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Revenue - Summary of Composition of Product Revenues (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
ETUARY
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 30,600	$ 25,500	$ 79,400	$ 77,900
Product | Sales
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 30,564	$ 25,488	$ 79,393	$ 77,885
Total Product Revenue, Percentage	100.00%	100.00%	100.00%	100.00%
Product | Sales | ETUARY
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 27,694	$ 25,285	$ 72,916	$ 77,290
Total Product Revenue, Percentage	90.60%	99.20%	91.80%	99.20%
Product | Sales | Contiva
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 1,245		$ 3,024
Total Product Revenue, Percentage	4.10%		3.80%
Product | Sales | Etorel
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 1,544		$ 3,140
Total Product Revenue, Percentage	5.10%		4.00%
Product | Sales | Other Products
Disaggregation of Revenue [Line Items]
Total Product Revenue	$ 81	$ 203	$ 313	$ 595
Total Product Revenue, Percentage	0.20%	0.80%	0.40%	0.80%

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