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Commitments and Contingencies - Service Agreements Narrative (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2011
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
CTS Agreement        
Service Agreements        
License fee amount   $ 2,278 $ 2,466 $ 1,739
Notice period for termination of agreement   6 months    
Master Services Agreement For Clinical Research and Related Services        
Service Agreements        
Service agreement amount paid upon execution of agreement $ 151      
Payment for service fees   $ 1,254 $ 1,100 $ 1,136