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Share-Based Compensation - Narrative (Details) - USD ($)
1 Months Ended 12 Months Ended 93 Months Ended 105 Months Ended
Oct. 31, 2019
Aug. 01, 2019
Jun. 10, 2019
May 01, 2019
Apr. 30, 2019
Apr. 29, 2019
Apr. 18, 2019
Apr. 03, 2019
Nov. 15, 2018
Apr. 30, 2019
Oct. 31, 2018
Jul. 31, 2018
Dec. 31, 2015
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2018
Dec. 31, 2019
Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Stock options granted (in shares)                           1,571,925 2,136,012 382,476      
Exercise price (in dollars per share)                           $ 39.01 $ 6.49 $ 1.56      
Stock options outstanding (in shares)                           5,170,976 5,120,293 4,207,029 5,120,293 5,170,976 4,879,850
Promissory note receivable                         $ 951,245            
Fixed interest rate                         1.68%            
2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Shares authorized for issuance         14,482,356         14,482,356                  
Stock options outstanding (in shares)                           5,170,976 5,120,293   5,120,293 5,170,976  
Shares issued                                 4,335,331 5,864,738  
Shares available for grant                           3,297,638 6,859   6,859 3,297,638  
Beginning 2020 Fiscal Year | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Additional shares authorized annually         2,144,521                            
Percent of common stock outstanding, per year         4.00%                            
Employee Stock Options                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period                             10 years        
Share-based compensation expense                           $ 6,300,000 $ 1,500,000 $ 500,000      
Unrecognized compensation expense                           $ 10,400,000       $ 10,400,000  
Unrecognized compensation expense, period of recognition                           3 years 1 month 6 days          
Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares)                           173,196          
Fair value per share (in dollars per share)                           $ 132.73 $ 0   $ 0 $ 132.73  
Shares issued, unvested                           149,004 0   0 149,004  
Share-based compensation expense                           $ 3,700,000 $ 0 $ 0      
Unrecognized compensation expense, period of recognition                           3 years 3 months 18 days          
Unrecognized share-based compensation expense                           $ 5,100,000       $ 5,100,000  
Restricted stock price (in dollars per share)                           $ 126.29          
Restricted Stock Units | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares)   14,862                                  
Fair value per share (in dollars per share)   $ 176.04                                  
Shares issued, unvested                           149,004 0   0 149,004  
Common Stock                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Unrecognized compensation expense, period of recognition                           1 year 8 months 12 days          
Unrecognized share-based compensation expense                           $ 6,000,000.0       $ 6,000,000.0  
Share-based compensation expense accrued, not issued                           $ 1,000,000.0          
Restricted Stock                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares)                   99,433 135,791   1,006,658 99,433 135,791        
Purchase price (in dollars per share)         $ 0.01         $ 0.01 $ 0.02                
Fair value per share (in dollars per share)                     $ 17.03     $ 19.49 $ 17.03 $ 0 $ 17.03 $ 19.49  
Shares issued, unvested                           88,988 100,127 0 100,127 88,988  
Vesting period         24 months               36 months            
Share-based compensation expense                           $ 1,800,000 $ 700,000 $ 0      
Unrecognized share-based compensation expense                           $ 1,700,000       $ 1,700,000  
Restricted stock price (in dollars per share)                   $ 20.02       $ 20.02 $ 17.03        
Shares of restricted stock purchased by nonemployees (in shares)                           88,988       88,988  
Weighted average remaining contractual life                           1 year 2 months 12 days 1 year 7 months 6 days        
Restricted Stock | Minimum                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period                     12 months                
Restricted Stock | Maximum                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period                     24 months                
Employee Stock | 2018 ESPP                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Shares authorized for issuance                 804,195                    
Additional shares authorized annually                 536,130                    
Percent of common stock outstanding, per year                 1.00%                    
Period of additional shares authorized                 10 years                    
Employee | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Stock options granted (in shares) 78,820         48,999   264,033                      
Exercise price (in dollars per share) $ 84.45         $ 25.00   $ 20.02                      
Employee | Restricted Stock Units | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares) 87,974   70,360                                
Fair value per share (in dollars per share) $ 84.45   $ 168.10                                
Nonemployee | Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares) 30,496                                    
Vesting period 1 year 12 months                                  
Nonemployee | Restricted Stock | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares)             99,433                        
Purchase price (in dollars per share)             $ 0.01                        
Executive Officer, one | Employee | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Stock options granted (in shares)   5,073 125,000 50,000     1,000,000                        
Exercise price (in dollars per share)   $ 176.04 $ 168.10 $ 25.00     $ 25.00                        
Executive Officer, one | Employee | Employee Stock Options                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period 24 months 48 months                                  
Executive Officer, one | Employee | Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period 2 years 4 years                                  
Executive Officer, one | Employee | Restricted Stock Units | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares) 34,295                                    
Executive Officer, two | Employee | 2018 Plan                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Stock options granted (in shares) 68,590                                    
First Anniversary | Employee Stock Options                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting percentage                           25.00%          
First Anniversary | Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting percentage                           25.00%          
Thereafter | Employee Stock Options                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period                           3 years          
Thereafter | Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Vesting period                           3 years          
Immediately | Nonemployee | Restricted Stock Units                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Granted (in shares) 22,620                                    
Common Stock                                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                                      
Re-purchase of common stock (in shares)                       48,909     48,909        
Share price (in dollars per share)                       $ 10.50