Loan and Security Agreement - Additional Information (Details) - USD ($)			12 Months Ended
	Jan. 31, 2023	Oct. 14, 2021	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020	Jan. 09, 2023	Mar. 27, 2022	Mar. 31, 2019
Line Of Credit Facility [Line Items]
Loss on extinguishment of debt					$ 1,247,012
Interest expense			$ 8,176,264	$ 4,616,597	2,362,083
Amortization of debt issuance costs			668,051	554,493	469,676
Amortization of debt discount			1,482,678	1,077,015	786,750
Third Amendment To Loan and Security Agreement | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	$ 350,000,000
Warrants
Line Of Credit Facility [Line Items]
Amortization of debt discount			814,627	$ 522,522	$ 317,074
Hercules Capital Inc | Term Loan | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	350,000,000					$ 350,000,000
Hercules Capital Inc | Third Amendment To Loan and Security Agreement | Term Loan | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	55,000,000.0					$ 55,000,000.0
Prepayment Occurs Prior to First Anniversary of Closing Date | Third Amendment To Loan and Security Agreement | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	$ 300,000,000
Term Loan 2020
Line Of Credit Facility [Line Items]
Debt instrument maturity, month and year		2026-10
Base interest rate		8.95%
Final payment fee			$ 2,910,000
Percentage of final payment fee			4.50%
Minimum different from remaining percentage of cash flow		10.00%
Term Loan 2020 | Subsequent Event
Line Of Credit Facility [Line Items]
Base interest rate	9.95%
Increase in minimum cash requirement amount	$ 30,000,000
Percentage of facility fee to be paid	0.75%
Term Loan 2020 | Prime Rate
Line Of Credit Facility [Line Items]
Interest rate basis		5.70%
Term Loan 2020 | Prime Rate | Subsequent Event
Line Of Credit Facility [Line Items]
Interest rate basis	2.20%
Term Loan 2020 | Prime Rate | Maximum
Line Of Credit Facility [Line Items]
Interest rate basis		10.70%
Term Loan 2020 | Prime Rate | Maximum | Subsequent Event
Line Of Credit Facility [Line Items]
Interest rate basis	10.70%
Term Loan 2020 | Hercules Capital Inc
Line Of Credit Facility [Line Items]
Maximum loan amount		$ 300,000,000
Term Loan 2020 | Prepayment Occurs Prior to First Anniversary of Closing Date
Line Of Credit Facility [Line Items]
Percentage of prepayment penalty			2.00%
Term Loan 2020 | Outstanding principle and advances under the loans agreement exceeds 55 million
Line Of Credit Facility [Line Items]
Minimum cash to be maintain as a first priority security interest			$ 40,000,000.0
Period of unpaid invoices amount maintain as security			180 days
Long term debt upon milestone achievement amount			$ 25,000,000.0
Long term debt increase decrease threshold amount			40,000,000.0
Term Loan 2020 | Outstanding principle and advances under the loans agreement exceeds 65 million
Line Of Credit Facility [Line Items]
Minimum amount of market capital to be maintained			$ 1,000,000,000.0
Minimum percentage of cash to be maintained as a security following market capitalization condition			50.00%
Minimum percentage of cash to be maintained as a security			85.00%
Term Loan 2020 | Outstanding principle and advances under the loans agreement exceeds 65 million | AXS-05 and AXS-07
Line Of Credit Facility [Line Items]
Minimum product revenue percent			60.00%
Term Loan 2020 | Prepayment Occurs on or After First Anniversary and Prior to Second Anniversary of the Closing Date
Line Of Credit Facility [Line Items]
Percentage of prepayment penalty			1.50%
Term Loan 2020 | Prepayment Occurs on or After Second Anniversary and Prior to Third Anniversary of Closing Date
Line Of Credit Facility [Line Items]
Percentage of prepayment penalty			1.00%
Tranche One | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	$ 95,000,000
2020 Warrants
Line Of Credit Facility [Line Items]
Maximum loan amount		60,000,000.0
Remaining credit facility to be drawn							$ 95,000,000.0
2020 Warrants | Second Amendment To Loan and Security Agreement
Line Of Credit Facility [Line Items]
Maximum loan amount							45,000,000.0
Term loan 2020 tranche two
Line Of Credit Facility [Line Items]
Maximum loan amount		100,000,000.0
Term loan 2020 tranche three
Line Of Credit Facility [Line Items]
Maximum loan amount		20,000,000.0
Term loan 2020 tranche four
Line Of Credit Facility [Line Items]
Maximum loan amount		55,000,000.0					50,000,000.0
Term loan 2020 tranche five
Line Of Credit Facility [Line Items]
Maximum loan amount							35,000,000.0
Remaining credit facility to be drawn		$ 75,000,000.0
2019 Term Loan
Line Of Credit Facility [Line Items]
Maximum loan amount								$ 24,000,000.0
Tranche One Sub-Tranche One | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	95,000,000
Tranche One Sub Tranche Two | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	55,000,000
Tranche One Sub Tranche Three | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	30,000,000
Tranche One Sub Tranche Four | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	35,000,000
Tranche One Sub Tranche Five | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	35,000,000
Tranche Two Sub Tranche One
Line Of Credit Facility [Line Items]
Maximum loan amount							35,000,000.0
Tranche Two Sub Tranche One | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	35,000,000
Tranche Two Sub-Tranche Two
Line Of Credit Facility [Line Items]
Maximum loan amount							35,000,000.0
Tranche Two Sub-Tranche Two | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	35,000,000
Tranche Two Sub-Tranche Three
Line Of Credit Facility [Line Items]
Maximum loan amount							30,000,000.0
Tranche Two Sub-Tranche Three | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	30,000,000
Tranche Three Sub Tranche One
Line Of Credit Facility [Line Items]
Maximum loan amount							15,000,000.0
Tranche Three Sub Tranche One | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	15,000,000
Tranche Three Sub Tranche Two
Line Of Credit Facility [Line Items]
Maximum loan amount							$ 5,000,000.0
Tranche Three Sub Tranche Two | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	5,000,000
Tranche Two Sub Tranches To One Tranche | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	25,000,000
Tranche Three Sub Tranches to One Tranche | Subsequent Event
Line Of Credit Facility [Line Items]
Maximum loan amount	$ 75,000,000