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Description of the business - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]                      
Accumulated deficit $ (2,900,547)       $ (2,281,852)       $ (2,900,547) $ (2,281,852)  
Net loss (199,874) $ (194,745) $ (21,465) $ (202,611) $ (223,347) $ (206,033) $ (195,782) $ (164,446) (618,695) (789,608) $ (555,625)
Net cash provided by (used in) operating activities                 (470,351) $ (564,384) $ (413,426)
Cash, cash equivalents and marketable securities $ 1,270,000               $ 1,270,000