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Commitments - Additional Information (Detail) - USD ($)
12 Months Ended
Aug. 22, 2008
Dec. 31, 2017
Dec. 31, 2016
Commitments and Contingencies Disclosure [Abstract]      
Rent expense   $ 1,900,000 $ 1,300,000
BioValve      
Commitments And Contingencies [Line Items]      
Licensing payment 9.00%    
Licensing payment 10.00%    
Amounts owed   $ 0 $ 0