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Net Loss Per Common Share - Earning Per Share (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Sep. 30, 2018
Sep. 30, 2017
Numerator:                
Comprehensive loss $ (6,079) $ (6,678) $ (7,224) $ (8,671) $ (10,502) $ (7,496) $ (19,981) $ (26,669)
Denominator:                
Basic and diluted weighted average common shares outstanding 14,259,691     10,623,601     13,650,556 10,253,437
Basic and diluted $ (0.43)     $ (0.82)     $ (1.46) $ (2.60)