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Going Concern - Additional Information (Detail) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Sep. 30, 2019
Sep. 30, 2018
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Cash and Cash Equivalents, at Carrying Value $ 8,044,199       $ 8,044,199       $ 7,585,392  
Net Income (Loss) Attributable to Parent (7,219,215) $ 5,801,220     (12,610,083) $ 32,460,894        
Gain (Loss) on Derivative Instruments, Net, Pretax (2,054,561) 7,744,708     (1,232,925) 41,110,851        
Operating Expenses 5,172,679 1,940,298     11,430,033 8,646,767        
Net Cash Provided by (Used in) Operating Activities         (10,631,693) (9,812,379)        
Retained Earnings (Accumulated Deficit) (183,612,591)       (183,612,591)       (171,002,508)  
Stockholders' deficit 4,137,259 $ 2,236,877 $ (3,768,672) $ (8,856,812) 4,137,259 2,236,877 $ 11,110,453 $ (467,983) $ 5,236,096 $ (34,176,885)
Stock Issued During Period, Value, Stock Options Exercised     $ 235,651 $ 400,759            
Cash requirements for fixed, on-going expenses such as payroll, legal and accounting, patents and overhead at an average cash burn rate $ 800,000       800,000          
Gross proceeds         12,000,000 $ 8,000,000        
Additional funds for regulatory approvals, clinical trials, outsourced research and development and commercialization consulting per month         1,100,000          
Warrant to purchase shares of common stock [Member]                    
Stock Issued During Period, Value, Stock Options Exercised         $ 350,000