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Commitments and Contingencies - Additional Information (Detail) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Jun. 30, 2022
Nov. 30, 2021
Nov. 30, 2017
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Jul. 01, 2013
Commitments And Contingencies [Line Items]                  
Milestone liabilities       $ 3,772,000   $ 3,772,000   $ 4,524,000  
Operating lease costs       422,000 $ 408,000 1,253,000 $ 1,037,000    
Financing liability       104,100,000   104,100,000   104,100,000  
Financing liability, long term       94,375,000   94,375,000   94,512,000  
Financing liability, short term       9,747,000   $ 9,747,000   9,565,000  
Supply Agreement expiration period           Dec. 31, 2027      
Supply Agreement renewal period           2 years      
Cash paid for interest on financing liability           $ 7,200,000 $ 3,800,000    
Equipment | V-Go                  
Commitments And Contingencies [Line Items]                  
Embedded lease cost per month $ 14,370                
Master Lease Agreement with Enterprise | Vehicle Leases                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses           $ 100,000      
Marlborough Lease | Buildings                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses $ 28,895                
Percentage of annual increase in lease payment 3.00%                
Casper L L C                  
Commitments And Contingencies [Line Items]                  
Sale price   $ 102,300,000              
Lease initial term   20 years              
Lease renewal option   4 years              
Lease renewal options   renewal options of five years              
Lessee,option to extend [true false]   true              
Operating lease costs   $ 9,500,000              
Lease, description   The total annual rent under the Lease starts at approximately $9.5 million per year, subject to a 50% rent abatement during the first year of the Lease, and will increase annually by (i) 2.5% in the second through fifth year of the Lease and (ii) 3% in the sixth and each subsequent year of the Lease, including any renewal term.              
Security deposit   $ 2,000,000.0              
Lease repurchase description   the Company has four options to repurchase the Property, in 2026, 2031, 2036 and 2041, for the greater of (i) $102.3 million and (ii) the fair market value of the Property.              
Minimum | Casper L L C                  
Commitments And Contingencies [Line Items]                  
Lease repurchase, amount   $ 102,300,000              
Deerfield | Milestone Rights Liability                  
Commitments And Contingencies [Line Items]                  
Contingent liability remain payable                 $ 55,000,000
Deerfield | Milestone Rights Liability | Maximum                  
Commitments And Contingencies [Line Items]                  
Contingent liability for milestone payments                 $ 90,000,000
Russell Ranch Road II LLC | Office Lease                  
Commitments And Contingencies [Line Items]                  
Operating lease rent expenses     $ 79,543            
Percentage of annual increase in lease payment     3.00%            
Description of right to extension of lease term           The Company has no further right to extend the lease term beyond July 31, 2028.      
Russell Ranch Road II LLC | Maximum | Office Lease                  
Commitments And Contingencies [Line Items]                  
Reimbursement for tenant improvements     $ 900,000            
Additional base rent concession     $ 700,000            
Barings Global Milestone Rights                  
Commitments And Contingencies [Line Items]                  
Remaining milestone rights liability       3,900,000   $ 3,900,000   4,800,000  
Milestone rights liability, current       800,000   800,000   900,000  
Milestone liabilities       $ 3,100,000   $ 3,100,000   $ 3,900,000