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Research and Development Expenses (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Research and Development Expenses    
Clinical trial related costs $ 40,244 $ 16,473
Personnel compensation and related costs 17,282 11,875
Other research and development expenses 2,527 3,218
Research and development expenses $ 60,053 $ 31,566