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Long-term Debt - Additional Information (Detail)
1 Months Ended 3 Months Ended 6 Months Ended
Feb. 28, 2017
USD ($)
Dec. 31, 2016
USD ($)
PromissoryNote
Jun. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Debt Instrument [Line Items]        
Carrying value of notes payable   $ 49,815,000 $ 51,627,000 $ 51,627,000
Loss on remeasurement of embedded derivatives       666,000
Long-term debt     50,117,000 50,117,000
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa        
Debt Instrument [Line Items]        
Accrued interest expense     3,300,000 3,300,000
Amount received under royalty sales agreement $ 50,000,000      
Additional amount receivable upon U.S. regulatory approval 100,000,000   100,000,000 100,000,000
Loss on remeasurement of embedded derivatives     $ 700,000 $ 700,000
Effective interest rate     18.10% 18.10%
Debt instrument increase, accrued interest     $ 2,000,000 $ 3,300,000
Royalty sales agreement fee     2,000,000 2,000,000
Additional debt issuance costs       600,000
Interest expense, including amortization of debt discount     2,000,000 3,300,000
Long-term debt     50,100,000 50,100,000
Outstanding debt, net of unamortized debt discount     2,500,000 2,500,000
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Maximum        
Debt Instrument [Line Items]        
Repayment amount $ 125,000,000      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario One        
Debt Instrument [Line Items]        
Percentage of royalty obligated to pay of net worldwide sales 2.00%      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario Two        
Debt Instrument [Line Items]        
Target payment for royalty obligation $ 100,000,000      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario Two | Maximum        
Debt Instrument [Line Items]        
Percentage of royalty obligated to pay of net worldwide sales 7.85%      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario Two | Minimum        
Debt Instrument [Line Items]        
Percentage of royalty obligated to pay of net worldwide sales 3.58%      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario Three        
Debt Instrument [Line Items]        
Percentage of royalty obligated to pay of net worldwide sales 195.00%      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Scenario Three | Minimum        
Debt Instrument [Line Items]        
Target payment for royalty obligation $ 150,000,000      
HealthCare Royalty Partners and its Affiliates (“HCR”) | Andexanet Alfa | Fair Value, Inputs, Level 3        
Debt Instrument [Line Items]        
Estimated fair value of long-term debt     47,600,000 $ 47,600,000
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer")        
Debt Instrument [Line Items]        
Debt instrument repayment terms, description       if the approval of andexanet alfa in the USA and EU is not achieved by January 1, 2019, we are able to reduce the repayment amount to $60.0 million if such amount is paid by December 31, 2021 and regardless of the timing of regulatory approval, we may reduce the repayment amount to $62.5?million if such amount is paid by December 31, 2023. Any unpaid amounts shall become immediately due upon: 1) our change of control; 2) event of default; and 3) termination for breach. We have the right to prepay the repayment amount at any time without any penalty.
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Paid by December 31, 2021        
Debt Instrument [Line Items]        
Repayment amount   $ 60,000,000    
Repayment date   Dec. 31, 2021    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Paid by December 31, 2023        
Debt Instrument [Line Items]        
Repayment amount   $ 62,500,000    
Repayment date   Dec. 31, 2023    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Andexanet Alfa        
Debt Instrument [Line Items]        
Percentage of license fees and milestone payments converted to notes payable upon initial regulatory approval not achieved   50.00%    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | United States and European Union        
Debt Instrument [Line Items]        
Initial regulatory approval date   Jan. 01, 2019    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | United States and European Union | Andexanet Alfa        
Debt Instrument [Line Items]        
Percentage of net sales to be paid in each quarter   5.00%    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Japan License Agreement        
Debt Instrument [Line Items]        
Percentage of payment receivable upon initial regulatory approval not achieved   100.00%    
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Promissory Notes        
Debt Instrument [Line Items]        
Proceeds from notes payable   $ 50,000,000    
Number of debt instruments | PromissoryNote   2    
Promissory notes, face amount   $ 65,000,000    
Promissory notes due date   2024-12    
Accrued interest expense   $ 100,000 1,900,000 $ 1,900,000
Carrying value of notes payable   49,800,000 51,600,000 51,600,000
Embedded derivative liabilities   $ 300,000    
Gain on remeasurement of embedded derivatives     22,000 57,000
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Promissory Notes | Fair Value, Inputs, Level 3        
Debt Instrument [Line Items]        
Estimated fair value of notes payable     $ 57,500,000 $ 57,500,000