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Net Loss per Share - Schedule of Common Stock Equivalents Excluded from Calculation of Diluted Net Loss Per Share, as Including them Would have Anti-dilutive Effect (Detail) - shares
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]        
Common stock equivalents excluded from calculation of diluted net loss per share, as including them would have anti-dilutive effect 13,580 12,465 13,313 12,250
Shares Issuable Upon Conversion of the 2024 Convertible Notes [Member]        
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]        
Common stock equivalents excluded from calculation of diluted net loss per share, as including them would have anti-dilutive effect 7,515 7,515 7,515 7,515
Stock Options [Member]        
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]        
Common stock equivalents excluded from calculation of diluted net loss per share, as including them would have anti-dilutive effect 5,157 4,653 5,016 4,466
Restricted Stock Units [Member]        
Antidilutive Securities Excluded From Computation Of Earnings Per Share [Line Items]        
Common stock equivalents excluded from calculation of diluted net loss per share, as including them would have anti-dilutive effect 908 297 782 269