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Stock Option Plan - Summary of Stock-Based Compensation Expense (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]            
Total stock-based compensation expense $ 431 $ 295 $ 1,155 $ 874 $ 1,170 $ 716
Research and Development            
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]            
Total stock-based compensation expense 212 131 611 404 542 394
General and Administrative            
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]            
Total stock-based compensation expense $ 219 $ 164 $ 544 $ 470 $ 628 $ 322