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Income Taxes - Schedule of Reconciliation of Income Taxes Computed Using U.S. Federal Statutory Rate to that Reflected in Operations (Detail)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Tax Disclosure [Abstract]      
Income taxes using U.S. federal statutory rate 34.00% 34.00% 34.00%
State income taxes, net of federal benefit 5.33% 5.44% 5.95%
Tax Cuts and Jobs Act (44.43%) 0.00% 0.00%
Impact of R&D tax credit on effective tax rate 3.25% 3.24% 3.14%
Stock option shortfalls and cancellations 0.21% (0.07%) (0.03%)
Permanent items and other (0.56%) (0.64%) (0.41%)
Change in valuation allowance 2.55% (41.17%) (41.07%)
Total 0.35% 0.80% 1.58%