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Income taxes - Additional Information (Details) - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Operating Loss Carryforwards [Line Items]      
Deferred tax asset valuation allowance $ 56,706,000 $ 33,351,000  
Change in Valuation Allowance 23,400,000    
state net operating loss carryforwards $ 200    
Tax credit limitation on use The federal and state net operating losses can be carried forward indefinitely, subject to an 80% limitation against taxable income.    
Tax Credit Carryforward, Amount $ 3,700,000    
Orphan Drug Credit $ 2,300,000    
Use of annual operating loss carryforwards Sections 382 and 383, annual use of the Company’s net operating loss carryforwards may be limited in the event a cumulative change in ownership of more than 50% occurs within a three-year period.    
CARES Act NOL carryover/carryback offset to taxable income. 50.00%    
Unrecognized tax benefits $ 1,968,000 $ 1,011,000 $ 210,000
PPP Loan      
Operating Loss Carryforwards [Line Items]      
Proceeds from loans $ 700,000    
Domestic Tax Authority      
Operating Loss Carryforwards [Line Items]      
Operating Loss Carryforwards Expiration Period 2040    
orphan drug credit carryforwards Expiration Period 2041    
Domestic Tax Authority | Research and Development Tax Credit      
Operating Loss Carryforwards [Line Items]      
Federal net operating loss carryforward $ 83,000,000.0    
California Franchise Tax Board | Research and Development Tax Credit      
Operating Loss Carryforwards [Line Items]      
Tax Credit Carryforward, Amount $ 2,000,000.0