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Debt and Lease Obligations - Additional Information (Detail)
$ / shares in Units, ¥ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 19, 2022
USD ($)
Tranche
$ / shares
Jan. 14, 2022
USD ($)
Oct. 01, 2021
USD ($)
ft²
Employee
May 28, 2021
USD ($)
Jan. 05, 2021
¥ / m²
Sep. 17, 2020
Aug. 04, 2020
USD ($)
Jun. 19, 2020
USD ($)
Jun. 19, 2020
USD ($)
Tranche
May 15, 2020
USD ($)
Mar. 31, 2022
Dec. 31, 2021
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2019
CNY (¥)
Dec. 31, 2021
USD ($)
qtr
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
May 28, 2021
CNY (¥)
May 15, 2020
CNY (¥)
Debt Instrument [Line Items]                                      
Loss on extinguishment of debt                               $ 10,278,000      
Current portion of senior secured loan                       $ 45,938,000     $ 45,938,000 70,000      
Write off of deferred debt issuance costs                             648,000        
Revenue                             $ 120,181,000 144,391,000 $ 101,229,000    
Accounting Standards Update Extensible List                             ASU No. 2016-02        
Accounting standards adopted                       true     true        
Accounting standards adoption date                       Jan. 01, 2019     Jan. 01, 2019        
Subsequent Event | January 2022 Amendment to Credit Agreement                                      
Debt Instrument [Line Items]                                      
Available borrowing capacity upon approval of oral paclitaxel $ 0                                    
Mandatory prepayment of principal percentage 62.50%                                    
Fee percentage 7.00%                                    
Exit fee percentage 2.00%                                    
Amendment fee $ 300,000                                    
Additional mandatory prepayment in principal   $ 12,500,000                                  
Prepayment fee percentage 5.00%                                    
Chinese Subsidiaries | API Facility or Sintaho API Facility | Chongqing International Biological City Development & Investment Co., Ltd                                      
Debt Instrument [Line Items]                                      
Area of rent free lease | m²         34,517                            
Lease term         10 years                            
Renewal lease term         10 years                            
Payment of monthly rent per square meter | ¥ / m²         5                            
Chongqing Maliu Riverside Development and Investment Co., LTD ("CQ")                                      
Debt Instrument [Line Items]                                      
Line of credit facility percentage of periodic payment year one                           20.00%          
Line of credit facility percentage of periodic payment year two                           30.00%          
Line of credit frequency of payments                             The Company is required to repay the principal amount with accrued interest within three years after the plant receives the cGMP certification, with 20% of the total loan with accrued interest is due within the first twelve months following receiving the certification, 30% of the total loan with accrued interest due within twenty-four months, and the remaining balance with accrued interest due within thirty-six months.        
Line of credit due                       $ 7,849,000     $ 7,849,000 7,641,000      
Chongqing MJ Medical Devices Co., Ltd                                      
Debt Instrument [Line Items]                                      
Controlling interest sold to non-controlling interest                       100,000              
China                                      
Debt Instrument [Line Items]                                      
Revenue                             $ 2,666,000 39,796,000 $ 2,105,000    
China | Chongqing Maliu Riverside Development and Investment Co., LTD ("CQ")                                      
Debt Instrument [Line Items]                                      
Debt instrument, maximum borrowing capacity                           ¥ 50.0   7,700,000      
Long-term line of credit, interest rate                           4.75%          
Senior Credit Agreements                                      
Debt Instrument [Line Items]                                      
Debt maturity date                             Jun. 19, 2026        
Loss on extinguishment of debt                 $ 7,200,000                    
Number of tranches | Tranche                 5                    
Debt instrument, maximum borrowing capacity               $ 225,000,000.0 $ 225,000,000.0                    
Available borrowing capacity upon approval of oral paclitaxel               $ 75,000,000.0 $ 75,000,000.0                    
Interest rate terms                             The loan bears interest at a fixed annual rate of 11.0%. The Company allocated the proceeds of the drawn tranches between liability and equity components and the fair value of such equity components, along with the direct costs related to the issuance of the debt were recorded as an offset to long-term debt on the consolidated balance sheets. The debt discount and financing fees are amortized on a straight-line basis, which approximates the effective interest method, over the remaining maturity of the Senior Credit Agreement. The effective interest rate of Tranches A, B and D, including the amortization of debt discount and financing fees amounts to 13.3% annually. The Company is required to make quarterly interest-only payments until June 19, 2022, after which the Company is required to make quarterly amortizing payments, with the remaining balance of the principal plus accrued and unpaid interest due at maturity.        
Bearing interest at a fixed annual rate               11.00% 11.00%                    
Commitment fee percentage will be paid           0.60%                          
Exit fee liability                       3,000,000.0     $ 3,000,000.0        
Minimum liquidity amount in cash or permitted cash equivalent investments amount               $ 20,000,000.0 $ 20,000,000.0                    
Line of credit from first step up date until maturity               25,000,000.0                      
Line of credit facility second step up date outstanding amount               225,000,000.0                      
Line of credit from second step up date until maturity               $ 30,000,000.0                      
Minimum revenue percentage               50                      
Line of credit due                       150,000,000.0     150,000,000.0        
Senior Credit Agreements | Subsequent Event                                      
Debt Instrument [Line Items]                                      
Number of tranches | Tranche 2                                    
Mandatory prepayment of principal percentage 62.50%                                    
Fee percentage 7.00%                                    
Exit fee percentage 2.00%                                    
Amendment fee $ 300,000                                    
Additional mandatory prepayment in principal $ 12,500,000                                    
Prepayment fee percentage 5.00%                                    
Purchase price | $ / shares $ 12.63                                    
Senior Credit Agreements | Minimum                                      
Debt Instrument [Line Items]                                      
Line of credit facility first step up date outstanding amount               $ 150,000,000.0                      
Senior Credit Agreements | Maximum                                      
Debt Instrument [Line Items]                                      
Covenant leverage ratio               4.50                      
Revenue Interest Financing Agreement | Sagard Healthcare Royalty Partners, LP                                      
Debt Instrument [Line Items]                                      
Licenses revenue             $ 50,000,000.0                        
Revenue Interest Financing Agreement | Sagard Healthcare Royalty Partners, LP | Interest Expenses                                      
Debt Instrument [Line Items]                                      
Write off of deferred debt issuance costs                         $ 600,000            
Revenue Interest Financing Agreement | Sagard Healthcare Royalty Partners, LP | Scenario Forecast                                      
Debt Instrument [Line Items]                                      
Agreement termination date                     2022-03                
Credit Agreement                                      
Debt Instrument [Line Items]                                      
Debt maturity date       May 28, 2022                              
Debt instrument, maximum borrowing capacity       $ 800,000           $ 800,000                  
Debt instrument, amount drawn                       800,000     800,000        
Credit agreement repaid date                   May 14, 2021                  
Bearing interest at a fixed annual rate       4.35%           4.35%               4.35% 4.35%
Credit Agreement | China                                      
Debt Instrument [Line Items]                                      
Debt instrument, maximum borrowing capacity | ¥                                   ¥ 5.0 ¥ 5.0
Lease Agreement | New York State | GMP Pharmaceutical Manufacturing Plant                                      
Debt Instrument [Line Items]                                      
Lease term     10 years                                
Renewal lease term     10 years                                
Area of building space built under agreement | ft²     409,000                                
Payment of annual rent     $ 2                                
Lease Agreement | Maximum | New York State | GMP Pharmaceutical Manufacturing Plant                                      
Debt Instrument [Line Items]                                      
Fund for construction costs     $ 208,000,000.0                                
Lease Agreement and 2015 Agreement                                      
Debt Instrument [Line Items]                                      
Number of employee committed to hire within 5 years | Employee     450                                
Term of committed to hire employee first period     5 years                                
Number of employee committed to hire within 2.5 years | Employee     300                                
Term of committed to hire minimum employee     2 years 6 months                                
Lease Agreement and 2015 Agreement | New York State | GMP Pharmaceutical Manufacturing Plant                                      
Debt Instrument [Line Items]                                      
Operating expenses committed to spent in first 10 year term     $ 1,520,000,000                                
Operating expenses committed to spent in second 10 year term     $ 1,500,000,000                                
Dunkirk Transaction                                      
Debt Instrument [Line Items]                                      
Current portion of senior secured loan                       45,900,000     $ 45,900,000        
Number Of quarterly payments | qtr                             3        
Senior secured loan as long-term debt                       95,400,000     $ 95,400,000        
Debt discount and financing fees                       8,700,000     8,700,000        
Dunkirk Transaction | Quarterly Payment One                                      
Debt Instrument [Line Items]                                      
Current portion of senior secured loan                       2,800,000     2,800,000        
Dunkirk Transaction | Quarterly Payment Two                                      
Debt Instrument [Line Items]                                      
Current portion of senior secured loan                       25,000,000.0     25,000,000.0        
Dunkirk Transaction | Quarterly Payment Three                                      
Debt Instrument [Line Items]                                      
Current portion of senior secured loan                       12,500,000     12,500,000        
Tranche A,B and D | Senior Credit Agreements                                      
Debt Instrument [Line Items]                                      
Amortization of debt discount financing fees percentage               13.30% 13.30%                    
Debt instrument, amount drawn                       150,000,000.0     150,000,000.0        
Tranche C and E | Senior Credit Agreements                                      
Debt Instrument [Line Items]                                      
Debt instrument, amount drawn                       75,000,000.0     75,000,000.0        
Senior Secured Loan                                      
Debt Instrument [Line Items]                                      
Principal value of loan                       50,000,000.0     $ 50,000,000.0        
Debt maturity date                             Jun. 30, 2023        
Prepayment fee               $ 3,800,000                      
Unamortized debt discount               3,100,000 $ 3,100,000                    
Other charges               300,000                      
Loss on extinguishment of debt               $ 7,200,000                      
Senior secured loan as long-term debt                       $ 95,400,000     $ 95,400,000 $ 138,399,000      
Senior Secured Loan | LIBOR                                      
Debt Instrument [Line Items]                                      
Debt variable rate basis floor                             2.00%        
Basis spread on variable rate                             9.00%