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Stock-Based Compensation - Additional Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 6 Months Ended 12 Months Ended
Feb. 03, 2021
Jan. 21, 2020
Jul. 15, 2015
Aug. 31, 2020
May 31, 2020
Jun. 30, 2020
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
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 18,577,117    
Stock option grants description             The aggregate number of shares issued over the term of the 2015 Employee Stock Purchase Plan will not exceed 85,000 shares of common stock. The ESPP will not become effective until such time as the Compensation Committee determines in the future, and as of December 31, 2020, the initial offering periods had not commenced.      
Total stock-based compensation             $ 9,470 $ 5,695 $ 6,796  
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     37,500
Common shares authorized to be issued during the period           500,000        
Stock option life in years             10 years      
2018 Equity Inducement Plan [Member] | Subsequent Event [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Common shares authorized to be issued during the period 500,000                  
2015 Plan [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Number of common stock shares reserved for issuance             4,678,597      
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.      
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             $ 8.81 $ 50.40 $ 70.00  
Issuance of common stock for exercise of stock options, Shares             0      
Aggregate intrinsic value of options exercised               $ 100 $ 200  
Total grant date fair value of options vested             $ 5,200 $ 6,000 $ 5,900  
Total unrecognized stock-based compensation related to unvested stock options             $ 23,100      
Weighted-average period             3 years 1 month 6 days      
2008 Plan, 2015 Plan and 2018 Plan [Member] | 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             $ 900      
Total unrecognized stock-based compensation related to unvested stock options             8,900      
2008 Plan, 2015 Plan and 2018 Plan [Member] | Share Based Compensation Arrangement Modification [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Warrant expiration period after specified event         75 days          
Compensation costs relating to vesting acceleration and modification             $ 2,200      
2015 Employee Stock Purchase Plan [Member]                    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                    
Number of common stock shares reserved for issuance     17,500       17,500 17,500    
Common shares authorized to be issued during the period     85,000              
Number of common stock issued             0