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Business - Additional Information (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 19, 2024
shares
Jun. 14, 2024
Jan. 31, 2024
Dec. 31, 2024
USD ($)
Offering
shares
Mar. 31, 2025
USD ($)
Mar. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Nature Of Business [Line Items]                  
Stockholders' equity       $ (91,131) $ (100,625) $ (66,174) $ (62,058) $ (45,051)  
Cara Therapeutics, Inc.                  
Nature Of Business [Line Items]                  
Date of formation       Jul. 02, 2004          
Restructuring and related cost, percentage of workforce reduction   70.00% 50.00%            
Proceeds from equity and debt financing       $ 520,700          
Number of follow-on public offerings | Offering       4          
Unrestricted cash and cash equivalents and marketable securities       $ 37,903          
Stock split conversion ratio 0.083                
Reverse stock split fractional shares issued | shares 0     0          
Stockholders' equity       $ (4,593) $ (8,073) $ 29,803 57,085 $ 158,779 $ 227,522
Cara Therapeutics, Inc. | License Agreement with Maruishi Pharmaceutical Co. Ltd [Member]                  
Nature Of Business [Line Items]                  
Earned milestone payment             $ 1,449    
Cara Therapeutics, Inc. | CSL Vifor, Maruishi and CKDP | License and supply agreements for difelikefalin [Member]                  
Nature Of Business [Line Items]                  
Amounts earned in connection with license and supply agreements       289,900          
Cara Therapeutics, Inc. | Affiliated Entity [Member] | Vifor International Ltd.                  
Nature Of Business [Line Items]                  
Proceeds from the sale of common stock under license agreement with Vifor International       $ 98,000