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Net Income (Loss) Per Common Share - Reconciliation of the Numerators and Denominators of Basic and Diluted Net Loss Per Common Share (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Net loss used to compute net loss per common share:              
Basic         $ (30,704) $ (22,997) $ (15,752)
Adjustment for change in fair value of liability classified stock options         (187)    
Diluted         $ (30,891) $ (22,997) $ (15,752)
Weighted average number of common shares:              
Basic         17,985,061 15,493,474 14,281,837
Adjustment for dilutive effect of stock options         16,698    
Diluted         18,001,759 15,493,474 14,281,837
Net loss per common share - basic $ (0.45) $ (0.43) $ (0.41) $ (0.42) $ (1.71) $ (1.48) $ (1.10)
Net loss per common share - diluted $ (0.45) $ (0.43) $ (0.41) $ (0.43) $ (1.72) $ (1.48) $ (1.10)