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Income Taxes - Reconciliation of U.S. Federal Statutory Income Tax Rate to Effective Income Tax Rate (Details)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income Tax Disclosure [Abstract]      
U.S. Statutory Rate 21.00% 34.00% 34.00%
Change in valuation allowance (20.60%) 56.40% (11.80%)
State taxes (net of federal benefit) 0.50% 1.90% (4.40%)
Federal research and development credit 4.10% 7.10% 67.40%
Incentive stock options (2.90%) 12.50% (46.20%)
Unrecognized tax benefits (1.00%) (3.50%) (47.10%)
Preferred stock warrant revaluation     12.60%
Impact of Tax Cuts and Jobs Act of 2017   (113.50%)  
Return to provision - deductible transaction costs   5.60%  
Other, net (0.40%) 0.10% (15.50%)
Effective income tax rate 0.70% 0.60% (11.00%)