Phathom Pharmaceuticals (PHAT) 10-K 7 Mar 24 2023 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Mar. 04, 2024	Jun. 30, 2023
Cover [Abstract]
Document Type	10-K
Amendment Flag	false
Document Annual Report	true
Document Transition Report	false
Entity Interactive Data Current	Yes
Document Period End Date	Dec. 31, 2023
Document Fiscal Year Focus	2023
Current Fiscal Year End Date	--12-31
Document Fiscal Period Focus	FY
Entity Registrant Name	PHATHOM PHARMACEUTICALS, INC.
Entity Central Index Key	0001783183
Entity Tax Identification Number	82-4151574
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Well-known Seasoned Issuer	No
Entity Filer Category	Non-accelerated Filer
Entity File Number	001-39094
Entity Shell Company	false
Entity Emerging Growth Company	true
Entity Ex Transition Period	true
Entity Small Business	true
ICFR Auditor Attestation Flag	false
Document Financial Statement Error Correction [Flag]	false
Entity Incorporation, State or Country Code	DE
Entity Address, Address Line One	100 Campus Drive
Entity Address, Address Line Two	Suite 102
Entity Address, City or Town	Florham Park
Entity Address, State or Province	NJ
Entity Address, Postal Zip Code	07932
City Area Code	877
Local Phone Number	742-8466
Entity Common Stock, Shares Outstanding		58,477,351
Entity Public Float			$ 526
Title of 12(b) Security	Common Stock, par value $0.0001 per share
Trading Symbol	PHAT
Security Exchange Name	NASDAQ
Documents Incorporated by Reference	Certain sections of the registrant’s definitive proxy statement for the 2024 annual meeting of stockholders to be filed with the Securities and Exchange Commission pursuant to Regulation 14A not later than 120 days after the end of the fiscal year covered by this Form 10-K are incorporated by reference into Part III of this Form 10-K.
Auditor Name	Ernst & Young LLP
Auditor Firm ID	42
Auditor Location	Iselin, New Jersey

Balance Sheets

Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 381,393	$ 155,385
Prepaid expenses and other current assets	13,194	5,127
Accounts receivable, net	1,637	0
Inventory	1,208	0
Total current assets	397,432	160,512
Property, plant and equipment, net	2,146	1,207
Operating lease right-of-use assets	1,475	2,287
Restricted cash	2,863	505
Inventory, noncurrent	8,234	0
Other long-term assets	1,692	299
Total assets	413,842	164,810
Current liabilities:
Accounts payable (including related party amounts of $25 and $35 respectively)	12,601	9,997
Accrued expenses (including related party amountsof $2,694 and $2,499 respectively)	17,197	14,678
Accrued interest	1,146	854
Operating lease liabilities, current	726	708
Current portion of revenue interest financing liability	7,111	0
Total current liabilities	38,781	26,237
Long-term debt, net of discount	137,842	95,264
Revenue interest financing liability	299,816	109,525
Operating lease liabilities	462	1,098
Other long-term liabilities	9,700	7,500
Total liabilities	486,601	239,624
Commitments and contingencies (Note 4)
Stockholders' deficit:
Preferred stock, $0.0001 par value; authorized shares - 40,000,000 at December 31, 2023 and December 2022; no shares issued and outstanding at December 31, 2023 and December 2022
Common stock, $0.0001 par value; authorized shares - 400,000,000 at December 31, 2023 and December 2022; issued shares - 57,970,044 and 41,723,308 at December 31, 2023 and December 2022, respectively; outstanding shares - 57,970,044 and 41,468,871 at December 31, 2023 and December 2022, respectively	5	3
Treasury stock - 19 shares at December 31, 2023 and December 2022 respectively	0	0
Additional paid-in capital	855,921	652,276
Accumulated deficit	(928,685)	(727,093)
Total stockholders' deficit	(72,759)	(74,814)
Total liabilities and stockholders' deficit	$ 413,842	$ 164,810

Balance Sheets (Parenthetical)

Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Accounts payable, related parties	$ 12,601	$ 9,997
Accrued expenses, related parties	$ 2,694	$ 2,499
Preferred stock, par value	$ 0.0001	$ 0.0001
Preferred stock, authorized shares	40,000,000	40,000,000
Preferred stock, issued shares	0	0
Preferred stock, outstanding shares	0	0
Common stock, par value	$ 0.0001	$ 0.0001
Common stock, authorized shares	400,000,000	400,000,000
Common stock, issued shares	57,970,044	41,723,308
Common stock, outstanding shares	57,970,044	41,468,871
Treasury stock, shares	19	19
Related Party [Member]
Accounts payable, related parties	$ 25	$ 35

Statements of Operations and Co

Statements of Operations and Comprehensive Loss - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Gross Profit [Abstract]
Product revenue, net	$ 682	$ 0
Cost of revenue	167	0
Gross Profit	515	0
Operating expenses:
Research and development (includes related party amounts of $760 and $2,123, respectively)	49,899	71,441
Selling, general and administrative (includes related party amounts of $55 and $0, respectively)	117,928	100,999
Total operating expenses	167,827	172,440
Loss from operations	(167,312)	(172,440)
Other income (expense):
Interest income	7,876	2,132
Interest expense	(41,968)	(27,305)
Other (expense), net	(188)	(110)
Total other expense	(34,280)	(25,283)
Net loss and comprehensive loss	$ (201,592)	$ (197,723)
Net loss per share, basic	$ (3.93)	$ (5.05)
Net loss per share, diluted	$ (3.93)	$ (5.05)
Weighted-average shares of common stock outstanding, basic	51,289,092	39,118,215
Weighted-average shares of common stock outstanding, diluted	51,289,092	39,118,215

Statements of Operations and _2

Statements of Operations and Comprehensive Loss (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Income Statement [Abstract]
Research and development expenses, related party	$ 760	$ 2,123
Selling, General and administrative expenses, related party	$ 55	$ 0

Statements of Stockholders' Equ

Statements of Stockholders' Equity (Deficit) - USD ($) $ in Thousands	Total	Common Stock	Treasury Stock	Additional Paid-in Capital	Accumulated Deficit	At-the-Market Offering Program	At-the-Market Offering Program Common Stock	At-the-Market Offering Program Additional Paid-in Capital	Underwritten Public Offering	Underwritten Public Offering Common Stock	Underwritten Public Offering Additional Paid-in Capital
Beginning balance at Dec. 31, 2021	$ 72,156	$ 3		$ 601,523	$ (529,370)
Beginning balance, shares at Dec. 31, 2021		30,511,226	1
Cashless exercise of common stock warrants, shares		7,359,285	18
401(k) matching contribution	$ 1,116			1,116
401(k) matching contribution, shares	101,540	101,540
Vesting of restricted shares, shares		992,825
Issuance of common stock, net						$ 24,595		$ 24,595
Issuance of common stock, shares							2,414,897
Stock-based compensation	$ 24,133			24,133
ESPP shares issued	909			909
ESPP shares issued, shares		89,098
Net loss	(197,723)				(197,723)
Ending balance at Dec. 31, 2022	$ (74,814)	$ 3		652,276	(727,093)
Ending balance, shares at Dec. 31, 2022	41,468,871	41,468,871	19
Issuance of common stock from exercise of stock options	$ 124			124
Issuance of common stock from exercise of stock options, shares		16,421
401(k) matching contribution	$ 1,612			1,612
401(k) matching contribution, shares	135,956	135,956
Vesting of restricted shares, performance stock units, and restricted stock units	$ 6			6
Vesting of restricted shares, performance stock units, and restricted stock units, shares		1,843,954
Issuance of common stock, net						$ 14,073	$ 1	$ 14,072	$ 141,390	$ 1	$ 141,389
Issuance of common stock, shares						3,929,116	1,514,219			12,793,750
Stock-based compensation	45,025			45,025
ESPP shares issued	1,417			1,417
ESPP shares issued, shares		196,873
Net loss	(201,592)				(201,592)
Ending balance at Dec. 31, 2023	$ (72,759)	$ 5		$ 855,921	$ (928,685)
Ending balance, shares at Dec. 31, 2023	57,970,044	57,970,044	19

Statements of Cash Flows

Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Cash flows from operating activities
Net loss	$ (201,592)	$ (197,723)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	575	620
Stock-based compensation	45,025	24,133
Issuance of PIK interest debt	3,583	3,484
Accrued interest on revenue interest financing liability	24,727	14,079
Amortization of debt discount	1,877	2,110
Other	1,869	1,329
Changes in operating assets and liabilities:
Prepaid expenses and other current assets	(8,067)	(1,860)
Accounts receivable, net	(1,637)	0
Accounts payable and accrued expenses (includes changes in related party amounts of $184 and $1,139, respectively)	6,410	8,679
Accrued clinical trial expenses	0	(1,402)
Accrued interest	292	377
Operating right-of-use assets and lease liabilities	194	(238)
Inventory	(9,442)	0
Other long-term assets	(1,394)	(118)
Net cash used in operating activities	(137,580)	(146,530)
Cash flows from investing activities
Cash paid for property, plant and equipment	(1,634)	(1,041)
Net cash used in investing activities	(1,634)	(1,041)
Cash flows from financing activities
Proceeds from issuance of common stock from exercise of stock options	124	0
Net proceeds from issuance of debt	39,318	0
Net proceeds from underwritten public offering	141,390	0
Net proceeds from revenue interest financing transaction	172,675	95,446
Net cash provided by financing activities	367,580	120,042
Net increase (decrease) in cash and cash equivalents and restricted cash	228,366	(27,529)
Cash and cash equivalents and restricted cash - beginning of period	155,890	183,419
Cash and cash equivalents and restricted cash - end of period	384,256	155,890
Supplemental disclosure of cash flow information
Interest paid	11,133	7,033
Supplemental disclosure of noncash investing and financing activities
Property and equipment purchases included in accounts payable and accrued expenses	18	138
Final interest payment fee	2,200	0
Settlement of ESPP liability in common stock	1,417	909
Settlement of 401(k) liability in common stock	1,612	1,116
Operating lease liabilities arising from obtaining right-of-use assets		554
At-the-Market Offering Program
Cash flows from financing activities
Net proceeds from issuance of common stock	$ 14,073	$ 24,596

Statements of Cash Flows (Paren

Statements of Cash Flows (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Statement of Cash Flows [Abstract]
Related parties accounts payable and accrued expenses	$ 184	$ 1,139

Organization, Basis of Presenta

Organization, Basis of Presentation and Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Basis of Presentation and Summary of Significant Accounting Policies	1. Organization, Basis of Presentation and Summary of Significant Accounting Policies Organization and Basis of Presentation Phathom Pharmaceuticals, Inc., or the Company or Phathom, was incorporated in the state of Delaware in January 2018. The Company is a biopharmaceutical company focused on developing and commercializing novel treatments for gastrointestinal diseases. The Company’s financial statements are prepared in accordance with U.S. generally accepted accounting principles, or GAAP. On October 27, 2023, the U.S. Food and Drug Administration, or FDA, approved the prior approval supplements to our new drug applications, or NDAs, for VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK. Additionally, on November 1, 2023, the FDA approved our NDA for VOQUEZNA tablets. As a result, the Company initiated commercial launch for VOQUEZNA for both the Erosive GERD and H. pylori indications, and VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK for treatment of H. pylori infection in the fourth quarter of 2023. Liquidity and Capital Resources From inception to December 31, 2023, the Company has devoted substantially all of its efforts to organizing and staffing the Company, business planning, raising capital, in-licensing its initial and approved product candidate, vonoprazan, meeting with regulatory authorities, managing the clinical trials of vonoprazan, preparing for commercialization of its initial products containing vonoprazan, commercial launch of approved products, and providing other selling, general and administrative support for these operations. The Company has a limited operating history, generated limited revenue to date, and the sales and income potential of its business is unproven. The Company has incurred net losses and negative cash flows from operating activities since its inception and expects to continue to incur additional net losses in the future. From inception to December 31, 2023 , the Company has funded its operations through the issuance of convertible promissory notes, commercial bank debt, revenue interest financing debt, the sale of 10,997,630 shares of common stock for net proceeds of approximately $ 191.5 million in its 2019 IPO, the sale of 2,250,000 shares of common stock for net proceeds of approximately $ 88.6 million in its December 2020 follow-on public offering, the sale of 3,929,116 shares of common stock for net proceeds of approximately $ 38.7 million in its issuances of common stock pursuant to the Open Market Sale Agreement SM , or the Sales Agreement, with Jefferies LLC, or the Sales Agent, under which the Company may, from time to time, sell shares of its common stock having an aggregate offering price of up to $ 150 million, or the ATM Offering, and the sale of 12,793,750 shares of common stock for net proceeds of approximately $ 141.4 million in its May 2023 public offering. The accompanying financial statements have been prepared assuming the Company will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business, and do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or amounts and classification of liabilities. Management is required to perform a two-step analysis over the Company’s ability to continue as a going concern. Management must first evaluate whether there are conditions and events that raise substantial doubt about the Company’s ability to continue as a going concern (Step 1). If management concludes that substantial doubt is raised, management is also required to consider whether its plans alleviate that doubt (Step 2). Management believes that it has sufficient working capital on hand to fund operations through at least the next twelve months from the date these financial statements were available to be issued. There can be no assurance that the Company will be successful in acquiring additional funding, if needed, that the Company’s projections of its future working capital needs will prove accurate, or that any additional funding would be sufficient to continue operations in future years. Use of Estimates The preparation of the Company’s financial statements requires management to make estimates and assumptions that impact the reported amounts of assets, liabilities, revenues and expenses, and the disclosure of contingent assets and liabilities in the Company’s financial statements and accompanying notes. The most significant estimates in the Company’s financial statements relate to accruals for net product revenues and research and development expenses, the valuation for the revenue interest financing liability, and various other equity instruments. In addition, management’s assessment of the Company’s ability to continue as a going concern involves the estimation of the amount and timing of future cash inflows and outflows. Although these estimates are based on the Company’s knowledge of current events and actions it may undertake in the future, actual results could differ materially from those estimates and assumptions. Fair Value Measurements The accounting guidance defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or non-recurring basis. Fair value is defined as an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, the accounting guidance establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows: Level 1: Observable inputs such as quoted prices in active markets. Level 2: Inputs, other than the quoted prices in active markets that are observable either directly or indirectly. Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions. The carrying amounts of the Company’s financial instruments, including cash and cash equivalents, are classified within the Level 1 designation discussed above, while accounts receivable, prepaid and other current assets, accounts payable, and accrued liabilities, approximate fair value due to their short-term maturities. The Company has no financial assets measured at fair value on a recurring basis. None of the Company’s non-financial assets or liabilities are recorded at fair value on a no n-recurring basis. No transfers between levels have occurred during the periods presented. As of December 31, 2023 and 2022 , the estimated fair value of the Company’s long-term debt approximated the carrying amount given its floating interest rate basis. The fair value of the Company’s long-term debt was estimated for disclosure purposes only and was determined based on quoted market data for valuation, and thus categorized as Level 2 in the fair value hierarchy. Cash and Cash Equivalents The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. Cash and cash equivalents include cash in readily available checking accounts and money market funds. Restricted cash primarily consists of cash deposited by the Company to secure corporate leased vehicles. Accounts Receivable, Net Accounts receivable consists of amounts due from customers, primarily wholesale distributors, net of customer allowances for prompt pay discounts, distribution service fees, and other adjustments. Our contracts with customers have standard payment terms. The Company assesses the need for an allowance for doubtful accounts primarily based on creditworthiness, historical payment experience and general economic conditions. The Company has not experienced any credit losses to date given our limited commercial operations with any of its customers, and has not currently recognized any allowance for doubtful accounts. Concentrations of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. The Company maintains deposits in federally insured financial institutions in excess of federally insured limits. The Company has not experienced any losses in such accounts and management believes that the Company is not exposed to significant credit risk due to the financial position of the depository institutions in which those deposits are held. The Company is also subject to credit risk from our accounts receivable related to our product sales. The Company monitors exposure within accounts receivable and records a reserve against uncollectible accounts receivable as necessary. The Company extends credit primarily to pharmaceutical wholesale distributors. Customer creditworthiness is monitored and collateral is not required. The amount of the allowance for credit losses is determined primarily on the basis of collection experience and known financial factors regarding specific customers. As of December 31, 2023 , three customers accounted for 87 % of the accounts receivable balance, with each of these individual customers ranging from 28 % to 30 % of the accounts receivable balance. For the year ended December 31, 2023 , three customers accounted for 86 % of our product sales, with each of these individual customers ranging from 27 % to 30 % of our product sales. Inventory The Company capitalizes inventory costs related to products to be sold in the ordinary course of business. The Company makes a determination of capitalizing inventory costs for a product based on, among other factors, status of regulatory approval, information regarding safety, efficacy and expectations relating to commercial sales and recoverability of costs. Inventory currently consists of bulk active pharmaceutical ingredients that will be used to manufacture vonoprazan tablets. Inventory related to indications prior to regulatory approval has been included in research and development expense in the period of purchase. The Company values its inventory at the lower of cost or net realizable value. The Company measures inventory using actual cost under a first-in, first-out basis. The Company assesses recoverability of inventory each reporting period to determine any write down to net realizable value resulting from excess or obsolete inventories . Property, Plant, and Equipment, Net Property, plant and equipment are recorded at cost, less accumulated depreciation. Depreciation expense is recognized using the straight-line method over the useful life of the asset. Computer equipment and related software are depreciated over two to three years . E quipment is depreciated over five years . F urniture and fixtures are depreciated over three years . Leasehold improvements are amortized over the lesser of the lease term or the estimated useful lives of the related assets. Expenditures for repairs and maintenance of assets are charged to expense as incurred. Upon retirement or sale, the cost and related accumulated depreciation of assets disposed of are removed from the accounts and any resulting gain or loss is included in loss from operations. Impairment of Long-Lived Assets The Company reviews long-lived assets, including property, plant and equipment, for impairment whenever events or changes in business circumstances indicate that the carrying amount of the assets may not be fully recoverable. An impairment loss would be recognized when estimated undiscounted future cash flows expected to result from the use of the asset and its eventual disposition are less than the carrying amount. The impairment loss, if recognized, would be based on the excess of the carrying value of the impaired asset over its respective fair value. No impairment losses have been recorded through December 31, 2023 and 2022 . Other Long-Term Assets Other long-term assets consist of deposits relating to our copay and patient support programs and security deposits on our leased properties. Leases At the inception of a contractual arrangement, the Company determines whether the contract contains a lease by assessing whether there is an identified asset and whether the contract conveys the right to control the use of the identified asset in exchange for consideration over a period of time. If both criteria are met, the Company records the associated lease liability and corresponding right-of-use asset upon commencement of the lease using the implicit rate or a discount rate based on a credit-adjusted secured borrowing rate commensurate with the term of the lease. The Company additionally evaluates leases at their inception to determine if they are to be accounted for as an operating lease or a finance lease. A lease is accounted for as a finance lease if it meets one of the following five criteria: the lease has a purchase option that is reasonably certain of being exercised, the present value of the future cash flows is substantially all of the fair market value of the underlying asset, the lease term is for a significant portion of the remaining economic life of the underlying asset, the title to the underlying asset transfers at the end of the lease term, or if the underlying asset is of such a specialized nature that it is expected to have no alternative uses to the lessor at the end of the term. Leases that do not meet the finance lease criteria are accounted for as an operating lease. Operating lease assets represent a right to use an underlying asset for the lease term and operating lease liabilities represent an obligation to make lease payments arising from the lease. Operating lease liabilities with a term greater than one year and their corresponding right-of-use assets are recognized on the balance sheet at the commencement date of the lease based on the present value of lease payments over the expected lease term. Certain adjustments to the right-of-use asset may be required for items such as initial direct costs paid or incentives received. As the Company’s leases do not typically provide an implicit rate, the Company utilizes the appropriate incremental borrowing rate, determined as the rate of interest that the Company would have to pay to borrow on a collateralized basis over a similar term and in a similar economic environment. Lease cost is recognized on a straight-line basis over the lease term and variable lease payments are recognized as operating expenses in the period in which the obligation for those payments is incurred. Variable lease payments primarily include common area maintenance, utilities, real estate taxes, insurance, and other operating costs that are passed on from the lessor in proportion to the space leased by the Company. The Company has elected the practical expedient to not separate between lease and non-lease components. Revenue Interest Financing Liability The Company entered into a revenue interest financing agreement, or the Revenue Interest Financing Agreement, with entities managed or advised by NovaQuest Capital Management, or NQ, Sagard Holdings Manager LP, or Sagard, and Hercules Capital, Inc., or Hercules, together with NQ and Sagard, the Initial Investors, in which the Company received funds in return for royalties on net sales of products containing vonoprazan, in May 2022. Subsequently, in October 2022, the Company entered into a Joinder Agreement with the Initial Investors and CO Finance LVS XXXVII LLC or the Additional Investor, together as the Investors. The net proceeds received under the transactions are recognized as short-term and long-term liabilities with interest expense based on an imputed effective rate derived from the expected future payments to the Investors. The Company recalculates the effective interest rate each period based on the current carrying value and the revised estimated future payments to the Investors. Changes in future payments to the Investors from previous estimates are included in current and future financing expense. Revenue Recognition Pursuant to Accounting Standards Codification 606, Revenue from Contracts with Customers or ASC 606, the Company recognizes revenue when a customer obtains control of promised goods or services. The Company records the amount of revenue that reflects the consideration that it expects to receive in exchange for those goods or services. The Company applies the following five-step model in order to determine this amount: (i) identification of the promised goods or services in the contract; (ii) determination of whether the promised goods or services are performance obligations, including whether they are distinct in the context of the contract; (iii) measurement of the transaction price, including the constraint on variable consideration; (iv) allocation of the transaction price to the performance obligations; and (v) recognition of revenue when (or as) the Company satisfies each performance obligation. The Company only applies the five-step model to contracts when it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services that it transfers to the customer. Once a contract is determined to be within the scope of ASC 606 at contract inception, the Company reviews the contract to determine which performance obligations it must deliver and which of these performance obligations are distinct. The Company recognizes as revenue the amount of the transaction price that is allocated to each performance obligation when that performance obligation is satisfied or as it is satisfied. Generally, the Company’s performance obligations are transferred to customers at a point in time, typically upon delivery. Product Revenue, Net The Company sells its product to its customers in the United States. The Company’s customers subsequently resell the products to pharmacies and health care providers. In accordance with ASC 606, the Company recognizes net product revenues from sales when the customers obtain control of the Company’s products, which typically occurs upon delivery to the Customer. Revenues from product sales are recorded at the net sales price, or transaction price, which includes estimates of variable consideration that result from (a) invoice discounts for prompt payment and distribution service fees, (b) government and private payor rebates, chargebacks, discounts and fees, (c) product returns and (d) costs of co-pay assistance programs for patients, as well as other incentives for certain indirect customers. Reserves are established for the estimates of variable consideration based on the amounts earned or to be claimed on the related sales. The reserves are classified as reductions to accounts receivable, net if payable to a customer or accrued expenses if payable to a third-party. Where appropriate, the Company utilizes the expected value method to determine the appropriate amount for estimates of variable consideration based on factors such as current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. The amount of variable consideration that is included in the transaction price may be constrained and is included in net product revenues only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts of consideration ultimately received may differ from the Company’s estimates. If actual results vary from the Company’s estimates, the Company will adjust these estimates, which would affect net product revenue and earnings in the period such variances become known. Distribution Service Fees: The Company engages with wholesalers to distribute its products to end customers. The Company pays the wholesalers a fee for services such as: Data Reporting, Inventory Management, Chargeback Administration and Service Level Commitment. The Company estimates the amount of distribution services fees to be paid to the customers and adjusts the transaction price with the amount of such estimate at the time of sale to the customer. Prompt Pay Discounts: The Company provides its customers with a percentage discount on their invoice if the customers pay within the agreed upon timeframe. The Company estimates the probability of customers paying promptly and the percentage of discount outlined in the agreement, and deducts the full amount of these discounts from its gross product revenues and accounts receivable at the time such revenues are recognized. Product Returns: The Company provides customers a return credit in the amount of the purchase price paid by customers for all products returned in accordance with the Company’s returned goods policy. In the initial sales period, the Company estimates its provision for sales returns based on industry data and adjusts the transaction price with such estimate at the time of sale to the customer. Once sufficient history has been collected for product returns, the Company will utilize that history to inform its estimate assumption. Once the product is returned, it is destroyed. The Company does not record a right-of-return asset. Chargebacks: A chargeback is the difference between the manufacturer's invoice price to the wholesaler and the contract price the wholesaler’s customer has negotiated directly with the manufacturer. The wholesaler tracks these sales and "charges back" the manufacturer for the difference between the negotiated prices paid between the wholesaler's customers and wholesaler's acquisition cost. The Company estimates the percentage of goods sold that are eligible for chargeback and adjusts the transaction price for such discount at the time of sale to the customer. Administration Fees: The Company engages with Pharmacy Benefit Managers, or PBMs, to administer prescription-drug plans for people with third-party insurance through a self-insured employer, health insurance plan, labor union or government plan. The Company pays PBMs “administrative fees” for their role in providing utilization data, administering rebates, and administering claims payments. The Company estimates the amount of administration fees to be paid to PBMs and adjusts the transaction price with the amount of such estimate at the time of sale to the customer. Rebates : Rebates apply to: • Medicaid, managed care, and supplemental rebates to all applicable states as defined by the statutory government pricing calculation requirements under the Medicaid Drug Rebate Program, and; • Medicare Part D and Commercial Managed Care rebates are paid based on the contracts with PBMs and Managed Care Organizations. Rebates are paid to these entities upon receipt of an invoice from the contracted entity which is based on the utilization of the product by the members of the contracted entity. The Company estimates the percentage of goods sold that are eligible for rebates and adjusts the transaction price for such discounts at the time of sale to the customers. Coverage Gap: The Medicare Part D coverage gap, also called the donut hole, is a period of consumer payment for prescription medication costs which lies between the initial coverage limit and the catastrophic-coverage threshold, when the patient is a member of a Medicare Part D prescription-drug program administered by the Centers for Medicare & Medicaid Services. The Company estimates the percentage of goods sold under Coverage Gap and adjusts the transaction price for such discount at the time of sale to the Customer. The Company makes significant estimates and judgments that materially affect its recognition of net product revenue. Claims by third-party payors for rebates, chargebacks and discounts frequently are submitted to the Company significantly after the related sales, potentially resulting in adjustments in the period in which the new information becomes known. The Company will adjust its estimates based on new information, including information regarding actual rebates, chargebacks and discounts for its products, as it becomes available. Cost of Revenue Cost of revenue includes the cost of producing and distributing inventories that are related to product sales. This also includes royalties payable to Takeda Pharmaceutical Company Limited, or Takeda, pursuant to the Takeda License Agreement (Refer to Note 4 for further details). In addition, shipping and handling costs for product sales are recorded as incurred. Finally, cost of revenue may also include costs related to excess or obsolete inventory adjustment charges. In connection with the FDA approvals of VOQUEZNA, VOQUEZNA TRIPLE PAK, and VOQUEZNA DUAL PAK , the Company began capitalizing inventory manufactured or purchased. As a result, certain manufacturing costs associated with product shipments were expensed prior to FDA approval and, therefore, are not included in cost of goods sold during the current period. These previously expensed costs were not material for the year ended December 31, 2023. Research and Development Expenses and Accruals All research and development costs are expensed in the period incurred and consist primarily of salaries, payroll taxes, employee benefits, stock-based compensation charges for those individuals involved in research and development efforts, external research and development costs incurred under agreements with contract research organizations, or CROs, and consultants to conduct and support the Company’s ongoing clinical trials of vonoprazan, and costs related to manufacturing vonoprazan for clinical trials. The Company has entered into various research and development contracts with clinical research organizations, clinical manufacturing organizations and other companies. Payments for these activities are based on the terms of the individual agreements, which may differ from the pattern of costs incurred, and payments made in advance of or after performance are reflected in the accompanying balance sheets as prepaid expenses or accrued liabilities, respectively. The Company records accruals for estimated costs incurred for ongoing research and development activities. When evaluating the adequacy of the accrued liabilities, the Company analyzes progress of the services, including the phase or completion of events, invoices received and contracted costs. Significant judgments and estimates may be made in determining the prepaid or accrued balances at the end of any reporting period. Actual results could differ from the Company’s estimates. Selling, General and Administrative Expenses Selling, general and administrative expenses consist of salaries, stock-based compensation, facilities and third-party expenses. Selling, general and administrative expenses are associated with the activities of the commercial, executive, finance, accounting, information technology, legal, medical affairs and human resource functions. Advertising and Marketing Costs Advertising and marketing costs are expensed as incurred. Advertising and marketing costs are included in selling, general and administrative expenses and were not material for the years ended December 31, 2023 and 2022 . Stock-Based Compensation Stock-based compensation expense represents the cost of the grant date fair value of equity awards recognized over the requisite service period of the awards (generally the vesting period) on a straight-line basis with forfeitures recognized as they occur. The Company also maintains an employee stock purchase program, or ESPP, under which it may issue shares. The Company estimates the fair value of shares that will be issued under the ESPP, and of stock options using the Black-Scholes valuation model, which requires the use of estimates. The Company recognizes stock-based compensation cost for shares that it will issue under the ESPP on a straight-line basis over the requisite service period of the award . Income Taxes The Company accounts for income taxes under the asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements. Under this method, deferred tax assets and liabilities are determined on the basis of the differences between the financial statements and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in the statements of operations in the period that includes the enactment date. The Company recognizes net deferred tax assets to the extent that the Company believes these assets are more likely than not to be realized. In making such a determination, management considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If management determines that the Company would be able to realize its deferred tax assets in the future in excess of their net recorded amount, management would make an adjustment to the deferred tax asset valuation allowance, which would reduce the provision for income taxes. The Company records uncertain tax positions on the basis of a two-step process whereby (i) management determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (ii) for those tax positions that meet the more-likely-than-not recognition threshold, management recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. The Company recognizes interest and penalties related to unrecognized tax benefits within income tax expense. Any accrued interest and penalties are included within the related tax liability. Beginning in 2022, the Tax Cuts and Jobs Act eliminates the option to deduct research and development expenditures currently and requires taxpayers to amortize domestic and foreign research and development expenditures over 5 years and 15 years, respectively. The requirement did not impact cash from operations in the periods presented. Comprehensive Loss Comprehensive loss is defined as a change in equity during a period from transactions and other events and circumstances from non-owner sources. The Company’s comprehensive loss was the same as its reported net loss for all periods presented. Segment Reporting 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 on how to allocate resources and assess performance. The Company views its operations and manages its business as one operating segment. Net Loss Per Share Basic net loss per share is computed by dividing the net loss by the weighted-average number of common shares outstanding for the period, without consideration for potentially dilutive securities. For the years ended December 31, 2023 and 2022 , the Company has excluded weighted-average unvested shares of 34,503 and 686,703 , respectively, from the weighted-average number of common shares outstanding. Diluted net loss per share is computed by dividing the net loss by the weighted-average number of common shares and dilutive common stock equivalents outstanding for the period determined using the treasury-stock and if-converted methods. Dilutive common stock equivalents are comprised of unvested common stock, options and warrants. For the periods presented, there is no difference in the number of shares used to calculate basic and diluted shares outstanding as inclusion of the potentially dilutive securities (warrants, stock options, and common shares subject to repurchase) would be antidilutive. Recently Adopted Accounting Standards In June 2016, the FASB issued ASU 2016 -13, Financial Instruments — Credit Losses, or ASU 2016-13, which changes the accounting for recognizing impairments of financial assets. Under the new guidance, credit losses for certain types of financial instruments will be estimated based on expected losses. ASU 2016-13 also modifies the impairment models for available-for-sale debt securities and for purchased financial a

Balance Sheet Details

Balance Sheet Details	12 Months Ended
	Dec. 31, 2023
Balance Sheet Related Disclosures [Abstract]
Balance Sheet Details	2. Balance Sheet Details Property, Plant and Equipment, net Property, plant and equipment, net, consist of the following (in thousands): December 31, 2023 2022 Computer equipment and software $ 1,477 $ 1,078 Furniture and fixtures 1,089 1,086 Leasehold improvements 139 115 Equipment 1,487 — Construction in process — 399 Total property, plant and equipment, gross 4,192 2,678 Less: accumulated depreciation and amortization ( 2,046 ) ( 1,471 ) Total property, plant and equipment, net $ 2,146 $ 1,207 Depreciation and amortization expense for both the years ended December 31, 2023 and 2022 was approximately $ 0.6 million. No property, plant or equipment was disposed of during the years ended December 31, 2023 and 2022. Accrued Expenses Accrued expenses consist of the following (in thousands): December 31, 2023 2022 Accrued research and development expenses $ 1,009 $ 3,080 Accrued compensation expenses 13,318 8,447 Accrued professional & consulting expenses 1,771 3,000 Accrued sales discounts and allowances 982 — Accrued other 117 151 Total accrued expenses $ 17,197 $ 14,678 Inventory Inventory consist of the following (in thousands): December 31, 2023 Finished goods $ 647 Raw materials 561 Total inventory, current 1,208 Raw materials, noncurrent 8,234 Total inventory $ 9,442 Raw materials consist of materials, including active pharmaceutical ingredients, to be consumed in the production of inventory related to FDA approved products. Prior to FDA approvals, all costs related to manufacturing were charged to research and development expense in the period incurred, therefore, inventory is not included as of December 31, 2022. Inventory that is used for clinical development purposes is expensed to research and development expense when consumed. Inventory, noncurrent includes inventory expected to remain on-hand beyond one year from the balance sheet date presented.

Related Party Transactions

Related Party Transactions	12 Months Ended
	Dec. 31, 2023
Related Party Transactions [Abstract]
Related Party Transactions	3. Related Party Transactions Frazier is a principal stockholder of the Company with representation on the Board of Directors. Frazier is compensated for their participation on the Board of Directors and as of December 31, 2023 and December 31, 2022 , the Company had $ 28,000 and $ 15,000 , respectively, outstanding accounts payable and accrued expenses related to these services. For the years ended December 31, 2023 and 2022 , the Company incurred $ 55,000 and $ 15,000 , respectively, of expenses related to participation on the Board of Directors. Frazier is also a principal stockholder in PCI Pharma Services, or PCI. Starting in the third quarter of 2019, the Company engaged PCI for clinical manufacturing services. As of December 31, 2023 and 2022 , the Company had $ 1.2 million and $ 1.1 million, respectively, in outstanding accounts payable and accrued expenses related to these manufacturing services. For the years ended December 31, 2023 and 2022 , the Company incurred $ 0.6 million and $ 0.7 million, respectively, of expenses related to services performed by PCI. Takeda became a common stockholder of the Company in connection with the May 2019 license agreement (see Note 4). In connection with the Takeda License, the Company entered into a temporary services agreement, or the Temporary Services Agreement, with Takeda on November 24, 2020. Pursuant to the Temporary Services Agreement, Takeda agreed to provide or procure the provision of services related to the ongoing clinical development of vonoprazan. The Temporary Services Agreement will terminate immediately upon termination of the Takeda License in accordance with its terms. As of December 31, 2023 and December 31, 2022 , the Company had $ 1.5 million and $ 1.4 million, respectively, in outstanding accounts payable and accrued expenses related to these agreements. For the years ended December 31, 2023 and 2022 , the Company incurred $ 0.1 million and $ 1.4 million, respectively, of expenses related to these agreements. The Company has no remaining minimum purchase obligation related to these agreements.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2023
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	4. Commitments and Contingencies License Agreement O n May 7, 2019, the Company entered into a license agreement with Takeda pursuant to which it was granted an exclusive license to commercialize vonoprazan fumarate in the United States, Canada and Europe, or the Takeda License. The Company also has the right to sublicense its rights under the agreement, subject to certain conditions. The agreement will remain in effect, on a country-by-country and product-by-product basis, until the later of (i) the expiration of the last to expire valid patent claim covering vonoprazan fumarate alone or in combination with at least one other therapeutically active ingredient, (ii) the expiration of the applicable regulatory exclusivity and (iii) 15 years from the date of first commercial sale, unless earlier terminated. The Company may terminate the Takeda License upon six months’ written notice. The Company and Takeda may terminate the Takeda License in the case of the other party’s insolvency or material uncured breach. Takeda may terminate the Takeda License if the Company challenges, or assists in challenging, licensed patents . I n consideration of the Takeda License, the Company (i) paid Takeda $ 25 million in cash, (ii) issued Takeda 1,084,000 shares of its common stock at a fair value of $ 5.9 million, (iii) issued the Takeda Warrant to purchase 7,588,000 shares of its common stock at an exercise price of $ 0.00004613 per share at an initial fair value of $ 47.9 million, and (iv) issued a right to receive an additional common stock warrant, or, the Takeda Warrant Right, should Takeda’s fully-diluted ownership of the Company represent less than a certain specified percentage of the fully-diluted capitalization, including shares issuable upon conversion of then outstanding convertible promissory notes, calculated immediately before the closing of the Company’s IPO, with a nominal initial fair value due to the low probability of issuance. The Takeda Warrant Right expired without effect since no fair value had been allocated to it upon completion of the IPO, and no additional warrant was issued. In addition, the Company is obligated to pay Takeda up to an aggregate of $ 250 million in sales milestones upon the achievement of specified levels of product sales, and a low double-digit royalty rate on aggregate net sales of licensed products, subject to certain adjustments. The Takeda Warrant had an exercise price of $ 0.00004613 per share, and was to expire on May 7, 2029 and became exercisable upon the consummation of the IPO. All Takeda Warrants were exercised in 2022. During the year ended December 31, 2023 , the Company recorded $ 0.1 million of royalty expense under the Takeda License, which is included within accrued expenses as of December 31, 2023. Purchase Commitments In December 2020, the Company entered into a supply agreement with Sandoz pursuant to which Sandoz will supply commercial quantities of amoxicillin capsules and clarithromycin tablets, package these antibiotics with vonoprazan, and provide in finished convenience packs. The supply agreement commits the Company to a minimum purchase obligation of € 2.9 million, or approximately $ 3.2 million, in the first 24-month period following the launch of the final product. The Company has incurred $ 0.3 million and no expenses under the agreement during the years ended December 31, 2023 and 2022, respectively. Contingencies In the event the Company becomes subject to claims or suits arising in the ordinary course of business, the Company would accrue a liability for such matters when it is probable that future expenditures will be made and such expenditures can be reasonably estimated.

Lease Commitments

Lease Commitments	12 Months Ended
	Dec. 31, 2023
Leases [Abstract]
Lease Commitments	5. Lease Commitments As of December 31, 2023 , the Company had operating leases for office space in both Buffalo Grove, Illinois and Florham Park, New Jersey, with weighted average remaining lease terms of 1 .3 years and 1 .7 years, respectively. All operating leases contain an option to extend the term for one additional five-year period , which was not considered in the determination of the right-of-use asset or lease liability as the Company did not consider it reasonably certain that it would exercise such options. The total rent expense for the years ended December 31, 2023 and 2022 was approximately $ 1.1 million and $ 1.0 million, respectively. The following table summarizes supplemental balance sheet information related to the operating leases (in thousands): December 31, 2023 2022 Assets: Operating lease right-of-use assets $ 1,475 $ 2,287 Total right-of-use assets 1,475 2,287 Liabilities: Operating lease liabilities, current 726 708 Operating lease liabilities, non-current 462 1,098 Total operating lease liabilities $ 1,188 $ 1,806 As of December 31, 2023, the future minimum annual lease payments under the operating leases were as follows (in thousands): 2024 $ 752 2025 513 Total minimum lease payments 1,265 Less: amount representing interest ( 77 ) Present value of operating lease liabilities 1,188 Less: operating lease liabilities, current ( 726 ) Operating lease liabilities $ 462 Weighted-average remaining lease term (in years) 1.6 Weighted-average incremental borrowing rate 8.21 % Operating cash flows for both the years ended December 31, 2023 and 2022 included cash payments for operating leases of $ 1.1 million, of which $ 0.1 million as of December 31, 2023 were prepaid lease payments.

Debt

Debt	12 Months Ended
	Dec. 31, 2023
Debt Disclosure [Abstract]
Debt	6. Debt Total debt consists of the following (in thousands): December 31, 2023 2022 Long-term debt, current portion $ — $ — Long-term debt, non-current portion 148,057 104,474 Unamortized debt discount ( 10,215 ) ( 9,210 ) Total debt, net of debt discount $ 137,842 $ 95,264 On September 17, 2021, or the Closing Date, the Company entered into a Loan and Security Agreement, or, the Loan Agreement, with Hercules Capital, Inc., in its capacity as administrative agent and collateral agent and as a lender, or, in such capacity, the Agent or Hercules, and the other financial institutions that from time to time become parties to the Loan Agreement as lenders, or, collectively, the Lenders. The Loan Agreement provides for term loans in an aggregate principal amount of up to $ 200 million, or the Term Loan, under multiple tranches. The tranches consist of (i) a first tranche consisting of term loans in an aggregate principal amount of $ 100 million, all of which was funded on the Closing Date, or the First Advance, (ii) a second tranche consisting of up to an additional $ 50 million, (iii) a third and fourth tranches consisting of an additional total $ 50 million, which became available to us in May 2022. On September 27, 2022, the Company entered into an amendment to the Loan Agreement, or the Second Loan Amendment, pursuant to which the date the second tranche of funding of $ 50 million will remain available to the Company has been moved until May 15, 2023, rather than December 15, 2022. On May 9, 2023, the Company entered into the Third Amendment to Loan and Security Agreement, or the Third Loan Amendment, with the lenders, pursuant to which, among other things, (i) the second tranche availability was extended from through May 15, 2023, to through December 15, 2023, and became available on October 1, 2023, (ii) the third tranche availability was extended from through September 30, 2023, to through December 15, 2023, and became available on October 1, 2023, (iii) the effective date of the Performance Covenants was amended to provide an option to extend the covenant trigger date to May 15, 2024, subject to the achievement of the FDA approval of vonoprazan for Erosive GERD or the EE Milestone, prior to February 15, 2024, and (iv) the warrant agreement with Hercules was amended as described below. On November 1, 2023 the EE Milestone was achieved and the covenant trigger date was extended to May 15, 2024. In connection with the Third Loan Amendment, a tranche extension amendment fee of $ 150,000 and a covenant extension amendment fee of $ 100,000 was paid to the Agent. These fees have been recorded as debt discount and are being amortized to interest expense using the effective interest method over the remaining term of the Term Loan . On December 14, 2023, the Company entered into a Fourth Amendment to Loan and Security Agreement, or the Fourth Loan Amendment, with the lenders, pursuant to which, among other things, (i) increases the aggregate principal amount of the term loans from $ 200 million to $ 300 million; (ii) provides for the possibility of accessing the remaining $ 200 million commitment through five tranches referred to as the second through sixth tranches, which are available subject to certain milestones and conditions: (a) Second Tranche: $ 50 million, $ 40 million of which was funded on December 14, 2023, available through March 15, 2024, (b) Third Tranche: $ 25 million available through June 15, 2024, (c) Fourth Tranche: $ 25 million available through December 15, 2024, (d) Fifth Tranche: $ 50 million available, subject to the achievement of trailing three month net revenues greater than $ 60 million, or the Fifth Tranche milestone, through June 30, 2025, and (e) Sixth Tranche: $ 50 million available, subject to the achievement of trailing three month net revenues greater than $ 80 million, or the Sixth Tranche milestone, through December 31, 2025; (iii) extends the interest only period and the maturity date from October 2026 to December 2027, (iv) reduces the cash interest rate from 10.75 % (floating annual rate equal to the greater of (a) 5.50 % and (b) the Prime Rate (as reported in the Wall Street Journal) plus 2.25 % to 9.85 % (floating rate based on the greater of (a) 9.85 % or (b) US WSJ Prime + 1.35 %), provided that the cash interest rate shall be capped at 10.35 % and upon the Company achieving the Sixth Tranche milestone, the cash interest floating rated shall be decreased by 0.35 % to 9.50 %, and (v) decreases the payment-in-kind interest rate from 3.35 % per annum to 2.15 % per annum. In connection with the Fourth Loan Amendment, an amendment fee of $ 250,000 was paid to the Agent and was recorded as a debt discount and being amortized to interest expense using the effective interest method over the remaining term of the Term Loan. T he Term Loan will mature on December 1, 2027 , or the Maturity Date. The Term Loan bears (i) cash interest at a variable annual rate equal to the greater of (a) 9.85 % and (b) the Prime Rate (as reported in the Wall Street Journal) plus 1.35 %, or the Interest Rate, and (ii) payment-in-kind interest at a per annum rate of interest equal to 2.15 %. The Company may make payments of interest only through the Maturity Date. After the interest-only period, the principal balance and related interest will be required to be repaid in full on the Maturity Date. In addition, the Company is obligated to pay a final payment fee of 7.50 % of the original principal amount of amounts actually advanced under the Term Loan, or each a Term Loan Advance and together, the Term Loan Advances. In connection with the Fourth Loan Amendment, the final payment fee was amended to be $ 1 million plus 3.00 % of any future tranche drawdowns under the agreement, due upon final maturity. Additionally, the initial final payment fee for the first term Loan advance was amended to become payable on October 1, 2026. As of December 31, 2023 , the aggregate final payment fee for the first Term Loan Advance of $ 7.5 million and $ 2.2 million for the second Term Loan Advance, have both been recorded within other long-term liabilities. Under the Fourth Loan Amendment the Company may elect to prepay all or a portion of the Term Loan Advances prior to maturity, subject to a prepayment fee of up to 1.25 % of the then outstanding principal balance of the Term Loan Advances being prepaid when such prepayment occurs prior to October 1, 2026, or 0.50 % if such prepayment occurs on or after October 1, 2026. After repayment, no Term Loan amounts may be borrowed again. As collateral for the obligations, the Company has granted to Hercules a senior security interest in all of Company’s right, title, and interest in, to and under substantially all of Company’s property, inclusive of intellectual property. The Loan Agreement contains customary closing fees, prepayment fees and provisions, events of default, and representations, warranties and covenants, including financial covenants. The financial covenants under the Fourth Loan Amendment include (i) a minimum cash covenant and (ii) a performance covenant as follows: (i) Minimum cash covenant - The Company must maintain a minimum cash balance of 20 % of the outstanding principal balance at all times. The minimum cash balance may be increased to 35 % or 50 % under performance covenant (b) below if the performance covenants (a) or (c) are not met beginning September 30, 2024 and all times thereafter. (ii) Performance covenant- Beginning September 30, 2024 and all times thereafter the Company must satisfy any one of the following: a. Market capitalization exceeding $ 900 million; b. Minimum cash balance exceeding (x) outstanding principal amount of term loans, multiplied by (y) (A) 50 %, prior to achieving trailing three months net product revenue of greater than $ 35 million, and (B) 35 % thereafter; c. Trailing three months net product revenue of at least (x) 30 % of agreed upon projected net revenues for periods in the calendar year 2024 and 25 % for all periods thereafter or (y) $ 120 million. Upon the occurrence of an event of default, subject to any specified cure periods, all amounts owed by the Company may be declared immediately due and payable by Hercules, as collateral agent. As of December 31, 2023, the Company was in compliance with all applicable covenants under the Loan Agreement. In connection with the entry into the Loan Agreement, the Company issued to Hercules a warrant, or, the Warrant, to purchase a number of shares of the Company’s common stock equal to 2.5 % of the aggregate amount of the Term Loan advances funded, and will issue to Hercules additional warrants when future Term Loan advances are funded. On the Closing Date, the Company issued a Warrant for 74,782 shares of common stock. The Warrant will be exercisable for a period of seven years from the date of issuance at a per-share exercise price equal to $ 33.43 , which was the closing price of the Company’s common stock on September 16, 2021. In connection with the entry into the Third Loan Amendment, we amended the form of warrants to be issued upon drawdowns of future tranches such that the exercise price of such warrants shall be equal to the lesser (i) of $ 11.6783 , which was the trailing ten-day VWAP prior to entering into the Third Loan Amendment and (ii) the trailing ten-day VWAP preceding the date on which we drawdown future tranches. In connection with the entry into the Fourth Loan Amendment, we eliminated the warrant agreement for all future tranches. The Warrant issued with the initial tranche was not modified as part of this amendment. The exercise price and terms of the outstanding Warrant remain unchanged. The initial $ 1.3 million fair value of the Warrant, the $ 9.7 million final interest payment fees and $ 3.5 million of debt issuance costs have been recorded as debt discount and are being amortized to interest expense using the effective interest method over the term of the Term Loan. Future minimum principal payments under the Term Loan, including the final payment fees, as of December 31, 2023 are as follows (in thousands): Year ending December 31: 2024 $ — 2025 — 2026 7,500 2027 163,444 2028 — Total principal and interest payments 170,944 Less: payment-in-kind and final payment fee ( 30,944 ) Total term loan borrowings $ 140,000 During the years ended December 31, 2023 and 2022 , the Company recognized $ 17.1 million and $ 13.0 million, respectively, of interest expense, including amortization of the debt discount, in connection with the Hercules Loan Agreement. As of December 31, 2023 and 2022, the Company had outstanding loan balance of $ 148.1 million and $ 104.5 million, respectively, and accrued interest of $ 1.1 and $ 0.9 million, respectively.

Revenue Interest Financing Liab

Revenue Interest Financing Liability	12 Months Ended
	Dec. 31, 2023
Contract with Customer, Liability [Abstract]
Revenue Interest Financing Liability	7. Revenue Interest Financing Liability On May 3, 2022, the Company entered into a Revenue Interest Financing Agreement with Initial Investors NQ, Sagard, and Hercules pursuant to which the Company will receive up to $ 260 million in funding from the Initial Investors. Under the terms of the Revenue Interest Financing Agreement, the Company received $ 100 million at the initial closing and received an additional $ 160 million upon FDA approval of VOQUEZNA for treatment of Erosive GERD during the fourth quarter of 2023. Additionally, on October 31, 2022, the Company entered into a Joinder Agreement with the Initial Investors and CO Finance LVS XXXVII LLC, or the Additional Investor, and Hercules, together as the in vestors. Under the terms of the Joinder Agreement, we received $ 15 million in additional funding upon FDA approval of vonoprazan for Erosive GERD, or Approval Additional Funding, during the fourth quarter of 2023, and provides for $ 25 million in additional funding for achievement of a sales milestone, or Milestone Additional Funding, and, together with the Approval Additional Funding, or the Additional Investor Funding. The Initial Investors waived their rights of first offer regarding the Additional Investor Funding and the Additional Investor and joined the Revenue Interest Financing Agreement to extend commitments for the Additional Investor Funding. The total amount funded by the Initial Investors and any subsequent investors is referred to herein as the Investment Amount. Under the Revenue Interest Financing Agreement, the investors are entitled to receive a 10 % royalty on net sales of products containing vonoprazan. The royalty rate is subject to a step-down on net sales exceeding certain annual thresholds and if the Company receives FDA approval for vonoprazan for an indication relating to the treatment of heartburn associated with Non-Erosive GERD. The investors’ right to receive royalties on net sales will terminate when the investors have aggregate payments equal to 200 % of the Investment Amount. In addition, at any time after the earlier of (i) April 30, 2024 and (ii) the date that the payment for Erosive GERD regulatory approval is made, the Company has the right to make a cap payment equal to 200 % of the Investment Amount less any royalties already paid, at which time the agreement will terminate. If the investors have not received aggregate payments of at least 100 % of the Investment Amount by December 31, 2028, and at least 200 % of the Investment Amount by December 31, 2037, each a Minimum Amount, then the Company will be obligated to make a cash payment to the investors in an amount sufficient to gross the investors up to the applicable Minimum Amount. Upon the occurrence of an event of default taking place prior to April 1, 2025, between April 1, 2025 and April 1, 2028, and after April 1, 2028, the Company is obligated to pay 1.30 times Investment Amount, 1.65 times Investment Amount, and 2.0 times investment amount, respectively, less any amounts the Company previously paid pursuant to the agreement. During the year ended December 31, 2023 , the Company received gross proceeds of $ 175.0 million before deducting transaction costs of $ 2.3 million, resulting in net proceeds of $ 172.7 million. During the year ended December 31, 2022 , the Company received gross proceeds of $ 100.0 million before deducting transaction costs of $ 4.6 million, which resulted in net proceeds of $ 95.4 million. The Company has evaluated the terms of the Revenue Interest Financing Agreement and concluded that the features of the Investment Amount are similar to those of a debt instrument. Accordingly, the Company has accounted for the transaction as a debt obligation with interest expense based on an imputed effective rate derived from the initial carrying value of the obligation and the expected future payments. The Company recalculates the effective interest rate each period based on the current carrying value and the revised estimated future payments. Changes in future payments from previous estimates are included in the current and future financing expense. The carrying value of the revenue interest financing liability was $ 306.9 million and $ 109.5 million as of December 31, 2023 and 2022, respectively. Total revenue interest financing liability consists of the following (in thousands): Liability balance as of January 1, 2022 $ - Proceeds from the Revenue Interest Financing Agreement 100,000 Less: transaction costs ( 4,554 ) Less: royalty payments and payables — Plus: interest expense 14,079 Ending liability balance as of December 31, 2022 $ 109,525 Liability balance as of January 1, 2023 $ 109,525 Proceeds from the Revenue Interest Financing Agreement 175,000 Less: transaction costs ( 2,325 ) Less: royalty payments and payables — Plus: interest expense 24,727 Ending liability balance as of December 31, 2023 306,927 Less: current portion ( 7,111 ) Long-term liability balance as of December 31, 2023 $ 299,816 During the years ended December 31, 2023 and 2022 , the Company recognized $ 24.7 million and $ 14.1 million, respectively, of interest expense in connection with the revenue interest financing liability. The Company will record liabilities associated with achievement of the sales milestone when such contingent event occurs. To determine the accretion of the liability related to the Revenue Interest Financing Agreement, the Company is required to estimate the total amount of future royalty payments and estimated timing of such payments based on the Company’s revenue projections. As royalty payments are made, the balance of the debt obligation will be effectively repaid. Based on the Company’s periodic review, the exact timing of repayment is likely to be different in each reporting period as compared to those estimated in the Company’s initial revenue projections. A significant increase or decrease in actual net sales of vonoprazan compared to the Company’s revenue projections could impact the interest expense associated with the revenue interest financing liability. Also, the Company’s total obligation can vary depending on default events and achievement of the sales milestone.

Stockholders' Equity

Stockholders' Equity	12 Months Ended
	Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]
Stockholders' Equity	8. Stockholders’ Equity Common Stock In March 2019, the founders granted the Company a repurchase right for the 3,373,408 shares of common stock originally purchased in 2018. The Company has the right, but not the obligation, to repurchase unvested shares in the event the founder’s relationship with the Company is terminated, subject to certain limitations, at the original purchase price of the stock. The repurchase right lapsed for 843,352 shares in March 2019 and the repurchase right for the remaining 2,530,056 shares lapses in equal monthly amounts over the following 48-month period ending March 2023 . The fair value of the founder shares at the date the repurchase right was granted was recognized as stock-based compensation expense on a straight-line basis over the vesting period. As of December 31, 2023 and 2022 , no shares and 79,064 shares, respectively, of common stock were subject to repurchase by the Company. The amount of recognized and unrecognized stock-based compensation related to the founder stock was immaterial for all periods presented. From inception through December 31, 2023, the Company sold 26,041,380 shares of common stock, generating net proceeds of approximately $ 421.5 million, after deducting underwriting discounts, commissions and offering costs. This includes the May 2023 underwritten public offering, in which the Company sold 12,793,750 shares of its common stock, which included the exercise in full by the underwriters of their option to purchase 1,668,750 shares, at a price of $ 11.75 per share for total gross proceeds of $ 150.3 million. The net purchase price after deducting underwriting discounts and commissions was $ 11.08 per share, which generated net proceeds of $ 141.8 million. The Company incurred an additional $ 0.4 million of offering expenses in connection with this public offering. ATM Agreements In November 2020, the Company entered into the Sales Agreement, pursuant to which, the Company will pay the Sales Agent a commission for its services in acting as an agent in the sale of common stock in an amount equal to 3 % of the gross sales price per share sold. In September 2022, the Company sold 2,414,897 shares for net proceeds of approximately $ 24.6 million under the 2020 ATM Offering after deducting $ 0.8 million of issuance costs. In February 2023, the Company sold 1,514,219 shares for net proceeds of approximately $ 14.1 million under the ATM Offering after deducting $ 0.4 million of issuance costs. The Company utilized $ 39.9 million of the available $ 125 million under the ATM Offering prior to expiration in November 2023. On November 9, 2023, the Company entered into an Open Market Sale Agreement SM , or the 2023 Sales Agreement, with Jefferies LLC, or the Sales Agent, under which the Company may, from time to time, sell shares of the Company's common stock having an aggregate offering price of up to $ 150 million through the Sales Agent, or the ATM Offering. Sales of the Company's common stock made pursuant to the 2023 Sales Agreement, if any, will be made under the Company's shelf registration statement on Form S-3 which was filed on November 9, 2023 and declared effective by the SEC on November 17, 2023. As of December 31, 2023 , the Company utilized none of the available $ 150 million under the ATM Offering. A summary of the Company’s unvested shares is as follows: Balance at December 31, 2022 254,437 Share vesting ( 254,437 ) Balance at December 31, 2023 — For accounting purposes, unvested awards are considered issued, but not outstanding until they vest. Common stock reserved for future issuance consists of the following: December 31, Common stock warrants 91,228 Stock options, restricted stock units, and performance-based awards outstanding 7,203,973 Shares available for issuance under the 2019 Incentive Plan 1,110,376 Shares available for issuance under the ESPP Plan 973,298 Balance at December 31, 2023 9,378,875 Preferred Stock The Company is authorized to issue up to 40 million shares of preferred stock. As of December 31, 2023, and December 31, 2022 , there were no shares of preferred stock issued or outstanding. Equity Incentive Plan The Company’s 2019 Equity Incentive Plan, or the Existing Incentive Plan, provides for the grant of incentive stock options, non-statutory stock options, stock appreciation rights, restricted stock awards, restricted stock unit awards, and other stock awards to eligible recipients, including employees, directors or consultants of the Company. The Company had 2,231,739 shares of common stock authorized for issuance under the Existing Incentive Plan, of which, 1,400,528 stock options and 16,260 restricted stock awards were granted in 2019. As a result of the adoption of the 2019 Incentive Award Plan, or the 2019 Plan, in October 2019, no further shares are available for issuance under the Existing Incentive Plan. 2019 Incentive Award Plan In October 2019, the Board of Directors adopted, and the Company’s stockholders approved, the 2019 Plan, which became effective in connection with the IPO. Under the 2019 Plan, the Company may grant stock options, stock appreciation rights, restricted stock, restricted stock units and other awards to individuals who are then employees, officers, non-employee directors or consultants of the Company or its subsidiaries. The number of shares initially available for issuance will be increased by (i) the number of shares subject to stock options or similar awards granted under the Existing Incentive Plan that expire or otherwise terminate without having been exercised in full after the effective date of the 2019 Plan and unvested shares issued pursuant to awards granted under the Existing Incentive Plan that are forfeited to or repurchased by the Company after the effective date of the 2019 Plan, with the maximum number of shares to be added to the 2019 Plan pursuant to clause (i) above or equal to 1,416,788 shares, and (ii) an annual increase on January 1 of each calendar year beginning in 2020 and ending in 2029, equal to the lesser of (a) 5 % of the shares of common stock 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. On July 14, 2023, the Company completed a voluntary, one-time stock option exchange program, or the Option Exchange, pursuant to which eligible employees were able to exchange certain outstanding stock options granted under the 2019 Plan for a lesser amount of new RSUs issued under the 2019 Plan. Participants in the Option Exchange received one RSU for every two shares of Phathom common stock underlying the eligible options surrendered. This exchange ratio was applied on a grant by grant basis. The Option Exchange resulted in 2,406,622 options being exchanged for 1,203,341 RSUs. The Company is recognizing an additional $ 2.2 million of incremental expense related to the Option Excha nge to be recognized over a three-year vesting period. As of December 31, 2023 , 1,110,376 shares remain available for issuance, which reflects 4,492,336 stock options, performance-based units, and restricted stock units, or RSUs, awards granted, and 2,558,662 of awards cancelled or forfeited, during the year ended December 31, 2023 as well as an annual increase of 2,086,165 shares authorized on January 1, 2023. Performance-Based Units During 2020, the Company granted the initial performance-based units, or PSUs, whereby vesting depends upon the approval by the FDA of vonoprazan for H. pylori and then, or concurrent with, Erosive GERD. As of December 31, 2023, the PSU milestones have been achieved upon FDA approval of vonoprazan for H. pylori and Erosive GERD during the fourth quarter of 2023. As a result, stock- based compensation cost of $ 19.3 million was recognized within the statements of operations and comprehensive loss during the year ended December 31, 2023. The following table summarizes PSU activity under the 2019 Incentive Award Plan during the years ended December 31, 2023 and 2022: Number of Weighted- Unvested balance at January 1, 2022 394,300 $ 32.23 Granted 37,500 20.06 Vested — — Forfeited ( 19,500 ) 35.39 Unvested balance at December 31, 2022 412,300 $ 30.97 Granted 597,650 10.89 Vested ( 1,009,950 ) 19.09 Forfeited — — Unvested balance at December 31, 2023 — $ — Restricted Stock Units The following table summarizes RSU activity under the 2019 Incentive Award Plan during the years ended December 31, 2023 and 2022: Number of Weighted- Unvested balance at January 1, 2022 — $ — Granted 1,010,437 10.79 Vested ( 102,453 ) 8.51 Forfeited ( 30,517 ) 12.14 Unvested balance at December 31, 2022 877,467 $ 11.03 Granted (1) 2,419,776 11.77 Vested ( 579,567 ) 9.85 Forfeited ( 63,784 ) 13.07 Unvested balance at December 31, 2023 2,653,892 $ 11.91 (1) The number of RSUs granted includes those exchanged in the Option Exchange (as defined above). As of December 31, 2023 , the Company had $ 26.6 million of unrecognized stock-based compensation expense, which is expected to be recognized over a weighted-average period of 2.4 year s. The total fair value of RSUs vested during the years ended December 31, 2023 and 2022 , was approximately $ 5.7 million and $ 0.9 million, respectively. Employee Stock Purchase Plan In October 2019, the Board of Directors adopted, and the Company’s stockholders approved, the Employee Stock Purchase Plan, or the ESPP, which became effective in connection with the IPO. The ESPP permits participants to purchase common stock through payroll deductions of up to 20 % of their eligible compensation, which includes a participant’s gross base compensation for services to the Company, including overtime payments and excluding sales commissions, incentive compensation, bonuses, expense reimbursements, fringe benefits and other special payments. A total of 270,000 shares of common stock was initially reserved for issuance under the ESPP. In addition, the number of shares available for issuance under the ESPP will be annually increased on January 1 of each calendar year beginning in 2020 and ending in 2029, by an amount equal to the lesser of: (i) 1 % of the shares outstanding on the final day of the immediately preceding calendar year and (ii) such smaller number of shares as is determined by the Board of Directors. As of December 31, 2023 , 973,298 shares of common stock remain available for issuance, which includes the 196,873 shares sold to employees during the year ended December 31, 2023 as well as an annual increase of 417,233 shares authorized on January 1, 2023. The ESPP is considered a compensatory plan, and the Company recorded related stock-based compensation of $ 0.6 million and $ 0.5 million for the years ended December 31, 2023 and 2022 , respectively. The weighted-average assumptions used to estimate the fair value of ESPP awards using the Black-Scholes option valuation model were as follows: Years Ended 2023 2022 Assumptions: Expected term (in years) 0.49 0.50 Expected volatility 69.73 % 68.59 % Risk free interest rate 5.03 % 2.04 % Dividend yield — — The estimated weighted-average fair value of ESPP awards during 2023 and 2022 was $ 3.64 and $ 3.98 , respectively. As of December 31, 2023 , the total unrecognized compensation expense related to the ESPP was less than $ 0.1 million, which is expected to be recognized over a weighted-average period of approximately 0.5 months. 401(k) Plan The Company established a 401(k) savings plan during the year ended December 31, 2020. The Company’s contributions to the plan are discretionary. During the years ended December 31, 2023 and 2022 , the Company incurred $ 1.9 million and $ 1.3 million, respectively, of expense related to estimated employer contribution liabilities, which was based on a 75 % match of employees’ contributions during the periods. During the years ended December 31, 2023 and 2022 , the Board of Directors approved employer matching contributions settled by contributing 135,956 and 101,540 , respectively, shares of Company stock . Stock Options The fair value of each employee and non-employee stock option grant is estimated on the date of grant using the Black-Scholes option-pricing model. The Company, prior to the IPO on October 29, 2019, was a private company and lacked company-specific historical and implied volatility information. Therefore, it estimated its expected volatility based on the historical volatility of a publicly traded set of peer companies. Due to the lack of historical exercise history, the expected term of the Company’s stock options for employees was determined utilizing the “simplified” method for awards. The expected term of stock options granted to non-employees was equal to the contractual term of the option award. The risk-free interest rate was determined by reference to the U.S. Treasury yield curve in effect at the time of grant of the award for time periods approximately equal to the expected term of the award. Expected dividend yield was zero based on the fact that the Company has never paid cash dividends and does not expect to pay any cash dividends in the foreseeable future. A summary of the Company’s stock option activity and related information is as follows during the years ended December 31, 2023 and 2022: Options Weighted- Weighted- Aggregate Balance at January 1, 2022 4,186,729 $ 27.53 7.91 $ 13,973 Options granted 1,741,931 14.62 Options exercised — — Options cancelled ( 342,190 ) 29.32 Balance at December 31, 2022 5,586,470 $ 23.40 7.90 $ 4,476 Options granted 1,474,910 8.54 Options exercised ( 16,421 ) 7.54 Options cancelled (1) ( 2,494,878 ) 35.96 Balance at December 31, 2023 4,550,081 $ 11.75 7.50 $ 3,379 Options exercisable as of December 31, 2023 2,272,248 $ 12.65 6.14 $ 2,088 Vested and expected to vest as of December 31, 2023 4,550,081 $ 11.75 7.50 $ 3,379 (1) The number of stock options cancelled includes those exchanged in the Option Exchange (as defined above). The aggregate intrinsic value of stock options is calculated as the difference between the exercise price of the stock options and the fair value of the Company's common stock for those stock options that had exercise prices lower than the fair value of the Company's common stock at December 31, 2023. The total intrinsic value of stock options exercised for the year ended December 31, 2023 was approximately $ 0.1 million. The estimated weighted-average fair value of employee and nonemployee director stock options granted during 2023 was $ 5.34 and during 2022 was $ 8.40 per option. As of December 31, 2023 , the Company had $ 13.2 million of unrecognized stock-based compensation expense, which is expected to be recognized over a weighted-average period of 2.4 years. The weighted-average assumptions used to estimate the fair value of stock options using the Black-Scholes option valuation model were as follows: Years Ended 2023 2022 Assumptions: Expected term (in years) 6.04 5.88 Expected volatility 66.05 % 66.00 % Risk free interest rate 3.65 % 2.06 % Dividend yield — — Stock-Based Compensation Expense Stock-based compensation expense recognized for all equity awards, including founder stock, has been reported in the statements of operations and comprehensive loss as follows (in thousands): Years Ended 2023 2022 Research and development expense $ 12,302 $ 5,534 Selling, general and administrative expense 32,723 18,599 Total $ 45,025 $ 24,133

Revenue Recognition

Revenue Recognition	12 Months Ended
	Dec. 31, 2023
Revenue from Contract with Customer [Abstract]
Revenue Recognition	9. Revenue Recognition To date, our only source of revenue has been from the U.S. sales of VOQUEZNA products , which the Company began selling in November 2023. The Company records its best estimate of chargebacks, sales discounts and other reserves to which customers are likely to be entitled as contra accounts receivable charges on the balance sheet as of December 31, 2023. During the year ended December 31, 2023 , we recognized $ 0.7 million of net product revenues related to sales of VOQUEZNA. Sales allowances and accruals mostly consisted of distribution fees and rebates.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2023
Income Tax Disclosure [Abstract]
Income Taxes	10. Income Taxes For the years ended December 31, 2023 and 2022 , the Company did no t record a provision for income taxes due to a full valuation against its deferred taxes. A reconciliation between the provision for income taxes and income taxes computed using the U.S. federal statutory corporate tax rate is as follows (in thousands): Years Ended 2023 2022 Income taxes computed at the statutory rate $ ( 42,334 ) $ ( 41,522 ) State income taxes, net of federal benefit ( 4,310 ) — Permanent items 1,310 1,605 Officers' compensation 2,534 1,109 Research and development credit ( 2,971 ) ( 2,453 ) Change in state rate ( 3,762 ) — Change in valuation allowance 49,745 41,137 Other ( 212 ) 124 Provision (benefit) for income taxes $ — $ — Significant components of the Company’s net deferred tax assets are as follows (in thousands): Years Ended 2023 2022 Deferred tax assets: Net operating loss carryforwards $ 120,092 $ 85,918 Research credits 11,815 8,897 Intangible assets 33,095 25,319 Other 11,256 6,517 Gross deferred tax assets 176,258 126,651 Less valuation allowance ( 175,915 ) ( 126,170 ) Deferred tax assets, net of valuation allowance 343 481 Deferred tax liabilities: Other ( 343 ) ( 481 ) Net deferred tax assets $ — $ — Based upon the Company’s history of operating losses, the Company is unable to conclude that it is more likely than not that the benefit of its deferred tax assets will be realized. Accordingly, the Company has provided a full valuation allowance for its deferred tax assets as of December 31, 2023 and 2022. As of December 31, 2023 and 2022 , the Company had federal net operating loss carryforwards of approximately $ 554.7 million and $ 408.7 million, respectively, which are carried over indefinitely. As of December 31, 2023 , the Company had approximately $ 62.3 million of state net operating loss carryforwards that begins to expire in 2036 . As of December 31, 2023 , the Company has available federal research and development credits of $ 13.7 million which begin to expire in 2038 . The Company has $ 1.3 million of state research and development credits, some of which, begin to expire in 2025 . The Company has not completed a formal analysis of the potential impact of Section 382 on its deferred tax assets as of December 31, 2023. Until this analysis has been completed, the Company has not adjusted any of its deferred tax assets, including net operating losses or research and development credits. The Company will reassess the amount of net operating losses and credits subject to limitation under Section 382 when a study is complete. Due to the existence of the valuation allowance, future changes in the deferred tax assets related to these tax attributes will not impact the Company’s effective tax rate. The Company recognizes liabilities for uncertain tax positions based on a two-step process. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates that it is more likely than not that the position will be sustained on audit, including resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount that is more than 50% likely of being realized upon settlement. While the Company believes that it has appropriate support for the positions taken on its tax returns, the Company regularly assesses the potential outcome of examinations by tax authorities in determining the adequacy of its provision for income taxes. The following table summarizes the activity related to the Company's gross unrecognized tax benefits (in thousands): Years Ended 2023 2022 Beginning balance $ 2,327 $ 1,704 Increases related to prior year tax positions 51 — Increases related to current year tax positions 632 623 Ending balance $ 3,010 $ 2,327 As of December 31, 2023 and 2022 , the Company has gross unrecognized tax benefits of $ 3,010 and $ 2,327 , respectively, none of which would affect the effective tax rate due to a full valuation allowance. The Company does not anticipate any significant changes in its unrecognized tax benefits over the next 12 months. The Company's policy is to recognize the interest expense and/or penalties related to income tax matters as a component of income tax expense. The Company has no accrual for interest or penalties on its balance sheet as of December 31, 2023 and 2022 , and has no t recognized interest and/or penalties in its statement of operations for the years ended December 31, 2023 and 2022. The Company is subject to taxation in the United States and various states. The Company is not currently under examination by any taxing authorities. Due to the carryover of tax attributes, the statute of limitations is currently open for tax years since inception.

Organization, Basis of Presen_2

Organization, Basis of Presentation and Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization and Basis of Presentation	Organization and Basis of Presentation Phathom Pharmaceuticals, Inc., or the Company or Phathom, was incorporated in the state of Delaware in January 2018. The Company is a biopharmaceutical company focused on developing and commercializing novel treatments for gastrointestinal diseases. The Company’s financial statements are prepared in accordance with U.S. generally accepted accounting principles, or GAAP. On October 27, 2023, the U.S. Food and Drug Administration, or FDA, approved the prior approval supplements to our new drug applications, or NDAs, for VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK. Additionally, on November 1, 2023, the FDA approved our NDA for VOQUEZNA tablets. As a result, the Company initiated commercial launch for VOQUEZNA for both the Erosive GERD and H. pylori indications, and VOQUEZNA TRIPLE PAK and VOQUEZNA DUAL PAK for treatment of H. pylori infection in the fourth quarter of 2023.
Liquidity and Capital Resources	Liquidity and Capital Resources From inception to December 31, 2023, the Company has devoted substantially all of its efforts to organizing and staffing the Company, business planning, raising capital, in-licensing its initial and approved product candidate, vonoprazan, meeting with regulatory authorities, managing the clinical trials of vonoprazan, preparing for commercialization of its initial products containing vonoprazan, commercial launch of approved products, and providing other selling, general and administrative support for these operations. The Company has a limited operating history, generated limited revenue to date, and the sales and income potential of its business is unproven. The Company has incurred net losses and negative cash flows from operating activities since its inception and expects to continue to incur additional net losses in the future. From inception to December 31, 2023 , the Company has funded its operations through the issuance of convertible promissory notes, commercial bank debt, revenue interest financing debt, the sale of 10,997,630 shares of common stock for net proceeds of approximately $ 191.5 million in its 2019 IPO, the sale of 2,250,000 shares of common stock for net proceeds of approximately $ 88.6 million in its December 2020 follow-on public offering, the sale of 3,929,116 shares of common stock for net proceeds of approximately $ 38.7 million in its issuances of common stock pursuant to the Open Market Sale Agreement SM , or the Sales Agreement, with Jefferies LLC, or the Sales Agent, under which the Company may, from time to time, sell shares of its common stock having an aggregate offering price of up to $ 150 million, or the ATM Offering, and the sale of 12,793,750 shares of common stock for net proceeds of approximately $ 141.4 million in its May 2023 public offering. The accompanying financial statements have been prepared assuming the Company will continue as a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business, and do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or amounts and classification of liabilities. Management is required to perform a two-step analysis over the Company’s ability to continue as a going concern. Management must first evaluate whether there are conditions and events that raise substantial doubt about the Company’s ability to continue as a going concern (Step 1). If management concludes that substantial doubt is raised, management is also required to consider whether its plans alleviate that doubt (Step 2). Management believes that it has sufficient working capital on hand to fund operations through at least the next twelve months from the date these financial statements were available to be issued. There can be no assurance that the Company will be successful in acquiring additional funding, if needed, that the Company’s projections of its future working capital needs will prove accurate, or that any additional funding would be sufficient to continue operations in future years.
Use of Estimates	Use of Estimates The preparation of the Company’s financial statements requires management to make estimates and assumptions that impact the reported amounts of assets, liabilities, revenues and expenses, and the disclosure of contingent assets and liabilities in the Company’s financial statements and accompanying notes. The most significant estimates in the Company’s financial statements relate to accruals for net product revenues and research and development expenses, the valuation for the revenue interest financing liability, and various other equity instruments. In addition, management’s assessment of the Company’s ability to continue as a going concern involves the estimation of the amount and timing of future cash inflows and outflows. Although these estimates are based on the Company’s knowledge of current events and actions it may undertake in the future, actual results could differ materially from those estimates and assumptions.
Fair Value Measurements	Fair Value Measurements The accounting guidance defines fair value, establishes a consistent framework for measuring fair value and expands disclosure for each major asset and liability category measured at fair value on either a recurring or non-recurring basis. Fair value is defined as an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based on assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, the accounting guidance establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows: Level 1: Observable inputs such as quoted prices in active markets. Level 2: Inputs, other than the quoted prices in active markets that are observable either directly or indirectly. Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions. The carrying amounts of the Company’s financial instruments, including cash and cash equivalents, are classified within the Level 1 designation discussed above, while accounts receivable, prepaid and other current assets, accounts payable, and accrued liabilities, approximate fair value due to their short-term maturities. The Company has no financial assets measured at fair value on a recurring basis. None of the Company’s non-financial assets or liabilities are recorded at fair value on a no n-recurring basis. No transfers between levels have occurred during the periods presented. As of December 31, 2023 and 2022 , the estimated fair value of the Company’s long-term debt approximated the carrying amount given its floating interest rate basis. The fair value of the Company’s long-term debt was estimated for disclosure purposes only and was determined based on quoted market data for valuation, and thus categorized as Level 2 in the fair value hierarchy.
Cash and Cash Equivalents	Cash and Cash Equivalents The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. Cash and cash equivalents include cash in readily available checking accounts and money market funds. Restricted cash primarily consists of cash deposited by the Company to secure corporate leased vehicles.
Accounts Receivable, Net	Accounts Receivable, Net Accounts receivable consists of amounts due from customers, primarily wholesale distributors, net of customer allowances for prompt pay discounts, distribution service fees, and other adjustments. Our contracts with customers have standard payment terms. The Company assesses the need for an allowance for doubtful accounts primarily based on creditworthiness, historical payment experience and general economic conditions. The Company has not experienced any credit losses to date given our limited commercial operations with any of its customers, and has not currently recognized any allowance for doubtful accounts.
Concentrations of Credit Risk	Concentrations of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents. The Company maintains deposits in federally insured financial institutions in excess of federally insured limits. The Company has not experienced any losses in such accounts and management believes that the Company is not exposed to significant credit risk due to the financial position of the depository institutions in which those deposits are held. The Company is also subject to credit risk from our accounts receivable related to our product sales. The Company monitors exposure within accounts receivable and records a reserve against uncollectible accounts receivable as necessary. The Company extends credit primarily to pharmaceutical wholesale distributors. Customer creditworthiness is monitored and collateral is not required. The amount of the allowance for credit losses is determined primarily on the basis of collection experience and known financial factors regarding specific customers. As of December 31, 2023 , three customers accounted for 87 % of the accounts receivable balance, with each of these individual customers ranging from 28 % to 30 % of the accounts receivable balance. For the year ended December 31, 2023 , three customers accounted for 86 % of our product sales, with each of these individual customers ranging from 27 % to 30 % of our product sales.
Inventory	Inventory The Company capitalizes inventory costs related to products to be sold in the ordinary course of business. The Company makes a determination of capitalizing inventory costs for a product based on, among other factors, status of regulatory approval, information regarding safety, efficacy and expectations relating to commercial sales and recoverability of costs. Inventory currently consists of bulk active pharmaceutical ingredients that will be used to manufacture vonoprazan tablets. Inventory related to indications prior to regulatory approval has been included in research and development expense in the period of purchase. The Company values its inventory at the lower of cost or net realizable value. The Company measures inventory using actual cost under a first-in, first-out basis. The Company assesses recoverability of inventory each reporting period to determine any write down to net realizable value resulting from excess or obsolete inventories .
Property, Plant, and Equipment, Net	Property, Plant, and Equipment, Net Property, plant and equipment are recorded at cost, less accumulated depreciation. Depreciation expense is recognized using the straight-line method over the useful life of the asset. Computer equipment and related software are depreciated over two to three years . E quipment is depreciated over five years . F urniture and fixtures are depreciated over three years . Leasehold improvements are amortized over the lesser of the lease term or the estimated useful lives of the related assets. Expenditures for repairs and maintenance of assets are charged to expense as incurred. Upon retirement or sale, the cost and related accumulated depreciation of assets disposed of are removed from the accounts and any resulting gain or loss is included in loss from operations.
Impairment of Long-Lived Assets	Impairment of Long-Lived Assets The Company reviews long-lived assets, including property, plant and equipment, for impairment whenever events or changes in business circumstances indicate that the carrying amount of the assets may not be fully recoverable. An impairment loss would be recognized when estimated undiscounted future cash flows expected to result from the use of the asset and its eventual disposition are less than the carrying amount. The impairment loss, if recognized, would be based on the excess of the carrying value of the impaired asset over its respective fair value. No impairment losses have been recorded through December 31, 2023 and 2022 .
Other Long-Term Assets	Other Long-Term AssetsOther long-term assets consist of deposits relating to our copay and patient support programs and security deposits on our leased properties.
Leases	Leases At the inception of a contractual arrangement, the Company determines whether the contract contains a lease by assessing whether there is an identified asset and whether the contract conveys the right to control the use of the identified asset in exchange for consideration over a period of time. If both criteria are met, the Company records the associated lease liability and corresponding right-of-use asset upon commencement of the lease using the implicit rate or a discount rate based on a credit-adjusted secured borrowing rate commensurate with the term of the lease. The Company additionally evaluates leases at their inception to determine if they are to be accounted for as an operating lease or a finance lease. A lease is accounted for as a finance lease if it meets one of the following five criteria: the lease has a purchase option that is reasonably certain of being exercised, the present value of the future cash flows is substantially all of the fair market value of the underlying asset, the lease term is for a significant portion of the remaining economic life of the underlying asset, the title to the underlying asset transfers at the end of the lease term, or if the underlying asset is of such a specialized nature that it is expected to have no alternative uses to the lessor at the end of the term. Leases that do not meet the finance lease criteria are accounted for as an operating lease. Operating lease assets represent a right to use an underlying asset for the lease term and operating lease liabilities represent an obligation to make lease payments arising from the lease. Operating lease liabilities with a term greater than one year and their corresponding right-of-use assets are recognized on the balance sheet at the commencement date of the lease based on the present value of lease payments over the expected lease term. Certain adjustments to the right-of-use asset may be required for items such as initial direct costs paid or incentives received. As the Company’s leases do not typically provide an implicit rate, the Company utilizes the appropriate incremental borrowing rate, determined as the rate of interest that the Company would have to pay to borrow on a collateralized basis over a similar term and in a similar economic environment. Lease cost is recognized on a straight-line basis over the lease term and variable lease payments are recognized as operating expenses in the period in which the obligation for those payments is incurred. Variable lease payments primarily include common area maintenance, utilities, real estate taxes, insurance, and other operating costs that are passed on from the lessor in proportion to the space leased by the Company. The Company has elected the practical expedient to not separate between lease and non-lease components.
Revenue Interest Financing Liability	Revenue Interest Financing Liability The Company entered into a revenue interest financing agreement, or the Revenue Interest Financing Agreement, with entities managed or advised by NovaQuest Capital Management, or NQ, Sagard Holdings Manager LP, or Sagard, and Hercules Capital, Inc., or Hercules, together with NQ and Sagard, the Initial Investors, in which the Company received funds in return for royalties on net sales of products containing vonoprazan, in May 2022. Subsequently, in October 2022, the Company entered into a Joinder Agreement with the Initial Investors and CO Finance LVS XXXVII LLC or the Additional Investor, together as the Investors. The net proceeds received under the transactions are recognized as short-term and long-term liabilities with interest expense based on an imputed effective rate derived from the expected future payments to the Investors. The Company recalculates the effective interest rate each period based on the current carrying value and the revised estimated future payments to the Investors. Changes in future payments to the Investors from previous estimates are included in current and future financing expense.
Revenue Recognition	Revenue Recognition Pursuant to Accounting Standards Codification 606, Revenue from Contracts with Customers or ASC 606, the Company recognizes revenue when a customer obtains control of promised goods or services. The Company records the amount of revenue that reflects the consideration that it expects to receive in exchange for those goods or services. The Company applies the following five-step model in order to determine this amount: (i) identification of the promised goods or services in the contract; (ii) determination of whether the promised goods or services are performance obligations, including whether they are distinct in the context of the contract; (iii) measurement of the transaction price, including the constraint on variable consideration; (iv) allocation of the transaction price to the performance obligations; and (v) recognition of revenue when (or as) the Company satisfies each performance obligation. The Company only applies the five-step model to contracts when it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services that it transfers to the customer. Once a contract is determined to be within the scope of ASC 606 at contract inception, the Company reviews the contract to determine which performance obligations it must deliver and which of these performance obligations are distinct. The Company recognizes as revenue the amount of the transaction price that is allocated to each performance obligation when that performance obligation is satisfied or as it is satisfied. Generally, the Company’s performance obligations are transferred to customers at a point in time, typically upon delivery. Product Revenue, Net The Company sells its product to its customers in the United States. The Company’s customers subsequently resell the products to pharmacies and health care providers. In accordance with ASC 606, the Company recognizes net product revenues from sales when the customers obtain control of the Company’s products, which typically occurs upon delivery to the Customer. Revenues from product sales are recorded at the net sales price, or transaction price, which includes estimates of variable consideration that result from (a) invoice discounts for prompt payment and distribution service fees, (b) government and private payor rebates, chargebacks, discounts and fees, (c) product returns and (d) costs of co-pay assistance programs for patients, as well as other incentives for certain indirect customers. Reserves are established for the estimates of variable consideration based on the amounts earned or to be claimed on the related sales. The reserves are classified as reductions to accounts receivable, net if payable to a customer or accrued expenses if payable to a third-party. Where appropriate, the Company utilizes the expected value method to determine the appropriate amount for estimates of variable consideration based on factors such as current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. The amount of variable consideration that is included in the transaction price may be constrained and is included in net product revenues only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts of consideration ultimately received may differ from the Company’s estimates. If actual results vary from the Company’s estimates, the Company will adjust these estimates, which would affect net product revenue and earnings in the period such variances become known. Distribution Service Fees: The Company engages with wholesalers to distribute its products to end customers. The Company pays the wholesalers a fee for services such as: Data Reporting, Inventory Management, Chargeback Administration and Service Level Commitment. The Company estimates the amount of distribution services fees to be paid to the customers and adjusts the transaction price with the amount of such estimate at the time of sale to the customer. Prompt Pay Discounts: The Company provides its customers with a percentage discount on their invoice if the customers pay within the agreed upon timeframe. The Company estimates the probability of customers paying promptly and the percentage of discount outlined in the agreement, and deducts the full amount of these discounts from its gross product revenues and accounts receivable at the time such revenues are recognized. Product Returns: The Company provides customers a return credit in the amount of the purchase price paid by customers for all products returned in accordance with the Company’s returned goods policy. In the initial sales period, the Company estimates its provision for sales returns based on industry data and adjusts the transaction price with such estimate at the time of sale to the customer. Once sufficient history has been collected for product returns, the Company will utilize that history to inform its estimate assumption. Once the product is returned, it is destroyed. The Company does not record a right-of-return asset. Chargebacks: A chargeback is the difference between the manufacturer's invoice price to the wholesaler and the contract price the wholesaler’s customer has negotiated directly with the manufacturer. The wholesaler tracks these sales and "charges back" the manufacturer for the difference between the negotiated prices paid between the wholesaler's customers and wholesaler's acquisition cost. The Company estimates the percentage of goods sold that are eligible for chargeback and adjusts the transaction price for such discount at the time of sale to the customer. Administration Fees: The Company engages with Pharmacy Benefit Managers, or PBMs, to administer prescription-drug plans for people with third-party insurance through a self-insured employer, health insurance plan, labor union or government plan. The Company pays PBMs “administrative fees” for their role in providing utilization data, administering rebates, and administering claims payments. The Company estimates the amount of administration fees to be paid to PBMs and adjusts the transaction price with the amount of such estimate at the time of sale to the customer. Rebates : Rebates apply to: • Medicaid, managed care, and supplemental rebates to all applicable states as defined by the statutory government pricing calculation requirements under the Medicaid Drug Rebate Program, and; • Medicare Part D and Commercial Managed Care rebates are paid based on the contracts with PBMs and Managed Care Organizations. Rebates are paid to these entities upon receipt of an invoice from the contracted entity which is based on the utilization of the product by the members of the contracted entity. The Company estimates the percentage of goods sold that are eligible for rebates and adjusts the transaction price for such discounts at the time of sale to the customers. Coverage Gap: The Medicare Part D coverage gap, also called the donut hole, is a period of consumer payment for prescription medication costs which lies between the initial coverage limit and the catastrophic-coverage threshold, when the patient is a member of a Medicare Part D prescription-drug program administered by the Centers for Medicare & Medicaid Services. The Company estimates the percentage of goods sold under Coverage Gap and adjusts the transaction price for such discount at the time of sale to the Customer. The Company makes significant estimates and judgments that materially affect its recognition of net product revenue. Claims by third-party payors for rebates, chargebacks and discounts frequently are submitted to the Company significantly after the related sales, potentially resulting in adjustments in the period in which the new information becomes known. The Company will adjust its estimates based on new information, including information regarding actual rebates, chargebacks and discounts for its products, as it becomes available. Cost of Revenue Cost of revenue includes the cost of producing and distributing inventories that are related to product sales. This also includes royalties payable to Takeda Pharmaceutical Company Limited, or Takeda, pursuant to the Takeda License Agreement (Refer to Note 4 for further details). In addition, shipping and handling costs for product sales are recorded as incurred. Finally, cost of revenue may also include costs related to excess or obsolete inventory adjustment charges. In connection with the FDA approvals of VOQUEZNA, VOQUEZNA TRIPLE PAK, and VOQUEZNA DUAL PAK , the Company began capitalizing inventory manufactured or purchased. As a result, certain manufacturing costs associated with product shipments were expensed prior to FDA approval and, therefore, are not included in cost of goods sold during the current period. These previously expensed costs were not material for the year ended December 31, 2023.
Research and Development Expenses and Accruals	Research and Development Expenses and Accruals All research and development costs are expensed in the period incurred and consist primarily of salaries, payroll taxes, employee benefits, stock-based compensation charges for those individuals involved in research and development efforts, external research and development costs incurred under agreements with contract research organizations, or CROs, and consultants to conduct and support the Company’s ongoing clinical trials of vonoprazan, and costs related to manufacturing vonoprazan for clinical trials. The Company has entered into various research and development contracts with clinical research organizations, clinical manufacturing organizations and other companies. Payments for these activities are based on the terms of the individual agreements, which may differ from the pattern of costs incurred, and payments made in advance of or after performance are reflected in the accompanying balance sheets as prepaid expenses or accrued liabilities, respectively. The Company records accruals for estimated costs incurred for ongoing research and development activities. When evaluating the adequacy of the accrued liabilities, the Company analyzes progress of the services, including the phase or completion of events, invoices received and contracted costs. Significant judgments and estimates may be made in determining the prepaid or accrued balances at the end of any reporting period. Actual results could differ from the Company’s estimates.
Selling, General and Administrative Expenses	Selling, General and Administrative Expenses Selling, general and administrative expenses consist of salaries, stock-based compensation, facilities and third-party expenses. Selling, general and administrative expenses are associated with the activities of the commercial, executive, finance, accounting, information technology, legal, medical affairs and human resource functions.
Advertising and Marketing Costs	Advertising and Marketing Costs Advertising and marketing costs are expensed as incurred. Advertising and marketing costs are included in selling, general and administrative expenses and were not material for the years ended December 31, 2023 and 2022 .
Stock-Based Compensation	Stock-Based Compensation Stock-based compensation expense represents the cost of the grant date fair value of equity awards recognized over the requisite service period of the awards (generally the vesting period) on a straight-line basis with forfeitures recognized as they occur. The Company also maintains an employee stock purchase program, or ESPP, under which it may issue shares. The Company estimates the fair value of shares that will be issued under the ESPP, and of stock options using the Black-Scholes valuation model, which requires the use of estimates. The Company recognizes stock-based compensation cost for shares that it will issue under the ESPP on a straight-line basis over the requisite service period of the award .
Income Taxes	Income Taxes The Company accounts for income taxes under the asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements. Under this method, deferred tax assets and liabilities are determined on the basis of the differences between the financial statements and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in the statements of operations in the period that includes the enactment date. The Company recognizes net deferred tax assets to the extent that the Company believes these assets are more likely than not to be realized. In making such a determination, management considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If management determines that the Company would be able to realize its deferred tax assets in the future in excess of their net recorded amount, management would make an adjustment to the deferred tax asset valuation allowance, which would reduce the provision for income taxes. The Company records uncertain tax positions on the basis of a two-step process whereby (i) management determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (ii) for those tax positions that meet the more-likely-than-not recognition threshold, management recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. The Company recognizes interest and penalties related to unrecognized tax benefits within income tax expense. Any accrued interest and penalties are included within the related tax liability. Beginning in 2022, the Tax Cuts and Jobs Act eliminates the option to deduct research and development expenditures currently and requires taxpayers to amortize domestic and foreign research and development expenditures over 5 years and 15 years, respectively. The requirement did not impact cash from operations in the periods presented.
Comprehensive Loss	Comprehensive Loss Comprehensive loss is defined as a change in equity during a period from transactions and other events and circumstances from non-owner sources. The Company’s comprehensive loss was the same as its reported net loss for all periods presented.
Segment Reporting	Segment Reporting 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 on how to allocate resources and assess performance. The Company views its operations and manages its business as one operating segment.
Net Loss Per Share	Net Loss Per Share Basic net loss per share is computed by dividing the net loss by the weighted-average number of common shares outstanding for the period, without consideration for potentially dilutive securities. For the years ended December 31, 2023 and 2022 , the Company has excluded weighted-average unvested shares of 34,503 and 686,703 , respectively, from the weighted-average number of common shares outstanding. Diluted net loss per share is computed by dividing the net loss by the weighted-average number of common shares and dilutive common stock equivalents outstanding for the period determined using the treasury-stock and if-converted methods. Dilutive common stock equivalents are comprised of unvested common stock, options and warrants. For the periods presented, there is no difference in the number of shares used to calculate basic and diluted shares outstanding as inclusion of the potentially dilutive securities (warrants, stock options, and common shares subject to repurchase) would be antidilutive.
Recently Adopted and Issued Accounting Pronouncements	Recently Adopted Accounting Standards In June 2016, the FASB issued ASU 2016 -13, Financial Instruments — Credit Losses, or ASU 2016-13, which changes the accounting for recognizing impairments of financial assets. Under the new guidance, credit losses for certain types of financial instruments will be estimated based on expected losses. ASU 2016-13 also modifies the impairment models for available-for-sale debt securities and for purchased financial assets with credit deterioration since their origination. ASU 2016-13 is effective for annual periods beginning after December 15, 2022 (fiscal year 2023 for the Company), and interim periods within those periods, with early adoption permitted. The Company adopted ASU 2016-13 effective January 1, 2023 . The standard did no t have a material impact on the financial statements. Recently Issued Accounting Pronouncements The Company assesses the adoption impacts of recently issued accounting standards by the Financial Accounting Standards Board or other standard setting bodies on the Company's financial statements as well as material updates to previous assessments. There were no new accounting standards issued or adopted in year of 2023 that materially impacted or are expected to materially impact the Company's financial statements.

Balance Sheet Details (Tables)

Balance Sheet Details (Tables)	12 Months Ended
	Dec. 31, 2023
Balance Sheet Related Disclosures [Abstract]
Schedule of Property, Plant and Equipment, Net	Property, plant and equipment, net, consist of the following (in thousands): December 31, 2023 2022 Computer equipment and software $ 1,477 $ 1,078 Furniture and fixtures 1,089 1,086 Leasehold improvements 139 115 Equipment 1,487 — Construction in process — 399 Total property, plant and equipment, gross 4,192 2,678 Less: accumulated depreciation and amortization ( 2,046 ) ( 1,471 ) Total property, plant and equipment, net $ 2,146 $ 1,207
Schedule of Accrued Expenses	Accrued expenses consist of the following (in thousands): December 31, 2023 2022 Accrued research and development expenses $ 1,009 $ 3,080 Accrued compensation expenses 13,318 8,447 Accrued professional & consulting expenses 1,771 3,000 Accrued sales discounts and allowances 982 — Accrued other 117 151 Total accrued expenses $ 17,197 $ 14,678
Schedule of Inventory	Inventory consist of the following (in thousands): December 31, 2023 Finished goods $ 647 Raw materials 561 Total inventory, current 1,208 Raw materials, noncurrent 8,234 Total inventory $ 9,442

Lease Commitments (Tables)

Lease Commitments (Tables)	12 Months Ended
	Dec. 31, 2023
Leases [Abstract]
Summary of Supplemental Balance Sheet Information Related to the Operating Leases	The following table summarizes supplemental balance sheet information related to the operating leases (in thousands): December 31, 2023 2022 Assets: Operating lease right-of-use assets $ 1,475 $ 2,287 Total right-of-use assets 1,475 2,287 Liabilities: Operating lease liabilities, current 726 708 Operating lease liabilities, non-current 462 1,098 Total operating lease liabilities $ 1,188 $ 1,806
Summary of Future Minimum Lease Payments Under Operating Leases	As of December 31, 2023, the future minimum annual lease payments under the operating leases were as follows (in thousands): 2024 $ 752 2025 513 Total minimum lease payments 1,265 Less: amount representing interest ( 77 ) Present value of operating lease liabilities 1,188 Less: operating lease liabilities, current ( 726 ) Operating lease liabilities $ 462 Weighted-average remaining lease term (in years) 1.6 Weighted-average incremental borrowing rate 8.21 %

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2023
Debt Disclosure [Abstract]
Schedule of Total Debt	Total debt consists of the following (in thousands): December 31, 2023 2022 Long-term debt, current portion $ — $ — Long-term debt, non-current portion 148,057 104,474 Unamortized debt discount ( 10,215 ) ( 9,210 ) Total debt, net of debt discount $ 137,842 $ 95,264
Schedule of Future Minimum Principal Payments Under Term Loans	Future minimum principal payments under the Term Loan, including the final payment fees, as of December 31, 2023 are as follows (in thousands): Year ending December 31: 2024 $ — 2025 — 2026 7,500 2027 163,444 2028 — Total principal and interest payments 170,944 Less: payment-in-kind and final payment fee ( 30,944 ) Total term loan borrowings $ 140,000

Revenue Interest Financing Li_2

Revenue Interest Financing Liability (Tables)	12 Months Ended
	Dec. 31, 2023
Contract with Customer, Liability [Abstract]
Schedule of Total Revenue Interest Financing Liability	Total revenue interest financing liability consists of the following (in thousands): Liability balance as of January 1, 2022 $ - Proceeds from the Revenue Interest Financing Agreement 100,000 Less: transaction costs ( 4,554 ) Less: royalty payments and payables — Plus: interest expense 14,079 Ending liability balance as of December 31, 2022 $ 109,525 Liability balance as of January 1, 2023 $ 109,525 Proceeds from the Revenue Interest Financing Agreement 175,000 Less: transaction costs ( 2,325 ) Less: royalty payments and payables — Plus: interest expense 24,727 Ending liability balance as of December 31, 2023 306,927 Less: current portion ( 7,111 ) Long-term liability balance as of December 31, 2023 $ 299,816

Stockholders' Equity (Tables)

Stockholders' Equity (Tables)	12 Months Ended
	Dec. 31, 2023
Summary of Unvested Shares	A summary of the Company’s unvested shares is as follows: Balance at December 31, 2022 254,437 Share vesting ( 254,437 ) Balance at December 31, 2023 —
Summary of Common Stock Reserved for Future Issuance	Common stock reserved for future issuance consists of the following: December 31, Common stock warrants 91,228 Stock options, restricted stock units, and performance-based awards outstanding 7,203,973 Shares available for issuance under the 2019 Incentive Plan 1,110,376 Shares available for issuance under the ESPP Plan 973,298 Balance at December 31, 2023 9,378,875
Summary of PSU Activity Under the 2019 Incentive Award Plan	The following table summarizes PSU activity under the 2019 Incentive Award Plan during the years ended December 31, 2023 and 2022: Number of Weighted- Unvested balance at January 1, 2022 394,300 $ 32.23 Granted 37,500 20.06 Vested — — Forfeited ( 19,500 ) 35.39 Unvested balance at December 31, 2022 412,300 $ 30.97 Granted 597,650 10.89 Vested ( 1,009,950 ) 19.09 Forfeited — — Unvested balance at December 31, 2023 — $ —
Summary of Weighted-Average Assumptions Used to Estimate Fair Value of Stock Options Granted and ESPP Awards	The weighted-average assumptions used to estimate the fair value of ESPP awards using the Black-Scholes option valuation model were as follows: Years Ended 2023 2022 Assumptions: Expected term (in years) 0.49 0.50 Expected volatility 69.73 % 68.59 % Risk free interest rate 5.03 % 2.04 % Dividend yield — —
Summary of Stock Option Activity	A summary of the Company’s stock option activity and related information is as follows during the years ended December 31, 2023 and 2022: Options Weighted- Weighted- Aggregate Balance at January 1, 2022 4,186,729 $ 27.53 7.91 $ 13,973 Options granted 1,741,931 14.62 Options exercised — — Options cancelled ( 342,190 ) 29.32 Balance at December 31, 2022 5,586,470 $ 23.40 7.90 $ 4,476 Options granted 1,474,910 8.54 Options exercised ( 16,421 ) 7.54 Options cancelled (1) ( 2,494,878 ) 35.96 Balance at December 31, 2023 4,550,081 $ 11.75 7.50 $ 3,379 Options exercisable as of December 31, 2023 2,272,248 $ 12.65 6.14 $ 2,088 Vested and expected to vest as of December 31, 2023 4,550,081 $ 11.75 7.50 $ 3,379 (1) The number of stock options cancelled includes those exchanged in the Option Exchange (as defined above).
Summary of Weighted-Average Assumptions Used to Estimate Fair Value of Stock Options	The weighted-average assumptions used to estimate the fair value of stock options using the Black-Scholes option valuation model were as follows: Years Ended 2023 2022 Assumptions: Expected term (in years) 6.04 5.88 Expected volatility 66.05 % 66.00 % Risk free interest rate 3.65 % 2.06 % Dividend yield — —
Summary of Stock-Based Compensation Expense	Stock-based compensation expense recognized for all equity awards, including founder stock, has been reported in the statements of operations and comprehensive loss as follows (in thousands): Years Ended 2023 2022 Research and development expense $ 12,302 $ 5,534 Selling, general and administrative expense 32,723 18,599 Total $ 45,025 $ 24,133
Restricted Stock Units (RSUs)
Summary of Unvested Shares	The following table summarizes RSU activity under the 2019 Incentive Award Plan during the years ended December 31, 2023 and 2022: Number of Weighted- Unvested balance at January 1, 2022 — $ — Granted 1,010,437 10.79 Vested ( 102,453 ) 8.51 Forfeited ( 30,517 ) 12.14 Unvested balance at December 31, 2022 877,467 $ 11.03 Granted (1) 2,419,776 11.77 Vested ( 579,567 ) 9.85 Forfeited ( 63,784 ) 13.07 Unvested balance at December 31, 2023 2,653,892 $ 11.91 (1) The number of RSUs granted includes those exchanged in the Option Exchange (as defined above).

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2023
Income Tax Disclosure [Abstract]
Reconciliation Between Provision for Income Taxes and Income Taxes Computed Using U.S. Federal Statutory Corporate Tax Rate	A reconciliation between the provision for income taxes and income taxes computed using the U.S. federal statutory corporate tax rate is as follows (in thousands): Years Ended 2023 2022 Income taxes computed at the statutory rate $ ( 42,334 ) $ ( 41,522 ) State income taxes, net of federal benefit ( 4,310 ) — Permanent items 1,310 1,605 Officers' compensation 2,534 1,109 Research and development credit ( 2,971 ) ( 2,453 ) Change in state rate ( 3,762 ) — Change in valuation allowance 49,745 41,137 Other ( 212 ) 124 Provision (benefit) for income taxes $ — $ —
Components of Deferred Tax Assets	Significant components of the Company’s net deferred tax assets are as follows (in thousands): Years Ended 2023 2022 Deferred tax assets: Net operating loss carryforwards $ 120,092 $ 85,918 Research credits 11,815 8,897 Intangible assets 33,095 25,319 Other 11,256 6,517 Gross deferred tax assets 176,258 126,651 Less valuation allowance ( 175,915 ) ( 126,170 ) Deferred tax assets, net of valuation allowance 343 481 Deferred tax liabilities: Other ( 343 ) ( 481 ) Net deferred tax assets $ — $ —
Summary of Activity Related to Gross Unrecognized Benefits	The following table summarizes the activity related to the Company's gross unrecognized tax benefits (in thousands): Years Ended 2023 2022 Beginning balance $ 2,327 $ 1,704 Increases related to prior year tax positions 51 — Increases related to current year tax positions 632 623 Ending balance $ 3,010 $ 2,327

Organization, Basis of Presen_3

Organization, Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details)			1 Months Ended				12 Months Ended		58 Months Ended
	Nov. 09, 2023 USD ($)	Oct. 29, 2019 USD ($) shares	Dec. 31, 2023 USD ($)	May 31, 2023 USD ($) shares	Feb. 28, 2023 USD ($) shares	Dec. 31, 2020 USD ($) shares	Dec. 31, 2023 USD ($) Customers Segment shares	Dec. 31, 2022 USD ($) shares	Dec. 31, 2023 USD ($) shares
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Fair value liability, transfers into level 3							$ 0
Impairment losses							$ 0	$ 0
Number of operating segment | Segment							1
Accounting Standards Update [Extensible Enumeration]							Accounting Standards Update 2016-13
Domestic
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Research and development expenditures, amortization period							5 years
Foreign
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Research and development expenditures, amortization period							15 years
Accounts Receivable
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Number of customers accounted for accounts receivable | Customers							3
Product Sales
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Number of customers accounted for product sales | Customers							3
Accounting Standards Update 2016-13
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]			true				true		true
Change in Accounting Principle, Accounting Standards Update, Adoption Date			Jan. 01, 2023				Jan. 01, 2023		Jan. 01, 2023
Change in Accounting Principle, Accounting Standards Update, Immaterial Effect [true false]			true				true		true
Unvested Shares
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Unvested shares excluded from computation of weighted average earnings per share | shares							34,503	686,703
Furniture and Fixtures
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Property and equipment, useful life			3 years				3 years		3 years
Equipment
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Property and equipment, useful life			5 years				5 years		5 years
Minimum | Computer Equipment and Related Software
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Property and equipment, useful life			2 years				2 years		2 years
Maximum | Computer Equipment and Related Software
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Property and equipment, useful life			3 years				3 years		3 years
Fair Value, Recurring
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Financial assets fair value disclosure			$ 0				$ 0		$ 0
Fair Value, Nonrecurring
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Non-financial liabilities fair value disclosure			0				0		0
Non-financial assets fair value disclosure			0				$ 0		$ 0
IPO | Common Stock
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Common stock shares issued | shares		10,997,630							26,041,380
Proceeds from Initial Public Offering (IPO)		$ 191,500,000							$ 421,500,000
Follow-on Public Offering | Common Stock
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Common stock shares issued | shares				12,793,750		2,250,000
Net proceeds from issuance of common stock				$ 141,400,000		$ 88,600,000
At-the-Market Offering Program
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Common stock shares issued | shares					1,514,219		3,929,116
Net proceeds from issuance of common stock			$ 38,700,000		$ 14,100,000		$ 14,073,000	$ 24,596,000
At-the-Market Offering Program | Maximum | Open Market Sale Agreement with Jefferies LLC
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Aggregate offering price through equity financing	$ 150,000,000						$ 150,000,000
At-the-Market Offering Program | Common Stock
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Common stock shares issued | shares							1,514,219	2,414,897
Customer Concentration Risk | Minimum | Accounts Receivable
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							28%
Customer Concentration Risk | Minimum | Product Sales
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							27%
Customer Concentration Risk | Maximum | Accounts Receivable
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							30%
Customer Concentration Risk | Maximum | Product Sales
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							30%
Employee One | Customer Concentration Risk | Accounts Receivable
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							87%
Employee Two | Customer Concentration Risk | Product Sales
Organization Basis Of Presentation And Summary Of Significant Accounting Policies [Line Items]
Concentration of risk percentage							86%

Balance Sheet Details - Schedul

Balance Sheet Details - Schedule of Property, Plant and Equipment, net (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	$ 4,192	$ 2,678
Less: accumulated depreciation and amortization	(2,046)	(1,471)
Total property, plant and equipment, net	2,146	1,207
Computer Equipment and Software
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	1,477	1,078
Furniture and Fixtures
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	1,089	1,086
Leasehold Improvements
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	139	115
Equipment
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	1,487	0
Construction in Process
Property Plant And Equipment [Line Items]
Property, plant and equipment, gross	$ 0	$ 399

Balance Sheet Details - Additio

Balance Sheet Details - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Balance Sheet Related Disclosures [Abstract]
Depreciation and amortization expense	$ 600,000	$ 600,000
Disposal of property, plant or equipment	$ 0	$ 0

Balance Sheet Details - Sched_2

Balance Sheet Details - Schedule of Accrued Expenses (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Accrued Liabilities, Current [Abstract]
Accrued research and development expenses	$ 1,009	$ 3,080
Accrued compensation expenses	13,318	8,447
Accrued professional & consulting expenses	1,771	3,000
Accrued sales discounts and allowances	982	0
Accrued other	117	151
Total accrued expenses	$ 17,197	$ 14,678

Balance Sheet Details - Sched_3

Balance Sheet Details - Schedule of Inventory (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Inventory Disclosure [Abstract]
Finished goods	$ 647
Raw materials	561
Total inventory, current	1,208	$ 0
Raw materials, noncurrent	8,234
Total inventory	$ 9,442

Related Party Transactions - Ad

Related Party Transactions - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Related Party Transaction [Line Items]
Outstanding accounts payable and accrued expenses	$ 28,000	$ 15,000
Commercial Supply and Temporary Services Agreement
Related Party Transaction [Line Items]
Minimum purchase obligation	0
PCI Pharma Services
Related Party Transaction [Line Items]
Expense related to services	55,000	15,000
PCI Pharma Services | Clinical Manufacturing Services
Related Party Transaction [Line Items]
Outstanding accounts payable and accrued expenses	1,200,000	1,100,000
Expense related to services	600,000	700,000
Takeda | Commercial Supply and Temporary Services Agreement
Related Party Transaction [Line Items]
Outstanding accounts payable and accrued expenses	1,500,000	1,400,000
Expense related to services	$ 100,000	$ 1,400,000

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Details)		12 Months Ended
	May 07, 2019 USD ($) $ / shares shares	Dec. 31, 2023 USD ($) shares	Dec. 31, 2022 USD ($) shares	Dec. 31, 2023 EUR (€) shares
Commitments And Contingencies [Line Items]
Common stock fair value		$ 5,000	$ 3,000
Common stock, shares issued | shares		57,970,044	41,723,308	57,970,044
Common stock, authorized shares | shares		400,000,000	400,000,000	400,000,000
Expenses incurred related to purchase commitments		$ 300,000	$ 0
Minimum
Commitments And Contingencies [Line Items]
Purchase obligation in the first 24-month period		3,200,000		€ 2,900,000
Takeda License
Commitments And Contingencies [Line Items]
Royalty expense		$ 100,000
Takeda License | Takeda
Commitments And Contingencies [Line Items]
License agreement description		The agreement will remain in effect, on a country-by-country and product-by-product basis, until the later of (i) the expiration of the last to expire valid patent claim covering vonoprazan fumarate alone or in combination with at least one other therapeutically active ingredient, (ii) the expiration of the applicable regulatory exclusivity and (iii) 15 years from the date of first commercial sale, unless earlier terminated. The Company may terminate the Takeda License upon six months’ written notice. The Company and Takeda may terminate the Takeda License in the case of the other party’s insolvency or material uncured breach. Takeda may terminate the Takeda License if the Company challenges, or assists in challenging, licensed patents
Agreement expiration term from date of first commercial sale	15 years
Cash consideration paid for license	$ 25,000,000
Common stock fair value	$ 5,900,000
Common stock, shares issued | shares	1,084,000
Warrants exercise price | $ / shares	$ 0.00004613
Initial fair value of warrants	$ 47,900,000
Additional warrant issued | shares	0
Maximum amount payable in sales milestones upon achievement of specified levels of product sales	$ 250,000,000
Warrants expiration date	May 07, 2029
Takeda License | Takeda | Common Stock
Commitments And Contingencies [Line Items]
Warrants issued to purchase shares | shares	7,588,000

Lease Commitments - Additional

Lease Commitments - Additional Information (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($) Option	Dec. 31, 2022 USD ($)
Lessee Lease Description [Line Items]
Operating leases, rent expense	$ 1.1	$ 1
Cash payments for operating lease costs	1.1	$ 1.1
Prepaid Lease Payments
Lessee Lease Description [Line Items]
Cash payments for operating lease costs	$ 0.1
Buffalo Grove, Illinois
Lessee Lease Description [Line Items]
Operating leases, remaining lease terms	3 months 18 days
Operating lease number of option to extend | Option	1
Operating lease, option to extend description	operating leases contain an option to extend the term for one additional five-year period
Operating lease, renewal term	5 years
Florham Park, New Jersey
Lessee Lease Description [Line Items]
Operating leases, remaining lease terms	8 months 12 days
Operating lease number of option to extend | Option	1
Operating lease, option to extend description	operating leases contain an option to extend the term for one additional five-year period
Operating lease, renewal term	5 years

Lease Commitments - Summary of

Lease Commitments - Summary of Supplemental Balance Sheet Information Related to the Operating Leases (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Assets:
Operating lease right-of-use assets	$ 1,475	$ 2,287
Liabilities:
Operating lease liabilities, current	726	708
Operating lease liabilities, non-current	462	1,098
Total operating lease liabilities	$ 1,188	$ 1,806

Lease Commitments - Summary o_2

Lease Commitments - Summary of Future Annual Minimum Lease Payments Under Operating Leases (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Leases [Abstract]
2024	$ 752
2025	513
Total minimum lease payments	1,265
Less: amount representing interest	(77)
Total operating lease liabilities	1,188	$ 1,806
Less: operating lease liabilities, current	(726)	(708)
Operating lease liabilities	$ 462	$ 1,098
Weighted-average remaining lease term (in years)	1 year 7 months 6 days
Weighted-average incremental borrowing rate	8.21%

Debt - Schedule of Total Debt (

Debt - Schedule of Total Debt (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Debt Disclosure [Abstract]
Long-term debt, current portion	$ 0	$ 0
Long-term debt, non-current portion	148,057	104,474
Unamortized debt discount	(10,215)	(9,210)
Total debt, net of debt discount	$ 137,842	$ 95,264

Debt - Additional Information (

Debt - Additional Information (Details) - USD ($)				12 Months Ended
	Dec. 14, 2023	May 09, 2023	Sep. 17, 2021	Dec. 31, 2023	Dec. 31, 2022	Sep. 27, 2022
Debt Instrument [Line Items]
Term loans aggregate principal amount				$ 140,000,000
Three Months Trailing
Debt Instrument [Line Items]
Financial covenants, Projected revenue percentage	25%			30%
Financial convenants, Projected revenue	$ 120,000,000
Loan Agreement
Debt Instrument [Line Items]
Debt instrument, final payment fee or end of term charge	9,700,000
Minimum market capitalization amount	$ 900,000,000
Percentage of debt funded to be issued as warrants to purchase common stock	2.50%
Warrants exercise price	$ 33.43
Warrants expire term	7 years
Fair value of warrants	$ 1,300,000
Debt issuance costs	$ 3,500,000
Financial convenants, Minimum cash convenant	20%
Loan Agreement | Common Stock
Debt Instrument [Line Items]
Warrants issued to purchase shares	74,782
Loan Agreement | Maximum
Debt Instrument [Line Items]
Warrants exercise price	$ 11.6783
Loan Agreement | Term Loan
Debt Instrument [Line Items]
Term loans aggregate principal amount	$ 200,000,000		$ 200,000,000
Debt instrument, maturity date			Dec. 01, 2027
Debt instrument, basis spread on variable rate	3%
Debt instrument, interest rate	9.85%			5.50%
Debt instrument, Amendment fee	$ 250,000
Debt instrument, final payment fee or end of term charge	1,000,000
Loan Agreement | Term Loan | Maximum
Debt Instrument [Line Items]
Term loans aggregate principal amount	$ 300,000,000
Loan Agreement | Term Loan | Floor Rate
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	9.85%
Debt instrument, interest rate	10.35%			10.75%
Loan Agreement | Term Loan | Prime Rate
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	1.35%			2.25%
Loan Agreement | Term Loan | Prime Rate | Maximum
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	9.85%
Loan Agreement | Term Loan | Payment In Kind PIK Interest Rate
Debt Instrument [Line Items]
Debt instrument, interest rate	2.15%
Loan Agreement | Term Loan | Payment In Kind PIK Interest Rate | Minimum
Debt Instrument [Line Items]
Debt instrument, interest rate	3.35%
Loan Agreement | Term Loan | Payment In Kind PIK Interest Rate | Maximum
Debt Instrument [Line Items]
Debt instrument, interest rate	2.15%
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches One
Debt Instrument [Line Items]
Term loans aggregate principal amount			$ 100,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Two
Debt Instrument [Line Items]
Term loans aggregate principal amount	$ 40,000,000			$ 50,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Three
Debt Instrument [Line Items]
Term loans aggregate principal amount	25,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Four
Debt Instrument [Line Items]
Term loans aggregate principal amount	25,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Three and Four
Debt Instrument [Line Items]
Term loans aggregate principal amount				50,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Five
Debt Instrument [Line Items]
Term loans aggregate principal amount	50,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Five | Minimum
Debt Instrument [Line Items]
Expected net revenue	60,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Six
Debt Instrument [Line Items]
Term loans aggregate principal amount	50,000,000
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Six | Minimum
Debt Instrument [Line Items]
Expected net revenue	$ 80,000,000
Percentage of cash interest upon achieving milestone	0.35%
Loan Agreement | Term Loans, Aggregate Principal Amount Tranches Six | Maximum
Debt Instrument [Line Items]
Percentage of cash interest upon achieving milestone	9.50%
Loan Agreement | Term Loans Aggregate Five Additional Tranches [Member]
Debt Instrument [Line Items]
Term loans aggregate principal amount	$ 200,000,000
Loan Agreement | Term Loan Advance
Debt Instrument [Line Items]
Debt instrument, final payment fee percentage	7.50%
Debt instrument, final payment fee or end of term charge				7,500,000
Loan Agreement | Term Loan Second Advance
Debt Instrument [Line Items]
Debt instrument, final payment fee or end of term charge				2,200,000
Loan Agreement | Term Loan Advance Prepayment on or after October 1, 2026
Debt Instrument [Line Items]
Debt instrument, prepayment fee percentage of outstanding principal amount	0.50%
Loan Agreement | Term Loan Advance Prepayment Prior to October 1, 2026 | Maximum
Debt Instrument [Line Items]
Debt instrument, prepayment fee percentage of outstanding principal amount	1.25%
Loan Agreement | Prior to Three Months Trailing
Debt Instrument [Line Items]
Financial covenants, Projected revenue percentage	35%
Trailing Net Product Revenue, Period	3 months
Loan Agreement | Prior to Three Months Trailing | Maximum
Debt Instrument [Line Items]
Financial covenants, Projected revenue percentage	50%
Financial convenants, Projected revenue	$ 35,000,000
Loan Agreement | Three Months Trailing
Debt Instrument [Line Items]
Trailing Net Product Revenue, Period	3 months
Hercules and SVB Term Loan
Debt Instrument [Line Items]
Term loans aggregate principal amount				148,100,000	$ 104,500,000
Accrued interest				1,100,000	900,000
Amendment to Loan Agreement
Debt Instrument [Line Items]
Term loans aggregate principal amount						$ 50,000,000
Tranche extension amendment fee		$ 150,000,000
Covenant extension amendment fee		$ 100,000,000
Hercules Loan Agreement
Debt Instrument [Line Items]
Interest expense				$ 17,100,000	$ 13,000,000

Debt - Schedule of Future Minim

Debt - Schedule of Future Minimum Principal and Interest Payments Under Term Loans (Details) $ in Thousands	Dec. 31, 2023 USD ($)
Debt Disclosure [Abstract]
2024	$ 0
2025	0
2026	7,500
2027	163,444
2028	0
Total principal and interest payments	170,944
Less: payment-in-kind and final payment fee	(30,944)
Total term loan borrowings	$ 140,000

Revenue Interest Financing Li_3

Revenue Interest Financing Liability - Additional Information (Details) - USD ($) $ in Thousands			12 Months Ended
	Oct. 31, 2022	May 03, 2022	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Revenue Interest Financing Liability [Line Items]
Investors right to receive royalties termination description			The investors’ right to receive royalties on net sales will terminate when the investors have aggregate payments equal to 200% of the Investment Amount. In addition, at any time after the earlier of (i) April 30, 2024 and (ii) the date that the payment for Erosive GERD regulatory approval is made, the Company has the right to make a cap payment equal to 200% of the Investment Amount less any royalties already paid, at which time the agreement will terminate.
Investors receipt description			If the investors have not received aggregate payments of at least 100% of the Investment Amount by December 31, 2028, and at least 200% of the Investment Amount by December 31, 2037, each a Minimum Amount, then the Company will be obligated to make a cash payment to the investors in an amount sufficient to gross the investors up to the applicable Minimum Amount.
Default obligation description			Upon the occurrence of an event of default taking place prior to April 1, 2025, between April 1, 2025 and April 1, 2028, and after April 1, 2028, the Company is obligated to pay 1.30 times Investment Amount, 1.65 times Investment Amount, and 2.0 times investment amount, respectively, less any amounts the Company previously paid pursuant to the agreement.
Gross proceeds			$ 175,000	$ 100,000
Transaction costs			2,325	4,554
Net proceeds			172,675	95,446
Revenue interest financing liability			306,927	109,525	$ 0
Interest expense with revenue interest finance liability			$ 24,727	$ 14,079
Revenue Interest Financing Agreement
Revenue Interest Financing Liability [Line Items]
Percentage of investor share of royalty in net sales		10%
Percentage of aggregate payments on investment amount to investors on net sales		200%
Revenue Interest Financing Agreement Upon Occurrence of Event of Default Prior to April 1, 2025
Revenue Interest Financing Liability [Line Items]
Percentage of aggregate payment on investment amount to investors		1.30%
Revenue Interest Financing Agreement Upon Occurrence of Event of Default between April 1, 2025, and April 1, 2028
Revenue Interest Financing Liability [Line Items]
Percentage of aggregate payment on investment amount to investors		1.65%
Revenue Interest Financing Agreement Upon Occurrence of Event of Default after April 1, 2028
Revenue Interest Financing Liability [Line Items]
Percentage of aggregate payments on investment amount to investors on net sales		2%
Initial Investors NQ, Sagard, and Hercules | Revenue Interest Financing Agreement
Revenue Interest Financing Liability [Line Items]
Funds received from initial closing		$ 100,000
Initial Investors NQ, Sagard, and Hercules | Revenue Interest Financing Agreement Funding Commitment On During the Fourth Quarter of 2024
Revenue Interest Financing Liability [Line Items]
Investors additional funding amount upon FDA approval of vonoprazan for treatment of erosive esophagitis		160,000
Initial Investors And CO Finance L V S X X X V I I L L C And Hercules [Member] | Joinder Agreement
Revenue Interest Financing Liability [Line Items]
Additional funding achievement of sales milestone	$ 25,000
Initial Investors And CO Finance L V S X X X V I I L L C And Hercules [Member] | Joinder Agreement Additional Funding Upon FDA Approval or During the Fourth Quarter of 2023
Revenue Interest Financing Liability [Line Items]
Investors additional funding amount upon FDA approval of vonoprazan for treatment of erosive esophagitis	$ 15,000
Maximum | Initial Investors NQ, Sagard, and Hercules | Revenue Interest Financing Agreement
Revenue Interest Financing Liability [Line Items]
Investors funding amount		$ 260,000
Minimum | Revenue Interest Financing Agreement Percentage on Investment Amount On December December 31, 2028
Revenue Interest Financing Liability [Line Items]
Percentage of aggregate payment on investment amount to investors		100%
Minimum | Revenue Interest Financing Agreement Percentage On Investment Amount by December 31, 2037
Revenue Interest Financing Liability [Line Items]
Percentage of aggregate payment on investment amount to investors		200%

Revenue Interest Financing Li_4

Revenue Interest Financing Liability - Schedule of Total Revenue Interest Financing Liability (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Contract with Customer, Liability [Abstract]
Beginning liability balance	$ 109,525	$ 0
Proceeds from the Revenue Interest Financing Agreement	175,000	100,000
Less: transaction costs	(2,325)	(4,554)
Less: royalty payments and payables	0	0
Plus: interest expense	24,727	14,079
Ending liability balance	306,927	$ 109,525
Less: current portion	(7,111)
Long-term liability ending balance	$ 299,816

Stockholders' Equity - Addition

Stockholders' Equity - Additional Information (Details) - USD ($)					1 Months Ended						10 Months Ended	12 Months Ended				58 Months Ended
	Nov. 09, 2023	Jul. 14, 2023	May 23, 2023	Oct. 29, 2019	Dec. 31, 2023	Feb. 28, 2023	Sep. 30, 2022	Nov. 30, 2020	Oct. 31, 2019	Mar. 31, 2019	Nov. 30, 2023	Dec. 31, 2023		Dec. 31, 2022	Dec. 31, 2019	Dec. 31, 2023	Jan. 01, 2023
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Preferred stock, shares authorized					40,000,000							40,000,000		40,000,000		40,000,000
Preferred stock, shares issued					0							0		0		0
Preferred stock, shares outstanding					0							0		0		0
Stock options, granted												1,474,910		1,741,931
Stock-based compensation cost												$ 45,025,000		$ 24,133,000
Common stock initially reserved for issuance					9,378,875							9,378,875				9,378,875
Unrecognized stock-based compensation expense					$ 13,200,000							$ 13,200,000				$ 13,200,000
Defined contribution plan employer contribution liabilities expense												$ 1,900,000		$ 1,300,000
Defined contribution plan, employer matching contribution, percentage												75%
Employer discretionary match number of shares settled												135,956		101,540
Unrecognized stock-based compensation expense, weighted-average period for recognition												2 years 4 months 24 days
Dividend yield												0%		0%
Total intrinsic value of stock options exercised												$ 100,000
Stock Options
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Dividend yield												0%
Restricted Stock Units (RSUs)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Unrecognized stock-based compensation expense					$ 26,600,000							$ 26,600,000				$ 26,600,000
Unrecognized stock-based compensation expense, weighted-average period for recognition												2 years 4 months 24 days
Total fair value of vested												$ 5,700,000		$ 900,000
2019 Equity Incentive Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Common stock, shares authorized for issuance															2,231,739
Number of shares available for issuance									0
Stock options, granted															1,400,528
2019 Equity Incentive Plan | Restricted Stock
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock awards, granted															16,260
2019 Incentive Award Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of shares available for issuance		2,406,622
Stock options, granted		1,203,341
Share-based compensation incremental expense												$ 2,200,000
Annual increase to shares available for issuance percentage of outstanding common stock									5%
Equity plan, description												The number of shares initially available for issuance will be increased by (i) the number of shares subject to stock options or similar awards granted under the Existing Incentive Plan that expire or otherwise terminate without having been exercised in full after the effective date of the 2019 Plan and unvested shares issued pursuant to awards granted under the Existing Incentive Plan that are forfeited to or repurchased by the Company after the effective date of the 2019 Plan, with the maximum number of shares to be added to the 2019 Plan pursuant to clause (i) above or equal to 1,416,788 shares, and (ii) an annual increase on January 1 of each calendar year beginning in 2020 and ending in 2029, equal to the lesser of (a) 5% of the shares of common stock 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. On July 14, 2023, the Company completed a voluntary, one-time stock option exchange program, or the Option Exchange, pursuant to which eligible employees were able to exchange certain outstanding stock options granted under the 2019 Plan for a lesser amount of new RSUs issued under the 2019 Plan. Participants in the Option Exchange received one RSU for every two shares of Phathom common stock underlying the eligible options surrendered. This exchange ratio was applied on a grant by grant basis. The Option Exchange resulted in 2,406,622 options being exchanged for 1,203,341 RSUs. The Company is recognizing an additional $2.2 million of incremental expense related to the Option Exchange to be recognized over a three-year vesting period. As of December 31, 2023, 1,110,376 shares remain available for issuance, which reflects 4,492,336 stock options, performance-based units, and restricted stock units, or RSUs, awards granted, and 2,558,662 of awards cancelled or forfeited, during the year ended December 31, 2023 as well as an annual increase of 2,086,165 shares authorized on January 1, 2023.
Number of shares remain available for issuance, annual increase					2,086,165							2,086,165				2,086,165
Common stock initially reserved for issuance					1,110,376							1,110,376				1,110,376
2019 Incentive Award Plan | Performance-Based Stock Units (PSU)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock awards, granted												597,650		37,500
Stock-based compensation cost												$ 19,300,000
2019 Incentive Award Plan | Restricted Stock Units (RSUs)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Stock awards, granted												2,419,776	[1]	1,010,437
2019 Incentive Award Plan | Stock Option Performance-based Unit and Restricted Stock Unit [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of shares, granted												4,492,336
Number of shares, cancelled or forfeited												2,558,662
Employee Stock Purchase Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of shares available for issuance														973,298
Annual increase to shares available for issuance percentage of outstanding common stock									1%
Equity plan, description												In addition, the number of shares available for issuance under the ESPP will be annually increased on January 1 of each calendar year beginning in 2020 and ending in 2029, by an amount equal to the lesser of: (i) 1% of the shares outstanding on the final day of the immediately preceding calendar year and (ii) such smaller number of shares as is determined by the Board of Directors. As of December 31, 2023, 973,298 shares of common stock remain available for issuance, which includes the 196,873 shares sold to employees during the year ended December 31, 2023 as well as an annual increase of 417,233 shares authorized on January 1, 2023.
Number of shares remain available for issuance, annual increase																	417,233
Stock-based compensation cost												$ 600,000		$ 500,000
Common stock initially reserved for issuance					973,298				270,000			973,298				973,298
Number of shares issued												196,873
Estimated weighted-average fair value												$ 3.64		$ 3.98
Unrecognized stock-based compensation expense					$ 100,000							$ 100,000				$ 100,000
Unrecognized stock-based compensation expense, weighted-average period for recognition												6 months
Dividend yield												0%		0%
Underwritten Public Offering
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued			12,793,750
Common stock, price per share			$ 11.75
Proceeds from issuance initial public offering gross			$ 150,300,000
Purchase price per share after deducting underwriting discounts and commissions			$ 11.08
Net proceeds after deducting underwriters commission			$ 141,800,000
Purchase of additional offering expenses			$ 400,000
At-the-Market Offering Program
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued						1,514,219						3,929,116
Proceeds from issuance of shares					$ 38,700,000	$ 14,100,000						$ 14,073,000		$ 24,596,000
Stock issuance costs						400,000
Amount utilized of equity financing											$ 39,900,000	0
Available equity financing amount						$ 125,000,000						$ 150,000,000
2020 At-the-Market Offering Program
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued							2,414,897
Proceeds from issuance of shares							$ 24,600,000
Stock issuance costs							$ 800,000
Employee and Nonemployee Director
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Estimated weighted-average fair value												$ 5.34		$ 8.4
Open Market Sale Agreement with Jefferies LLC | At-the-Market Offering Program
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Sales commission payable as a percentage of sale of gross sales price per share								3%
Open Market Sale Agreement with Jefferies LLC | At-the-Market Offering Program | Maximum
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Aggregate offering price through equity financing	$ 150,000,000											$ 150,000,000
Common Stock
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Number of shares authorized to repurchase										3,373,408
Stock repurchase program, number of shares right lapse										843,352
Remaining number of shares to be repurchased										2,530,056
Stock repurchase program, period in force										48 months
Stock repurchase program expiration period										2023-03
Employer discretionary match number of shares settled												135,956		101,540
Common Stock | 2019 Incentive Award Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Additional number of shares available for issuance									1,416,788
Common Stock | Employee Stock Purchase Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Maximum percentage of eligible compensation contributed by participants									20%
Common Stock | IPO
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued				10,997,630												26,041,380
Proceeds from Initial Public Offering (IPO)				$ 191,500,000												$ 421,500,000
Common Stock | Underwritten Public Offering
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued			1,668,750									12,793,750
Common Stock | At-the-Market Offering Program
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares issued												1,514,219		2,414,897
Common Stock | Founders
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Remaining number of shares to be repurchased					0							0		79,064		0
[1] The number of RSUs granted includes those exchanged in the Option Exchange (as defined above).

Stockholders' Equity - Summary

Stockholders' Equity - Summary of Unvested Shares (Details)	12 Months Ended
	Dec. 31, 2023 shares
Share-Based Payment Arrangement [Abstract]
Unvested Beginning Balance	254,437
Share vesting	(254,437)
Unvested Ending Balance	0

Stockholders' Equity - Summar_2

Stockholders' Equity - Summary of Common Stock Reserved for Future Issuance (Details) - shares	Dec. 31, 2023	Oct. 31, 2019
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Common stock reserved for future issuance (in shares)	9,378,875
Common stock warrants
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Common stock reserved for future issuance (in shares)	91,228
Stock Options, Restricted Stock Units, and Performance-Based Awards Outstanding
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Common stock reserved for future issuance (in shares)	7,203,973
2019 Incentive Award Plan
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Common stock reserved for future issuance (in shares)	1,110,376
ESPP Plan
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Common stock reserved for future issuance (in shares)	973,298	270,000

Stockholders' Equity - Summar_3

Stockholders' Equity - Summary of PSU and RSUs Activity Under the 2019 Incentive Award Plan (Details) - $ / shares	12 Months Ended
	Dec. 31, 2023		Dec. 31, 2022
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Unvested Beginning Balance	254,437
Unvested Ending Balance	0		254,437
2019 Incentive Award Plan | Performance-Based Stock Units (PSU)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Unvested Beginning Balance	412,300		394,300
Stock awards, granted	597,650		37,500
Number of Stock Units, Vested	(1,009,950)		0
Number of Stock Units, Forfeited	0		(19,500)
Unvested Ending Balance	0		412,300
Weighted Average Grant Date Fair Value Per Share, Unvested Beginning Balance	$ 30.97		$ 32.23
Weighted Average Grant Date Fair Value Per Share, Granted	10.89		20.06
Weighted Average Grant Date Fair Value Per Share, Vested	19.09		0
Weighted Average Grant Date Fair Value Per Share, Forfeited	0		35.39
Weighted Average Grant Date Fair Value Per Share, Unvested Ending Balance	$ 0		$ 30.97
2019 Incentive Award Plan | Restricted Stock Units (RSUs)
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Unvested Beginning Balance	877,467		0
Stock awards, granted	2,419,776	[1]	1,010,437
Number of Stock Units, Vested	(579,567)		(102,453)
Number of Stock Units, Forfeited	(63,784)		(30,517)
Unvested Ending Balance	2,653,892		877,467
Weighted Average Grant Date Fair Value Per Share, Unvested Beginning Balance	$ 11.03		$ 0
Weighted Average Grant Date Fair Value Per Share, Granted	11.77	[1]	10.79
Weighted Average Grant Date Fair Value Per Share, Vested	9.85		8.51
Weighted Average Grant Date Fair Value Per Share, Forfeited	13.07		12.14
Weighted Average Grant Date Fair Value Per Share, Unvested Ending Balance	$ 11.91		$ 11.03
[1] The number of RSUs granted includes those exchanged in the Option Exchange (as defined above).

Stockholders' Equity - Summar_4

Stockholders' Equity - Summary of Weighted-Average Assumptions Used to Estimate Fair Value of Stock Options Granted and ESPP Awards (Details)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Assumptions:
Expected term (in years)	6 years 14 days	5 years 10 months 17 days
Expected volatility	66.05%	66%
Risk free interest rate	3.65%	2.06%
Dividend yield	0%	0%
Employee Stock Purchase Plan
Assumptions:
Expected term (in years)	5 months 26 days	6 months
Expected volatility	69.73%	68.59%
Risk free interest rate	5.03%	2.04%
Dividend yield	0%	0%

Stockholders' Equity - Summar_5

Stockholders' Equity - Summary of Stock Option Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2023		Dec. 31, 2022	Dec. 31, 2021
Share-Based Payment Arrangement [Abstract]
Options Outstanding, Beginning Balance	5,586,470		4,186,729
Options Outstanding, Options granted	1,474,910		1,741,931
Options Outstanding, Options exercised	(16,421)		0
Options Outstanding, Options cancelled	(2,494,878)	[1]	(342,190)
Options Outstanding, Ending Balance	4,550,081		5,586,470	4,186,729
Options Outstanding, Options exercisable as of December 31, 2023	2,272,248
Options Outstanding, Options vested and expected to vest as of December 31, 2023	4,550,081
Weighted-Average Exercise Price, Beginning Balance	$ 23.4		$ 27.53
Weighted-Average Exercise Price, Options granted	8.54		14.62
Weighted-Average Exercise Price, Options exercised	7.54		0
Weighted-Average Exercise Price, Options cancelled	35.96	[1]	29.32
Weighted-Average Exercise Price, Ending Balance	11.75		$ 23.4	$ 27.53
Weighted-Average Exercise Price, Options exercisable as of December 31, 2023	12.65
Weighted-Average Exercise Price, Options vested and expected to vest as of December 31, 2023	$ 11.75
Weighted-Average Remaining Contractual Term	7 years 6 months		7 years 10 months 24 days	7 years 10 months 28 days
Weighted-Average Remaining Contractual Term, Options exercisable as of December 31, 2023	6 years 1 month 20 days
Weighted-Average Remaining Contractual Term, Options vested and expected to vest as of December 31, 2023	7 years 6 months
Aggregate Intrinsic Value, Balance	$ 3,379		$ 4,476	$ 13,973
Aggregate Intrinsic Value, Options exercisable as of December 31, 2023	2,088
Aggregate Intrinsic Value, Options vested and expected to vest as of December 31, 2023	$ 3,379
[1] The number of stock options cancelled includes those exchanged in the Option Exchange (as defined above).

Stockholders' Equity - Summar_6

Stockholders' Equity - Summary of Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Stock-based compensation expense	$ 45,025	$ 24,133
Research and Development Expense
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Stock-based compensation expense	12,302	5,534
Selling, General and Administrative Expense
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Stock-based compensation expense	$ 32,723	$ 18,599

Revenue Recognition (Additional

Revenue Recognition (Additional Information) (Details) $ in Millions	12 Months Ended
	Dec. 31, 2023 USD ($)
VOQUEZNA Product [Member]
Disaggregation of Revenue [Line Items]
Net product revenues related to sales	$ 0.7

Income Taxes - Additional Infor

Income Taxes - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Operating Loss Carryforwards [Line Items]
Provision for income taxes	$ 0	$ 0
Research and development credits	11,815,000	8,897,000
Gross unrecognized tax benefits	3,010,000	2,327,000	$ 1,704,000
Unrecognized tax benefits that would affect effective tax rate	0
Interest or penalties related income tax		0
Accrual for interest or penalties related to income tax		0
Federal
Operating Loss Carryforwards [Line Items]
Operating loss carryforwards which are carried over indefinitely	554,700,000	$ 408,700,000
Research and development credits	$ 13,700,000
Research and development credits expiration period	2038
State
Operating Loss Carryforwards [Line Items]
Net operating loss carryforwards	$ 62,300,000
Net operating loss carryforwards expiration year		2036
Research and development credits	$ 1,300,000
Research and development credits expiration period	2025

Income Taxes - Reconciliation B

Income Taxes - Reconciliation Between Provision for Income Taxes and Income Taxes Computed Using U.S. Federal Statutory Corporate Tax Rate (Details) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Income Tax Disclosure [Abstract]
Income taxes computed at the statutory rate	$ (42,334,000)	$ (41,522,000)
State income taxes, net of federal benefit	(4,310,000)	0
Permanent items	1,310,000	1,605,000
Officers' compensation	2,534,000	1,109,000
Research and development credit	2,971,000	(2,453,000)
Change in state rate	(3,762,000)	0
Change in valuation allowance	49,745,000	41,137,000
Other	212,000	124,000
Provision (benefit) for income taxes	$ 0	$ 0

Income Taxes - Components of De

Income Taxes - Components of Deferred Tax Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Deferred tax assets:
Net operating loss carryforwards	$ 120,092	$ 85,918
Research credits	11,815	8,897
Intangible assets	33,095	25,319
Other	11,256	6,517
Gross deferred tax assets	176,258	126,651
Less valuation allowance	(175,915)	(126,170)
Deferred tax assets, net of valuation allowance	343	481
Deferred tax liabilities:
Other	(343)	(481)
Net deferred tax assets	$ 0	$ 0

Income Taxes - Summary of Activ

Income Taxes - Summary of Activity Related to Gross Unrecognized Tax Benefits (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Income Tax Disclosure [Abstract]
Beginning balance	$ 2,327	$ 1,704
Increases related to prior year tax positions	51	0
Increases related to current year tax positions	632	623
Ending balance	$ 3,010	$ 2,327