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Summary of Significant Accounting Policies - Additional Information (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Jun. 30, 2020
item
Dec. 31, 2021
USD ($)
item
segment
Institution
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Jan. 01, 2019
USD ($)
lease
Dec. 31, 2018
USD ($)
Summary Of Significant Accounting Policies [Line Items]            
Number of suppliers   3        
Cost of goods sold | $   $ 0        
Prepaid R&D expense | $   $ 1,481 $ 11,286      
Expected dividend yield   0.00% 0.00% 0.00%    
Stockholders' equity | $   $ 227,522 $ 249,001 $ 186,713   $ 133,630
Number of operating segments | segment   1        
Commercial Supply Revenue            
Summary Of Significant Accounting Policies [Line Items]            
Number of parties in net profit sharing arrangement   2        
Vifor, VFMCRP, and CKDP Agreements [Member] | License and Milestone Fees            
Summary Of Significant Accounting Policies [Line Items]            
Number of performance obligations for revenue recognized   1        
Stamford Operating Lease [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Number of renewable terms   1        
Operating Lease, renewable term   5 years        
Stamford Operating Lease [Member] | ASC 842 [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Number of operating lease | lease         2  
Number of renewable terms   1        
Operating Lease, renewable term   5 years        
Annual incremental borrowing rate   7.00%        
Stamford Operating Lease [Member] | ASC 842 [Member] | Cumulative Effect, Period of Adoption, Adjustment            
Summary Of Significant Accounting Policies [Line Items]            
Stockholders' equity | $         $ 0  
New Stamford Lease [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Number of renewable terms 1          
Operating Lease, renewable term 5 years          
Annual incremental borrowing rate   7.00%        
New Stamford Lease [Member] | ASC 842 [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Number of renewable terms   1        
Operating Lease, renewable term   5 years        
Maximum [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Period that would require for locating and qualifying alternate sources if the suppliers fail to meet supply commitments   2 years        
Options [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Expected life of options (in years)   6 years 3 months 6 years 3 months 6 years 3 months    
Expected dividend yield   0.00% 0.00% 0.00%    
Cash And Cash Equivalents And Marketable Securities [Member]            
Summary Of Significant Accounting Policies [Line Items]            
Number of financial institutions | Institution   3