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Revenue recognition - Net Product Sales (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2025
USD ($)
segment
Distributor
Jun. 30, 2024
Distributor
segment
Jun. 30, 2025
USD ($)
Distributor
segment
Jun. 30, 2024
segment
Distributor
Dec. 31, 2024
USD ($)
Revenue recognition          
Number of operating segments | segment 1 1 1 1  
Net product revenue | Customer concentration risk          
Revenue recognition          
Number of distributors | Distributor 3 2 2 2  
Percentage of net product sales 10.00% 10.00% 10.00% 10.00%  
Product          
Revenue recognition          
Contract with customer, liability | $ $ 0   $ 0   $ 0