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Income Taxes - Reconciliation of Federal Statutory Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Taxes [Line Items]      
Federal statutory income (benefit) tax rate (34.00%) (34.00%) (34.00%)
2017 Tax Act, net deferred tax remeasurement (626.73%)    
State taxes, net of federal benefit (2.01%) (2.88%) (3.45%)
Stock compensation (5.18%) 0.61%  
Permanent differences-other (13.39%) 1.00% 4.66%
Research and development ("R&D") credit 5.54% (0.98%) (0.95%)
Valuation release for bargain purchase gain (302.23%)    
Other (1.36%) 0.47% (0.64%)
Decrease (increase) in valuation allowance 709.88% 35.78% 34.38%
Federal statutory income tax rate, Total (302.23%) (0.00%) (0.00%)
North Carolina [Member]      
Income Taxes [Line Items]      
North Carolina tax rate change (32.75%)