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Share-Based Compensation - Additional Information (Detail) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Shares of common stock reserved for issuance   10,287,390    
Weighted average grant date fair value of stock options granted   $ 15.22 $ 15.08 $ 48.85
Total intrinsic value of the options exercised   $ 1,683,679 $ 1,609,268 $ 2,984,283
Total fair value of shares vested   $ 11,348,595 $ 7,212,195 $ 9,310,898
Options granted, Number of Shares   1,175,187    
Options granted, exercise price   $ 15.22    
Unrecognized share-based compensation expense related to employee stock option awards   $ 13,669,451    
Expected dividend yield   0.00% 0.00% 0.00%
Risk free interest rate   2.48% 2.10% 1.70%
Scientific Advisory Board Members [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options, vesting term   2 years    
Options granted, Number of Shares   12,000 0 5,000
Options granted, exercise price   $ 15.47 $ 0.00 $ 53.63
2018 Equity Incentive Plan [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Shares of common stock reserved for issuance   4,807,323    
Total Shareholder Return Restricted Stock Units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options, vesting term 3 years      
Weighted average grant date fair value of stock options granted $ 17.08      
Unrecognized compensation costs related to unvested RSUs     $ 4,177,362  
Unrecognized share-based compensation expense, weighted-average recognition period     1 year  
Expected dividend yield 0.00%      
Risk free interest rate 1.60%      
Expected volatility 95.40%      
Vesting date Dec. 31, 2019      
Terms of award   Total shareholder return is determined by dividing the average share value of the Company’s common stock over the 30 trading days preceding January 1, 2020 by the average share value of the Company’s common stock over the 30 trading days beginning on January 1, 2017, with a deemed reinvestment of any dividends declared during the performance period.    
Time Based Restricted Stock Units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation costs related to unvested RSUs   $ 6,493,399 $ 2,866,164  
Unrecognized share-based compensation expense, weighted-average recognition period   1 year 10 months 24 days    
RSUs [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Non-cash stock-based compensation expense recognized   $ 4,800,000 $ 2,100,000 $ 1,500,000
Milestone Restricted Stock Units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation costs related to unvested RSUs   $ 2,795,202    
Unrecognized share-based compensation expense, weighted-average recognition period   1 year    
Stock Options [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options, maximum term   10 years    
Unrecognized share-based compensation expense, weighted-average recognition period   2 years    
Stock Options [Member] | Minimum [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options, vesting term   1 year    
Stock Options [Member] | Maximum [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options, vesting term   3 years