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Stock Based Compensation - Additional Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended
Jun. 30, 2017
Mar. 31, 2023
Mar. 31, 2022
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Stock-based compensation expense   $ 41,250 $ 29,198
Stock-based compensation expenses   $ 41,300 $ 29,200
Grants, Stock options   1,030,349 1,291,537
Chief Executive Officer      
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Grants, Stock options 3,300,000    
Minimum [Member]      
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Compound annual growth rate   5.00%  
Unvested Tranche Member      
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Stock-based compensation expense   $ 8,400  
Incremental compensation cost   $ 5,000  
Vesting, Stock options   550,110  
Average closing price   $ 128.65  
Share-Based Compensation Arrangement by Share-Based Payment Award, Terms of Award   550,110 options relating to the Unvested Tranche met the conditions for vesting as the average closing price of the Company's common stock exceeded $128.65 during 20 consecutive trading days in March 2023 and the compound annual growth rate of the Company's common stock exceeded that of the Nasdaq Biotech Index by greater than 5%