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Accrued expenses and other current liabilities
12 Months Ended
Dec. 31, 2023
Accrued expenses and other current liabilities [Abstract]  
Accrued expenses and other current liabilities

6. Accrued expenses and other current liabilities

Accrued expenses and other current liabilities consists of the following (in thousands):

   
2023
   
2022
 
Rebates, chargebacks, other customer fees and returns
 
$
66,726
   
$
29,128
 
Clinical accruals
   
22,459
     
25,371
 
Contract manufacturing
   
4,356
     
2,535
 
Commercial services
   
6,900
     
5,761
 
Employee related expenses
   
11,598
     
9,150
 
Other taxation and social security
   
1,807
     
1,122
 
Other accruals
   
5,989
     
3,680
 
   
$
119,835
   
$
76,747
 

See Note 3 “Revenue” for a detailed breakdown of Rebates, chargebacks, other customer fees and returns.

Clinical accruals primarily represent unbilled work undertaken by Contract Research Organizations (CRO’s)  as part of our clinical programs.