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Impact on Condensed Consolidated Balance Sheet and Consolidated Statement of Comprehensive Loss for Adoption of New Revenue Standard (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Jan. 01, 2018
Dec. 31, 2017
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Deferred revenue, current portion $ 3,444   $ 3,444     $ 41,705
Deferred revenue, net of current portion 1,623   1,623     43,075
Accumulated deficit (2,629,531)   (2,629,531)     $ (2,147,685)
Revenues 2,069 $ 17,096 53,875 $ 51,988    
Net loss $ (245,282) $ (122,937) $ (550,056) $ (348,647)    
Net loss per common share - basic and diluted $ (2.43) $ (1.34) $ (5.48) $ (3.93)    
Net Revenues from Collaborators            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Revenues $ 1,609 $ 17,096 $ 53,415 $ 51,988    
ASU 2014-09 Revenue from Contracts with Customers            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Deferred revenue, current portion         $ 7,242  
Deferred revenue, net of current portion         9,328  
Accumulated deficit         (2,079,475)  
ASU 2014-09 Revenue from Contracts with Customers | Effect of Change Higher/(Lower)            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Deferred revenue, current portion         (34,463)  
Deferred revenue, net of current portion (17,992)   (17,992)   (33,747)  
Accumulated deficit (18,077)   (18,077)   $ 68,210  
Net loss 698   $ 50,133      
Net loss per common share - basic and diluted     $ 0.50      
ASU 2014-09 Revenue from Contracts with Customers | Effect of Change Higher/(Lower) | Net Revenues from Collaborators            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Revenues (698)   $ (50,133)      
ASU 2014-09 Revenue from Contracts with Customers | Balances Without Adoption of New Revenue Standard            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Deferred revenue, current portion 3,444   3,444      
Deferred revenue, net of current portion 19,615   19,615      
Accumulated deficit (2,647,608)   (2,647,608)      
Net loss $ (244,584)   $ (499,923)      
Net loss per common share - basic and diluted $ (2.43)   $ (4.98)      
ASU 2014-09 Revenue from Contracts with Customers | Balances Without Adoption of New Revenue Standard | Net Revenues from Collaborators            
Revenue Initial Application Period Cumulative Effect Transition [Line Items]            
Revenues $ 2,307   $ 103,548