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Stock Incentive Plans (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Common stock          
Shares          
Exercised (in shares) (2,992)   (2,992)    
Employee stock options          
Shares          
Outstanding, beginning of period (in shares)     227,846    
Granted (in shares)     1,113,982    
Assumed in Quellis Acquisition (in shares)     55,414    
Exercised (in shares)   0 (2,992) 0  
Cancelled or forfeited (in shares)     (58,344)    
Expired (in shares)     (1,507)    
Outstanding, end of period (in shares) 1,334,399   1,334,399   227,846
Vested and exercisable (in shares) 127,064   127,064    
Weighted-Average Exercise Price          
Outstanding, beginning of period (in dollars per share)     $ 68.25    
Granted (in dollars per share)     16.21    
Assumed in Quellis Acquisition (in dollars per share)     1.73    
Exercised (in dollars per share)     2.10    
Cancelled or forfeited (in dollars per share)     62.08    
Expired (in dollars per share)     100.85    
Outstanding at end of year (in dollars per share) $ 22.43   22.43   $ 68.25
Vested and Exercisable (in dollars per share) $ 74.71   $ 74.71    
Weighted Average Remaining Contractual Term (years)          
Outstanding     9 years 3 months   8 years 1 month 17 days
Vested and Exercisable     7 years 4 months 17 days    
Aggregate Intrinsic Value          
Outstanding $ 374   $ 374    
Vested and Exercisable 178   178    
Stock Incentive Plans          
Intrinsic value of options exercised 38   38    
Aggregate fair value of options vested $ 300 $ 300 $ 1,300 $ 1,000  
Weighted average grant date fair value of options granted (in dollars per share) $ 6.20 $ 29.10 $ 10.15 $ 22.32  
Unrecognized compensation expense related to unvested stock option awards $ 11,800   $ 11,800    
Weighted-average amortization period over which cost is expected to be recognized     3 years 1 month 6 days