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Income Taxes - Summary of Effective Tax Rates Differ from Statutory Income Tax Rates (Detail)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Effective Income Tax Rate Reconciliation, Percent [Abstract]      
Statutory income tax rate (34.00%) (34.00%) (34.00%)
State income taxes (6.10%) (6.80%) (5.70%)
Valuation allowance increase (102.00%) 35.90% 35.20%
Effect of foreign operations     (1.30%)
Change in unused net operating loss and credit carryforwards (4.00%) 3.70% 2.80%
Nondeductible items 1.60% 1.60% 3.90%
Impact of Tax Cuts and Jobs Act 144.50%    
Effective income tax rate, Total (0.00%) 0.40% 0.90%