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Summary of Disaggregation of Product Revenues from Contracts with Customers by Major Product Line (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Disaggregation of Revenue [Line Items]        
Revenue $ 47,731 $ 32,455 $ 92,561 $ 63,045
Product revenue, percentage change amount 15,309   29,539  
Royalty and other revenue, percentage change amount (33)   (23)  
Total revenue, percentage change amount $ 15,276   $ 29,516  
Product revenue, percentage change 47.20%   46.90%  
Royalty and other revenue, percentage change (157.10%)   (54.80%)  
Total revenue, percentage change 47.10%   46.80%  
Product Revenue        
Disaggregation of Revenue [Line Items]        
Revenue $ 47,743 32,434 $ 92,542 63,003
Royalty and Other Revenue        
Disaggregation of Revenue [Line Items]        
Revenue $ (12) $ 21 $ 19 $ 42