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Pay vs Performance Disclosure - USD ($)
5 Months Ended 7 Months Ended 12 Months Ended
Dec. 31, 2024
Jul. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Pay vs Performance Disclosure              
Pay vs Performance Disclosure, Table    
Year (1)
(a)
Summary Compensation Table Total for Current PEO (2)
(b)
Compensation Actually Paid to Current PEO (3)
(c)
Summary Compensation Table Total for Former PEO (2)
(d)
Compensation Actually Paid to Former PEO (3)
(e)
Average Summary Compensation Table Total for Non-PEO Named Executive Officers (2)
(f)
Average Compensation Actually Paid to Non-PEO Named Executive Officers (3)
(g)
Value of Initial Fixed $100 Investment Based on:
Net Income (in thousands)
(j)
Total Revenue (in thousands)
(k)
Total Shareholder Return 10-K Item 5 (4)
(h)
Peer Group Total Shareholder Return 10-K Item 5 (5)
(i)
2025$5,042,584 $11,993,467 $— $— $2,010,246 $4,452,415 $159.55 $124.75 $554 $291,845 
2024$3,827,109 $5,578,059 $6,826,608 $8,458,416 $2,025,711 $2,873,702 $68.90 $93.49 $(54,836)$203,070 
2023$— $— $2,136,766 $3,455,757 $1,327,426 $2,034,808 $47.76 $94.03 $(62,255)$163,914 
2022$— $— $2,805,599 $1,018,796 $1,400,390 $738,045 $27.03 $89.90 $(94,660)$110,248 
2021$— $— $3,764,134 $2,287,646 $1,650,917 $989,034 $59.55 $100.02 $(122,725)$49,950 
       
Company Selected Measure Name     Total Revenue        
Named Executive Officers, Footnote     Mr. Edick served as our former Chief Executive Officer, during 2023, 2022, and 2021, until he resigned from such position effective August 1, 2024. Mr. Shannon has served as our Chief Executive Officer since August 1, 2024. Previously he served as President and Chief Operating Officer from October 2021 to August 2024. The Other NEOs reflected in columns (f) and (g) above represent the following individuals for each of the years shown:
2025 – Steve Pieper, Kevin McCulloch, Beth Hecht, and Anh Nguyen
2024 – Steve Pieper, Kevin McCulloch, Beth Hecht, and Ken Johnson
2023 – Steve Pieper, John Shannon, Beth Hecht, and Ken Johnson
2022 – John Shannon and Beth Hecht
2021 – John Shannon, Beth Hecht, and Barry Deutsch

Biographical information for each of these individuals and their positions can be found above, or in the proxy statement
for the year upon which compensation was reported, under the heading “Executive Officers.”
       
Peer Group Issuers, Footnote     Represents the weighted cumulative total return on $100 invested as of the last day of public trading in fiscal year 2021 through the last day of public trading in the applicable fiscal year for which the cumulative total return is reported, weighted according to the respective companies’ stock market capitalization at the beginning of each period for which a return is indicated. The peer group used for this purpose is the Nasdaq Biotechnology Index for all four fiscal years disclosed, which is the same peer group used in our Annual Report on Form 10-K for each of these years for purposes of Item 201(e) of Regulation S-K. The return of this index is calculated assuming reinvestment of dividends during the period presented.        
PEO Total Compensation Amount     $ 5,042,584   $ 2,136,766 $ 2,805,599 $ 3,764,134
PEO Actually Paid Compensation Amount     $ 11,993,467   3,455,757 1,018,796 2,287,646
Adjustment To PEO Compensation, Footnote     The dollar amounts reported in column (c) and column (e) represent the amount of “compensation actually paid” to Mr. Edick and Mr. Shannon, respectively, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts reported in column (g) represent the average amount of “compensation actually paid” to the Other NEOs as a group, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual amount of compensation earned by or paid to our current PEO, our former PEO, or the Other NEOs during the applicable year. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to our PEOs’ and the Other NEOs’ total compensation for each year to determine the compensation actually paid for the relevant year.
Fiscal Year20252024202320222021
Current PEOCurrent PEOFormer PEOFormer PEOFormer PEOFormer PEO
Summary Compensation Table Total for PEO ($)$5,042,584 $3,827,109 $6,826,608 $2,136,766 $2,805,599 $3,764,134 
Minus Grant Date Fair Value of Equity Awards in Summary Compensation Table ($)
(3,686,615)(2,761,537)(4,228,969)(930,000)(1,686,000)(2,495,720)
Plus Value, as of Fiscal Year End, of Equity Awards Granted During the Fiscal Year That Were Outstanding and Unvested at Fiscal Year End ($)
6,280,000 3,857,964 5,085,000 1,762,500 798,000 1,291,664 
Plus Year-over-Year Change in Fair Value of Outstanding and Unvested Equity Awards That Were Granted in Previous Fiscal Years ($)
4,088,330 606,666 729,498 511,614 (606,213)(330,608)
Plus Change in Fair Value, Between the Vesting Date and the End of the Prior Fiscal Year, of Equity Awards Granted in Prior Years that Vested in the Year ($)
269,168 47,857 46,279 (25,123)(292,590)58,176 
Compensation Actually Paid to PEO ($)$11,993,467 $5,578,059 $8,458,416 $3,455,757 $1,018,796 $2,287,646 
Fiscal Year20252024202320222021
Average Summary Compensation Table Total for Non-PEO NEOs ($)$2,010,246 $2,025,711 $1,327,426 $1,400,390 $1,650,917 
Minus Grant Date Fair Value of Equity Awards in Summary Compensation Table ($)
(1,215,051)(1,295,756)(604,500)(667,375)(702,733)
Plus Value, as of Fiscal Year End, of Equity Awards Granted During the Fiscal Year That Were Outstanding and Unvested at Fiscal Year End ($)
1,677,938 1,794,182 1,145,625 315,875 293,000 
Plus Year-over-Year Change in Fair Value of Outstanding and Unvested Equity Awards That Were Granted in Previous Fiscal Years ($)
1,895,499 324,133 170,690 (213,426)(141,228)
Plus Fair Value as of Vesting Date of Equity Awards That Were Granted and Vested in the Year ($)
— — — — 90,850 
Plus Change in Fair Value, Between the Vesting Date and the End of the Prior Fiscal Year, of Equity Awards Granted in Prior Years that Vested in the Year ($)
83,783 25,432 (4,433)(97,419)(201,772)
Compensation Actually Paid to Non-PEO NEOs ($)$4,452,415 $2,873,702 $2,034,808 $738,045 $989,034 
       
Non-PEO NEO Average Total Compensation Amount     $ 2,010,246 $ 2,025,711 1,327,426 1,400,390 1,650,917
Non-PEO NEO Average Compensation Actually Paid Amount     $ 4,452,415 2,873,702 2,034,808 738,045 989,034
Adjustment to Non-PEO NEO Compensation Footnote     The dollar amounts reported in column (c) and column (e) represent the amount of “compensation actually paid” to Mr. Edick and Mr. Shannon, respectively, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts reported in column (g) represent the average amount of “compensation actually paid” to the Other NEOs as a group, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual amount of compensation earned by or paid to our current PEO, our former PEO, or the Other NEOs during the applicable year. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to our PEOs’ and the Other NEOs’ total compensation for each year to determine the compensation actually paid for the relevant year.
Fiscal Year20252024202320222021
Current PEOCurrent PEOFormer PEOFormer PEOFormer PEOFormer PEO
Summary Compensation Table Total for PEO ($)$5,042,584 $3,827,109 $6,826,608 $2,136,766 $2,805,599 $3,764,134 
Minus Grant Date Fair Value of Equity Awards in Summary Compensation Table ($)
(3,686,615)(2,761,537)(4,228,969)(930,000)(1,686,000)(2,495,720)
Plus Value, as of Fiscal Year End, of Equity Awards Granted During the Fiscal Year That Were Outstanding and Unvested at Fiscal Year End ($)
6,280,000 3,857,964 5,085,000 1,762,500 798,000 1,291,664 
Plus Year-over-Year Change in Fair Value of Outstanding and Unvested Equity Awards That Were Granted in Previous Fiscal Years ($)
4,088,330 606,666 729,498 511,614 (606,213)(330,608)
Plus Change in Fair Value, Between the Vesting Date and the End of the Prior Fiscal Year, of Equity Awards Granted in Prior Years that Vested in the Year ($)
269,168 47,857 46,279 (25,123)(292,590)58,176 
Compensation Actually Paid to PEO ($)$11,993,467 $5,578,059 $8,458,416 $3,455,757 $1,018,796 $2,287,646 
Fiscal Year20252024202320222021
Average Summary Compensation Table Total for Non-PEO NEOs ($)$2,010,246 $2,025,711 $1,327,426 $1,400,390 $1,650,917 
Minus Grant Date Fair Value of Equity Awards in Summary Compensation Table ($)
(1,215,051)(1,295,756)(604,500)(667,375)(702,733)
Plus Value, as of Fiscal Year End, of Equity Awards Granted During the Fiscal Year That Were Outstanding and Unvested at Fiscal Year End ($)
1,677,938 1,794,182 1,145,625 315,875 293,000 
Plus Year-over-Year Change in Fair Value of Outstanding and Unvested Equity Awards That Were Granted in Previous Fiscal Years ($)
1,895,499 324,133 170,690 (213,426)(141,228)
Plus Fair Value as of Vesting Date of Equity Awards That Were Granted and Vested in the Year ($)
— — — — 90,850 
Plus Change in Fair Value, Between the Vesting Date and the End of the Prior Fiscal Year, of Equity Awards Granted in Prior Years that Vested in the Year ($)
83,783 25,432 (4,433)(97,419)(201,772)
Compensation Actually Paid to Non-PEO NEOs ($)$4,452,415 $2,873,702 $2,034,808 $738,045 $989,034 
       
Compensation Actually Paid vs. Total Shareholder Return    
Company TSR vs. Peer TSR vs. Compensation Actually Paid
The following graph illustrates the relationship between (i) Company TSR, (ii) Peer Group TSR and (iii) compensation actually paid to our PEO and non-PEO named executive officers for the measurement periods ending on December 31 of each of 2025, 2024, 2023, 2022 and 2021, respectively.
23673
       
Compensation Actually Paid vs. Net Income    
Compensation Actually Paid vs. Net Income
The following graph illustrates the relationship between (i) compensation actually paid to our PEO and non-PEOs and (ii) our net income for the fiscal years ended on December 31, 2025, 2024, 2023, 2022, and 2021:
23924
       
Compensation Actually Paid vs. Company Selected Measure    
Compensation Actually Paid vs. Total Revenue
The following graph illustrates the relationship between (i) compensation actually paid to our PEO and non-PEOs and (ii) total revenue for the fiscal years ended on December 31, 2025, 2024, 2023, 2022, and 2021:
24178
       
Total Shareholder Return Vs Peer Group    
Company TSR vs. Peer TSR vs. Compensation Actually Paid
The following graph illustrates the relationship between (i) Company TSR, (ii) Peer Group TSR and (iii) compensation actually paid to our PEO and non-PEO named executive officers for the measurement periods ending on December 31 of each of 2025, 2024, 2023, 2022 and 2021, respectively.
23673
       
Tabular List, Table     Total Revenue
Operating expenses (excluding cost of goods sold and amortization of intangible assets)
Cash, cash equivalents, and short-term investments
       
Total Shareholder Return Amount     $ 159.55 68.90 47.76 27.03 59.55
Peer Group Total Shareholder Return Amount     124.75 93.49 94.03 89.90 100.02
Net Income (Loss)     $ 554,000 $ (54,836,000) $ (62,255,000) $ (94,660,000) $ (122,725,000)
Company Selected Measure Amount     291,845,000 203,070,000 163,914,000 110,248,000 49,950,000
PEO Name Mr. Shannon Mr. Edic Mr. Shannon   Mr. Edick Mr. Edick Mr. Edick
Additional 402(v) Disclosure     The dollar amounts reported in column (b) and column (d) are the amounts of total compensation reported for Mr. Edick and Mr. Shannon, respectively, for each corresponding year in the “Total” column of the Summary Compensation Table. The dollar amounts reported in column
(f) represent the average of the amounts reported for the Company’s Other NEOs as a group in the “Total” column of the Summary Compensation Table in each applicable year. Refer to “Summary Compensation Table.”
Represents the cumulative total return on $100 invested in the Company’s common stock as of the last day of public trading of the Company’s common stock in fiscal year 2021 through the last day of public trading of the Company’s Common Stock in the applicable fiscal year for which the cumulative total return is reported. The Company did not pay dividends for any of 2025, 2024, 2023, 2022, or 2021.
As required by Item 402(v) of Regulation S-K, we have identified the following financial performance measures as being the most important in linking actual compensation paid to executives to our performance.
       
Measure:: 1              
Pay vs Performance Disclosure              
Name     Total Revenue        
Measure:: 2              
Pay vs Performance Disclosure              
Name     Operating expenses (excluding cost of goods sold and amortization of intangible assets)        
Measure:: 3              
Pay vs Performance Disclosure              
Name     Cash, cash equivalents, and short-term investments        
John P. Shannon [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount     $ 5,042,584 $ 3,827,109      
PEO Actually Paid Compensation Amount     11,993,467 5,578,059      
Paul R. Edick [Member]              
Pay vs Performance Disclosure              
PEO Total Compensation Amount       6,826,608      
PEO Actually Paid Compensation Amount       8,458,416      
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (3,686,615)   $ (930,000) $ (1,686,000) $ (2,495,720)
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     6,280,000   1,762,500 798,000 1,291,664
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     4,088,330   511,614 (606,213) (330,608)
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     269,168   (25,123) (292,590) 58,176
PEO | John P. Shannon [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       (2,761,537)      
PEO | John P. Shannon [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       3,857,964      
PEO | John P. Shannon [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       606,666      
PEO | John P. Shannon [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       47,857      
PEO | Paul R. Edick [Member] | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       (4,228,969)      
PEO | Paul R. Edick [Member] | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       5,085,000      
PEO | Paul R. Edick [Member] | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       729,498      
PEO | Paul R. Edick [Member] | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount       46,279      
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     (1,215,051) (1,295,756) (604,500) (667,375) (702,733)
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,677,938 1,794,182 1,145,625 315,875 293,000
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     1,895,499 324,133 170,690 (213,426) (141,228)
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     0 0 0 0 90,850
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year              
Pay vs Performance Disclosure              
Adjustment to Compensation, Amount     $ 83,783 $ 25,432 $ (4,433) $ (97,419) $ (201,772)