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Significant Accounting Policies - Revenue recognition (Details) - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]    
Revenues $ 25,377 $ 1,677
PEDMARK    
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]    
Percentage of royalties 1.00%  
Revenues $ 7,419 $ 1,677
Processa Pharmaceuticals, Inc    
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]    
Shares to be issued under agreement 41