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Income Taxes - Additional Information (Detail) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Taxes [Line Items]      
Increase (decrease) in valuation allowance $ 39,900,000 $ 19,200,000  
Federal operating loss carryforwards net 278,700,000    
State operating loss carryforwards net $ 225,700,000    
Federal operating loss carryforwards expiry 2032    
State operating loss carryforwards expiry 2028    
Federal operating loss carryforwards expired net $ 21,100,000    
Federal research and development credits will begin to expire 2020    
Unrecognized tax benefits $ 25,259,000 9,714,000 $ 8,786,000
Unrecognized tax benefits that would affect the Company's effective tax rate 0 $ 0  
Income tax penalties and interest expense, unrecognized tax benefits 0    
Federal [Member]      
Income Taxes [Line Items]      
Research and development credit 11,500,000    
State and Local [Member]      
Income Taxes [Line Items]      
Research and development credit 9,000,000    
Orphan Drug [Member]      
Income Taxes [Line Items]      
Research and development credit $ 46,900,000    
California research and development credits expiration year 2034