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Licensed rights and other intangible assets - Summary of Information about License Rights and Other Intangible Assets, Net (Details) - USD ($) $ in Thousands | Mar. 31, 2022 | Dec. 31, 2021
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Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | $ 48,024 | $ 47,854
Finite-Lived Intangible Assets, Accumulated Amortization | 8,809 | 7,868
Finite-Lived Intangible Assets, Net | 39,215 | 39,986
License Rights and Intangible Assets, Net, Gross Carrying Amount (Excluding Goodwill) | 48,356 | 48,186
License rights and other intangible assets, net | 39,547 | 40,318
License rights [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | 40,000 | 40,000
Finite-Lived Intangible Assets, Accumulated Amortization | 7,580 | 6,826
Finite-Lived Intangible Assets, Net | 32,420 | 33,174
Hormone therapy drug patents [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | 6,117 | 5,834
Finite-Lived Intangible Assets, Accumulated Amortization | 1,229 | 1,042
Finite-Lived Intangible Assets, Net | 4,888 | 4,792
Hormone therapy drug candidate patents - applied and pending [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | 1,907 | 2,020
Finite-Lived Intangible Assets, Net | 1,907 | 2,020
Trademarks/trade name rights [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite-Lived Intangible Assets, Gross Carrying Amount and Net | $ 332 | $ 332

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