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Business (Details)
$ / shares in Units, $ in Thousands, shares in Millions
Mar. 31, 2019
USD ($)
program
$ / shares
shares
Dec. 31, 2018
USD ($)
$ / shares
Organization, Consolidation and Presentation of Financial Statements [Abstract]    
Number of gene therapy programs | program 14  
Exchange agreement, aggregate principal amount $ 219,300  
Shares authorized for issuance (in shares) | shares 39.0  
Common stock, par value (in dollars per share) | $ / shares $ 0.01 $ 0.01
Accumulated deficit $ (1,532,521) $ (1,412,222)