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Intangible assets and goodwill - Narrative (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended 25 Months Ended
Dec. 31, 2019
May 31, 2019
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Sep. 30, 2020
Apr. 20, 2017
Finite-Lived Intangible Assets [Line Items]                  
Useful life         7 years        
Amortization of acquired intangible assets     $ 9,630 $ 7,025 $ 26,309 $ 19,677      
Total allocation of IPR&D assets         576,500        
Change in indefinite-lived intangibles               $ 0  
Goodwill $ 82,341   82,341   82,341   $ 82,341 $ 82,341  
Research and development     92,998 $ 63,076 359,630 175,621      
Changes in goodwill     $ 0   $ 0        
Weighted Average                  
Finite-Lived Intangible Assets [Line Items]                  
Remaining amortization period         3 years 8 months 12 days        
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 $ 6,000     $ 4,000   $ 6,000    
Useful life         10 years        
Emflaza asset acquisition                  
Finite-Lived Intangible Assets [Line Items]                  
Finite-Lived intangibles                 $ 148,400
Milestone obligation payments made         $ 13,800 $ 7,400