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Liability Related to the Sale of Future Royalties - Additional Information (Detail) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended
Feb. 24, 2012
Mar. 31, 2014
Mar. 31, 2013
Mar. 31, 2016
Mar. 31, 2015
Liability Related to the Sale of Future Royalties [Line Items]          
Non-cash royalty revenue related to sale of future royalties       $ 6,535 $ 3,962
Non-cash interest expense on liability related to sale of future royalties       $ 5,045 $ 5,050
Annual interest rate       17.00%  
Royalty agreement contingent payment description       as a result of worldwide net sales of MIRCERA® for the 12 month periods ended December 31, 2013 and 2012 not reaching certain minimum thresholds.  
Purchase and Sale Agreement with RPI [Member]          
Liability Related to the Sale of Future Royalties [Line Items]          
Proceeds from sale of royalty rights $ 124,000        
Transaction costs related to sale of potential future royalties $ 4,400        
Payment made for milestone not achieved year two   $ 7,000      
Payment made for milestone not achieved year one     $ 3,000