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Income Taxes - Additional Information (Detail) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2013
Income Tax Disclosure [Line Items]        
Provision for income taxes   $ 0    
Income tax position description   For tax positions meeting the more likely than not threshold, the tax amount recognized in the financial statements is reduced by the largest benefit that has a greater than fifty percent likelihood of being realized upon the ultimate settlement with the relevant taxing authority.    
Federal operating loss carryforwards   $ 235,400,000    
State operating loss carryforwards   $ 234,300,000    
Federal and state net operating loss carryforwards expiration year   2031    
Federal orphan drug tax credit carry forwards   $ 29,800,000    
Tax credit carry forwards expiration period   2034    
Change in amount of deferred tax assets   $ 66,000,000    
Valuation allowance   135,072,000 $ 69,069,000  
Unrecognized tax benefit related to start-up costs   0   $ 2,880,000
Accrued interest or penalties related to uncertain tax positions   0 0  
Uncertain tax positions   0    
ASU 2016-09 [Member] | Scenario, Forecast [Member]        
Income Tax Disclosure [Line Items]        
Increase in deferred tax assets associated with net operating losses $ 8,000,000      
Increase in deferred tax assets associated with federal and state research credits $ 1,500,000      
ASU 2015-17, Balance Sheet Classification of Deferred Taxes [Member] | ASU Early Adoption [Member]        
Income Tax Disclosure [Line Items]        
Decrease in deferred tax liability current     (600,000)  
Increase in deferred tax liability non-current     $ 600,000  
Tax Deductions from Exercise of Stock Options [Member]        
Income Tax Disclosure [Line Items]        
Net operating losses exclude from deferred tax assets   8,000,000    
Federal and state research and development credits exclude from deferred tax assets   1,500,000    
Domestic Tax Authority [Member]        
Income Tax Disclosure [Line Items]        
Research and development tax credits carryforwards   $ 4,100,000    
Research and development tax credits carryforwards expiration year   2031    
Excess equity based compensation, tax deductions   $ 20,400,000    
Excess equity based compensation, tax credits   1,300,000    
State and Local Jurisdiction [Member]        
Income Tax Disclosure [Line Items]        
Research and development tax credits carryforwards   $ 1,600,000    
Research and development tax credits carryforwards expiration year   2027    
Excess equity based compensation, tax deductions   $ 20,400,000    
Excess equity based compensation, tax credits   $ 200,000