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Stockholders' Equity, Stock-based Compensation Expense (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Stock-Based Compensation [Abstract]      
Stock-based compensation expense $ 72,108 $ 59,314 $ 31,383
Research, Development and Patents [Member]      
Stock-Based Compensation [Abstract]      
Stock-based compensation expense 55,099 43,638 25,843
General and Administrative [Member]      
Stock-Based Compensation [Abstract]      
Stock-based compensation expense 17,009 15,676 $ 5,540
Akcea Therapeutics [Member]      
Stock-Based Compensation [Abstract]      
Stock-based compensation expense $ 10,100 $ 6,500