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Net Loss Per Common Share - Schedule of Securities Excluded from Computation of Diluted Loss Per Share (Detail) - shares
shares in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Outstanding Options to Purchase Common Stock [Member]      
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]      
Securities excluded from calculation of diluted loss per share 1,616 1,903 1,921
Conversion of the Convertible Notes [Member]      
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]      
Securities excluded from calculation of diluted loss per share   1,216 2,500