Shareholders' Equity | Shareholders' Equity Changes in shareholders’ equity for the three and six months ended June 30, 2019 was as follows: Common Shares Shares Amount Additional Paid-in Capital Accumulated Deficit Total Shareholders' Equity (Deficit) Balances as of December 31, 2018 44,197,549 $ 554,384 $ 40,104 $ (443,568 ) $ 150,920 Exercise of stock options 85,445 1,961 (896 ) — 1,065 Non-cash share-based compensation expense — — 7,330 — 7,330 Net loss — — — (62,304 ) (62,304 ) Balances as of March 31, 2019 44,282,994 556,345 46,538 (505,872 ) 97,011 Issuance of common shares upon completion of equity offering, net of offering costs 6,976,745 281,100 — — 281,100 Exercise of related party warrants 215,000 7,201 (5,203 ) — 1,998 Exercise of stock options 26,875 320 (172 ) — 148 Share-based compensation expense — — 17,554 — 17,554 Net loss — — — (211,070 ) (211,070 ) Balances as of June 30, 2019 51,501,614 $ 844,966 $ 58,717 $ (716,942 ) $ 186,741 Changes in shareholders’ equity for the three and six months ended June 30, 2018 was as follows: Common Shares Shares Amount Additional Paid-in Capital Accumulated Deficit Total Shareholders' Equity (Deficit) Balances as of December 31, 2017 36,057,748 $ 311,061 $ 23,556 $ (202,646 ) $ 131,971 Issuance of common shares upon completion of equity offering, net of offering costs 2,000,000 52,013 — — 52,013 Exercise of ALS Biopharma warrants, net settlement of shares 228,219 — — — — Reclassification of warrant liability to equity — — 5,203 — 5,203 Exercise of stock options 321,050 4,656 (3,653 ) — 1,003 Non-cash share-based compensation expense — — 3,088 — 3,088 Net loss — — — (85,462 ) (85,462 ) Balances as of March 31, 2018 38,607,017 $ 367,730 $ 28,194 $ (288,108 ) $ 107,816 Issuance of common shares upon completion of equity offering, net of offering costs 1,111,111 43,842 — — 43,842 Exercise of ALS Biopharma warrants, net settlement of shares 261,140 — — — — Exercise of stock options 115,023 1,653 (820 ) — 833 Share-based compensation expense — — 5,608 — 5,608 Net loss — — — (39,269 ) (39,269 ) Balances as of June 30, 2018 40,094,291 $ 413,225 $ 32,982 $ (327,377 ) $ 118,830 Issuance of Common Shares for the June 2019 Offering In June 2019, the Company issued and sold 6,976,745 common shares at a public offering price of $ 43.00 per share for net proceeds of approximately $281,100 after deducting underwriting discounts and commissions of approximately $18,000 and other offering expenses of approximately $900 . In addition, in July 2019, the underwriters of the follow-on offering partially exercised their option to purchase additional shares, and the Company issued and sold 525,000 common shares for net proceeds of approximately $21,221 after deducting underwriting discounts and commissions of approximately $1,354 . Thus, the aggregate net proceeds to the Company from the follow-on offering, after deducting underwriting discounts and commissions and other offering costs, were approximately $302,321 . Exercise of Related Party Warrants In connection with a guarantee of its obligations under the Credit Agreement, the Company issued warrants, each to purchase 107,500 common shares at an exercise price of $9.2911 per share, to two of its directors. Both warrants were exercised in March 2019, and common shares settled in the second quarter of 2019 (See Note 9 ). Private Placement In March 2018, the Company sold an aggregate of 2,000,000 common shares in a private placement at a price of $27.50 per share, for net proceeds of $52,013 after deducting underwriting discounts and commissions of $2,800 and other offering expenses of $187 . Subsequent to the closing of the private placement, the Company paid Bristol-Myers Squibb Company ("BMS") the $50,000 upfront payment under an amendment (the "BMS Amendment") to the Company's July 2016 license agreement with BMS (the "BMS Agreement").See Note 12 for additional details. ALS Biopharma, LLC Warrant Exercise In January 2018, ALS Biopharma, LLC exercised a warrant for the purchase of 275,000 common shares through a net share settlement, resulting in an issuance of 228,219 common shares. In April 2018, ALS Biopharma exercised a warrant for the purchase of 325,000 common shares through a net share settlement, resulting in an issuance of 261,140 common shares. |