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Net loss per share - Schedule of Potentially Dilutive Securities Outstanding Excluded from Computations of Diluted Weighted-Average Shares Outstanding (Detail) - shares
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 10,291,891 9,286,325 10,291,891 9,476,743
Warrants Issued to 2010/2012 Convertible Note Holders to Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 102,070 102,070 102,070 102,070
Options to Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 2,513,739 1,875,442 2,513,739 1,899,930
Outstanding Restricted Stock Units [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 581,000   581,000  
Warrants Issued to Underwriter to Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 16,500 16,500 16,500 16,500
Series A Warrants to Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding   485,121   485,121
Series C Warrants to Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding   118,083   118,083
Series D Warrants To Purchase Common Stock [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 540,540 540,540 540,540 540,540
2017 PIPE Warrants [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 6,024,425 5,665,548 6,024,425 5,818,443
2018 PIPE Warrants [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Antidilutive securities excluded from computations of diluted weighted-average shares outstanding 513,617 483,021 513,617 496,056