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Consolidated Statements of Stockholder's Equity - USD ($) $ in Thousands | Total | June 2018 Public Offering [Member] | October 2018 Registered Direct Offering [Member] | LPC [Member] | Common stock [Member] | Common stock [Member] June 2018 Public Offering [Member] | Common stock [Member] October 2018 Registered Direct Offering [Member] | Common stock [Member] LPC [Member] | Preferred Stock [Member] | Preferred Stock [Member] June 2018 Public Offering [Member] | Additional paid-in capital [Member] | Additional paid-in capital [Member] June 2018 Public Offering [Member] | Additional paid-in capital [Member] October 2018 Registered Direct Offering [Member] | Additional paid-in capital [Member] LPC [Member] | Accumulated other comprehensive income (loss) [Member] | Accumulated deficit [Member]
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Beginning Balance at Dec. 31, 2015 | $ 1,840 |  |  |  |  |  |  |  |  |  | $ 2,667 |  |  |  | $ 1 | $ (828)
Beginning Balance, Shares at Dec. 31, 2015 |  |  |  |  | 2,123 |  |  |  |  |  |  |  |  |  |  |
Net loss | (1,234) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (1,234)
Other comprehensive income (loss) | 4 |  |  |  |  |  |  |  |  |  |  |  |  |  | 4 |
Ending Balance at Dec. 31, 2016 | 610 |  |  |  |  |  |  |  |  |  | 2,667 |  |  |  | 5 | (2,062)
Ending Balance, Shares at Dec. 31, 2016 |  |  |  |  | 2,123 |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense | 348 |  |  |  |  |  |  |  |  |  | 348 |  |  |  |  |
Settlement of stockholder loans with related parties | 2,132 |  |  |  |  |  |  |  |  |  | 2,132 |  |  |  |  |
Settlement of stockholder loans with related parties, Shares |  |  |  |  | 157 |  |  |  |  |  |  |  |  |  |  |
Shares issued on subscription | 64 |  |  |  |  |  |  |  |  |  | 64 |  |  |  |  |
Shares issued on subscription, Shares |  |  |  |  | 5 |  |  |  |  |  |  |  |  |  |  |
Shares held by OncoGenex Shareholders | 3 |  |  |  | $ 3 |  |  |  |  |  |  |  |  |  |  |
Shares held by OncoGenex Shareholders, Shares |  |  |  |  | 273,671 |  |  |  |  |  |  |  |  |  |  |
Shares issued on conversion of Achieve common shares | $ 13,048 |  |  |  | $ 8 |  |  |  |  |  | 13,040 |  |  |  |  |
Shares issued on conversion of Achieve common shares, Shares |  |  |  |  | 821,012 |  |  |  |  |  |  |  |  |  |  |
Shares cancelled on conversion of Achieve common shares |  |  |  |  | (2,285) |  |  |  |  |  |  |  |  |  |  |
Restricted Stock Unit Settlements, Shares | 546 |  |  |  | 546 |  |  |  |  |  |  |  |  |  |  |
Restricted Stock Unit Settlements withheld and retired to treasury | $ (5) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (5)
Restricted Stock Unit Settlements withheld and retired to treasury, Shares |  |  |  |  | (166) |  |  |  |  |  |  |  |  |  |  |
Shares issued |  |  |  | $ 2,306 |  |  |  | $ 1 |  |  |  |  |  | $ 2,305 |  |
Shares issued, Shares |  |  |  |  |  |  |  | 99,730 |  |  |  |  |  |  |  |
Purchase accounting adjustment | (44) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (44)
Net loss | (10,583) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (10,583)
Ending Balance at Dec. 31, 2017 | 7,879 |  |  |  | $ 12 |  |  |  |  |  | 20,556 |  |  |  | 5 | (12,694)
Ending Balance, Shares at Dec. 31, 2017 |  |  |  |  | 1,194,793 |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense | $ 854 |  |  |  |  |  |  |  |  |  | 854 |  |  |  |  |
Restricted Stock Unit Settlements, Shares | 5,354 |  |  |  | 5,354 |  |  |  |  |  |  |  |  |  |  |
Adjustment of fractional shares on reverse stock split,shares |  |  |  |  | (38) |  |  |  |  |  |  |  |  |  |  |
Shares issued |  | $ 12,194 | $ 4,960 | $ 1,279 |  | $ 1 | $ 2 | $ 1 |  |  |  | $ 12,193 | $ 4,958 | $ 1,278 |  |
Shares issued, Shares |  |  |  |  |  | 1,160,500 | 1,789,258 | 96,000 |  | 9,158 |  |  |  |  |  |
Shares issued on exercise of warrants | $ 1,324 |  |  |  |  |  |  |  |  |  | 1,324 |  |  |  |  |
Shares issued on exercise of warrants, Shares |  |  |  |  | 330,500 |  |  |  |  |  |  |  |  |  |  |
Shares issued on conversion of preferred shares |  |  |  |  | $ 2 |  |  |  |  |  | (2) |  |  |  |  |
Shares issued on conversion of preferred shares, Shares |  |  |  |  | 2,144,750 |  |  |  | (8,579) |  |  |  |  |  |  |
Net loss | (12,687) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (12,687)
Other comprehensive income (loss) | (1) |  |  |  |  |  |  |  |  |  |  |  |  |  | (1) |
Ending Balance at Dec. 31, 2018 | $ 15,802 |  |  |  | $ 18 |  |  |  |  |  | $ 41,161 |  |  |  | $ 4 | $ (25,381)
Ending Balance, Shares at Dec. 31, 2018 |  |  |  |  | 6,721,117 |  |  |  | 579 |  |  |  |  |  |  |

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