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Summary of Significant Accounting Policies - Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share for Out of Money Potential Common Shares (Detail) - shares
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 981,783 225,324
Stock Options With an Exercise Price of $12.48 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 136,833 137,666
Stock Options With an Exercise Price of $12.84 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 4,167 4,167
Stock Options With an Exercise Price of $26.40 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 75,158 75,158
Stock Options With an Exercise Price of $39.00 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 0 8,333
Stock Options With an Exercise Price of $7.16 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 700,000 0
Stock Options With an Exercise Price of $12.00 per Share [Member]    
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]    
Out of the money options and warrants excluded 65,625 0