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Stock-based compensation, Stock Options (Details) - $ / shares
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
May 29, 2018
Oct. 27, 2016
Stock Options [Member]        
Number of Stock Options [Abstract]        
Outstanding at beginning period (in shares) 4,908,038 4,342,765    
Granted (in shares) 400,000 875,000    
Exercised (in shares) (15,000) (86,250)    
Expired/forfeited (in shares) (150) (223,477)    
Outstanding at end of period (in shares) 5,292,888 4,908,038    
Exercisable at end of period (in shares) 3,442,501      
Options expected to vest at end of period (in shares) 1,850,387      
Weighted Average Exercise Price [Abstract]        
Outstanding at beginning of period (in dollars per share) $ 1.90 $ 2.02    
Granted (in dollars per share) 1.46 2.46    
Exercised (in dollars per share) 1.29 1.74    
Expired/forfeited (in dollars per share) 170.00 6.43    
Outstanding at end of period (in dollars per share) 1.87 $ 1.90    
Exercisable at end of period (in dollars per share) 1.87      
Options expected to vest at end of period (in dollars per share) $ 1.86      
Stock Incentive Plan 2016 [Member]        
Stock Options [Abstract]        
Number of shares available for issuance (in shares) 41,774   3,134,365 2,058,880