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Description of Business and Significant Accounting Policies - Additional Information (Detail)
1 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Aug. 06, 2019
USD ($)
$ / shares
Aug. 31, 2019
USD ($)
Jun. 30, 2019
USD ($)
$ / shares
Sep. 30, 2019
USD ($)
Contract
$ / shares
Dec. 31, 2018
USD ($)
Contract
Aug. 05, 2019
$ / shares
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Accumulated deficit       $ (2,977,640,000) $ (2,940,000,000)  
Principal amount       120,100,000    
Cash and cash equivalents       30,173,000 71,157,000  
Short-term investments       19,885,000    
Remaining debt amount       $ 70,019,000 72,089,000  
Conversion price of shares | $ / shares       $ 3.00    
(“ASC”) Topic 842 – Leases            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Increase in total assets and total liabilities       $ 5,200,000    
Short-term Investments            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Gain (loss) on investments       0    
Insulin            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Loss on purchase commitments       $ 89,500,000 $ 98,300,000  
Loss on purchase commitments, number of new contracts recognized | Contract       0 0  
Maximum | AFREZZA product sales            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Sales return right following product expiration in months       12 months    
Minimum | AFREZZA product sales            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Sales return right following product expiration in months       6 months    
The Mann Group LLC            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Remaining debt amount     $ 72,000,000      
Facility Financing Obligation | Deerfield            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Repayments of aggregate principal amount       $ 5,000,000    
Convertible Promissory Note | The Mann Group LLC            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount     80,600,000 35,000,000    
Repayments of debt       $ 11,000,000    
Remaining debt amount     $ 70,100,000      
Maturity period, month and year     2021-07      
Conversion price of shares | $ / shares     $ 4.00 $ 2.50    
Convertible Promissory Note | The Mann Group LLC | New Loan Arrangement            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Maturity period, month and year       2024-11    
Conversion price of shares | $ / shares       $ 2.50   $ 2.50
Non-Convertible Promissory Note | The Mann Group LLC            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       $ 35,100,000    
Non-Convertible Promissory Note | The Mann Group LLC | New Loan Arrangement            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       35,100,000    
2021 Notes            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       10,200,000    
Repayments of aggregate principal amount       8,500,000    
June 2020 Note            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       $ 2,600,000    
Maturity period, month and year       2020-06    
December 2020 Note            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       $ 2,600,000    
Maturity period, month and year       2020-12    
2024 Convertible Notes            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       $ 5,000,000    
Maturity period, month and year       2024-11    
Conversion price of shares | $ / shares $ 3.00          
MidCap Credit Facility            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Principal amount       $ 40,000,000    
Principal amount $ 75,000,000 $ 75,000,000        
Amount outstanding       40,000,000    
Amount available under credit facility   35,000,000        
MidCap Credit Facility | Tranche 2            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Advance of borrowing 10,000,000 10,000,000        
Debt instrument, minimum target net revenue 30,000,000 30,000,000        
Minimum cash covenant 15,000,000     15,000,000    
MidCap Credit Facility | Tranche 3            
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]            
Advance of borrowing 25,000,000 $ 25,000,000        
Minimum cash covenant $ 20,000,000     $ 20,000,000