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Income Taxes - Reconciliation of U.S. Federal Statutory Income Tax Rate to Company's Effective Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Tax Disclosure [Abstract]      
Federal statutory income tax rate (34.00%) (34.00%) (34.00%)
Federal and state research and development tax credit (3.30%) (1.70%) (0.90%)
State taxes, net of federal benefit (5.30%) (4.40%) (5.20%)
Foreign rate differential 0.10% 2.30% 0.30%
Nondeductible items (0.10%) 4.80% 10.20%
Effect of US tax reform 23.80%    
Increase in deferred tax asset valuation allowance 18.80% 33.00% 29.60%