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Warrants - Narrative (Details)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Jan. 26, 2018
USD ($)
Aug. 30, 2016
director
May 31, 2019
USD ($)
$ / shares
shares
Sep. 30, 2019
USD ($)
Jun. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Dec. 31, 2017
USD ($)
Warrants                      
Reclassification of fair value of warrant liability to shareholders' equity $ 5,203             $ 5,203      
Fair value of warrant liability                     $ 4,021
Expense related to warrant liability       $ 0   $ 0     $ 0 $ 1,182  
Value of common stock issued       $ 21,221 $ 281,100   $ 43,842 $ 52,013      
Credit Agreement | Wells Fargo Term Loan                      
Warrants                      
Credit agreement term   1 year                  
Directors                      
Warrants                      
Number of directors to whom the Company agreed to issue warrants | director   2                  
FCCDC Warrants                      
Warrants                      
Number of securities called by warrants (shares) | shares     100,000                
Exercise price of warrants (in dollars per share) | $ / shares     $ 56.46                
FCCDC Agreement | Collaborative arrangement                      
Warrants                      
Common stock issued (shares) | shares     100,000                
Value of common stock issued     $ 5,646                
Development milestone payment to be paid     4,500                
Development milestone payments to be paid per each additional NDA filing     $ 1,000