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Description of Business and Significant Accounting Policies - Additional Information (Detail)
1 Months Ended 3 Months Ended 6 Months Ended
Apr. 22, 2021
USD ($)
Apr. 10, 2020
USD ($)
Jun. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
Segment
Contract
Jun. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
Aug. 31, 2019
USD ($)
Jul. 01, 2013
USD ($)
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Accumulated deficit     $ (3,097,582,000)   $ (3,097,582,000)   $ (3,097,582,000)   $ (3,049,143,000)    
Principal amount     293,300,000   293,300,000   293,300,000        
Cash and cash equivalents     62,522,000   62,522,000 $ 63,222,000 62,522,000 $ 63,222,000 67,005,000    
Short-term investments     99,970,000   99,970,000   99,970,000        
Long-term investments     38,950,000   38,950,000   $ 38,950,000        
Debt issuance amount       $ 230,000,000.0              
Debt issuance percentage       2.50%              
Number of operating segment | Segment             1        
Proceeds from loans               4,873,000      
Accretion or amortization         100,000 $ 0 $ 100,000 0      
Allowance for credit losses on held-to-maturity securities     $ 0   $ 0   $ 0        
ASU 2020-06                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Change in accounting principle accounting standards update adopted     true   true   true        
Change in accounting principle accounting standards update adoption date     Jan. 01, 2021   Jan. 01, 2021   Jan. 01, 2021        
Change in accounting principle accounting standards update immaterial effect     true   true   true        
Change in accounting principle accounting standards update early adoption     true   true   true        
Commitment Asset | Other Expense                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Asset impairment               $ 1,900,000      
Paycheck Protection Program Loan, CARES Act                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Principal amount [1]     $ 4,900,000   $ 4,900,000   $ 4,900,000   4,900,000    
Proceeds from loans   $ 4,900,000                  
Convertible Promissory Note | Thirona Bio, Inc.                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Investment securities     3,000.0   $ 3,000.0   $ 3,000.0        
Proceeds from investment securities     $ 3,000.0                
Maturity date     2022-12                
Interest rate     6.00%   6.00%   6.00%        
Insulin                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Loss on purchase commitments     $ 88,700,000   $ 88,700,000   $ 88,700,000   95,300,000    
Loss on purchase commitments, number of new contracts recognized | Contract             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        
MidCap Credit Facility                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Principal amount [2]     40,000,000.0   40,000,000.0   $ 40,000,000.0   50,000,000.0    
Principal amount                   $ 110,000,000.0  
Amount outstanding     40,000,000.0   40,000,000.0   40,000,000.0   $ 50,000,000.0    
Principal prepayment against outstanding term loans $ 10,000,000.0                    
Commitment asset                   1,500,000  
Other asset                   $ 400,000  
Milestone Rights Liability | Deerfield                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Contingent liability remain payable     $ 65,000,000.0   $ 65,000,000.0   $ 65,000,000.0        
Milestone Rights Liability | Maximum | Deerfield                      
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]                      
Contingent liability for milestone payments                     $ 90,000,000.0
[1]

In July 2021, the Company received full forgiveness from the SBA for the $4.9 million principal balance of the PPP loan.

[2]

In April 2021, the Company prepaid $10.0 million principal balance and amended the MidCap credit facility. The interest rate prior to the amendment was one-month LIBOR (2% floor) plus 6.75% and the maturity date was in August 2024.