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Intangible assets and goodwill - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Apr. 20, 2017
Finite-Lived Intangible Assets [Line Items]            
Useful life     7 years      
Amortization of acquired intangible assets $ 7,025 $ 5,793 $ 19,677 $ 16,815    
Total allocation of IPR&D assets     576,500      
Goodwill 82,341   82,341   $ 82,341  
Research and development 63,076 54,368 175,621 118,337    
Akcea            
Finite-Lived Intangible Assets [Line Items]            
Milestone payments 4,000   4,000      
Upfront licensing fee     12,000      
Non-collaborative Arrangement Transactions | Akcea            
Finite-Lived Intangible Assets [Line Items]            
Milestone payments 6,000   $ 6,000      
Useful life     10 years      
Emflaza asset acquisition            
Finite-Lived Intangible Assets [Line Items]            
Finite-Lived Intangibles           $ 148,400
Milestone payments $ 7,400 $ 4,500 $ 7,400 $ 4,500