Date when an entity was incorporated

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Aggregate net proceeds since inception of the company received from equity and debt financings.

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The amount of milestone payment receivable under the collaboration and license agreement.

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The legacy Tvardi minimum ownership percentage party to registration rights agreement.

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The merger registration rights agreement period.

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Nature Of Business [Line Items]

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The number of follow-on public offerings.

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Proceeds from sale of common stock under license agreement.

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Upfront and milestone payments earned in connection with license agreements.

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Cash includes currency on hand as well as demand deposits with banks or financial institutions. It also includes other kinds of accounts that have the general characteristics of demand deposits in that the customer may deposit additional funds at any time and effectively may withdraw funds at any time without prior notice or penalty. Cash equivalents, excluding items classified as marketable securities, include short-term, highly liquid Investments that are both readily convertible to known amounts of cash, and so near their maturity that they present minimal risk of changes in value because of changes in interest rates. Generally, only investments with original maturities of three months or less qualify under that definition. Original maturity means original maturity to the entity holding the investment. For example, both a three-month US Treasury bill and a three-year Treasury note purchased three months from maturity qualify as cash equivalents. However, a Treasury note purchased three years ago does not become a cash equivalent when its remaining maturity is three months. Short-term investments, exclusive of cash equivalents, generally consist of marketable securities intended to be sold within one year (or the normal operating cycle if longer) and may include trading securities, available-for-sale securities, or held-to-maturity securities (if maturing within one year), as applicable.

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The number of positions eliminated during the period as a percentage of total positions eliminated during the period in connection with the restructuring plan(s).

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Number of shares issued during the period as a result of a stock split.

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Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

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Business - Additional Information (Detail) $ in Thousands					1 Months Ended	12 Months Ended
Business - Additional Information (Detail) $ in Thousands	Apr. 15, 2025	Apr. 01, 2025	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
License Agreement with Maruishi Pharmaceutical Co. Ltd [Member] \| Cara Therapeutics, Inc.
Nature Of Business [Line Items]
Earned milestone payment									$ 1,449
Subsequent Event \| Cara Therapeutics, Inc.
Nature Of Business [Line Items]
Stock split conversion ratio	0.333	0.33
CSL Vifor, Maruishi and CKDP \| License and supply agreements for difelikefalin [Member] \| Cara Therapeutics, Inc.
Nature Of Business [Line Items]
Amounts earned in connection with license and supply agreements						289,900
Post-Merger Combined Company \| Subsequent Event \| Cara Therapeutics, Inc.
Nature Of Business [Line Items]
Minimum percentage ownership for legacy Tvardi stockholders, directors and/or entities affiliated with Legacy Tvardi that entered into Registration Rights Agreement	5.00%
Merger registration rights agreement period	P45D
Affiliated Entity [Member] \| Vifor International Ltd. \| Cara Therapeutics, Inc.
Nature Of Business [Line Items]
Proceeds from the sale of common stock under license agreement with Vifor International						$ 98,000