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Significant accounting policies - Net loss per share (Details)
12 Months Ended
Dec. 04, 2017
Dec. 31, 2018
shares
Dec. 31, 2017
shares
Dec. 31, 2016
shares
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share   2,914,420 2,513,125 15,122,793
Reverse stock split ratio 0.311      
Series A Preferred Stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share       4,884,869
Series B Preferred Stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share       1,873,561
Series C Preferred Stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share       2,677,649
Series D Preferred Stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share       3,864,421
Unvested restricted common stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share   361,468 177,192 376,248
Outstanding stock options        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share   2,476,911 2,249,843 1,119,671
Outstanding preferred warrants        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share       326,374
Outstanding warrants        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Number of dilutive securities excluded in the calculation of diluted net loss per share   76,041 86,090  
Common stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Obligation to issue warrants, in shares   93,341    
Series A-3 Preferred Stock        
Outstanding potentially dilutive securities that have been excluded in the calculation of diluted net loss per share        
Obligation to issue warrants, in shares     300,000 300,000