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Summary of Disaggregation of Product Revenues from Contracts with Customers by Major Product Line (Detail)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
Mar. 31, 2018
USD ($)
Disaggregation of Revenue [Line Items]    
Revenue $ 60,634 $ 44,830
Product revenue, percentage change amount 15,813  
Royalty and other revenue, percentage change amount (9)  
Total revenue, percentage change amount $ 15,804  
Product revenue, percentage change 35.3  
Royalty and other revenue, percentage change (29.0)  
Total revenue, percentage change 35.3  
Products    
Disaggregation of Revenue [Line Items]    
Revenue $ 60,612 44,799
Royalty and Other Revenue    
Disaggregation of Revenue [Line Items]    
Revenue $ 22 $ 31