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Fair Value of Financial Assets and Liabilities - Additional Information (Detail) - USD ($)
1 Months Ended 3 Months Ended 6 Months Ended 9 Months Ended
Sep. 30, 2017
Dec. 31, 2016
Nov. 30, 2016
Dec. 31, 2016
Aug. 31, 2016
Feb. 29, 2016
Jan. 31, 2016
Feb. 28, 2015
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Sep. 30, 2016
Jun. 30, 2017
Sep. 30, 2017
Sep. 30, 2016
May 31, 2017
Mar. 31, 2016
Dec. 31, 2015
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Fair value assets level 1 to level 2 transfers $ 0               $ 0     $ 0   $ 0 $ 0      
Fair value assets level 2 to level 1 transfers 0               0     0   0 0      
Fair value liabilities level 1 to level 2 transfers 0               0     0   0 0      
Fair value liabilities level 2 to level 1 transfers 0               0     0   0 0      
Transfer of financial asset into level 3 of fair value                 0     0   0 0      
Transfer of financial liabilities into level 3 of fair value                 0     $ 0   0 $ 0      
Contingent prepayment option [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities   $ 900,000   $ 900,000                            
Contingent prepayment option [Member] | Maximum [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Increase (decrease) derivative liabilities                     $ 100,000              
Class A Tranche Rights[Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities                                   $ 2,400,000
Increase (decrease) derivative liabilities           $ (2,400,000)                        
Class B Tranche Rights [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities   $ 300,000   $ 300,000   $ 900,000                        
Increase (decrease) derivative liabilities     $ (600,000)                              
Spero Potentiator, Inc. [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Number of shares issued         2,160   2,160                      
Proceeds from issuing additional shares         $ 0   $ 0                      
Fair value inputs probability of funding         100.00%                          
Spero Potentiator, Inc. [Member] | Northern Antibiotics Oy Ltd. [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Number of shares issued         2,160   2,160 996                    
Amount of shares issued         $ 1,000,000   $ 1,000,000             1,000,000        
Spero Potentiator, Inc. [Member] | Anti- dilution Rights [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities                                   $ 1,000,000
Spero Potentiator, Inc. [Member] | Anti- dilution Rights [Member] | Northern Antibiotics Oy Ltd. [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Proceeds from issuing additional shares               $ 0                    
Spero Europe, Ltd. [Member] | Anti- dilution Rights [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities             $ 200,000                 $ 0    
Increase (decrease) derivative liabilities                         $ (200,000)          
Fair value inputs probability of funding       100.00%           0.00% 0.00%              
Spero Gyrase, Inc. [Member] | Anti- dilution Rights [Member]                                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                                    
Derivative liabilities $ 200,000               $ 200,000 $ 200,000     200,000 $ 200,000     $ 1,600,000  
Increase (decrease) derivative liabilities                         $ (1,400,000)          
Fair value inputs probability of funding 0.00% 100.00%