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Selected quarterly financial data (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]                      
Net product revenue $ 85,833 $ 53,021 $ 68,170 $ 55,981 $ 57,953 $ 41,780 $ 47,891 $ 26,442 $ 264,734 $ 194,392 $ 82,705
Collaboration and grant revenue 505 570 573 81 20,077 73 71 105      
Operating expenses 131,476 101,821 74,317 72,805 72,578 72,745 60,459 52,902 380,419 258,684 214,763
Loss from operations (45,138) (48,230) (5,574) (16,743) 5,452 (30,892) (12,497) (26,355) (115,685) (64,292) (132,058)
Net loss attributable to common stockholders $ (48,330) $ (50,969) $ (9,520) $ (19,263) $ 1,270 $ (33,738) $ (17,475) $ (29,057) $ (128,081) $ (79,000) $ (142,110)
Net loss per share—basic and diluted (in dollars per share) $ (0.96) $ (1.06) $ (0.21) $ (0.46) $ 0.03 $ (0.82) $ (0.44) $ (0.85) $ (2.75) $ (2.02) $ (4.17)