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Stock-Based Compensation - Summary of Stock Option Activity (Detail) - 2006 and 2014 Stock Option Plans and Inducement Plan [Member] - Stock Options [Member] - USD ($)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Share-Based Compensation      
Number of Shares Outstanding, beginning of the period 1,674    
Number of Shares, Granted 404    
Number of Shares, Exercised 0 0  
Number of Shares, Forfeited (303)    
Number of Shares, Cancelled (202)    
Number of Shares Outstanding, end of the period 1,573   1,674
Number of Shares, Exercisable 1,183    
Number of Shares, Vested or expected to vest 1,490    
Weighted-Average Exercise Price Per Share Outstanding, beginning of the period $ 13,855.94    
Weighted-Average Exercise Price Per Share, Granted 30.84    
Weighted-Average Exercise Price Per Share, Forfeited 1,245.82    
Weighted-Average Exercise Price Per Share, Cancelled 13,738.32    
Weighted-Average Exercise Price Per Share Outstanding, end of the period 12,749.32   $ 13,855.94
Weighted-Average Exercise Price Per Share, Exercisable 16,274.86    
Weighted-Average Exercise Price Per Share, Vested or expected to vest $ 13,386.78    
Weighted-Average Remaining Contractual Term, Outstanding 6 years 1 month 17 days   5 years 11 months 4 days
Weighted-Average Remaining Contractual Term, Exercisable 5 years 3 months 10 days    
Weighted-Average Remaining Contractual Term, Vested or expected to vest 5 years 11 months 15 days    
Aggregate Intrinsic Value, Outstanding $ 3    
Aggregate Intrinsic Value, Vested or expected to vest $ 2