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Strategic Collaboration with Novartis (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Feb. 22, 2019
USD ($)
shares
Jul. 31, 2017
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Mar. 31, 2018
Mar. 31, 2017
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Jan. 31, 2017
PerformanceObligation
Strategic Collaboration with Novartis [Abstract]                  
Revenue     $ 20,624 $ 19,241     $ 211,064 $ 54,670  
Revenue recognized from deferred revenue     2,300 6,800     18,000 36,500  
Ionis [Member] | Akcea [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Sublicense fee payable     75,000       75,000    
Ionis [Member] | Common Stock [Member] | Akcea [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Issuance of stock (in shares) | shares 2,837,373                
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]                  
Strategic Collaboration with Novartis [Abstract]                  
Revenue     136 12,000     6,172 12,000  
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       675,000    
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     360,000       $ 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       $ 75,000    
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%    
Research and Development and License Revenue Under Collaborative Agreement [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Revenue     8,544 7,241     $ 176,329 42,670  
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      
Revenue     8,500 7,200     176,300 42,700  
Next prospective milestone     25,000       $ 25,000    
Percentage of license fees, milestone payments and royalties paid as sublicense fee to lonis             50.00%    
Deferred revenue     10,800 $ 28,800     $ 10,800 $ 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       150,000    
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%            
Novartis [Member] | Delivery of AKCEA-APO(a)-L [Member]                  
Strategic Collaboration with Novartis [Abstract]                  
Revenue             $ 5,500