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Nature of Business and Overview - (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Feb. 08, 2019
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2018
USD ($)
product
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Nature of Business and Overview                        
Number of drug candidates in clinical development | product                   4    
Cash, cash equivalents and marketable securities   $ 94,000               $ 94,000    
Net Loss   $ (9,402) $ (7,243) $ (16,407) $ (118,132) $ (3,841) $ (26,363) $ (28,566) $ (34,261) (151,184) $ (93,031) $ (128,530)
Net cash used in operations                   $ 75,235 $ 99,931 $ 113,036
Reverse stock split 0.067