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Significant Accounting Policies - Antidilutive Securities (Detail) - shares
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents excluded from the computation of diluted net loss per share (in shares) 12,822,770 11,579,566 12,822,770 11,579,566
2014 Convertible Notes        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents excluded from the computation of diluted net loss per share (in shares) 5,040,323 5,040,323 5,040,323 5,040,323
Outstanding stock options        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents excluded from the computation of diluted net loss per share (in shares) 7,046,345 6,028,083 7,046,345 6,028,083
Stock purchase warrants        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents excluded from the computation of diluted net loss per share (in shares) 154,500 157,500 154,500 157,500
Nonvested restricted stock awards        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Potential common stock equivalents excluded from the computation of diluted net loss per share (in shares) 581,602 353,660 581,602 353,660