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Income Taxes - Reconciliation of U.S. Federal Statutory Income Tax Rate to Effective Income Tax Rate (Details)
12 Months Ended
Jan. 01, 2018
Dec. 31, 2017
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Income Tax Disclosure [Abstract]          
Federal statutory income tax rate 21.00% 35.00% 21.00% 21.00% 34.00%
State taxes, net of federal benefit     7.00% 6.10% 1.60%
Research and orphan drug credit     5.40% 9.60% 7.70%
Research and orphan drug credit addback     0.00% 0.00% (6.60%)
Impact of change in tax status     0.00% 0.00% (8.70%)
Effect of federal tax law change     0.00% 0.00% (6.10%)
Permanent adjustments and other     3.80% 0.70% (0.30%)
Increase in deferred tax asset valuation allowance     (37.20%) (37.40%) (21.60%)
Effective income tax rate     0.00% 0.00% 0.00%