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Organization and Operations - Additional Information (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 04, 2018
Aug. 31, 2016
USD ($)
Aug. 31, 2015
USD ($)
Feb. 28, 2015
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
Schedule Of Description Of Business [Line Items]            
Net proceeds from issuance of common stock and convertible senior notes       $ 55,398    
Proceeds from the issuance of common stock     $ 73,965      
Net proceeds from second offering of convertible senior notes   $ 48,738     $ 3,997  
Accumulated deficit         $ (238,877) $ (268,374)
Aggregate cash and cash equivalents and marketable securities           $ 100,014
Subsequent Events [Member]            
Schedule Of Description Of Business [Line Items]            
Reverse stock split, conversion ratio 0.25          
Subsequent Events [Member] | Inotek [Member]            
Schedule Of Description Of Business [Line Items]            
Reverse stock split, description 1-for-4 reverse stock split          
Reverse stock split, conversion ratio 0.25          
Number of common stock converted for each outstanding share under merger agreement 76.185