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Long Term Obligations - Additional Information (Detail)
1 Months Ended 3 Months Ended 6 Months Ended 9 Months Ended
Feb. 28, 2019
USD ($)
Feb. 28, 2017
USD ($)
Dec. 31, 2016
USD ($)
PromissoryNote
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2018
USD ($)
May 31, 2018
USD ($)
Debt Instrument [Line Items]                    
Gain (loss) on remeasurement of embedded derivatives           $ 2,902,000 $ 1,569,000      
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”)                    
Debt Instrument [Line Items]                    
Accrued interest       $ 33,900,000   $ 33,900,000     $ 22,900,000  
Gain (loss) on remeasurement of embedded derivatives         $ 100,000   2,400,000      
Amount received under royalty sales agreement   $ 50,000,000.0                
Additional amount receivable upon U.S. regulatory approval   100,000,000.0                
Sales agreement fee   2,000,000.0               $ 5,000,000.0
Additional debt issuance costs   $ 600,000                
Funding amount                   $ 100,000,000.0
Effective interest rate       14.20%   14.20%        
Unamortized debt discount       $ 6,400,000   $ 6,400,000     6,800,000  
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario Two | Maximum                    
Debt Instrument [Line Items]                    
Percentage of royalty obligated to pay of net worldwide sales   8.46%                
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario Two | Minimum                    
Debt Instrument [Line Items]                    
Percentage of royalty obligated to pay of net worldwide sales   4.19%                
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario Three                    
Debt Instrument [Line Items]                    
Percentage of royalty obligated to pay of net worldwide sales   195.00%                
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario Three | Maximum                    
Debt Instrument [Line Items]                    
Transaction expense   $ 290,600,000                
Andexxa | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario Three | Minimum                    
Debt Instrument [Line Items]                    
Target payment for royalty obligation   $ 150,000,000.0                
Ondexxya | HealthCare Royalty Partners and its Affiliates (“HCR”)                    
Debt Instrument [Line Items]                    
Gain (loss) on remeasurement of embedded derivatives       1,700,000   $ 1,700,000        
Remeasurement of embedded derivative to fair value, whole provision lapses from funding date, period           30 months        
Ondexxya | HealthCare Royalty Partners and its Affiliates (“HCR”) | Secured Term Loan                    
Debt Instrument [Line Items]                    
Sales agreement fee       $ 2,800,000   $ 2,800,000        
Effective interest rate       12.30%   12.30%        
Debt instrument, maturity date Feb. 28, 2025                  
Debt instrument, interest rate 9.75%                  
Debt instrument, covenant description           The loan is secured by substantially all of our assets. The Credit Agreement contains certain covenants that, among others, require us to deliver financial reports at designated times of the year and limit or restrict our ability to incur additional indebtedness or liens, acquire, own or make any investments, pay cash dividends or enter into certain corporate transactions, including mergers and changes of control, and require us to maintain $31.3 million of cash, such amount to be increased if we draw on the second tranche of funding.        
Maintain cash increased $ 31,300,000                  
Debt instrument, accrued interest       $ 1,700,000   $ 2,000,000.0        
Other debt issuance cost       500,000   500,000        
Debt instrument default interest rate 12.75%                  
Ondexxya | HealthCare Royalty Partners and its Affiliates (“HCR”) | First Tranche | Secured Term Loan                    
Debt Instrument [Line Items]                    
Promissory notes, face amount $ 62,500,000                  
Ondexxya | HealthCare Royalty Partners and its Affiliates (“HCR”) | Second Tranche | Secured Term Loan                    
Debt Instrument [Line Items]                    
Promissory notes, face amount $ 62,500,000                  
Ondexxya | HealthCare Royalty Partners and its Affiliates (“HCR”) | Scenario, Forecast | Secured Term Loan                    
Debt Instrument [Line Items]                    
Expected revenue upon approval of EMA               $ 50,000,000.0    
Ondexxya | Fair Value, Inputs, Level 3 | HealthCare Royalty Partners and its Affiliates (“HCR”)                    
Debt Instrument [Line Items]                    
Estimated fair value of long-term debt       71,000,000.0   71,000,000.0        
Royalty Based Debt | Andexxa | Fair Value, Inputs, Level 3 | HealthCare Royalty Partners and its Affiliates (“HCR”)                    
Debt Instrument [Line Items]                    
Estimated fair value of long-term debt       159,300,000   159,300,000     154,200,000  
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | United States and EU | Andexxa                    
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") | Promissory Notes                    
Debt Instrument [Line Items]                    
Proceeds from notes payable     $ 50,000,000.0              
Number of debt instruments | PromissoryNote     2              
Promissory notes, face amount     $ 65,000,000.0              
Promissory notes due date     2024-12              
Repayment amount     $ 62,500,000              
Repayment date     Dec. 31, 2023              
Accrued interest       9,200,000   9,200,000     7,600,000  
Gain (loss) on remeasurement of embedded derivatives       700,000 $ (200,000) 1,200,000 $ (800,000)      
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       $ 52,700,000   $ 52,700,000     $ 53,200,000