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Stock-based Compensation - Stock-Based Compensation Expense (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Oct. 31, 2013
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based compensation arrangement by share-based payment award, options, outstanding, number (in shares) 5,273,964 4,504,642    
Weighted average exercise price (in dollars per share) $ 22.23 $ 19.79    
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]        
Stock-based compensation expense $ 16,520 $ 14,744 $ 12,165  
Equity Incentive Plan 2003        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based compensation arrangement by share-based payment award, options, outstanding, number (in shares) 746,803      
Weighted average exercise price (in dollars per share) $ 2.03      
Stock Incentive Plan 2013        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based compensation, number of shares authorized (in shares)       1,960,168
Increased number of shares authorized (in shares) 8,244,131      
Share-based compensation arrangement by share-based payment award, options, outstanding, number (in shares) 4,527,161      
Weighted average exercise price (in dollars per share) $ 25.56      
Stock reserved for future issuance (in shares) 1,960,168      
Percentage of common stock share outstanding 4.00%      
Research and development        
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]        
Stock-based compensation expense $ 7,919 7,388 5,778  
General and administrative        
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]        
Stock-based compensation expense $ 8,601 $ 7,356 $ 6,387