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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 | Jun. 30, 2022 | Dec. 31, 2021
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Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | $ 48,097 | $ 47,854
Finite-Lived Intangible Assets, Accumulated Amortization | 9,696 | 7,868
Finite-Lived Intangible Assets, Net | 38,401 | 39,986
License Rights and Intangible Assets, Net, Gross Carrying Amount (Excluding Goodwill) | 48,417 | 48,186
License rights and other intangible assets, net | 38,721 | 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 | 8,333 | 6,826
Finite-Lived Intangible Assets, Net | 31,667 | 33,174
Hormone therapy drug patents [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | 6,161 | 5,834
Finite-Lived Intangible Assets, Accumulated Amortization | 1,363 | 1,042
Finite-Lived Intangible Assets, Net | 4,798 | 4,792
Hormone therapy drug candidate patents - applied and pending [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Finite-Lived Intangible Assets, Gross Carrying Amount | 1,936 | 2,020
Finite-Lived Intangible Assets, Net | 1,936 | 2,020
Trademarks/trade name rights [Member] |  |
Finite-Lived Intangible Assets [Line Items] |  |
Indefinite-Lived Intangible Assets, Gross Carrying Amount and Net | $ 320 | $ 332

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