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Long-Term Debt - Summary of Long Term Debt (Detail) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Debt Disclosure [Abstract]    
Principal amount of long-term debt $ 20,000 $ 10,000
Less: Current portion of long-term debt 0 (1,687)
Long-term debt, net of current portion 20,000 8,313
Debt discount, net of accretion (317) (226)
Cumulative accretion of final payment due at maturity 303 58
Long-term debt, including accretion, net of current portion $ 19,986 $ 8,145