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Equity - Incentive Equity Awards - Summary of Equity Awards Activity (Detail) - USD ($)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Stockholders Equity Note [Line Items]    
Common shares issued for stock option exercises 1,203,845 1,623,460
Gross and net proceeds from stock option exercises $ 2,921,000 $ 5,158,000
Restricted Stock Units (RSUs)    
Stockholders Equity Note [Line Items]    
Common shares issued in settlement of RSUs and Performance Based RSUs vested 2,133,328 1,267,164
Shares retained for settlement of employee tax obligations 782,917 461,143
Performance-Based RSUs    
Stockholders Equity Note [Line Items]    
Common shares issued in settlement of RSUs and Performance Based RSUs vested [1] 1,923,316 1,240,584
Shares retained for settlement of employee tax obligations 816,931 514,784
[1] Performance-based RSUs vested in connection with the achievement of certain regulatory and sales performance conditions associated with the REDUCE-IT clinical trial and subsequent revenue growth. These performance-based RSUs have fully vested as of August 2021.