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Summary of product revenues, net by product (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Product Information [Line Items]      
Product revenues, net $ 612,401 $ 455,865 $ 380,833
EXONDYS 51 [Member]      
Product Information [Line Items]      
Product revenues, net 454,361 422,007 380,718
VYONDYS 53 [Member]      
Product Information [Line Items]      
Product revenues, net 89,511 33,858 115
AMONDYS 45 [Member]      
Product Information [Line Items]      
Product revenues, net $ 68,529