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Income Taxes - Schedule of federal and state statutory tax rates and the provision for income tax benefit (Details)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Income Taxes    
Federal tax at statutory rate (21.00%) (21.00%)
State tax benefits, plus sale of NJ NOL, net of federal benefit (21.60%) (2.40%)
Foreign tax rate difference 0.10% 0.20%
Orphan drug and research and development credits (2.00%) (3.90%)
Permanent differences 0.90% 3.10%
Foreign NOL adjustments 0.70% 0.40%
Expiration of tax attributes 14.20% 9.10%
Change in valuation allowance 6.30% 6.80%
Income tax benefit (22.40%) (7.70%)