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Contract Manufacturing Agreements - Additional Information (Detail)
1 Months Ended 9 Months Ended
Aug. 31, 2017
USD ($)
Right
$ / shares
shares
Sep. 30, 2018
USD ($)
Dec. 31, 2017
USD ($)
Long Term Purchase Commitment [Line Items]      
Accounts payable   $ 15,163,000 $ 9,304,000
Accrued research and development   16,675,000 44,973,000
Prepaid and other long-term assets   20,788,000 $ 9,609,000
Lonza Manufacturing Services Agreement      
Long Term Purchase Commitment [Line Items]      
Contingently issuable equity awards aggregate fair value   0  
Term of manufacturing commitments 10 years    
Lonza Manufacturing Services Agreement | Common Stock      
Long Term Purchase Commitment [Line Items]      
Number of separate rights to purchase shares of common stock | Right 2    
Follow on offering price per share | $ / shares $ 1.00    
Average trading period from date of purchase right 20 days    
Lonza Manufacturing Services Agreement | Common Stock | Maximum      
Long Term Purchase Commitment [Line Items]      
Aggregate market value of shares to be purchased under each right $ 15,000,000    
Number of shares to be purchased under each right | shares 500,000    
CMC ICOS Biologics Inc      
Long Term Purchase Commitment [Line Items]      
Accounts payable   400,000  
Accrued research and development   300,000  
Prepaid manufacturing services   4,100,000  
Hovione, Limited      
Long Term Purchase Commitment [Line Items]      
Prepaid and other long-term assets   12,500,000  
Hovione, Limited | Maximum      
Long Term Purchase Commitment [Line Items]      
Cancellable additional purchase commitments   $ 2,900,000