Stock-Based Compensation - Schedule of cost related to stock-based compensation (Details) - 2023 Plan - Legacy Orchestra - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2026	Mar. 31, 2025
Stock options
Stock-Based Compensation
Total stock-based compensation	$ 866	$ 1,246
Unrecognized stock-based compensation expense for options	$ 10,000
Expected period to be recognized	3 years 1 month 6 days
Stock options \| Research and development
Stock-Based Compensation
Total stock-based compensation	$ 494	607
Stock options \| Selling, general and administrative
Stock-Based Compensation
Total stock-based compensation	372	639
Restricted Stock
Stock-Based Compensation
Total stock-based compensation	1,914	1,415
Unrecognized stock-based compensation expense for options	$ 11,000
Expected period to be recognized	2 years 6 months
Restricted Stock \| Research and development
Stock-Based Compensation
Total stock-based compensation	$ 636	465
Restricted Stock \| Selling, general and administrative
Stock-Based Compensation
Total stock-based compensation	1,278	950
Warrant
Stock-Based Compensation
Total stock-based compensation	71	304
Warrant \| Research and development
Stock-Based Compensation
Total stock-based compensation	32	120
Warrant \| Selling, general and administrative
Stock-Based Compensation
Total stock-based compensation	$ 39	$ 184

Amount of expense for award under share-based payment arrangement. Excludes amount capitalized.

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