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Notes Payable - Additional Information (Detail) - USD ($)
9 Months Ended
May 23, 2019
Sep. 30, 2019
Debt Instrument [Line Items]    
Interest only, payment term   36 months
CRG Servicing LLC Agreement    
Debt Instrument [Line Items]    
Back end facility fee $ 5,600,000  
Bio Pharma Credit Plc    
Debt Instrument [Line Items]    
Secured credit term loan 60,000,000.0  
Additional facility funds that can be obtained 20,000,000.0  
Initial proceeds of term loan 60,000,000.0  
Additional proceeds from debt $ 1,800,000  
Bio Pharma Credit Plc | London Interbank Offered Rate (LIBOR)    
Debt Instrument [Line Items]    
Debt instrument, term   72 months
Basis spread on variable rate   7.50%
Line of Credit | CRG Servicing LLC Agreement | Interest Expense    
Debt Instrument [Line Items]    
Deferred loan costs   $ 5,200,000
Debt instrument, unamortized discount   3,900,000
Loan prepayment fees and realized losses   $ 2,800,000