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Borrowings - Deerfield Facility Financing Obligation - Additional Information (Detail) - USD ($)
12 Months Ended 24 Months Ended
Jul. 18, 2019
Dec. 31, 2019
Dec. 31, 2014
Dec. 31, 2014
Jun. 30, 2019
Dec. 31, 2018
Jul. 01, 2013
Debt Instrument [Line Items]              
Principal amount   $ 120,300,000          
Common stock, shares issued   211,787,573       187,029,967  
2019 notes              
Debt Instrument [Line Items]              
Unamortized debt issuance costs and debt discount   $ 0       $ 200,000  
Deerfield | 2019 notes              
Debt Instrument [Line Items]              
Principal amount             $ 160,000,000
Senior notes, effective interest rate             9.75%
Conversion of notes to common shares, value $ 1,600,000            
Debt instrument, remaining borrowing capacity   60,000,000          
Repayments of aggregate principal amount $ 2,400,000            
Common stock, shares issued 1,514,423            
Deerfield | Facility Financing Obligation              
Debt Instrument [Line Items]              
Conversion of notes to common shares, value       $ 100,000,000      
Repayments of aggregate principal amount   5,000,000          
Deerfield | Tranche B notes              
Debt Instrument [Line Items]              
Senior notes, effective interest rate     8.75% 8.75%      
Debt instrument additional borrowing capacity     $ 20,000,000        
Debt instrument, remaining borrowing capacity   20,000,000          
Deerfield | Facility Financing Obligation              
Debt Instrument [Line Items]              
Principal amount         $ 9,000,000    
Debt instrument, remaining borrowing capacity   $ 80,000,000