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Intangible assets and goodwill - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Apr. 20, 2017
Finite-Lived Intangible Assets [Line Items]        
Useful life 7 years      
Amortization of acquired intangible asset $ 6,077 $ 5,428    
Total allocation of IPR&D assets 576,500      
Goodwill 82,341   $ 82,341  
Research and development 52,566 $ 31,363    
Akcea        
Finite-Lived Intangible Assets [Line Items]        
Upfront licensing fee $ 12,000      
Development and regulatory milestone payment obligations, period 30 days      
Emflaza asset acquisition        
Finite-Lived Intangible Assets [Line Items]        
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles       $ 148,400