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Schedule of Adoption of New Revenue Guidance Impact on Consolidated Statement of Operations (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Revenues: |  |  |  |  |  |  |  |  |  |  |
Net revenue - commercial product sales | $ 16,031 | $ 4,469 | $ 3,893 | $ 3,465 | $ 4,530 | $ 2,043 | $ 2,163 | $ 3,009 | $ 27,859 | $ 11,745 | $ 174,758
Expenses: |  |  |  |  |  |  |  |  |  |  |
Cost of goods sold |  |  |  |  |  |  |  |  | 19,402 | 17,228 | 17,121
Net loss | $ (9,747) | $ (24,168) | $ (22,675) | $ (30,385) | $ (32,784) | $ (32,886) | $ (35,339) | $ (16,324) | (86,975) | (117,333) | 125,664
Commercial product sales |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Net revenue - commercial product sales |  |  |  |  |  |  |  |  | 17,276 | $ 9,192 | $ 1,895
Adjustments | Accounting Standards Update 2014-09 |  |  |  |  |  |  |  |  |  |  |
Expenses: |  |  |  |  |  |  |  |  |  |  |
Cost of goods sold |  |  |  |  |  |  |  |  | (754) |  |
Net loss |  |  |  |  |  |  |  |  | (267) |  |
Adjustments | Commercial product sales | Accounting Standards Update 2014-09 |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Net revenue - commercial product sales |  |  |  |  |  |  |  |  | (486) |  |
Balances Without Adoption of Topic 606 | Accounting Standards Update 2014-09 |  |  |  |  |  |  |  |  |  |  |
Expenses: |  |  |  |  |  |  |  |  |  |  |
Cost of goods sold |  |  |  |  |  |  |  |  | 18,648 |  |
Net loss |  |  |  |  |  |  |  |  | (87,242) |  |
Balances Without Adoption of Topic 606 | Commercial product sales | Accounting Standards Update 2014-09 |  |  |  |  |  |  |  |  |  |  |
Revenues: |  |  |  |  |  |  |  |  |  |  |
Net revenue - commercial product sales |  |  |  |  |  |  |  |  | $ 16,790 |  |

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