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Collaboration and License Agreements - Additional Information (Detail)
$ in Thousands, € in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Oct. 06, 2015
USD ($)
Oct. 31, 2019
USD ($)
Jul. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2019
EUR (€)
shares
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
shares
Dec. 31, 2017
USD ($)
Dec. 31, 2013
USD ($)
shares
Dec. 31, 2019
USD ($)
shares
Mar. 31, 2019
Sep. 30, 2017
USD ($)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Net product revenues           $ 1,704,048 $ 1,491,212 $ 1,313,646        
Contract liability                   $ 8,800    
Net gain on sale of intangible assets           $ 25,000 50,000 125,000        
Termination of collaborative agreement prior to written notice in number of days         90 days 90 days            
Firdapse | Disposal Group, Disposed of by Sale, Not Discontinued Operations                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Royalties on net product sales                     7.00%  
Royalties on net product sales                     10.00%  
Talazoparib                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Net gain on sale of intangible assets       $ 369,500                
Medivation                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Upfront payment received $ 410,000                      
Milestone payments                       $ 160,000
Milestone Payments Received           $ 25,000 $ 50,000          
Merck Serono                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Business acquisition, cash paid           374,500            
Licensing Agreement                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Carrying value                   $ 5,000    
A&R Kuvan Agreement | Merck Serono | Maximum                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Business acquisition contingent consideration potential cash payments upon achievement of sales milestone | €         € 60.0              
Pegvaliase Agreement | Merck Serono                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Business acquisition, cash paid | €         125.0              
Pegvaliase Agreement | Merck Serono | Maximum                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Business acquisition contingent consideration potential cash payments upon achievement of sales milestone | €         € 67.3              
Catalyst Pharmaceutical Partners, Inc.                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Licensing arrangement, convertible promissory note received                 $ 5,000      
Licensing arrangement, shares received upon conversion promissory note | shares                 6,700,000      
Common stock shares held | shares         0   0     0    
Exclusive Licensing Agreement For Tralesinidase Alfa                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Net product revenues   $ 3,000                    
Investment in equity   $ 5,000                    
United States                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Net product revenues           $ 778,440 $ 696,793 $ 588,243        
Sarepta Therapeutics | License Agreement And Settlement Agreement                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Net product revenues     $ 31,500                  
Sarepta Therapeutics | United States | License Agreement And Settlement Agreement                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Royalties receivable percentage of net sales     5.00%                  
Sarepta Therapeutics | EU and Other Countries | License Agreement And Settlement Agreement                        
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]                        
Royalties receivable percentage of net sales     8.00%