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Non-Controlling Interests - Spero Europe - Additional Information (Detail) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Jan. 31, 2016
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
May 31, 2017
Noncontrolling Interest [Line Items]              
Research and development expense   $ 8,459,000 $ 6,910,000 $ 24,758,000 $ 20,366,000    
Non-controlling interest   355,000   355,000   $ 355,000  
Spero Europe, Ltd. [Member]              
Noncontrolling Interest [Line Items]              
Termination of agreement notice period 30 days            
Non-controlling interest   $ 0   $ 0      
Spero Europe, Ltd. [Member] | Maximum [Member]              
Noncontrolling Interest [Line Items]              
Non-controlling interest             $ 100,000
Spero Europe, Ltd. [Member] | Licensing Agreements [Member] | Anti- dilution Rights [Member]              
Noncontrolling Interest [Line Items]              
Research and development expense $ 200,000            
Spero Europe, Ltd. [Member] | Promiliad Biopharma, Inc. [Member]              
Noncontrolling Interest [Line Items]              
Ownership percentage 5.00%            
Common stock issued, aggregate fair value $ 100,000            
Milestone payments 4,100,000            
Proceeds from the issuance of common stock, net of issuance costs 0            
Maximum amounts of investments for anti-dilution protection $ 5,000,000            
Spero Europe, Ltd. [Member] | Promiliad Biopharma, Inc. [Member] | Anti- dilution Rights [Member]              
Noncontrolling Interest [Line Items]              
Ownership percentage 5.00%            
Spero Europe, Ltd. [Member] | Promiliad Biopharma, Inc. [Member] | Licensing Agreements [Member]              
Noncontrolling Interest [Line Items]              
Research and development expense $ 100,000