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Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jul. 31, 2023 | Jan. 31, 2022 | Aug. 31, 2018 | May 31, 2018 | Sep. 30, 2023 | Mar. 31, 2023 | Sep. 30, 2018 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Gain (loss) on strategic investment |  |  |  |  |  |  |  | $ 5,109 | $ 3,542 | $ 2,329
Restricted cash |  |  |  |  |  |  |  | 5,770 | 5,770 | 5,770
Corporate Credit Card Program | Letter of Credit |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Restricted cash |  |  |  |  |  |  |  | 2,000 |  |
Fleet Program | Letter of Credit |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Restricted cash |  |  |  |  |  |  |  | 400 |  |
Other expense |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Gain (loss) on strategic investment |  |  |  |  |  |  |  | 5,100 | 3,500 | 2,300
Stoke Therapeutics, Inc. | Research and development |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Mile stone payments payable |  | $ 907,500 |  |  |  |  |  |  |  |
Upfront consideration and transaction costs |  | $ 60,000 |  |  |  |  |  |  |  |
Cost splits description |  | For the SYNGAP1 program, the two companies will jointly share global research, development and commercialization responsibilities and share 50/50 in all worldwide costs and future profits. |  |  |  |  |  |  |  |
License Agreements |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Upfront payment |  |  |  |  |  |  |  | 102,500 | $ 88,700 | $ 11,000
License Agreements | North America |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Mile stone payments payable |  |  |  |  |  | $ 40,000 |  |  |  |
License Agreements | Neuren | North America |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Upfront payment | $ 100,000 |  |  |  |  |  |  |  |  |
Goodwill and Intangible Asset Impairment, Total |  |  |  |  |  | 40,000 |  |  |  |
PRV liability |  |  |  |  |  | $ 29,600 |  |  |  |
Upfront license fee |  |  | $ 10,000 |  |  |  |  |  |  |
License Agreements | Neuren | Research and development | North America |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Upfront payment |  |  |  |  | $ 100,000 |  | $ 10,000 |  |  |
License Agreements | Neuren | Development Commercialization and Sales Milestones |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Upfront payment | 831,300 |  |  |  |  |  |  |  |  |
Exclusivity Deed | Neuren |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Aggregate carrying amount of strategic equity investment |  |  |  | $ 3,100 |  |  |  |  |  |
Proceeds from sale of shares |  |  |  |  |  |  |  | $ 12,300 |  |
Shares subscribed |  |  |  | 1,330,000 |  |  |  |  |  |
Shares sold of Neuren |  |  |  |  |  |  |  | 1,330,000 |  |
Exclusivity Deed | Neuren | Sales, general and administrative |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Payments for exclusive right |  |  |  | $ 900 |  |  |  |  |  |
Maximum |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Mile stone payments payable |  |  |  |  |  |  |  | $ 3,400,000 |  |
Maximum | License Agreements | Neuren | North America |  |  |  |  |  |  |  |  |  |
Other Commitments [Line Items] |  |  |  |  |  |  |  |  |  |
Mile stone payments payable | $ 426,300 |  | $ 455,000 |  |  |  |  |  |  |

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