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Collaborative Arrangements and Licensing Agreements, Novartis (Details)
$ in Thousands, shares in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2021
USD ($)
Mar. 31, 2019
USD ($)
Mar. 31, 2017
USD ($)
PerformanceObligation
shares
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Aug. 31, 2021
Collaborative Arrangement and Licensing Agreement [Abstract]              
Revenue       $ 810,456 $ 729,264 $ 1,122,599  
Licensing and Other Royalties [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Revenue       19,119 8,117 17,205  
R&D Revenue [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Revenue       468,061 364,565 $ 770,149  
Novartis [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Upfront payment received     $ 75,000        
Maximum amount of payments receivable for milestones       675,000      
Maximum amount of payments receivable for development milestones       25,000      
Maximum amount of payments receivable for regulatory milestones       290,000      
Maximum amount of payments receivable for sales milestones       360,000      
Cumulative payments received       425,000      
Next prospective payment       75,000      
Shares issued (in shares) | shares     1.6        
Proceeds from sale of common stock     $ 100,000        
Number of separate performance obligations | PerformanceObligation     4        
Transaction price     $ 108,400        
Premium received on shares issued     28,400        
Potential premium received if common stock is purchased in the future     5,000        
Deferred revenue       $ 0 $ 0    
Novartis [Member] | Revenue [Member] | Strategic Partner [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Concentration percentage       3.00% 0.00% 17.00%  
Novartis [Member] | Licensing and Other Royalties [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Revenue   $ 150,000          
Novartis [Member] | R&D Services for Pelacarsen [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Transaction price     64,000        
Novartis [Member] | R&D Services for Olezarsen [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Transaction price     40,100        
Novartis [Member] | Pelacarsen API [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Royalty percentage received on sales of medicine       20.00%      
Percentage enrollment in Lp(a) HORIZON Phase 3 cardiovascular outcome study             50.00%
Transaction price     1,500        
Revenue $ 25,000            
Novartis [Member] | Olezarsen API [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Transaction price     $ 2,800        
Novartis [Member] | R&D Revenue [Member]              
Collaborative Arrangement and Licensing Agreement [Abstract]              
Revenue       $ 25,500 $ 1,000 $ 187,400