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Collaborative Arrangements and Licensing Agreements, Biogen (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Dec. 31, 2021
USD ($)
Medicine
Program
Sep. 30, 2013
USD ($)
PerformanceObligation
Dec. 31, 2012
USD ($)
Program
Dec. 31, 2021
USD ($)
Medicine
Program
Jun. 30, 2021
USD ($)
Dec. 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Dec. 31, 2017
USD ($)
PerformanceObligation
Dec. 31, 2021
USD ($)
Medicine
Program
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Apr. 30, 2018
USD ($)
PerformanceObligation
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue                   $ 810,456 $ 729,264 $ 1,122,599  
SPINRAZA Royalties [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue                   267,776 286,583 292,992  
R&D Revenue [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue                   $ 468,061 364,565 770,149  
Biogen [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Number of medicines currently being developed | Medicine 9     9           9      
Revenue                   $ 428,800 408,600 $ 473,600  
Deferred revenue $ 407,500     $ 407,500           $ 407,500 $ 465,800    
Biogen [Member] | Revenue [Member] | Strategic Partner [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Concentration percentage                   53.00% 56.00% 42.00%  
Biogen [Member] | Minimum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments received 3,100,000     3,100,000           $ 3,100,000      
Biogen [Member] | SPINRAZA Royalties [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue                   267,800 $ 286,600 $ 293,000  
Biogen [Member] | R&D Revenue [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue                   161,000 122,000 $ 180,600  
SPINRAZA [Member] | Minimum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative revenue earned 1,600,000     1,600,000           $ 1,600,000      
Royalty percentage received on net sales of medicine                   11.00%      
SPINRAZA [Member] | Maximum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Royalty percentage received on net sales of medicine                   15.00%      
SPINRAZA [Member] | SPINRAZA Royalties [Member] | Maximum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative revenue earned 1,200,000     1,200,000           $ 1,200,000      
SPINRAZA [Member] | R&D Revenue [Member] | Minimum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative revenue earned 435,000     435,000           $ 435,000      
New Antisense Medicines for the Treatment of SMA [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Royalty percentage received on net sales of medicine                   20.00%      
Upfront payment received                 $ 25,000        
Maximum amount of payments receivable for license fees, milestone payments and other payments 1,200,000     1,200,000           $ 1,200,000      
Next prospective payment 45,000     45,000           45,000      
Number of separate performance obligations | PerformanceObligation                 1        
Transaction price                 $ 25,000        
Revenue           $ 8,300              
New Antisense Medicines for the Treatment of SMA [Member] | ION306 [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Maximum amount of payments receivable for development, commercialization and sales milestones 555,000     555,000           555,000      
Maximum amount of payments receivable for development milestones 45,000     45,000           45,000      
Maximum amount of payments receivable for regulatory milestones 110,000     110,000           110,000      
Maximum amount of payments receivable for sales milestones 400,000     400,000           $ 400,000      
Revenue 60,000     60,000                  
2018 Strategic Neurology [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Royalty percentage received on net sales of medicine                   20.00%      
Upfront payment received               $ 375,000          
Next prospective payment 7,500     7,500           $ 7,500      
Number of separate performance obligations | PerformanceObligation                         1
Transaction price                         $ 552,000
Term of collaboration agreement                   10 years      
Upfront payment received, including purchase of stock               1,000,000          
Proceeds from issuance of common stock               $ 625,000          
Percentage cash premium paid on shares purchased               25.00%          
Maximum amount of payments receivable per medicine for milestone payments $ 270,000     $ 270,000           $ 270,000      
Number of programs being advanced | Program 9     9           9      
Premium paid on shares purchased               $ 177,000          
Cumulative payments included in transaction price for performance obligation $ 616,000     $ 616,000           $ 616,000      
Milestone payments achieved and included in transaction price for performance obligation                   23,000 11,000    
Revenue       15,000                  
2018 Strategic Neurology [Member] | Maximum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments received 1,100,000     1,100,000           1,100,000      
2013 Strategic Neurology [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Upfront payment received   $ 100,000                      
Next prospective payment $ 70,000     $ 70,000           $ 70,000      
Number of separate performance obligations | PerformanceObligation   1                      
Transaction price   $ 100,000                      
Number of medicines currently being advanced | Medicine 6     6           6      
Revenue             $ (16,500)            
2013 Strategic Neurology [Member] | Minimum [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments received $ 280,000     $ 280,000           $ 280,000      
2013 Strategic Neurology [Member] | R&D Revenue [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments included in transaction price for performance obligation                     145,000    
2013 Strategic Neurology [Member] | Medicines for Parkinson's Disease [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Number of medicines currently being advanced | Medicine 1     1           1      
2013 Strategic Neurology [Member] | Medicines for ALS [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Number of medicines currently being advanced | Medicine 3     3           3      
2013 Strategic Neurology [Member] | Medicines for Multiple System Atrophy [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Number of medicines currently being advanced | Medicine 1     1           1      
2013 Strategic Neurology [Member] | Medicines for Undisclosed Targets [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Number of medicines currently being advanced | Medicine 1     1           1      
2013 Strategic Neurology [Member] | Antisense Molecule [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Maximum amount of payments receivable per program for license fee and milestone payments $ 260,000     $ 260,000           $ 260,000      
Maximum amount of payments receivable per program for development milestones 60,000     60,000           60,000      
Maximum amount of payments receivable per program for regulatory milestones 130,000     130,000           130,000      
2013 Strategic Neurology [Member] | ION541 [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue         $ 10,000                
2012 Neurology [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments received 155,000     155,000           155,000      
Upfront payment received     $ 30,000                    
Next prospective payment 25,000     25,000           25,000      
Maximum amount of payments receivable per program for license fee and milestone payments 210,000     210,000           210,000      
Maximum amount of payments receivable per program for development milestones 10,000     10,000           10,000      
Maximum amount of payments receivable per program for regulatory milestones 130,000     130,000           130,000      
Number of programs under which medicines are to be developed and commercialized | Program     3                    
Revenue             $ 6,300            
2012 Neurology [Member] | R&D Revenue [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments included in transaction price for performance obligation 40,000     40,000           40,000      
2012 Neurology [Member] | IONIS-MAPT [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Cumulative payments included in transaction price for performance obligation $ 57,000     57,000           $ 57,000      
Milestone payments achieved and included in transaction price for performance obligation                     $ 19,500    
Term of extension study                   1 year      
Revenue           $ 45,000              
2012 Neurology [Member] | ION582 [Member]                          
Collaborative Arrangement and Licensing Agreement [Abstract]                          
Revenue       $ 10,000