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Stockholders' Equity - Issuance of Common Stock and Warrants (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Nov. 25, 2019
Jun. 30, 2021
Jan. 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Warrants issued (in shares)           310,860 539,152  
Exercise price of common stock (USD per share)       $ 3.59   $ 3.59    
Amount paid for clearing fees   $ 19 $ 231          
Offering costs paid on the issuance of common stock and warrants       $ 1 $ 0 $ 470 $ 474 $ 510
Proceeds from sale of common stock and warrants   $ 4,500 $ 2,300          
Percentage of gross proceeds used to make payments on note     10.00%          
Gross proceeds     $ 275          
Payments on the Iliad Note       0 450 0 976  
Proceeds from issuance of warrants           $ 1,100    
Warrants exercised (in shares)           156,446    
Proceeds from the exercise of warrants       $ 0 $ 625 $ 527 $ 676  
Iliad Note                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Percentage of gross proceeds used to make payments on note 10.00%              
Payments on the Iliad Note     $ 226          
Institutional investors                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Sale of common stock (in shares)   990,100 688,360          
Sale of common stock (USD per share)   $ 5.05 $ 3.37          
Warrants issued (in shares)     688,360     269,180 497,472  
Exercise price of common stock (USD per share)     $ 3.37 $ 3.3700 $ 3.3700 $ 3.3700 $ 3.3700  
Purchase price (USD per share)     $ 0.625          
Placement agent                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Warrants issued (in shares)     48,185     41,680 41,680  
Exercise price of common stock (USD per share)     $ 4.99 $ 4.9940 $ 4.9940 $ 4.9940 $ 4.9940  
Amount paid for placement agent commissions   $ 400 $ 193          
Amount paid related to expenses for registered direct offering and concurrent private placement   $ 51 $ 50