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Collaborative Arrangements and Licensing Agreements, Novartis (Details) - USD ($)
$ in Thousands, shares in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
Mar. 31, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Collaborative Arrangement and Licensing Agreement [Abstract]            
Revenue $ 167,892   $ 145,395 $ 628,918 $ 407,559  
R&D Revenue [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Revenue 72,193   $ 62,639 376,833 $ 225,584  
Novartis [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Deferred revenue $ 10,800     $ 10,800   $ 28,800
Novartis [Member] | Revenue [Member] | Strategic Partner [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Concentration percentage 5.00%   5.00% 28.00% 10.00%  
Novartis [Member] | Minimum [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Cumulative payments received $ 343,000     $ 343,000    
Novartis [Member] | AKCEA-APO(a)-L [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Revenue 5,500 $ 150,000        
Novartis [Member] | R&D Revenue [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Revenue $ 8,500   $ 7,200 $ 176,300 $ 42,700  
Akcea [Member]            
Collaborative Arrangement and Licensing Agreement [Abstract]            
Sublicense fee paid in stock   $ 75,000        
Additional shares of Akcea stock received (in shares)   2.8