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Stockholders' Equity - Additional Information (Detail)
$ / shares in Units, $ in Thousands
1 Months Ended 12 Months Ended
Aug. 05, 2020
USD ($)
Apr. 30, 2020
USD ($)
$ / shares
Apr. 30, 2020
USD ($)
$ / shares
Apr. 30, 2019
USD ($)
$ / shares
shares
Jun. 30, 2018
shares
Apr. 30, 2018
USD ($)
$ / shares
shares
Dec. 31, 2020
USD ($)
installment
$ / shares
shares
Dec. 31, 2019
USD ($)
$ / shares
shares
Dec. 31, 2018
USD ($)
$ / shares
shares
Jun. 30, 2020
shares
Jun. 29, 2020
shares
May 31, 2020
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Preferred shares authorized (in shares)             5,000,000 5,000,000        
Preferred stock issued (in shares)             0 0        
Preferred stock outstanding (in shares)             0 0        
Common stock, shares authorized (in shares)             320,000,000 320,000,000   320,000,000 160,000,000  
Common stock, shares outstanding (in shares)             142,063,203 115,972,708        
Net proceeds from issuance of common stock, after deducting offering expenses | $             $ 0 $ 136,308 $ 215,758      
Additional equity award (in shares)             4,563,425          
Stock option maximum term             6 years 5 months 23 days          
Specified stockholder ownership percentage             10.00%          
Purchase price of common stock percent under stock incentive plans for specified stockholder             110.00%          
Stock option maximum term for specified stockholder             5 years          
Share of common stock subject to a stock option or stock appreciation right (in shares)             100.00%          
Intrinsic value of options exercised | $             $ 5,400 4,700 27,000      
Options vested and expected to vest, aggregate intrinsic value | $             69,600 7,500 24,500      
Options exercisable, aggregate intrinsic value | $             $ 29,025          
Restricted stock units awarded (in shares)             2,517,101          
Total payments for the employees' tax obligations to taxing authorities | $             $ 765 $ 422 $ 254      
Shares reserved for issuance of future awards (in shares)             2,483,218          
Share-Based Compensation Awards, Tranche 2                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock options granted vesting percentage             33.33%          
Share-Based Compensation Awards, Tranche 3                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock options granted vesting percentage             33.33%          
2018 Stock Incentive Plan                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Additional equity award (in shares)           0            
Percent of fair value per share of common stock on option grant date             100.00%          
Stock options vesting period             4 years          
Stock options expiration term             10 years          
Fixed ratio shares of common stock             1.33          
Shares reserved for issuance of future awards (in shares)             10,942,576          
2010 Employee Stock Purchase Plan                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Percent of fair value per share of common stock on option grant date         85.00%              
Stock reserved for issuance under plan (in shares)         4,600,000              
Purchase plan offering period         2 years              
Purchase plan purchase period         6 months              
Restated 2018 Stock Incentive Plan                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Increase in capital shares reserved for future issuance (in shares)                       9,900,000
Maximum | 2018 Stock Incentive Plan                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock option maximum term             10 years          
Employee Stock Options | 2018 Stock Incentive Plan | Share-Based Compensation Awards, Tranche 1                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock options granted vesting percentage             25.00%          
Employee Stock Options | 2018 Stock Incentive Plan | Share-Based Compensation Awards, Tranche 2                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock options granted vesting percentage             2.08%          
Restricted Stock Units (RSUs)                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Restricted stock units awarded (in shares)             2,517,101 834,745 346,055      
Grant date fair value per award of restricted stock units (in dollars per share) | $ / shares             $ 8.06 $ 9.49 $ 17.87      
Share-based compensation arrangement by share-based payment award, number of vesting installment | installment             3          
Aggregate fair value of RSUs vested in period | $             $ 3,700 $ 2,000 $ 600      
Shares withheld from issuance in order to pay employee taxes (in shares)             90,617 39,160 20,193      
Restricted Stock Units (RSUs) | Share-Based Compensation Awards, Tranche 1                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Stock options granted vesting percentage             33.33%          
Jefferies LLC | ATM Agreement                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Issuance of common stock, net of issuance costs (in shares)             0          
Stock offering program, maximum value | $ $ 150,000                      
Stock Purchase Agreement | Biogen MA Inc                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Sale of stock, price per share (in dollars per share) | $ / shares   $ 9.2137 $ 9.2137                  
Consideration received from sale of stock | $   $ 225,000 $ 225,000                  
Common Stock                        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                        
Issuance of common stock, net of issuance costs (in shares)       12,700,000   14,200,000 24,420,157 12,650,000 14,156,500      
Public offering price of common stock issued (in dollars per share) | $ / shares       $ 11.50   $ 16.25            
Net proceeds from issuance of common stock, after deducting offering expenses | $       $ 136,300   $ 215,800