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Income Taxes - Reconciliation Between Statutory Federal Income Tax Rate and Effective Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Income Taxes    
U.S. Federal statutory tax rate 21.00% 21.00%
State taxes 5.90% 6.30%
Research credit 0.40% 0.70%
Orphan drug credit 4.10% 4.10%
Stock-based compensation (5.10%) 2.30%
Executive compensation (1.20%) (0.10%)
Other (0.40%) (3.50%)
Change in valuation allowance (24.70%) (30.80%)