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Income Taxes - Reconciliation of Federal Income Tax Rate to Losses Before Income Tax Benefit (Detail) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]    
Income tax benefit at federal statutory rate $ (2,661,000) $ (12,451,000)
State income taxes, net of federal benefit (570,000) (751,000)
Non-deductible expenses 154,000 235,000
Federal rate impact 0 18,894,000
Change in fair value of warrants (3,479,000) 0
Research and development tax credits (1,254,000) (1,732,000)
Other 380,000 431,000
Change in valuation allowance 7,430,000 (4,626,000)
Total income tax provision $ 0 $ 0