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Stock-Based Compensation - Stock Option Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Options, Outstanding, Beginning Balance 3,304,531    
Granted 1,259,016    
Forfeited (60,595)    
Expired (108,571)    
Options, Outstanding, Ending Balance 4,394,381   3,304,531
Exercisable, Ending Balance 2,311,989    
Weighted Average Exercise Price, Beginning Balance $ 18.42    
Granted, Weighted Average Exercise Price 2.76 $ 12.91  
Forfeited, Weighted Average Exercise Price 13.36    
Expired, Weighted Average Exercise Price 27.48    
Weighted Average Exercise Price, Ending Balance 13.77   $ 18.42
Exercisable, Weighted Average Exercise Price $ 20.34    
Outstanding, Ending balance, Weighted Average Remaining Contractual Term 7 years   6 years 7 months 6 days
Exercisable Ending Balance, Weighted Average Remaining Contractual Term 5 years 1 month 6 days    
Outstanding, Intrinsic Value, Ending Balance $ 279    
Fair value of options, vested 3,700    
Unrecognized compensation cost related to nonvested stock-based compensation $ 6,300    
Weighted average remaining period over which unrecognized compensation expense will be recognized 2 years 6 months    
Restricted Stock Activity      
Unrecognized compensation cost related to nonvested stock-based compensation $ 500    
Weighted average remaining period over which unrecognized compensation expense will be recognized 3 years 3 months 18 days