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Long Term Obligations - Schedule of Payment Obligations (Detail) - USD ($)
$ in Thousands
Mar. 31, 2020
Dec. 31, 2019
Debt Instrument [Line Items]    
Non-current portion of notes payable $ 46,269 $ 43,100
Royalty Based Debt | HealthCare Royalty Partners and its Affiliates (“HCR”)    
Debt Instrument [Line Items]    
Less: interests to be accreted in future periods (100,170) (104,268)
Less: payments made (11,420) (9,069)
Less: current portion of royalties (7,723) (14,316)
Total repayment obligations 290,550 290,550
Carrying value of long term royalty-based debt 178,960 177,213
Non-current portion of long term royalty-based debt 171,237 162,897
Bristol-Myers Squibb Company ("BMS") and Pfizer Inc. ("Pfizer") | Promissory Notes    
Debt Instrument [Line Items]    
Total repayment obligations 65,000 62,500
Less: interests to be accreted in future periods (7,424) (5,565)
Less: payments made (6,743) (5,374)
Carrying value of notes payable 50,833 51,561
Less: current portion of royalties (4,564) (8,461)
Non-current portion of notes payable $ 46,269 $ 43,100