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Income Taxes - Schedule of Reconciliation of Income Tax Expense (Benefit) (Detail)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]    
Federal income tax expense at statutory rate 21.00% 34.00%
State income taxes, net of federal benefit 5.20% 4.90%
Permanent differences (0.80%) (0.30%)
U.S.-TCJA   (14.80%)
Foreign rate differential 0.20% (0.20%)
Research and development tax credits 1.10% 1.30%
Change in valuation allowance (26.50%) (24.90%)
Provision to Return (0.20%)  
Effective income tax rate 0.00% 0.00%