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Stock Based Compensation - Schedule of Stock Based Compensation Expense (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]    
Stock based compensation, Total expensed $ 4,247 $ 4,831
Property and equipment 14 22
Total stock based compensation 4,261 4,853
Marketing and Selling [Member]    
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]    
Stock based compensation, Total expensed 1,734 2,330
Research and Development [Member]    
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]    
Stock based compensation, Total expensed 988 1,018
General and Administrative [Member]    
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]    
Stock based compensation, Total expensed $ 1,525 $ 1,483