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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
Feb. 03, 2021
Jan. 21, 2020
Aug. 31, 2020
May 31, 2020
Sep. 30, 2021
Sep. 30, 2020
Jun. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Sep. 30, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of common stock shares reserved for issuance         17,218,269     17,218,269   16,386,314  
Total stock-based compensation         $ 3,280 $ 2,074   $ 9,439 $ 6,609    
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         700 $ 200   2,200 $ 200    
Total unrecognized stock-based compensation related to unvested stock options         6,100     6,100      
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         $ 26,700     $ 26,700      
Weighted-average period               2 years 10 months 24 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         1,037,500     1,037,500     37,500
Common shares authorized to be issued during the period 500,000           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         5,123,736     5,123,736      
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               945,139      
Weighted-average grant date fair values of options granted         $ 13.95 $ 8.85   $ 12.27 $ 8.77    
Issuance of common stock for exercise of stock options, Shares           0   51,827 0    
Aggregate intrinsic value of options exercised         $ 200     $ 300      
Total grant date fair value of options vested         $ 3,300 $ 700   $ 9,200 $ 4,500    
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     $ 2,200