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Description of Business, Basis of Presentation and Going Concern - Additional Information (Detail) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Nov. 30, 2017
Apr. 30, 2018
Apr. 30, 2017
Apr. 30, 2016
Apr. 30, 2015
Organization And Basis Of Presentation [Line Items]          
Accumulated deficit   $ 71,660 $ 55,855    
Cash and cash equivalents   $ 51,055 $ 30,950 $ 21,764 $ 2,526
Option Agreement [Member] | KalVista Pharmaceuticals Limited [Member] | Merck Sharp & Dohme Corp. [Member]          
Organization And Basis Of Presentation [Line Items]          
Agreement commencement month and year   2017-11      
Non-refundable upfront fee $ 37,000