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Income Taxes - Schedule of Federal Statutory Income Tax Rate Reconciliation (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]          
Income tax benefit at statutory rates       $ (6,666) $ (7,822)
Permanent differences       70 324
Foreign rate differential       14 13
State income taxes, net of federal tax benefit       (1,081) (683)
Effect of tax rate change         4,045
Other       441  
Valuation allowance       7,277 4,161
Income tax provision $ 8 $ 23 $ 3 $ 55 $ 38