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Significant Accounting Policies, Stock-Based Compensation Expense (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Stock-based Compensation Expense [Abstract]        
Non-cash stock-based compensation expense $ 17,586 $ 14,997 $ 56,950 $ 41,907
Stock Options [Member]        
Unrecognized Compensation Expense [Abstract]        
Unrecognized compensation expense related to non-vested stock options 60,500   $ 60,500  
Weighted average period for recognition     1 year 3 months 18 days  
RSUs [Member]        
Stock-based Compensation Expense [Abstract]        
Vesting period     4 years  
Unrecognized Compensation Expense [Abstract]        
Unrecognized compensation cost related to non-vested RSUs 17,300   $ 17,300  
Weighted average period for recognition     1 year 4 months 24 days  
RSUs [Member] | Employees [Member]        
Stock-based Compensation Expense [Abstract]        
Weighted-average grant date fair value (in dollars per share)     $ 42.94  
RSUs [Member] | Board of Directors [Member]        
Stock-based Compensation Expense [Abstract]        
Weighted-average grant date fair value (in dollars per share)     $ 24.42  
Research, Development and Patent Expenses [Member]        
Stock-based Compensation Expense [Abstract]        
Non-cash stock-based compensation expense 13,279 11,297 $ 42,541 32,248
General and Administrative [Member]        
Stock-based Compensation Expense [Abstract]        
Non-cash stock-based compensation expense 4,307 3,700 14,409 9,659
Akcea Therapeutics [Member]        
Stock-based Compensation Expense [Abstract]        
Non-cash stock-based compensation expense $ 2,900 $ 1,300 $ 9,100 $ 2,800