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Collaborative Arrangements and Licensing Agreements, Roche (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Apr. 30, 2013
USD ($)
PerformanceObligation
Dec. 31, 2020
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2021
USD ($)
Indication
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2017
USD ($)
Oct. 31, 2018
USD ($)
PerformanceObligation
Collaborative Arrangement and Licensing Agreement [Abstract]                
Revenue       $ 810,456 $ 729,264 $ 1,122,599    
R&D Revenue [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Revenue       468,061 364,565 $ 770,149    
Roche [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Deferred revenue   $ 47,200   $ 31,600 $ 47,200      
Roche [Member] | Revenue [Member] | Strategic Partner [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Concentration percentage       2.00% 1.00% 5.00%    
Roche [Member] | R&D Revenue [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Revenue       $ 17,200 $ 5,900 $ 57,000    
Huntington's Disease [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Upfront payment received $ 30,000              
Milestone payment received             $ 3,000  
Maximum amount of payments receivable for license fees and milestones       365,000        
Maximum amount of payments receivable for development milestones       70,000        
Maximum amount of payments receivable for regulatory milestones       170,000        
Maximum amount of payments receivable for sales milestones       80,000        
Maximum amount of payment receivable for each additional medicine developed       136,500        
Cumulative payments received       150,000        
Next prospective payment       15,000        
Number of separate performance obligations | PerformanceObligation 1              
Transaction price $ 30,000              
Revenue           $ 35,000    
IONIS-FB-L for Complement-Mediated Diseases [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Upfront payment received     $ 75,000          
Minimum amount of payments receivable for license fees and milestones       680,000        
Cumulative payments received       75,000        
Next prospective payment       $ 20,000        
Number of separate performance obligations | PerformanceObligation               1
Transaction price               $ 75,000
Number of disease indications | Indication       2        
Royalty percentage received on net sales of medicine       20.00%        
Revenue   $ (9,200)            
IONIS-FB-L for Complement-Mediated Diseases [Member] | GA [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Number of disease indications | Indication       1        
IONIS-FB-L for Complement-Mediated Diseases [Member] | IgA Nephropathy [Member]                
Collaborative Arrangement and Licensing Agreement [Abstract]                
Number of disease indications | Indication       1