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Intangible assets and goodwill - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Sep. 30, 2019
Apr. 20, 2017
Finite-Lived Intangible Assets [Line Items]                
Useful life   7 years            
Amortization of acquired intangible assets $ 8,731   $ 6,575 $ 16,679 $ 12,652      
Total allocation of IPR&D assets       576,500        
Goodwill 82,341     82,341   $ 82,341    
Research and development 176,525   59,979 $ 266,632 112,544      
Weighted Average [Member]                
Finite-Lived Intangible Assets [Line Items]                
Remaining amortization period       4 years        
Akcea                
Finite-Lived Intangible Assets [Line Items]                
Upfront licensing fee       $ 12,000        
Non-collaborative Arrangement Transactions | Akcea                
Finite-Lived Intangible Assets [Line Items]                
Milestone payments 4,000     $ 4,000     $ 6,000  
Useful life       10 years        
Emflaza asset acquisition                
Finite-Lived Intangible Assets [Line Items]                
Finite-Lived intangibles               $ 148,400
Milestone payments $ 12,200   $ 8,300 $ 12,200 $ 8,300