Significant Accounting Policies [Text Block] | Note 2. S ummary of Significant Accounting Policies Use of Estimates The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent liabilities at the date of the financial statements, and the reported amounts of expenses incurred during the reporting period. Actual results could differ from those estimates and such differences could be material to the Company’s financial position and results of operations. Significant estimates and assumptions include the valuation of equity instruments and equity-linked instruments, including the valuation of the Company’s common stock and the valuation of the Company’s common stock options for purposes of accounting for stock-based compensation, and accruals for clinical trials and the valuation allowances on deferred tax assets. Concentration of Credit Risk and Other Risks and Uncertainties Financial instruments that potentially subject the Company to concentration of credit risk consist of cash and cash equivalents. Cash and cash equivalents are deposited in demand and money market accounts with established financial institutions and, at times, such balances with any one may not The Company operates in a dynamic and highly competitive industry and believes that changes in any of the following areas could have a material adverse effect on the Company's future financial position, results of operations, or cash flows: ability to obtain future financing; advances and trends in new technologies and industry standards; results of clinical trials; regulatory approval and market acceptance of the Company's products; development of sales channels; certain strategic relationships; litigation or claims against the Company based on intellectual property, patent, product, regulatory, or other factors; and the Company's ability to attract and retain employees necessary to support its growth. The Company’s postoperative pain reduction product candidate, brivoligide, is an oligonucleotide. The Company currently uses Avecia as a single supplier for the brivoligide drug substance. There are currently a limited number of oligonucleotide manufacturers with commercial scale capabilities globally. While the Company intends to develop secondary sources for manufacturing of its drug candidates in the future, there can be no March 31, 2019, not At March 31, 2019, three 37%, 31% 14% 51% May 3, 2019, December 31, 2018, three 52%, 26% 15% 67% December 31, 2017, two 56% 31%, 56% Clinical Trial Accruals The Company’s clinical trial accruals are based on patient enrollment and related costs at clinical investigator sites as well as for the services received and efforts expended pursuant to contracts with multiple research institutions and contract research organizations that conduct and manage clinical trials on the Company’s behalf. The Company accrues expenses related to clinical trials based on contracted amounts applied to the level of patient enrollment and activity according to the clinical trial protocol. If timelines or contracts are modified based upon changes in the clinical trial protocol or scope of work to be performed, the Company modifies the estimates of accrued expenses accordingly. To date, the Company has had no In March 2018, 2 March 2018. December 31, 2018 2017, $95,000 $6.2 In November 2018, 2 $667,000 $0 three March 31, 2019 2018, $185,000 $0 December 31, 2018 2017, Cash and Cash Equivalents The Company considers all highly liquid investments purchased with a maturity of three Property and Equipment, Net Property and equipment are stated at cost, net of accumulated depreciation. Depreciation is computed using a straight-line method over the estimated useful lives of the assets, generally three five Expenditures for repairs and maintenance are charged to expense as incurred. Upon disposition of an asset, the cost and related accumulated depreciation are removed from the accounts and the resulting gain or loss is reflected in the statements of operations. Impairment of Long-Lived Assets The Company's long-lived assets and other assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset may not March 31, 2019, December 31, 2018 December 31, 2017, not Restricted Cash As of March 31, 2019, December 31, 2018 December 31, 2017, $255,000, $55,000 $55,000 March 31, 2019, $200,000 January 2019. March 31, 2019, December 31, 2018 December 31, 2017, $55,000 Stock-Based Compensation Stock-based compensation is measured at the grant date based on the fair value of the award. The fair value of the award that is ultimately expected to vest is recognized as expense on a straight-line basis over the requisite service period, which is generally the vesting period. The Company recognizes forfeitures as they occur. The Company uses the Black-Scholes option-pricing model (the "Black-Scholes model") as the method for determining the estimated fair value of stock options. Expected Term - Expected Volatility - Expected Dividend - no Risk-Free Interest Rate - zero Research and Development Research and development expenses consist of personnel costs, including salaries, benefits and stock-based compensation, preclinical studies, clinical studies performed by Contract Research Organizations (or “CROs”), materials and supplies, licenses and fees, and overhead allocations consisting of various administrative and facilities related costs. The Company charges research and development costs, including clinical study costs, to expense when incurred. Collaboration Agreement In June 2018, March 31, 2019, not May 2019, $75,000, three June 30, 2019. Grant Reimbursements In December 2018, two December 2020 $5.7 On January 1, 2019, 2018 08, may not For the three March 31, 2019, $94,000 Income Taxes The Company accounts for income taxes using the asset and liability method whereby deferred tax asset and liability account balances are determined based on differences between the financial reporting and tax basis of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse. The Company provides a valuation allowance, if necessary, to reduce deferred tax assets to their estimated realizable value. In evaluating the ability to recover its deferred income tax assets, the Company considers all available positive and negative evidence, including its operating results, ongoing tax planning, and forecasts of future taxable income on a jurisdiction-by-jurisdiction basis. In the event the Company determines that it would be able to realize its deferred income tax assets in the future in excess of their net recorded amount, it would make an adjustment to the valuation allowance, which would reduce the provision for income taxes. Conversely, in the event that all or part of the net deferred tax assets are determined not The Company recognizes the tax benefit from uncertain tax positions in accordance with GAAP, which prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of uncertain tax positions taken or expected to be taken in a company's tax return. Convertible Preferred Stock Warrants Freestanding warrants to acquire shares of convertible preferred stock are classified as liabilities on the accompanying balance sheets. These warrants are subject to remeasurement at fair value at each balance sheet date, and any change in fair value is recognized as a component of other income or expense. The Company will continue to adjust the carrying values of freestanding warrants classified as liabilities for changes in fair value until the earlier of the exercise or expiration of the warrants or the completion of a liquidation event, including the completion of an initial public offering. Debt Modifications and Extinguishments When the Company modifies debt, it does so in accordance with Accounting Standards Codification (“ASC”) 470 50, Debt: Modifications and Extinguishments October 2018 March 2018 September 2018 $11,000 not Derivative Instruments ASC 815 15, Derivatives and Hedging: Embedded Derivatives three three not not 815. The Company issued certain Notes in March 2018, September 2018, December 2018 March 2019, 1 2 These embedded features were not In October 2018, March 2018 September 2018 “substantial modification” 470 50 ‘Debt: Modifications and Extinguishments’ As of March 31, 2019 December 31, 2018, no March 2018 September 2018, December 2018 March 2019 ‘Note 5 - Term Loans and Convertible Promissory Notes’ Fair Value of Financial Instruments ASC 820 10, Fair Value Measurement three may Level 1 Level 2 - 1 Level 3 - This hierarchy requires the use of observable market data when available and to minimize the use of unobservable inputs when determining fair value. The following tables present the Company’s fair value hierarchy for all of its financial instruments measured at fair value on a recurring basis as of March 31, 2019, December 31, 2018 December 31, 2017 ( As of December 31 , 201 7 Level 1 Level 2 Level 3 Total Financial liabilities: Warrant liability $ — $ — $ 42 $ 42 Total financial liabilities $ — $ — $ 42 $ 42 As of December 31, 201 8 Level 1 Level 2 Level 3 Total Financial liabilities: Warrant liability $ — $ — $ 140 $ 140 Total financial liabilities $ — $ — $ 140 $ 140 As of March 31, 2019 (unaudited) Level 1 Level 2 Level 3 Total Financial liabilities Warrant liability $ — $ — $ 234 $ 234 Total financial liabilities $ — $ — $ 234 $ 234 The carrying amounts reported in the accompanying balance sheets for cash and cash equivalents, accounts payable and accrued liabilities approximate their fair value due to their short maturities. The fair value of the Company’s term loan is based on the borrowing rate currently available to the Company for borrowings with similar terms and maturity and approximates its carrying value. Derivative liability instruments are considered Level 3 one 3 no The fair value of the warrant liability was determined using the Black-Scholes model (see ‘ Note 8 - Warrants ’ Years Ended December 31, Three Months Ended March 31, 2017 2018 2018 2019 (unaudited) (unaudited) Fair value, beginning of period $ 54 $ 42 $ 42 $ 140 Preferred stock warrants – exercised (8 ) — — — Change in fair value of preferred stock warrants (4 ) 98 — 94 Fair value at end of period $ 42 $ 140 $ 42 $ 234 The fair value of the embedded derivative liability related to the Company’s Notes was determined using a bond plus option model. As of March 31, 2019 December 31, 2018, no March 2018, September 2018, December 2018 March 2019 Note 5 - Term Loans and Convertible Promissory Notes ’ The change in fair value of the derivative liability relating to the Notes is summarized below (in thousands): Years Ended December 31, Three Months Ended March 31, 2017 2018 2018 2019 (unaudited) (unaudited) Fair value, beginning of period $ — — $ — $ — Embedded derivative liability from the issuance of Notes — 864 496 — Change in value of embedded derivatives — (211 ) — — Termination of the embedded derivative liability due to the extinguishment of the related Notes — (653 ) — — Fair value at end of period $ — — $ 496 $ — Recently Adopted Accounting Pronouncements Restricted Cash In November 2016, No. 2016 18, one December 15, 2017 January 1, 2018 Non-employee Share-Based Payment Accounting In June 2018, No. 2018 07, 718 2018 07" January 1, 2018 not Lease Accounting In February 2016, No. 2016 02, 842 2016 02” 2016 02 twelve 2016 02 December 15, 2018 may 1 2 January 1, 2019 not The Company has elected the package of practical expedients permitted in ASC Topic 842. 842, 842, 842 The most significant impact from the adoption of this standard was the recognition of ROU assets and lease obligations on the balance sheet for operating leases. This standard did not January 1, 2019 $227,000, $239,000, 9.41%, $227,000 $227,000. twelve January 1, 2019. Recent Accounting Pronouncements Not In August 2018, No. 2018 13, 820 December 15, 2019, |