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Summary of Significant Accounting Policies - Reverse Stock Split and Initial Public Offering (Details)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 11, 2018
USD ($)
$ / shares
shares
May 07, 2018
USD ($)
$ / shares
shares
Apr. 20, 2018
Jun. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
shares
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
May 31, 2018
shares
Reverse Stock Split                
Stock split ratio     0.1504          
Initial Public Offering                
Convertible preferred stock warrants reclassified to additional paid-in capital | $   $ 900   $ 900        
Proceeds from sale of common stock | $         $ 181,825 $ 0 $ 0  
Common Stock                
Initial Public Offering                
Aggregate number of shares called by warrants (in shares)   100,558     76,762      
IPO | Common Stock                
Initial Public Offering                
Shares issued during the period (in shares)   7,762,500            
Shares issue price (in dollars per share) | $ / shares   $ 16.00            
Net proceeds from initial public offering | $   $ 112,000            
Shares issued upon conversion (in shares)   12,111,710           12,111,710
Follow-On Public Offering | Common Stock                
Initial Public Offering                
Shares issued during the period (in shares) 1,875,000              
Shares issue price (in dollars per share) | $ / shares $ 40.00              
Proceeds from sale of common stock | $ $ 69,800              
Selling Stockholders | Follow-On Public Offering                
Initial Public Offering                
Shares sold (in shares) 1,000,000