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Long-Term Debt - Summary of Long Term Debt (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Long-term Debt, Unclassified [Abstract]    
Principal amount of long-term debt $ 19,546 $ 10,000
Less: Current portion of long-term debt (5,298) (1,687)
Long-term debt, net of current portion 14,248 8,313
Debt discount, net of accretion (1,019) (226)
Cumulative accretion of final payment due at maturity 136 58
Long-term debt, including accretion, net of current portion $ 13,365 $ 8,145