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Stockholders' Equity/(Deficit) - Summary of Stock Option Activity (Detail) - $ / shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Equity [Abstract]      
Number of Shares, Outstanding, Beginning 247,817 332,415 375,283
Number of Shares, Granted     22,493
Number of Shares, Exercised 0 0 0
Number of Shares, Cancelled (9,166) (84,598) (65,361)
Number of Shares, Outstanding, Ending 238,651 247,817 332,415
Weighted Average Exercise Price Outstanding, Beginning $ 16.76 $ 21.55 $ 32.04
Number of Shares, Options exercisable 238,651 247,817 300,751
Weighted Average Exercise Price, Granted     $ 2.74
Weighted Average Exercise Price, Exercised $ 0 $ 0 0
Weighted Average Exercise Price, Cancelled 36.52 35.59 32.82
Weighted Average Exercise Price, Outstanding, Ending 15.95 16.76 21.55
Weighted Average Exercise Price, Options exercisable $ 15.95 $ 16.76 $ 22.30