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Intangible Assets, Net and Goodwill - Schedule of Changes in Carrying Amounts of IPR&D Assets and Goodwill (Detail) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2018
Dec. 31, 2018
Dec. 31, 2017
Indefinite Lived Intangible Assets By Major Class [Line Items]      
Goodwill Balance, beginning of period     $ 18,758,421
Goodwill, Additions from the mergers   $ 490,676 15,573,822
Goodwill, Foreign currency translation adjustments     1,587,452
Goodwill, Impairment charges   (490,676) (35,919,695)
Goodwill Balance, end of period $ 0 0  
IPR&D [Member]      
Indefinite Lived Intangible Assets By Major Class [Line Items]      
IPR&D Balance, beginning of period   38,245,871 14,477,019
IPR&D, Additions from the Mergers     22,389,000
IPR&D, Foreign currency translation adjustments   (376,893) 1,379,852
IPR&D, Impairment charges (21,389,000) (24,450,011)  
IPR&D Balance, end of period $ 13,418,967 $ 13,418,967 $ 38,245,871