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Stock-based Compensation - Option activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Dec. 31, 2024
Number of Options          
Outstanding beginning     729,010    
Granted 397,940 0 397,940 3,352  
Exercised     (18,618)    
Forfeited/expired     (5,177)    
Options assumed from Cara upon Merger closing     113,487    
Outstanding ending 1,216,642   1,216,642   729,010
Options exercisable 760,787   760,787    
Vested and expected to vest outstanding 1,216,642   1,216,642    
Weighted-Average Exercise Price          
Weighted-average exercise price outstanding beginning     $ 3.21    
Granted     17.04    
Exercised     22.8    
Forfeited/expired     29.35    
Options assumed from Cara upon Merger closing     319.8    
Weighted-average exercise price outstanding ending $ 36.86   36.86   $ 3.21
Options exercisable 49.61   49.61    
Vested and expected to vest outstanding $ 36.86   $ 36.86    
Weighted-Average Remaining Contractual Term and Intrinsic Value          
Weighted-average remaining contractual term (in years)     6 years 7 months 6 days   6 years 21 days
Options exercisable term     4 years 10 months 17 days    
Vested and expected to vest term     6 years 7 months 6 days    
Outstanding intrinsic value $ 17,037   $ 17,037   $ 2,914
Options exercisable intrinsic value 13,512   13,512    
Vested and expected to vest intrinsic value $ 17,037   $ 17,037