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Basis of Presentation and Organization (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Apr. 17, 2018
Dec. 31, 2017
Basis of Presentation and Organization [Abstract]            
Accumulated deficit $ (387,894)   $ (387,894)     $ (296,221)
Net loss (62,046) $ (20,359) (91,673) $ (84,214)    
Net cash used in operating activities     (71,312) $ 6,008    
Cash, cash equivalents and short-term investments $ 381,851   $ 381,851      
Ionis [Member] | Akcea [Member]            
Basis of Presentation and Organization [Abstract]            
Ownership percentage by Ionis 75.00%   75.00%   75.00%