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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, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Finite-Lived Intangible Assets, Gross Carrying Amount $ 8,160 $ 8,220
Finite-Lived Intangible Assets, Accumulated Amortization 1,714 1,598
Finite-Lived Intangible Assets, Net 6,446 6,622
Intangible assets, net, Gross Carrying Amount (Excluding Goodwill) 8,481 8,541
License rights and other intangible assets, net 6,767 6,943
Hormone therapy drug patents [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-Lived Intangible Assets, Gross Carrying Amount 6,224 6,225
Finite-Lived Intangible Assets, Accumulated Amortization 1,714 1,598
Finite-Lived Intangible Assets, Net 4,510 4,627
Hormone therapy drug candidate patents applied and pending [Member]    
Finite-Lived Intangible Assets [Line Items]    
Finite-Lived Intangible Assets, Gross Carrying Amount 1,936 1,995
Finite-Lived Intangible Assets, Net 1,936 1,995
Trademarks/trade name rights [Member]    
Finite-Lived Intangible Assets [Line Items]    
Indefinite-Lived Intangible Assets, Gross Carrying Amount and Net $ 321 $ 321