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Collaboration and Licensing Agreements - Additional Information (Detail) - Cara Therapeutics, Inc. - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
May 17, 2018
Apr. 30, 2022
Oct. 31, 2020
May 31, 2018
Mar. 31, 2025
Mar. 31, 2024
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Collaboration and Licensing Agreements:                  
Net proceeds from sales of common stock under open market sales agreement               $ 1,117  
Revenue from contract with customer         $ 2,569 $ 2,135 $ 7,137 20,968 $ 41,867
License and milestone fees [Member]                  
Collaboration and Licensing Agreements:                  
Revenue from contract with customer               910 15,000
Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 1 [Member]                  
Collaboration and Licensing Agreements:                  
Percentage of net profit sharing     60.00%            
Potential sales-based milestone payments     $ 240,000            
Number of days to terminate agreement             60 days    
Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 2 [Member]                  
Collaboration and Licensing Agreements:                  
Percentage of net profit sharing       50.00%          
License Agreement with Maruishi Pharmaceutical Co. Ltd [Member]                  
Collaboration and Licensing Agreements:                  
Earned milestone payment               1,449  
Affiliated Entity | Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 1 [Member]                  
Collaboration and Licensing Agreements:                  
Percentage of net profit sharing     40.00%            
Affiliated Entity | CSL Vifor | License and milestone fees [Member]                  
Collaboration and Licensing Agreements:                  
Revenue from contract with customer                 $ 15,000
Affiliated Entity | CSL Vifor | Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 1 [Member]                  
Collaboration and Licensing Agreements:                  
Percentage of net profit sharing     40.00%            
Affiliated Entity | Vifor Fresenius Medical Care Renal Pharma Ltd | Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 2 [Member]                  
Collaboration and Licensing Agreements:                  
Number of days to terminate agreement 60 days                
Termination notice effective period 12 months                
Affiliated Entity | Vifor Fresenius Medical Care Renal Pharma Ltd | Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 2 [Member] | License and milestone fees [Member]                  
Collaboration and Licensing Agreements:                  
Revenue from contract with customer   $ 15,000              
Affiliated Entity | Vifor Fresenius Medical Care Renal Pharma Ltd | Maximum [Member] | Vifor Fresenius Medical Care Renal Pharma Ltd Agreement No 2 [Member]                  
Collaboration and Licensing Agreements:                  
Potential milestone payments $ 440,000                
Affiliated Entity | Maruishi Pharmaceutical Co., Ltd. [Member] | License Agreement with Maruishi Pharmaceutical Co. Ltd [Member] | License and milestone fees [Member]                  
Collaboration and Licensing Agreements:                  
Revenue from contract with customer               $ 1,449