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Intangible asset - Summary of Intangible Assets (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Nov. 30, 2023
Nov. 30, 2022
Cost    
Beginning Balance $ 15,009  
Ending Balance 12,496 $ 15,009
Accumulated amortization    
Disposal (7,612)  
Net carrying amounts    
Intangible assets 12,496 15,009
Cost    
Cost    
Beginning Balance 39,945 37,113
Additions   2,832
Disposal (7,612)  
Ending Balance 32,333 39,945
Net carrying amounts    
Intangible assets 32,333 39,945
Cost | Commercialization rights- Trogarzo® North America    
Cost    
Beginning Balance 14,804 11,972
Additions   2,832
Ending Balance 14,804 14,804
Net carrying amounts    
Intangible assets 14,804 14,804
Cost | Commercialization rights- Trogarzo® European Territory    
Cost    
Beginning Balance 7,612 7,612
Additions   0
Disposal (7,612)  
Ending Balance   7,612
Net carrying amounts    
Intangible assets   7,612
Cost | Commercialization rights – EGRIFTA SV®    
Cost    
Beginning Balance 14,041 14,041
Additions   0
Ending Balance 14,041 14,041
Net carrying amounts    
Intangible assets 14,041 14,041
Cost | Oncology Platform    
Cost    
Beginning Balance 3,488 3,488
Additions   0
Ending Balance 3,488 3,488
Net carrying amounts    
Intangible assets 3,488 3,488
Accumulated amortization    
Accumulated amortization    
Beginning balance 24,936 15,725
Amortization 2,513 9,211
Ending Balance 19,837 24,936
Accumulated amortization | Commercialization rights- Trogarzo® North America    
Accumulated amortization    
Beginning balance 4,354 3,267
Amortization 1,442 1,087
Ending Balance 5,796 4,354
Accumulated amortization | Commercialization rights- Trogarzo® European Territory    
Accumulated amortization    
Beginning balance 7,612 999
Amortization   6,613
Disposal (7,612)  
Ending Balance   7,612
Accumulated amortization | Commercialization rights – EGRIFTA SV®    
Accumulated amortization    
Beginning balance 12,970 11,459
Amortization 1,071 1,511
Ending Balance 14,041 12,970
Net Carrying Amount [Member]    
Cost    
Beginning Balance 15,009  
Ending Balance 12,496 15,009
Net carrying amounts    
Intangible assets 12,496 15,009
Net Carrying Amount [Member] | Commercialization rights- Trogarzo® North America    
Cost    
Beginning Balance 10,450  
Ending Balance 9,008 10,450
Net carrying amounts    
Intangible assets 9,008 10,450
Net Carrying Amount [Member] | Commercialization rights- Trogarzo® European Territory    
Cost    
Beginning Balance 0  
Ending Balance   0
Net carrying amounts    
Intangible assets   0
Net Carrying Amount [Member] | Commercialization rights – EGRIFTA SV®    
Cost    
Beginning Balance 1,071  
Ending Balance   1,071
Net carrying amounts    
Intangible assets   1,071
Net Carrying Amount [Member] | Oncology Platform    
Cost    
Beginning Balance 3,488  
Ending Balance 3,488 3,488
Net carrying amounts    
Intangible assets $ 3,488 $ 3,488