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Income Taxes - Components of Loss before Income Taxes (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income Tax Disclosure [Abstract]      
Domestic $ (52,755) $ (39,370) $ (34,258)
Foreign 4,318 4,120 4,103
Loss before income taxes $ (48,437) $ (35,250) $ (30,155)