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Organization and Basis of Presentation - Prior Period Errors (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Jun. 30, 2019
Jun. 30, 2018
Error Corrections and Prior Period Adjustments Restatement [Line Items]                
Research and Development Expense $ 19,475       $ 16,046   $ 39,856 $ 29,396
Accrued Liabilities and Other Liabilities 10,404   $ 12,857 [1]       10,404  
Effect of Change                
Error Corrections and Prior Period Adjustments Restatement [Line Items]                
Accrued Liabilities and Other Liabilities $ (270)           $ (270)  
Overstatement due to clinical trial accrual errors | Effect of Change                
Error Corrections and Prior Period Adjustments Restatement [Line Items]                
Research and Development Expense   $ 500 1,400 $ 1,100 $ 900 $ 200    
Accrued Liabilities and Other Liabilities     $ 3,600          
[1] Derived from the audited consolidated financial statements included in the Company’s Annual Report on Form 10K for the year ended December 31, 2018.