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Strategic Collaboration with Novartis (Details)
$ in Thousands
1 Months Ended 3 Months Ended
Feb. 22, 2019
USD ($)
Jul. 31, 2017
USD ($)
Jan. 31, 2017
Drug
PerformanceObligation
Mar. 31, 2019
USD ($)
shares
Mar. 31, 2018
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2018
USD ($)
Strategic Collaboration with Novartis [Abstract]              
Revenue       $ 163,816 $ 17,108    
Revenue recognized from deferred revenue       $ 5,500 17,100    
Ionis [Member] | Akcea [Member]              
Strategic Collaboration with Novartis [Abstract]              
Common stock shares to be issued | shares       2,837,373      
Sublicense fee payable       $ 75,000      
Development Services for AKCEA-APO(a)-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Transaction price           $ 64,000  
Development Services for AKCEA-APOCIII-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Transaction price           40,100  
Delivery of AKCEA-APO(a)-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Transaction price           1,500  
Delivery of AKCEA-APOCIII-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Transaction price           2,800  
Licensing [Member] | Akcea [Member]              
Strategic Collaboration with Novartis [Abstract]              
Revenue $ 150,000            
AKCEA-APO(a)-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Maximum amount of payments receivable for milestones       675,000      
Maximum amount of payments receivable for development milestones       25,000      
Maximum amount of payments receivable for regulatory milestones       290,000      
Maximum amount of payments receivable for commercialization milestones       $ 360,000      
Royalty percentage received on sales of drug       20.00%      
AKCEA-APOCIII-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
Sublicense fee payable       $ 75,000      
Maximum amount of payments receivable for milestones       530,000      
Maximum amount of payments receivable for development milestones       25,000      
Maximum amount of payments receivable for regulatory milestones       240,000      
Maximum amount of payments receivable for commercialization milestones       $ 265,000      
Royalty percentage received on sales of drug       20.00%      
Research and Development and License Revenue Under Collaborative Agreement [Member]              
Strategic Collaboration with Novartis [Abstract]              
Revenue       $ 157,062 $ 17,108    
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  
Number of separate performance obligations | PerformanceObligation     4        
Transaction price           108,400  
Premium received on shares issued by lonis           28,400  
Next prospective milestone       $ 25,000      
Percentage of license fees, milestone payments and royalties paid as sublicense fee to lonis       50.00%      
Deferred revenue       $ 23,300     $ 28,800
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          
Novartis [Member] | AKCEA-APOCIII-L [Member]              
Strategic Collaboration with Novartis [Abstract]              
License fee receivable per drug       150,000      
Novartis [Member] | Research and Development and License Revenue Under Collaborative Agreement [Member]              
Strategic Collaboration with Novartis [Abstract]              
Revenue       $ 157,100 $ 17,100    
Novartis [Member] | Research and Development and License Revenue Under Collaborative Agreement [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