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Stock-Based Compensation - Additional Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended 9 Months Ended
Jan. 21, 2020
Aug. 31, 2020
May 31, 2020
Sep. 30, 2020
Sep. 30, 2019
Jun. 30, 2020
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Sep. 30, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Number of common stock shares reserved for issuance       16,386,314     16,386,314   18,577,117  
Total stock-based compensation       $ 2,074 $ 1,280   $ 6,609 $ 4,737    
Performance Shares [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Executives and employees stock options granted   1,107,250                
Total stock-based compensation       200     200      
Total unrecognized stock-based compensation related to unvested stock options       9,700     9,700      
Service Vesting Shares [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Total unrecognized stock-based compensation related to unvested stock options       $ 24,100     $ 24,100      
Weighted-average period             3 years 3 months 18 days      
2018 Equity Inducement Plan [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Number of common stock shares reserved for issuance       537,500     537,500     37,500
Common shares authorized to be issued during the period           500,000        
Stock option life in years             10 years      
2015 Plan [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Number of common stock shares reserved for issuance       4,678,379     4,678,379      
Common shares authorized to be issued during the period 4,312,500                  
Stock option life in years             10 years      
Percentage threshold of outstanding shares increased annually under the plan             4.00%      
Stock option grants description             The number of shares equal to 4% of the total outstanding shares of the Company’s common stock as of the immediately preceding December 31.      
2015 Plan [Member] | Contract Termination [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Warrant expiration period after specified event     75 days              
2008 Plan, 2015 Plan and 2018 Plan [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Common shares authorized to be issued during the period             4,887,187      
Weighted-average grant date fair values of options granted       $ 8.85 $ 14.80   $ 8.77 $ 54.80    
Issuance of common stock for exercise of stock options, Shares       0     0      
Total grant date fair value of options vested       $ 700 $ 1,000   $ 4,500 $ 5,300    
2018 Plan [Member] | Contract Termination [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Compensation costs relating to vesting acceleration and modification           $ 2,200