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Revenue - Schedule of net sale by product (Detail) - USD ($)
$ in Thousands
12 Months Ended
Nov. 30, 2023
Nov. 30, 2022
Nov. 30, 2021
Disclosure of disaggregation of revenue from contracts with customers [line items]      
Revenue $ 81,764 $ 80,057 $ 69,823
Europe      
Disclosure of disaggregation of revenue from contracts with customers [line items]      
Revenue 286 1,261 1,455
EGRIFTA® net sales | Europe      
Disclosure of disaggregation of revenue from contracts with customers [line items]      
Revenue 53,705 50,454 43,009
Trogarzo® net sales | Europe      
Disclosure of disaggregation of revenue from contracts with customers [line items]      
Revenue $ 28,059 $ 29,603 $ 26,814