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Liabilities, Convertible Preferred Stock and Stockholders' (Deficit) Equity - Stock-Based Compensation Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense $ 4,785 $ 1,565 $ 8,405 $ 5,684      
Research and Development              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense 2,965 639 4,136 2,031      
General and Administrative              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense $ 1,820 $ 926 $ 4,269 $ 3,653      
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         $ 7,111 $ 8,038 $ 6,220
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | Non-Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         0 0 36
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | Research and Development | Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         2,591 2,723 2,168
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | Research and Development | Non-Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         0 0 36
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | General and Administrative | Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         4,520 5,315 4,052
2018 Equity Inducement Plan and 2016 Employee Stock Purchase Plan | General and Administrative | Non-Employees              
Employee Service Share Based Compensation Allocation of Recognized Period Costs [Line Items]              
Total stock-based compensation expense         $ 0 $ 0 $ 0