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Document and Entity Information - USD ($)
12 Months Ended
Dec. 31, 2021
Feb. 24, 2022
Jun. 30, 2021
Document And Entity Information [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2021    
Document Transition Report false    
Entity File Number 001-36279    
Entity Registrant Name CARA THERAPEUTICS, INC.    
Entity Incorporation, State or Country Code DE    
Entity Tax Identification Number 75-3175693    
Entity Address, Address Line One 4 Stamford Plaza    
Entity Address, Address Line Two 107 Elm Street    
Entity Address, Address Line Three 9th Floor    
Entity Address, City or Town Stamford    
Entity Address, State or Province CT    
Entity Address, Postal Zip Code 06902    
City Area Code 203    
Local Phone Number 406-3700    
Title of 12(b) Security Common Stock, par value $0.001 per share    
Trading Symbol CARA    
Security Exchange Name NASDAQ    
Entity Well-known Seasoned Issuer No    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Entity Shell Company false    
Entity Public Float     $ 695,807,241
Entity Common Stock, Shares Outstanding   53,513,518  
Auditor Name Ernst & Young LLP    
Auditor Firm ID 42    
Auditor Location Stamford, Connecticut    
Entity Central Index Key 0001346830    
Current Fiscal Year End Date --12-31    
Document Fiscal Year Focus 2021    
Document Fiscal Period Focus FY    
Amendment Flag false