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Long-term Debt - Schedule of long term debt (Details) - USD ($)
$ in Thousands
Sep. 30, 2021
Dec. 31, 2020
Debt    
Longterm debt with related party $ 31,315 $ 30,827
OrbiMed Term Loans (related party)    
Debt    
Long Term Debt 30,000 30,000
End of term charge 3,000 3,000
Unamortized end of term charge and issuance costs (1,685) (2,173)
Longterm debt with related party $ 31,315 $ 30,827