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Strategic Collaboration with Novartis (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Jul. 19, 2017
USD ($)
Jul. 31, 2017
USD ($)
Jan. 31, 2017
Drug
PerformanceObligation
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Strategic Collaboration with Novartis [Abstract]                  
Proceeds from sale of common stock to Novartis in a private placement $ 50,000                
Revenue earned       $ 18,321 $ 5,713   $ 35,429 $ 11,807  
Revenue recognized from deferred revenue       12,600     32,900    
AKCEA-APO(a)-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Maximum amount of payments receivable for milestones       600,000     600,000    
Maximum amount of payments receivable for development milestones       25,000     25,000    
Maximum amount of payments receivable for regulatory milestones       290,000     290,000    
Maximum amount of payments receivable for commercialization milestones       285,000     $ 285,000    
Royalty percentage received on sales of drug             20.00%    
Development Services for AKCEA-APO(a)-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Transaction price           $ 64,000      
Delivery of AKCEA-APO(a)-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Transaction price           1,500      
AKCEA-APOCIII-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Maximum amount of payments receivable for milestones       530,000     $ 530,000    
Maximum amount of payments receivable for development milestones       25,000     25,000    
Maximum amount of payments receivable for regulatory milestones       240,000     240,000    
Maximum amount of payments receivable for commercialization milestones       265,000     $ 265,000    
Royalty percentage received on sales of drug             20.00%    
Development Services for AKCEA-APOCIII-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Transaction price           40,100      
Delivery of AKCEA-APOCIII-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Transaction price           2,800      
R&D Under Collaborative Agreement [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Revenue earned       18,321 5,713   $ 35,429 11,807  
Novartis [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Upfront payment received           75,000      
Portion of upfront payment retained           60,000      
Portion of upfront payment paid as sublicense fee to Ionis           15,000      
License fee receivable per drug       150,000     150,000    
Next prospective milestone       25,000     $ 25,000    
Percentage of license fees, milestone payments and royalties paid as sublicense fee to Ionis             50.00%    
Number of separate performance obligations | PerformanceObligation     4            
Transaction price           108,400      
Premium received on shares issued by Ionis           28,400      
Potential premium received if Ionis common stock is purchased in the future           $ 5,000      
Number of months from inception of agreement for IPO to be completed             15 months    
Proceeds from sale of common stock to Novartis in a private placement   $ 50,000              
Deferred revenue       $ 41,600     $ 41,600   $ 70,700
Novartis [Member] | Revenue [Member] | Strategic Partner [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Concentration percentage       100.00%     100.00%    
Novartis [Member] | Minimum [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Number of drugs with exclusive option that could be exercised | Drug     1            
Novartis [Member] | R&D Under Collaborative Agreement [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Revenue earned       $ 18,300 $ 5,700   $ 35,400 $ 11,800