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License Agreements and Services Agreement with Ionis - Summary of Loss Share Related to Commercial Activities Under TTR Agreement (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2019
Related Party Transaction [Line Items]    
Net losses incurred by the collaboration related to the commercial activities under the TTR Agreement $ (19,109) $ (34,207)
Akcea [Member]    
Related Party Transaction [Line Items]    
Akcea's share of commercial losses under the TTR Agreement reflected in our condensed consolidated statements of operations (7,644) (13,686)
Ionis [Member]    
Related Party Transaction [Line Items]    
Net loss share from commercial activities under arrangement with Ionis Pharmaceuticals, Inc. $ (11,465) $ (20,521)