were used to determine the fair value of positions that the Company has classified within the Level 3 category.


	Derivative liabilities

Balance - December 31, 2021	$	—
Addition of derivative liabilities		1,954
Change in fair value		(63)
Balance - September 30, 2022	$	1,891

The change from the day one fair value of the derivative liabilities was reported in the Condensed Consolidated Balance Sheets as derivative liabilities and Condensed Consolidated Statements of Operations as other (income) expense, net, as of and for the nine months ended September 30, 2022, respectively.

Inputs used to calculate the estimated fair value of the Equity Investment Right were as follows:


	Equity Investment Right

Strike price relative to volume weighted 30-day average	110.0	%
Volatility (annual)	95.0	%
Probability of exercise	95.0	%
Time period	6.6	years

In estimating the fair value of the derivative liability related to the OnkosXcel Warrants, inputs included third-party fair value estimates of OnkosXcel limited liability company units along with the volatility of those units (which was set at 100% based on the historical volatility of the Company’s stock, along with a peer group of comparable publicly traded companies), and the timing and probability of the relevant capital transactions occurring.

The estimated fair value of the Credit Agreement and RIFA as of September 30, 2022, are $50,200 and $25,537, respectively. Both observable and unobservable inputs were used to determine the fair value of long-term debt, which was classified within the Level 3 category.

The fair value of the BTI warrants, which is a non-recurring fair value, was determined as of the date of issuance using a Black-Scholes pricing model and the fair value of $3,245 was recorded as a component of stockholders’ equity in additional-paid-in-capital in the Condensed Consolidated Balance Sheets, with the offset recorded as a discount on the amounts funded under the OFA Facilities. This non-recurring measurement is classified as a Level 3. The inputs used were a strike price of $20.04, the Company’s stock price of $14.93, volatility of 95%, term of 7 years and risk-free rate of 2.95%.

- 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 + Details

Stock-Based Compensation

9 Months Ended

Sep. 30, 2022

Stock-Based Compensation

Stock-Based Compensation

Note 13. Stock-Based Compensation

2017 Equity Incentive Plan

The Company’s 2017 Plan became effective in August 2017. Following the effective date of the Company's 2020 Plan (as defined below), the Company ceased granting awards under the 2017 Plan, however, the terms and conditions of the 2017 Plan continue to govern any outstanding awards granted thereunder.

2020 Incentive Award Plan

The Company’s 2020 Plan was approved and became effective at the Company’s 2020 annual meeting of stockholders on May 20, 2020, and unless earlier terminated by the Board of Directors, will remain in effect until March 26, 2030. The 2020 Plan originally authorized for issuance the sum of (i) 911 shares of the Company’s common stock authorized for issuance and (ii) 233 shares of the Company’s common stock, which represents the number of shares that remained available for issuance under the 2017 Plan immediately prior to the approval of the 2020 Plan by the Company’s stockholders. Any shares of common stock which, immediately prior to the approval of the 2020 Plan by the Company’s stockholders, were subject to awards granted under the 2017 Plan that are forfeited or lapse unexercised and are not issued under the 2017 Plan will increase the number of shares of common stock available for grant under the 2020 Plan. In addition, the number of shares available for issuance under the 2020 Plan will increase on the first day of each calendar year, beginning January 1, 2021 and ending on and including January 1, 2030, by a number of shares equal to the lesser of (A) 4% of the aggregate number of shares of the Company’s common stock outstanding on the final day of the immediately preceding calendar year and (B) such smaller number of shares of common stock as determined by the Board of Directors. The shares available for issuance under the 2020 Plan increased by 1,119 shares and 977 shares on January 1, 2022 and 2021, respectively.

Stock-based awards granted under the 2020 Plan have a term of ten years with the vesting schedule determined by the Board of Directors, which is generally four years.

As of September 30, 2022, there were 739 shares available to be granted under the 2020 Plan.

Restricted stock units

The table below summarizes activity relating to RSUs.



		Number of
		shares

Outstanding as of January 1, 2022		—
Granted		122
Forfeited		(3)
Outstanding as of September 30, 2022		119

In March and May of 2022, the Company granted 97 and 25 time-based RSUs, respectively, to certain employees and consultants. The majority of RSUs granted to employees vest over four years, with 25% vesting at the one-year anniversary of the grant date and the balance vesting ratably over the remaining 12 quarters of the vesting period. The 25 RSUs granted to employees in May 2022 cliff-vest 100% at the one-year anniversary of the grant date. RSUs granted to a third-party consultant vest 50% on each of the first and second anniversaries of the grant date. None of the RSUs had vested as of September 30, 2022. The weighted average grant date fair value per share for the March and May 2022 grants were $15.31 and $10.76, respectively. Unrecognized stock-based compensation expense related to these awards was $1,395 at September 30, 2022. No RSUs were issued and outstanding as of December 31, 2021.

Profit sharing units

Effective July and September of 2022, the Company granted 1,260 and 50, respectively, individual (not in thousands) time-based profit-sharing units (“PSUs”) in OnkosXcel to certain employees and consultants. All PSUs, other than those granted to certain executive employees, vest ratably over 48 months. PSUs granted to certain executive employees, vest ratably over 24 months. The PSUs have a strike price equal to the estimated fair value of the OnkosXcel common units at the date of grant, which was determined by a third-party valuation firm retained by BTI. The fair value of the PSUs was estimated at the date of grant using a Black-Scholes option pricing model.



	Profit share unit valuation inputs

Expected volatility	94.6	%
Risk-free rate of interest	4.0	%
Expected dividend yield	—	%
Expected term	5.8	years

Unrecognized stock-based compensation expense related to these awards was $5,108 at September 30, 2022. No PSUs were issued and outstanding as of December 31, 2021.

Stock options

A summary of the status of the Company’s stock option activity for the nine months ended September 30, 2022 is presented below.



	Number	Weighted average
	of	exercise
	shares	price per share

Outstanding as of January 1, 2022	4,000	$	18.89
Granted	1,204	$	15.10
Forfeited	(206)	$	28.49
Cancelled	(90)	$	52.86
Exercised	(43)	$	5.41
Outstanding as of September 30, 2022	4,865	$	17.04

Options vested and exercisable as of September 30, 2022	3,037	$	12.58

As of September 30, 2022, the intrinsic value of options outstanding was $20,362. The intrinsic value for stock options is calculated based on the difference between the exercise prices of the underlying awards and the quoted stock price of the Company’s common stock as of the reporting date.

The total intrinsic value of stock options exercised for the nine months ended September 30, 2022, and 2021 was $321 and $11,942, respectively. The total intrinsic value of stock options exercisable at September 30, 2022 and 2021 was $20,260 and $61,939, respectively.

The weighted average grant date fair value of options granted during the nine months ended September 30, 2022, and 2021 was $11.87 and $29.25, respectively.

The weighted average grant date fair value of options vested at September 30, 2022 was $9.29.

The weighted average remaining contractual life is 5.9 years for options exercisable as of September 30, 2022. The weighted average remaining contractual life is 7.1 years for options outstanding.

Stock-Based Compensation

The fair value of options granted during the nine months ended September 30, 2022 and 2021 was estimated using the Black-Scholes pricing model with the following assumptions:



	Nine months ended						Nine months ended
		September 30, 2022					September 30, 2021

Expected term		5.5	years	-	6.1	years	5.5	years	-	6.2	years
Expected stock price volatility		92.7	%	-	96.9	%	95.0	%	-	98.0	%
Risk-free rate of interest		1.5	%	-	3.6	%	1.0	%	-	1.2	%
Expected dividend yield		0.0	%	-	0.0	%	0.0	%	-	0.0	%

In 2021, the Company began using a combination of the historical volatility of publicly traded peer companies and the limited historical information related to the Company’s common stock to estimate volatility. The expected term of the employee awards is estimated based on the simplified method, which calculates the expected term based upon the midpoint of the term of the award and the vesting period. The Company uses the simplified method because it does not have sufficient option exercise data to provide a reasonable basis upon which to estimate the expected term. The expected dividend yield is 0% as the Company has no history of paying dividends nor does management expect to pay

dividends over the contractual terms of these options. The risk-free interest rates are determined by reference to the U.S. Treasury yield curve in effect at the time of grant, with maturities approximating the expected term of the stock options. The fair value of the underlying common stock is generally determined as the closing price of the Company’s common stock on the Nasdaq Capital Market on the grant date, with consideration of whether there is material nonpublic information that could impact that estimated fair value when it is released.

The Company recognized stock-based compensation expense related to awards issued under the 2017 Plan and the 2020 Plan, as well as the PSUs in OnkosXcel of $4,483 and $4,885 for the three months ended September 30, 2022, and 2021, respectively, and $12,790 and $17,219, for the nine months ended September 30, 2022 and 2021, respectively, which were comprised as follows:


	Three Months Ended September 30,				Nine months ended September 30,
	2022		2021		2022		2021

Research and development	$	1,105	$	951	$	3,310	$	5,155
Selling, general and administrative		3,378		3,934		9,480		12,064
Total	$	4,483	$	4,885	$	12,790	$	17,219

Unrecognized compensation expense related to unvested stock option awards as of September 30, 2022 was $18,068 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 1.6 years.

2020 Employee Stock Purchase Plan

The Company’s 2020 Employee Stock Purchase Plan (the “ESPP”) was also approved and became effective at the Company’s 2020 annual meeting of stockholders on May 20, 2020. The ESPP is designed to assist eligible employees of the Company with the opportunity to purchase the Company’s common stock at a discount through accumulated payroll deductions during successive offering periods. The aggregate number of shares that may be issued pursuant to rights granted under the ESPP is 100 shares of common stock. In addition, the number of shares available for issuance under the ESPP will increase on the first day of each calendar year, beginning on January 1, 2021 and ending on and including January 1, 2030, by a number of shares of common stock equal to the lesser of (a) 1% of the shares outstanding on the final day of the immediately preceding calendar year and (b) such smaller number of shares as determined by the Board of Directors. The number of shares that may be issued or transferred pursuant to rights granted under the component of the ESPP that is intended to qualify for favorable U.S. federal tax treatment under Section 423 of the Internal Revenue Code (the “Section 423 Component”) shall not exceed 500 shares. The purchase price will be determined by the administrator of the ESPP and, for purposes of the Section 423 Component, shall not be less than 85% of the fair value of a share on the first trading day or on the last trading day of the applicable offering period, whichever is lower. The shares available for issuance under the 2020 ESPP increased by 156 shares and 244 shares on January 1, 2022 and 2021, respectively. To date, no shares have been sold under the ESPP.

Leases

9 Months Ended

Sep. 30, 2022

Leases

Leases

Note 14. Leases

BTI leases office space for its corporate headquarters at 555 Long Wharf Drive, New Haven, Connecticut (the “HQ Lease”) under an operating lease. The HQ Lease was effective in February 2019, was subject to an amendment for additional office space in August 2020 and expires in February 2026. The Company has an option to renew the HQ Lease for one additional five-year term at 95% of the then-prevailing market rates but not less than the rental rate at the end of the initial lease term. Payments under the HQ Lease are fixed.

The Company also leases equipment such as copiers and information technology equipment.

The future minimum annual lease payments under operating leases, as of September 30, 2022, are as follows:


Year ending December 31,	Amount

Remainder of 2022	$	91
2023		372
2024		381
2025		391
2026		65
Thereafter		—
Total lease payments	$	1,300
Less imputed interest		(120)
Total lease liability	$	1,180
Less current portion of lease liability		(312)
Long-term portion of operating lease liability	$	868

The current portion of the Company’s operating lease liability of $312, as of September 30, 2022, is included in other current liabilities on the Condensed Consolidated Balance Sheets.

Lease expense was $114 and $85 for the three months ended September 30, 2022, and 2021, respectively, and $318 and $280 for the nine months ended September 30, 2022, and 2021, respectively.

Lease renewal options are not included in the ROU asset or lease liability.

Commitments and Contingencies

9 Months Ended

Sep. 30, 2022

Commitments and Contingencies

Commitments and Contingencies

Note 15. Commitments and Contingencies

From time to time, in the ordinary course of business, the Company may be subject to litigation and regulatory examinations as well as information gathering requests, inquiries and/or investigations. The Company is not currently subject to any matters where it believes there is a reasonable possibility that a material loss may be incurred. As of September 30, 2022, there were no matters which would have a material impact on the Company’s financial results.

In April 2022, the Company signed a commercial supply agreement that requires minimum annual payments for the first three years of the agreement that in aggregate total $10,000 for the three-year period.

Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2022

Summary of Significant Accounting Policies

Use of Estimates

Cash and Cash Equivalents

Accounts Receivable

Concentrations of Credit Risk

Inventory

Inventory is stated at the lower of cost or net realizable value. Cost of inventory is determined on a first-in, first-out basis.

Property and Equipment

Property and equipment are recorded at cost and depreciated and amortized over the shorter of their remaining lease term or their estimated useful life on a straight-line basis as follows:


Equipment	3-5 years
Furniture	7 years
Leasehold improvements	Lesser of life of improvement or lease term

Leases

Expenses Accrued Under Contractual Arrangements

Debt with Detachable Warrants

Debt and Detachable Warrants

Derivative Assets and Liabilities

Revenue Recognition

The Company’s revenues consist of product sales of IGALMI^TM.

records any material adjustments in the period they are identified, which affects net product revenue and earnings in the period such variances occur.

Trade Discounts and Allowances

Government Rebates

Chargebacks

Product Returns

Cost of Goods Sold

Stock-Based Compensation

date of the 2020 Plan, the Company ceased granting awards under the 2017 Plan; however, the terms and conditions of the 2017 Plan continue to govern any outstanding awards granted thereunder.

Research and Development Costs

Patent Costs

Fair Value of Financial Instruments

Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities. The fair value hierarchy gives the highest priority to Level 1 inputs.

Earnings (Loss) per Share

Earnings (Loss) Per Share

Segment Information

Recent Accounting Pronouncements

Recently adopted accounting pronouncements

Accounting Pronouncements effective in future periods

Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2022

Summary of Significant Accounting Policies

Schedule of Property Plant and Equipment useful lives


Equipment	3-5 years
Furniture	7 years
Leasehold improvements	Lesser of life of improvement or lease term

Transactions with BioXcel LLC (Tables)

9 Months Ended

Sep. 30, 2022

Transactions with BioXcel LLC

Schedule of service charges


	Three Months Ended September 30,				Nine months ended September 30,
	2022		2021		2022		2021

Research and development	$	287	$	269	$	892	$	899
Selling, general and administrative		55		72		184		166
Total	$	342	$	341	$	1,076	$	1,065

Net Earnings (Loss) Per Share (Tables)

9 Months Ended

Sep. 30, 2022

Net Earnings (Loss) Per Share

Schedule of earnings (loss) per share


	Three Months Ended				Nine months ended
	September 30,				September 30,
	2022		2021		2022		2021

Net loss (numerator)	$	(41,805)	$	(26,811)	$	(110,949)	$	(80,806)
Weighted average shares (denominator)		28,022		27,972		27,997		25,832
Basic and diluted net loss per share	$	(1.49)	$	(0.96)	$	(3.96)	$	(3.13)

Inventory (Tables)

9 Months Ended

Sep. 30, 2022

Inventory

Schedule of inventory


	September 30,
	2022

Raw materials	$	682
Work-in-process		122
Finished goods		604
Total inventory	$	1,408

Property and Equipment, net (Tables)

9 Months Ended

Sep. 30, 2022

Property and Equipment, net

Schedule of Property and Equipment, net


	September 30,		December 31,
	2022		2021

Computers and equipment	$	275	$	167
Furniture		579		572
Leasehold improvements		1,181		1,133
Construction-in-process		—		24
Total property and equipment	$	2,035	$	1,896
Accumulated depreciation		(848)		(602)
Total property and equipment, net	$	1,187	$	1,294

Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2022

Accrued Expenses

Schedule of accrued expenses


	September 30, 2022		December 31, 2021

Accrued research and development expenses	$	6,601	$	5,762
Accrued compensation and benefits		4,746		3,968
Accrued professional expenses		1,800		1,324
Accrued taxes		529		302
Other accrued expenses		273		136
Total accrued expenses	$	13,949	$	11,492

Debt and Credit Facilities (Tables)

9 Months Ended

Sep. 30, 2022

Debt and Credit Facilities

Schedule of debt


	September 30, 2022

Credit Agreement and Guaranty	$	70,402
Revenue Interest Financing Agreement		30,000
Long-term debt, gross	$	100,402
Less:
Original issue discount		(1,400)
Discount from issuance of BTI Warrants		(3,245)
Discount from issuance of Equity Investment Right		(1,340)
Discount from issuance of OnkosXcel Warrants		(614)
Debt issuance costs		(2,646)
Plus:
Accretion of discounts and amortization of financing costs		538
Long-term debt	$	91,695

Schedule of maturities on long-term debt


	September 30, 2022

Remainder of 2022	$	—
2023	$	—
2024	$	—
2025	$	—
2026	$	6,261
2027	$	94,141

Schedule of long-term debt interest expense


	Three Months Ended				Nine months ended
	September 30,				September 30,
	2022		2021		2022		2021

Interest expense	$	3,483	$	—	$	4,755	$	—
Accretion of debt discount and amortization of financing costs		217		—		538		—
Total interest expense	$	3,700	$	—	$	5,293	$	—

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

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+ Details

Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2022

Fair Value Measurements

Schedule of fair value on a recurring basis


	Nine months ended
	September 30, 2022
	Fair Value		Level 1		Level 2		Level 3		Total

Derivative liability - Equity Investment Right	$	1,281	$	—	$	—	$	1,281	$	1,281
Derivative liability - OnkosXcel Warrants		610		—		—		610		610
Total derivative liabilities	$	1,891	$	—	$	—	$	1,891	$	1,891

Schedule of changes in Level 3 liabilities


	Derivative liabilities

Balance - December 31, 2021	$	—
Addition of derivative liabilities		1,954
Change in fair value		(63)
Balance - September 30, 2022	$	1,891

Schedule of fair value unobservable inputs


	Equity Investment Right

Strike price relative to volume weighted 30-day average	110.0	%
Volatility (annual)	95.0	%
Probability of exercise	95.0	%
Time period	6.6	years

Stock-Based Compensation (Tables)

9 Months Ended

Sep. 30, 2022

Stock-Based Compensation

Schedule of activity relating to RSUs



		Number of
		shares

Outstanding as of January 1, 2022		—
Granted		122
Forfeited		(3)
Outstanding as of September 30, 2022		119

Schedule of Stock Option Activity



	Number	Weighted average
	of	exercise
	shares	price per share

Outstanding as of January 1, 2022	4,000	$	18.89
Granted	1,204	$	15.10
Forfeited	(206)	$	28.49
Cancelled	(90)	$	52.86
Exercised	(43)	$	5.41
Outstanding as of September 30, 2022	4,865	$	17.04

Options vested and exercisable as of September 30, 2022	3,037	$	12.58

Schedule of stock-based compensation charges


	Three Months Ended September 30,				Nine months ended September 30,
	2022		2021		2022		2021

Research and development	$	1,105	$	951	$	3,310	$	5,155
Selling, general and administrative		3,378		3,934		9,480		12,064
Total	$	4,483	$	4,885	$	12,790	$	17,219

PSUs

Stock-Based Compensation

Schedule of Valuation Assumptions



	Profit share unit valuation inputs

Expected volatility	94.6	%
Risk-free rate of interest	4.0	%
Expected dividend yield	—	%
Expected term	5.8	years

Stock options

Stock-Based Compensation

Schedule of Valuation Assumptions



	Nine months ended						Nine months ended
		September 30, 2022					September 30, 2021

Expected term		5.5	years	-	6.1	years	5.5	years	-	6.2	years
Expected stock price volatility		92.7	%	-	96.9	%	95.0	%	-	98.0	%
Risk-free rate of interest		1.5	%	-	3.6	%	1.0	%	-	1.2	%
Expected dividend yield		0.0	%	-	0.0	%	0.0	%	-	0.0	%

Leases (Tables)

9 Months Ended

Sep. 30, 2022

Leases

Summary of maturities of the operating lease liability


Year ending December 31,	Amount

Remainder of 2022	$	91
2023		372
2024		381
2025		391
2026		65
Thereafter		—
Total lease payments	$	1,300
Less imputed interest		(120)
Total lease liability	$	1,180
Less current portion of lease liability		(312)
Long-term portion of operating lease liability	$	868

Basis of Presentation (Details) - USD ($) $ in Thousands	3 Months Ended						9 Months Ended
Basis of Presentation (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Basis of Presentation
Cash and cash equivalents	$ 232,314						$ 232,314		$ 232,968
Accumulated deficit	(356,737)						(356,737)		$ (245,788)
Net loss	$ (41,805)	$ (37,672)	$ (31,472)	$ (26,811)	$ (27,619)	$ (26,376)	(110,949)	$ (80,806)
Net cash used in operating activities							$ (96,702)	$ (62,221)

- Definition

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

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+ Details

Summary of Significant Accounting Policies (Details)	9 Months Ended
Summary of Significant Accounting Policies (Details)	Sep. 30, 2022 segment
Summary of Significant Accounting Policies
Number of segments	1
Equipment \| Minimum
Summary of Significant Accounting Policies
Useful life	3 years
Equipment \| Maximum
Summary of Significant Accounting Policies
Useful life	5 years
Furniture
Summary of Significant Accounting Policies
Useful life	7 years

Common Stock Financing Activities (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	1 Months Ended		3 Months Ended	9 Months Ended		12 Months Ended
	Jun. 30, 2021	May 31, 2021	Jun. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Shares issued
Number of shares issued	3,155
Purchase price (in dollar per share)	$ 31.70		$ 31.70
Proceeds from issuance of common stock, net of issuance costs	$ 96,937				$ 100,993
Stock Issuance Costs	$ 3,076		$ 3,542
Jefferies Sale Agreement
Shares issued
Number of shares issued	124
Proceeds from issuance of common stock, net of issuance costs				$ 0		$ 4,056
Stock Issuance Costs						$ 500
Jefferies Sale Agreement \| Maximum
Shares issued
Proceeds from issuance of common stock, net of issuance costs		$ 100,000

Transactions with BioXcel LLC (Details) $ in Thousands		3 Months Ended		9 Months Ended
Transactions with BioXcel LLC (Details) $ in Thousands	Apr. 19, 2022 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2021 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2021 USD ($)	Apr. 30, 2022 USD ($)	Dec. 31, 2021 USD ($)
Transactions with BioXcel
Due to related parties		$ 269		$ 269			$ 204
BioXcel LLC
Transactions with BioXcel
Service charges		342	$ 341	1,076	$ 1,065
Due to related parties		162		162			$ 204
Monthly agreement option fees	$ 18
BioXcel LLC \| Development milestones
Transactions with BioXcel
Potential milestone payments						$ 10,000
BioXcel LLC \| Sales milestones
Transactions with BioXcel
Potential milestone payments						$ 30,000
Maximum milestone (as as percent)						3
BioXcel LLC \| Research and development expense
Transactions with BioXcel
Service charges		287	269	892	899
BioXcel LLC \| Selling, general and administrative
Transactions with BioXcel
Service charges		$ 55	$ 72	$ 184	$ 166

Net Earnings (Loss) Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Sep. 30, 2022	Sep. 30, 2021
Net Earnings (Loss) Per Share
Net loss (numerator)	$ (41,805)	$ (37,672)	$ (31,472)	$ (26,811)	$ (27,619)	$ (26,376)	$ (110,949)	$ (80,806)
Weighted average shares (denominator) - basic	28,022			27,972			27,997	25,832
Weighted average shares (denominator) - diluted	28,022			27,972			27,997	25,832
Basic net loss per share (in dollars)	$ (1.49)			$ (0.96)			$ (3.96)	$ (3.13)
Diluted net loss per share (in dollars)	$ (1.49)			$ (0.96)			$ (3.96)	$ (3.13)
Common stock equivalents outstanding							4,986	4,152

- Definition

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

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- Definition

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+ Details

- Definition

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

+ References

+ Details

Inventory (Details) $ in Thousands	Sep. 30, 2022 USD ($)
Inventory
Raw materials	$ 682
Work-in-process	122
Finished goods	604
Total inventory	1,408
Inventory write-downs	$ 0

Property and Equipment, net (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Equipment
Property and equipment, gross	$ 2,035		$ 2,035		$ 1,896
Accumulated depreciation	(848)		(848)		(602)
Property and equipment, net	1,187		1,187		1,294
Depreciation	85	$ 76	246	$ 221
Computers and equipment
Equipment
Property and equipment, gross	275		275		167
Furniture
Equipment
Property and equipment, gross	579		579		572
Leasehold improvements
Equipment
Property and equipment, gross	$ 1,181		$ 1,181		1,133
Construction in process
Equipment
Property and equipment, gross					$ 24

Accrued Expenses (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Accrued Expenses
Accrued research and development expenses	$ 6,601	$ 5,762
Accrued compensation and benefits	4,746	3,968
Accrued professional expenses	1,800	1,324
Accrued taxes	529	302
Other accrued expenses	273	136
Accrued expenses	$ 13,949	$ 11,492

Debt and Credit Facilities - Debt summary (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Apr. 19, 2022
Debt
Long-term debt, gross	$ 100,402
Original discount	(1,400)
Debt issuance costs	(2,646)
Long-term debt, net	91,695
BTI Warrants
Debt
Original discount	(3,245)
Equity Investment Rights
Debt
Original discount	(1,340)
OnkosXcel Warrants
Debt
Original discount	(614)
OFA
Debt
Maximum borrowing capacity		$ 260,000
Credit Facility
Debt
Maximum borrowing capacity		135,000
Credit Agreement and Guaranty
Debt
Long-term debt, gross	70,402
Revenue Interest Financing Agreement
Debt
Long-term debt, gross	$ 30,000
Maximum borrowing capacity		$ 120,000

Debt and Credit Facilities - Credit Agreement (Details) - Credit Facility - USD ($) $ in Thousands	Apr. 19, 2022	Sep. 30, 2022	Apr. 28, 2022
Debt
Maximum borrowing capacity	$ 135,000
Remaining borrowing capacity		$ 65,000
Discount rate (as a percent)	2.00%
Debt stated interest (as a percent)	10.25%
Debt paid-in-kind interest (as a percent)	2.25%
Commitment fee (as a percent)	0.75%
Cash maintenance in controlled accounts	$ 15,000
Outstanding loan (as a percent)	50.00%
Minimum
Debt
Subsidiary ownership (as a percent)	20.00%
Tranche A
Debt
Face amount borrowed			$ 70,000
Tranche B
Debt
Maximum borrowing capacity	$ 35,000
Tranche C
Debt
Maximum borrowing capacity	30,000
Step Up Date
Debt
Cash maintenance in controlled accounts	$ 20,000
Subsidiary ownership (as a percent)	30.00%
After Step Up Date
Debt
Cash maintenance in controlled accounts	$ 12,500
Additional cash to maintained	$ 5,000

Debt and Credit Facilities - Revenue Interest Financing (Details) - Revenue interest financing - USD ($) $ in Thousands	Apr. 19, 2022	Sep. 30, 2022	Jul. 08, 2022
Debt
Maximum borrowing capacity	$ 120,000
Effective interest rate (as a percent)		21.00%
Borrowing allowed per net sales (as a percent)	0.375%
Debt to revenue multiplier	1.75
Purchasers invested capital multiplier in year one	1.225
Purchasers invested capital multiplier in year two	1.375
Purchasers invested capital multiplier in year three	1.525
Purchasers invested capital multiplier in four years and thereafter	2.25
Remaining borrowing capacity		$ 90,000
Minimum
Debt
Borrowing allowed per net sales (as a percent)	0.375%
Maximum
Debt
Borrowing allowed per net sales (as a percent)	7.75%
Tranche A
Debt
Face amount borrowed			$ 30,000
Tranche B and C
Debt
Maximum borrowing capacity	$ 45,000

Debt and Credit Facilities - Warrants (Details) $ / shares in Units, shares in Thousands, $ in Thousands	Apr. 19, 2022 USD ($) $ / shares shares
BTI Warrants
Debt
Warrants to purchase common stock (in shares)	278
Exercise price (in dollars per share) \| $ / shares	$ 20.04
Maximum equity investment allowed for lenders \| $	$ 5,000
Premium share price (as a percent)	10.00%
Common stock issuable (in shares)	5,593
OnkosXcel Warrants
Debt
Warrants to purchase common stock (in shares)	175
Premium share price (as a percent)	10.00%
Threshold amount of liquidity event for exercise of warrants \| $	$ 20,000
Percentage of fair value of consideration to be paid	75.00%
Percentage of valuation applicable to initial profits	150.00%

Debt and Credit Facilities - Maturities (Details) $ in Thousands	Sep. 30, 2022 USD ($)
Debt and Credit Facilities
2026	$ 6,261
2027	$ 94,141

Debt and Credit Facilities - Interest (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2022
Debt and Credit Facilities
Interest expense	$ 3,483	$ 4,755
Accretion of debt discount and amortization of financing costs	217	538
Total interest expense	$ 3,700	$ 5,293

Fair Value Measurements - Hierarchy (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Level 1
Fair value assets and liabilities
Fair value money market accounts	$ 189,569	$ 228,584
Recurring
Fair value assets and liabilities
Derivative liabilities	1,891
Recurring \| Equity Investment Rights
Fair value assets and liabilities
Derivative liabilities	1,281
Recurring \| OnkosXcel Warrants
Fair value assets and liabilities
Derivative liabilities	610
Recurring \| Level 3
Fair value assets and liabilities
Derivative liabilities	1,891
Recurring \| Level 3 \| Equity Investment Rights
Fair value assets and liabilities
Derivative liabilities	1,281
Recurring \| Level 3 \| OnkosXcel Warrants
Fair value assets and liabilities
Derivative liabilities	610
Recurring \| Fair Value
Fair value assets and liabilities
Derivative liabilities	1,891
Recurring \| Fair Value \| Equity Investment Rights
Fair value assets and liabilities
Derivative liabilities	1,281
Recurring \| Fair Value \| OnkosXcel Warrants
Fair value assets and liabilities
Derivative liabilities	$ 610

Fair Value Measurements - Level 3 (Details) $ in Thousands	9 Months Ended
Fair Value Measurements - Level 3 (Details) $ in Thousands	Sep. 30, 2022 USD ($)
Level 3 liabilities reconciliation
Additions of derivative liabilities	$ 1,954
Change in fair value	(63)
Ending balance	$ 1,891

Fair Value Measurements - Inputs (Details) $ / shares in Units, $ in Thousands	Sep. 30, 2022 USD ($) $ / shares Y	Apr. 19, 2022 USD ($)	Jun. 30, 2021 $ / shares
Fair value inputs
Fair value of grants per share \| $ / shares			$ 31.70
Credit Agreement and Guaranty
Fair value inputs
Fair value debt \| $	$ 50,200
Revenue Interest Financing Agreement
Fair value inputs
Fair value debt \| $	$ 25,537
BTI Warrants
Fair value inputs
Fair value warrant classified as equity \| $		$ 3,245
Fair value of grants per share \| $ / shares	$ 14.93
Strike price \| BTI Warrants
Fair value inputs
Derivative liability input \| $ / shares	20.04
Strike price \| Equity Investment Rights
Fair value inputs
Derivative liability input	110.0
Volatility (annual) \| BTI Warrants
Fair value inputs
Derivative liability input	95
Volatility (annual) \| Equity Investment Rights
Fair value inputs
Derivative liability input	95.0
Volatility (annual) \| OnkosXcel Warrants
Fair value inputs
Derivative liability input	100
Probability of exercise \| Equity Investment Rights
Fair value inputs
Derivative liability input	95.0
Risk-free rate \| BTI Warrants
Fair value inputs
Derivative liability input	2.95
Time period (years) \| BTI Warrants
Fair value inputs
Derivative liability input \| Y	7
Time period (years) \| Equity Investment Rights
Fair value inputs
Derivative liability input \| Y	6.6

Stock-Based Compensation - Description (Details) - shares shares in Thousands				9 Months Ended
	Jan. 01, 2022	Jan. 01, 2021	May 20, 2020	Sep. 30, 2022
2020 Incentive Award Plan
Stock-Based Compensation
Authorized shares	1,119	977	911
Available for grant (in shares)				739
Percentage of increase in common stock available for grant			4.00%
2020 Incentive Award Plan \| Stock options
Stock-Based Compensation
Terms of award			10 years
Vesting period			4 years
2017 Equity Incentive Plan
Stock-Based Compensation
Available for grant (in shares)			233
2020 Employee Stock Purchase Plan
Stock-Based Compensation
Authorized shares			100
Percentage of increase in common stock available for grant			1.00%
Increase in shares available for issuance	156	244
Maximum number of shares issued or transferred under ESPP			500
Purchase price, as a percent of fair market value			85.00%
Shares issued under ESPP				0

Stock-Based Compensation - Restricted Stock Units (Details) - RSU - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	1 Months Ended		9 Months Ended
	May 31, 2022	Mar. 31, 2022	Sep. 30, 2022
Number of shares
Outstanding, beginning balance (in shares)			0
Granted (in shares)	25	97	122
Forfeited (in shares)			(3)
Outstanding, ending balance (in shares)			119
Vesting period		4 years
Vesting (as a percent)	100.00%	25.00%
Vested (in shares)			0
Weighted average grant date fair value (in dollars per share)	$ 10.76	$ 15.31
Unrecognized stock-based compensation expense			$ 1,395
Nonemployee consultant
Number of shares
Vesting (as a percent)	50.00%

Stock-Based Compensation - Profit Sharing Units (Details) - PSUs - USD ($) $ in Thousands	1 Months Ended	9 Months Ended
	Jul. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Stock-Based Compensation
Granted (in shares)	1,260,000	50,000
Vesting period		24 months
Unrecognized stock-based compensation expense		$ 5,108
Non-options issued and outstanding (in shares)			0

Stock-Based Compensation - Stock Option (Details) - Stock options $ / shares in Units, shares in Thousands, $ in Thousands	9 Months Ended
	Sep. 30, 2022 USD ($) $ / shares shares	Sep. 30, 2021 USD ($) $ / shares
Number of Shares
Outstanding, beginning balance (in shares) \| shares	4,000
Options granted (in shares) \| shares	1,204
Options forfeited (in shares) \| shares	(206)
Options Cancelled (in shares) \| shares	(90)
Options exercised (in shares) \| shares	(43)
Outstanding, ending balance (in shares) \| shares	4,865
Options vested and exercisable (in shares) \| shares	3,037
Weighted Average Exercise Price per Share
Outstanding, beginning balance (in dollars per shares)	$ 18.89
Options granted (in dollars per share)	15.10
Options forfeited (in dollars per shares)	28.49
Options Cancelled (in dollars per shares)	52.86
Options exercised (in dollars per shares)	5.41
Outstanding, end balance (in dollars per shares)	17.04
Options vested and exercisable (in dollars per shares)	$ 12.58
Options
Intrinsic value, outstanding \| $	$ 20,362
Intrinsic value, exercised \| $	321	$ 11,942
Intrinsic value, exercisable \| $	$ 20,260	$ 61,939
Weighted-average grant-date fair value of options granted (in dollars per share)	$ 11.87	$ 29.25
Weighted-average grant-date fair value of options vested (in dollars per share)	$ 9.29
Weighted average remaining contractual life, exercisable	5 years 10 months 24 days
Weighted average remaining contractual life, outstanding	7 years 1 month 6 days

Stock-Based Compensation - Assumptions (Details)	9 Months Ended
Stock-Based Compensation - Assumptions (Details)	Sep. 30, 2022	Sep. 30, 2021
PSUs
Stock-Based Compensation
Expected Term (years)	5 years 9 months 18 days
Expected stock price volatility (as a percent)	94.60%
Risk-free rate of interest (as a percent)	4.00%
Expected dividend yield (as a percent)
Stock options
Stock-Based Compensation
Expected stock price volatility, minimum (as a percent)	92.70%	95.00%
Expected stock price volatility, maximum (as a percent)	96.90%	98.00%
Risk-free rate of interest, minimum (as a percent)	1.50%	1.00%
Risk-free rate of interest, maximum (as a percent)	3.60%	1.20%
Expected dividend yield (as a percent)	0.00%
Stock options \| Minimum
Stock-Based Compensation
Expected Term (years)	5 years 6 months	5 years 6 months
Expected dividend yield (as a percent)	0.00%	0.00%
Stock options \| Maximum
Stock-Based Compensation
Expected Term (years)	6 years 1 month 6 days	6 years 2 months 12 days
Expected dividend yield (as a percent)	0.00%	0.00%

Stock-Based Compensation - Expense and ESPP (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Stock-Based Compensation
Unrecognized compensation expense	$ 18,068		$ 18,068
Remaining unamortized expense period			1 year 7 months 6 days
Stock options
Stock-Based Compensation
Share-based compensation costs recognized	4,483	$ 4,885	$ 12,790	$ 17,219
Stock options \| OnkosXcel Warrants
Stock-Based Compensation
Share-based compensation costs recognized	4,483	4,885		17,219
Stock options \| Research and development expense
Stock-Based Compensation
Share-based compensation costs recognized	1,105	951	3,310	5,155
Stock options \| Selling, general and administrative
Stock-Based Compensation
Share-based compensation costs recognized	$ 3,378	$ 3,934	$ 9,480	$ 12,064

Leases - Maturities (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Maturities of the operating lease liability
Remainder of 2022	$ 91
2023	372
2024	381
2025	391
2026	65
Total lease payments	1,300
Less imputed interest	(120)
Total lease liability	1,180
Less current portion of lease liability	(312)
Long-term portion operating lease liability	$ 868	$ 1,105

Leases - Additional Information (Details) $ in Thousands	1 Months Ended	3 Months Ended		9 Months Ended
Leases - Additional Information (Details) $ in Thousands	Aug. 31, 2020 item	Sep. 30, 2022 USD ($)	Sep. 30, 2021 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2021 USD ($)
Leases
Lease expense \| $		$ 114	$ 85	$ 318	$ 280
Option to renew the lease	true
Number of renewal options \| item	1
Renewal term	5 years
Lease renewed at percentage of market rates	95.00%

Commitments and Contingencies (Details) $ in Thousands	3 Months Ended
Commitments and Contingencies (Details) $ in Thousands	Sep. 30, 2022 USD ($)
Commitments and Contingencies
Minimum annual payments	$ 10,000
Commitment agreement period	3 years