v3.25.4
LIABILITIES RELATED TO THE SALE OF FUTURE ROYALTIES AND DEVELOPMENT FUNDING - Additional Information (Detail)
$ in Thousands
1 Months Ended
Dec. 31, 2025
USD ($)
Sep. 30, 2025
USD ($)
Mar. 31, 2025
payment
Aug. 31, 2020
USD ($)
program
payment
Apr. 30, 2020
USD ($)
Jan. 01, 2030
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Liability Related To The Sale Of Future Royalties [Line Items]                  
Number of cardiometabolic programs | program       2          
Stockholder's equity $ 789,176           $ 67,088 $ (220,644) $ (158,223)
Liabilities related to the sale of future royalties and development funding 220,068           113,018    
Liabilities related to the sale of future royalties and development funding, net of current portion 1,470,341           1,334,353    
Development derivative liability 0           93,780    
Development derivative liability, net of current portion $ 0           393,139    
Cost of borrowing (as percent) 10.00%                
Blackstone Life Sciences                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Cost of borrowing (as percent) 7.00%                
Accumulated Deficit                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Stockholder's equity $ (6,702,524)           (7,287,748) (7,009,591) $ (6,569,349)
Cumulative Effect, Period of Adoption, Adjustment                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Stockholder's equity             271,477    
Cumulative Effect, Period of Adoption, Adjustment | Accumulated Deficit                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Stockholder's equity             271,477    
Vutrisiran                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Effective interest rate 46.00%                
Liabilities related to the sale of future royalties and development funding $ 94,500                
Liabilities related to the sale of future royalties and development funding, net of current portion $ 99,700                
Zilebesrian                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Effective interest rate 32.00%                
Liabilities related to the sale of future royalties and development funding $ 6,800                
Liabilities related to the sale of future royalties and development funding, net of current portion 10,300                
Blackstone Life Sciences | Vutrisiran and ALN-AGT | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Maximum funding       $ 150,000          
Blackstone Life Sciences | HELIOS-B Phase 3 Clinical Trial | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Maximum funding 70,000                
Blackstone Life Sciences | ALN-AGT Phase 2 Clinical Trial                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Development milestone payable       $ 84,500          
Blackstone Life Sciences | ALN-AGT Phase 2 Clinical Trial | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Maximum funding 26,000                
Number of quarterly payments | payment       16          
Fixed payment, term (in years)       4 years          
Blackstone Life Sciences | ALN-AGT Phase 3 Clinical Trial | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Maximum funding 6,000 $ 18,000              
Development milestone payable       $ 243,000          
Number of quarterly payments | payment       16          
Fixed payment, term (in years)       4 years          
Blackstone Life Sciences | Vutrisiran                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Development milestone payable       $ 175,000          
Blackstone Life Sciences | Vutrisiran | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Royalties payable, percent       1.00%          
Royalties payable, term (in years)       10 years          
Number of quarterly payments | payment     8            
Fixed payment, term (in years)     2 years            
Blackstone Life Sciences | Development Milestone                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Development milestone payable       $ 175,000          
Blackstone Group Inc.                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Liabilities related to the sale of future royalties and development funding 118,800           112,100    
Liabilities related to the sale of future royalties and development funding, net of current portion $ 1,360,000           $ 1,340,000    
Blackstone Group Inc. | Net revenues from collaborations                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Collaborative arrangement, royalties and commercial milestones acquired by collaborator, percent         50.00%        
Commercial milestones acquired by collaborator, percent         75.00%        
Expected royalty interest payments         $ 1,000,000        
Consideration received         $ 1,000,000        
Interest rate (as percent) 10.00%           10.00%    
Liabilities related to the sale of future royalties and development funding, net of current portion $ 1,479,209           $ 1,447,371 $ 1,377,239  
Closing costs 8,300           $ 9,100    
Blackstone Group Inc. | Net revenues from collaborations | Forecast                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Collaborative arrangement, royalties and commercial milestones acquired by collaborator, percent           55.00%      
Vutrisiran                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Royalty and development funding liability, fair value 541,300                
Zilebesrian                  
Liability Related To The Sale Of Future Royalties [Line Items]                  
Royalty and development funding liability, fair value $ 116,200