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Stock-based Compensation - Additional information (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Stock-based Compensation        
Options that exercised after the Merger from Cara     21,665  
Forfeitures of assumed Cara options after the Merger     83,293  
Aggregate intrinsic value of options exercised $ 0.1 $ 0.0 $ 0.2  
Options granted 2,000 0 399,940 3,352
Weighted-average grant-date fair value of options granted $ 23.54   $ 11.2 $ 4.62
Total unrecognized compensation cost of options $ 3.7   $ 3.7  
Unrecognized compensation cost, options weighted-average period of recognition 2 years 10 months 13 days   2 years 10 months 13 days  
Maximum        
Stock-based Compensation        
Aggregate intrinsic value of options exercised       $ 0.1