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Income Taxes - Reconciliation (Details)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Income Tax Disclosure [Abstract]      
Statutory federal income tax rate 21.00% 21.00% 21.00%
State income taxes, net of federal benefit 6.20% 6.10% 6.10%
Research and development tax credits 3.50% 4.10% 2.70%
Orphan drug tax credits 2.90% 2.30% 4.60%
Expiration of NOLs/Credits (9.80%) (29.80%) (4.00%)
Permanent adjustments and other (0.20%) 0.30% (0.60%)
Stock based compensation (9.40%) 0.00% 0.00%
Change in valuation allowance (14.20%) (4.00%) (29.80%)
Effective income tax rate 0.00% 0.00% 0.00%