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Revenue recognition - Net Product Sales (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2025 USD ($) segment country Distributor	Mar. 31, 2024 USD ($) segment Distributor country	Dec. 31, 2024 USD ($)
Revenue recognition
Number of operating segments | segment	1	1
Revenue	$ 1,176,096	$ 210,118
Net product revenue | Geographic concentration risk
Revenue recognition
Number of countries exceeding 10% of net product sales | country	2	2
Percentage of net product sales threshold	10.00%	10.00%
Net product revenue | Geographic concentration risk | United States
Revenue recognition
Revenue	$ 47,800	$ 57,500
Net product revenue | Geographic concentration risk | Non-US
Revenue recognition
Revenue	105,600	120,100
Net product revenue | Geographic concentration risk | Russia
Revenue recognition
Revenue	$ 38,500	$ 52,600
Net product revenue | Customer concentration risk
Revenue recognition
Number of distributors | Distributor	2	2
Percentage of net product sales threshold	10.00%	10.00%
Product
Revenue recognition
Revenue	$ 153,426	$ 177,604
Contract with customer, liability	0		$ 0
Emflaza | Net product revenue | Geographic concentration risk | United States
Revenue recognition
Revenue	47,800	57,500
Translarna | Net product revenue | Geographic concentration risk | Non-US
Revenue recognition
Revenue	$ 86,200	$ 103,600

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