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Stock-based Compensation (Details Textual)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Jan. 31, 2022
shares
Dec. 31, 2014
shares
Sep. 30, 2023
USD ($)
plan
shares
Mar. 31, 2023
shares
Sep. 30, 2022
shares
Mar. 31, 2022
shares
Sep. 30, 2023
USD ($)
plan
$ / shares
shares
Sep. 30, 2022
$ / shares
shares
Dec. 31, 2022
shares
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Number of plans | plan     3       3    
Total unrecognized compensation expense related to non-vested stock options and RSU awards | $     $ 111,804       $ 111,804    
Weighted-average term to recognize non-vested stock options and RSU awards             1 year 3 months 18 days    
Employee stock purchase plan sales, net (in shares)     162,000 176,000 145,000 115,000 338,000 260,000  
Outstanding stock options | Non-employee Directors                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting period (in years)             1 year    
Incentive Plan                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Number of common stock shares available for purchase (in shares)     11,934,000       11,934,000   4,206,000
Incentive Plan | Outstanding stock options                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Weighted average grant date fair value stock option awards (in dollars per share) | $ / shares             $ 6.40 $ 7.78  
Incentive Plan | Outstanding stock options | Maximum                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Stock option awards remaining contractual term (in years)             10 years    
Incentive Plan | Outstanding stock options | Vest 25% Each Year Until Fully Vested                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting rights, percentage             25.00%    
Award vesting period (in years)             4 years    
Incentive Plan | Outstanding stock options | Thirty-six Equal Monthly Installments | Non-employee Directors                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting period (in years)             3 years    
Incentive Plan | Performance Shares | Vest Upon Successful Completion of Specific Development Milestones                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting rights, percentage   85.00%              
Performance-based stock options issued in period (in shares)   1,250,000              
Incentive Plan | Performance-based Restricted Stock Units                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting period (in years) 3 years                
Incentive Plan | Performance-based Restricted Stock Units | Vest 25% Each Year Until Fully Vested                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting rights, percentage 25.00%                
Incentive Plan | Performance-based Restricted Stock Units | Vest Upon Successful Completion of Specific Development Milestones                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Performance-based restricted stock unit awards issued (in shares) 221,000               21,000
Incentive Plan | Performance-based Restricted Stock Units | Share-Based Payment Arrangement, Tranche One                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting rights, percentage 50.00%                
Incentive Plan | Restricted Stock Units (RSUs)                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Weighted average grant date fair value (in dollars per share) | $ / shares             $ 9.18 13.18  
Inducement Plan                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting period (in years)             4 years    
Expiration period (in years)             10 years    
Weighted average grant date fair value stock option awards (in dollars per share) | $ / shares             $ 6.14 9.72  
Number of common stock shares available for purchase (in shares)     200,000       200,000   947,000
Inducement Plan | Vest 25% Each Year Until Fully Vested                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Award vesting rights, percentage             25.00%    
Inducement Plan | Outstanding stock options                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Expected Dividend Yield             0.00%    
Inducement Plan | Restricted Stock Units (RSUs)                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Weighted average grant date fair value (in dollars per share) | $ / shares             $ 8.35 $ 13.38  
Employee Stock Purchase Plan                  
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]                  
Number of shares of common stock authorized to be purchased (in shares)     7,975,000       7,975,000    
Number of common stock shares available for purchase (in shares)     5,454,000       5,454,000    
Percentage of salary to purchase common stock, maximum             15.00%    
Percentage of common stock shares, beginning             85.00%    
Percentage of common stock shares, ending             85.00%    
Maximum number of shares per employee (in shares)             3,000    
Maximum number of shares per employee, amount | $     $ 25       $ 25