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Income Taxes - Reconciliation Between Statutory Federal Income Tax Rate and Effective Income Tax Rate (Detail)
1 Months Ended 12 Months Ended
Dec. 22, 2017
Jan. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Reconciliations between the statutory federal income tax rate and the effective income tax rate          
U.S. Federal statutory tax rate 35.00%   34.00% 34.00% 34.00%
State taxes     4.40% 4.60% 3.70%
Research credit     1.30% 1.00% 5.60%
Orphan drug credit     11.50% 9.00% 11.50%
Other     0.30%    
Stock-based compensation     (0.70%) (0.70%) (1.80%)
Change in valuation allowance     (5.10%) (47.90%) (53.00%)
Effective change due to corporate tax rate reduction     (45.70%)    
Scenario, Forecast [Member]          
Reconciliations between the statutory federal income tax rate and the effective income tax rate          
U.S. Federal statutory tax rate   21.00%