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License Agreements and Services Agreement with Ionis - Summary of Loss Share Related to Commercial Activities Under TTR Agreement (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
Related Party Transaction [Line Items]  
Net losses incurred by the collaboration related to the commercial activities under the TTR Agreement $ (15,098)
Akcea [Member]  
Related Party Transaction [Line Items]  
Akcea's share of commercial losses under the TTR Agreement reflected in our consolidated statements of operations (6,042)
Ionis [Member]  
Related Party Transaction [Line Items]  
Net loss share from commercial activities under arrangement with Ionis Pharmaceuticals, Inc. $ (9,056)