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Collaboration Agreements - Summary of Operating Expenses Category Related to Collaboration Agreement (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Net reimbursement from Biogen reflected in the consolidated statement of operations and comprehensive loss:      
Total operating costs and expenses $ 467,217 $ 517,974 $ 714,992
Biogen Collaboration Agreement [Member]      
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]      
Expenses related to the Biogen Collaboration Agreement incurred by Sage 193,776    
Net reimbursement from Biogen reflected in the consolidated statement of operations and comprehensive loss:      
Selling, general and administrative expenses (11,282)    
Operating expenses (91,130)    
Total operating costs and expenses 102,646    
Research and Development [Member] | Biogen Collaboration Agreement [Member]      
Net reimbursement from Biogen reflected in the consolidated statement of operations and comprehensive loss:      
Research and development expenses $ (79,848)