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Fair Value of Financial Instruments - Additional Information (Detail) (USD $)
9 Months Ended 0 Months Ended 9 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Dec. 31, 2013
Dec. 31, 2012
Sep. 30, 2014
Tranche B notes
Jul. 01, 2013
Senior convertible notes due December 31, 2019
Feb. 28, 2014
Senior convertible notes due December 31, 2019
Fair Value, Inputs, Level 3
Tranche B notes
Dec. 31, 2013
Senior convertible notes due December 31, 2019
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Sep. 30, 2014
Senior convertible notes due December 31, 2019
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Tranche B notes
Jul. 01, 2013
Senior convertible notes due December 31, 2019
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Tranche B notes
Sep. 30, 2014
Senior convertible notes due December 31, 2019
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Tranche One and Tranche Four Notes
Jul. 18, 2014
Deerfield
Senior convertible notes due December 31, 2019
Tranche B notes
May 06, 2014
Deerfield
Senior convertible notes due December 31, 2019
Tranche B notes
Sep. 30, 2014
Deerfield
Senior convertible notes due December 31, 2019
Notes Issued in Four Equal Tranches
Sep. 30, 2014
Commitment Asset
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Sep. 30, 2014
Milestone Rights Liability
Fair Value, Inputs, Level 3
Sep. 30, 2014
Milestone Rights Liability
Fair Value, Inputs, Level 3
Income Approach Valuation Technique
Fair Value of Financial Instruments [Line Items]                                  
Cash equivalents $ 172,465,000 $ 93,803,000 $ 70,790,000 $ 61,840,000                          
Cash equivalents, money market funds 169,700,000   67,700,000                            
Company's longer-term historical volatility rate 85.00%                                
Market discount rate               12.70% 11.90% 11.90% 12.40%       12.00%   17.50%
Fair value of Milestone Rights                               23,100,000  
Principal amount of notes purchased                       40,000,000 20,000,000 160,000,000      
Additional commitment asset         2,921,000 2,900,000 2,900,000           1,800,000 0      
Percentage of market yield             11.90%                    
Commitment asset, debt discount                         1,200,000        
Transfers of assets between fair value measurement 0 0                              
Transfers of liabilities between fair value measurement $ 0 $ 0