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Outstanding Shares of Common Stock Shares Excluded from Computation of Diluted Net Loss per Share (Detail) - shares
9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Stock options to purchase common stock    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 7,200,427 6,421,103
Performance stock options    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 147,335 176,117
Common stock warrants    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 1,500 1,500
Restricted stock units    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 809,014 637,772
Performance stock units    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 160,378 316,961
Employee stock purchase plan    
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]    
Common stock equivalents excluded from computation of diluted net loss per share 19,062 7,759