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Debt Facility - Additional Information (Detail)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Apr. 28, 2017
USD ($)
$ / shares
shares
Sep. 30, 2018
USD ($)
shares
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Tranche
Line Of Credit Facility [Line Items]        
Number of tranches | Tranche       2
Repayment of principal debt and fees     $ 3,567  
Final payment due on date of maturity   $ 900    
Warrants issued to purchase shares of common stock | shares   1,665,170    
Amortization of debt discount   $ 400    
April 2017 Warrants [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected term   10 years    
April 2017 Warrants [Member] | Volatility [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   71.42    
April 2017 Warrants [Member] | Risk Free Interest Rate [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   2.33    
April 2017 Warrants [Member] | Dividend Yield [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   0    
June 2017 Warrants [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected term   10 years    
June 2017 Warrants [Member] | Volatility [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   71.57    
June 2017 Warrants [Member] | Risk Free Interest Rate [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   2.16    
June 2017 Warrants [Member] | Dividend Yield [Member]        
Line Of Credit Facility [Line Items]        
Warrants, expected rate   0    
Common Stock [Member] | April 2017 Warrants [Member]        
Line Of Credit Facility [Line Items]        
Common stock warrants issued to purchase common stock percentage on funded amount 3.00%      
Warrants issued to purchase shares of common stock | shares 24,725      
Exercise price of warrants per share | $ / shares $ 9.10      
Warrants expiration term 10 years      
Warrants expiration date Apr. 28, 2027      
Common Stock [Member] | June 2017 Warrants [Member]        
Line Of Credit Facility [Line Items]        
Common stock warrants issued to purchase common stock percentage on funded amount 3.00%      
Exercise price of warrants per share | $ / shares $ 5.39      
Warrants expiration term 10 years      
Warrants expiration date Jun. 15, 2027      
Additional warrants issued to purchase shares of common stock | shares 41,736      
Loan and Security Agreement [Member]        
Line Of Credit Facility [Line Items]        
Repayment of principal debt and fees       $ 3,700
Loan and Security Agreement [Member] | Silicon Valley Bank [Member] | Term Loan [Member]        
Line Of Credit Facility [Line Items]        
Loan and security agreement, maximum amount       $ 15,000
Interest rate, basis spread 4.25%      
Loan agreement payment terms   The Loan Agreement bears interest at the prime rate reported in The Wall Street Journal, plus a spread of 4.25%. Interest only payments are due through September 2018 followed by monthly payments of principal plus interest over the following 30 months. Since the second tranche was fully extended, the interest only period was extended for an additional 6 months, through March 2019 followed by monthly payments of principal plus interest over the following 24 months through the maturity date of March 1, 2021 under the Loan Agreement provisions.    
Debt instrument interest only payment maturity date 2018-09      
Debt instrument principal and interest payment period 30 months      
Debt instrument extended interest only payment maturity date 2019-03      
Debt instrument interest only payment extended period 6 months      
Debt instrument principal and interest payment extended period 24 months      
Debt instrument, frequency of periodic interest payments   monthly    
Debt instrument maturity date Mar. 01, 2021      
Customary closing fees 6.00%      
Payments of debt issuance costs $ 100