Quarterlytics / Healthcare / Biotechnology / AEterna Zentaris Inc.

AEterna Zentaris Inc.

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FY2016 Annual Report · AEterna Zentaris Inc.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________ 
FORM 20-F

☐ Registration Statement Pursuant to Section 12(b) or 12(g) of The Securities Exchange Act of 1934

OR

☒ Annual Report Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 for the fiscal year ended December 31, 2016

☐ Transition Report Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934

OR

OR

☐ Shell Company Report Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934

Commission file number 0-30752

AETERNA ZENTARIS INC.
(Exact Name of Registrant as Specified in its Charter)
Not Applicable
(Translation of Registrant's Name into English)
Canada
(Jurisdiction of Incorporation)
315 Sigma Drive, Suite 302D
Summerville, South Carolina, USA
29486
(Address of Principal Executive Offices)
Philip Theodore
Telephone: 843-900-3211
E-mail: ptheodore@aezsinc.com
315 Sigma Drive, Suite 302D
Summerville, South Carolina
29486
(Name, Telephone, E-mail and Address of Company Contact Person)

Securities registered or to be registered pursuant to Section 12(b) of the Act:

Title of Each Class                

Common Shares

Name of Each Exchange on Which Registered                

NASDAQ Capital Market
Toronto Stock Exchange

Securities registered or to be registered pursuant to Section 12(g) of the Act: NONE
Securities for which there is a reporting obligation pursuant to Section 15(d) of the ACT: NONE
Indicate the number of outstanding shares of each of the issuer's classes of capital or common stock as at the close of the period covered by the annual report: 12,917,995
Common Shares as at December 31, 2016.
Indicate by check mark whether the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes  ☐      No  ☒
If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange
Act of 1934.  Yes  ☐      No  ☒
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding
12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90
days.  Yes  ☒     No  ☐ 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and
posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit
and post such files).  Yes  ☐      No  ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer or, or a non-accelerated filer. See definitions of "accelerated filer" and "large
accelerated filer" in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer    ☐    Accelerated filer     ☐    Non-accelerated filer     ☒
Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:
US GAAP    ☐    International Financial Reporting Standards as issued by the     Other    ☐

International Accounting Standards Board    ☒

If "other" has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow.
Item 17  ☐    Item 18  ☐
If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes  ☐      No  ☒

  
  
Basis of Presentation

General

Except where the context otherwise requires, all references in this Annual Report on Form 20-F to the "Company", "Aeterna Zentaris Inc.", "we", "us", "our"
or similar words or phrases are to Aeterna Zentaris Inc. and its subsidiaries, taken together. In this Annual Report on Form 20-F, references to "$" and "US$"
are  to  United  States  ("US")  dollars,  references  to  "CAN$"  are  to  Canadian  dollars  and  references  to  "EUR"  are  to  euros.  Unless  otherwise  indicated,  the
statistical and financial data contained in this Annual Report on Form 20-F are presented as at December 31, 2016.

All share, option and share purchase warrant as well as per share, option and share purchase warrant information presented in this Annual Report on Form 20-
F have been adjusted, including proportionate adjustments being made to each option and share purchase warrant exercise price, to reflect and to give effect
to  a  share  consolidation  (or  reverse  stock  split),  on  November  17,  2015,  of  our  issued  and  outstanding  common  shares  on  a  100-to-1  basis  (the  "Share
Consolidation").  The  Share  Consolidation  affected  all  shareholders,  optionholders  and  warrantholders  uniformly  and  thus  did  not  materially  affect  any
securityholder's percentage of ownership interest.

This Annual Report on Form 20-F also contains certain information regarding products or product candidates that may potentially compete with our products
and  product  candidates,  and  such  information  has  been  primarily  derived  from  information  made  publicly  available  by  the  companies  developing  such
potentially competing products and product candidates and has not been independently verified by Aeterna Zentaris Inc.

Forward-Looking Statements

This Annual Report on Form 20-F contains forward-looking statements made pursuant to the safe-harbor provision of the US Securities Litigation Reform
Act  of  1995,  which  reflect  our  current  expectations  regarding  future  events.  Forward-looking  statements  may  include,  but  are  not  limited  to  statements
preceded by, followed by, or that include the words “expects,” “believes,” “intends,” “anticipates,” and similar terms that relate to future events, performance,
or our results. Forward-looking statements involve known risks and uncertainties, which are discussed in this Annual Report on Form 20-F, under the caption
“Key Information - Risk Factors” filed with the relevant Canadian securities regulatory authorities in lieu of an annual information form and with the US
Securities and Exchange Commission (“SEC”). Such statements include, but are not limited to, statements about the progress of our research, development
and clinical trials and the timing of, and prospects for, regulatory approval and commercialization of our product candidates, the timing of expected results of
our studies, anticipated results of these studies, statements about the status of our efforts to establish a commercial operation and to obtain the right to promote
or sell products that we did not develop and estimates regarding our capital requirements and our needs for, and our ability to obtain, additional financing.
Known  and  unknown  risks  and  uncertainties  could  cause  our  actual  results  to  differ  materially  from  those  in  forward-looking  statements.  Such  risks  and
uncertainties include, among others, the availability of funds and resources to pursue our research and development projects and clinical trials, the successful
and timely completion of clinical studies, the risk that safety and efficacy data from any of our Phase 3 trials may not coincide with the data analyses from
previously reported Phase 1 and/or Phase 2 clinical trials, the rejection or non-acceptance of any new drug application by one or more regulatory authorities
and, more generally, uncertainties related to the regulatory process (including whether or not the regulatory authorities will accept the Company’s conclusions
regarding Macrilen™ following its comprehensive review of the Phase 3 study data described elsewhere in this Annual Report on Form 20-F), the ability of
the Company to efficiently commercialize one or more of its products or product candidates, the degree of market acceptance once our products are approved
for commercialization, our ability to take advantage of business opportunities in the pharmaceutical industry, our ability to protect our intellectual property,
the potential of liability arising from shareholder lawsuits and general changes in economic conditions. Investors should consult the Company’s quarterly and
annual  filings  with  the  Canadian  and  US  securities  commissions  for  additional  information  on  risks  and  uncertainties.  Given  these  uncertainties  and  risk
factors, readers are cautioned not to place undue reliance on these forward-looking statements. We disclaim any obligation to update any such factors or to
publicly announce any revisions to any of the forward-looking statements contained herein to reflect future results, events or developments, unless required to
do so by a governmental authority or applicable law.

TABLE OF CONTENTS

GENERAL INFORMATION

PART I

Item 1.

Identity of Directors, Senior Management and Advisers

A. Directors and senior management

B. Advisers

C. Auditors

Item 2.

Offer Statistics and Expected Timetable

A. Offer statistics

B. Method and expected timetable

Item 3.

Key Information

A. Selected financial data

B. Capitalization and indebtedness

C. Reasons for the offer and use of proceeds

D. Risk factors

Item 4.

Information on the Company

A. History and development of the Company

Item 4A.

Item 5.

B. Business overview

C. Organizational structure

D. Property, plants and equipment

Unresolved Staff Comments

Operating and Financial Review and Prospects

A. Operating results

B. Liquidity and capital resources

C. Research and development, patents and licenses, etc.

D. Trend information

E. Off-balance sheet arrangements

F. Tabular disclosure of contractual obligations

Item 6.

Directors, Senior Management and Employees

A. Directors and senior management

B. Compensation

C. Board Practices

D. Employees

E. Share ownership

Item 7.

Major Shareholders and Related Party Transactions

A. Major shareholders

B. Related party transactions

C. Interests of experts and counsel

Item 8.

Financial Information

A. Consolidated statements and other financial information

B. Significant changes

Item 9.

The Offering and Listing

A. Offer and listing details

B. Plan of distribution

C. Markets

D. Selling shareholders

E. Dilution

Page

1

1

1

1

1

1

1

1

1

3

3

3

21

21

22

37

38

38

38

42

48

48

51

53

53

54

54

57

68

69

69

69

69

70

70

70

70

70

70

70

71

71

71

71

    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
F. Expenses of the issue

Item 10.

Additional Information

A. Share capital

B. Memorandum and articles of association

C. Material contracts

D. Exchange controls

E. Taxation

F.  Dividends and paying agents

G. Statement by experts

H. Documents on display

I. Subsidiary information

Item 11.

Item 12.

Quantitative and Qualitative Disclosures About Market Risk

Description of Securities Other than Equity Securities

A. Debt securities

B. Warrants and rights

C. Other securities

D. American depositary shares

PART II

Item 13.

Item 14.

Item 15.

Item 16A.

Item 16B.

Item 16C.

Item 16D.

Item 16E.

Item 16F.

Item 16G.

Item 16H.

Defaults, Dividend Arrearages and Delinquencies

Material Modification to the Rights of Security Holders and Use of Proceeds

Controls and Procedures

Audit Committee Financial Expert

Code of Ethics

Principal Accountant Fees and Services

Exemptions from the Listing Standards for Audit Committees

Purchases of Equity Securities by the Issuer and Affiliated Purchasers

Change in Registrant's Certifying Accountant

Corporate Governance

Mine Safety Disclosure

PART III

Item 17.

Item 18.

Item 19.

Financial Statements

Financial Statements

Exhibits

71

71

71

71

80

83

83

89

89

89

90

90

92

92

92

92

92

92

92

92

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95

95

142

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 1.

Identity of Directors, Senior Management and Advisers

A.

Directors and senior management

PART I

Not applicable.

B.

Advisers

Not applicable.

C.

Auditors

Not applicable.

Item 2.

Offer Statistics and Expected Timetable

A.

Offer statistics

Not applicable.

B.

Method and expected timetable

Not applicable.

Item 3.

Key Information

A.Selected financial data

The consolidated statement of comprehensive (loss) income data set forth in this Item 3.A with respect to the years ended December 31, 2016, 2015 and 2014
and  the  consolidated  statement  of  financial  position  data  as  at  December  31,  2016  and  2015  have  been  derived  from  the  audited  consolidated  financial
statements  set  forth  in  Item  18,  which  have  been  prepared  in  accordance  with  International  Financial  Reporting  Standards  ("IFRS"),  as  issued  by  the
International Accounting Standards Board ("IASB"). The consolidated statement of comprehensive (loss) income information with respect to the years ended
December 31, 2013 and 2012 and the consolidated statement of financial position information as at December 31, 2014, 2013 and 2012 set forth in this Item
3.A. have been derived from our previous consolidated financial statements not included herein, and have also been prepared in accordance with IFRS, as
issued  by  the  IASB.  The  selected  financial  data  should  be  read  in  conjunction  with  our  audited  consolidated  financial  statements  and  the  related  notes
included elsewhere in this Annual Report on Form 20-F, as well as "Item 5. – Operating and Financial Review and Prospects" of this Annual Report on Form
20-F.

1

Consolidated Statements of Comprehensive (Loss) Income Information

(in thousands of US dollars, except share and per share data)

Derived from consolidated financial statements prepared in accordance with IFRS, as issued by the IASB

December 31,

2016

$

2015

$

2014

$

2013

$

2012

$

Revenues

Sales commission and other

License fees

Operating expenses

Cost of Sales

Research and development costs

General and administrative expenses

Selling expenses

Loss from operations

(Loss) gain due to changes in foreign currency exchange rates

Change in fair value of warrant liability

Warrant exercise inducement fee

Other finance income

Net finance (costs) income

Loss before income taxes

Income tax expense

Net loss from continuing operations

Net income from discontinued operations

Net (loss) income

Other comprehensive (loss) income:

Items that may be reclassified subsequently to profit or loss:

Foreign currency translation adjustments

Items that will not be reclassified to profit or loss:

Actuarial (loss) gain on defined benefit plans

Comprehensive (loss) income

Net loss per share (basic and diluted) from continuing operations1
Net income per share (basic and diluted) from discontinued

operations1

Net (loss) income per share (basic and diluted)1

Weighted average number of shares outstanding:1

414  

497  

911  

—  

16,495  

7,147  

6,745  

30,387  

(29,476)  

(70)  

4,437  

—  

150  

297  

248  

545  

—  

17,234  

11,308  

6,887  

35,429  

—  

11  

11  

—  

23,716  

9,840  

3,850  

37,406  

96  

6,079  

6,175  

51  

21,284  

11,091  

1,225  

33,651  

834

1,219

2,053

591

20,592

9,226

1,380

31,789

(34,884)  

(37,395)  

(27,476)  

(29,736)

(1,767)  

(10,956)  

(2,926)  

305  

1,879  

18,272  

—  

168  

(1,512)  

1,563  

—  

185  

236  

(382)

6,746

—

228

6,592

4,517  

(15,344)  

20,319  

(24,959)  

(50,228)  

(17,076)  

(27,240)  

(23,144)

—  

—  

(111)  

—  

—

(24,959)  

(50,228)  

(17,187)  

(27,240)  

(23,144)

—  

85  

623  

34,055  

2,732

(24,959)  

(50,143)  

(16,564)  

6,815  

(20,412)

569  

1,509  

(1,158)  

1,073  

(504)

(1,479)  

(25,869)  

844  

(1,833)  

(47,790)  

(19,555)  

(2.41)  

(18.17)  

(29.12)  

2,346  

10,234  

(92.41)  

(3,705)

(24,621)

(117.04)

—  

(2.41)  

0.03  

1.06  

115.53  

13.79

(18.14)  

(28.06)  

23.12  

(103.22)

Basic

Diluted

10,348,879  

2,763,603  

590,247  

294,765  

10,665,149  

3,424,336  

590,247  

294,765  

197,751

198,067

1  Adjusted to reflect the November 17, 2015 100-to-1 Share Consolidation

2

 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
   
   
   
   
 
 
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
Consolidated Statement of Financial Position Information

(in thousands of US dollars)

Derived from consolidated financial statements prepared in accordance with IFRS, as issued by the IASB

As at December 31,

2016

$

2015

$

2014

$

21,999  

496  

31,659  

6,854  

213,980  

6,212  

41,450  

255  

51,498  

10,891  

204,596  

21,615  

34,931  

760  

47,435  

8,225  

150,544  

14,484  

2013

$

43,202  

865  

59,196  

18,010  

134,101  

17,064  

2012

$

39,521

826

67,665

6,176

122,791

(6,695)

Cash and cash equivalents

Restricted cash equivalents

Total assets

Warrant liability (current and non-current portion)

Share capital

Shareholders' equity (deficiency)

B.

Capitalization and indebtedness

Not applicable.

C.

Reasons for the offer and use of proceeds

Not applicable.

D.

Risk factors

An  investment  in  our  securities  involves  a  high  degree  of  risk.  You  should  carefully  consider  the  risks  described  below,  together  with  all  of  the  other
information  included  in  this  annual  report,  before  making  an  investment  decision.  If  any  of  the  following  risks  actually  occurs,  our  business,  prospects,
financial condition or results of operations could suffer. In that case, the trading price, if any, of our securities could decline, and you may lose all or part of
your investment.

Risks Relating to Us and Our Business

Investments in biopharmaceutical companies are generally considered to be speculative.

The prospects for companies operating in the biopharmaceutical industry are uncertain, given the very nature of the industry, and, accordingly, investments in
biopharmaceutical companies should be considered to be speculative assets.

We have a history of operating losses and we may never achieve or maintain operating profitability. In addition, if we are unsuccessful in generating new
revenue, increasing our revenue and/or raising additional funding, we may not be able to continue as a going concern.

We  have  incurred,  and  expect  to  continue  to  incur,  substantial  expenses  in  our  efforts  to  develop  and  market  products.  Consequently,  we  have  incurred
operating losses historically and in each of the last several years. As at December 31, 2016, we had an accumulated deficit of approximately $298 million.
Our operating losses have adversely impacted, and will continue to adversely impact, our working capital, total assets, operating cash flow and shareholders’
equity. We do not expect to reach operating profitability in the immediate future, and our operating expenses are likely to continue to represent a significant
component of our overall cost profile as we seek regulatory approval for our product candidates and carry out commercial activities. Even if we succeed in
developing, acquiring or in-licensing new commercial products, we could incur additional operating losses for at least the next several years. If we do not
ultimately generate sufficient revenue from commercialized products to achieve or maintain operating profitability, an investment in our Common Shares or
other securities could result in a significant or total loss.

Our ability to continue as a going concern is dependent on the successful execution of our business plan, which will require an increase in revenue and/or
additional funding to be provided by potential investors and/or non-traditional sources of financing. We did not have, as at December 31, 2016, sufficient
liquidity and financial resources to fund planned expenditures and other working capital needs for the 12-month period following such date. Therefore, our
audited consolidated financial statements as at December 31, 2016 include a footnote disclosing material uncertainties related to events and conditions that
may cast significant doubt about our ability to continue as a going concern for at least twelve months from December 31, 2016.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Additional funding may be in the form of debt or equity or a hybrid instrument depending on our needs, the demands of investors and market conditions.
Depending on the prevailing global economic and credit market conditions, we may not be able to raise additional cash through these traditional sources of
financing. Although we may also pursue non-traditional sources of financing with third parties, the global equity and credit markets may adversely affect the
ability  of  potential  third  parties  to  pursue  such  transactions  for  us.  Accordingly,  as  a  result  of  the  foregoing,  we  continue  to  review  traditional  sources  of
financing, such as private and public debt or various equity financing alternatives, as well as other alternatives to enhance shareholder value, including, but
not limited to, non-traditional sources of financing, such as strategic alliances with third parties, the sale of assets or licensing of our technology or intellectual
property, a combination of operating and related initiatives or a substantial reorganization of our business.

There can be no assurance that we will achieve profitability or positive cash flows or be able to obtain additional funding or that, if obtained, the additional
funding will be sufficient, or whether any other initiatives will be successful such that we may continue as a going concern. There could also be material
uncertainties related to certain adverse conditions and events that could impact our ability to remain a going concern. If the going concern assumptions were
deemed  no  longer  appropriate  for  our  consolidated  financial  statements,  adjustments  to  the  carrying  value  of  assets  and  liabilities,  reported  expenses  and
consolidated statement of financial position classifications would be necessary. Such adjustments could be material.

Our revenues and expenses may fluctuate significantly, and any failure to meet financial expectations may disappoint securities analysts or investors and
result in a decline in the price or the value of our Common Shares or other securities.

We have a history of operating losses. Our revenues and expenses have fluctuated in the past and may continue to do so in the future. These fluctuations could
cause our share price or the value of our other securities to decline. Some of the factors that could cause our revenues and expenses to fluctuate include but
are not limited to:

•

•

•

•

•

•

•

•

the  inability  to  complete  product  development  in  a  timely  manner  that  results  in  a  failure  or  delay  in  receiving  the  required  regulatory  approvals  to
commercialize our product candidates;

the timing of regulatory submissions and approvals;

the timing and willingness of any current or future collaborators to invest the resources necessary to commercialize our product candidates;

the nature and timing of licensing fee revenues;

the outcome of litigation, including the securities class action litigation pending against us that is described elsewhere in this Annual Report on Form 20-
F;

foreign currency fluctuations;

the timing of the achievement and the receipt of milestone payments from current or future collaborators; and

failure to enter into new or the expiration or termination of current agreements with collaborators.

Due to fluctuations in our revenues and expenses, we believe that period-to-period comparisons of our results of operations are not necessarily indicative of
our future performance. It is possible that in some future periods, our revenues and expenses will be above or below the expectations of securities analysts or
investors. In this case, the price of our Common Shares and/or the value of our other securities could fluctuate significantly or decline.

Our clinical trials may not yield results that will enable us to obtain regulatory approval for our products, and a setback in any of our clinical trials would
likely cause a drop in the price of our Common Shares or a decline in the value of our other securities.

We will only receive regulatory approval for a product candidate if we can demonstrate, in carefully designed and conducted clinical trials, that the product
candidate is both safe and effective. We do not know whether our pending or any future clinical trials will demonstrate sufficient safety and efficacy to obtain
the requisite regulatory approvals or will result in marketable products.

Unfavorable data from those studies could result in our failure to obtain regulatory and marketing approval for our product candidates, the withdrawal of such
approval for approved products or an extension of the review period for developmental products. Preclinical testing and clinical development are inherently
lengthy, complex, expensive and uncertain processes and have a high risk of failure. It typically takes many years to complete testing, and failure can occur at
any stage of testing. Results attained in preclinical testing and early clinical studies, or trials, may not be indicative of results that are obtained in later studies.
In  addition,  we  have  limited  experience  in  conducting  and  managing  the  clinical  trials  necessary  to  obtain  regulatory  approval  and,  accordingly,  may
encounter unforeseen problems and delays in the approval process. Furthermore, errors in the conduct, monitoring and/or auditing of a clinical trial, whether
made by us or by a contract research organization (a “CRO”) that we retain could invalidate the results from a regulatory perspective.

4

None  of  our  current  product  candidates  has  to  date  received  regulatory  approval  for  their  intended  commercial  sale.  We  cannot  market  a  pharmaceutical
product in any jurisdiction until it has completed rigorous preclinical testing and clinical trials and passed such jurisdiction’s extensive regulatory approval
process. In general, significant R&D and clinical studies are required to demonstrate the safety and efficacy of our product candidates before we can submit
regulatory applications. Even if a product candidate is approved by the applicable regulatory authority, we may not obtain approval for an indication whose
market is large enough to recover our investment in that product candidate. In addition, there can be no assurance that we will ever obtain all or any required
regulatory approvals for any of our product candidates.

We  are  currently  developing  our  product  candidates  based  on  R&D  activities,  preclinical  testing  and  clinical  trials  conducted  to  date,  and  we  may  not  be
successful  in  developing  or  introducing  to  the  market  these  or  any  other  new  products  or  technology.  If  we  fail  to  develop  and  deploy  new  products
successfully  and  on  a  timely  basis,  we  may  become  non-competitive  and  unable  to  recover  the  R&D  and  other  expenses  we  incur  to  develop  and  test
new products.

Interim results of preclinical or clinical studies do not necessarily predict their final results, and acceptable results in early studies might not be obtained in
later studies. Safety signals detected during clinical studies and preclinical animal studies may require us to perform additional studies, which could delay the
development of the drug or lead to a decision to discontinue development of the drug. Product candidates in the later stages of clinical development may fail
to show the desired safety and efficacy traits despite positive results in initial clinical testing. Results from earlier studies may not be indicative of results from
future clinical trials and the risk remains that a pivotal program may generate efficacy data that will be insufficient for the approval of the drug, or may raise
safety concerns that may prevent approval of the drug. Interpretation of the prior preclinical and clinical safety and efficacy data of our product candidates
may  be  flawed  and  there  can  be  no  assurance  that  safety  and/or  efficacy  concerns  from  the  prior  data  were  not  overlooked  or  misinterpreted,  which  in
subsequent, larger studies appear and prevent approval of such product candidates.

Furthermore, we may suffer significant setbacks in advanced clinical trials, even after promising results in earlier studies. Based on results at any stage of
clinical trials, we may decide to repeat or redesign a trial or discontinue development of one or more of our product candidates. Further, actual results may
vary once the final and quality-controlled verification of data and analyses has been completed. If we fail to adequately demonstrate the safety and efficacy of
our products under development, we will not be able to obtain the required regulatory approvals to commercialize our product candidates.

By  way  of  example,  on  February  13,  2017,  we  announced  that,  after  reviewing  the  raw  top-line  data  on  which  the  confirmatory  Phase  3  clinical  trial  of
Macrilen™  were  based,  we  had  concluded  that  Macrilen™  had,  despite  not  having  attained  one  of  its  co-primary  endpoints  in  the  Phase  3  study,
demonstrated performance supportive of achieving FDA registration and that we intended to pursue registration of Macrilen™  with the FDA and, to that end,
the Company will meet with the FDA at the end of March 2017 to confirm this position. There can be no assurance, however, that the FDA will agree, in
whole or in part, with our conclusions regarding Macrilen™, particularly in light of the infrequency with which the FDA has in the past agreed to reassess
portions of clinical trial data and elements of the design of a clinical trial following the conclusion of such trial.

A failure in the development of any one of our programs or product candidates could have a negative impact on the development of the others. Setbacks in
any  phase  of  the  clinical  development  of  our  product  candidates  would  have  an  adverse  financial  impact  (including  with  respect  to  any  agreements  and
partnerships that may exist between us and other entities), could jeopardize regulatory approval and would likely cause a drop in the price of our Common
Shares and/or a decline in the value of our other securities.

If  we  are  unable  to  successfully  complete  our  clinical  trial  programs,  or  if  such  clinical  trials  take  longer  to  complete  than  we  project,  our  ability  to
execute our current business strategy will be adversely affected.

Whether or not and how quickly we complete our clinical trial of Zoptrex™, which is the only clinical trial that we are conducting, is dependent in part upon
the rate at which we are able to collect, clean, lock and analyze the clinical trial database. The ZoptEC (zoptarelin doxorubicin in endometrial cancer) trial
was designed to continue until a pre-determined number of events occur to the patients enrolled. On January 30, 2107, we announced the occurrence of the
requisite pre-determined number of events in the ZoptEC trial, representing the clinical endpoint of the study. We expect to lock the clinical database and to
report top-line results in April 2017.

We have no plans to conduct another Phase 3 clinical trial but we may decide to do so in the future. If we experience delays in identifying and contracting
with sites and/or in patient enrollment in our future clinical trial programs, we may incur additional costs and delays in our development programs, and may
not be able to complete our clinical trials on a cost-effective or timely basis. In addition, conducting multi-national studies adds another level of complexity
and risk as we are subject to events affecting countries other than the U.S. and Canada. Moreover, negative or inconclusive results from the clinical trials we
conduct or adverse medical events could cause us to have to repeat or terminate the clinical trials. Accordingly, we may not be able to complete the clinical
trials within an acceptable time-frame, if at all. If we or our CRO have difficulty enrolling a sufficient number of patients to conduct our clinical trials as
planned, we may need to delay or terminate ongoing clinical trials.

5

Clinical trials are subject to continuing oversight by governmental regulatory authorities and institutional review boards and must meet requirements: (i) of
such authorities; (ii) for informed consent; and (iii) for good clinical practices. We may not be able to comply with these requirements in respect of one or
more of our product candidates.

Additionally,  we  have  limited  experience  in  filing  an  NDA  or  similar  application  for  approval  in  the  U.S.  or  in  any  other  country  for  our  current  product
candidates, which may result in a delay in, or the rejection of, our filing of an NDA or similar application. During the drug development process, regulatory
agencies  will  typically  ask  questions  of  drug  sponsors.  While  we  endeavor  to  answer  all  such  questions  in  a  timely  fashion,  some  questions  may  not  be
answered in time to prevent the delay of acceptance of an NDA or the rejection of an NDA.

We  have  incurred,  and  expect  to  continue  to  incur,  substantial  expenses,  and  we  have  made,  and  expect  to  continue  to  make,  substantial  financial
commitments to establish a commercial operation. There can be no assurance how quickly, if ever, we will realize a profit from our commercial operation.

Our  business  strategy  is  to  become  a  specialty  biopharmaceutical  company  with  commercial  operations  to  market  and  sell  products  that  we  may  develop
internally, acquire or in‑license. To that end, our commercial operations consist of 13 full-time staff, who provide services pursuant to our agreement with a
contract sales organization, and our sales-management staff. We have to date incurred, and expect to continue to incur, substantial expenses, and we have
made,  and  expect  to  continue  to  make,  substantial  financial  commitments  to  maintain  our  commercial  operations.  Establishing  a  commercial  operation  is
expensive and time-consuming, and there can be no assurance how quickly, if ever, we will realize a profit from our commercial operations. Factors that may
inhibit our efforts to realize a profit from our commercial operations include:

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•

•

our inability to recruit, train and retain adequate numbers of effective sales and marketing personnel and representatives;

the inability of our sales personnel to obtain access to or to persuade adequate numbers of physicians to prescribe our products or the products that we in-
license or co-promote;

the lack of complementary products to be offered by sales personnel, which may put us at a competitive disadvantage relative to companies with more
extensive product lines; and

unforeseen costs and expenses associated with creating an independent sales and marketing organization.

Our financial viability depends, in part, on our ability to acquire, in-license or otherwise obtain the right to sell other products. If we are unable to do so,
our business, financial condition and results of operations may be materially adversely affected.

In connection with our strategy to further transform the Company into a commercially operating specialty biopharmaceutical organization, we may enter into
commercial  arrangements  with  third  parties,  including  but  not  limited  to  promotion,  co-promotion,  acquisition  or  in-licensing  agreements,  in  efforts  to
establish and expand our commercial revenue base. These business activities entail numerous operational and financial risks, including:

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•

•

the difficulty or inability to secure financing to acquire or in-license products;

the incurrence of substantial debt or dilutive issuances of securities to pay for the acquisition or in-licensing of new products;

the disruption of our business and diversion of our management’s time and attention;

higher than expected development, acquisition or in-license and integration costs;

exposure to unknown liabilities; and

the difficulty in locating products that are in our targeted therapeutic areas and that are compatible with other products in our portfolio.

We can provide no assurance that we will be able to identify potential product candidates or strategic commercial partners or, if we identify such product
candidates or partners, that any related commercial arrangements will be consummated on terms that are favorable to us. To the extent that we are successful
in  entering  into  any  strategic  commercial  arrangements,  including  promotional,  co-promotional  or  marketing  agreements,  or  acquisition  or  in-licensing
agreements with third parties, we cannot provide any assurance that any resulting initiatives or activities will be successful. To the extent that any related
investments in such arrangements do not yield the expected benefits, our business, financial condition and results of operations may be materially adversely
affected.

We have limited resources to identify and execute the procurement of additional products and to integrate them into our current commercial operations. The
failure to successfully integrate the personnel and operations of businesses that we may acquire or of products that we may in-license in the future with our
existing  operations,  business  and  products  could  have  a  material  adverse  effect  on  our  operations  and  results.  We  compete  with  larger  pharmaceutical
companies and other competitors in our efforts to acquire, in-license, and/or obtain the right to market and/or detail new products. Our competitors likely will
have access to greater financial resources than us and may have greater expertise in identifying and evaluating new opportunities. Moreover, we may devote
resources to potential acquisition, in-licensing, promotion or co-promotion opportunities that are never completed, or we may fail to realize the anticipated
benefits of such efforts.

6

We will require significant additional financing, and we may not have access to sufficient capital.

We  will  require  significant  additional  capital  to  fund  our  commercial  operations  and  may  require  additional  capital  to  pursue  planned  clinical  trials  and
regulatory  approvals,  as  well  as  further  R&D  and  marketing  efforts  for  our  product  candidates  and  potential  products.  We  do  not  anticipate  generating
significant revenues from operations in the near future, and we currently have no committed sources of capital.

We may attempt to raise additional funds through public or private financings, collaborations with other pharmaceutical companies or from other sources,
including, without limitation, through at-the-market offerings and issuances of Common Shares. Additional funding may not be available on terms that are
acceptable  to  us.  If  adequate  funding  is  not  available  to  us  on  reasonable  terms,  we  may  need  to  delay,  reduce  or  eliminate  one  or  more  of  our  product
development programs or obtain funds on terms less favorable than we would otherwise accept. To the extent that additional capital is raised through the sale
of equity securities or securities convertible into or exchangeable or exercisable for equity securities (collectively, “Convertible Securities”), the issuance of
those securities would result in dilution to our shareholders. Moreover, the incurrence of debt financing or the issuance of dividend-paying preferred shares,
could result in a substantial portion of our future operating cash flow, if any, being dedicated to the payment of principal and interest on such indebtedness or
the payment of dividends on such preferred shares and could impose restrictions on our operations and on our ability to make certain expenditures and/or to
incur additional indebtedness, which could render us more vulnerable to competitive pressures and economic downturns.

Our future capital requirements are substantial and may increase beyond our current expectations depending on many factors, including:

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the results of our recently completed clinical trials;

unexpected delays or developments in seeking regulatory approvals;

the time and cost involved in preparing, filing, prosecuting, maintaining and enforcing patent claims;

unexpected developments encountered in implementing our business development and commercialization strategies;

the potential addition of commercialized products to our portfolio;

lower revenues from sales commission than expected;

the outcome of litigation, including the securities class action litigation pending against us that is described elsewhere in this Annual Report on Form 20-
F; and

further arrangements, if any, with collaborators.

In addition, global economic and market conditions as well as future developments in the credit and capital markets may make it even more difficult for us to
raise additional financing in the future.

We  are  and  will  be  subject  to  stringent  ongoing  government  regulation  for  our  products  and  our  product  candidates,  even  if  we  obtain  regulatory
approvals for the latter.

The  manufacture,  marketing  and  sale  of  our  products  and  product  candidates  are  and  will  be  subject  to  strict  and  ongoing  regulation,  even  if  regulatory
authorities approve any of the latter. Compliance with such regulation will be expensive and consume substantial financial and management resources. For
example, an approval for a product may be conditioned on our agreement to conduct costly post-marketing follow-up studies to monitor the safety or efficacy
of the product. In addition, as clinical experience with a drug expands after approval because the drug is used by a greater number and more diverse group of
patients than during clinical trials, side effects or other problems may be observed after approval that were not observed or anticipated during pre-approval
clinical  trials.  In  such  a  case,  a  regulatory  authority  could  restrict  the  indications  for  which  the  product  may  be  sold  or  revoke  the  product’s  regulatory
approval.

We and our contract manufacturers will be required to comply with applicable current Good Manufacturing Practice regulations for the manufacture of our
products.  These  regulations  include  requirements  relating  to  quality  assurance,  as  well  as  the  corresponding  maintenance  of  rigorous  records  and
documentation.  Manufacturing  facilities  must  be  approved  before  we  can  use  them  in  the  commercial  manufacturing  of  our  products  and  are  subject  to
subsequent periodic inspection by regulatory authorities. In addition, material changes in the methods of manufacturing or changes in the suppliers of raw
materials are subject to further regulatory review and approval.

If  we,  or  if  any  future  marketing  collaborators  or  contract  manufacturers,  fail  to  comply  with  applicable  regulatory  requirements,  we  may  be  subject  to
sanctions including fines, product recalls or seizures and related publicity requirements, injunctions, total or partial suspension of production, civil penalties,
suspension  or  withdrawals  of  previously  granted  regulatory  approvals,  warning  or  untitled  letters,  refusal  to  approve  pending  applications  for  marketing
approval of new products or of supplements to approved applications, import or export bans or restrictions, and criminal prosecution and penalties. Any of
these penalties could delay or prevent the promotion, marketing or sale of our products and product candidates.

7

Even  if  we  receive  marketing  approval  for  our  product  candidates,  such  product  approvals  could  be  subject  to  restrictions  or  withdrawals.  Regulatory
requirements are subject to change.

Regulatory authorities generally approve products for particular indications. If an approval is for a limited indication, this limitation reduces the size of the
potential  market  for  that  product.  Product  approvals,  once  granted,  are  subject  to  continual  review  and  periodic  inspections  by  regulatory  authorities.  Our
operations and practices are subject to regulation and scrutiny by the U.S. government, as well as governments of any other countries in which we do business
or conduct activities. Later discovery of previously unknown problems or safety issues and/or failure to comply with domestic or foreign laws, knowingly or
unknowingly, can result in various adverse consequences, including, among other things, a possible delay in the approval or refusal to approve a product,
warning letters, fines, injunctions, civil penalties, recalls or seizures of products, total or partial suspension of production, refusal of the government to renew
marketing applications, complete withdrawal of a marketing application, criminal prosecution, withdrawal of an approved product from the market and/or
exclusion from government healthcare programs. Such regulatory enforcement could have a direct and negative impact on the product for which approval is
granted, but also could have a negative impact on the approval of any pending applications for marketing approval of new drugs or supplements to approved
applications.

Because we operate in a highly regulated industry, regulatory authorities could take enforcement action against us in connection with our, or our licensees’ or
collaborators’, business and marketing activities for various reasons.

From  time  to  time,  new  legislation  is  passed  into  law  that  could  significantly  change  the  statutory  provisions  governing  the  approval,  manufacturing,  and
marketing of products regulated by the U.S. Food and Drug Administration ("FDA") and other health authorities. Additionally, regulations and guidance are
often revised or reinterpreted by health agencies in ways that may significantly affect our business and our products. It is impossible to predict whether further
legislative changes will be enacted, or whether regulations, guidance, or interpretations will change, and what the impact of such changes, if any, may be.

Healthcare reform measures could hinder or prevent the commercial success of our product candidates and adversely affect our business.

The business prospects and financial condition of pharmaceutical and biotechnology companies are affected by the efforts of governmental and third-party
payers to contain or reduce the costs of healthcare. The U.S. government and other governments have shown significant interest in pursuing healthcare reform
and reducing healthcare costs. Any government-adopted reform measures could cause significant pressure on the pricing of healthcare products and services,
including our product candidates, both in the U.S. and internationally, as well as the amount of reimbursement available from governmental agencies and
other third-party payers. If  reimbursement  for  our  product  candidates  is  substantially  less  than  we  expect,  our  revenue  prospects  could  be  materially  and
adversely impacted.

In the U.S. and in other jurisdictions there have been, and we expect that there will continue to be, a number of legislative and regulatory proposals aimed at
changing the healthcare system, such as proposals relating to the pricing of healthcare products and services in the U.S. or internationally, the reimportation of
drugs into the U.S.  from other countries (where they are then sold at a lower price), and the amount of reimbursement available from governmental agencies
or other third party payers. Furthermore, the pricing of pharmaceutical products, in general, and specialty drugs, in particular, has been a topic of concern in
the U.S. Congress, where hearings on the topic have been held, and has been a topic of speeches given by political figures, including President Trump. There
can  be  no  assurance  as  to  how  this  scrutiny  on  pricing  of  pharmaceutical  products  will  impact  future  pricing  of  our  products  or  orphan  drugs  or
pharmaceutical products generally.

The Patient Protection and Affordable Care Act and the Healthcare and Education Affordability Reconciliation Act of 2010 (collectively, the “ACA”) has had
far-reaching  consequences  for  most  healthcare  companies,  including  specialty  biopharmaceutical  companies  like  us.  The  future  of  the  ACA  is,  however,
uncertain. In January 2017, the U.S. Congress voted to adopt a budget resolution for fiscal year 2017, that while not law, is widely viewed as the first step
toward  the  passage  of  legislation  that  would  repeal  certain  aspects  of  the  ACA.  Further,  on  January  20,  2017,  President  Trump  signed  an  executive  order
directing federal agencies with authorities and responsibilities under the ACA to waive, defer, grant exemptions from, or delay the implementation of any
provision of the ACA that would impose a fiscal burden on states or a cost, fee, tax, penalty or regulatory burden on individuals, healthcare providers, health
insurers,  or  manufacturers  of  pharmaceuticals  or  medical  devices.  On  March  6,  2017,  members  of  the  U.S.  House  of  Representatives  released  proposed
legislation intended to replace the ACA. We cannot predict the ultimate content, timing or effect of any healthcare reform legislation or the impact of potential
legislation on us.

In addition, the Food and Drug Administration Amendments Act of 2007 gives the FDA enhanced post-market authority, including the authority to require
post-marketing studies and clinical trials, labeling changes based on new safety information, and compliance with risk evaluations and mitigation strategies
approved by the FDA. The FDA’s exercise of this authority may result in delays or increased costs during the period of product development, clinical trials
and  regulatory  review  and  approval,  which  may  also  increase  costs  related  to  complying  with  new  post-approval  regulatory  requirements,  and  increase
potential FDA restrictions on the sale or distribution of approved products.

8

If we market products in a manner that violates healthcare fraud and abuse laws, we may be subject to civil or criminal penalties, including exclusion
from participation in government healthcare programs.

As a pharmaceutical company, even though we do not provide healthcare services or receive payments directly from or bill directly to Medicare, Medicaid or
other third-party payers for our products, certain federal and state healthcare laws and regulations pertaining to fraud and abuse are and will be applicable to
our business. We are subject to healthcare fraud and abuse regulation by both the federal government and the states in which we conduct our business.

The laws that may affect our ability to operate include the federal healthcare program anti-kickback statute, which prohibits, among other things, knowingly
and willfully offering, paying, soliciting, or receiving remuneration to induce, or in return for, the purchase, lease, order, or arrangement for the purchase,
lease or order of any healthcare item or service reimbursable under Medicare, Medicaid or other federally financed healthcare programs. This statute applies
to  arrangements  between  pharmaceutical  manufacturers  and  prescribers,  purchasers  and  formulary  managers.  Although  there  are  a  number  of  statutory
exceptions and regulatory safe harbors protecting certain common activities, the exceptions and safe harbors are drawn narrowly, and practices that involve
remuneration intended to induce prescribing, purchases or recommendations may be subject to scrutiny if they do not qualify for an exception or safe harbor.

Federal false claims laws prohibit any person from knowingly presenting, or causing to be presented, a false claim for payment to the federal government, or
knowingly making, or causing to be made, a false statement to get a false claim paid. Pharmaceutical companies have been prosecuted under these laws for a
variety of alleged promotional and marketing activities, such as providing free product to customers with the expectation that the customers would bill federal
programs for the product; reporting to pricing services inflated average wholesale prices that were then used by federal programs to set reimbursement rates;
engaging in off-label promotion that caused claims to be submitted to Medicaid for non-covered off-label uses; and submitting inflated best price information
to the Medicaid Drug Rebate Program.

The Health Insurance Portability and Accountability Act of 1996 also created prohibitions against healthcare fraud and false statements relating to healthcare
matters.  The  healthcare  fraud  statute  prohibits  knowingly  and  willfully  executing  a  scheme  to  defraud  any  healthcare  benefit  program,  including  private
payers. The false statements statute prohibits knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false,
fictitious or fraudulent statement in connection with the delivery of or payment for healthcare benefits, items or services.

In addition, there has been a recent trend of increased federal and state regulation of payments made to physicians. The ACA imposed new requirements on
manufacturers of drugs, devices, biologics and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance
Program (with certain exceptions) to report annually to the Centers for Medicare and Medicaid Services (“CMS”) information related to payments or other
“transfers of value” made to physicians (defined to include doctors, dentists, optometrists, podiatrists and chiropractors) and teaching hospitals, and applicable
manufacturers and group purchasing organizations to report annually to CMS ownership and investment interests held by physicians (as defined above) and
their immediate family members and payments or other “transfers of value” to such physician owners and their immediate family members. Manufacturers
are required to report such data to the government by the 90th calendar day of each year.

The majority of states also have statutes or regulations similar to these federal laws, which apply to items and services reimbursed under Medicaid and other
state  programs,  or,  in  several  states,  apply  regardless  of  the  payer.  In  addition,  some  states  have  laws  that  require  pharmaceutical  companies  to  adopt
comprehensive  compliance  programs.  For  example,  under  California  law,  pharmaceutical  companies  must  comply  with  both  the  April  2003  Office  of
Inspector General Compliance Program Guidance for Pharmaceutical Manufacturers and the PhRMA Code on Interactions with Healthcare Professionals, as
amended. Certain states also mandate the tracking and reporting of gifts, compensation, and other remuneration paid by us to physicians and other healthcare
providers.

Although compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, the risks cannot be entirely eliminated. Any
action  against  us  for  violation  of  these  laws,  even  if  we  successfully  defend  against  it,  could  cause  us  to  incur  significant  legal  expenses  and  divert  our
management’s  attention  from  the  operation  of  our  business.  Moreover,  achieving  and  sustaining  compliance  with  applicable  federal  and  state  laws  may
prove costly.

9

Because of the breadth of these laws and the narrowness of the safe harbors, it is possible that some of our business activities could be subject to challenge
under one or more of such laws. The ACA also made several important changes to the federal Anti-Kickback Statute, false claims laws, and healthcare fraud
statute  by  weakening  the  intent  requirement  under  the  anti-kickback  and  healthcare  fraud  statutes  that  may  make  it  easier  for  the  government  or
whistleblowers to charge such fraud and abuse violations. A person or entity no longer needs to have actual knowledge of this statute or specific intent to
violate it. In addition, the ACA provides that the government may assert that a claim including items or services resulting from a violation of the federal anti-
kickback statute constitutes a false or fraudulent claim for purposes of the false claims statutes. The ACA increases penalties for fraud and abuse violations. If
our past, present or future operations are found to be in violation of any of the laws described above or other similar governmental regulations to which we
are subject, we may be subject to significant civil, criminal and administrative penalties, damages, fines, imprisonment, exclusion from government funded
healthcare programs, such as Medicare and Medicaid, and the curtailment or restructuring of our operations, any of which could adversely affect our ability to
operate our business and negatively impact our financial results.

If our products do not gain market acceptance, we may be unable to generate significant revenues.

Even  if  our  products  are  approved  for  commercialization,  they  may  not  be  successful  in  the  marketplace.  Market  acceptance  of  any  of  our  products  will
depend on a number of factors, including, but not limited to:

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demonstration of clinical efficacy and safety;

the prevalence and severity of any adverse side effects;

limitations or warnings contained in the product’s approved labeling;

availability of alternative treatments for the indications we target;

the advantages and disadvantages of our products relative to current or alternative treatments;

the availability of acceptable pricing and adequate third-party reimbursement; and

the effectiveness of marketing and distribution methods for the products.

If our products do not gain market acceptance among physicians, patients, healthcare payers and others in the medical community, who may not accept or
utilize our products, our ability to generate significant revenues from our products would be limited, and our financial condition could be materially adversely
affected. In addition, if we fail to further penetrate our core markets and existing geographic markets or to successfully expand our business into new markets,
the growth in sales of our products, along with our operating results, could be negatively impacted.

Our ability to further penetrate our core markets and existing geographic markets in which we compete or to successfully expand our business into additional
countries in Europe, Asia or elsewhere is subject to numerous factors, many of which are beyond our control. Our products, if successfully developed, may
compete  with  a  number  of  drugs,  therapies,  products  and  tests  currently  manufactured  and  marketed  by  major  pharmaceutical  and  other  biotechnology
companies. Our products may also compete with new products currently under development by others or with products which may be less expensive than our
products. There can be no assurance that our efforts to increase market penetration in our core markets and existing geographic markets will be successful.
Our failure to do so could have an adverse effect on our operating results and would likely cause a drop in the price of our Common Shares and/or a decline in
the value of our other securities.

We may expend our limited resources to pursue a particular product candidate or indication and fail to capitalize on product candidates or indications for
which there may be a greater likelihood of success.

Because  we  have  limited  financial  and  managerial  resources,  we  are  currently  focusing  our  efforts  on  our  lead,  clinical-stage  development  compounds,
Zoptrex™ (zoptarelin doxorubicin) and Macrilen™ (macimorelin), and we are doing so for specific indications. As a result, we may forego or delay pursuit
of opportunities with other product candidates or for other indications for which there may be a greater likelihood of success or may prove to have greater
commercial potential. Notwithstanding our investment to date and anticipated future expenditures on Zoptrex™, Macrilen™ and any earlier-stage programs,
we have not yet developed, and may never successfully develop, any marketed treatments using these products. Research programs to identify new product
candidates or pursue alternative indications for current product candidates require substantial technical, financial and human resources. These activities may
initially  show  promise  in  identifying  potential  product  candidates  or  indications,  yet  fail  to  yield  product  candidates  or  indications  for  further  clinical
development.

We may not achieve our projected development goals in the time-frames we announce and expect.

We  set  goals  and  make  public  statements  regarding  the  timing  of  the  accomplishment  of  objectives  material  to  our  success,  such  as  the  commencement,
enrollment and anticipated completion of clinical trials, anticipated regulatory submission and approval dates and time of product launch. The actual timing of
these events can vary dramatically due to factors such as delays or failures in our clinical trials, the uncertainties inherent in the regulatory approval process
and delays in achieving manufacturing or marketing arrangements sufficient to commercialize our products. There can be no assurance that we will make
regulatory  submissions  based  on  our  recently  completed  clinical  trials  or  receive  regulatory  approvals  as  planned  or  that  we  will  be  able  to  adhere  to  our
current schedule for the launch of any of our products. If we fail to achieve one or more of these milestones as planned, the price of our Common Shares
and/or the value of our other securities would likely decline.

10

If we fail to obtain acceptable prices or adequate reimbursement for our products, our ability to generate revenues will be diminished.

Our  ability  to  successfully  commercialize  our  products  will  depend  significantly  on  our  ability  to  obtain  acceptable  prices  and  the  availability  of
reimbursement  to  the  patient  from  third-party  payers,  such  as  governmental  and  private  insurance  plans.  These  third-party  payers  frequently  require
companies  to  provide  predetermined  discounts  from  list  prices,  and  they  are  increasingly  challenging  the  prices  charged  for  pharmaceuticals  and  other
medical products. For example, drug manufacturers are required to have a national rebate agreement with the U.S. Federal Department of Health and Human
Services in order to obtain state Medicaid coverage, which requires manufacturers to pay a rebate on drugs dispensed to Medicaid patients. Our products may
not be considered cost-effective, and reimbursement to the patient may not be available or sufficient to allow us to sell our products on a competitive basis. It
may not be possible to negotiate favorable reimbursement rates for our products. Adverse pricing and reimbursement conditions would also likely diminish
our ability to induce third parties to co-promote our products.

In  addition,  the  continuing  efforts  of  third-party  payers  to  contain  or  reduce  the  costs  of  healthcare  through  various  means  may  limit  our  commercial
opportunity  and  reduce  any  associated  revenue  and  profits.  We  expect  proposals  to  implement  similar  government  controls  to  continue.  The  pricing  of
pharmaceutical products, in general, and specialty drugs, in particular, has been a topic of concern in the U.S. Congress, where hearings on the topic have
been  held,  and  has  been  a  topic  of  speeches  given  by  political  figures,  including  President  Trump.  Specifically,  there  have  been  several  recent  U.S.
Congressional inquiries and proposed bills designed to, among other things, bring more transparency to drug pricing, review the relationship between pricing
and  manufacturer  patient  programs,  and  reform  government  program  reimbursement  methodologies  for  drugs.  Further,  third-party  payors  are  increasingly
challenging the price, examining the medical necessity and reviewing the cost-effectiveness of medical drug products and medical services, in addition to
questioning their safety and efficacy. There can be no assurance as to how this scrutiny on pricing of pharmaceutical products will impact future pricing of our
products or orphan drugs or pharmaceutical products generally. In addition, increasing emphasis on managed care will continue to put pressure on the pricing
of pharmaceutical and biopharmaceutical products. Cost control initiatives could decrease the price that we or any current or potential collaborators could
receive for any of our products and could adversely affect our profitability. In addition, in the U.S., in Canada and in many other countries, pricing and/or
profitability of some or all prescription pharmaceuticals and biopharmaceuticals are subject to government control.

If we fail to obtain acceptable prices or an adequate level of reimbursement for our products, the sales of our products would be adversely affected or there
may be no commercially viable market for our products.

Competition in our targeted markets is intense, and development by other companies could render our products or technologies non-competitive.

The biopharmaceutical field is highly competitive. New products developed by other companies in the industry could render our products or technologies
non-competitive. Competitors are developing and testing products and technologies that would compete with the products that we are developing. Some of
these  products  may  be  more  effective  or  have  an  entirely  different  approach  or  means  of  accomplishing  the  desired  effect  than  our  products.  We  expect
competition  from  pharmaceutical  and  biopharmaceutical  companies  and  academic  research  institutions  to  continue  to  increase  over  time.  Many  of  our
competitors and potential competitors have substantially greater product development capabilities and financial, scientific, marketing and human resources
than we do. Our competitors may succeed in developing products earlier and in obtaining regulatory approvals and patent protection for such products more
rapidly than we can or at a lower price.

We may not obtain adequate protection for our products through our intellectual property.

We rely heavily on our proprietary information in developing and manufacturing our product candidates. Our success depends, in large part, on our ability to
protect our competitive position through patents, trade secrets, trademarks and other intellectual property rights. The patent positions of pharmaceutical and
biopharmaceutical firms, including us, are uncertain and involve complex questions of law and fact for which important legal issues remain unresolved. We
have filed and are pursuing applications for patents and trademarks in many countries. Pending patent applications may not result in the issuance of patents
and we may not be able to obtain additional issued patents relating to our technology or products.

The  laws  of  some  countries  do  not  protect  intellectual  property  rights  to  the  same  extent  as  the  laws  of  the  U.S.  and  Canada.  Many  companies  have
encountered significant problems in protecting and defending such rights in foreign jurisdictions. Many countries, including certain countries in Europe, have
compulsory licensing laws under which a patent owner may be compelled to grant licenses to third parties. In addition, many countries limit the enforceability
of patents against government agencies or government contractors. In these countries, the patent owner may have limited remedies, which could materially
diminish  the  value  of  the  patent.  Compulsory  licensing  of  life-saving  drugs  is  also  becoming  increasingly  popular  in  developing  countries  either  through
direct legislation or international initiatives. Such compulsory licenses could be extended to include some of our product candidates, which could limit our
potential  revenue  opportunities.  Moreover,  the  legal  systems  of  certain  countries,  particularly  certain  developing  countries,  do  not  favor  the  aggressive
enforcement of patent and other intellectual property protection, which makes it difficult to stop infringement.

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Our patents and/or the patents that we license from others may be challenged, narrowed, invalidated, held to be unenforceable or circumvented, which could
limit our ability to stop competitors from marketing similar products or limit the length of term of patent protection we may have for our products. Changes in
either patent laws or in interpretations of patent laws in the U.S. and other countries may diminish the value of our intellectual property or narrow the scope of
our  patent  protection.  The  patents  issued  or  to  be  issued  to  us  may  not  provide  us  with  any  competitive  advantage  or  protect  us  against  competitors  with
similar technology. In addition, it is possible that third parties with products that are very similar to ours will circumvent our patents by means of alternate
designs or processes. We may have to rely on method-of-use, methods of manufacture and/or new-formulation protection for our compounds in development,
and any resulting products, which may not confer the same protection as claims to compounds per se.

In addition, our patents may be challenged by third parties in patent litigation, which is becoming widespread in the biopharmaceutical industry. There may be
prior art of which we are not aware that may affect the validity or enforceability of a patent claim. There may also be prior art of which we are aware, but
which we do not believe affects the validity or enforceability of a claim, which may, nonetheless, ultimately be found to affect the validity or enforceability of
a claim. No assurance can be given that our patents would, if challenged, be held by a court to be valid or enforceable or that a competitor’s technology or
product would be found by a court to infringe our patents. Our granted patents could also be challenged and revoked in U.S.  post-grant proceedings as well
as in opposition or nullity proceedings in certain countries outside the U.S.  In addition, we may be required to disclaim part of the term of certain patents.

Patent  applications  relating  to  or  affecting  our  business  have  been  filed  by  a  number  of  pharmaceutical  and  biopharmaceutical  companies  and  academic
institutions. A number of the technologies in these applications or patents may conflict with our technologies, patents or patent applications, and any such
conflict could reduce the scope of patent protection that we could otherwise obtain. Because patent applications in the U.S. and many other jurisdictions are
typically not published until eighteen months after their first effective filing date, or in some cases not at all, and because publications of discoveries in the
scientific literature often lag behind actual discoveries, we cannot be certain that we were the first to make the inventions claimed in issued patents or pending
patent applications, or that we were the first to file for protection of the inventions set forth in the patent applications. If a third party has also filed a patent
application in the U.S.  covering our product candidates or a similar invention, we may have to participate in adversarial proceedings, such as interferences
and deviation proceedings, before the United States Patent and Trademark Office to determine which party is entitled to a U.S.  patent claiming the disputed
invention. The costs of these proceedings could be substantial and it is possible that our efforts could be unsuccessful, resulting in a loss of our U.S. patent
position.

We also rely on trade secrets and proprietary know-how to protect our intellectual property. If we are unable to protect the confidentiality of our proprietary
information and know-how, the value of our technology and products could be adversely affected. We seek to protect our unpatented proprietary information
in  part  by  requiring  our  employees,  consultants,  outside  scientific  collaborators  and  sponsored  researchers  and  other  advisors  to  enter  into  confidentiality
agreements.  These  agreements  provide  that  all  confidential  information  developed  or  made  known  to  the  individual  during  the  course  of  the  individual’s
relationship with us is to be kept confidential and not disclosed to third parties except in specific circumstances. In the case of our employees, the agreements
provide that all of the technology that is conceived by the individual during the course of employment is our exclusive property. These agreements may not
provide meaningful protection or adequate remedies in the event of unauthorized use or disclosure of our proprietary information. In addition, it is possible
that  third  parties  could  independently  develop  proprietary  information  and  techniques  substantially  similar  to  ours  or  otherwise  gain  access  to  our  trade
secrets.  If  we  are  unable  to  protect  the  confidentiality  of  our  proprietary  information  and  know-how,  competitors  may  be  able  to  use  this  information  to
develop products that compete with our products and technologies, which could adversely impact our business.

We currently have the right to use certain patents and technologies under license agreements with third parties. Our failure to comply with the requirements of
one or more of our license agreements could result in the termination of such agreements, which could cause us to terminate the related development program
and cause a complete loss of our investment in that program. Inventions claimed in certain in-licensed patents may have been made with funding from the
U.S.    government  and  may  be  subject  to  the  rights  of  the  U.S.    government  and  we  may  be  subject  to  additional  requirements  in  the  event  we  seek  to
commercialize or manufacture product candidates incorporating such in-licensed technology.

As a result of the foregoing factors, we may not be able to rely on our intellectual property to protect our products in the marketplace.

Some of our patents have recently expired.

The product development timelines for our products is lengthy and it is possible that our issued patents covering our product candidates in the U.S. and other
jurisdictions  may  expire  prior  to  commercial  launch  of  the  products.  The  patent  that  covers  Zoptrex™  and  other  related  targeted  cytotoxic  anthracycline
analogues,  pharmaceutical  compositions  comprising  the  compounds  as  well  as  their  medical  use  for  the  treatment  of  cancer  expired  in  the  U.S.    in
November 2015 and expired in the European Union, Japan, China and Hong Kong in November 2016. We did not apply for patent term extensions for the
U.S. patent. As a result, our ability to protect this compound from competition will be based on the protections provided in the U.S.  for new chemical entities

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and similar protections, if any, provided in other countries. We cannot assure you that Zoptrex™ or any of our other drug candidates will obtain new chemical
entity exclusivity or any other market exclusivity in the U.S., the European Union or any other territory, or that we will be the first to receive the respective
regulatory approval for such drugs so as to be eligible for any market exclusivity protection.

We may infringe the intellectual property rights of others.

Our commercial success depends significantly on our ability to operate without infringing the patents and other intellectual property rights of third parties.
There could be issued patents of which we are not aware that our products or methods may be found to infringe, or patents of which we are aware and believe
we  do  not  infringe  but  which  we  may  ultimately  be  found  to  infringe.  Moreover,  patent  applications  and  their  underlying  discoveries  are  in  some  cases
maintained in secrecy until patents are issued. Because patents can take many years to issue, there may be currently pending applications of which we are
unaware that may later result in issued patents that our products or technologies are found to infringe. Moreover, there may be published pending applications
that do not currently include a claim covering our products or technologies but which nonetheless provide support for a later drafted claim that, if issued, our
products or technologies could be found to infringe.

If  we  infringe  or  are  alleged  to  infringe  intellectual  property  rights  of  third  parties,  it  will  adversely  affect  our  business.  Our  research,  development  and
commercialization activities, as well as any product candidates or products resulting from these activities, may infringe or be accused of infringing one or
more claims of an issued patent or may fall within the scope of one or more claims in a published patent application that may subsequently be issued and to
which  we  do  not  hold  a  license  or  other  rights.  Third  parties  may  own  or  control  these  patents  or  patent  applications  in  the  U.S.  and  abroad.  These  third
parties could bring claims against us or our collaborators that would cause us to incur substantial expenses and, if successful against us, could cause us to pay
substantial damages. Further, if a patent infringement suit were brought against us or our collaborators, we or they could be forced to stop or delay research,
development, manufacturing or sales of the product or product candidate that is the subject of the suit.

The biopharmaceutical industry has produced a proliferation of patents, and it is not always clear to industry participants, including us, which patents cover
various  types  of  products.  The  coverage  of  patents  is  subject  to  interpretation  by  the  courts,  and  the  interpretation  is  not  always  uniform.  In  the  event  of
infringement or violation of another party’s patent or other intellectual property rights, we may not be able to enter into licensing arrangements or make other
arrangements at a reasonable cost. Any inability to secure licenses or alternative technology could result in delays in the introduction of our products or lead
to prohibition of the manufacture or sale of products by us or our partners and collaborators.

Patent litigation is costly and time consuming and may subject us to liabilities.

If  we  become  involved  in  any  patent  litigation,  interference,  opposition  or  other  administrative  proceedings  we  will  likely  incur  substantial  expenses  in
connection  therewith,  and  the  efforts  of  our  technical  and  management  personnel  will  be  significantly  diverted.  In  addition,  an  adverse  determination  in
litigation could subject us to significant liabilities.

We may not obtain trademark registrations for our product candidates.

We have filed applications for trademark registrations in connection with Zoptrex™ and Macrilen™ in various jurisdictions, including the U.S. We may file
applications for other possible trademarks for our product candidates in the future. No assurance can be given that any of our trademarks will be registered in
the U.S. or elsewhere, or that the use of any registered or unregistered trademarks will confer a competitive advantage in the marketplace. Furthermore, even
if we are successful in our trademark registrations, the FDA and regulatory authorities in other countries have their own process for drug nomenclature and
their  own  views  concerning  appropriate  proprietary  names.  The  FDA  and  other  regulatory  authorities  also  have  the  power,  even  after  granting  market
approval, to request a company to reconsider the name for a product because of evidence of confusion in the marketplace. No assurance can be given that the
FDA or any other regulatory authority will approve of any of our trademarks or will not request reconsideration of one of our trademarks at some time in the
future. On December 16, 2016, we learned that the European Medicines Agency ("EMA") had rejected the "Macrilen™" as the proposed invented name for
macimorelin. We intend to appeal the EMA's determination. The loss, abandonment, or cancellation of any of our trademarks or trademark applications could
negatively affect the success of the product candidates to which they relate.

We are currently dependent on certain strategic relationships with third parties and we may enter into future collaborations for the development of our
product candidates.

We are currently dependent on certain strategic relationships with third parties and may enter into future collaborations for the development of our product
candidates. Our arrangements with these third parties may not provide us with the benefits we expect and may expose us to a number of risks.

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We are dependent on, and rely upon, third parties to perform various functions related to our business, including, but not limited to, development of some of
our product candidates. Our reliance on these relationships poses a number of risks. We may not realize the contemplated benefits of such agreements nor can
we be certain that any of these parties will fulfill their obligations in a manner which maximizes our revenue. These arrangements may also require us to
transfer certain material rights or to issue our equity, voting or other securities to third parties. Any license or sublicense of our commercial rights may reduce
our product revenue.

These  agreements  create  certain  additional  risks.  The  occurrence  of  any  of  the  following  or  other  events  may  delay  product  development  or  impair
commercialization of our products:

•

•

•

•

•

•

•

•

not all of the third parties are contractually prohibited from developing or commercializing, either alone or with others, products and services that are
similar  to  or  competitive  with  our  product  candidates  and,  with  respect  to  our  contracts  that  do  contain  such  contractual  prohibitions  or  restrictions,
prohibitions  or  restrictions  do  not  always  apply  to  the  affiliates  of  the  third  parties  and  they  may  elect  to  pursue  the  development  of  any  additional
product  candidates  and  pursue  technologies  or  products  either  on  their  own  or  in  collaboration  with  other  parties,  including  our  competitors,  whose
technologies or products may be competitive with ours;

the third parties may under-fund or fail to commit sufficient resources to marketing, distribution or other development of our products;

the third parties may cease to conduct business for financial or other reasons;

we may not be able to renew such agreements;

the third parties may not properly maintain or defend certain intellectual property rights that may be important to the commercialization of our products;

the third parties may encounter conflicts of interest, changes in business strategy or other issues which could adversely affect their willingness or ability
to  fulfill  their  obligations  to  us  (for  example,  pharmaceutical  companies  historically  have  re-evaluated  their  priorities  following  mergers  and
consolidations, which have been common in recent years in this industry);

delays in, or failures to achieve, scale-up to commercial quantities, or changes to current raw material suppliers or product manufacturers (whether the
change is attributable to us or the supplier or manufacturer) could delay clinical studies, regulatory submissions and commercialization of our product
candidates; and

disputes may arise between us and the third parties that could result in the delay or termination of the development or commercialization of our product
candidates, resulting in litigation or arbitration that could be time-consuming and expensive, or causing the third parties to act in their own self-interest
and not in our interest or those of our shareholders or other stakeholders.

In addition, the third parties can terminate our agreements with them for a number of reasons based on the terms of the individual agreements that we have
entered into with them. If one or more of these agreements were to be terminated, we would be required to devote additional resources to developing and
commercializing our product candidates, seek a new third party with which to contract or abandon the product candidate, which would likely cause a drop in
the price of our Common Shares and/or a decline in the value of our other securities.

We rely on third parties to conduct, supervise and monitor our clinical trials, and those third parties may not perform satisfactorily.

We  rely  on  third  parties  such  as  CROs,  medical  institutions  and  clinical  investigators  to  enroll  qualified  patients  and  conduct,  supervise  and  monitor  our
clinical  trials.  Our  reliance  on  these  third  parties  for  clinical  development  activities  reduces  our  control  over  these  activities.  Our  reliance  on  these  third
parties,  however,  does  not  relieve  us  of  our  regulatory  responsibilities,  including  ensuring  that  our  clinical  trials  are  conducted  in  accordance  with  Good
Clinical  Practice  guidelines  and  the  investigational  plan  and  protocols  contained  in  an  Investigational  New  Drug  application,  or  a  comparable  foreign
regulatory submission. Furthermore, these third parties may also have relationships with other entities, some of which may be our competitors. In addition,
they may not complete activities on schedule, or may not conduct our preclinical studies or clinical trials in accordance with regulatory requirements or our
trial design. If these third parties do not successfully carry out their contractual duties or meet expected deadlines, our efforts to obtain regulatory approvals
for, and to commercialize, our product candidates may be delayed or prevented.

In carrying out our operations, we are dependent on a stable and consistent supply of ingredients and raw materials.

There can be no assurance that we, our contract manufacturers or our licensees, will be able, in the future, to continue to purchase products from our current
suppliers  or  any  other  supplier  on  terms  similar  to  current  terms  or  at  all.  An  interruption  in  the  availability  of  certain  raw  materials  or  ingredients,  or
significant increases in the prices we pay for them, could have a material adverse effect on our business, financial condition, liquidity and operating results.

14

The failure to perform satisfactorily by third parties upon which we expect to rely to manufacture and supply products may lead to supply shortfalls.

We expect to rely on third parties to manufacture and supply marketed products. We also have or may have certain supply obligations vis-à-vis our existing
and  potential  licensees,  who  are  or  will  be  responsible  for  the  marketing  of  the  products.  To  be  successful,  our  products  have  to  be  manufactured  in
commercial quantities in compliance with quality controls and regulatory requirements. Even though it is our objective to minimize such risk by introducing
alternative  suppliers  to  ensure  a  constant  supply  at  all  times,  there  are  a  limited  number  of  contract  manufacturers  or  suppliers  that  are  capable  of
manufacturing  our  product  candidates  or  the  materials  used  in  their  manufacture.  If  we  are  unable  to  do  so  ourselves  or  to  arrange  for  third-party
manufacturing or supply of these product candidates or materials, or to do so on commercially reasonable terms, we may not be able to complete development
of  these  product  candidates  or  to  commercialize  them  ourselves  or  through  our  licensees.  Reliance  on  third-party  manufacturers  entails  risks  to  which  we
would not be subject if we manufactured products ourselves, including reliance on the third party for regulatory compliance, the possibility of breach of the
manufacturing agreement by the third party because of factors beyond our control, and the possibility of termination or non-renewal of the agreement by the
third party, based on its own business priorities, at a time that is costly or inconvenient for us.

We are subject to intense competition for our skilled personnel, and the loss of key personnel or the inability to attract additional personnel could impair
our ability to conduct our operations.

We are highly dependent on our management and our clinical, regulatory and scientific staff, the loss of whose services might adversely impact our ability to
achieve our objectives. Recruiting and retaining qualified management and clinical, scientific and regulatory personnel is critical to our success. Reductions in
our staffing levels have eliminated redundancies in key capabilities and skill sets among our full-time staff and required us to rely more heavily on outside
consultants and third parties. We have been unable to increase the compensation of our associates to the extent required to remain fully competitive for their
services, which increases our employee retention risk. The competition for qualified personnel in the biopharmaceutical field is intense, and if we are not able
to continue to attract and retain qualified personnel and/or maintain positive relationships with our outside consultants, we may not be able to achieve our
strategic and operational objectives.

We are currently subject to securities class action litigation and we may be subject to similar or other litigation in the future.

We  and  certain  of  our  current  and  former  officers  are  defendants  in  a  purported  class-action  lawsuit  pending  in  the  U.S.  District  Court  for  the  District  of
New  Jersey  (the  “Court”),  brought  on  behalf  of  shareholders  of  the  Company.  The  lawsuit  alleges  violations  of  the  Securities  Exchange  Act  of  1934
(the “Exchange Act”) in connection with allegedly false and misleading statements made by the defendants between April 2, 2012 and November 6, 2014, or
the  Class  Period,  regarding  the  safety  and  efficacy  of  Macrilen™,  a  product  we  developed  for  use  in  the  diagnosis  of  AGHD,  and  the  prospects  for  the
approval of the Company’s NDA for the product by the FDA. The plaintiffs seek to represent a class comprised of purchasers of our Common Shares during
the Class Period and seek damages, costs and expenses and such other relief as determined by the Court. On September 14, 2015, the Court dismissed the
lawsuit stating that the plaintiffs failed to state a claim, but granted the plaintiffs leave to amend. On October 14, 2015, the plaintiffs filed a Second Amended
Complaint against us. We subsequently filed a motion to dismiss because we believed that the Second Amended Complaint also failed to state a claim.

On March 2, 2016, the Court issued an order granting our motion to dismiss the complaint in part and denying it in part.  The Court dismissed certain of our
current and former officers from the lawsuit.  The Court allowed the claim that we omitted material facts from our public statements during the Class Period
to proceed against us and our former CEO who departed in 2013, while dismissing such claims against other current and former officers.  The Court also
allowed  a  claim  for  “controlling  person”  liability  to  proceed  against  certain  current  and  former  officers.    On  March  16,  2016,  we  filed  a  motion  for
reconsideration of the Court's March 2, 2016 order and on April 6, 2016 we filed an answer to the second amended complaint. On June 30, 2016, the Court
issued an order denying our motion for reconsideration. As a result, the lawsuit will proceed to the class certification phase and the discovery process has
commenced.

While we believe we have meritorious defenses and intend to continue to defend this lawsuit vigorously, we cannot predict the outcome. Furthermore, we
may,  from  time  to  time,  be  a  party  to  other  litigation  in  the  normal  course  of  business.  Monitoring  and  defending  against  legal  actions,  whether  or  not
meritorious, is time-consuming for our management and detracts from our ability to fully focus our internal resources on our business activities. In addition,
legal  fees  and  costs  incurred  in  connection  with  such  activities  may  be  significant  and  we  could,  in  the  future,  be  subject  to  judgments  or  enter  into
settlements of claims for significant monetary damages. A decision adverse to our interests could result in the payment of substantial damages and could have
a material adverse effect on our cash flow, results of operations and financial position.

With  respect  to  any  litigation,  our  insurance  may  not  reimburse  us  or  may  not  be  sufficient  to  reimburse  us  for  the  expenses  or  losses  we  may  suffer  in
contesting and concluding such lawsuit. Substantial litigation costs, including the substantial self-insured retention that we were required to satisfy before any
insurance applied to the claim, or an adverse result in any litigation may adversely impact our business, operating results or financial condition. We believe
that our directors’ and officers’ liability insurance

15

will cover our potential liability with respect to the securities class-action lawsuit described above; however, the insurer has reserved its rights to contest the
applicability of the insurance to such claim and the limits of the insurance may be insufficient to cover our eventual liability.

We are subject to the risk of product liability claims, for which we may not have or may not be able to obtain adequate insurance coverage.

The  use  of  Zoptrex™  and  Macrilen™  on  human  participants  in  our  clinical  trials  subjects  us  to  the  risk  of  liability  to  such  participants,  who  may  suffer
unintended consequences. If Zoptrex™ and/or Macrilen™ are approved for commercialization or if we acquire a marketed product from a third party, the sale
and use of such products will involve the risk of product liability claims and associated adverse publicity. Product liability claims might be made against us
directly by patients, healthcare providers or pharmaceutical companies or others selling, buying or using our products. We attempt to manage our liability
risks by means of insurance. We maintain insurance covering our liability for our preclinical and clinical studies. However, we may not have or be able to
obtain  or  maintain  sufficient  and  affordable  insurance  coverage,  including  coverage  for  potentially  very  significant  legal  expenses,  and  without  sufficient
coverage any claim brought against us could have a materially adverse effect on our business, financial condition or results of operations. We do not currently
maintain product liability insurance because we do not currently market, sell, distribute or handle any products. We may not be able to obtain product liability
insurance on reasonable terms, if at all, when we begin to market, sell, distribute or handle products.

Our business involves the use of hazardous materials. We are required to comply with environmental and occupational safety laws regulating the use of
such materials. If we violate these laws, we could be subject to significant fines, liabilities or other adverse consequences.

Our  discovery  and  development  processes  involve  the  controlled  use  of  hazardous  materials.  We  are  subject  to  federal,  provincial  and  local  laws  and
regulations governing the use, manufacture, storage, handling and disposal of such materials and certain waste products. The risk of accidental contamination
or injury from these materials cannot be completely eliminated. In the event of an accident or a failure to comply with environmental or occupational safety
laws, we could be held liable for any damages that result, and any such liability could exceed our resources. We may not be adequately insured against this
type of liability. We may be required to incur significant costs to comply with environmental laws and regulations in the future, and our operations, business
or assets may be materially adversely affected by current or future environmental laws or regulations.

We are a holding company, and claims of creditors of our subsidiaries will generally have priority as to the assets of such subsidiaries over our claims and
those of our creditors and shareholders. In addition, we may be required to fund obligations of AEZS Germany under a Letter of Comfort provided by us
to AEZS Germany.

Aeterna  Zentaris  Inc.  is  a  holding  company  and  a  substantial  portion  of  our  non-cash  assets  is  the  share  capital  of  our  subsidiaries.  AEZS  Germany,  our
principal operating subsidiary, based in Frankfurt, Germany, holds most of our intellectual property rights, which represent the principal non-cash assets of
our  business.  Because  Aeterna  Zentaris  Inc.  is  a  holding  company,  our  obligations  to  our  creditors  are  structurally  subordinated  to  all  existing  and  future
liabilities  of  our  subsidiaries,  which  may  incur  additional  or  other  liabilities  and/or  obligations.  Therefore,  our  rights  and  the  rights  of  our  creditors  to
participate in any distribution of the assets of any subsidiary in the event that such subsidiary were to be liquidated or reorganized or in the event of any
bankruptcy or insolvency proceeding relating to or involving such subsidiary, and therefore the rights of the holders of our Common Shares to participate in
those assets, are subject to the prior claims of such subsidiary’s creditors. To the extent that we may be a creditor with recognized claims against any such
subsidiary, our claims would still be subject to the prior claims of our subsidiary’s creditors to the extent that they are secured or senior to those held by us.

Holders of our Common Shares are not creditors of our subsidiaries. Claims to the assets of our subsidiaries will derive from our own ownership interest in
those operating subsidiaries. Claims of our subsidiaries’ creditors will generally have priority as to the assets of such subsidiaries over our own ownership
interest claims and will therefore have priority over the holders of our Common Shares. Our subsidiaries’ creditors may from time to time include general
creditors,  trade  creditors,  employees,  secured  creditors,  taxing  authorities,  and  creditors  holding  guarantees.  Accordingly,  in  the  event  of  any  foreclosure,
dissolution,  winding-up,  liquidation  or  reorganization,  or  a  bankruptcy,  insolvency  or  creditor  protection  proceeding  relating  to  us  or  our  property,  or  any
subsidiary, there can be no assurance as to the value, if any, that would be available to holders of our Common Shares. In addition, any distributions to us by
our subsidiaries could be subject to monetary transfer restrictions in the jurisdictions in which our subsidiaries operate.

At the present time, AEZS Germany does not generate any revenue and, therefore, it depends on cash advances or contributions from Aeterna Zentaris Inc. to
finance its operations. For the reasons described in the following paragraph, we issued a written undertaking, called a "Letter of Comfort", to AEZS Germany.
The Letter of Comfort provides that we will furnish to AEZS Germany the necessary funds to ensure that it will always be able to fulfill all of its financial and
economic obligations to its third party creditors. Our advances to AEZS Germany are characterized by the Letter of Comfort as loans that are subordinated to
all present and future creditors of AEZS Germany.

We provided the Letter of Comfort to AEZS Germany because German law imposes an obligation on the managing director of AEZS Germany to institute
insolvency proceedings if the managing director concludes that AEZS Germany is insolvent because

16

it is either illiquid or "over-indebted". The purpose of the Letter of Comfort is to preclude the managing director from determining that AEZS Germany is
illiquid or over-indebted. The Letter of Comfort will be sufficient for that purpose only as long as the managing director reasonably believes that we will be
able to honor our obligations under the Letter of Comfort. If we fail to renew the Letter of Comfort or if the managing director concludes that we will be
unable to honor our obligations under the Letter of Comfort, the managing director of AEZS Germany may determine that he or she is obligated to institute
insolvency proceedings in Germany for AEZS Germany.

Because we are a holding company and because we have an obligation to advance funds to AEZS Germany to prevent it from becoming either illiquid or
over-indebted, we may be required to use our cash to fund payments by AEZS Germany to its creditors. Therefore, in the event of any winding-up, liquidation
or reorganization, or a bankruptcy or insolvency proceeding relating to us or our property, there can be no assurance as to the value or assets, if any, that
would be available to holders of our Common Shares because we may be required to advance cash to AEZS Germany under the Letter of Comfort.

It may be difficult for U.S. investors to obtain and enforce judgments against us because of our Canadian incorporation and German presence.

We are a company existing under the laws of Canada. A number of our directors and officers, and certain of the experts named herein, are residents of Canada
or  otherwise  reside  outside  the  U.S.,  and  all  or  a  substantial  portion  of  their  assets,  and  a  substantial  portion  of  our  assets,  are  located  outside  the  U.S.
Consequently, although we have appointed an agent for service of process in the U.S., it may be difficult for investors in the U.S. to bring an action against
such directors, officers or experts or to enforce against those persons or us a judgment obtained in a U.S. court predicated upon the civil liability provisions of
federal  securities  laws  or  other  laws  of  the  U.S.    Investors  should  not  assume  that  foreign  courts  (1)  would  enforce  judgments  of  U.S.  courts  obtained  in
actions against us or such directors, officers or experts predicated upon the civil liability provisions of the U.S.  federal securities laws or the securities or
“blue sky” laws of any state within the U.S. or (2) would enforce, in original actions, liabilities against us or such directors, officers or experts predicated
upon the U.S. federal securities laws or any such state securities or “blue sky” laws.

In  addition,  we  have  been  advised  by  our  Canadian  counsel  that  in  normal  circumstances,  only  civil  judgments  and  not  other  rights  arising  from  U.S.
securities legislation (for example, penal or similar awards made by a court in a regulatory prosecution or proceeding) are enforceable in Canada and that the
protections afforded by Canadian securities laws may not be available to investors in the U.S.

We are subject to various internal control reporting requirements under applicable Canadian securities laws and the Sarbanes-Oxley Act in the U.S. We
can provide no assurance that we will at all times in the future be able to report that our internal controls over financial reporting are effective.

As  a  public  company,  we  are  required  to  comply  with  Section  404  of  the  U.S.    Sarbanes-Oxley  Act  (“Section  404”)  and  National  Instrument  52-109  -
Certification of Disclosure in Issuers’ Annual and Interim Filings. In any given year, we cannot be certain as to the time of completion of our internal control
evaluation, testing and remediation actions or of their impact on our operations. Upon completion of this process, we may identify control deficiencies of
varying degrees of severity under applicable SEC and Public Company Accounting Oversight Board (U.S.) rules and regulations. As a public company, we
are required to report, among other things, control deficiencies that constitute material weaknesses or changes in internal controls that, or that are reasonably
likely  to,  materially  affect  internal  controls  over  financial  reporting.  A  “material  weakness”  is  a  deficiency,  or  a  combination  of  deficiencies,  in  internal
control over financial reporting, such that there is a reasonable possibility that a material misstatement of our annual consolidated financial statements will not
be  prevented  or  detected  on  a  timely  basis.  If  we  fail  to  comply  with  the  requirements  of  Section  404  or  similar  Canadian  requirements  or  if  we  report  a
material  weakness,  we  might  be  subject  to  regulatory  sanction  and  investors  may  lose  confidence  in  our  consolidated  financial  statements,  which  may  be
inaccurate if we fail to remedy such material weakness.

It is possible that we may be a passive foreign investment company, which could result in adverse tax consequences to U.S. investors.

Adverse  U.S.  federal  income  tax  rules  apply  to  “U.S.  Holders”  (as  defined  in  “Item  10.E  -  Taxation  -  Certain  Material  U.S.  Federal  Income  Tax
Considerations” in this annual report on Form 20-F) who directly or indirectly hold Common Shares of a passive foreign investment company (“PFIC”). We
will be classified as a PFIC for U.S. federal income tax purposes for a taxable year if (i) at least 75% of our gross income is “passive income” or (ii) at least
50% of the average value of our assets, including goodwill (based on annual quarterly average), is attributable to assets which produce passive income or are
held for the production of passive income.

We believe that we were not a PFIC for the 2016 taxable year. However, the PFIC determination depends on the application of complex U.S. federal income
tax rules concerning the classification of our assets and income for this purpose, and these rules are

17

uncertain in some respects. In addition, the fair market value of our assets may be determined in large part by the market price of our Common Shares, which
is  likely  to  fluctuate,  and  the  composition  of  our  income  and  assets  will  be  affected  by  how,  and  how  quickly,  we  spend  any  cash  that  is  raised  in  any
financing transaction. No assurance can be provided that we will not be classified as a PFIC for the 2017 taxable year and for any future taxable year.

If we are a PFIC for any taxable year during which a U.S. Holder holds Common Shares, we generally would continue to be treated as a PFIC with respect to
that U.S. Holder for all succeeding years during which the U.S. Holder holds such Common Shares, even if we ceased to meet the threshold requirements for
PFIC status. PFIC characterization could result in adverse U.S. federal income tax consequences to U.S. Holders. In particular, absent certain elections, a U.S.
Holder would generally be subject to U.S. federal income tax at ordinary income tax rates, plus a possible interest charge, in respect of a gain derived from a
disposition of our Common Shares, as well as certain distributions by us. If we are treated as a PFIC for any taxable year, a U.S. Holder may be able to make
an election to “mark to market” Common Shares each taxable year and recognize ordinary income pursuant to such election based upon increases in the value
of  the  Common  Shares.  In  addition,  U.S.  Holders  may  mitigate  the  adverse  tax  consequences  of  the  PFIC  rules  by  making  a  “qualified  electing  fund”
(“QEF”)  election;  however,  there  can  be  no  assurance  that  the  Company  will  satisfy  the  record  keeping  requirements  applicable  to  a  QEF  or  that  it  will
provide the information regarding its income that would be necessary for a U.S. Holder to make a QEF election.

If the Company is a PFIC, U.S. Holders will generally be required to file an annual information return with the Internal Revenue Service (the “IRS”) (on IRS
Form 8621, which PFIC shareholders will be required to file with their U.S. federal income tax or information returns) relating to their ownership of Common
Shares. This filing requirement is in addition to any preexisting reporting requirements that apply to a U.S. Holder's interest in a PFIC (which this requirement
does not affect).

For  a  more  detailed  discussion  of  the  potential  tax  impact  of  us  being  a  PFIC,  see  “Item  10.E  -  Taxation  -  Certain  Material  U.S.  Federal  Income  Tax
Considerations"  in  this  annual  report  on  Form  20-F.  The  PFIC  rules  are  complex.  U.S.  Holders  should  consult  their  tax  advisors  regarding  the  potential
application of the PFIC regime and any reporting obligations to which they may be subject under that regime.

We may incur losses associated with foreign currency fluctuations.

Our operations are in many instances conducted in currencies other than our functional currency or the functional currencies of our subsidiaries. Fluctuations
in the value of currencies could cause us to incur currency exchange losses. We do not currently employ a hedging strategy against exchange rate risk. We
cannot assert with any assurance that we will not suffer losses as a result of unfavorable fluctuations in the exchange rates between the U.S. dollar, the euro,
the Canadian dollar and other currencies.

Legislative  actions,  new  accounting  pronouncements  and  higher  insurance  costs  may  adversely  impact  our  future  financial  position  or  results
of operations.

Changes in financial accounting standards or implementation of accounting standards may cause adverse, unexpected revenue or expense fluctuations and
affect  our  financial  position  or  results  of  operations.  New  pronouncements  and  varying  interpretations  of  pronouncements  have  occurred  with  greater
frequency and are expected to occur in the future, and we may make or be required to make changes in our accounting policies in the future. Compliance with
changing regulations of corporate governance and public disclosure, notably with respect to internal controls over financial reporting, may result in additional
expenses. Changing laws, regulations and standards relating to corporate governance and public disclosure are creating uncertainty for companies such as
ours, and insurance costs are increasing as a result of this uncertainty.

Security breaches may disrupt our operations and adversely affect our operating results.

Our network security and data recovery measures and those of third parties with which we contract, may not be adequate to protect against computer viruses,
cyber-attacks, breaches, and similar disruptions from unauthorized tampering with our computer systems. The misappropriation, theft, sabotage or any other
type of security breach with respect to any of our proprietary and confidential information that is electronically stored, including research or clinical data,
could cause interruptions in our operations, could result in a material disruption of our clinical activities and business operations and could expose us to third-
party legal claims. Furthermore, we could be required to make substantial expenditures of resources to remedy the cause of cyber attacks or break-ins. This
disruption  could  have  a  material  adverse  impact  on  our  business,  operating  results  and  financial  condition.  Additionally,  any  break-in  or  trespass  of  our
facilities that results in the misappropriation, theft, sabotage or any other type of security breach with respect to our proprietary and confidential information,
including  research  or  clinical  data,  or  that  results  in  damage  to  our  R&D  equipment  and  assets  could  have  a  material  adverse  impact  on  our  business,
operating results, and financial condition.

18

Risks Relating to our Common Shares

Our Common Shares may be delisted from the NASDAQ Capital Market ("NASDAQ") or the Toronto Stock Exchange ("TSX"), which could affect their
market price and liquidity. If our Common Shares were to be delisted, investors may have difficulty in disposing of their shares.

Our Common Shares are currently listed on both NASDAQ and TSX under the symbol “AEZS”. We must meet continuing listing requirements to maintain
the  listing  of  our  Common  Shares  on  NASDAQ  and  TSX.  For  continued  listing,  NASDAQ  requires,  among  other  things,  that  listed  securities  maintain  a
minimum closing bid price of not less than $1.00 per share. There can be no assurance that the market price of our Common Shares will not fall below $1.00
in the future or that, if it does, we will regain compliance with the minimum bid price requirement.

In addition to the minimum bid price requirement, the continued listing rules of NASDAQ require us to meet at least one of the following listing standards:
(i) stockholders’ equity of at least $2.5 million, (ii) market value of listed securities (calculated by multiplying the daily closing bid price of our Common
Shares by our total outstanding Common Shares) of at least $35 million or (iii) net income from continuing operations (in the latest fiscal year or in two of the
last  three  fiscal  years)  of  at  least  $500,000  (collectively,  the  “Additional  Listing  Standards”).  If  we  fail  to  meet  at  least  one  of  the  Additional  Listing
Standards, our common Shares may be subject to delisting after the expiration of the period of time, if any, that we are allowed for regaining compliance.

There can be no assurance that our Common Shares will remain listed on NASDAQ or TSX. If we fail to meet any of NASDAQ’s or TSX’s continued listing
requirements, our Common Shares may be delisted. Any delisting of our Common Shares may adversely affect a shareholder’s ability to dispose, or obtain
quotations as to the market value, of such shares.

Our share price is volatile, which may result from factors outside of our control.

Our valuation and share price since the beginning of trading after our initial listings, first in Canada and then in the U.S., have had no meaningful relationship
to current or historical financial results, asset values, book value or many other criteria based on conventional measures of the value of shares.

As  adjusted  for  and  giving  effect  to  the  Share  Consolidation,  between  January 1, 2016 and December  31,  2016,  the  closing  price  of  our  Common  Shares
ranged from $2.67 to $4.94 per share on NASDAQ and from C$3.85 to C$6.62 per share on TSX. Our share price may be affected by developments directly
affecting our business and by developments out of our control or unrelated to us. The stock market generally, and the biopharmaceutical sector in particular,
are  vulnerable  to  abrupt  changes  in  investor  sentiment.  Prices  of  shares  and  trading  volume  of  companies  in  the  biopharmaceutical  industry  can  swing
dramatically in ways unrelated to, or that bear a disproportionate relationship to, operating performance. Our share price and trading volume may fluctuate
based on a number of factors including, but not limited to:

•

•

•

•

•

•

•

•

•

•

clinical and regulatory developments regarding our product candidates;

delays in our anticipated development or commercialization timelines;

developments regarding current or future third-party collaborators;

announcements by us regarding technological, product development or other matters;

arrivals or departures of key personnel;

governmental or regulatory action affecting our product candidates and our competitors’ products in the U.S., Canada and other countries;

developments or disputes concerning patent or proprietary rights;

actual or anticipated fluctuations in our revenues or expenses;

general market conditions and fluctuations for the emerging growth and biopharmaceutical market sectors; and

economic conditions in the U.S., Canada or abroad.

Our listing on both NASDAQ and TSX may increase price volatility due to various factors, including different ability to buy or sell our Common Shares,
different market conditions in different capital markets and different trading volumes. In addition, low trading volume may increase the price volatility of our
Common Shares. A thin trading market could cause the price of our Common Shares to fluctuate significantly more than the stock market as a whole.

We do not intend to pay dividends in the near future.

To  date,  we  have  not  declared  or  paid  any  dividends  on  our  Common  Shares.  We  currently  intend  to  retain  our  future  earnings,  if  any,  to  finance  further
research and the overall commercial expansion of our business. As a result, the return on an investment in our Common Shares will depend upon any future
appreciation in value. There is no guarantee that our Common Shares or any of our other securities will appreciate in value or even maintain the price at
which shareholders have purchased them.

19

Future issuances of securities and hedging activities may depress the trading price of our Common Shares.

Any additional or future issuance of Common Shares or Convertible Securities, including the issuance of Common Shares upon the exercise of stock options
and upon the exercise of warrants, could dilute the interests of our existing shareholders, and could substantially decrease the trading price of our Common
Shares.  For  example,  in  connection  with  our  At  Market  Issuance  ("ATM")  Sales  Agreement  with  H.C.  Wainwright  &  Co.,  LLC  (the  "April  2016  ATM
Program"), we may, at our discretion, from time to time during the term of the April 2016 ATM Program, sell up to a maximum of 3,000,000 Common Shares
through ATM issuances on the NASDAQ Stock Market, up to an aggregate amount of approximately $10 million at market prices prevailing at the time of the
sale of the Common Shares. Under both our April 2016 ATM Program and our shelf registration statement on Form F-3 or any replacement thereof upon its
expiration, we may issue and sell additional Common Shares by way of one or more ATM distribution programs.

We may issue equity securities in the future for a number of reasons, including to finance our operations and business strategy, to satisfy our obligations upon
the exercise of options or warrants or for other reasons. Our Stock Option Plan generally permits us to have outstanding, at any given time, stock options that
are  exercisable  for  a  maximum  number  of  Common  Shares  equal  to  11.4%  of  all  then  issued  and  outstanding  Common  Shares.  As  at  March  15,  2017,
there were:

13,473,063   Common Shares issued and outstanding

—   Preferred Shares issued and outstanding

3,779,245   Common Shares issuable upon exercise of outstanding warrants

968,264   Stock Options outstanding

567,665   Additional Common Shares available for future grants under our stock option plan

In addition, the price of our Common Shares could also be affected by possible sales of Common Shares by investors who view other investment vehicles as
more attractive means of equity participation in us and by hedging or arbitrage trading activity that may develop involving our Common Shares. This hedging
or arbitrage could, in turn, affect the trading price of our Common Shares.

In the event we were to lose our foreign private issuer status as of June 30 of a given financial year, we would be required to comply with the Exchange
Act’s domestic reporting regime, which could cause us to incur additional legal, accounting and other expenses.

In order to maintain our current status as a foreign private issuer, either (1) a majority of our Common Shares must not be either directly or indirectly owned
of record by residents of the U.S. or (2) (a) a majority of our executive officers and of our directors must not be U.S. citizens or residents, (b) more than 50
percent of our assets cannot be located in the U.S. and (c) our business must be administered principally outside the U.S.

In  2016,  our  management  conducted  its  annual  assessment  of  the  various  facts  and  circumstances  underlying  the  determination  of  our  status  as  a  foreign
private issuer and, based on the foregoing, our management has determined that, as of the date of such determination and as of June 30, 2016, we continued to
be a foreign private issuer.

There can be no assurance, however, that we will remain a foreign private issuer either in 2017 or in future financial years.

If we were to lose our foreign private issuer status as of June 30 of any given financial year, we would be required to comply with the Exchange Act reporting
and other requirements applicable to U.S. domestic issuers, which are more detailed and extensive than the requirements for foreign private issuers. We may
also be required to make changes in our corporate governance practices in accordance with various SEC rules and NASDAQ listing standards. The regulatory
and compliance costs to us of complying with the reporting requirements applicable to a U.S. domestic issuer under U.S. securities laws may be higher than
the cost we have historically incurred as a foreign private issuer. In addition, if we were to lose our foreign private issuer status, we would no longer qualify
under the Canada-U.S. multijurisdictional disclosure system to benefit from being able to file registration statements on Form F-10 (even if we satisfy the
other conditions to eligibility), which could make it longer and more difficult to register our securities and raise funds by way of public, registered offerings in
the U.S., and we would become subject to “baby shelf” rules that place limitations on our ability to issue an amount of securities above a certain threshold
depending on our market capitalization and public float at a given point in time. As a result, we would expect that a potential loss of foreign private issuer
status at some future point in time could increase our legal, financial reporting and accounting compliance costs, and it is difficult at this time to estimate by
how much our legal, financial reporting and accounting compliance costs may increase in such eventuality.

Our articles of incorporation contain “blank check” preferred share provisions, which could delay or impede an acquisition of our company.

Our articles of incorporation, as amended, authorize the issuance of an unlimited number of “blank check” preferred shares, which could be issued by our
board of directors without shareholder approval and which may contain liquidation, dividend and other

20

rights  equivalent  or  superior  to  our  Common  Shares.  In  addition,  we  have  implemented  in  our  constating  documents  an  advance  notice  procedure  for
shareholder approvals to be brought before an annual meeting of our shareholders, including proposed nominations of persons for election to our board of
directors.  These  provisions,  among  others,  whether  alone  or  together,  could  delay  or  impede  hostile  takeovers  and  changes  in  control  or  changes  in  our
management. Any provision of our constating documents that has the effect of delaying or deterring a change in control could limit the opportunity for our
shareholders to receive a premium for their Common Shares and could also affect the price that some investors are willing to pay for our Common Shares.

Our business could be negatively affected as a result of the actions of activist shareholders.

Proxy contests have been waged against many companies in the biopharmaceutical industry over the last few years. If faced with a proxy contest, we may not
be able to successfully respond to the contest, which would be disruptive to our business. Even if we are successful, our business could be adversely affected
by a proxy contest because:

•

•

•

responding to proxy contests and other actions by activist shareholders may be costly and time‑consuming, and may disrupt our operations and divert the
attention of management and our employees;

perceived uncertainties as to the potential outcome of any proxy contest may result in our inability to consummate potential acquisitions, collaborations
or in‑licensing opportunities and may make it more difficult to attract and retain qualified personnel and business partners; and

if individuals that have a specific agenda different from that of our management or other members of our board of directors are elected to our board as a
result of any proxy contest, such an election may adversely affect our ability to effectively and timely implement our strategic plan and to create value for
our shareholders.

Item 4.

Information on the Company

A.

History and development of the Company

We are a specialty biopharmaceutical company engaged in developing and commercializing novel treatments in oncology, endocrinology and women’s health.

We were incorporated on September 12, 1990 under the Canada Business Corporations Act (the "CBCA") and continue to be governed by the CBCA. Our
registered address is located at 1 Place Ville Marie, Suite 2500, Montréal, Quebec, Canada H3B 1R1, c/o Norton Rose Fulbright Canada LLP. Our executive
offices  are  located  at  315  Sigma  Drive,  Suite  302D,  Summerville,  South  Carolina  29486;  our  telephone  number  is  (843)  900-3223  and  our  website  is
www.aezsinc.com.  None  of  the  documents  or  information  found  on  our  website  shall  be  deemed  to  be  included  in  or  incorporated  by  reference  into  this
Annual Report on Form 20-F, unless such document is specifically incorporated herein by reference.

On  December  30,  2002,  we  acquired  Zentaris  AG,  a  biopharmaceutical  company  based  in  Frankfurt,  Germany.  Zentaris  was  a  spin-off  of  Asta  Medica
GmbH, a former pharmaceutical company affiliated with Degussa AG.

In May 2004, we changed our name to Aeterna Zentaris Inc. and on May 11, 2007, Zentaris GmbH was renamed Aeterna Zentaris GmbH ("AEZS GmbH").
AEZS GmbH conducts our drug development efforts. In September 2007, we incorporated Aeterna Zentaris, Inc. under the laws of Delaware. This wholly-
owned subsidiary, which is based in the Charleston, South Carolina area, conducts our commercial operations.

On  October  1,  2013,  we  announced  the  completion  of  our  previously  announced  agreements  with  various  partners  and  licensees  with  respect  to  the
manufacturing rights and obligations for our Cetrotide® product. The principal outcome of such agreements was the transfer of all manufacturing rights and
the  grant  of  a  license  to  a  subsidiary  of  Merck  KGaA  of  Darmstadt,  Germany  for  the  manufacture,  testing,  assembling,  packaging,  storage  and  release  of
Cetrotide® in all territories (the "Cetrotide® Business"). Following this transfer and since the year ended December 31, 2013, the Cetrotide®  Business  has
been presented in our consolidated financial statements as a discontinued operation. Except for this discontinued operation, we have not made any material
divestitures or capital expenditures from 2013 to the present.

On November 17, 2015, we effected a 100-to-1 Share Consolidation (reverse stock split). Our Common Shares commenced trading on a consolidated and
adjusted basis on both NASDAQ and TSX on November 20, 2015.

We currently have three wholly-owned direct and indirect subsidiaries, AEZS GmbH, based in Frankfurt, Germany; Zentaris IVF GmbH, a direct wholly-
owned subsidiary of AEZS Germany based in Frankfurt, Germany; and Aeterna Zentaris, Inc., an entity incorporated in the State of Delaware with an office
in the Charleston, South Carolina area in the United States.

21

Aeterna Zentaris Inc.
(Canada)

100%  

Aeterna Zentaris, Inc.
(Delaware)

100%

Aeterna Zentaris GmbH
(Germany)

100%

Zentaris IVF GmbH
(Germany)

Our Common Shares are listed for trading on both NASDAQ and TSX under the trading symbol "AEZS".

Our agent for service of process and SEC matters in the United States is our wholly-owned subsidiary, Aeterna Zentaris, Inc., located at 315 Sigma Drive,
Suite 302D, Summerville, South Carolina 29486.

There have been no public takeover offers by third parties with respect to us or by us in respect of other companies' shares during the last or current financial
year.

Recent Developments

For  a  complete  description  of  our  recent  corporate  and  pipeline  developments,  refer  to  "Item  5.  -  Operating  and  Financial  Review  and  Prospects  -  Key
Developments".

B.

Business overview

We are engaged in drug development activities and in the promotion of products for others. We have two Phase 3 product candidates in development. The
focus of our business development efforts is the acquisition or license of products that are relevant to our therapeutic areas of focus. We also intend to license
out certain commercial rights of internally developed products to licensees in territories where such out-licensing would enable us to ensure development,
registration  and  launch  of  our  product  candidates.  Our  goal  is  to  become  a  growth-oriented  specialty  biopharmaceutical  company  by  pursuing  successful
development  and  commercialization  of  our  product  portfolio  and  by  achieving  successful  commercial  presence  and  growth,  while  consistently  delivering
value to our shareholders, employees and the medical providers and patients who will benefit from our products.

Our Business Strategy

Our primary business strategy is to finalize the development and pursue registration of our principal product candidates -- Zoptrex™ (zoptarelin doxorubicin)
and Macrilen™ (macimorelin) in oncology and endocrinology, respectively -- and to commercialize oncology, endocrinology and women's health products
that we may acquire, in-license or promote. The registration of Zoptrex™ is subject to receiving positive top-line results, and the registration of Macrilen™ is
subject  to  the  outcome  of  our  meeting  with  the  FDA  scheduled  for  the  end  of  March  2017.  Our  vision  is  to  become  a  growth-oriented  specialty
biopharmaceutical company.

22

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Overview of our Drug Development Efforts

Status of Our Drug Pipeline

Pipeline Supporting Long-Term Growth

Outsourcing and Out-Licensing Non-Strategic Activities/Assets

Our drug development efforts are focused currently on two compounds, Zoptrex™ and Macrilen™, which are in Phase 3 clinical development, and on an
LHRH-disorazol Z conjugate (AEZS-138), which is in pre-clinical development in oncology and is available for partnering. We made the decision to focus
our efforts in pre-clinical development on one compound following a review of our portfolio, during which we concluded that we lack the resources to pursue
other  earlier-stage  opportunities.  As  a  result  of  this  decision,  we  discontinued  drug  discovery  efforts,  including  basic  research  activities  in  medicinal
chemistry and biology and our high-throughput-screening operations, which resulted in a reduction of our research and development staff by approximately
29 personnel during 2014.

Zoptrex™

Overview

Zoptrex™  represents  a  new  targeting  concept  in  oncology  using  a  hybrid  molecule  composed  of  a  synthetic  peptide  carrier,  zoptarelin,  and  a  well-known
chemotherapy agent, doxorubicin, resulting in a cytotoxic conjugate. Zoptarelin is a luteinizing hormone-releasing hormone ("LHRH") agonist, a modified
natural hormone with affinity for the LHRH receptor. Most chemotherapeutic agents, including doxorubicin, are toxic to normally growing, healthy cells as
well  as  to  tumor  cells  that  grow  uncontrolled.  Therefore,  a  method  for  targeting  such  drugs  specifically  to  cancerous  tissue  offers  a  potential  benefit  for
patients  with  tumors,  and  particularly  patients  with  advanced  or  metastatic  tumors.  Zoptrex™  is  our  proposed  tradename  for  zoptarelin  doxorubicin.  The
proposed tradename is subject to approval by the FDA.

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Zoptrex™ is the first intravenous drug in advanced clinical development that is considered to direct the chemotherapy agent specifically to LHRH-receptor
expressing tumors, which then could result in a more targeted treatment with less damage to healthy tissue. This design is believed to allow for the specific
binding and selective uptake of the cytotoxic conjugate by LHRH receptor-positive tumors. Potential benefits of this targeted approach include better efficacy
and  a  more  favorable  safety  profile  with  lower  incidence  and  severity  of  side  effects  as  compared  to  doxorubicin.  In  addition,  the  targeted  approach  may
enable treatment of LHRH receptor-positive cancers that have become resistant to doxorubicin.

We  are  conducting  a  pivotal  Phase  3  clinical  study  of  Zoptrex™  in  women  with  locally  advanced,  recurrent  or  metastatic  endometrial  cancer  who  have
progressed and who have received one chemotherapeutic regimen with platinum and taxane (either as adjuvant or first-line treatment). The clinical study is
known  as  the  “ZoptEC”  study  (zoptarelin  doxorubicin  in  endometrial  cancer).  ZoptEC  is  a  fully-recruited  (over  500  patients),  open-label,  randomized-
controlled study, comparing the efficacy and safety of Zoptrex™ to doxorubicin alone. Patients were centrally randomized in a 1:1 ratio and received either
Zoptrex™ (267 mg/m2) or doxorubicin (60 mg/m2) intravenously, every three weeks and for up to nine cycles. Response was evaluated every three cycles
during treatment and thereafter every 12 weeks until progression.

We are conducting ZoptEC under a Special Protocol Assessment (“SPA”) with the FDA. The SPA agreement states that the proposed trial protocol design,
clinical endpoints and planned analyzes are acceptable to the FDA to support a regulatory submission. Final marketing approval depends on the results of
efficacy, the adverse event profile and an evaluation of the benefit/risk of treatment demonstrated in ZoptEC. The primary efficacy endpoint of the ZoptEC
trial is improvement in median Overall Survival (“OS”). Secondary endpoints include progression-free survival, objective response rate and clinical benefit
rate.

The ZoptEC study was designed to permit the final analysis of the data from the study to occur following the deaths of 384 patients. On January 30, 2017, we
announced the occurrence of the 384th death, representing the clinical endpoint of the study. We expect clinical database lock and reporting of top-line results
to  occur  in  April  2017.  If  the  results  of  the  ZoptEC  study  warrant  doing  so,  we  expect  to  file  a  new  drug  application  (“NDA”)  in  the  United  States  for
Zoptrex™ in the third quarter of 2017. We are now moving forward with our planning to commercialize Zoptrex™, looking toward commercial launch of the
product in 2018, assuming positive Phase 3 results and that the NDA is granted.

The illustration above depicts the believed mode of action of our hybrid cytotoxic compound Zoptrex™. The LHRH receptor targeting part of the hybrid is
believed to transport doxorubicin to a cancer cell presenting the LHRH receptor, which leads to the death of the cancer cell.

24

ZoptEC was conducted by Ergomed plc, a contract clinical development organization with which we have entered into a co- development and profit-sharing
agreement. Under the terms of the agreement, Ergomed agreed to assume 30% (up to $10 million) of the clinical and regulatory costs for ZoptEC. Ergomed
will  receive  its  return  on  investment  based  on  an  agreed  single-digit  percentage  of  any  net  income  or  net  proceeds  from  licensing  activity  we  receive  for
Zoptrex™ in this indication, up to a specified maximum amount.

We are attempting to commercialize Zoptrex™ as a treatment for endometrial cancer because, according to the American Cancer Society, endometrial cancer
is  the  most  common  invasive  gynecologic  cancer  in  women  in  the  United  States,  with  approximately  61,000  new  cases  and  10,000  deaths  annually.  This
disease  primarily  affects  post-menopausal  women  at  an  average  age  of  60  years  at  diagnosis.  To  the  best  of  our  knowledge,  there  is  no  systemic  therapy
approved  in  either  the  United  States  or  Europe  (except  in  Germany,  where  doxorubicin  is  approved  for  this  indication)  for  treating  advanced  or  recurrent
endometrial cancer.

We have licensed the development, commercialization and certain other rights to Zoptrex™ to Sinopharm A-Think for China, Hong Kong and Macau; to an
affiliate of Orient EuroPharma Co., Ltd. for Taiwan and southeast Asia; to Rafa Laboratories, Ltd for Israel and the Palestinian territories and to Specialised
Therapeutics Asia Pte Ltd for Australia and New Zealand.

Development History

The following is a summary of the history of our development of Zoptrex™ in ovarian and endometrial cancer:

•

•

•

In 2007, a Phase 2 open-label, non-comparative, multi-center two-indication trial stratified with two stages Simon Design was prepared. The study was
planned  to  involve  up  to  82  patients,  with  up  to  41  patients  each  with  a  diagnosis  of  platinum-  resistant  ovarian  cancer  (stratum  A)  or  disseminated
endometrial  cancer  (stratum  B).  Under  coordination  by  Prof.  Günter  Emons,  M.D.,  Chairman  of  the  Department  of  Obstetrics  &  Gynecology  at  the
University of Göttingen, Germany, this open- label, multi-center and multinational Phase 2 study “AGO-GYN 5” was conducted by the German AGO
Study Group (Arbeitsgemeinschaft Gynäkologische Onkologie / Gynaecologic Oncology Working Group), in cooperation with clinical sites in Europe.
An intravenous infusion of Zoptrex™ (267 mg/m2) was administered on every first day of a 21-day (three- week) cycle. The proposed duration of the
study treatment was six cycles. The study was performed with 14 centers of the German Gynaecological Oncology Working Group, in cooperation with
three clinical sites in Europe. The primary efficacy endpoint was a response rate with a success criterion at the end of Stage II defined as five or more
patients with partial or complete tumor responses according to Response Evaluation Criteria in Solid Tumors (“RECIST”) and/or Gynaecologic Cancer
Intergroup (“GCIG”) guidelines. Secondary endpoints included time to progression (“TTP”), survival and toxicity, as well as adverse effects. In October
2008, we announced that we had entered the second stage of patient recruitment for the Phase 2 trial in the platinum-resistant ovarian cancer indication.
This decision was taken following the report of two partial responses (“PR”) among patients with ovarian cancer. The second stage of patient recruitment
for the endometrial cancer indication was reached in November 2008 and was based on the report of one complete response (“CR”) and two PR among
14 patients with endometrial cancer.

On June 7, 2010, Prof. Emons initially presented positive efficacy and safety data for Zoptrex™ in ovarian cancer at the American Society of Clinical
Oncology’s (“ASCO”) Annual Meeting, now published in an article entitled "Phase 2 study of AEZS-108, a targeted cytotoxic LHRH analog, in patients
with  LHRH  receptor-positive  platinum  resistant  ovarian  cancer"  in  the  journal  Gynecologic  Oncology  (Gynecol.Oncol.  (2014)  133:427).  Efficacy
included  PR  in  six  patients  (14.3%)  and  stable  disease  for  more  than  twelve  weeks  in  16  patients  (38%).  Based  on  those  data,  a  clinical  benefit  rate
(“CBR”) of 52% was estimated. Median TTP and OS were evaluated at 2.8 months (12 weeks) and 12.2 months (53 weeks), respectively. Prof. Emons
concluded that: (i) Zoptrex™ was efficacious and well tolerated in patients with heavily pre-treated platinum- and taxane-resistant ovarian cancer; (ii) the
safety profile confirmed the dose of 267 mg/m2; (iii) hematological toxicity was rapidly reversible; (iv) non-hematological toxicities were usually limited
to lower severity; (v) tolerability and CBR compared with topotecan and liposomal doxorubicin; (vi) no cardiotoxic events were observed; and (vii) OS
was encouraging as all patients treated with Zoptrex™ had platinum-resistant disease.

On  September  14,  2011,  Prof.  Emons  presented  positive  final  Phase  2  efficacy  and  safety  data  for  Zoptrex™  in  advanced  endometrial  cancer  at  the
European Society of Gynecological Oncology in Milan, Italy. The results of the study were published in an article by Prof. Emons, et al. in the journal
Gynecologic Oncology (Gynecol.Oncol. (2014) 24:260). The study involved 43 patients with LHRH positive advanced or recurrent endometrial cancer.
Patients received Zoptrex™ at a dose of 267 mg/m2 by intravenous infusion, with retreatment every three weeks, for up to six courses. Response rate per
RECIST  was  defined  as  the  primary  endpoint.  Secondary  endpoints  were  safety,  TTP  and  OS.  The  responses,  as  confirmed  by  independent  review,
included two patients with complete response (5%), eight patients with PR (18%) and 20 patients with stable disease (“SD”) (47%). Based on such data,
the  estimated  overall  response  rate  (“ORR”)  (ORR=CR+PR)  was  23%  and  the  CBR  was  70%.  Responses  were  also  achieved  in  patients  with  prior
chemotherapy - two PR and three SD in eight of the patients pre-treated with platinum/taxane regimens. Median TTP and OS were seven months (30
weeks) and 14.9 months (62 weeks), respectively. Prof. Emons concluded as follows: (i) Zoptrex™ was efficacious and well tolerated in patients with
advanced endometrial

25

cancer; (ii) the safety profile confirmed the dose of 267 mg/m2; (iii) hematological toxicity was rapidly reversible; (iv) non-hematological toxicities were
usually not severe, causing few deviations from scheduled treatment; (v) no cardiotoxic events were observed; (vi) the ORR of 23% compared well with
those of single-agent platinum or taxane treatment; (vii) responders included patients pre-treated with platinum/taxane combination; (viii) in addition, the
rate of SD was 47%, resulting in a CBR of 70%; and (ix) the OS after single agent Zoptrex™ was similar to that reported for modern triple combination
chemotherapy, but was achieved with lower toxicity.

•

•

•

On April 27, 2015, we announced that the independent Data Safety Monitoring Board (“DSMB”) for the ZoptEC study had completed a pre-specified
first  interim  futility  analysis  following  the  deaths  of  approximately  124  patients  in  the  study  and  recommended  that  the  Phase  3  study  continue  as
planned.

On October 13, 2015, we announced that the DSMB had completed a pre-specified second interim analysis of the efficacy and safety of Zoptrex™ in the
ZoptEC study following the deaths of approximately 192 patients in the study and recommended that the ZoptEC study continue as planned.

On January 30, 2017, we announced the occurrence of the 384th death in the ZoptEC study. We stated in the announcement that we expect to lock the
clinical database and to report top-line results in April 2017.

Competition

The following products are among some of the many products currently in clinical trial in endometrial cancer:

Drug

Co-administered drugs
& comparator arm

Target

Indication

Clinical Trial/
Approval Status

Innovator

Primary Endpoint

Lenvatinib
(E7080)

Paclitaxel

MK-2206

Monotherapy

Buparlisib
(BKM120)

Monotherapy

Tyrosine kinase
VEGFR2 inhibitor,
multi-targeted

Serine/
threonine kinase Akt
inhibitor

Phosphatidyl inositol-3-
kinase (PI3K)-Akt-
mTOR pathway
inhibitor

Recurrent Enometrial
cancer

Phase 1,
Interventional

Eisai,
OSUCCC

Recurrent, advanced
endometrial cancer

Phase 2, two-arm,
only patients with
PIK3CA mutation

US NCI (Astra--
Zeneca-Merck
partnered drug)

Second-line
endometrial cancer

Phase 2 (ENDOPIK) Novartis

MTD of lenvatinib
when given w/
paclitaxel

Objective response,
PFS

ORR/PFS out to six
months

GSK
2141795

Mekinist (trametinib,
MEK inhibitor)

Akt inhibitor

Recurrent, persistent
endometrial cancer

Phase 2, control arm
is Mekinist alone

US NCI (is GSK drug,
but GSK not identified
as sponsor)

PFS, up to five years,
impact of Kras status on
response

Comments/
Clinical History/
Commercial History

Previous Phase 2
discontinued by Eisai
for combo therapy trials

90-patient trial, still
ongoing, but not
recruiting patients

56-patient trial,
PFS/tumor response
data in H2/16, study
completed Q1/15

148-patients, interim
PFS data by H1/17

Virexxa
(Cridanimod
sodium)

Cabozantinib s-
malate (Exelixis'
Comitriq)

Progesterone

Monotherapy

LY3023414

Monotherapy

Carboxymethyl
-acridinone;
elevates PrR
expression

Multi-kinase inhibitor,
already approved in
thyroid cancer

Recurrent,
persistent endometrial
cancer
(PrR-negative)

Phase 2

Recurrent, metastatic
endometrial cancer

Phase 2

Pharmsynthez
(Estonia), AS
Kevelt

ORR at one year, PFS
at two years

58-patients, first
enrolled in Jan/15; data
in H2/18

US NCI (Exelixis not
identified as
partner)

ORR/PFS out to three
months

72-patient, still
recruiting

PI3K-mTOR dual
inhibitor

Recurrent endometrial
cancer

Phase 2 (multiple
cancer forms)

MSKC, Eli Lilly

Three-month CBR, one-
year O/S

25-patient, single-arm,
estimated completion
Q3/17

26

 
The following products are among some of the many products currently in clinical trial in endometrial cancer (continued):

Drug

Co-administered drugs
& comparator arm

Target

Indication

IMMU-132

Monotherapy

TROP-2-targeted mAb
linked to SN38
(metabolite of
irinotecan)

Endometrial cancer

Clinical Trial/
Approval Status

Phase 1/2 (multiple
epithelial cancers being
tested simultane-ously)

Innovator

Primary Endpoint

Immuno medics

Safety, tumor response

Monotherapy

Monotherapy

XPO1 (nuclear export
protein) antagonist

Advanced gynecologic
cancers

Phase 2

Tissue factor- targeted
mAb lined to auristatin

Solid tumors, including
endometrial cancer

Phase 1/2

Karyopharm
Therapeutics

Genmab

Safety, survival, QoL

Safety, PK, response
rate

Comments/
Clinical History/
Commercial History

250-patient, estimated
completion Q2/18

105-patient, two-year
survival data in H2/17

80-patient, adverse
event rate & response
rate data in H2/17

Monotherapy

VEGF-A
inhibitor

Recurrent,
Persistent
Endometrial
Cancer

Phase 2 Interventional

US NCI (Genentech
drug, but Genentech not
listed as sponsor)

PFS greater than 6
months

56 -patient, study
completed in H2/11, no
Phase 3 listed

KPT-330
(Selinexor)

HuMax-TF-
ADC

Bevacizumab
(Genentech’s
Avastin)

Additional Indications

We believe that Zoptrex™ may be useful in treating other cancers, including breast cancer, bladder cancer and prostate cancer. We terminated early clinical
trials  of  the  compound  as  a  treatment  for  triple-negative  breast  cancer  and  bladder  cancer  as  part  of  our  ongoing  review  of  our  development  activities  to
ensure the most effective use of our resources.

We  assisted  Dr.  Jacek  Pinski,  Associate  Professor  of  Medicine  at  the  Norris  Comprehensive  Cancer  Center  of  the  University  of  Southern  California,  to
conduct  a  Phase  1/2  study  in  refractory  prostate  cancer  with  Zoptrex™.  Dr.  Pinski  received  a  $1.6  million  grant  from  The  National  Institutes  of  Health
(“NIH”)  to  conduct  the  study.  The  study,  entitled  “A  Phase  I/II  Trial  of  AN-152  [AEZS-108]  in  Castration-and  Taxane-Resistant  Prostate  Cancer”,  was
conducted in two portions: an abbreviated dose-escalation study followed by a single arm, Simon Optimum two-stage design Phase 2 study, using the dose
selected in the Phase 1 portion.

The following is a summary of Dr. Pinski's study:

•

•

•

On December 14, 2010, we announced the initiation of the Phase 1/2 trial.

On February 3, 2012, we reported updated results for the Phase 1 portion of the study. The results were based on 13 patients who had been previously
treated with androgen-deprivation therapy (LHRH agonist) and at least one taxane-based chemotherapy regimen, who were treated on three dose levels
of  Zoptrex™:  three  at  160  mg/m2,  three  at  210  mg/m2,  and  seven  at  267  mg/m2.  Overall,  Zoptrex™  was  well  tolerated  among  this  group  of  heavily
pretreated older patients. There were two dose-limiting toxicities, each of which having been a case of asymptomatic Grade 4 neutropenia at the 267
mg/m2
 dose  level  and  both  patients  fully  recovered.  The  Grade  3  and  4  toxicities  were  primarily  hematologic.  There  was  minimal  non-  hematologic
toxicity, most frequently fatigue and alopecia. Despite the low doses of Zoptrex™ in the first cohorts, there was some evidence of antitumor activity. One
patient received eight cycles (at 210 mg/m2) due to continued benefit. Among the five evaluable patients with measurable disease, four achieved stable
disease. At the time of submission of the abstract, a decrease in PSA was noted in six patients. Six of 13 (46%) treated patients received at least five
cycles of therapy with no evidence of disease progression at twelve weeks. Correlative studies on CTC demonstrated the uptake of Zoptrex™ into the
targeted tumor.

On November 12, 2012, we announced the initiation of the Phase 2 portion of Dr. Pinski’s Phase 1/2 study of Zoptrex™ in prostate cancer. This was a
single-arm Simon Optimum design Phase 2 study of Zoptrex™ in 25 patients with CRPC. Patients received Zoptrex™ (210 mg/m2) intravenously over
two hours, every three weeks. The primary endpoint was CB, defined as remaining progression-free by RECIST and PSA after treatment for 12+ weeks.
Secondary endpoints were progression free survival (“PFS”), best overall response, toxicity, pain and OS.

27

•

•

•

On June 3, 2013, we announced that final data for the Phase 1 portion of Dr. Pinski’s Phase 1/2 trial with Zoptrex™ in prostate cancer demonstrated the
compound's promising anti-tumor activity. Results were presented by Dr. Pinski during a poster session at the ASCO Annual Meeting in Chicago. The
results of the study were published in an article by Liu et al in the journal Clinical Cancer Research (Clin. Cancer Res. (2014) 20:6277). Eighteen men
; and (iii) 267 mg/m2). Overall, Zoptrex™ was well tolerated among this group of heavily
were treated at three dose levels: (160 mg/m2
pretreated patients. There were two dose-limiting toxicities (grade four neutropenia and grade three febrile neutropenia), prompting de-escalation to 210
mg/m2
 and establishing it as the Maximum Tolerated Dose. Among the 15 evaluable patients with measurable disease, ten achieved SD, and a drop in
PAS was noted in three patients.

; (ii) 210 mg/m2

On September 28, 2015, Dr. Pinski announced during a poster session at the 18th ECCO - 40th ESMO European Cancer Congress in Vienna, Austria,
that among the 25 patients in the Phase 2 portion of the trial, 11 patients experienced CB as the primary endpoint and 13 patients achieved SD. Maximal
PSA  response  was  stable  in  20  patients.  Pain  assessment  improved  for  11  patients.  Zoptrex™  was  well  tolerated  in  this  heavily  pretreated  patient
population with hematological toxicities, usually limited to grade three, as the most common adverse events. Dr. Pinski concluded that Zoptrex™ was
well tolerated and met the primary efficacy endpoint in castration- and taxane-resistant prostate cancer patients.

On February 14, 2017, we announced that Dr. Pinski presented the abstract of his Phase 1/2 trial of Zoptrex™ in castration and taxane-resistant prostate
cancer at the ASCO/ASTRO/SVO 2017 Genitourinary Cancer Symposium.

We believe that immuno-modulatory and targeted therapies have been key areas of innovation in oncology over the last few years. Zoptrex™ is a targeted
cytotoxic therapy using a peptide as the targeting agent and is therefore part of the ongoing innovation in the treatment of cancer. Furthermore, we believe that
Zoptrex™ is ahead of many of the immuno-oncology products that are in development. Due to our lack of resources, we intend to pursue the development of
Zoptrex™ for indications other than endometrial cancer by seeking development partners to assist with the effort.

Macrilen™

Macrilen™  is  a  novel  orally  available  peptidomimetic  ghrelin  receptor  agonist  that  stimulates  the  secretion  of  growth  hormone  by  binding  to  the  ghrelin
receptor (GHSR-1a) and that has potential uses in both endocrinology and oncology indications. Macrilen™ has been granted orphan-drug designation by the
FDA for use in evaluating growth hormone deficiency (“GHD”). If approved by the FDA, Macrilen™ would be the first orally administered drug indicated
for  the  evaluation  of  adult  growth  hormone  deficiency  (“AGHD”).  Macrilen™  is  our  proposed  proprietary  trade  name  for  macimorelin,  being  subject  to
approval  by  the  FDA.  On  December  16,  2016  we  were  advised  by  the  EMA  that  Macrilen™  was  rejected  as  proposed  invented  name  for  macimorelin
because of its similarity to the names of other medicines. We intend to appeal this decision.

Competitors for Macrilen™ as a product for the evaluation of AGHD are principally the diagnostic tests currently performed by endocrinologists, although
none of these tests are approved by the FDA for this purpose. The most commonly used diagnostic tests for GHD are:

• Measurement of blood levels of Insulin Growth Factor (“IGF”)-1, which is typically used as the first test when GHD is suspected. However, this test is

not used to definitively diagnose GHD because many growth hormone deficient patients show normal IGF-1 levels.

•

•

•

The Insulin Tolerance Test (“ITT”), which has historically been considered the gold standard for the evaluation of AGHD because of its high sensitivity
and  specificity.  However,  the  ITT  is  inconvenient  to  both  patients  and  physicians,  administered  intravenously  (IV),  and  contra-indicated  in  certain
patients, such as patients with coronary heart disease or seizure disorder, because it requires the patient to experience hypoglycemia to obtain a result.
Some physicians will not induce full hypoglycemia, intentionally compromising accuracy to increase safety and comfort for the patient. Furthermore,
administration of the ITT includes additional costs associated with the patient being closely monitored by a physician for the two- to four-hour duration
of the test and the test must be administered in a setting where emergency equipment is available and where the patient may be quickly hospitalized. The
ITT  is  not  used  for  patients  with  co-morbidities,  such  as  cardiovascular  disease,  seizure  disorder  or  a  history  of  brain  cancer  or  for  patients  who  are
elderly and frail, due to safety concerns.

The Glucagon Stimulation Test (“GST”) is considered relatively safe by endocrinologists. The mechanism of action for this test is unclear. Also, this test
takes up to three to four hours. It produces side effects in up to one-third of the patients with the most common being nausea during and after the test.
This test is administered intramuscularly (IM).

The GHRH + ARG test (growth hormone releasing hormone-arginine stimulation) which is an easier test to perform in an office setting and has a good
safety profile but is considered to be costly to administer compared to the ITT and the GST. GHRH + ARG is approved in the EU and has been proposed
to be the best alternative to ITT, but GHRH is no longer available in the United States. This test is administered intravenously (IV).

28

Oral administration of Macrilen™ offers convenience and simplicity over the current GHD tests used, all of which require either intravenous or intramuscular
administration. Additionally, Macrilen™ may demonstrate a more favorable safety profile than existing diagnostic tests, some of which may be inappropriate
for certain patient populations, e.g. diabetes mellitus or coronary heart disease, and have demonstrated a variety of side effects, which Macrilen™ has not thus
far. These factors may be limiting the use of GHD testing and may potentially enable Macrilen™ to become the product of choice in evaluating AGHD. We
believe that Macrilen™, if it is approved, is likely to rapidly displace the ITT as the preferred means of evaluating AGHD for the following reasons:

•

it is safer and more convenient than the ITT because it does not require the patient to become hypoglycemic;

• Macrilen™ is administered orally, while the ITT requires an intravenous injection of insulin;

• Macrilen™ is a more robust test than the ITT leading to evaluable test results;

• Macrilen™ results are highly reproducible;

•

•

the evaluation of AGHD using Macrilen™ is less time-consuming and labor-intensive than the ITT ; and

the evaluation can be conducted in the physician's office rather than in a hospital-like setting.

We  believe  that  approximately  40,000  AGHD  tests  will  be  conducted  annually,  in  the  U.S,  after  the  introduction  of  Macrilen™.  In  addition,  based  on
published information from the U.S. Centers for Disease Control and Prevention, different scientific publications and Navigant Research, we estimate that the
total potential US market for AGHD evaluation is approximately 150,000 tests per year, including the evaluation of patients who have suffered traumatic
brain injury (“TBI”). In patients with TBI, GHD is frequent and may contribute to cognitive sequelae and reduction in quality of life. GHD may develop in
approximately 19% of both severe and moderate hospitalized TBI victims.

Development History

The following is a summary of the history of our development of Macrilen™ :

• We out-licensed the development compound macimorelin acetate to Ardana Bioscience in 2004. Ardana Bioscience subsequently initiated the clinical
development program of macimorelin acetate as an orally active compound intended to be used in the diagnosis of adult growth hormone deficiency.
Following  agreement  with  the  FDA  on  the  study  design,  Ardana  Bioscience  initiated  a  pivotal  Phase  3  study  in  2007,  which  tested  the  compound
compared  to  a  test  of  growth  hormone-  releasing  hormone  (“GHRH”)  +  L-Arginine  (“ARG”),  using  a  competitor's  compound.  The  study  was
discontinued in 2008 due to Ardana Bioscience's bankruptcy. We terminated Ardana Bioscience's license to the compound due to its bankruptcy.

•

•

•

•

On October 19, 2009, we announced that we had initiated activities intended to complete the clinical development of Macrilen™ for use in evaluating
AGHD. We had already assumed the sponsorship of the IND from Ardana Bioscience and discussed with the FDA the best way to complete the ongoing
Phase 3 clinical trial and subsequently to file an NDA for approval of Macrilen™ for use in evaluating AGHD. The pivotal Phase 3 trial was designed to
investigate the safety and efficacy of the oral administration of Macrilen™ as a growth hormone stimulator for use in evaluating AGHD. It was accepted
by the FDA that for the ongoing part of the study, Macrilen™ would not be compared to the GHRH + ARG test because the competitor's compound had
been removed from the market.

On  December  20,  2010,  we  announced  we  had  reached  agreement  with  the  FDA  on  a  SPA  for  Macrilen™,  enabling  us  to  complete  the  ongoing
registration study required to gain approval for use in evaluating AGHD. The first part of the study, conducted by our former licensee, Ardana, was a
two-way cross-over study and included 42 patients with confirmed AGHD or multiple pituitary hormone deficiencies and a low IGF-1. A control group
of ten subjects without AGHD was matched to patients for age, gender, body mass index and (for females) estrogen status.

On July 26, 2011, we announced the completion of the Phase 3 study of Macrilen™ as a first oral product for use in evaluating AGHD and the decision
to meet with the FDA for the future filing of an NDA for the registration of Macrilen™ in the United States.

On June 26, 2012, we announced that the final results from a Phase 3 trial for Macrilen™ showed that the drug is safe and effective in evaluating AGHD.
Jose M. Garcia, MD, PhD, then of the Baylor College of Medicine and the Michael E. DeBakey VA Medical Center, disclosed these data during an oral
presentation at the 94th ENDO Annual Meeting and Expo in Houston, Texas. The study had originally been designed as a cross-over trial of Macrilen™
compared to the GHRH + ARG test in AGHD patients and in controls matched for body mass index (“BMI”), estrogen status, gender and age. After 43
AGHD patients and ten controls had been tested, the GHRH + ARG test became unavailable because the competitor's compound was withdrawn from the
market. The study was completed by testing ten more AGHD patients and 38 controls with Macrilen™ alone. Of the 53 AGHD subjects enrolled, 52
received Macrilen™, and 50 who had confirmed AGHD prior to study entry

29

were included in this analysis, along with 48 controls. Two AGHD subjects could not be matched due to the combination of young age, high BMI and
estrogen use. The objective of this clinical trial was to determine the efficacy and safety of Macrilen™ in the evaluation of AGHD. Mean peak growth
hormone ("GH") levels in AGHD patients and controls following Macrilen™ administration were 2.36ng/mL (range 0.03-33) and 17.71ng/mL (range
10.5-94),  respectively.  The  ROC  plot  analysis  yielded  an  optimal  GH  cut-point  of  2.7ng/mL,  with  82%  sensitivity,  92%  specificity  and  a  13%
misclassification rate. Obesity (BMI>30) was present in 58% of cases and controls, and peak GH levels were inversely associated with BMI in controls.
Adverse events ("AE") were seen in 37% of AGHD patients and in 21% of controls following Macrilen™. In contrast, 61% of AGHD subjects and 30%
of controls experienced AEs with L ARG+GHRH. The most common AEs after Macrilen™ were unpleasant taste (19.2%) and diarrhea (3.8%) for the
AGHD patients and unpleasant taste (4.2%) and diarrhea (4.2%) for the matched controls. No clinically meaningful changes from baseline in ECG results
during  the  study  for  AGHD  patients  were  observed;  however,  one  control  subject  had  an  ECG  change  (T  wave  abnormality  and  QTc  interval
prolongation) one hour after treatment with Macrilen™ that was considered a serious treatment-related adverse event and resolved spontaneously within
24 hours. The subject had been pre-treated with citalopram, a drug that was later reported by the FDA to be associated with QT prolongation, although
the patient had stopped this medication seven days prior to dosing. In an expert statement of January 9, 2015, Prof. Dr. W. Haverkamp, Centrum Herz-,
Kreislauf- und Gefäßmedizin, Charité, Berlin, considered the observed QT prolongation to be not related to Macrilen™. Overall, this study demonstrated
that Macrilen™ is safe and effective for use in evaluating AGHD.

In  November  2013,  we  filed  an  NDA  for  Macrilen™  for  the  evaluation  of  AGHD  by  evaluating  the  pituitary  gland  secretion  of  growth  hormone  in
response to an oral dose of the product. The FDA accepted the NDA for substantive review in January 2014. On November 6, 2014, the FDA informed
us, by issuing a Complete Response Letter (“CRL”), that it had determined that our NDA could not be approved in its then present form. The CRL stated
that the planned analysis of our pivotal trial did not meet its stated primary efficacy objective as agreed to in the SPA. The CRL further mentioned issues
related to the lack of complete and verifiable source data for determining whether patients were accurately diagnosed with AGHD. The FDA concluded
that,  “in  light  of  the  failed  primary  analysis  and  data  deficiencies  noted,  the  clinical  trial  does  not  by  itself  support  the  indication.”  To  address  the
deficiencies  identified  above,  the  CRL  stated  that  we  needed  to  demonstrate  the  efficacy  of  Macrilen™  as  a  diagnostic  test  for  GHD  in  a  new,
confirmatory  clinical  study.  The  CRL  also  stated  that  a  serious  event  of  electrocardiogram  QT  interval  prolongation  occurred  for  which  attribution  to
drug could not be excluded. Therefore, a dedicated thorough QT study to evaluate the effect of macimorelin on the QT interval would be necessary.

Following receipt of the CRL, we assembled a panel of experts in the field of growth-hormone deficiency, including experts in the field from both the
United  States  of  America  and  the  EU.  The  panel  met  on  January  8,  2015,  during  which  we  discussed  our  conclusions  from  the  CRL,  as  well  as  the
potential design of a new pivotal study. The panel advised us to continue to seek approval for Macrilen™ because of their confidence in its efficacy and
because there currently is no FDA-approved diagnostic test for AGHD. In parallel, we collected information on timelines and costs for such a study.

During an end-of-review meeting with the FDA on March 6, 2015, we agreed with the FDA on the general design of the confirmatory Phase 3 study of
Macrilen™ for the evaluation of AGHD, as well as evaluation criteria. We agreed with the FDA that the confirmatory study will be conducted as a two-
way crossover with the ITT as the benchmark comparator.

On  April  13,  2015,  we  announced  plans  to  conduct  a  new,  confirmatory  Phase  3  clinical  study  to  demonstrate  the  efficacy  of  Macrilen™  for  the
evaluation  of  AGHD,  as  well  as  a  dedicated  thorough  QT  study  to  evaluate  the  effect  of  Macrilen™  on  myocardial  repolarization.  The  confirmatory
Phase  3  clinical  study  of  Macrilen™,  entitled  “Confirmatory  validation  of  oral  macimorelin  as  a  growth  hormone  (GH)  stimulation  test  (ST)  for  the
diagnosis of adult growth hormone deficiency (AGHD) in comparison with the insulin tolerance test (ITT)”, was designed as a two-way crossover study
with the ITT as the benchmark comparator and involved 31 sites in the United States and Europe. The study population was planned to include at least
110 subjects (at least 55 ITT-positive and 55 ITT-negative) with a medical history documenting risk factors for AGHD, and was planned to include a
spectrum of subjects from those with a low risk of having AGHD to those with a high risk of having the condition.

On May 26, 2015, we announced that we had received written scientific advice from the European Medicines Agency (“EMA”) regarding the further
development plan, including the study design, for the new confirmatory Phase 3 clinical study of Macrilen™ for use in evaluating AGHD. As a result of
the advice, we believe that the confirmatory Phase 3 study that was agreed with the FDA meets the EMA's study-design expectations as well, allowing
for US and European approval, if the study is successful.

On November 19, 2015, we announced the enrollment of the first patient in the confirmatory Phase 3 clinical study of Macrilen™.

On October 26, 2016, we announced completion of patient recruitment for the confirmatory Phase 3 clinical trial of Macrilen™ as a growth hormone
stimulation test for the evaluation of AGHD.

•

•

•

•

•

•

•

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•

•

•

•

The dedicated thorough QT study to evaluate the effect of macimorelin on the QT interval, as requested by the FDA in the CRL, was conducted and
completed in 2016.

On January 4, 2017, we announced that, based on an analysis of top-line data, the confirmatory Phase 3 clinical trial of Macrilen™ failed to achieve one
of its co-primary endpoints. Under the study protocol, the evaluation of AGHD with Macrilen™ would be considered successful, if the lower bound of
the two-sided 95% confidence interval for the primary efficacy variables was 75% or higher for “percent negative agreement” with the ITT, and 70% or
higher for the “percent positive agreement” with the ITT. While the estimated percent negative agreement met the success criteria, the estimated percent
positive  agreement  did  not  reach  the  criteria  for  a  successful  outcome.  Therefore,  the  results  did  not  meet  the  pre-defined  equivalence  criteria  which
required success for both the percent negative agreement and the percent positive agreement.

On February 13, 2017, we announced that, after reviewing the raw data on which the top-line data were based, we had concluded that Macrilen™ had
demonstrated performance supportive of achieving FDA registration and that we intended to pursue registration. The announcement set forth the facts on
which our conclusion was based. The Company will meet with the FDA at the end of March 2017 to discuss this position.

On  March  7,  2017,  we  announced  that  the  Pediatric  Committee  (“PDCO”)  EMA  agreed  to  the  Company’s  Pediatric  Investigation  Plan  (“PIP”)  for
Macrilen™  and  agreed  that  the  Company  may  defer  conducting  the  PIP  until  after  it  files  a  Marketing  Authorization  Application  (“MAA”)  seeking
marketing  authorization  for  the  use  of  Macrilen™  for  the  evaluation  of  AGHD.  The  decision  will  permit  the  Company  to  file  an  MAA  substantially
earlier than if it were required to complete the PIP before filing.

LHRH-Disorazol Z (AEZS-138)

In  search  of  new  antitumor  agents,  we  found  that  disorazol  Z,  a  compound  that  was  isolated  from  the  myxobacterium  Sorangium  cellulosum,  possesses
cytotoxic activity in the picomolar range in a panel of different tumor cell lines. Inhibition of tubulin polymerization, cell cycle arrest and efficient induction
of apoptosis have been identified as modes of action. AEZS-138 is a cytotoxic conjugate of disorazol Z and a synthetic peptide carrier that targets the LHRH
receptor. It is, therefore, an outgrowth of our research that lead to our formulation of Zoptrex™. The following is a summary of our development efforts with
respect to AEZS-138:

•

•

•

•

On March 24, 2011, we were awarded a $1.5 million grant from the German Ministry of Education and Research to develop, up to the clinical stage,
cytotoxic  conjugates  of  the  proprietary  cytotoxic  compound  disorazol  Z  and  peptides  targeting  G-  protein  coupled  receptors,  including  the  LHRH
receptors. The compounds combine the targeting principle being studied in the ZoptEC study with the novel cytotoxic disorazol Z. The grant was payable
as  a  partial  reimbursement  of  qualifying  expenditures  over  a  three-year  period,  until  January  31,  2014.  The  qualified  project  was  performed  with
Morphisto GmbH and the Helmholtz Institute in Saarbrücken, Germany, which received additional funding of approximately $0.7 million. Researchers
from the departments of Gynecology and Obstetrics at both the University of Göttingen and the University of Würzburg, Germany, were also part of the
collaboration.

On November 16, 2011, we announced the presentation of a poster at the AACR-NCI-EORTC International Conference on Molecular Targets and Cancer
Therapeutics on encouraging preclinical data for disorazol Z. The data showed that disorazol Z possesses cytotoxicity in a highly diverse panel of 60
different tumor cell lines, and also underlined the identification of important aspects of this novel natural compound's mechanism of action. Disorazol Z
has been identified as a tubulin binding agent with highly potent antitumor properties. Cell cycle analysis revealed that disorazol Z arrested cells in the
G2/M cell cycle phase and subsequently induced apoptosis with remarkable potency, as shown by sub-nanomolar EC50 values. To expand our zoptarelin
doxorubicin technology platform, we aim to evaluate the utility of disorazol Z as a cytotoxic component in a drug-targeting approach utilizing GPCR
ligands as the targeting moieties for the treatment of GPCR over-expressing cancers.

On April 10, 2013, we announced at the American Association for Cancer Research's ("AACR") annual meeting encouraging updated proof-of-concept
results  for  disorazol  Z  cytotoxic  conjugates,  such  as  AEZS-138,  in  human  ovarian  and  endometrial  cancer  xenograft  models.  Data  demonstrated  that
conjugates  of  D-Lys6-LHRH  and  disorazol  Z  retained  strong  binding  to  the  LHRH  receptor  and  showed  potent  inhibition  of  tubulin  polymerization.
Cellular cytotoxicity of the conjugates was in the low nanomolar EC50 range. Increased cytotoxicity in cells over-expressing the LHRH receptor, support
receptor targeting as a mechanism of action. The LHRH receptor-dependent efficacies of disorazol Z-D-Lys6-LHRH conjugates in vitro and  in  mouse
xenograft  models  that  were  presented  support  the  principle  of  tumor  targeting  by  the  LHRH  receptor  as  considered  to  be  employed  by  zoptarelin
doxorubicin.

On February 11, 2014, at the 11th International Symposium on GnRH in Salzburg, Austria, we presented further data on the mechanism of action and
proof of concept of the disorazol Z cytotoxic conjugate, AEZS-138, which led to the initiation of its preclinical development during the second quarter of
2013.

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Overview of our Commercial Operations

Our commercial operations consist of a full-time sales force and a sales-management staff. We currently have 13 sales representatives in the United States,
who provide services solely for us pursuant to our agreement with inVentiv Commercial Services, LLC, an affiliate of inVentiv Health, Inc. (“inVentiv”), a
contract-sales organization. Our sales force is managed by two Regional Sales Managers, a National Sales Director and led by our Senior Vice President and
Chief Commercial Officer.

Our  agreement  with  inVentiv  provides  that  the  inVentiv  personnel  who  provide  services  to  us  are  independent  contractors  and  not  our  employees.
Furthermore, inVentiv is solely responsible for the human-resources and performance-management functions of all such personnel. It is also responsible for
paying  the  compensation,  benefits,  payroll-related  or  withholding  taxes  and  any  governmental  charges  or  benefits,  including  unemployment  and  disability
insurance contributions or benefits and workers compensation contributions with respect to such personnel and for reimbursing them for their expenses. We
pay a fixed monthly fee to inVentiv for the services of the sales representatives it provides for us, which is subject to adjustment if the assumptions regarding
the annual salaries paid to the sales representatives prove to be too high or too low, and we also reimburse inVentiv for certain expenses that it incurs as a
result of providing sales representatives to us.

Our agreement with inVentiv had a two-year term that started in November 2014. The term was recently extended for one year. The term may be extended for
additional periods of one year, if we reach a written agreement with inVentiv regarding the terms of the extension not less than 60 days before the end of the
expiring term. The agreement is subject to customary termination provisions for non-payment of amounts due, material breach and bankruptcy or insolvency.
In addition, we may terminate the agreement without cause by giving inVentiv at least 45 days' prior written notice.

Effective  September  1,  2016,  we  terminated  our  agreement  with  ASCEND  Therapeutics  US  LLC  to  co-promote  a  non-patch  transdermal  hormone
replacement therapy product because of we were dissatisfied with the financial results of our efforts.

Our sales force is currently promoting two products:

•

•

Saizen® [somatropin (rDNA origin) for injection] is a prescription medicine indicated for the treatment of growth hormone deficiency in children and
adults. We promote Saizen® pursuant to our promotional services agreement (the “EMD Serono Agreement”) with EMD Serono Inc. (“EMD Serono”),
which we entered into in May 2015 and amended as of December 31, 2016. The EMD Serono Agreement, as amended, provides that we will promote
Saizen® in specific agreed-upon US territories to adult and pediatric endocrinologists in exchange for a sales commission that is based upon new patient
starts ("NPS") of the product. The EMD Serono Agreement has a five-year term that began in May 2015, which is not subject to a specified extension
period,  and  is  subject  to  customary  termination  provisions.  Both  parties  to  the  EMD  Serono  Agreement  have  the  right  to  terminate  the  EMD  Serono
Agreement for convenience at any time after October 31, 2017, by giving three months' advance written notice to the other party.

APIFINY®  is  the  only  cancer-specific,  non-PSA  blood  test  for  the  evaluation  of  the  risk  of  prostate  cancer.  The  test  was  developed  by  Armune
BioScience, Inc. (“Armune”), a medical diagnostics company that develops and commercializes unique proprietary technology exclusively licensed from
the University of Michigan for diagnostic and prognostic tests for cancer. We entered into a co-marketing agreement with Armune in November 2015
(the  “Armune  Agreement”),  which  was  amended  effective  as  of  June  1,  2016,  pursuant  to  which  we  have  the  exclusive  right  to  promote  APIFINY®
throughout the entire United States. We receive a commission for each test performed resulting from our targeted promotion without regard to a baseline.
The Armune Agreement, as amended, has a three-year term that renews automatically for successive one-year periods, unless either party terminates it by
giving not less than 60 days' advance written notice to the other, which either party may do at any time with or without cause.

A description of the principal geographic areas in which we compete, including a geographical and categorical breakdown of our revenues in the past three
years is presented in note 22 (Segment information) to our consolidated financial statements included in this Annual Report on Form 20-F at Item 18.

Raw Materials

Raw  materials  and  supplies  are  generally  available  in  quantities  adequate  to  meet  the  needs  of  our  business.  We  will  be  dependent  on  third-party
manufacturers for the pharmaceutical products that we will market. An interruption in the availability of certain raw materials or ingredients, or significant
increases in the prices paid by us for them, could have a material adverse effect on our business, financial condition, liquidity and operating results.

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Regulation of Drug Development

Generally.  Governmental  authorities  in  the  United  States,  Canada,  Europe  and  other  countries  extensively  regulate  the  preclinical  and  clinical  testing,
manufacturing, labeling, storage, record keeping, advertising, promotion, export, marketing and distribution, among other things, of pharmaceuticals. Under
the laws of the United States, the countries of the EU, and other countries, we are subject to obligations to ensure that our clinical trials are conducted in
accordance with Good Clinical Practices ("GCP") guidelines and the investigational plan and protocols contained in an Investigational New Drug (“IND”)
application, or comparable foreign regulatory submission. Set forth below is a brief summary of the material governmental regulations affecting us in the
major markets in which we intend to market our products and/or promote products that we acquire or in-license or to which we obtain promotional rights.

The United States. In the United States, the FDA’s Center for Drug Evaluation and Research (CDER) under the Federal Food, Drug and Cosmetic Act of
1938,  as  amended  (the  “FDCA”),  the  Public  Health  Service  Act  and  other  federal  statutes  and  regulations,  subjects  pharmaceutical  products  to  rigorous
review. In order to market and sell a new drug product in the United States, we must first test it and send CDER evidence from these tests to prove that the
drug  is  safe  and  effective  for  its  intended  use.  In  most  cases,  these  tests  include  extensive  preclinical,  clinical,  and  laboratory  tests.  A  team  of  CDER
physicians, statisticians, chemists, pharmacologists, and other scientists reviews the company’s data and proposed labeling. If this independent and unbiased
review establishes that a drug’s health benefits outweigh its known risks, the drug is approved for sale. CDER does not test the drug itself but it does conduct
limited research in the areas of drug quality, safety, and effectiveness standards. Before approving a new drug or marketing application, the FDA may conduct
pre-approval inspections of the developer of the drug (the "sponsor"), its CROs and/or its clinical trial sites to ensure that clinical, safety, quality control, and
other  regulated  activities  are  compliant  with  GCP,  or  Good  Laboratory  Practices  ("GLP"),  for  specific  non-clinical  toxicology  studies.  Manufacturing
facilities used to produce a product are also subject to ongoing inspection by the FDA. The FDA may also require confirmatory trials, post-marketing testing,
and/or extra surveillance to monitor the effects of approved products, or place conditions on any approvals that could restrict the commercial applications of a
product.  Once  approved,  the  labeling,  advertising,  promotion,  marketing,  and  distribution  of  a  drug  or  biologic  product  must  be  in  compliance  with  FDA
regulatory requirements.

The first stage required for ultimate FDA approval of a new biologic or drug involves completion of preclinical studies whereby a sponsor must test new
drugs on animals for toxicity. Multiple  species  are  used  to  gather  basic  information  on  the  safety  and  efficacy  of  the  compound  being  investigated  and/or
researched. The FDA regulates preclinical studies under a series of regulations called the current GLP regulations as well as regulatory requirements found in
Part  21  subchapter  D  of  the  Code  of  Federal  Regulations.  If  the  sponsor  violates  these  regulations,  the  FDA  may  require  that  the  sponsor  replicate  those
studies or can subject the sponsor to enforcement actions or penalties as described further below. The sponsor then submits to the FDA an IND application
based on the results from initial testing that include the drug’s composition and manufacturing, along with a plan for testing the drug on humans. The FDA
reviews the IND to ensure that the proposed studies (clinical trials) do not place human subjects at unreasonable risk of harm. FDA also verifies that there are
adequate informed consent and human subject protections in place.

After a sponsor submits an IND application, it must wait 30 days before starting a clinical trial to allow FDA time to review the prospective study. If FDA
finds a problem, it can order a clinical hold to delay an investigation, or interrupt a clinical trial if problems occur during the study. After the IND application
is in effect, a sponsor may commence human clinical trials. The sponsor typically conducts human clinical trials in three sequential phases, but the phases
may overlap. In Phase 1 trials, the sponsor tests the product in a small number of patients or healthy volunteers (typically 20-80 healthy volunteers), primarily
for safety at one or more doses. The goal in this phase is to determine what the drug’s most frequent side effects are and, often, how the drug is metabolized
and excreted. Phase 2 studies begin if Phase 1 studies do not reveal unacceptable toxicity. In Phase 2, in addition to safety, the sponsor evaluates the efficacy
of the product in a patient population somewhat larger than Phase 1 trials. The number of subjects in Phase 2 studies typically ranges from a few dozen to
about 300. This phase aims to obtain preliminary data on whether a drug works in people who have a certain disease or condition. At the end of Phase 2, the
FDA and sponsor try to come to an agreement on how large-scale studies in Phase 3 should be done.

Phase 3 studies begin if evidence of effectiveness if shown in Phase 2. Phase 3 trials typically involve additional testing for safety and clinical efficacy in an
expanded population at geographically dispersed test sites. The sponsor must submit to the FDA a clinical plan, or "protocol", accompanied by the approval
of the institutions participating in the trials, prior to commencement of each clinical trial. The FDA may order the temporary or permanent discontinuation of
a  clinical  trial  at  any  time.  In  the  case  of  product  candidates  for  cancer,  the  initial  human  testing  may  be  done  in  patients  with  the  disease  rather  than  in
healthy  volunteers.  Because  these  patients  are  already  afflicted  with  the  target  disease,  such  studies  may  provide  results  traditionally  obtained  in  Phase  2
studies. Accordingly, these studies are often referred to as “Phase 1/2” studies as they combine two phases. Even if patients participate in initial human testing
and a Phase 1/2 study is carried out, the sponsor is still responsible for obtaining all the data usually obtained in both Phase 1 and Phase 2 studies.

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The  sponsor  must  submit  to  the  FDA  the  results  of  the  preclinical  and  clinical  testing,  together  with,  among  other  things,  detailed  information  on  the
manufacture and composition of the product, in the form of a New Drug Application (“NDA”) or, in the case of a biologic, a Biologics License Applications
(“BLA”). In a process that can take a year or more, the FDA reviews this application and, when and if it decides that adequate data are available to show that
the new compound is both safe and effective for a particular indication and that other applicable requirements have been met, approves the drug or biologic
for marketing. The amount of time taken for this approval process is a function of a number of variables, including the quality of the submission and studies
presented and the potential contribution that the compound will make in improving the treatment of the disease in question.

Orphan-drug  designation  is  granted  by  the  FDA  Office  of  Orphan  Drug  Products  to  novel  drugs  or  biologics  that  are  intended  for  the  safe  and  effective
treatment, diagnosis or prevention of rare diseases or disorders that affect fewer than 200,000 people in the U.S., or that affect more than 200,000 people but
are not expected to recover the costs of developing and marketing a treatment drug. The designation provides the sponsor with a seven-year period of U.S.
marketing  exclusivity  if  the  drug  is  the  first  of  its  type  approved  for  the  specified  indication  or  if  it  demonstrates  superior  safety,  efficacy  or  a  major
contribution to patient care versus another drug of its type previously granted the designation for the same indication. We have been granted orphan drug
designations for Zoptrex™ for the treatment of advanced ovarian cancer and for Macrilen™ for the evaluation of growth hormone deficiency.

Under the Drug Price Competition and Patent Term Restoration Act of 1984 (the "Hatch-Waxman Act"), newly-approved drugs and indications may benefit
from a statutory period of non-patent data exclusivity. The Hatch-Waxman Act provides five-year data exclusivity to the first applicant to gain approval of an
NDA  for  a  new  chemical  entity,  or  NCE,  meaning  that  the  FDA  has  not  previously  approved  any  other  drug  containing  the  same  active  pharmaceutical
ingredient, or active moiety. Although protection under the Hatch-Waxman Act will not prevent the submission or approval of another full NDA, such an
NDA applicant would be required to conduct its own preclinical and adequate, well-controlled clinical trials to demonstrate safety and effectiveness.

The  Hatch-Waxman  Act  also  provides  three  years  of  data  exclusivity  for  the  approval  of  new  and  supplemental  NDAs,  including  Section  505(b)(2)
applications,  for,  among  other  things,  new  indications,  dosage  forms,  routes  of  administration,  or  strengths  of  an  existing  drug,  or  for  a  new  use,  if  new
clinical investigations that were conducted or sponsored by the sponsor are determined by the FDA to be essential to the approval of the application. This
exclusivity,  which  is  sometimes  referred  to  as  clinical  investigation  exclusivity,  would  not  prevent  the  approval  of  another  application  if  the  sponsor  has
conducted its own adequate, well-controlled clinical trials demonstrating safety and efficacy, nor would it prevent approval of a generic product that did not
incorporate the exclusivity-protected changes of the approved drug product.

The labeling, advertising, promotion, marketing, and distribution of a drug or biologic product must be in compliance with FDA regulatory requirements.
Failure to comply with applicable requirements can lead to the FDA demanding that production and shipment cease and, in some cases, that the manufacturer
recall products, or to enforcement actions that can include seizures, injunctions, and criminal prosecution. These failures can also lead to FDA withdrawal of
approval to market a product.

Canada. In Canada, the Therapeutic Products Directorate of Health Canada is the Canadian federal authority that regulates pharmaceutical drugs and medical
devices for human use. Prior to being given market authorization, a sponsor must present substantive scientific evidence of a product's safety, efficacy and
quality as required by the Food and Drugs Act and other legislation and regulations. The requirements for the development and sale of pharmaceutical drugs
in Canada are substantially similar to those in the United States, which are described above.

The European Union. Medicines can be authorized in the EU by using either the centralized authorization procedure or national authorization procedures. The
EU has implemented a centralized procedure coordinated by the EMA for the approval of human medicines, which results in a single marketing authorization
issued by the European Commission that is valid across the EU, as well as Iceland, Liechtenstein and Norway. The centralized procedure is compulsory for
human medicines that are derived from biotechnology processes, such as genetic engineering, that contain a new active substance indicated for the treatment
of certain diseases, such as HIV/AIDS, cancer, diabetes, neurodegenerative disorders or autoimmune diseases and other immune dysfunctions, and designated
orphan medicines. For medicines that do not fall within these categories, an applicant has the option of submitting an application for a centralized marketing
authorization to the EMA, as long as the medicine concerned is a significant therapeutic, scientific or technical innovation, or if its authorization would be in
the interest of public health.

There are also two other possible routes to authorize medicinal products in several EU countries, which are available for investigational drug products that fall
outside the scope of the centralized procedure:

• Decentralized  procedure.  Using  the  decentralized  procedure,  a  sponsor  may  apply  for  simultaneous  authorization  in  more  than  one  EU  country  of
medicinal products that have not yet been authorized in any EU country and that do not fall within the mandatory scope of the centralized procedure. The
application will be reviewed by a selected Reference Member State ("RMS"). The Marketing Authorization granted by the RMS will then be recognized by
the other Member States involved in this procedure.

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• Mutual  recognition  procedure.  In  the  mutual  recognition  procedure,  a  medicine  is  first  authorized  in  one  EU  Member  State,  in  accordance  with  the
national  procedures  of  that  country.  Following  this,  further  marketing  authorizations  can  be  sought  from  other  EU  countries  in  a  procedure  whereby  the
countries concerned agree to recognize the validity of the original, national marketing authorization.

Regulation of Commercial Operations

The  marketing,  promotional,  and  pricing  practices  of  human  pharmaceutical  manufacturers,  as  well  as  the  manner  in  which  manufacturers  interact  with
purchasers and prescribers, are subject to various U.S. federal and state laws, including the federal anti-kickback statute and the False Claims Act and state
laws governing kickbacks, false claims, unfair trade practices, and consumer protection, and to similar laws in other countries. In the U.S., these laws are
administered by, among others, the Department of Justice ("DOJ"), the Office of Inspector General of the Department of Health and Human Services, the
Federal Trade Commission, the Office of Personnel Management, and state attorneys general. Over the past several years, the FDA, the DOJ, and many other
agencies have increased their enforcement activities with respect to pharmaceutical companies and increased the inter-agency coordination of enforcement
activities.

In  the  United  States,  biopharmaceutical  and  medical  device  manufacturers  are  required  to  record  any  transfers  of  value  made  to  licensed  physicians  and
teaching  hospitals  and  to  disclose  such  data  to  the  Department  of  Health  and  Human  Services  (“HHS”).  In  addition  to  civil  penalties  for  failure  to  report
transfers  of  value  to  physicians  or  teaching  hospitals,  there  will  be  criminal  penalties  if  a  manufacturer  intentionally  makes  false  statements  or  excludes
information in such reports. The payment data across biopharmaceutical and medical device companies is posted by HHS on a publicly available website.
Increased access to such data by fraud and abuse investigators, industry critics and media will draw attention to our collaborations with reported entities and
will  importantly  provide  opportunities  to  underscore  the  critical  nature  of  our  collaborations  for  developing  new  medicines  and  exchanging  scientific
information. This national payment transparency effort coupled with industry commitment to uphold voluntary codes of conduct (such as the PhRMA Code
on  Interactions  with  Healthcare  Professionals  and  PhRMA  Guiding  Principles  Direct  to  Consumer  Advertisements  About  Prescription  Medicines)  and
rigorous  internal  training  and  compliance  efforts  will  complement  existing  laws  and  regulations  to  help  ensure  ethical  collaboration  and  truthful  product
communications.

The Canadian association of Research-Based Pharmaceutical Companies (“Rx & D”) has adopted “Guidelines for Transparency in Stakeholder Funding” that
require member companies to regularly disclose, by means of the web sites and annual reports, a list of all stakeholders to which they provide direct funding.
The term “stakeholder” is defined in Rx & D’s Code of Ethical Practices to include “Health Care Professionals”. In the EU, the disclosure code of transfers of
value to healthcare professionals and organizations adopted by the European Federation of Pharmaceutical Industries and Associations (“EFPIA”) requires all
members of EFPIA to disclose transfers of value to healthcare professionals and healthcare organizations beginning in 2016, covering the relevant transfers in
2015.  Each  member  company  will  be  required  to  document  and  disclose:  (i)  the  names  of  healthcare  professionals  and  associations  that  have  received
payments or other transfers of value and (ii) the amounts or value transferred, and the type of relationship.

For more information about the regulatory risks associated with our business operations, see “Item 3D. Risk Factors”.

Intellectual Property - Patents

We seek to protect our compounds, manufacturing processes, compositions and methods of medical use for our lead drugs and drug candidates through a
combination of patents, trade secrets and know-how. Our patent portfolio consists of approximately 13 owned and in-licensed patent families (issued, granted
or pending in the United States, Europe and other jurisdictions). The patent positions of companies in the biotechnology and pharmaceutical industries are
highly uncertain and involve complex legal and factual questions. Therefore, we cannot predict the breadth of claims, if any, that may be allowed under any of
our  patent  applications,  or  the  enforceability  of  any  of  our  allowed  patents.  See  "Item  3D.  Risk  Factors  -  We  may  not  obtain  adequate  protection  for  our
products through our intellectual property."

Patents extend for varying periods according to the date of patent filing or grant and the legal term of patents in the various countries where patent protection
is obtained. The actual protection afforded by a patent, which can vary from country to country, depends on the type of patent, the scope of its coverage and
the availability of legal remedies in the country. In the United States, the patent term of a patent that covers an FDA-approved drug may also be eligible for
patent term extension, which permits patent term restoration as compensation for the patent term lost during the FDA regulatory review process. The Hatch-
Waxman Act permits a patent term extension of up to five years beyond the expiration of the patent, in which the patentee may file an application for yearly
interim extensions within five years if the patent will expire and the FDA has not yet approved the NDA. The length of the patent term extension is related to
the length of time the drug is under regulatory review. Patent extension cannot extend the remaining term of a patent beyond a total of 14 years from the date
of product approval and only one patent applicable to an approved drug may be extended.

35

Similar provisions are available in Europe and other foreign jurisdictions to extend the term of a patent that covers an approved drug. In these jurisdictions,
however, no interim extensions exist and the marketing approval must be granted before the patent expires. In the future, if and when our pharmaceutical
products  receive  FDA  approval,  we  expect  to  apply  for  patent  term  extensions  on  patents  covering  those  products.  While  we  anticipate  that  any  such
applications for patent term extensions will likely be granted, we cannot predict the precise length of time for which such patent terms would be extended in
the United States, Europe or other jurisdictions. If we are not able to secure patent term extensions on patents covering our products for meaningful periods of
additional time, we may not achieve or sustain profitability, which would adversely affect our business.

In addition to patent protection, our products may benefit from the market-exclusivity provisions contained in the orphan-drug regulations or the pediatric-
exclusivity provisions or other provisions of the FDA Act, such as new chemical entity exclusivity or new formulation exclusivity. Orphan drug regulations
provide incentives to pharmaceutical and biotechnology companies to develop and manufacture drugs for the treatment of rare diseases, currently defined as
diseases that exist in fewer than 200,000 individuals in the U.S., or diseases that affect more than 200,000 individuals in the U.S. but that the sponsor does not
realistically anticipate will generate a net profit. Under these provisions, a manufacturer of a designated orphan drug can seek tax benefits, and the holder of
the first FDA approval of a designated orphan product will be granted a seven-year period of marketing exclusivity for such FDA-approved orphan product.
In  the  U.S.,  the  FDA  has  the  authority  to  grant  additional  data  protection  for  approved  drugs  where  the  sponsor  conducts  specified  testing  in  pediatric  or
adolescent populations. If granted, this pediatric exclusivity provides an additional six months which are added to the term of data protection as well as to the
term of any relevant patents, to the extent these protections have not already expired. We may also seek to utilize market exclusivities in other territories, such
as in the EU. There can be no assurance that any of our drug candidates will obtain such orphan drug designation, pediatric exclusivity, new chemical entity
exclusivity or any other market exclusivity in the U.S., the EU or any other territory, or that we will be the first to receive the regulatory approval in a given
country or territory for such drugs so as to be eligible for any market exclusivity protection.

Our drug development efforts are currently focused on two compounds, Zoptrex™ and Macrilen™, which recently completed clinical development, and on
an  LHRH-disorazol  Z  conjugate  (AEZS-138),  which  is  in  pre-clinical  development.  The  following  is  a  description  of  our  intellectual  property  rights  with
respect to these compounds.

Zoptrex™:

We  have  licensed  the  intellectual  property  and  associated  rights  relating  to  LHRH  agonists  and  LH-RH  antagonists  carrying  various  cytotoxic  radicals
(including zoptarelin doxorubicin) from the Administrators of the Tulane Educational Fund ("Tulane") pursuant to a License Agreement dated September 17,
2002  between  Tulane,  as  licensor,  and  AEZS  GmbH,  as  licensee  (the  "Tulane  Agreement").  The  Tulane  Agreement  grants  to  us  an  exclusive  worldwide
license for all therapeutic uses of LH-RH agonists and LH-RH antagonists carrying various cytotoxic radicals, to the extent covered by one of the patents
listed below. The term of the Tulane Agreement continues for ten years after the first commercial sale of a product based on the licensed intellectual property
(a "Licensed Product") or until the expiration of the last to expire of the patents listed below, whichever is longer, on a country-by- country basis.

Pursuant  to  the  Tulane  Agreement,  we  are  required  to  pay  Tulane  the  following  amounts:  (i)  $400,000  upon  the  first  grant  of  regulatory  approval  for  a
Licensed Product in the U.S., Canada, the EU or Japan; (ii) 10% of all consideration received by us from a sublicensee for authorization to use the licensed
intellectual property to develop, manufacture, market, distribute and sell a Licensed Product; (iii) 2.5% of our net sales of Licensed Products; and (iv) 50% of
any  royalties  that  we  receive  from  a  sublicensee  with  respect  to  its  net  sales  of  Licensed  Products;  provided,  however,  that  the  payment  with  respect  to
royalties received from a sublicensee shall not be less than 1.75% nor more than 2.5% of the sublicensee's net sales of the Licensed Product.

The following patents are covered by the Tulane Agreement:

•

•

•

•

U.S. patent 5,843,903 covers zoptarelin doxorubicin and other related targeted cytotoxic anthracycline analogs, pharmaceutical compositions comprising
the compounds as well as their medical use for the treatment of tumors. This patent expired in November 2015.

European  patent  0  863  917  B1  covers  zoptarelin  doxorubicin  and  other  related  targeted  cytotoxic  anthracycline  analogs,  pharmaceutical  compositions
comprising the compounds as well as their medical use for the treatment of tumors. This patent expired in November 2016.

Japanese  patent  3  987  575  covers  zoptarelin  doxorubicin  and  other  related  targeted  cytotoxic  anthracycline  analogs,  pharmaceutical  compositions
comprising the compounds as well as their medical use for the treatment of tumors. This patent expired in November 2016.

Chinese  patent  ZL96198605.0  covers  zoptarelin  doxorubicin  and  other  related  targeted  cytotoxic  anthracycline  analogs,  pharmaceutical  compositions
comprising the compounds as well as their medical use for the treatment of tumors. This patent expired in November 2016.

36

•

Hong  Kong  patent  1017363  covers  zoptarelin  doxorubicin  and  other  related  targeted  cytotoxic  anthracycline  analogs,  pharmaceutical  compositions
comprising the compounds as well as their medical use for the treatment of tumors. This patent expired in November 2016.

In early 2015, we filed a European patent application directed to a novel method of manufacturing Zoptrex™. Within the 12 months priority period, we also
filed an international patent application for the manufacturing process, as well as national patent applications in selected countries, including the U.S., China,
and Taiwan, Japan and India. We decided to file patent applications in additional territories after the European Patent Office issued a search report for the
European patent application that we consider to be favorable. The claimed manufacturing process is expected to result in a significant reduction in our cost of
manufacturing Zoptrex™, providing us with what should be a stronger competitive position and discouraging competition from generic manufacturers after
our five-year period of data exclusivity expires.

Macrilen™:

We hold the worldwide rights to macimorelin pursuant to an exclusive license agreement with the French Centre National de la Recherche Scientifique, as
licensor, and AEZS GmbH, as licensee.

The following patents relate to Macrilen™:

•

•

•

•

•

•

•

U.S. patent 6,861,409 covers Macrilen™ and U.S. patent 7,297,681 covers other related growth hormone secretagogue compounds, each also covering
pharmaceutical  compositions  comprising  the  compounds  as  well  as  their  medical  use  for  elevating  the  plasma  level  of  growth  hormone.  U.S.  patent
6,861,409 and U.S. patent 7,297,681 both expire in August 2022.

European  patent  1  289  951  covers  Macrilen™  and  European  patent  1  344  773  covers  other  related  growth  hormone  secretagogue  compounds,
pharmaceutical compositions comprising the compounds as well as their medical use for elevating the plasma level of growth hormone. EP patent 1 289
951 and EP patent 1 344 773 both expire in June 2021.

Japanese patent 3 522 265 covers Macrilen™ and pharmaceutical compositions comprising the compounds as well as their medical use for elevating the
plasma level of growth hormone. This patent expires in June 2021.

Canadian patent 2,407,659 covers Macrilen™ and pharmaceutical compositions comprising the compounds as well as their medical use for elevating the
plasma level of growth hormone. This patent expires in June 2021.

U.S.  patent  8,192,719  covers  a  method  of  assessing  pituitary-related  growth  hormone  deficiency  in  a  human  or  animal  subject  comprising  an  oral
administration of the compound Macrilen™ and determination of the level of growth hormone in the sample and assessing whether the level of growth
hormone in the sample is indicative of growth hormone deficiency. This patent expires in October 2027.

European patent 1 984 744 covers a method of assessing pituitary-related growth hormone deficiency by oral administration of Macrilen™. This patent
expires in February 2027.

Japanese patent 4 852 728 covers a method of assessing pituitary-related growth hormone deficiency by oral administration of Macrilen™. This patent
expires in February 2027.

Disorazol Z - LHRH conjugates (AEZS-138):

We own a number of patents that relate to our Disorazol Z - LHRH conjugates, as follows:

•

•

•

•

U.S. patent 7,741,277 covers AEZS-138 (disorazol Z - LHRH conjugate). This patent expires in January 2028 (including PTA).

U.S.  patent  8,470,776  covers  methods  of  treatment  for  compound  AEZS-138  (disorazol  Z  -  LHRH  conjugate).  This  patent  expires  in  February  2029
(including PTA).

European patent application 2,066,679 covers AEZS-138 (disorazol Z - LHRH conjugate) as well as methods of treatment for this compound. If granted,
this patent will expire in September 2027.

Japanese patent 5,340,155 covers AEZS-138 (disorazol Z - LHRH conjugate) as well as methods of treatment for this compound. This patent expires in
September 2027.

C.

Organizational structure

Our corporate structure, the jurisdiction of incorporation of our direct and indirect subsidiaries and the percentage of shares that we held in those subsidiaries
as at December 31, 2016 is depicted in the chart set forth under the caption "Item 4.A. History and development of the Company".

37

D.

Property, plants and equipment

Our registered address is located in Montreal, Canada. Our corporate head office is located in Summerville, South Carolina, which is a suburb of Charleston,
South Carolina. The following table sets forth information with respect to our main facilities as at December 31, 2016.

Location

315 Sigma Drive, Suite 302D,
Summerville SC 29486

Weismüllerstr. 50
D-60314
Frankfurt-am-Main, Germany

Use of space

Square Footage

Type of interest

Partially occupied for management, administration,
commercial operations and business development

Occupied for management, R&D, business development
and administration

4,623

Leasehold

36,168

Leasehold

Item 4A

Unresolved Staff Comments

None.

Item 5.

Operating and Financial Review and Prospects

Key Developments

Zoptrex™

ZoptrexTM is a complex molecule that combines a synthetic peptide carrier with doxorubicin, a well-known chemotherapy agent. The synthetic peptide carrier
is a luteinizing hormone-releasing hormone ("LHRH") agonist, a modified natural hormone with affinity for the LHRH receptor. The design of the compound
allows for the specific binding and selective uptake of the cytotoxic conjugate by LHRH receptor-positive tumors. Potential benefits of this targeted approach
include a better efficacy and a more favorable safety profile with lower incidence and severity of side effects as compared to doxorubicin alone. Zoptrex™ is
our proposed trade name for zoptarelin doxorubicin. The proposed trade name is subject to approval by the FDA.

We  believe  that  ZoptrexTM  has  the  potential  to  become  the  first  FDA-approved  medical  therapy  for  advanced,  recurrent  endometrial  cancer,  potentially
resulting  in  the  compound's  rapid  adoption  as  a  novel  core  therapy  for  patient  treatment  and  management,  representing  a  significant  potential  market
opportunity for us. Moving forward, we will continue to develop our commercialization plans regarding ZoptrexTM in this indication. In addition, contingent
on the success of the ZoptEC (Zoptarelin Doxorubicin in Endometrial Cancer) pivotal Phase 3 clinical trial in women with advanced, recurrent or metastatic
endometrial cancer, we have additional areas of interest for further therapeutic development for Zoptrex™, including ovarian, prostate, breast and potentially,
bladder cancer.

The following paragraphs describe recent key developments with respect to Zoptrex™ :

•

•

•

On October 13, 2015, we announced that an independent data and safety monitoring board ("DSMB") had recommended that the pivotal Phase 3 ZoptEC
study  continue  as  planned.  The  DSMB's  decision  followed  completion  of  its  pre-specified  second  interim  analysis  on  efficacy  and  safety  at
approximately 192 events.

On June 14, 2016, we announced that our licensee, Sinopharm A-Think Pharmaceuticals Co., Ltd. (“Sinopharm”), which is affiliated with the largest
state-owned pharmaceutical company in the People's Republic of China, submitted an Investigational New Drug application (“IND”) for Zoptrex™ to the
Chinese State Food and Drug Administration (“CFDA”), remaining on track to commence its clinical program in 2017. 

On  July  1,  2016,  we  announced  that  we  had  entered  into  an  exclusive  License  Agreement  with  Cyntec  Co.,  Ltd.  ("Cyntec"),  an  affiliate  of  Orient
EuroPharma Co., Ltd. ("OEP") for Zoptrex™ for the initial indication of endometrial cancer. Under the terms of the License Agreement, we were paid a
non-refundable upfront cash payment in consideration for the license to Cyntec of our intellectual property related to Zoptrex™ and the grant to Cyntec
of the right to commercialize Zoptrex™ in a territory consisting of Taiwan and nine countries in southeast Asia (the "OEP Territory"). Cyntec has also
agreed to make additional payments to us upon achieving certain pre-established regulatory and commercial milestones. Furthermore, we will receive
royalties based on future net sales of Zoptrex™ in the OEP Territory. Cyntec will be responsible for the development, registration, reimbursement and
commercialization  of  the  product  in  the  OEP  Territory.  We  entered  into  related  Technology  Transfer  and  Supply  Agreements  with  another  affiliate  of
OEP,  pursuant  to  which  we  will  transfer  to  such  affiliate  the  technology  necessary  to  permit  the  affiliate  to  manufacture  finished  Zoptrex™  using
quantities of the active pharmaceutical ingredient purchased from us pursuant to the Supply Agreement.

38

 
 
 
 
 
 
 
 
 
•

•

•

On July 31, 2016, we announced that we had entered into an exclusive License Agreement with Rafa Laboratories Ltd ("Rafa") for Zoptrex™ for the
initial indication of endometrial cancer. Under the terms of the License Agreement, we were paid a non-refundable upfront cash payment in consideration
for  the  license  to  Rafa  of  our  intellectual  property  related  to  Zoptrex™  and  the  grant  to  Rafa  of  the  right  to  commercialize  Zoptrex™  in  a  territory
consisting of Israel and the Palestinian territories (the "Rafa Territory"). Rafa has also agreed to make additional payments to us upon achieving certain
pre-established regulatory and commercial milestones. Furthermore, we will receive royalties based on future net sales of Zoptrex™ in the Rafa Territory.
Rafa will be responsible for the development, registration, reimbursement and commercialization of the product in the Rafa Territory. We entered into a
related Supply Agreement with Rafa pursuant to which we will sell finished Zoptrex™ to Rafa.

On October 12, 2016, we announced that we had entered into an exclusive License Agreement with Specialised Therapeutics Asia Pte Ltd ("STA") for
Zoptrex™  for  the  initial  indication  of  endometrial  cancer.  Under  the  terms  of  the  License  Agreement,  we  were  paid  a  non-refundable  upfront  cash
payment  in  consideration  for  the  license  to  STA  of  our  intellectual  property  related  to  Zoptrex™  and  the  grant  to  STA  of  the  right  to  commercialize
Zoptrex™ in a territory consisting of Australia and New Zealand (the "STA Territory"). STA has also agreed to make additional payments to us upon
achieving certain pre-established regulatory and commercial milestones. Furthermore, we will receive royalties based on future net sales of Zoptrex™ in
the STA Territory. STA will be responsible for the development, registration, reimbursement and commercialization of the product in the STA Territory.
We entered into a related Supply Agreement with STA pursuant to which we will sell finished Zoptrex™ to STA.

On January 30, 2017, we announced the completion of the clinical phase of the pivotal Phase 3 ZoptEC study with the occurrence of the 384th death. We
currently expect to lock the clinical database and to report top-line results in April 2017. With the completion of the clinical portion of this trial, we will
now focus on analyzing the data and, if warranted by the results, submitting a new drug application later this year.

Macrilen™

MacrilenTM, a ghrelin receptor agonist, is a novel orally-active small molecule that stimulates the secretion of growth hormone. MacrilenTM has been granted
orphan  drug  designation  by  the  FDA  for  the  evaluation  of  growth  hormone  deficiency.  We  own  the  worldwide  rights  to  this  novel  patented  compound.
MacrilenTM is  our  proposed  trade  name  for  macimorelin.  The  proposed  trade  name  is  subject  to  approval  by  the  FDA.  On  December  16,  2016  we  were
advised by the EMA that Macrilen™ was rejected as the proposed invented name for macimorelin because of its similarity to the names of other medicines.
We intend to appeal this decision.

We recently concluded a confirmatory Phase 3 clinical trial of MacrilenTM for the evaluation of growth hormone deficiency in adults ("AGHD"). The
confirmatory trial was an open-label, randomized, two-way crossover study that compared the results of the evaluation of AGHD using Macrilen™ to the
results of the evaluation of AGHD using a procedure known as the “Insulin Tolerance Test” (the “ITT”) on the same patient. The trial involved patients, each
of whom was evaluated for AGHD using both Macrilen™ and the ITT. Thirty of the patients were evaluated using Macrilen™ a second time to measure the
repeatability of the result obtained using Macrilen™ as the evaluation method. The study population consisted of more than 110 patients who were suspected
of having AGHD as a result of the presence of one or more symptoms. This segment of the population included a range of patients from those considered at
low risk of having AGHD to those considered at high risk. The study population also included 25 healthy subjects, who had no risk of having AGHD.

On January 4, 2017, we announced that the confirmatory Phase 3 clinical trial of Macrilen™ failed to achieve its objective of validating a single oral dose of
macimorelin for the evaluation of AGHD, using the ITT as a comparator. Based on an analysis of top-line data, macimorelin did not achieve equivalence to
the ITT as a means of diagnosing AGHD. Under the study protocol, the evaluation of AGHD with Macrilen™ would have been considered successful if the
lower bound of the two-sided 95% confidence interval for the primary efficacy variables was 75% or higher for “percent negative agreement” with the ITT,
and 70% or higher for the “percent positive agreement” with the ITT. While the estimated percent negative agreement met the success criteria, the estimated
percent positive agreement did not reach the criteria for a successful outcome. Therefore, the results did not meet the pre-defined equivalence criteria which
required success for both the percent negative agreement and the percent positive agreement.

On February 13, 2017, we announced that, following a comprehensive review of the data obtained from the confirmatory Phase 3 clinical trial of Macrilen™
for  the  evaluation  of  AGHD  using  the  ITT  as  a  comparator,  we  concluded  that  Macrilen™  demonstrated  performance  supportive  of  FDA  registration
consideration. The press release in which we made such announcement set forth the facts on which our conclusion was based. We will meet with the FDA at
the end of March 2017 to discuss this position.

39

Pre-clinical developments

On January 13, 2016, we announced that, in addition to our focus on Zoptrex™, we are also focusing on AEZS-138/Disorazol Z, because we believe that it is
an ideal compound for the formation of cytotoxic conjugates with peptides, proteins and antibodies to selectively target cancer cells. AEZS-138 is a cytotoxic
conjugate in preclinical development. It is a conjugate based on Disorazol Z and the LHRH receptor agonist that is utilized in Zoptrex™. We believe that the
peptide directs the compound specifically to the LHRH receptor expressing tumor cells, and mediates binding and uptake via endocytosis. Within the cancer
cell,  the  conjugates  are  cleaved  and  Disorazol  Z  can  deploy  its  potent  anti-proliferative  activity.  We  have  patented  the  cytotoxic  agent  Disorazol  Z  in  35
countries, including the US, Japan, Europe, China, Russia, Korea and Taiwan. This patent protection expires in 2026. The conjugate of Disorazol Z and the
LHRH  receptor  agonist  as  a  targeted  cytotoxic  agent  is  patented  in  15  countries,  including  the  US,  Japan,  China,  Russia,  Korea  and  Taiwan.  This  patent
protection expires in 2027. We expect the European patent to be granted in the near future.

Commercial Operations

Our commercial operations consist of 13 full-time sales representatives and a three person sales-management staff in the US. The sales representatives are
employed by a contract sales organization and provide services to us pursuant to our contract with the contract sales organization while we employ the sales-
management  staff.  Maintaining  a  sales  force  is  an  essential  part  of  our  strategy  to  transform  the  Company  into  a  commercially  operating  specialty
biopharmaceutical  company.  We  do  not  believe  that  it  is  practical  for  a  company  of  our  size  to  sustain  itself  solely  on  a  portfolio  of  internally  derived
products: development takes too long, costs too much money and entails too much risk. Therefore, we are seeking to acquire or to in-license products that fit
our areas of therapeutic interest and capabilities and that are available on what we consider to be reasonable commercial terms.

Our  sales  force  currently  co-promotes  two  products  that  are  owned  by  others:  Saizen® and APIFINY®.  Until  September  1,  2016,  we  co-promoted  a  third
product, EstroGel®.

Saizen®  

On May 8, 2015, we announced that we had entered into a promotional services agreement with EMD Serono, allowing us to promote Saizen® [somatropin
(rDNA origin) for injection] to designated medical professionals in specified US territories. Saizen® is a recombinant human growth hormone registered in
the  US  for  the  treatment  of  pediatric  growth  hormone  deficiency  and  AGHD.  Under  this  agreement,  we  were  promoting  Saizen®  to  designated  pediatric
endocrinologists and we were receiving commissions based on new, eligible patient starts on Saizen® above an agreed-upon base line. This agreement was
amended in December 2016. The EMD Serono agreement, as amended, provides that we will promote Saizen® in specific agreed-upon US territories to both
adult and pediatric endocrinologists in consideration for a sales commission that is based upon new, eligible patient starts, without any baseline.

APIFINY®  

During the fourth quarter of 2015, we signed a co-marketing agreement with Armune BioScience, Inc. ("Armune") giving us the right to promote this product
to specified targets in the United States. APIFINY® is the only cancer-specific, non-PSA based blood test for the evaluation of the risk of prostate cancer. As
such, it is an important adjunct to the traditional PSA test.

On  April  27,  2016,  we  announced  that  we  had  entered  into  a  new  co-marketing  agreement  with  Armune  that  gives  us  the  exclusive  right  to  promote
APIFINY® throughout  the  entire  United  States.  Under  the  terms  of  the  new  co-marketing  agreement,  we  receive  a  commission  for  every  APIFINY®  test
ordered. The amount of the commission varies depending upon the payer. For commercial insurance tests, we receive an upfront payment when the test is
performed and, within 30 to 90 days, an additional percentage of the reimbursement, minus the amount of the upfront payment. For all other tests, we receive
a flat fee at the time the test is performed.

Corporate Activities

Public offerings and related events

On December 30, 2015, we announced that we had filed a preliminary short-form base shelf prospectus (the “Shelf Prospectus”) with the securities regulatory
authorities  in  each  of  the  provinces  of  Canada,  and  a  corresponding  shelf  registration  statement  on  Form  F-10  with  the  SEC  under  the  US/Canada
Multijurisdictional  Disclosure  System.  The  Shelf  Prospectus  and  corresponding  shelf  registration  statement,  which  became  effective  on  January  13,  2016,
allow us to offer up to $150 million of common shares, preferred shares, debt securities, subscription receipts, warrants or units comprised of one or more of
such securities during the 25-month period that the shelf prospectus is effective.

40

On April 1, 2016, we entered into an "At-the-Market" ("ATM") sales agreement under which we are able, at our discretion and from time to time, to sell up to
3  million  of  our  common  shares  through  ATM  issuances  on  the  NASDAQ  for  aggregate  gross  proceeds  of  up  to  approximately  $10  million  (the  "ATM
Program"). The ATM Program provides that common shares are to be sold at market prices prevailing at the time of sale and, as a result, prices may vary.
Between  April  1,  2016  and  March  15,  2017,  we  issued  approximately  1.4  million  common  shares  at  an  average  issuance  sales  price  of  $3.62  per  share
pursuant to our ATM Program. The shelf registration statement pursuant to which this ATM Program was established expires on March 28, 2017.

On September 12, 2016, all 8,064 remaining Series B Warrants that had been issued in connection with a financing in March 2015 expired without having
been exercised.

On November 1, 2016, we completed a registered direct offering of 2,100,000 units (the "Units"), with each Unit consisting of one common share or one pre-
funded  warrant  to  purchase  one  common  share  and  0.45  of  a  warrant  to  purchase  one  common  share  (the  "November  2016  Offering").  Total  gross  cash
proceeds  raised  through  the  November  2016  Offering  amounted  to  approximately  $7.6  million,  less  cash  transaction  costs  of  approximately  $1.0  million,
including  the  placement  agent’s  fee  and  expenses.  The  warrants  are  exercisable  six  months  after  their  date  of  issuance  and  for  a  period  of  three  years
thereafter at an exercise price of $4.70 per share. The warrants contain a call provision which provides that, in the event our common shares trade at or above
$10.00 on the principal trading market for our common shares during a specified measurement period and subject to a minimum volume of trading during
such  measurement  period,  then,  subject  to  certain  conditions,  we  have  the  right  to  call  for  cancellation  all  or  any  portion  of  the  warrants  which  are  not
exercised by holders within 10 trading days following receipt of a call notice from us. Upon complete exercise for cash, these warrants would result in the
issuance of an aggregate of 945,000 common shares that would generate additional proceeds of approximately $4.4 million, although these warrants may be
exercised on a "net" or "cashless" basis.

Class action lawsuit

The  Company  and  certain  of  its  current  and  former  officers  are  defendants  in  a  putative  class-action  lawsuit  brought  on  behalf  of  shareholders  of  the
Company. The pending lawsuit is the result of the consolidation of several lawsuits, the first of which was filed on November 11, 2014. The plaintiffs filed
their amended consolidated complaint on April 10, 2015. The amended complaint alleged violations of the Securities Exchange Act of 1934 in connection
with allegedly false and misleading statements made by the defendants between August 30, 2011 and November 6, 2014 (the "Class Period"), regarding the
safety and efficacy of Macrilen™ and the prospects for the approval of the Company's new drug application for the product by the FDA. The plaintiffs seek to
represent a class comprised of purchasers of the Company's common shares during the Class Period and seek unspecified damages, costs and expenses and
such other relief as determined by the court.

On  September  14,  2015,  the  Court  dismissed  the  lawsuit,  but  granted  the  plaintiffs  leave  to  amend.  In  dismissing  the  lawsuit,  the  court  affirmed  that  the
plaintiffs  had  failed  to  state  a  claim.  On  October  14,  2015,  the  plaintiffs  filed  a  second  amended  complaint.  We  subsequently  filed  a  motion  to  dismiss,
because we believed that the second amended complaint also failed to state a claim. On March 2, 2016, the Court issued an order granting our motion to
dismiss the complaint in part and denying it in part.  The Court dismissed certain of our current and former officers from the lawsuit.  The Court allowed the
claim that we omitted material facts from our public statements during the Class Period to proceed against us and our former CEO who departed in 2013,
while dismissing such claims against other current and former officers.  The Court also allowed a claim for “controlling person” liability to proceed against
certain current and former officers. 

We filed a motion for reconsideration of the Court’s March 2, 2016 order on March 16, 2016 and filed an answer to the second amended complaint on April 6,
2016. On June 30, 2016, the Court issued an order denying our motion for reconsideration. As a result, the lawsuit will proceed to the class certification phase
and the discovery process has commenced. During the second quarter of 2016, we exceeded the deductible amount applicable to this claim. Therefore, we
believe  that  most  of  the  costs  for  our  defense  in  future  periods  will  be  borne  by  the  insurers  who  provide  directors'  and  officers'  liability  insurance  to  us,
subject to our policy limits.

While we believe that we have meritorious defenses and intend to defend this lawsuit vigorously, management cannot currently predict the outcome of this
suit  or  reasonably  estimate  any  potential  loss  that  may  result  from  this  suit.  Accordingly,  we  have  not  recorded  any  liability  related  to  the  lawsuit.  No
assurance  can  be  given  with  respect  to  the  ultimate  outcome  of  such  proceedings,  and  we  could  incur  substantial  unreimbursed  legal  fees,  damages,
settlements, judgments, and other expenses in connection with these proceedings that may not qualify for coverage under, or may exceed the limits of, our
applicable D&O Insurance and could have a material adverse impact on our financial condition, results of operations, liquidity and cash flows.

41

A.

Operating Results

Consolidated Statements of Comprehensive Loss Information

(in thousands, except share and per share data)

Three months ended December 31,

Years ended December 31,

2016

$

2015

$

2016

$

2015

$

2014

$

Revenues

Sales commission and other

License fees

Operating expenses

Research and development costs

General and administrative expenses

Selling expenses

Loss from operations

(Loss) gain due to changes in foreign currency exchange rates

Change in fair value of warrant liability

Warrant exercise inducement fee

Other finance income

Net finance (costs) income

Loss before income taxes

Income tax expense

Net loss from continuing operations

Net income from discontinued operations

Net loss

Other comprehensive loss:

Items that may be reclassified subsequently to profit or loss:

Foreign currency translation adjustments

Items that will not be reclassified to profit or loss:

Actuarial gain (loss) on defined benefit plans

Comprehensive loss

Net loss per share (basic and diluted) from continuing

operations1

Net income per share (basic and diluted) from discontinued

operations1

Net loss per share (basic and diluted)1

Weighted average number of shares outstanding:1

Basic

Diluted

94  

210  

304  

4,619  

1,757  

1,526  

7,902  

(7,598)  

(396)  

(245)  

—  

19  

(622)  

(8,220)  

—  

(8,220)  

—  

(8,220)  

41  

61  

102  

4,243  

3,953  

1,764  

9,960  

(9,858)  

(315)  

3,030  

(2,926)  

26  

(185)  

(10,043)  

—  

(10,043)  

25  

(10,018)  

414  

497  

911  

16,495  

7,147  

6,745  

30,387  

(29,476)  

(70)  

4,437  

—  

150  

4,517  

(24,959)  

—  

297  

248  

545  

17,234  

11,308  

6,887  

35,429  

—

11

11

23,716

9,840

3,850

37,406

(34,884)  

(37,395)

(1,767)  

(10,956)  

(2,926)  

305  

(15,344)  

(50,228)  

—  

1,879

18,272

—

168

20,319

(17,076)

(111)

(17,187)

623

(16,564)

(24,959)  

(50,228)  

—  

85  

(24,959)  

(50,143)  

870  

249  

569  

1,509  

(1,158)

1,143  

(6,207)  

(116)  

(9,885)  

(1,479)  

(25,869)  

844  

(47,790)  

(1,833)

(19,555)

(0.71)  

(1.46)  

(2.41)  

(18.17)  

(29.12)

—  

(0.71)  

—  

(1.46)  

—  

(2.41)  

0.03  

(18.14)  

11,565,210  

6,874,460  

10,348,879  

2,763,603  

11,614,234  

7,302,816  

10,665,149  

3,424,336  

1.06

(28.06)

590,247

590,247

1  Adjusted to reflect the November 17, 2015 100-to-1 Share Consolidation

Our operating and financial review and prospects should be read in conjunction with our consolidated financial statements, accompanying notes and other
information appearing in this Annual Report.

42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
 
   
   
   
   
   
 
 
 
 
 
   
   
   
   
   
 
 
2016 compared to 2015

Revenues

Sales commission and other were $0.1 million and $0.4 million for the three and twelve months ended December 31, 2016 and $41,000 and $0.3 million for
the  same  periods  in  2015,  respectively,  and  thus  increased  in  2016  as  compared  to  2015.  In  2016,  those  revenues  mainly  resulted  from  our  sales  team
exceeding pre-established unit sales baseline thresholds under our co-promotion agreement to sell Saizen®. We also generated sales commission in connection
with our promotion of APIFINY®. In the corresponding periods in 2015, sales commission and other revenues were mainly related to EstroGel®.

After a good first quarter, the results of our co-promotion of Saizen® during the second, third and fourth quarters of 2016 were disappointing. The demand for
Saizen® appears to be more seasonal than we previously realized. Additionally, the non-commercial and self-pay business slowed in part due to competitive
price pressures. Further, a recent decision by a large commercial health insurance provider to exclude Saizen® from its formulary was recently announced,
taking effect in 2017. Therefore, in December 2016, we negotiated an amended agreement with EMD Serono in order to receive commission on each new
patient start, without any baseline, as well as being able to promote to adult endocrinologists. As described in the "Key Developments" section above, the
original agreement included a baseline that we needed to exceed before receiving commissions.

License fees were $0.2 million and $0.5 million for the three and twelve months ended December 31, 2016, respectively, as compared to $0.1 million and
$0.2 million for the same periods in 2015. The increase is explained by the out-licensing agreements that we entered into in 2016 for ZoptrexTM, as described
in the "Key Developments" section above.

Operating Expenses

Research and Development ("R&D") costs were $4.6 million and $16.5 million for the three and twelve months ended December 31, 2016, respectively,
compared to $4.2 million and $17.2 million for the same periods in 2015.

The  increase  in  our  R&D  costs  for  the  three  months  ended  December 31, 2016,  as  compared  to  the  same  period  in  2015,  is  mainly  attributable  to  higher
comparative third-party costs, as described below.

The decrease in our R&D costs for the twelve months ended December 31, 2016, as compared to the same period in 2015, is attributable to lower employee
compensation and benefits costs, lower facilities rent and maintenance costs as well as lower other costs. A substantial portion of this decrease is due to the
realization of cost savings in connection with our ongoing efforts to streamline our R&D activities and to increase our commercial operations and flexibility
by reducing our R&D staff, which was started in 2014 (the "Resource Optimization Program"). The R&D costs for the year ended December 31, 2016 were
lower than anticipated mainly because we were able to negotiate reductions to a change order received from our principal R&D third-party service provider.

The following table summarizes our net R&D costs by nature of expense:

(in thousands)

Third-party costs

Employee compensation and benefits

Facilities rent and maintenance

Other costs**

Gain on disposal of equipment

Three months ended
December 31,

2016

$

2015

$

3,233  

2,899  

845  

232  

309  

—  

905  

224  

231  

(16)  

Years ended December 31,

2016

$

2015

$

2014

$

11,829  

3,216  

873  

579  

(2)  

11,891  

3,699  

940  

727  

(23)  

11,356  

8,430

*

2,160  

1,901  

(131)  

23,716  

4,619  

4,243  

16,495  

17,234  

*    Includes a provision for restructuring in the amount of $2.2 million.
**Includes mainly depreciation, amortization, impairment and operating foreign exchange losses.

43

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table summarizes third-party R&D costs, by product candidate, incurred by the Company during the three-month periods ended December 31,
2016 and 2015.

(in thousands, except percentages)

Product Candidate

Zoptrex™

Macrilen™

LHRH - Disorazol Z

Erk inhibitors

Other

Three months ended December 31,

2016

2015

$

%

$

%

1,453  

1,568  

86  

16  

110  

44.9  

48.5  

2.7  

0.5  

3.4  

1,488  

977  

73  

71  

290  

3,233  

100.0  

2,899  

51.3

33.7

2.5

2.5

10.0

100.0

The following table summarizes third-party R&D costs, by product candidate, incurred by the Company during the years ended December 31, 2016, 2015 and
2014.

(in thousands, except percentages)

Product Candidate

Zoptrex™

Macrilen™

LHRH - Disorazol Z

Erk Inhibitors

Other

Years ended December 31,

2016

$

%

6,742  

4,326  

294  

130  

337  

57.0  

36.6  

2.5  

1.1  

2.8  

2015

2014

$

8,635  

1,555  

212  

1,081  

408  

%

$

%

72.6  

13.1  

1.8  

9.1  

3.4  

9,668  

85.1

404  

257  

488  

539  

3.6

2.3

4.3

4.7

11,829  

100.0  

11,891  

100.0  

11,356  

100.0

As shown above, a substantial portion of the quarter-to-date and year-to-date R&D costs relate to development initiatives associated with Zoptrex™, and in
particular with our pivotal Phase 3 ZoptEC clinical trial initiated in 2013 with Ergomed. Third-party costs attributable to Zoptrex™ decreased considerably
during the twelve months ended December 31, 2016, as compared to the same period in 2015, mainly due to the fact that dosing of patients in the ZoptEC
trial was completed in February 2016. This is consistent with our expectations, as we completed the study during the first quarter of 2017 and we expect to
report top-line results in April 2017.

In  addition,  during  2015,  we  initiated  the  new  confirmatory  Phase  3  clinical  trial  of  Macrilen™,  which  explains  the  increase  in  costs  for  this  product
candidate. The first patient was enrolled in the fourth quarter of 2015, we announced completion of patient recruitment in the fourth quarter of 2016 and we
announced top-line results of the trial on January 4, 2017. Finally, in 2015, we also decided to suspend our efforts on internally developing Erk inhibitor, a
molecule for potential cancer therapies, to conserve our resources for other projects.

Excluding the impact of foreign exchange rate fluctuations, we expect that we will incur overall R&D costs of between $19.0 million and $20.0 million for
the year ended December 31, 2017.  Although  we  expect  a  decrease  in  costs  related  to  the  contract  research  organization  following  the  end  of  the  clinical
trials, this will be offset by the costs associated with the NDA preparation for both products, the FDA submission fee for ZoptrexTM,  if  the  results  of  the
clinical trial warrant submitting a new drug application, as well as by the investments needed in inventory prior to the potential commercial launch of both
Macrilen™ and Zoptrex™ and by the costs related to the validation of a second supplier for both products to be able to fulfill the expected demand.

General  and  administrative  ("G&A")  expenses  were  $1.8  million  and  $7.1  million  for  the  three  and  twelve  months  ended  December  31,  2016,
respectively, as compared to $4.0 million and $11.3 million for the same periods in 2015. The decrease in our G&A costs for the three months and twelve
months ended December 31, 2016, as compared to the same periods in 2015, is due to the recording of a provision, in the fourth quarter of 2015, related to a
corporate restructuring that we announced on October 12, 2015 (the "Corporate Restructuring"). The Corporate Restructuring included the restructuring of
our  finance  and  accounting  staff  and  the  closure  of  our  office  in  Quebec  City.  As  a  result  of  the  Corporate  Restructuring,  recurring  G&A  expenses  also
decreased

44

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
in 2016, as compared to 2015. Finally, the comparative decrease for the three-month and twelve-month periods is also explained by certain transaction costs
allocated to warrants in connection with the completion of share issuances in March and December 2015.

Excluding the impact of foreign exchange rate fluctuations and the recording of transaction costs related to potential financing activities (not currently known
or estimable), we expect G&A expenses to slightly increase in 2017, as compared to 2016, because we expect to hire additional employees in connection with
the potential commercialization of our products. We expect that G&A expenses will range between $7.5 million and $8.5 million in 2017.

Selling expenses were $1.5 million and $6.7 million for the three and twelve months ended December 31, 2016, respectively, as compared to $1.8 million and
$6.9 million for the same periods in 2015. The selling expenses for the three and twelve months ended December 31, 2016 and 2015 represent mainly the
costs  of  our  contracted  sales  force  related  to  the  co-promotion  activities  as  well  as  our  internal  sales  management  team.  The  selling  expenses  remained
relatively stable during 2016 and are slightly below what we anticipated because we postponed some expenses related to the potential commercial launch of
Zoptrex™ and Macrilen™ mainly because the related clinical trials took more time than expected.

Based on currently available information, we expect selling expenses to range between $7.0 million and $8.0 million in 2017. The expected increase in 2017
as compared to 2016 is mainly due to the fact that we are starting to prepare for the expected commercial launch of Zoptrex™ and Macrilen™.

Net finance (costs) income were ($0.6) million and $4.5 million for the three and twelve months ended December 31, 2016, as compared to ($0.2) million
and ($15.3) million, for the same periods in 2015. These increases in finance income or decreases in finance costs are mainly attributable to the change in fair
value recorded in connection with our warrant liability. Such change in fair value results from the periodic "mark-to-market" revaluation, via the application
of option pricing models, of outstanding share purchase warrants. During 2016, the "mark-to-market" warrant valuation was impacted by the expiration of the
remaining Series B Warrants. During 2015, the change in assumptions that were applied to determine the fair value of the alternate cashless exercise feature
included in the Series B Warrants significantly impacted the "mark-to-market" valuation. Furthermore, the closing price of our common shares, which, on the
NASDAQ,  fluctuated  from  $3.25  to  $4.94  during  the  three-month  period  and  $2.67 to $4.94 during  the  twelve-month  period  ended  December  31,  2016,
respectively, compared to $4.00 to $11.43 and $4.00 to $84.20 during the same periods in 2015, also had a direct impact on the change in fair value of warrant
liability.

In addition, with specific reference to 2015, finance costs were also impacted by the warrant exercise inducement fee paid to certain holders of the Series B
Warrants.

Net loss for the three and twelve months ended December 31, 2016 was ($8.2) million and $(25.0) million , or ($0.71) and ($2.41) per basic and diluted share,
as  compared  to  a  net  loss  of  $(10.0)  million  and  $(50.1)  million,  or  ($1.46)  and  ($18.14)  per  basic  and  diluted  share,  for  the  same  periods  in  2015.  The
decrease  in  net  loss  for  the  three  months  ended  December  31,  2016,  as  compared  to  the  same  period  in  2015,  is  due  largely  to  lower  G&A  expenses,  as
presented above. The decrease in net loss for the twelve months ended December 31, 2016, as compared to the same period in 2015, is due largely to lower
operating expenses and higher comparative net finance income, as presented above.

2015 compared to 2014

Revenues

Revenues were $0.5 million for the year ended December 31, 2015 compared to $0.01 million for the same period in 2014. The revenues recorded during the
year ended December 31, 2015 resulted primarily from the amortization of a one-time, non-refundable payment made to us in December 2014 in connection
with a master collaboration agreement, a technology transfer and technical assistance agreement and a license agreement that we entered into with Sinopharm
related to ZoptrexTM. We deferred this non-refundable payment and we amortize it on a straightline basis over a four-year period. In addition, we generated
sales commission in connection with our co-promotion efforts related to EstroGel®, which we no longer promote.

Operating Expenses

R&D costs were $17.2 million for the year ended December 31, 2015 compared to $23.7 million for the same period in 2014.

The  decrease  for  the  year  ended  December  31,  2015,  as  compared  to  the  same  period  in  2014,  is  mainly  attributable  to  lower  comparative  employee
compensation and benefits costs, facilities rent and maintenance costs as well as other costs. A substantial portion of this decrease is due to the realization of
cost savings in connection with our Resource Optimization Program rolled out in the third quarter of 2014, as well as to the weakening, in 2015, of the EUR
against  the  US  dollar,  which  appreciated  on  average  by  approximately  16.5%  from  the  year  ended  December  31,  2014  to  the  same  period  in  2015.  The
decrease for the year ended December 31, 2015 was partly offset by higher third-party costs.

45

A substantial portion of third-party R&D costs in 2015 related to development initiatives associated with ZoptrexTM, and in particular with our pivotal Phase
3  ZoptEC  clinical  trial  initiated  in  2013  with  Ergomed.  Excluding  the  impact  of  the  foreign  exchange  rate  fluctuations,  third-party  costs  attributable  to
ZoptrexTM increased slightly during the year ended December 31, 2015, as compared to the same period in 2014, mainly due to a higher comparative number
of patients enrolled in the clinical trial. In addition, during the year 2015, we started the new confirmatory Phase 3 clinical trial of Macrilen™, which explains
the increase in costs for this product candidate.

General and administrative ("G&A") expenses were $11.3 million for the year ended December 31, 2015, as compared to $9.8 million for the same period
in 2014. The increase is mainly attributable to the recording of a provision related to our Corporate Restructuring in the fourth quarter of 2015, as well as to
the recording of certain transaction costs associated with the completion of share issuances in March and December 2015.

Selling expenses were $6.9 million for the year ended December 31, 2015, as compared to $3.9 million for the same period in 2014. The increase in selling
expenses  for  the  year  ended  December  31,  2015  as  compared  to  the  same  period  in  2014  is  attributable  to  the  fact  that  2014  was  not  a  full  year  of  sales
activity.

Net finance (costs) income were $(15.3) million for the year ended December 31, 2015, as compared to $20.3 million for the same period in 2014 and are
comprised predominantly of the change in fair value of warrant liability and of gains and losses recorded due to changes in foreign currency exchange rates.

The change in fair value of our warrant liability results from the periodic "mark-to-market" revaluation, via the application of the option pricing models, of
share purchase warrants that were outstanding during the relevant period. The "mark-to-market" warrant valuation was most notably impacted by the issuance
of 3.1 million additional share purchase warrants in 2015 and by the closing price of our common shares, which, on the NASDAQ, fluctuated from $4.00 to
$84.20 during the year ended December 31, 2015 and from $52.00 to $150.00 during the year ended December 31, 2014.

With specific reference to 2014, we recorded substantial fair value gains on our warrant liability, resulting from the significant reduction in our share price
following our announcement, in November 2014, that the FDA had issued a complete response letter ("CRL") in connection with our new drug application
("NDA") for Macrilen™. The lower closing price of our shares following our announcement of the CRL resulted in a lower Black-Scholes valuation of our
share  purchase  warrants  that  were  outstanding  during  the  fourth  quarter  of  2014.  In  2015,  the  change  in  fair  value  of  warrant  liability  was  significantly
impacted by the issuance of the Series B Warrants.

In addition, with specific reference to 2015, finance costs were also impacted by the warrant exercise inducement fee paid to certain holders of the Series B
Warrants.

Net loss for the year ended December 31, 2015 was $(50.1) million, or $(18.14) per basic and diluted share compared to $(16.6) million, or $(28.06) per basic
and diluted share for the same period in 2014. The increase in our net loss from continuing operations for the year ended December 31, 2015, as compared to
the same period in 2014, is due to the higher comparative G&A and selling expenses and net finance costs, partly offset by lower comparative R&D costs, as
presented above.

46

Quarterly Consolidated Results of Operations Information

(in thousands, except for per share data)

Three months ended

Revenues

Loss from operations

Net loss

Net loss per share (basic and diluted)*

(in thousands, except for per share data)

Revenues

Loss from operations

Net (loss)

Net (loss) income per share (basic and diluted)*

  December 31, 2016   September 30, 2016  

June 30, 2016

  March 31, 2016

$

$

$

$

304  

(7,598)  

(8,220)  

(0.71)  

269  

(7,703)  

(6,055)  

(0.61)  

96  

(7,184)  

(7,008)  

(0.71)  

242

(6,991)

(3,676)

(0.37)

Three months ended

  December 31, 2015   September 30, 2015  

June 30, 2015

  March 31, 2015

$

$

$

$

102  

(9,858)  

(10,018)  

(1.46)  

173  

(7,501)  

(15,290)  

(6.66)  

197  

(7,989)  

(15,099)  

(13.65)  

73

(9,536)

(9,736)

(13.59)

_________________________
*

Net loss per share is based on the weighted average number of shares outstanding during each reporting period, which may differ on a quarter-to-quarter basis. As such, the sum of the quarterly
net loss per share amounts may not equal full-year net loss per share.

Historical  quarterly  results  of  operations  and  net  loss  cannot  be  taken  as  reflective  of  recurring  revenue  or  expenditure  patterns  or  of  predictable  trends,
largely given the non-recurring nature of certain components of our historical revenues due most notably to unpredictable quarterly variations attributable to
our net finance income (costs), which in turn are comprised mainly of the impact of the periodic "mark-to-market" revaluation of our warrant liability and of
foreign exchange gains and losses. Additionally, our net R&D costs have historically varied on a quarter-over-quarter basis due to the ramping up or winding
down of potential product candidate activities, which in turn are dependent upon a number of factors that often do not occur on a linear or predictable basis.

Condensed Consolidated Statement of Financial Position Information

(in thousands)

Cash and cash equivalents 1

Trade and other receivables and other current assets

Restricted cash equivalents

Property, plant and equipment

Other non-current assets

Total assets

Payables and other current liabilities 2
Current portion of deferred revenues

Warrant liability

Non-financial non-current liabilities 3

Total liabilities

Shareholders' equity

Total liabilities and shareholders' equity

_________________________

As at December 31,

2016

$

2015

$

21,999  

41,450

744  

496  

204  

8,216  

31,659  

3,778  

426  

6,854  

14,389  

25,447  

6,212  

31,659  

944

255

256

8,593

51,498

4,770

244

10,891

13,978

29,883

21,615

51,498

1. Approximately $1.5 million was denominated in EUR as at December 31, 2016 and December 31, 2015, and approximately $3.7 and $4.4 million were denominated in Canadian dollars as at

December 31, 2016 and December 31, 2015, respectively.

2. Approximately $0.6 million was related to our provision for restructuring as at December 31, 2016.
3. Comprised mainly of employee future benefits, provisions for onerous contracts and non-current portion of deferred revenues.

47

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The decrease in cash and cash equivalents as at December 31, 2016, as compared to December 31, 2015, is due to the net cash used in operating activities and
variations  in  components  of  our  working  capital  and  by  the  increase  in  restricted  cash  equivalents.  The  decrease  was  partially  offset  by  the  net  proceeds
generated  by  the  sale  and  issuance  of  common  shares  under  our  ATM  Program  and  as  part  of  the  November  2016  Offering  as  well  as  the  upfront  cash
payments received in consideration for the licenses to Cyntec, Rafa and STA.

The increase in restricted cash equivalents is mainly explained by the fact that we launched a corporate credit card program, which requires us to set aside a
reserve of a certain sum of funds.

The increase in the current portion of deferred revenues is explained by the out-licensing agreement signed with Cyntec during the third quarter of 2016.

The decrease in our warrant liability from December 31, 2015 to December 31, 2016 is due to a net fair value revaluation gain of $4.4 million, which was
recorded  pursuant  to  our  periodic  "mark-to-market"  revaluation  of  the  underlying  outstanding  warrants.  The  revaluation  gain  is  mainly  explained  by  the
decrease of the price of our common shares during the period as well as the impact of the expiration of the Series B Warrants. This was partially offset by the
fair value attributable to the warrants issued in the November 2016 Offering.

The increase in non-financial non-current liabilities from December 31, 2015 to December 31, 2016 is mainly due to a decrease in the discount rate used to
estimate our employee future benefits obligation.

The decrease in shareholders' equity as at December 31, 2016, as compared to December 31, 2015, is attributable primarily to the recording of a net loss for
the twelve-month period and an actuarial loss on our pension-related employee benefit obligation for the same period. This was partly offset by the increase in
our share capital following the issuance of common shares and warrants in the November 2016 Offering.

Outstanding Share Data

As at March 15, 2017, we had 13.5 million common shares issued and outstanding, as well as 968,264 stock options outstanding. Share purchase warrants
outstanding as at March 15, 2017 represented a total of 3,779,245 equivalent common shares.

Recent Accounting Pronouncements

The IASB continues to issue new and revised IFRS. A listing of the recent accounting pronouncements promulgated by the IASB and not yet adopted by the
Company is included in note 4 to the Company’s December 31, 2016 consolidated financial statements which are included in Item 18 of this Annual Report
on Form 20-F.

B.

Liquidity, Cash Flows and Capital Resources

Our  operations  and  capital  expenditures  have  been  financed  through  certain  transactions  impacting  our  cash  flows  from  operating  activities,  public  equity
offerings, as well as from drawdowns under various ATM programs.

While  the  Company  had  $22.0 million  of  cash  and  cash  equivalents  as  at  December  31,  2016,  we  believe  that  our  cash  and  cash  resources  will  not  be
sufficient  to  fund  operations  for  the  next  twelve  months  unless  our  expenditures  are  reduced  or  further  financing  is  obtained.  See  the  section  below  titled
"Summary  of  key  expectations  for  revenues,  operating  expenses  and  cash  flows".  Our  ability  to  continue  as  a  going  concern  is  dependent  upon  raising
additional financing through equity, debt and/or other non-dilutive funding and partnerships. There can be no assurance that we will have sufficient capital to
fund our ongoing operations or the development or commercialization of our products without future financings. There can be no assurance that additional
financing  will  be  available  on  acceptable  terms  or  at  all.  We  are  currently  pursuing  financing  alternatives  that  may  include  equity,  debt,  and  non-dilutive
financing  alternatives,  including  co-development  through  potential  collaborations,  strategic  partnerships  or  other  transactions  with  third  parties.  If  we  are
unable to obtain additional financing when required, we may have to substantially reduce or eliminate planned expenditures or we may be unable to continue
our  operations.  These  uncertainties  cast  substantial  doubt  as  to  the  ability  of  the  Company  to  meet  its  obligations  as  they  come  due  and,  accordingly,  the
appropriateness of the use of accounting principles applicable to a going concern. The Company’s ultimate success, its ability to raise additional financing,
whether through equity, debt or other sources of funding and, consequently, to continue as a going concern, is also dependent upon at least one of the two
internally developed compounds obtaining positive results in their currently ongoing Phase 3 studies.

48

On April 1, 2016, we entered into an ATM sales agreement under which we are able, at our discretion and from time to time, to sell up to 3 million of our
common shares through ATM issuances on the NASDAQ for aggregate gross proceeds of up to approximately $10 million. The ATM program provides that
common shares are to be sold at market prices prevailing at the time of sale and, as a result, prices may vary. Subsequent to December 31, 2016, the Company
issued an additional 555,068 common shares under the April 2016 ATM Program at an average price of approximately $3.20 per share for gross proceeds of
approximately $1.8 million. The shelf registration statement pursuant to which this program was established expires on March 28, 2017.

On November 1, 2016, we completed a registered direct offering of 2,100,000 units (the "Units"), with each Unit consisting of one common share or one pre-
funded  warrant  to  purchase  one  common  share  and  0.45  of  a  warrant  to  purchase  one  common  share  (the  "November  2016  Offering").  Total  gross  cash
proceeds  raised  through  the  November  2016  Offering  amounted  to  approximately  $7.6  million,  less  cash  transaction  costs  of  approximately  $1.0  million,
including  the  placement  agent’s  fee  and  expenses.  The  warrants  are  exercisable  six  months  after  their  date  of  issuance  and  for  a  period  of  three  years
thereafter at an exercise price of $4.70 per share. The warrants contain a call provision which provides that, in the event our common shares trade at or above
$10.00 on the principal trading market of our common shares during a specified measurement period and subject to a minimum volume of trading during such
measurement period, then, subject to certain conditions, we have the right to call for cancellation all or any portion of the warrants which are not exercised by
holders within 10 trading days following receipt of a call notice from us. Upon complete exercise for cash, these warrants would result in the issuance of an
aggregate of 945,000 common shares that would generate additional proceeds of approximately $4.4 million, although these warrants may be exercised on a
"net" or "cashless" basis.

The variations in our liquidity by activity are explained below.

(in thousands)

Three months ended December
31,

Years ended December 31,

2016

2015

$

2016

$

2015

$

2014

$

Cash and cash equivalents - Beginning of period

21,052  

38,345  

41,450  

34,931  

43,202

Cash flows from operating activities:

Cash used in operating activities from continuing

operations

Cash provided by (used in) operating activities from

discontinued operations

Cash flows from financing activities:

Net proceeds from issuance of common shares and

warrants

Payment pursuant to warrant amendment agreements and

Series B Warrants exercise inducement fee

Cash flows from investing activities:

Net cash (used in) provided by investing activities from

continuing operations

(8,131)  

(8,419)  

(29,010)  

(33,929)  

(30,787)

—  

(8,131)  

25  

(8,394)  

—  

85  

(29,010)  

(33,844)  

(295)

(31,082)

9,361  

14,987  

9,924  

49,427  

24,358

—  

9,361  

(2,926)  

12,061  

—  

9,924  

(8,629)  

40,798  

—

24,358

(9)  

(9)  

(6)  

(6)  

(314)  

(314)  

913  

913  

(61)

(61)

Effect of exchange rate changes on cash and cash

equivalents

Cash and cash equivalents - End of period

(274)  

21,999  

(556)  

41,450  

(51)  

21,999  

(1,348)  

41,450  

(1,486)

34,931

49

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
   
   
 
 
Operating Activities

2016 compared to 2015

Cash used in operating activities totaled $8.1 million and $29.0 million for the three and twelve months ended December 31, 2016, as compared to $8.4
million and $33.8 million for  the  same  periods  in  2015.  The  decrease  in  cash  used  in  operating  activities  for  the twelve  months  and  three  months  ended
December 31, 2016, as compared to the same periods in 2015, is mainly due to lower operating expenses. Cash used in operations was lower than initially
anticipated mainly because we incurred less R&D costs as explained in the operating expenses variance analysis section above.

We expect net cash used in operating activities to range from $30 million to $32 million for the year ending December 31, 2017 as we finalize our ZoptrexTM
Phase 3 program as well as preparing for ZoptrexTM and MacrilenTM NDA submission and commercial launch and as we expect to generate higher revenues
in connection with the promotion of Saizen® and APIFINY®. This guidance may vary significantly in future periods as it assumes that the Zoptrex™ Phase 3
study will be positive and that we will be able to register Macrilen™. It can also be significantly impacted by ongoing business development initiatives.

2015 compared to 2014

Cash used in operating activities totaled $33.8 million and $31.1 million for the years ended December 31, 2015 and 2014, respectively. The increase in
cash used in operating activities for the year ended December 31, 2015, as compared to the same period in 2014, was mainly due to higher trade accounts
payable settlements and higher payments in connection with the restructuring programs.

Financing Activities

2016 compared to 2015

Cash flows from financing activities totaled $9.4 million and $9.9 million for the three and twelve months ended December 31, 2016, as compared to $12.1
million and $40.8 million for the same periods in 2015. The decrease is mainly due to lower net proceeds received from the issuance of common shares and
warrants in 2016 as compared to 2015.

2015 compared to 2014

Cash flows from financing activities totaled $40.8 million and $24.4 million for the years ended December 31, 2015 and 2014, respectively. The increase
was mainly due to higher net proceeds received from the issuance of common shares and warrants in 2015 as compared to 2014.

Investing Activities

2016 compared to 2015

Cash (used in) provided by investing activities totaled $(0.01) million and $(0.3) million for the three and twelve months ended December  31,  2016, as
compared to $(0.01) million and $0.9 million  for  the  same  periods  in  2015.  The  twelve-month  period  ended  December  31,  2016  includes  the  increase  of
restricted cash equivalents that were required for the corporate credit card program. The twelve-month period ended December 31, 2015 included proceeds
received in relation to the disposal of equipment in connection with our Resource Optimization Program in the first quarter of 2015.

We expect net cash used in investing activities to range from $1.0 million to $1.5 million for the year ending December 31, 2017 as we will have to invest in
IT as well as in manufacturing capacity while we are preparing for the potential commercial launch of MacrilenTM and ZoptrexTM.

Critical Accounting Policies, Estimates and Judgments

Our consolidated financial statements as at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014 have
been prepared in accordance with IFRS as issued by the IASB.

The preparation of consolidated financial statements in accordance with IFRS requires management to make judgments, estimates and assumptions that affect
the  reported  amounts  of  our  assets,  liabilities,  revenues,  expenses  and  related  disclosures.  Judgments,  estimates  and  assumptions  are  based  on  historical
experience, expectations, current trends and other factors that management believes to be relevant when our consolidated financial statements are prepared.

50

Management reviews, on a regular basis, the Company's accounting policies, assumptions, estimates and judgments in order to ensure that the consolidated
financial statements are presented fairly and in accordance with IFRS. Revisions to accounting estimates are recognized in the period in which the estimates
are revised and in any future periods affected.

A summary of those critical accounting estimates and assumptions, as well as critical judgments used in applying accounting policies in the preparation of our
consolidated financial statements, can be found in note 3 to our consolidated financial statements as at December 31, 2016 and December 31, 2015 and for the
years ended December 31, 2016, 2015 and 2014. Those are included in Item 18 of this Annual Report on Form 20-F.

Capital Disclosures

Our  objective  in  managing  capital,  consisting  of  shareholders'  equity,  with  cash  and  cash  equivalents  and  restricted  cash  equivalents  being  its  primary
components,  is  to  ensure  sufficient  liquidity  to  fund  R&D  costs,  selling  expenses,  general  and  administrative  expenses,  working  capital  and  capital
expenditures.

Over the past several years, we have increasingly raised capital via public equity offerings and drawdowns under various ATM sales programs as our primary
source of liquidity.

Our capital management objective remains the same as that in previous periods. The policy on dividends is to retain cash to keep funds available to finance
the activities required to advance our product development portfolio and to pursue appropriate commercial opportunities as they may arise. We are not subject
to any capital requirements imposed by any regulators or by any other external source.

C.

Research and development, patents and licenses, etc.

For a description of our R&D policies for the last three years, see "Item 4B. Business Overview" and "Key Developments" at the beginning of this Item 5.
You can also find relevant information in our consolidated financial statements in Item 18 as well as the details of amounts spent during the last three years in
the "Operating Results" section of this Item 5.

D.

Trend Information

Outlook for 2017

Product Development

Zoptrex™  

As  our  pivotal  Phase  3  ZoptEC  study  of  Zoptrex™  in  women  with  advanced,  recurrent,  or  metastatic  endometrial  cancer  nears  announcement  of  top-line
results,  we  are  expanding  our  commercialization  planning  for  Zoptrex™.  Our  commercialization  efforts  are  focused  on  the  development  of  a  scientific
platform, the identification of key opinion leaders and the expansion of market research initiatives. On January 30, 2017, we announced the completion of the
clinical phase of the pivotal Phase 3 ZoptEC study with the occurrence of the 384th death. We currently expect to lock the clinical database and to report top-
line results in April 2017 and, if the results of the trial warrant doing so, we would then expect to file the NDA for Zoptrex™ during the second half of 2017,
looking toward commercial launch of the product in late 2018, assuming positive Phase 3 results and that our NDA is approved by the FDA.

Macrilen™  

On January 4, 2017, we announced that the confirmatory Phase 3 clinical trial of Macrilen™ failed to achieve its objective of validating a single oral dose of
macimorelin for the evaluation of AGHD using the ITT as a comparator. However, on February 13, 2017, we announced that, following a comprehensive
review of the data obtained from the confirmatory Phase 3 clinical trial of Macrilen™, we concluded that Macrilen™ demonstrated performance supportive
of  FDA  registration  consideration.  The  press  release  in  which  we  made  such  announcement  set  forth  the  facts  on  which  our  conclusion  was  based.  The
Company will meet with the FDA at the end of March 2017 to discuss this position. If the FDA agrees with our position, we would then expect to file an
NDA for Macrilen™ during the third quarter of 2017. We would then expect to obtain FDA approval, following a six-month review period, and to begin the
commercialization of the drug at the beginning of 2018.

51

We  believe  that,  in  the  US  alone,  there  are  approximately  2,500  endocrinologists  that  we  could  target  as  potential  prescribers  of  Macrilen™  and  that
approximately 40,000 confirmatory tests for AGHD will be conducted each year after the introduction of Macrilen™, if it is approved by the FDA, which
represents the target market for Macrilen™ at the time of its anticipated commercialization. Furthermore, we believe that Macrilen™, if it is approved, is
likely to be rapidly adopted by physicians as the preferred means of evaluating AGHD. Furthermore, we believe that there is a significant opportunity for
Macrilen™ in the evaluation of AGHD in traumatic brain injury patients. As reported by the US Centers for Disease Control and Prevention, approximately
215,000 adults are hospitalized for traumatic brain injury in the US each year. Because approximately 20% of such patients are at risk of developing growth
hormone deficiency, traumatic brain injury patients represent a potentially significant market expansion opportunity for Macrilen™.

Commercial Operations

Saizen®  

After a good first quarter, the results of our promotional efforts with respect to Saizen® in the second, third and fourth quarters of 2016 were disappointing.
We  believe  that  the  decline  in  results  from  our  promotional  efforts  for  Saizen®  is  mainly  due  to  seasonality  because  our  target  physicians  treat  pediatric
patients. We believe that pediatric patients are more likely to be evaluated for and to have growth hormone therapy for small stature syndrome initiated at the
beginning of a school year and that, therefore, consultations of pediatric endocrinologists generally increase with the beginning of the school year. Increased
physician visits typically result in increased numbers of statements-of-medical-necessity ("SMN").

Physicians desiring to prescribe Saizen® (or any similar product) for new patients (other than patients who will bear the cost of the treatment without seeking
insurance coverage) must first submit a SMN to a patient’s insurance provider. The insurance provider will make its coverage decision on the basis of the
SMN.  If  the  insurance  provider  accepts  the  statement  of  medical  necessity  and  related  documentation,  the  patient  receives  coverage  for  the  cost  of  the
medication. Often, the patient's insurance provider’s coverage decision determines whether or not the patient receives treatment because of the expense of the
drug. This process takes several months following the beginning of school year. Additionally, the non-commercial and self-pay business slowed in part due to
competitive price pressures. Further, a recent decision by a large commercial health insurance provider to exclude Saizen® from its formulary was recently
announced, taking effect in 2017. We expect this decision to cause a reduction in new patient starts.

Therefore,  in  December  2016,  we  amended  our  agreement  with  EMD  Serono  in  order  to  receive  commissions  on  each  new  patient  start  (without  any
baseline), as well as being able to promote to adult endocrinologists. The addition of adult-endocrinologist targets to our promotional efforts is expected to
expand  our  market  opportunities.  This  will  also  mitigate  the  seasonality  because  SMN  for  adult  patients  do  not  appear  to  be  impacted  by  the  apparent
seasonality observed related to pediatric patients.

APIFINY®  

During the fourth quarter of 2015, we signed a co-marketing agreement with Armune. On April 27, 2016, we announced that we had entered into a new co-
marketing agreement with Armune pursuant to which we acquired the exclusive right to promote APIFINY® throughout the United States, effective as of
June 1, 2016. We expect continued growth in this business over the coming quarters. In August 2016, we announced that we had expanded the promotion of
APIFINY® to Florida, following Armune’s receipt of a clinical laboratory license from that state. Armune is also currently pursuing agreements with regional
and national laboratories.

Summary of key expectations for revenues, operating expenditures and cash flows

We  will  continue  to  record  commission  revenues  in  relation  to  our  promotional  services  agreement  for  Saizen®  and  our  co-marketing  agreement  with
Armune.  As  for  license  fee  revenues,  we  will  continue  to  recognize  the  amortization  of  deferred  revenues  related  to  the  agreements  we  entered  into  with
Sinopharm and Cyntec, as described in the "Key Developments" section of this MD&A. In addition, if top-line results of Zoptrex™ (which we expect to be
available in April 2017) are positive, we will receive additional milestone payments.

Our  main  focus  for  R&D  efforts  will  be  to  prepare  our  NDA  submission  for  Macrilen™,  if  the  FDA  agrees  with  our  assessment  of  the  data  from  the
confirmatory Phase 3 trial, and for Zoptrex™ , if the results of ZoptEC warrant doing so. Excluding the impact of future foreign exchange rate fluctuations,
we expect that we will incur R&D costs of between $19.0 million and $20.0 million  for  the  year  ending  December  31,  2017. This  mainly  includes  NDA
preparation costs for Zoptrex™ and Macrilen™, the NDA submission fee for Zoptrex™ and investment in inventory prior to the potential FDA approval and
commercial launch. We will also have to incur costs in connection with the validation of a second supplier for both products to be able to fulfill the expected
demand.

52

We expect that selling expenses will increase for the year ending December 31, 2017, as compared to the year ended December 31, 2016, mainly due to the
fact that we are starting to prepare for the potential commercial launch of Zoptrex™ and Macrilen™. Based on currently available information, we expect
selling expenses to range between $7.0 million and $8.0 million during the year ending December 31, 2017.

Excluding the impact of foreign exchange rate fluctuations, we expect that our G&A expenses will slightly increase for the year ending December 31, 2017,
as compared to the year ended December 31, 2016, mainly due to the fact that we are starting to prepare for the potential commercial launch of Zoptrex™ and
Macrilen™.  Based  on  currently  available  information,  we  expect  G&A  expenses  to  range  between  $7.5  million  and  $8.5  million  during  the  year  ending
December 31, 2017.

Excluding any foreign exchange impacts, as well as income from new business development initiatives, we expect that our overall use of cash for operations
in 2017 will range from $30.0 million to $32.0 million, as we continue to fund ongoing operating activities and working capital requirements.

We expect net cash used in investing activities to range from $1.0 million to $1.5 million for the year ending December 31, 2017 as we will have to invest in
IT as well as in manufacturing capacity while we are preparing for the potential commercial launch of MacrilenTM and ZoptrexTM.

The preceding summary with regard to our revenue, operating expenditures and cash flow expectations excludes any consideration of any potential strategic
commercial initiatives in connection with our efforts to expand our commercial operations in the US or elsewhere. In addition, these expectations may be
materially impacted by our expected growth in sales commission revenues. As such, the guidance presented in this MD&A is subject to revision based on
new information that is not currently known or available.

Financial Risk Factors and Other Instruments

The nature and extent of our exposure to risks arising from financial instruments, including credit risk, liquidity risk and market risk (share price risk) and
how we manage those risks are described in note 21 to the Company's annual audited consolidated financial statements as at December 31, 2016 and 2015
and for the years ended December 31, 2016, 2015 and 2014.

The consolidated financial statements filed as part of this Annual Report on Form 20-F are presented under "Item 18. – Financial Statements".

E.

Off-Balance Sheet Arrangements

As at December 31, 2016, we did not have any interests in special purpose entities or any other off-balance sheet arrangements.

F.

Tabular disclosure of contractual obligations

Financial Liabilities, Obligations and Commitments

Expected future minimum lease payments, which also include future payments in connection with utility service agreements and future minimum sublease
receipts  under  non-cancellable  operating  leases  (subleases),  as  well  as  future  payments  in  connection  with  service  and  manufacturing  agreements,  as  at
December 31, 2016 are as follows:

(in thousands)

Less than 1 year

1 - 3 years

4 - 5 years

Total

  Minimum lease payments   Minimum sublease receipts   Service and manufacturing

$

$

$

1,341  

2,012  

1,101  

4,454  

53

(351)  

(151)  

—  

(502)  

2,891

83

—

2,974

 
 
 
 
 
 
 
 
In accordance with the assumptions used in our employee future benefit obligation calculation as at December 31, 2016, undiscounted benefits expected to be
paid are as follows:

(in thousands)

Less than 1 year

1 – 3 years

4 – 5 years

More than 5 years

Total

$

420

891

937

15,165

17,413

Item 6.

Directors, Senior Management and Employees

A.

Directors and senior management

The following table sets forth information about our directors and our senior corporate officers as at March 15, 2017:

Name and Place of Residence

Position with Aeterna Zentaris

Cardiff, Michael

Ontario, Canada

Dinges, Jude

Georgia, United States

Dodd, David A.

South Carolina, United States

Egbert, Carolyn

Texas, United States

Ernst, Juergen

North Rhine-Westphalia, Germany

Guenther, Eckhard

Hessen, Germany

Lemaire, Geneviève

Quebec, Canada

Limoges, Gérard

Quebec, Canada

Newport, Ken

Ontario, Canada

Sachse, Richard

Baden-Württemberg, Germany

Teifel, Michael

Hessen, Germany

Theodore, Philip A.

South Carolina, United States

Director

Senior Vice President and Chief Commercial Officer

President and Chief Executive Officer

Chair of the Board of Directors

Director

Vice President, Alliance Management

Vice President, Finance and Chief Accounting Officer

Director

Director

Senior Vice President, Chief Scientific Officer/Chief Medical Officer

Vice President, Pre-Clinical Development

Senior Vice President, Chief Administrative Officer, General Counsel
and Corporate Secretary

There are no family relationships among any of our directors or executive officers. The following is a brief biography of each of our directors and executive
officers.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Michael Cardiff — Mr. Cardiff was appointed to our Board of Directors (the "Board") on January 29, 2016 and elected as a director by our shareholders at
our  2016  annual  meeting.  He  was  most  recently  Global  Senior  Vice  President  for  the  Office  of  the  CFO  Business  Unit  at  INFOR,  a  $3  billion  revenue
software company. His business unit included software for financials, payroll, human resources, performance management, business improvement, planning
and  forecasting,  compliance  and  risk  management.  Prior  to  holding  that  position,  Mr.  Cardiff  held  numerous  senior  positions  in  a  number  of  technology
companies, including large multinationals such as EDS, SAP and IBM, as well as startup companies such as Fincentric, Convergent Technologies, Tandem,
and Stratus Computer. Mr. Cardiff is currently a director of Hydrogenics Corporation (NASDAQ: HYGS; TSX: HYG), and Startech.Com. Mr. Cardiff has
also served as a director of other publicly traded companies, including Husky Injection Molding, Descartes Systems Group, Visible Genetics and Burntsand
Inc. He has also been a director of private companies, including Solcorp, Spectra Security Software and Visible Decisions and not-for-profit organizations
such as The Toronto Film Festival, Roy Thomson Hall and Medic Alert Foundation. Mr. Cardiff is a member of, and holds the ICD.D designation from, the
Institute of Corporate Directors.

Jude Dinges  was  appointed  our  Senior  Vice  President  and  Chief  Commercial  Officer  in  November  2013.  He  began  his  career  nearly  30  years  ago  as  a
professional  sales  representative  at  Bristol  Laboratories  and  later  at  Merck  &  Co.,  where  he  was  promoted  to  positions  with  increased  responsibilities  in
training, sales, management, marketing and market development. While at Merck, Mr. Dinges won multiple awards, including the President's Achievement
Award in 2001, awarded to one of 32 Business Directors each year. He received the Change Agent Award for his market development prelaunch business
planning and contributions to sales force execution, while launching the blockbuster brands Cozaar®, Fosamax®, Singulair®, Maxalt®, Vioxx®, and Vytorin®.
He was recognized with a Career Achievement Award for his consistent top performance as a Senior/Executive Business Director. Mr. Dinges joined Novartis
Pharmaceuticals in 2006 and led his region to top performance in the launch of Tekturna® while balancing a broad antihypertensive portfolio across several
Novartis divisions. His region also led the nation in market share for Exelon® and Exelon Patch®. In 2008, Mr. Dinges became the Respiratory & Infectious
Disease Specialty Medicines Director. In 2009, Mr. Dinges joined Amgen Inc. as Executive Director of Region Sales, Bone Health Business Unit. Mr. Dinges
led his region team to a highly successful launch of monoclonal antibody, Prolia®, across the southeastern United States and Puerto Rico.

David A. Dodd was appointed our President and Chief Executive Officer in April 2013. Mr. Dodd's executive management experience in the pharmaceutical
and biotechnology industries spans more than 35 years. Prior to joining Aeterna Zentaris, Mr. Dodd was President and CEO of Solvay Pharmaceuticals, Inc.
During his six-year tenure as President, CEO and director of Serologicals Corporation, the market value of the company increased from $85 million in June
2000 to an all-cash sale to Millipore Corporation in July 2006 for $1.5 billion. He was also President, CEO and Chairman of BioReliance Corporation, a
leading  provider  of  biological  safety  and  related  testing  services.  Prior  to  that,  Mr.  Dodd  held  various  senior  management  positions  at  Wyeth-Ayerst
Laboratories, the Mead Johnson Laboratories Division at Bristol-Myers Squibb, and Abbott Laboratories. Mr. Dodd holds a Master of Science degree from
Georgia State University, and he has completed the Harvard Business School Advanced Management Program.

Carolyn Egbert  —  Ms.  Egbert  has  served  as  a  director  on  our  Board  since  August  2012  and  as  Chair  of  our  Board  since  May  2016.  After  enjoying  the
private practice of law as a defense litigator in Michigan and Washington, D.C., she joined Solvay America, Inc. (“Solvay”) (a chemical and pharmaceutical
company) in Houston, Texas. Over the course of a twenty-year career with Solvay, she held the positions of Vice President, Human Resources, President of
Solvay Management Services, Global Head of Human Resources and Senior Executive Vice President of Global Ethics and Compliance. During her tenure
with Solvay, she served as a director on the Board of Directors of seven subsidiary companies and as Chair of one subsidiary board. After retiring in 2010, she
established a consulting business providing expertise in corporate governance, ethics and compliance, organizational development, executive compensation
and strategic human resources. She holds a Bachelor of Sciences degree in Biological Sciences from George Washington University, Washington D.C. and a
Juris Doctor degree from Seattle University, Seattle, Washington. She also was a Ph.D. candidate in Pharmacology at both Georgetown University Medical
School at Washington, D.C. and Northwestern University Medical School at Chicago, Illinois. She remains an active member of both the Michigan State Bar
and the District of Columbia Bar, Washington, D.C.

Juergen Ernst — Mr. Ernst has served as a director on our Board since 2005. As the former General Manager of the Pharmaceutical Sector of Solvay S.A.
(international chemical and pharmaceutical group), Mr. Ernst had extensive senior management experience, where, among other functions, he oversaw the
human resources department. Mr. Ernst is also a member of the Board of Directors of Pharming Group N.V., a publicly traded biotechnology company based
in the Netherlands.

Eckhard Günther was appointed as our Vice President, Business Development in October 2014 and as Vice President, Alliance Management in June 2016.
He serves as one of our executive officers. From 2008 through 2014, he was our Vice President, Alliance Management and Intellectual Property and from
2006 through 2008, he was our Vice President, Head of Drug Discovery and Preclinical Development. Dr. Günther, who is based in the Frankfurt, Germany,
office of our German subsidiary, began his career in the pharmaceutical industry in 1985. He joined ASTA Medica AG, a predecessor of our Company, in
1990, assuming roles of increasing responsibility in areas of medicinal chemistry and drug discovery during his career. He possesses numerous

55

scientific  and  business  skills  and  has  a  long  record  of  successful  innovation  and  alliance  building  and  management.  Dr.  Günther  obtained  a  diploma  in
Chemistry  from  the  Martin-Luther-University  of  Halle-Wittenberg  in  1979  and  was  awarded  his  doctorate  diploma  in  synthetic  organic  chemistry  by  the
University of Halle-Wittenberg in 1985.

Geneviève Lemaire was appointed our interim Corporate Controller in August 2015 and subsequently our Vice President, Finance and Chief Accounting
Officer in February 2016. Ms. Lemaire, who is based in Quebec City, Canada, is serving us on a contract basis. She has worked in various accounting and
audit functions for Ernst & Young in Canada and Switzerland from 1997 until 2012 and in senior finance and accounting functions at Atrium Innovations
from 2012 until 2014. Since then, Ms. Lemaire has served as an independent consultant. Ms. Lemaire is a chartered professional accountant in Canada and
Certified Public Accountant, registered in the State of Illinois, and holds a Bachelor's degree in Accountancy from the University of Sherbrooke.

Gérard Limoges, C.M., FCPA, FCA — Mr. Limoges has served as a director on our Board since 2004. Mr. Limoges served as the Deputy Chairman of
Ernst & Young LLP Canada until his retirement in September 1999. After a career of 37 years with Ernst & Young, Mr. Limoges has been devoting his time
as  a  director  of  a  number  of  companies.  Mr.  Limoges  began  his  career  with  Ernst  &  Young  in  Montreal  in  1962.  After  graduating  from  the  Management
Faculty of the Université de Montréal (HEC Montréal) in 1966, he wrote the CICA exams the same year (Honors: Governor General's Gold Medal for the
highest marks in Canada and Gold Medal of the Ordre des Comptables Agréés du Québec). He became a chartered accountant in 1967 and partner of Ernst &
Young  in  1971.  After  practicing  as  auditor  since  1962  and  partner  since  1971,  he  was  appointed  Managing  Partner  of  the  Montreal  Office  in  1979  and
Chairman for Quebec in 1984 when he also joined the National Executive Committee. In 1992, he was appointed Vice Chairman of Ernst & Young Canada
and the following year, Deputy Chairman of the Canadian firm. After retirement from practice at the end of September 1999, he was appointed Trustee of the
School Board of Greater Montreal (1999), member of the Quebec Commission on Health Care and Social Services (2000-2001) and special advisor to the
Rector of the Université de Montréal and affiliate schools (2000-2003). Mr. Limoges, at the request of the Board of Directors of the Université de Montréal,
participated in the selection of the Dean of the Faculty of Medicine in 2011. Mr. Limoges is also a trustee and chairman of the Audit Committee of PROREIT
(TSX). He is also a board member of various private companies and charities. Mr. Limoges became an FCPA, FCA (Fellow) in 1984 and received the Order
of Canada in 2002.

Ken Newport — Mr. Newport was appointed to our Board on January 29, 2016 and elected as a director by our shareholders at our 2016 annual meeting. He
is a chartered accountant, entrepreneur and life-sciences business executive and served as Senior Vice-President and Executive Committee member at PRA
International  Inc.  for  three  years  until  his  retirement  in  2005.  He  was  co-founder  and  President  of  CroMedica  Inc.,  a  clinical  trials  contract  research
organization,  which  was  sold  to  PRA  International  in  2002.  Mr.  Newport  was  also  a  founding  member  of  Global  Biomedical  Capital  Corporation,  Zelos
Therapeutics Inc., Prime Trials Inc. and other life sciences organizations. He has served or serves on the Board of Directors of Nordion Inc., Opmedic Group
Inc., Jennerex Inc. and Medgenesis Therapeutics Inc. He sits on several non-profit boards, including his role as Chair of the BioCanRx, the National Centre of
Excellence for Biotherapeutics cancer research in Canada.

Richard Sachse was appointed our Senior Vice President and Chief Scientific Officer in January 2014. In March 2014, he was also appointed Chief Medical
Officer.  Dr.  Sachse  holds  a  degree  in  medicine  from  the  Friedrich-Alexander-University  Erlangen,  in  Germany,  and  a  board  certification  in  Clinical
Pharmacology.  With  more  than  20  years’  experience  as  a  physician  and  scientist,  he  has  extensive  expertise  in  a  variety  of  different  therapeutic  areas,
including  endocrinology  and  oncology.  In  addition  to  registration  studies,  he  is  especially  experienced  in  the  design  and  implementation  of  translational
programs to bridge research programs to the clinic, as well as in the design and implementation of clinical pharmacology programs, including all required
profiling studies and activities, enabling successful registration of products at the international level. From 1996 to 2000, he was International Project Leader
at  the  Bayer  AG  Institute  for  Clinical  Pharmacology,  and  Principal  Investigator  at  the  Bayer  Clinical  Pharmacology  Unit,  implementing  innovative
exploratory  development  tools,  including  biomarkers  to  demonstrate  early  Proof  of  Concept.  From  2001  to  2006,  Dr.  Sachse  held  a  variety  of  different
management  positions  within  early  and  late  phase  clinical  development  programs,  including  responsibilities  for  completed  Phase  3  programs  leading  to
successful  NDA/MAA  submissions.  In  2007,  after  a  merger,  he  became  Senior  Director,  Head  of  Experimental  Medicine,  at  UCB  in  Belgium,  where  he
managed the implementation of novel biomarkers in clinical development to provide data supporting identification of appropriate target indication and target
population. In 2010, Dr. Sachse became Vice President, Head of Global Translational Medicine at Boehringer Ingelheim.

Michael Teifel became our Vice President, Non-Clinical Sciences in October 2014. He joined our German subsidiary, which is based in Frankfurt, in 2004,
where he has been involved in a number of roles focused on the design and implementation of non-clinical development programs for small molecule drugs,
targeted therapies and biologics. He serves as one of our executive officers. Prior to joining us, Dr. Teifel co-founded Munich Biotech AG, which developed
anti-tumor  diagnostics  and  therapeutics,  from  1998  through  August  2004.  Prior  to  founding  Munich  Biotech  AG,  Dr.  Teifel  was  employed  by  Boehringer
Mannheim  GmbH/Roche  Diagnostics  GmbH  where  his  focus  was  on  gene  therapy.  He  received  his  diploma  in  biology  from  the  Technical  University
Darmstadt in 1992 and his doctorate from the same institution in 1996.

56

Philip A. Theodore was appointed our Senior Vice President, Chief Administrative Officer and General Counsel and Corporate Secretary in October 2014.
Prior to joining us, he was the Vice President, General Counsel and Corporate Secretary of Zep Inc., a consumable chemical packaged goods company based
in Atlanta, Georgia, from July 2010 through September 2014; the Vice President of Corporate Development, Compliance, and Legal for BioReliance, Inc., a
provider  of  biologics-safety-testing  services  based  in  Rockville,  Maryland,  from  September  2008  to  April  2009;  the  Senior  Vice  President  and  General
Counsel  of  John  H.  Harland  Company,  a  financial  services  company  based  in  Atlanta,  Georgia,  from  September  2006  to  September  2007;  and  the  Vice
President, General Counsel and Corporate Secretary of Serologicals Corporation, a life-sciences tools company based in Atlanta, Georgia, from 2004 through
August 2006. Mr. Theodore also served as a partner in the corporate practice of King & Spalding, LLP, an Atlanta-based law firm, from 1986 through 2003.

B.

Compensation

Our directors and executive officers are generally paid in their home country currency. Unless otherwise indicated, all compensation information included in
this document is presented in US dollars and, to the extent a director or officer has been paid in a currency other than US dollars, the amounts have been
converted  from  such  person's  home  country  currency  to  US  dollars  based  on  the  following  annual  average  exchange  rates:  for  the  financial  year  ended
December 31, 2016: €1.000 = US$1.110 and CAN$1.000 = US$0.754; for the financial year ended December 31, 2015: €1.000 = US$1.110 and CAN$1.000
= US$0.783; and for the financial year ended December 31, 2014: €1.000 = US$1.329 and CAN$1.000 = US$0.905.

Compensation of Outside Directors

The compensation paid to members of our Board who are not our employees (our “Outside Directors”) is designed to (i) attract and retain the most qualified
people to serve on the Board and its committees, (ii) align the interests of the Outside Directors with those of our shareholders, and (iii) provide appropriate
compensation  for  the  risks  and  responsibilities  related  to  being  an  effective  Outside  Director.  This  compensation  is  recommended  to  the  Board  by  the
Nominating, Governance and Compensation Committee (the "NGCC"). The NGCC is composed of four Outside Directors, each of whom is independent,
namely Ms. Carolyn Egbert (Chair), Mr. Juergen Ernst, Mr. Michael Cardiff and Mr. Ken Newport.

The manner in which our Outside Directors are compensated was revised in 2016. Prior to July 1, 2016, our Outside Directors were paid an annual retainer,
the  amount  of  which  depended  on  the  position  held  on  the  Board,  and  attendance  fees.  Annual  retainers  and  attendance  fees  were  paid  quarterly  to  our
Outside Directors as follows:

Type of Compensation

Annual Compensation Prior to
July 1, 2016 
(in units of home country currency)

Lead Director Retainer

Board Member Retainer

Board Meeting Attendance Fees

Audit Committee Chair Retainer

Audit Committee Member Retainer

Audit Committee Meeting Attendance Fees

NGCC Chair Retainer

NGCC Member Retainer

NGCC Meeting Attendance Fees

65,000

15,000

1,000 per meeting

15,000

4,000

1,000 per meeting

12,000

2,000

1,000 per meeting

All amounts in the above table were paid to Board and committee members in their home country currency.

Effective as of July 1, 2016, our Outside Directors are paid an annual retainer for their service to the Corporation. Chairs and members of Committees are
paid  additional  annual  retainers  for  such  service.  Our  Outside  Directors  will  not  be  paid  fees  for  their  attendance  of  meetings,  unless  some  circumstance
dictates  that  an  unusual  and  burdensome  number  of  meetings  must  be  held.  If  such  a  circumstance  occurs,  the  Board  of  Directors  may  institute  meeting
payments. The annual retainers are paid in quarterly installments on or about the last day of each calendar quarter. All payments will be calculated in US
dollars.  The  amount  of  each  payment  will  be  converted  to  the  Outside  Director’s  home  currency  based  on  the  exchange  rate  prevailing  on  the  date  of
payment, as determined by our finance department. Each Outside Director will be paid the equivalent value of the payment in his or her home currency, net of
any withholdings or deductions required by applicable law. The annual retainers were prorated from July 1, 2016, except that the Chair of the Board received
a prorated annual retainer, retroactive to May 10, 2016, the date on which she assumed the duties of Chair of the Board.

57

 
 
 
 
 
 
 
 
 
 
The amounts of the annual retainers are set forth in the following table:

Type of Compensation

Annual Retainer for the year 2016 
(in US$)

Chair of the Board Retainer

Board Member Retainer

Audit Committee Chair Retainer

Audit Committee Member Retainer

NGCC Chair Retainer

NGCC Member Retainer

80,000

40,000

20,000

5,000

15,000

3,000

The President and Chief Executive Officer is the only member of the Board who is not an Outside Director and, as such, is not compensated in his capacity as
a director. All Directors are reimbursed for travel and other out-of-pocket expenses incurred in attending Board or committee meetings.

Outstanding Option-Based Awards and Share-Based Awards

During  the  financial  year  ended  December  31,  2016,  we  requested  that  our  Directors,  officers  and  employees  agree  to  voluntarily  surrender  and  cancel,
without any consideration therefor, certain outstanding options to acquire our Common Shares because the exercise price of such options was substantially in
excess  of  the  current  price  of  our  Common  Shares.  The  number  of  options  to  acquire  our  Common  Shares  that  we  may  issue  is  limited  to  11.4%  of  the
number of our issued and outstanding Common Shares; therefore, the voluntary surrender by our Directors of options to acquire Common Shares increased
the number of options that may be issued under our Stock Option Plan. In response to such request, our Directors surrendered 480 options to acquire our
Common Shares, which options had a weighted average exercise price of CAN$717.18 and 4,941 options to acquire our Common Shares, which options had
a weighted average exercise price of $133.45. The following table shows all awards outstanding to each Outside Director as at December 31, 2016:

Name

Issuance
Date

Number of
Securities
Underlying
Unexercised
Options(1)

Option-based Awards

Option
Exercise Price

Option
Expiration Date

Value of
Unexercised In-
the-money
Options(2)

(#)

($)

(mm-dd-yyyy)

($)

Issuance
Date

(mm-dd-
yyyy)

Share-based Awards

Number of
Shares or
Units of Shares
that have Not
Vested

Market or Payout
Value of Share-based
Awards that have Not
Vested

(#)

($)

Cardiff, Michael

Egbert, Carolyn

Ernst, Juergen

Limoges, Gérard

Newport, Ken

(mm-dd-
yyyy)

05-10-2016

12-06-2016

05-10-2016

12-06-2016

05-10-2016

12-06-2016

05-10-2016

12-06-2016

05-10-2016

12-06-2016

20,000  
7,850  
10,000  
7,850  
10,000  
7,850  
10,000  
7,850  
20,000  
7,850  

3.48  
3.45  
3.48  
3.45  
3.48  
3.45  
3.48  
3.45  
3.48  
3.45  

05-09-2023  
12-06-2023  
05-09-2023  
12-06-2023  
05-09-2023  
12-06-2023  
05-09-2023  
12-06-2023  
05-09-2023  

12-06-2023  

2,400  
1,178  
1,200  
1,178  
1,200  
1,178  
1,200  
1,178  
2,400  

1,178  

—  
—  
—  
—  
—  
—  
—  
—  
—  
—  

—  
—  
—  
—  
—  
—  
—  
—  
—  
—  

—

—

—

—

—

—

—

—

—

—

(1) The number of securities underlying unexercised options represents all awards outstanding as at December 31, 2016.
(2)

“Value of unexercised in-the-money options” at financial year-end is calculated based on the difference between the closing prices of the Common Shares on the NASDAQ on the last trading
day of the fiscal year (December 30, 2016) of $3.60 and the exercise price of the options, multiplied by the number of unexercised options.

See "Summary of the Stock Option Plan" for more details on the Stock Option Plan (as defined on the following page).

58

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Compensation of Outside Directors

The table below summarizes the total compensation paid to our Outside Directors during the financial year ended December 31, 2016 (all amounts are in US
dollars). Our Outside Directors are paid in their home currency, which is the Canadian dollar for all Outside Directors other than Ms. Egbert, who is paid in
US dollars and Mr. Ernst, who is paid in euros.

Name

Fees earned

Share-based
Awards

Option-based
Awards(1)

Non-Equity
Incentive Plan
Compensation

Pension
Value

All Other
Compensation

Cardiff, Michael

Egbert, Carolyn

Ernst, Juergen

Lapalme, Pierre (2)

Limoges, Gérard

Newport, Kenneth

($)

32,337

79,547

56,077

6,456

46,866

32,337

($)

—  

—  

—  

—  

—  

—  

($)

78,000

50,000

50,000

—

50,000

78,000

($)

—

—

—

—

—

—

($)

—

—

—

—

—

—

($)

—

—

—

—

—

—

Total

($)

110,337

129,547

106,077

6,456

96,866

110,337

(1) The value of option based awards represents the closing price of the Common Shares on the NASDAQ on the last trading day preceding the date of grant ($3.48 and $3.45) multiplied by the

Black-Scholes factor as at such date (81%) and the number of stock options granted on such date.
(2) Mr. Lapalme did not stand for election at our annual meeting of shareholders held on May 10, 2016.

During the financial year ended December 31, 2016, we paid an aggregate amount of $253,620 to all of our Outside Directors for services rendered in their
capacity as directors, excluding reimbursement of out-of-pocket expenses and the value of option- based awards granted in 2016.

Compensation of Executive Officers

The following is disclosure of information related to the compensation that we paid to our “Named Executive Officers” during 2016. For the 2016 year, our
“Named Executive Officers” were as follows:

• Mr. David A. Dodd, who served as our Chief Executive Officer during all of 2016;

• Mr. Keith Santorelli, who served as our Vice President, Finance and Chief Accounting Officer and as our interim principal financial officer from January

1, 2016 up to and including February 18, 2016;

• Ms. Genevieve Lemaire, who served as our Vice President, Finance and Chief Accounting Officer and as our interim principal financial officer pursuant

to a services contract and not as our employee, from February 18, 2016; and

• Messrs. Philip A. Theodore, our Senior Vice President, Chief Administrative Officer, General Counsel and Corporate Secretary, and Jude Dinges, our
Senior Vice President and Chief Commercial Officer; and Dr. Richard Sachse, our Senior Vice President and Chief Scientific and Chief Medical Officer,
who  were  our  three  most  highly  compensated  executive  officers  (other  than  our  Chief  Executive  Officer,  our  current  and  former  Chief  Accounting
Officer and interim principal financial officer) during 2016.

Compensation Discussion & Analysis

Compensation Philosophy and Objectives

Our Board, through the NGCC, establishes our executive compensation program that is market-based and at a competitive percentile grouping for both total
cash and total direct compensation. The NGCC has established a compensation program that is designed to attract, motivate and retain high-performing senior
executives, encourage and reward superior performance and align the executives' interests with those of our shareholders by:

•

•

•

•

providing the opportunity for an executive to earn compensation that is competitive with the compensation received by executives serving in the same or
measurably similar positions within comparable companies;

providing the opportunity for executives to participate in equity-based incentive compensation plans;

aligning executive compensation with our corporate objectives; and

attracting and retaining highly qualified individuals in key positions.

59

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Compensation Elements

Our executive compensation is targeted at the 50th percentile for small cap biopharmaceutical companies within both the local and national markets and is
comprised of both fixed and variable components. The variable components include equity and non-equity incentive plans. Each compensation component is
intended to serve a different function, but all elements are intended to work in concert to maximize both corporate and individual performance by establishing
specific, competitive operational and corporate goals and by providing financial incentives to employees based on their level of attainment of these goals.

Our  current  executive  compensation  program  is  comprised  of  the  following  four  basic  components:  (i)  base  salary;  (ii)  an  annual  bonus  linked  to  both
individual and corporate performance; (iii) equity incentives, consisting solely of stock options granted under our stock option plan established for the benefit
of our directors, certain executive officers and other participants as may be designated from time to time by either the Board or the NGCC (the “Stock Option
Plan”); and (iv) other elements of compensation, consisting of benefits, perquisites and retirement benefits.

Base Salary. Base salaries are intended to provide a steady income to our executive officers regardless of share price. In determining individual base salaries,
the NGCC takes into consideration individual circumstances that may include the scope of an executive's position, the executive's relevant competencies or
experience and retention risk. The NGCC also takes into consideration the fulfillment of our corporate objectives, as well as the individual performance of the
executive.

Short-Term, Non-Equity Incentive Compensation. Our short-term, non-equity incentive compensation plan sets a target cash bonus for each executive officer,
expressed as a percentage of the executive officer’s base salary. The amount of cash bonus paid to an executive officer depends on the extent to which he or
she contributed to the achievement of the annual performance objectives established by the Board for the year. The annual performance objectives are specific
operational, clinical, regulatory, financial, commercial and corporate goals that are intended to advance our product pipeline, to promote the success of our
commercial efforts and to enhance our financial position. The annual performance objectives are set at the end of each financial year as part of the annual
review  of  corporate  strategies.  The  performance  objectives  are  not  established  for  individual  executive  officers  but  rather  by  functional  area(s),  many  of
which are carried out by or fall within the responsibility of our President and Chief Executive Officer, Chief Financial Officer (or principal financial officer)
and our other executive officers, including our Named Executive Officers. The award of a cash bonus requires the approval of both the NGCC and the Board
and is based upon an assessment of each individual's performance, as well as our overall performance at a corporate level. The determination of individual
performance does not involve quantitative measures using a mathematical calculation in which each individual performance objective is given a numerical
weight. Instead, the NGCC's determination of individual performance is a subjective determination as to whether a particular executive officer substantially
achieved the stated objectives or over-performed or under-performed with respect to corporate objectives that were deemed to be important to our success.

Long-Term Equity Compensation Plan of Executive Officers. The long-term component of the compensation of our executive officers was based exclusively
on the Stock Option Plan, which permits the award of a number of options based on the contribution of the officers and their responsibilities. The  Board
adopted a policy regarding stock option grants in December 2014 (the “2014 Stock Option Policy”), which provides that each Named Executive Officer is
eligible to receive options to acquire our Common Shares having a value, based on the Black-Scholes option pricing model, equal to a specified multiple of
his or her salary. The specified multiple for the President and Chief Executive Officer is 1.5. The specified multiple for each other Named Executive Officer is
0.75. To encourage retention and focus management on developing and successfully implementing our continuing growth strategy, stock options vest over a
period  of  three  years,  with  the  first  third  vesting  on  the  first  anniversary  of  the  date  of  grant.  Stock  options  are  usually  granted  to  executive  officers  in
December of each year.

Other Forms of Compensation. Our executive employee benefits program also includes life, medical, dental and disability insurance to the same extent and in
the same manner as all other employees. Several  of  our  executive  officers  also  receive  a  car  allowance  as  a  perquisite.  These benefits and perquisites are
designed to be competitive overall with equivalent positions in comparable North American organizations in the life sciences industry. We also contribute to
our  North  American  employees'  retirement  plans  to  the  extent  of  50%  of  the  employee’s  contribution  up  to  an  annual  maximum  amount  of  $9,000  for
employees  in  the  United  States,  and  up  to  a  maximum  of  $12,000  for  employees  and  executive  officers  over  50  years  old  in  the  United  States.  The
contribution amounts for our United States employees are subject to limitations imposed by the United States Internal Revenue Service on contributions to
our  most  highly  compensated  employees.  Employees  based  in  Frankfurt,  Germany  also  benefit  from  certain  employer  contributions  into  the  employees'
pension funds. Our executive officers, including the Named Executive Officers, are eligible to participate in such employer-contribution plans to the same
extent and in the same manner as all other employees.

Positioning

The NGCC is authorized to engage its own independent consultant to advise it with respect to executive compensation matters. While the NGCC may rely on
external information and advice, all of the decisions with respect to executive compensation are made by the Board upon the recommendation of the NGCC
and may reflect factors and considerations other than, or that may differ from, the information and recommendations provided by any external compensation
consultants that may be retained from time to time.

60

In 2013, the NGCC retained a compensation consultant to benchmark our executive compensation plan in an effort to determine whether we were achieving
our objective of providing market competitive compensation opportunities. The compensation consultant gathered compensation data from companies that it
concluded were of comparable size and/or stage of development as us and from other companies with which we compete for executive talent and advised the
NGCC that our executive compensation should be generally aligned with the 50th percentile, or the mid-point, of the companies surveyed by the consultant.
Furthermore, the consultant advised the NGCC that the total cash target payment (base salary and, if applicable or awarded in cash, annual bonus) for our
executive officers in 2013 generally fell around the 50th percentile of the companies surveyed. The base salaries of our President and Chief Executive Officer
and our Senior Vice Presidents and their target bonuses have not been increased since 2013. Therefore, the NGCC did not repeat or update the benchmarking
process  in  2014,  2015  or  2016  because  it  concluded  that  doing  so  would  not  provide  additional  meaningful  data,  considering  the  expense  of  the  process.
However, the NGCC, as a matter of good governance, will review and assess the current compensation program and make appropriate adjustments, if any,
during 2017.

Risk Assessment of Executive Compensation Program

The Board, through the NGCC, oversees the implementation of compensation methods that tie a portion of executive compensation to our short-term and
longer-term performance and that of each executive officer and that take into account the advantages and risks associated with such compensation methods. In
addition, the Board oversees the creation of compensation policies that are intended to reward the creation of shareholder value while reflecting a balance
between our short-term and longer-term performance and that of each executive officer. The NGCC has considered in general terms the concept of risk as it
relates to our executive compensation program.

Base salaries are fixed in amount to provide a steady income to the executive officers regardless of share price and thus do not encourage or reward risk-
taking to the detriment of other important business, operational, commercial or clinical metrics or milestones. The variable compensation elements (annual
bonuses  and  stock  options)  are  designed  to  reward  each  of  short-term,  mid-term  and  long-term  performance.  For  short-term  performance,  a  discretionary
annual  bonus  may  be  awarded  based  on  the  timing  and  level  of  attainment  of  specific  operational  and  corporate  goals  that  the  NGCC  believes  to  be
challenging, yet does not encourage unnecessary or excessive risk-taking. While our bonus payments are generally based on annual performance, a maximum
bonus payment is pre-fixed for each senior executive officer and represents only a portion of each individual's overall total compensation opportunities. In
exceptional circumstances, a particular executive officer may be awarded a bonus that exceeds his or her maximum pre-fixed or target bonus amount. Finally,
a significant portion of executive compensation is provided in the form of stock options, which is intended to further align the interests of executives with
those of shareholders. The NGCC believes that these awards do not encourage unnecessary or excessive risk-taking since the ultimate value of the awards is
tied to our share price, [and in the case of grants under the long-term incentive compensation plan, are generally subject to mid-term and long-term vesting
schedules to help ensure that executives generally have significant value tied to long-term share price performance.]

The  NGCC  believes  that  the  variable  compensation  elements  (annual  bonuses  and  stock  options)  represent  a  percentage  of  overall  compensation  that  is
sufficient to motivate our executive officers to produce superior short-term, mid-term and long-term corporate results, while the fixed compensation element
(base salary) is also sufficient to discourage executive officers from taking unnecessary or excessive risks. The NGCC and the Board also generally have the
discretion to adjust annual bonuses and stock option grants based on individual performance and any other factors they may determine to be appropriate in the
circumstances. Such factors may include, where necessary or appropriate, the level of risk-taking a particular executive officer may have engaged in during
the preceding year.

Based on the foregoing, the NGCC has not identified any specific risks associated with our executive compensation program that are reasonably likely to
have  a  material  adverse  effect  on  us.  The  NGCC  believes  that  our  executive  compensation  program  does  not  encourage  or  reward  any  unnecessary  or
excessive risk-taking behaviour.

Our directors, executive officers and employees are prohibited from purchasing, selling or otherwise trading in derivative securities relating to our Common
Shares. Derivative securities are securities whose value varies in relation to the price of our securities. Examples of derivative securities include warrants to
purchase  our  Common  Shares,  and  put  or  call  options  written  on  our  Common  Shares,  as  well  as  individually  arranged  derivative  transactions,  such  as
financial  instruments,  including,  for  greater  certainty,  pre-paid  variable  forward  contracts,  equity  swaps,  collars,  or  units  of  exchange  funds,  which  are
designed  to  hedge  or  offset  a  decrease  in  market  value  of  our  equity  securities  granted  as  executive  compensation  or  directors'  remuneration.  Options  to
acquire Common Shares issued pursuant to our Stock Option Plan are not derivative securities for this purpose.

61

2016 Compensation

Base Salary. The base salaries of our President and Chief Executive Officer and our Senior Vice Presidents were not increased in 2016 because the NGCC
determined that our financial position did not justify an increase in base salaries.

Short-Term, Non-Equity Incentive Compensation. The Board, based on the NGCC's recommendation, adopted the following performance objectives for 2016:

Objectives for 2016

Result

Strengthen Financial Leadership

Hire new CFO

Financing

Secure minimum of $15 Million

Commercial Revenues (EstroGel®,
Saizen® & Apifiny®)

Ensure minimum of two years of cash

Achieve minimum of $7.5 Million in annual
revenues:
o    EstroGel®: $2.0 M
o    Saizen®: $2.5 M
o    Apifiny®: $2.0 M
o    Product t/b/d: $1.0 M

Offer extended to candidate who accepted. Fit later determined not to be correct and offer
withdrawn with mutual agreement. Subsequently, conducted retained search. Hiring
decision postponed until top-line results are reported for both Macrilen™ and Zoptrex™.

$15.5 million raised in December 2015 financing; additional approximately $10 million
raised in September and October 2016. Total capital raised: $25.5 million.
Determined that raising two years of cash would result in excessive dilution on the eve of
potential value-creation events.

Revenues far below target.
EstroGel®: Owner of product lost Express Scripts access, the largest reimbursement
coverage for the product in the US; despite AEZS performance increasing units versus
declining market, immaterial commission was earned; we terminated the promotion on
August 31, 2016.
Saizen®: Owner of product lost major managed care contracts, as well as regional
contracts; changed strategy to focus only on self-pay & Medicaid; co-promotion
agreement renegotiated in December 2016 to remove baseline and include adult
endocrinologists.
Apifiny®: Anticipated major lab agreement (Quest and/or LabCorp) and CMS
reimbursement, targeted for Spring 2016, did not occur. NY-state license remains
outstanding.

Zoptrex™

Macrilen™

Report top-line results within eight weeks of
trial completion 
Complete sub-studies

Trial not concluded by year-end 2016.
Sub-studies completed on schedule.

Complete confirmatory trial
Report top-line results within eight weeks of
completion

Trial was completed by year-end.
Top-line results reported within target schedule in early 2017.

Foreign Private Issuer Status Review
and Recommendation

Complete review of FPI status and
recommendations

Analytical method developed and reviewed with counsel; analysis conducted and FPI
status maintained.

Business Development

Complete in-license, acquisition or
promotion agreement(s) with minimum
annual revenue/commission opportunity of
$15 million during first 12-months

Obtained exclusive US rights to promote Apifiny®. Focus shifted to out-licensing
products; AEZS capital structure not supportive of most targeted deals.

The Chief Executive Officer recommended to the NGCC that we award cash bonuses to two of our Named Executive Officers with respect to 2016. The
NGCC  concurred  with  the  Chief  Executive  Officer’s  recommendation  as  did  the  full  Board.  Mr.  Philip  A.  Theodore,  our  Senior  Vice  President,  Chief
Administrative  Officer,  General  Counsel  and  Corporate  Secretary,  was  awarded  a  cash  bonus  with  respect  to  2016  in  the  amount  of  $64,000,  which
represented approximately 50% of his target bonus. Dr. Richard Sachse, our Senior Vice President, Chief Medical Officer and Chief Scientific Officer, was
awarded a cash bonus with respect to 2016 in the amount of €50,000 (equivalent to $55,500), which represented 50% of his target bonus. The bonuses were
recommended by the Chief Executive Officer based on performance he deemed significant.

62

Long-Term Equity Compensation

The NGCC approved option awards to our Named Executive Officers on December 6, 2016 in accordance with the 2014 Stock Option Policy. Mr. Dodd was
awarded 257,035 stock options (a multiple of 1.5 times his salary), Dr. Sachse was awarded 57,630 stock options (a multiple of 0.75 times his salary) and
Messrs. Dinges and Theodore were each awarded 86,580 stock options (a multiple of 0.75 times their salaries). The stock options have an exercise price of
$3.45 and vest in three annual installments, commencing on December 6, 2017. Following the December 6, 2016 grants, the NGCC determined that granting
stock options to Dr. Sachse based solely on a multiple of his salary was inequitable given his significant contributions to the Corporation and its subsidiaries
during 2016. Therefore, the Board, based on the NGCC’s recommendation, awarded 28,950 additional options to Dr. Sachse on December 16, 2016. Such
options have an exercise price of $3.80 and vest in three annual installments, commencing on December 16, 2017.

Summary of the Stock Option Plan

We established the Stock Option Plan in order to attract and retain directors, officers, employees and suppliers of ongoing services, who will be motivated to
work towards ensuring our success. The Board has full and complete authority to interpret the Stock Option Plan, to establish applicable rules and regulations
and to make all other determinations it deems necessary or useful for the administration of the Stock Option Plan, provided that such interpretations, rules,
regulations and determinations are consistent with the rules of all stock exchanges and quotation systems on which our securities are then traded and with all
relevant securities legislation.

The Stock Option Plan provides that the sole persons eligible to receive grants under the Stock Option Plan (each, a “Participant”) shall be: (i) our most senior
executive  officers,  including  the  persons  occupying  the  positions  of  Chief  Executive  Officer,  Chief  Financial  Officer,  Chief  Scientific  Officer,  Chief
Commercial  Officer,  Chief  Administrative  Officer  and  Chief  Compliance  Officer;  (ii)  such  other  of  our  executive  officers  or  executive  officers  of  our
subsidiaries that may, from time to time, report directly to the Chief Executive Officer; (iii) the non-employee, independent members of the Board; and (iv)
such other of our officers or employees or the officers or employees of any of our subsidiaries, as the case may be, or suppliers of ongoing services, as may be
expressly designated by resolution of the Board or the NGCC.

The maximum number of Common Shares issuable under the Stock Option Plan is fixed at 11.4% of the issued and outstanding Common Shares at any given
time, which, as of March 15, 2017, represented approximately 1.5 million Common Shares. There were 968,264 options outstanding under the Stock Option
Plan representing approximately 7.2% of all issued and outstanding Common Shares on March 15, 2017.

Under the Stock Option Plan, (i) the number of securities issuable to insiders, at any time, or issued within any one-year period, under all of our security-
based compensation arrangements, cannot exceed 10% of our issued and outstanding securities and (ii) no single Participant may hold options to purchase,
from time to time, more than 5% of our issued and outstanding Common Shares. In addition: (i) the aggregate fair value of options granted under all of our
security-based compensation arrangements to any one of our Outside Directors entitled to receive a benefit under the Stock Option Plan, within any one-year
period, cannot exceed $100,000 valued on a Black-Scholes basis and as determined by the NGCC; and (ii) the aggregate number of securities issuable to all
of our Outside Directors entitled to receive a benefit under the Stock Option Plan, within any one-year period, under all of our security-based compensation
arrangements, cannot exceed 1% of its issued and outstanding securities.

Options granted under the Stock Option Plan may be exercised at any time within a maximum period of seven or ten years following the date of their grant
(the  “Outside  Expiry  Date”),  depending  on  the  date  of  grant.  The  Board  or  the  NGCC,  as  the  case  may  be,  designates,  at  its  discretion,  the  specific
Participants to whom stock options are granted under the Stock Option Plan and determines the number of Common Shares covered by each of such option
grants, the grant date, the exercise price of each option, the Outside Expiry Date and any other matter relating thereto, in each case in accordance with the
applicable rules and regulations of the regulatory authorities. The price at which the Common Shares may be purchased may not be lower than the greater of
the closing prices of the Common Shares on the NASDAQ on the last trading day preceding the date of grant of the option. Options granted under the Stock
Option  Plan  shall  vest  in  equal  tranches  over  a  three-year  period  (one-third  each  year,  starting  on  the  first  anniversary  of  the  grant  date)  or  as  otherwise
determined  by  the  Board  or  the  NGCC,  as  the  case  may  be.  Participants  may  not  assign  their  options  (nor  any  interest  therein)  other  than  by  will  or  in
accordance with the applicable laws of estates and succession.

Unless the Board or the NGCC decides otherwise, Participants cease to be entitled to exercise their options under the Stock Option Plan: (i) immediately, in
the event a Participant who is an officer or employee resigns or voluntarily leaves his or her employment or his or her employment is terminated with cause
and, in the case of a Participant who is a non-employee director of us or one of our subsidiaries, the date on which such Participant ceases to be a member of
the  relevant  Board  of  Directors;  (ii)  six  months  following  the  date  on  which  employment  is  terminated  as  a  result  of  the  death  of  a  Participant  who  is  an
officer  or  employee  and,  in  the  case  of  a  Participant  who  is  an  Outside  Director,  six  months  following  the  date  on  which  such  Participant  ceases  to  be  a
member of the Board of Directors by reason of death; (iii) 90 days following the date on which a Participant's employment is

63

terminated for a reason other than those mentioned in (i) or (ii) above including, without limitation, upon the disability, long-term illness, retirement or early
retirement of the Participant; and (iv) where the Participant is a service supplier, 30 days following the date on which such Participant ceases to act as such,
for any cause or reason (each, an “Early Expiry Date”).

The Stock Option Plan also provides that, if the expiry date of one or more options (whether an Early Expiry Date or an Outside Expiry Date) occurs during a
“blackout period” or within the seven business days immediately after a blackout period imposed by us, the expiry date will be automatically extended to the
date that is seven business days after the last day of the blackout period. For the purposes of the foregoing, “blackout period” means the period during which
trading in our securities is restricted in accordance with our corporate policies. +-

If (i) we accept an offer to amalgamate, merge or consolidate with any other entity (other than one of our wholly-owned subsidiaries) or to sell or license all
or substantially all of our assets to any other entity (other than one of our wholly-owned subsidiaries); (ii) we sign a support agreement in customary form
pursuant to which the Board agrees to support a takeover bid and recommends that our shareholders tender their Common Shares to such takeover bid; or (iii)
holders of more than 50% of our then outstanding Common Shares tender all of their Common Shares to a takeover bid made to all of the holders of the
Common  Shares  to  purchase  all  of  the  then  issued  and  outstanding  Common  Shares,  then,  in  each  case,  all  of  the  outstanding  options  shall,  without  any
further action required to be taken by us, immediately vest. Each Participant shall thereafter be entitled to exercise all of such options at any time up to and
including, but not after the close of business on that date which is ten days following the Closing Date (as defined below). Upon the expiration of such ten-
day period, all rights of the Participant to such options or to the exercise of same (to the extent not already exercised) shall automatically terminate and have
no  further  force  or  effect  whatsoever.  “Closing  Date”  is  defined  to  mean  (x)  the  closing  date  of  the  amalgamation,  merger,  consolidation,  sale  or  license
transaction in the case of clause (i) above; (y) the first expiry date of the takeover bid on which each of the offeror's conditions are either satisfied or waived
in the case of clause (ii) above; or (z) the date on which it is publicly announced that holders of greater than 50% of our then outstanding Common Shares
have tendered their Common Shares to a takeover bid in the case of clause (iii) above.

The Stock Option Plan provides that the following amendments may be made to the plan only upon approval of each of the Board and our shareholders as
well as receipt of all required regulatory approvals:

•

•

•

•

•

•

•

•

•

•

•

•

any amendment to Section 3.2 of the Stock Option Plan (which sets forth the limit on the number of options that may be granted to insiders) that would
have the effect of permitting, without having to obtain shareholder approval on a “disinterested vote” at a duly convened shareholders' meeting, the grant
of any option(s) under the Stock Option Plan otherwise prohibited by Section 3.2;

any amendment to the number of securities issuable under the Stock Option Plan (except for certain permitted adjustments, such as in the case of stock
splits, consolidations or reclassifications);

any amendment that would permit any option granted under the Stock Option Plan to be transferable or assignable other than by will or in accordance
with the applicable laws of estates and succession;

the  addition  of  a  cashless  exercise  feature,  payable  in  cash  or  securities,  which  does  not  provide  for  a  full  deduction  of  the  number  of  underlying
securities from the Stock Option Plan reserve;

the  addition  of  a  deferred  or  restricted  share  unit  component  or  any  other  provision  that  results  in  employees  receiving  securities  while  no  cash
consideration is received by us;

with respect to any Participant, whether or not such Participant is an “insider” and except in respect of certain permitted adjustments, such as in the case
of stock splits, consolidations or reclassifications:

any reduction in the exercise price of any option after the option has been granted, or

any cancellation of an option and the re-grant of that option under different terms, or

any extension to the term of an option beyond its Outside Expiry Date to a Participant who is an “insider” (except for extensions made in the context of a
“blackout period”);

any amendment to the method of determining the exercise price of an option granted pursuant to the Stock Option Plan;

the addition of any form of financial assistance or any amendment to a financial assistance provision which is more favorable to employees; and

any amendment to the foregoing amending provisions requiring Board, shareholder and regulatory approvals.

The Stock Option Plan further provides that the following amendments may be made to the Stock Option Plan upon approval of the Board and upon receipt of
all required regulatory approvals, but without shareholder approval:

•

amendments of a “housekeeping” or clerical nature or to clarify the provisions of the Stock Option Plan;

64

•

•

•

•

•

amendments regarding any vesting period of an option;

amendments regarding the extension of an option beyond an Early Expiry Date in respect of any Participant, or the extension of an option beyond the
Outside Expiry Date in respect of any Participant who is a “non-insider”;

adjustments to the number of issuable Common Shares underlying, or the exercise price of, outstanding options resulting from a split or a consolidation
of the Common Shares, a reclassification, the payment of a stock dividend, the payment of a special cash or non-cash distribution to our shareholders on
a pro rata basis provided such distribution is approved by our shareholders in accordance with applicable law, a recapitalization, a reorganization or any
other event which necessitates an equitable adjustment to the outstanding options in proportion with corresponding adjustments made to all outstanding
Common Shares;

discontinuing or terminating the Stock Option Plan; and

any other amendment which does not require shareholder approval under the terms of the Stock Option Plan.

Outstanding Option-Based Awards and Share-Based Awards

The  following  table  shows  all  awards  outstanding  to  our  Named  Executive  Officers  as  of  December  31,  2016.  Ms.  Lemaire  serves  as  our  Vice  President,
Finance and Chief Accounting Officer pursuant to a service contract and is not entitled to receive option-based or share-based awards.

Name

Issuance Date

Option-based Awards

Option
Exercise Price

Option
Expiration Date

Value of
Unexercised In-
the-money
Options(2)

Issuance
Date

Number of
Securities
Underlying
Unexercised
Options(1)

Share-based Awards

Number of
Shares or
Units of shares
that have Not
Vested

Market or Payout
Value of Share-based
Awards that have Not
Vested

(#)

($)

Dodd, David A.

Sachse, Richard(4)

Dinges, Jude

Theodore, Philip

(mm-dd-yyyy)

(#)

04/15/2013  
12/04/2014  
12/21/2015  
12/06/2016  
12/21/2015  
11/08/2016  
12/06/2016  
12/16/2016  
11/27/2013  
12/04/2014  
12/21/2015  
12/06/2016  
10/06/2014  
12/04/2014  
12/21/2015  
12/06/2016  

3,000 (3) 
4,750  
85,000  
257,035  
40,000  
2,800  
57,360  
28,950  

1,500 (5) 
1,660  
40,000  
86,580  

1,500 (6) 
500  
40,000  
86,850  

($)

198.00

76.00

4.58

3.45

4.58

3.50

3.45

3.80

112.00

76.00

4.58

3.45

134.00

76.00

4.58

3.45

(mm-dd-yyyy)

04/14/2023

12/04/2021

12/20/2022

12/06/2023

12/20/2022

11/08/2023

12/06/2023

12/16/2023

11/26/2023

12/04/2021

12/20/2022

12/06/2023

10/05/2021

12/04/2021

12/20/2022

12/06/2023

($)

—

—

—

38,555

—

280

8,644

—

—

—

—

12,987

—

—

—

12,987

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

(1) The number of securities underlying unexercised options represents all awards outstanding at December 31, 2016.

(2)

“Value of unexercised in-the-money options” at financial year-end is calculated based on the difference between the closing price of the Common Shares on the NASDAQ on the last trading
day of the year (December 30, 2016) of $3.60 and the exercise price of the options, multiplied by the number of unexercised options.

(3) David A. Dodd was appointed President and Chief Executive Officer effective April 15, 2013 and was granted 3,000 stock options in connection with such appointment.

(4) Dr. Sachse voluntarily surrendered 2,800 unvested options, having a weighted average exercise price of $104.39, during financial year 2016.

(5)

Jude Dinges was appointed Senior Vice President and Chief Commercial Officer effective November 1, 2013 and was granted 1,500 stock options in connection with such appointment.

(6) Philip A. Theodore was appointed Senior Vice President, Chief Administrative Officer and General Counsel effective October 6, 2014 and was granted 1,500 stock options in connection with

such appointment.

There were no share-based awards outstanding at December 31, 2016.

See "Summary of the Stock Option Plan" for more details on the Stock Option Plan.

65

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Incentive Plan Awards - Value Vested or Earned During the Year

The following table shows the incentive plan awards value vested or earned for each Named Executive Officer for the financial year ended December 31,
2016. Ms. Lemaire serves as our Vice President, Finance and Chief Accounting Officer pursuant to a services contract and is not entitled to receive incentive
plan awards.

Name

Option-based awards — Value
vested during the year(1)

Share-based awards —
Value
vested during the year

Non-equity incentive plan
compensation — Value earned during
the year

Dodd, David A.

Santorelli, Keith

Sachse, Richard

Dinges, Jude

Theodore, Philip A.

($)

—

—

—

—

—

($)

—

—

—

—

—

($)

—

—

55,500

—

64,000

(1) Represents the aggregate dollar value that would have been realized if the options had been exercised on the vesting date, based on the difference between the closing price of the Common

Shares on the NASDAQ and the exercise price on such vesting date.

Summary Compensation Table

The Summary Compensation Table set forth below shows compensation information for each of the Named Executive Officers for services rendered in all
capacities during each of the financial years ended December 31, 2016, 2015 and 2014. All amounts in the table below are in US dollars. All cash amounts
paid to Messrs. Dodd, Santorelli, Dinges and Theodore were paid in US dollars, while Ms. Lemaire’s cash payments were made in Canadian dollars and Dr.
Sachse’s cash payments were made in euros.

Name and
principal position

Years

Salary

Share
based
awards

Option based
awards (1)

Non-equity incentive plan
compensation

Annual
incentive
plan

Long-term
incentive
plans

Pension
Value

All other
compensation (2)

Dodd, David A.
President and Chief
Executive Officer

Santorelli, Keith 
Interim Principal Financial
Officer

Lemaire, Genevieve
Vice President, Finance
and Chief Accounting
Officer

Sachse, Richard
Senior Vice President,
Chief Scientific Officer
and Chief Medical Officer

Dinges, Jude
Senior Vice President and
Chief Commercial Officer

Theodore, Philip A.
Senior Vice President,
Chief Administrative
Officer and General
Counsel

2016

2015

2014

2016

2015

2014

2016

2015

2014

2016

2015

2014

2016

2015

2014

2016

2015

2014

($)

475,000

475,000

475,000

32,954

(3) 

244,800

240,000

—

—

—

222,000

221,900

265,752

320,000

320,000

320,000

320,000

320,000

67,692

(7) 

($)

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

($)

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

($)

—

—

—

—

—

—

—

—

—

37,067

47,349

27,239

(6) 

(6) 

(6) 

—

—

—

—

—

—

($)

—

—

—

340,600

(4) 

—

—

210,156

(5) 

—

—

—

—

—

—

—

—

—

—

—

($)

712,500

358,690

291,914

—

—

82,554

—

—

—

257,000

168,795

235,017

240,000

168,795

102,016

240,000

168,795

189,433

($)

—

—

100,000

—

—

—

—

—

—

55,500

111,000

62,463

—

—

25,000

64,000

35,000

—

66

Total
compensation

($)

1,187,500

833,690

866,914

373,554

244,800

322,554

210,156

—

—

571,567

549,044

590,471

560,000

488,795

447,016

624,000

523,795

257,125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) The value of option-based awards represents the closing price of the Common Shares on the NASDAQ on the last trading day preceding the date of grant multiplied by the Black-Scholes
factor as at such date and the number of stock options granted on such date. The following table sets forth the value of the option-based awards and the corresponding Black-Scholes factor:

Date of Grant
January 16, 2014
May 9, 2014
October 6, 2014
December 4, 2014
December 21, 2015
November 9, 2016
December 6, 2016
December 16, 2016

Value of Grant
$129.00
$107.00
$134.00
$76.00
$4.58
$3.50
$3.45
$3.80

Black-Scholes Factor
80.17%
79.90%
78.96%
80.86%
92.14%
80.35%
80.57%
80.68%

(2)

(3)

“All Other Compensation” represents perquisites and other personal benefits which, in the aggregate, amount to $50,000 or more, or are equivalent to 10% or more of a Named Executive
Officer's total salary for the financial year ended December 31, 2016. The type and amount of each perquisite, the value of which exceeds 25% of the total value of perquisites, is separately
disclosed for each Named Executive Officer, if applicable.

In  connection  with  the  closure  of  our  Quebec  City  office  and  the  restructuring  of  our  finance  and  accounting  staff,  on  October  9,  2015,  we  entered  into  a  transition  agreement  with  Mr.
Santorelli. His employment with us terminated on February 18, 2016 after he fulfilled his obligations to us pursuant to the transition agreement. The indicated salary amount represents salary
earned and paid to Mr. Santorelli up until the date of his departure.

(4) Represents severance payment, perquisites and other personal benefits paid to Mr. Santorelli in 2016, of which $336,600 was paid in February 2016 as a termination payment.

(5) Ms. Lemaire became our Vice President, Finance and Chief Accounting Officer on February 18, 2016 upon the departure of Mr. Santorelli. She provides services to us as a contractor and not
as an employee. She is compensated for her services at the rate of CDN$170 per hour. She is not entitled to participate in or to receive benefits pursuant to any of our programs customarily
made available to our employees. The amount shown represents all payments to her pursuant to her agreement with us.

(6) We maintain a reinsured benevolent fund (Rückgedeckte Unterstützungskasse), which is a type of private defined contribution pension plan, for Dr. Sachse. We contribute to a private pension
provider an amount equal to 2.4% of Dr. Sachse’s salary, up to a monthly salary limit of €6,050, plus an additional contribution of 18% of the amount of Dr. Sachse’s salary that exceeds the
monthly limit. Dr. Sachse also contributes a percentage of his salary to the plan. We are liable to Dr. Sachse for the pension benefits that have been promised, if the private pension provider
does not, or cannot, pay the promised pension payments. We obtained reinsurance against the insolvency or liquidation of the private pension provider. The table below sets forth additional
information regarding Dr. Sachse’s pension plan. The difference between (i) the sum of the Accumulated Value at Start of Year column plus the Compensatory column and (ii) the Accumulated
Value at End of Year column is attributable to Dr. Sachse’s contributions to the pension plan during the year ended December 31, 2016, as well as changes in the foreign exchange rate, his
contributions being made in euros.

Accumulated value at start of year

$73,529

Compensatory

$37,067

Accumulated value at year end

$106,391

(7) Represents the salary earned by and paid to Mr. Theodore following his appointment as Senior Vice President, Chief Administrative Officer, General Counsel and Corporate Secretary on

October 6, 2014.

Compensation of the Chief Executive Officer

The  compensation  of  our  President  and  Chief  Executive  Officer  is  governed  by  our  executive  compensation  policy  described  in  the  section  titled
“Compensation of Executive Officers”, and the President and Chief Executive Officer participates, together with the other Named Executive Officers, in all of
our incentive plans.

Mr. Dodd's total earned salary during the financial year ended December 31, 2016 was $475,000. Mr. Dodd was not awarded an annual incentive bonus with
respect to 2016.

For the financial year ended December 31, 2016, the NGCC recommended that 257,035 stock options be granted to Mr. Dodd under our Stock Option Plan.
The grant to Mr. Dodd is included in the Summary Compensation Table above under the column captioned “Option-Based Awards”. See Section 6.3.6 of this
Circular, “Long-Term Equity Compensation – Summary of the Stock Option Plan”, for a complete description of the Stock Option Plan.

See "Long-Term Equity Compensation Plan of Executive Officers - Summary of the Stock Option Plan", for a complete description of the Stock Option Plan.

67

Pension, retirement or similar benefits

As at December 31, 2016, the Company and its subsidiaries had accrued pension, retirement or similar benefits obligations amounting to $13.4 million. See
note 17 - Employee future benefits, to the audited consolidated financial statements included in Item 18 of this Annual Report on Form 20-F.

C.

Board Practices

Our  Articles  provide  that  our  Board  shall  be  composed  of  a  minimum  of  five  and  a  maximum  of  15  directors.  Directors  are  elected  annually  by  our
shareholders, but the directors may from time to time appoint one or more directors, provided that the total number of directors so appointed does not exceed
one-third of the number of directors elected at the last annual meeting of shareholders. Each elected director will remain in office until termination of the next
annual meeting of the shareholders or until his or her successor is duly elected or appointed, unless his or her post is vacated earlier. We do not have service
agreements with our independent directors.

See Item 6A. for information about the period of service of each of our directors and senior corporate officers.

Committees of the Board of Directors    

Our Board has established an Audit Committee and a NGCC.

Audit Committee

The Audit Committee assists the Board in fulfilling its oversight responsibilities. The Audit Committee reviews the financial reporting process, the system of
internal control, the audit process, and our process for monitoring compliance with laws and regulations and with our Code of Ethical Conduct. In performing
its duties, the Audit Committee will maintain effective working relationships with the Board, management, and the external auditors. To effectively perform
his  or  her  role,  each  committee  member  will  obtain  an  understanding  of  the  detailed  responsibilities  of  committee  membership  as  well  as  our  business,
operations and risks.

The function of the Audit Committee is oversight and while it has the responsibilities and powers set forth in its charter (incorporated by reference to Exhibit
11.2 to this Annual Report on Form 20-F), it is neither the duty of the committee to plan or to conduct audits or to determine that our financial statements are
complete, accurate and in accordance with generally accepted accounting principles, nor to maintain internal controls and procedures.

The current members of the Audit Committee are Gérard Limoges (Chair), Michael Cardiff and Ken Newport.

NGCC

The NGCC is responsible for, among other matters, (i) assisting the Board in developing our approach to corporate governance issues, (ii) proposing new
Board nominees, (iii) overseeing the assessment of the effectiveness of the Board and its committees, their respective chairs and individual directors and (iv)
making recommendations to the Board with respect to board member nominees and directors' compensation, as well as serving in a leadership role for our
corporate governance practices. It is also responsible for taking all reasonable actions to ensure that appropriate human resources policies, procedures and
systems, e.g., recruitment and retention policies, competency and performance metrics and measurements, training and development programs, and market-
based, competitive compensation and benefits structures, are in place so that we can attract, motivate and retain the quality of personnel required to achieve
our business objectives. The NGCC also assists the Board in discharging its responsibilities relating to the recruitment, retention, development, assessment,
compensation and succession planning for our executive and senior management members.

Thus, the NGCC recommends the appointment of senior officers, including the terms and conditions of their appointment and termination, and reviews the
evaluation  of  the  performance  of  our  senior  officers,  including  recommending  their  compensation  and  overseeing  risk  identification  and  management  in
relation  to  executive  compensation  policies  and  practices.  The  Board,  which  includes  the  members  of  the  NGCC,  reviews  the  Chief  Executive  Officer's
corporate strategy, goals and performance objectives and evaluates and measures his or her performance and compensation against the achievement of such
goals and objectives.

The NGCC recognizes that the industry, regulatory and competitive environment in which we operate requires a balanced level of risk-taking to promote and
achieve the performance expectations of executives of a specialty biopharmaceutical company that is also seeking to acquire or in-license new commercial
products. The NGCC is of the view that our executive compensation program should not encourage senior executives to take inappropriate or unreasonable
risk.  In  this  regard,  the  NGCC  recommends  the  implementation  of  compensation  methods  that  appropriately  connect  a  portion  of  senior  executive
compensation with our short-term and longer-term performance, as well as that of each individual executive officer and that take into account the advantages
and risks associated with such compensation methods. The NGCC is also responsible for establishing compensation policies that are intended to reward the
creation of shareholder value while reflecting a balance between our short-term and longer-term performance and that of each executive officer.

68

The current members of the Compensation Committee are Carolyn Egbert (Chair), Juergen Ernst, Michael Cardiff and Ken Newport.

D.

Employees

As at December 31, 2016, we had a total of 47 active employees, of which 37 are based in Frankfurt, Germany.  The remaining 10 employees are based in the
United  States.    Our  employees  are  engaged  in  the  following  activities:    (i)  29  are  engaged  in  research  and  development,  regulatory  affairs  and  quality
assurance; (ii) eight are involved in commercial operations and business development; and (iii) 10 are involved in various administrative functions, including
finance  and  accounting.    We  do  not  employ  any  sales  representatives.    We  have  agreements  with  our  employees  covering  confidentiality,  loyalty,  non-
competition and assignment of all intellectual property rights developed during the employment period. 

E.

Share ownership

The table below sets forth information as of March 15, 2017 provided to us by our directors and executive officers concerning their ownership of Common
Shares and stock options of the Company:

Name

No. of Common Shares owned
or held

Percent(1)

No. of stock options held(2)

No. of currently
exercisable options

Cardiff, Michael

Dinges, Jude

Dodd, David A.

Egbert, Carolyn

Ernst, Juergen

Guenther, Eckhard

Lemaire, Geneviève

Limoges, Gérard

Newport, Kenneth

Sachse, Richard

Teifel, Michael

Theodore, Philip A.

Total

________________________
*

Less than 1%

—  

6,533  

34,003  

1,920  

1,348  

—  

2,350  

1,200  

—  

—  

—  

10,894  

58,248  

— 
* 
* 
* 
* 
— 
* 
* 
— 
— 
— 
* 
* 

27,850  

129,740  

349,785  

17,850  

17,850  

15,398  

—  

17,850  

27,850  

129,380  

30,350  

128,580  

892,483  

—

15,941

34,501

—

—

1,667

—

—

—

13,334

3,334

14,668

83,445

(1) Based on 12,917,995 Common Shares outstanding as at December 31, 2016.

(2) For information regarding option expiration dates and exercise price refer to the tables included under the caption "Outstanding Option-Based Awards and Share-Based Awards".

See "Summary of the Stock Option Plan" for more details on the Stock Option Plan.

Item 7.

Major Shareholders and Related Party Transactions

A.

Major shareholders

We are not directly or indirectly owned or controlled by another corporation or by any foreign government. Based on filings with the SEC and the Canadian
securities regulatory authorities, as at March 15, 2017, no individual or entity beneficially owned, directly or indirectly, or exercised control or direction over
our Common Shares carrying more than 5% of the voting rights attached to all our Common Shares.

United States Shareholders

As at February 28, 2017, there were 11 holders of record of our Common Shares, of which two were registered with an address in the United States holding in
the  aggregate  approximately  99.77%  of  our  outstanding  Common  Shares.  We  believe  that  the  number  of  beneficial  owners  of  our  Common  Shares  is
substantially greater than the number of record holders, because the overwhelming majority of our Common Shares are held in broker "street names".

69

B.

Related party transactions

As at December 31, 2016, all related party transactions were eliminated upon consolidation.

C.

Interests of experts and counsel

Not applicable.

Item 8.

Financial Information

A.

Consolidated statements and other financial information

The consolidated financial statements filed as part of this Annual Report on Form 20-F are presented under "Item 18. – Financial Statements".

B.

Significant changes

No significant changes occurred since the date of our annual consolidated financial statements included elsewhere in this Annual Report on Form 20-F.

Item 9.

The Offering and Listing

A.

Offer and listing details

Not Applicable, except for Item 9A(4). Our Common Shares are listed on both NASDAQ and TSX under the symbol "AEZS". The following table indicates,
for the relevant periods, the high and low closing prices of our Common Shares on NASDAQ and on the TSX:

NASDAQ (US$)

TSX (CAN$)

High

Low

High

Low

2016

2015

2014

2013

2012

2017

First quarter 1

2016

Fourth quarter

Third quarter

Second quarter

First quarter

2015

Fourth quarter

Third quarter

Second quarter

First quarter

Most recent 6 months

February 2017

January 2017

December 2016

November 2016

October 2016

September 2016

(1)     Up to and including March 14, 2017.

2.67

4.00

52.00

103.00

187.00

2.45

3.25

3.30

3.01

2.67

4.00

5.02

27.00

51.00

2.80

2.45

3.40

3.25

3.34

3.35

6.62

104.00

166.00

327.00

1,284.00

4.81

6.62

4.83

5.69

6.08

15.41

35.00

78.00

104.00

4.43

4.81

5.52

5.30

6.62

4.82

3.85

5.39

57.00

108.00

187.00

3.24

4.40

4.26

3.90

3.85

5.39

7.00

32.50

64.00

3.62

3.24

4.45

4.40

4.46

4.39

4.94

84.20

150.00

323.00

1,290.00

3.65

4.94

3.73

4.38

4.40

11.43

27.50

64.10

84.20

3.35

3.65

4.10

4.00

4.94

3.73

70

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B.

Plan of distribution

Not applicable.

C.

Markets

Our Common Shares are listed and posted for trading on both NASDAQ and the TSX under the symbol "AEZS".

D.

Selling shareholders

Not applicable.

E.

Dilution

Not applicable.

F.

Expenses of the issue

Not applicable.

Item 10.

Additional Information

A.

Share capital

Not applicable.

B.

Memorandum and articles of association

We  are  governed  by  our  restated  articles  of  incorporation  (the  "Restated  Articles  of  Incorporation")  under  the  CBCA  and  by  articles  of  amendment  dated
October 2, 2012 and November 16, 2015 (together with the Restated Articles of Incorporation, the "Articles") and by our bylaws, as amended and restated on
March 21, 2013 (the "bylaws"). Our Articles are on file with Corporations Canada under Corporation Number 264271-9. The Articles do not include a stated
purpose and do not place any restrictions on the business that we may carry on.

Inspection Rights of Shareholders

Under  the  CBCA,  shareholders  are  entitled  to  be  provided  with  a  copy  of  the  list  of  our  registered  shareholders.  In  order  to  obtain  the  shareholder  list,  a
shareholder must provide to us an affidavit including, among other things, a statement that the list will only be used for the purposes permitted by the CBCA.
These permitted purposes include an effort to influence the voting of our shareholders, an offer to acquire our securities and any other matter relating to our
affairs. We are entitled to charge a reasonable fee for the provision of the shareholder list and must deliver that list no more than ten days after receipt of the
affidavit described above.

Under the CBCA, shareholders have the right to inspect certain corporate records, including our Articles and bylaws and minutes of meetings and resolutions
of the shareholders. Shareholders have no statutory right to inspect minutes of meetings and resolutions of our directors. Our shareholders have the right to
certain financial information respecting us. In addition to the annual and quarterly financial statements required to be filed under applicable securities laws,
we  are  required  by  the  CBCA  to  place  before  every  annual  meeting  of  shareholders  our  audited  comparative  annual  financial  statements.  In  addition,
shareholders have the right to examine the financial statements of each of our subsidiaries and any other corporate entity whose accounts are consolidated in
our financial statements.

Directors

The minimum number of directors we must have is five and the maximum number is 15. In accordance with the CBCA, at least 25% of our directors must be
residents of Canada. In order to serve as a director, a person must be a natural person at least 18 years of age, of sound mind, not bankrupt, and must not be
prohibited by any court from holding the office of director. None of the Articles, the bylaws and the CBCA imposes any mandatory retirement requirements
for directors.

The directors are elected by a majority of the votes cast at the annual meeting at which an election of directors is required, to hold office until the election of
their  successors,  except  in  the  case  of  resignations  or  if  their  offices  become  vacant  by  death  or  otherwise.  Subject  to  the  provisions  of  our  bylaws,  all
directors may, if still qualified to serve as directors, stand for re-election. The Board is not replaced at staggered intervals but is elected annually.

71

There is no provision in our bylaws or Articles that requires that a director must be a shareholder.

The directors are entitled to remuneration as shall from time to time be determined by the Board or by a committee to which the Board may delegate the
power  to  do  so.  Under  the  mandate  of  the  NGCC,  such  committee,  comprised  of  at  least  a  majority  of  independent  directors,  is  tasked  with  making
recommendations to the Board concerning director remuneration.

The CBCA provides that a director who is a party to, or who is a director or officer of, or has a material interest in, any person who is a party to a material
contract or transaction or proposed material contract or transaction with us must disclose to us the nature and extent of his or her interest at the time and in the
manner provided by the CBCA, or request that same be entered in the minutes of the meetings of the Board, even if such contract, in connection with our
normal business activity, does not require the approval of either the directors or the shareholders. At the request of the president or any director, the director
placed in a situation of conflict of interest must leave the meeting while the Board discusses the matter. The CBCA prohibits such a director from voting on
any resolution to approve the contract or transaction unless the contract or transaction:

•

•

•

relates primarily to his or her remuneration as our director, officer, employee or agent or as a director, officer, employee or agent of an affiliate of us;

is for indemnity or insurance for director's liability as permitted by the CBCA; or

is with our affiliate.

The CBCA provides that the Board may, on our behalf and without authorization of our shareholders:

•

•

•

borrow money upon our credit;

issue, reissue, sell or pledge our debt obligations;

give a guarantee on our behalf to secure performance of an obligation of any person; and

• mortgage, hypothecate, pledge or otherwise create a security interest in all or any of our property, owned or subsequently acquired, to secure any of our

obligations.

The  shareholders  have  the  ability  to  restrict  such  powers  through  our  Articles  or  bylaws  (or  through  a  unanimous  shareholder  agreement),  but  no  such
restrictions are in place.

The CBCA prohibits the giving of a guarantee to any of our shareholders, directors, officers or employees or of an affiliated corporation or to an associate of
any such person for any purpose or to any person for the purpose of or in connection with a purchase of a share issued or to be issued by us or our affiliates,
where there are reasonable grounds for believing that we are or, after giving the guarantee, would be unable to pay our liabilities as they become due, or the
realizable value of our assets in the form of assets pledged or encumbered to secure a guarantee, after giving the guarantee, would be less than the aggregate
of our liabilities and stated capital of all classes. These borrowing powers may be varied by our bylaws or Articles. However, our bylaws and Articles do not
contain any restrictions on or variations of these borrowing powers.

Pursuant  to  the  CBCA,  our  directors  manage  and  administer  our  business  and  affairs  and  exercise  all  such  powers  and  authority  as  we  are  authorized  to
exercise pursuant to the CBCA, the Articles and the bylaws. The general duties of our directors and officers under the CBCA are to act honestly and in good
faith  with  a  view  to  our  best  interests  and  to  exercise  the  care,  diligence  and  skill  that  a  reasonably  prudent  person  would  exercise  in  comparable
circumstances.  Any  breach  of  these  duties  may  lead  to  liability  to  us  and  our  shareholders  for  breach  of  fiduciary  duty.  In  addition,  a  breach  of  certain
provisions  of  the  CBCA,  including  the  improper  payment  of  dividends  or  the  improper  purchase  or  redemption  of  shares,  will  render  the  directors  who
authorized such action liable to account to us for any amounts improperly paid or distributed.

Our bylaws provide that the Board may, from time to time, appoint from amongst their number committees of the Board, and delegate to any such committee
any of the powers of the Board except those which pursuant to the CBCA a committee of the Board has no authority to exercise. As such, the Board has two
standing committees: the Audit Committee and the Nominating, Governance and Compensation Committee, or the NGCC.

Subject to the limitations provided by the CBCA, our bylaws provide that we shall, to the full extent provided by law, indemnify a director or an officer, a
former director or officer or a person who acts or acted at our request as a director or officer of a body corporate of which we are or were a shareholder or
creditor, and his or her heirs and legal representatives, against all costs, losses, charges and expenses, including an amount paid to settle an action or satisfy a
judgment, reasonably incurred by him or her in respect of any civil, criminal or administrative action or proceeding to which he or she is made a party by
reason of having been our director or officer or such body corporate, provided: (a) he or she acted in good faith in our best interests and (b) in the case of a
criminal or an administrative action or proceeding that is enforced by a monetary penalty, he or she had reasonable grounds to believe that his or her conduct
was lawful.

72

Our directors are authorized to indemnify from time to time any director or other person who has assumed or is about to assume in the normal course of
business any liability for us or for any corporation controlled by us and to secure such director or other person against any loss by the pledge of all or part of
our movable or immovable property through the creation of a hypothec or any other real right in all or part of such property or in any other manner.

We have also agreed to indemnify and save harmless our directors and senior corporate officers as well as the managing directors of our German subsidiary
pursuant to various Director and Officer Indemnification Agreements against certain charges, damages, awards, settlements, liabilities, interest, judgments,
fines, penalties, statutory obligations, professional fees and retainers and other expenses of whatever nature or kind, provided that any such costs, charges,
professional fees and other expenses are reasonable (collectively, “Expenses”) and from and against all Expenses sustained or incurred by the indemnified
party as a result of serving as a director, officer or employee of the Company (or its subsidiary) in respect of any act, matter, deed or thing whatsoever made,
done, committed, permitted, omitted or acquiesced in by the indemnified party as a director, officer or employee of the Company (or its subsidiary). The form
of Director and Officer Indemnification Agreement has been furnished to the SEC as Exhibit 99.1 to our Report on Form 6-K dated October 21, 2016.

Share Capitalization

Our  authorized  share  capital  structure  consists  of  an  unlimited  number  of  shares  of  the  following  classes  (all  classes  are  without  nominal  or  par  value):
Common Shares; and first preferred shares (the "First Preferred Shares") and second preferred shares (the "Second Preferred Shares" and, together with the
First  Preferred  Shares,  the  "Preferred  Shares"),  both  issuable  in  series.  As  at  March  15,  2017,  there  were  approximately  13.5  million  Common  Shares
outstanding.  No  Preferred  Shares  have  been  issued  to  date.  We  have  also  issued  warrants  to  acquire  Common  Shares  in  connection  with  certain  equity
financings.

Common Shares

The holders of the Common Shares are entitled to one vote for each Common Share held by them at all meetings of shareholders, except meetings at which
only shareholders of a specified class of shares are entitled to vote. In addition, the holders are entitled to receive dividends if, as and when declared by our
Board of Directors on the Common Shares. Finally, the holders of the Common Shares are entitled to receive our remaining property upon any liquidation,
dissolution  or  winding-up  of  our  affairs,  whether  voluntary  or  involuntary.  Shareholders  have  no  liability  to  further  capital  calls  as  all  shares  issued  and
outstanding are fully paid and non-assessable.

Preferred Shares

The First and Second Preferred Shares are issuable in series with rights and privileges specific to each class. The holders of Preferred Shares are generally not
entitled to receive notice of or to attend or vote at meetings of shareholders. The holders of First Preferred Shares are entitled to preference and priority to any
participation of holders of Second Preferred Shares, Common Shares or shares of any other class of shares of our share capital ranking junior to the First
Preferred Shares with respect to dividends and, in the event of our liquidation, the distribution of our property upon our dissolution or winding-up, or the
distribution of all or part of our assets among the shareholders, to an amount equal to the value of the consideration paid in respect of such shares outstanding,
as credited to our issued and paid-up share capital, on an equal basis, in proportion to the amount of their respective claims in regard to such shares held by
them. The holders of Second Preferred Shares are entitled to preference and priority to any participation of holders of Common Shares or shares of any other
class of shares of our share capital ranking junior to the Second Preferred Shares with respect to dividends and, in the event of our liquidation, the distribution
of our property upon our dissolution or winding-up, or the distribution of all or part of our assets among the shareholders, to an amount equal to the value of
the consideration paid in respect of such shares outstanding, as credited to our issued and paid-up share capital, on an equal basis, in proportion to the amount
of their respective claims in regard to such shares held by them.

Our Board of Directors may, from time to time, provide for additional series of Preferred Shares to be created and issued, but the issuance of any Preferred
Shares is subject to the general duties of the directors under the CBCA to act honestly and in good faith with a view to our best interests and to exercise the
care, diligence and skill that a reasonably prudent person would exercise in comparable circumstances.

Shareholder Actions

The CBCA provides that our shareholders may, with leave of a court, bring an action in our name and on our behalf for the purpose of prosecuting, defending
or discontinuing an action on our behalf. In order to grant leave to permit such an action, the CBCA provides that the court must be satisfied that our directors
were given adequate notice of the application, the shareholder is acting in good faith and that it appears to be in our best interests that the action be brought.

73

Shareholder Rights Plan

Our  Board  of  Directors  adopted  a  shareholder  rights  plan  on  March  29,  2016  (the  "Rights  Plan").  Our  shareholders  approved,  ratified  and  confirmed  the
Rights Plan at our Annual Meeting of Shareholders on May 10, 2016.

Objectives and Background of the Shareholder Rights Plan

The fundamental objectives of the Rights Plan are to provide adequate time for our Board and shareholders to assess an unsolicited take-over bid for us, to
provide  the  Board  with  sufficient  time  to  explore  and  develop  alternatives  for  maximizing  shareholder  value  if  a  take-over  bid  is  made,  and  to  provide
shareholders with an equal opportunity to participate in a take-over bid.

The Rights Plan encourages a potential acquiror who makes a take-over bid to proceed either by way of a "Permitted Bid", as described below, which requires
a take-over bid to satisfy certain minimum standards designed to promote fairness, or with the concurrence of our Board. If a take-over bid fails to meet these
minimum standards and the Rights Plan is not waived by the Board, the Rights Plan provides that holders of Common Shares, other than the acquiror, will be
able to purchase additional Common Shares at a significant discount to market, thus exposing the person acquiring Common Shares to substantial dilution of
its holdings.

Summary of the Rights Plan

The following is a summary of the principal terms of the Rights Plan, which summary is qualified in its entirety by reference to the terms thereof. Capitalized
terms not otherwise defined in this summary shall have the meaning ascribed to such terms in the Shareholder Rights Plan Agreement which sets forth the
Rights Plan. The Rights Plan is incorporated by reference as Exhibit 2.1 to this Annual Report on Form 20-F.

For the purposes of this summary and as set out in the Rights Plan, the term “NI 62-104” refers to National Instrument 62-104-Take-Over Bids and Issuer
Bids adopted by the Canadian securities regulatory authorities, as now in effect or as the same may from time to time be amended, re-enacted or replaced and
including for greater certainty any successor instrument thereto.

Operation of the Rights Plan

Pursuant to the terms of the Rights Plan, one right was issued in respect of each common share outstanding at 5:01 p.m. on March 29, 2016 (the "Record
Time"). In addition, we will issue one right for each additional Common Share issued after the Record Time and prior to the earlier of the Separation Time (as
defined  below)  and  the  Expiration  Time  (as  defined  below).  The  rights  have  an  initial  exercise  price  equal  to  the  Market  Price  (as  defined  below)  of  the
Common Shares as determined at the Separation Time, multiplied by five, subject to certain anti-dilution adjustments (the "Exercise Price"), and they are not
exercisable  until  the  Separation  Time.  Upon  the  occurrence  of  a  Flip-in  Event  (as  defined  below),  each  right  will  entitle  the  holder  thereof,  other  than  an
Acquiring Person or any other person whose rights are or become void pursuant to the provisions of the Rights Plan, to purchase from us, effective at the
close of business on the eighth trading day after the Stock Acquisition Date (as defined below), upon payment to us of the Exercise Price, Common Shares
having an aggregate Market Price equal to twice the Exercise Price on the date of consummation or occurrence of such Flip-in Event, subject to certain anti-
dilution adjustments.

Definition of Market Price

Market Price is generally defined in the Rights Plan, on any given day on which a determination must be made, as the volume weighted average trading price
of the Common Shares for the five consecutive trading days (i.e. days on which the TSX or another stock exchange or national securities quotation system on
which the Common Shares are traded (including for greater certainty, each of the Nasdaq Global Select Market, the Nasdaq Global Market and the Nasdaq
Capital Market) is open for the transaction of business, subject to certain exceptions), through and including the trading day immediately preceding such date
of determination, subject to certain exceptions.

Trading of Rights

Until the Separation Time (or the earlier termination or expiration of the rights), the rights trade together with the Common Shares and are represented by the
same  share  certificates  as  the  Common  Shares  or  an  entry  in  our  securities  register  in  respect  of  any  outstanding  Common  Shares.  From  and  after  the
Separation Time and prior to the Expiration Time, the rights are evidenced by rights certificates and trade separately from the Common Shares. The rights do
not carry any of the rights attaching to the Common Shares such as voting or dividend rights.

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Separation Time

The  rights  will  separate  from  the  Common  Shares  to  which  they  are  attached  and  become  exercisable  at  the  time  (the  "Separation  Time")  of  the  close  of
business on the eighth business day after the earliest to occur of:

1.

2.

the first date (the "Stock Acquisition Date") of a public announcement of facts indicating that a person has become an Acquiring Person; and

the date of the commencement of, or first public announcement of the intention of any person (other than us or any of our subsidiaries) to commence
a take-over bid or a share exchange bid for more than 20% of our outstanding Common Shares other than a Permitted Bid or a Competing Permitted
Bid (as defined below), so long as such take-over bid continues to satisfy the requirements of a Permitted Bid or a Competing Permitted Bid, as the
case may be.

The Separation Time can also be such later time as may from time to time be determined by the Board, provided that if any such take-over bid expires, or is
canceled, terminated or otherwise withdrawn prior to the Separation Time, without securities deposited thereunder being taken up and paid for, it shall be
deemed never to have been made and if the Board determines to waive the application of the Rights Plan to a particular Flip-in Event, the Separation Time in
respect of such Flip-in Event shall be deemed never to have occurred.

From and after the Separation Time and prior to the Expiration Time, each right entitles the holder thereof to purchase one Common Share upon payment of
the Exercise Price to us.

Flip-in Event

The acquisition by a person (an "Acquiring Person"), including others acting jointly or in concert with such person, of more than 20% of the outstanding
Common Shares, other than by way of a Permitted Bid, a Competing Permitted Bid or in certain other limited circumstances described in the Rights Plan, is
referred to as a "Flip-in Event".

In the event that, prior to the Expiration Time, a Flip-in Event that has not been waived occurs (see "Waiver and Redemption" below), each right (other than
those held by or deemed to be held by the Acquiring Person) will thereafter entitle the holder thereof, effective as at the close of business on the eighth trading
day after the Stock Acquisition Date, to purchase from us, upon payment of the Exercise Price and otherwise exercising such right in accordance with the
terms of the Rights Plan, that number of Common Shares having an aggregate Market Price on the date of consummation or occurrence of the Flip-in Event
equal to twice the Exercise Price, for an amount in cash equal to the Exercise Price (subject to certain anti-dilution adjustments described in the Rights Plan).

A bidder may enter into Lock-up Agreements with our shareholders ("Locked-up Persons") who are not affiliates or associates of the bidder and who are not,
other than by virtue of entering into such agreement, acting jointly or in concert with the bidder, whereby such shareholders agree to tender their Common
Shares to the take-over bid (the "Lock-up Bid") without the bidder being deemed to beneficially own the Common Shares deposited pursuant to the Lock-up
Bid. Any such agreement must include a provision that permits the Locked-up Person to withdraw the Common Shares to tender to another take-over bid or
to support another transaction that will either provide greater consideration to the shareholder than the Lock-up Bid or provide for a right to sell a greater
number  of  shares  than  the  Lock-up  Bid  contemplates  (provided  that  the  Lock-up  Agreement  may  require  that  such  greater  number  exceed  the  number  of
shares under the Locked-up Bid by a specified percentage not to exceed 7%).

The  Lock-up  Agreement  may  require  that  the  consideration  under  the  other  transaction  exceed  the  consideration  under  the  Lock-up  Bid  by  a  specified
amount. The specified amount may not be greater than 7%. For greater certainty, a Lock-up Agreement may contain a right of first refusal or require a period
of delay (or other similar limitation) to give a bidder an opportunity to match a higher price in another transaction as long as the limitation does not preclude
the exercise by the Locked-up Person of the right to withdraw the Common Shares during the period of the other take-over bid or transaction.

The Rights Plan requires that any Lock-up Agreement be made available to us and the public. The definition of Lock-up Agreement also provides that under a
Lock-up Agreement, no "break up" fees, "topping" fees, penalties, expenses or other amounts that exceed in aggregate the greater of (i) 2.5% of the price or
value of the aggregate consideration payable under the Lock-up Bid, and (ii) 50% of the amount by which the price or value of the consideration received by
a Locked-up Person under another take-over bid or transaction exceeds what such Locked-up Person would have received under the Lock-up Bid, can be
payable  by  such  Locked-up  Person  if  the  Locked-up  Person  fails  to  deposit  or  tender  Common  Shares  to  the  Lock-up  Bid  or  withdraws  Common  Shares
previously tendered thereto in order to deposit such Common Shares to another take-over bid or support another transaction.

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Permitted Bid Requirements

The requirements of a Permitted Bid include the following:

1.

2.

3.

4.

5.

6.

the take-over bid must be made by means of a take-over bid circular;

the take-over bid must be made to all holders of Common Shares wherever resident, on identical terms and conditions, other than the bidder;

the take-over bid must not permit Common Shares tendered pursuant to the bid to be taken up or paid for:

a)

b)

prior  to  the  close  of  business  on  a  date  that  is  not  less  than  105  days  following  the  date  of  the  relevant  take-over  bid  or  such  shorter
minimum period that a take-over bid (that is not exempt from any of the requirements of Division 5 (Bid Mechanics of NI 62-104)) must
remain open for deposits of securities thereunder, in the applicable circumstances at such time, pursuant to NI 62-104;

then only if at the close of business on the date Common Shares (and/or “Convertible Securities”, as defined in the Rights Plan) are first
taken up or paid for under such take-over bid, outstanding Common Shares and Convertible Securities held by shareholders other than any
other  Acquiring  Person,  the  bidder,  the  bidder’s  affiliates  or  associates,  persons  acting  jointly  or  in  concert  with  the  bidder  and  any
employee benefit plan, deferred profit-sharing plan, stock participation plan or trust for the benefit of our employees or the employees of
any of our subsidiaries, unless the beneficiaries of such plan or trust direct the manner in which the Common Shares are to be voted or
direct whether the Common Shares are to be tendered to a take-over bid (collectively, “Independent Shareholders”) that represent more than
50% of the aggregate of (I) then outstanding Common Shares and (II) Common Shares issuable upon the exercise of Convertible Securities,
have been deposited or tendered pursuant to the take-over bid and not withdrawn;

the take-over bid must allow Common Shares and/or Convertible Securities to be deposited or tendered pursuant to such take-over bid, unless such
take-over bid is withdrawn, at any time prior to the close of business on the date Common Shares and/or Convertible Securities are first taken up or
paid for under the take-over bid;

the take-over bid must allow Common Shares and/or Convertible Securities to be withdrawn until taken up and paid for; and

in the event the requirement set forth in clause 3.b) above is satisfied, the bidder must make a public announcement of that fact and the take-over bid
must remain open for deposits and tenders of Common Shares for not less than ten days from the date of such public announcement.

A Permitted Bid need not be a bid for all outstanding Common Shares not held by the bidder, i.e., a Permitted Bid may be a partial bid. The Rights Plan also
allows a competing Permitted Bid (a “Competing Permitted Bid”) to be made while a Permitted Bid is in existence. A Competing Permitted Bid must satisfy
all the requirements of a Permitted Bid other than the requirement set out in clause 3.a) above and must not permit Common Shares tendered or deposited
pursuant to the bid to be taken up or paid for prior to the close of business on the last day of the minimum initial deposit period that such take-over bid must
remain  open  for  deposits  of  securities  thereunder  pursuant  to  NI  62-104  after  the  date  of  the  take-over  bid  constituting  the  Competing  Permitted  Bid;
provided, however, that a take-over bid that has qualified as a Competing Permitted Bid shall cease to be a Competing Permitted Bid at any time and as soon
as  such  time  as  when  such  take-over  bid  ceases  to  meet  any  or  all  of  the  foregoing  provisions  of  the  definition  of  “Competing  Permitted  Bid”  and  any
acquisition of Common Shares and/or Convertible Securities made pursuant to such take-over bid that qualified as a Competing Permitted Bid, including any
acquisition  of  Common  Shares  and/or  Convertible  Securities  made  before  such  take-over  bid  ceased  to  be  a  Competing  Permitted  Bid,  will  not  be  a
“Permitted Bid Acquisition” (as defined in the Rights Plan).

Waiver and Redemption

The Board may, prior to the occurrence of a Flip-in Event, waive the dilutive effects of the Rights Plan in respect of, among other things, a particular Flip-in
Event resulting from a take-over bid made by way of a take-over bid circular to all holders of our Common Shares. In such an event, such waiver shall also be
deemed to be a waiver in respect of any other Flip-in Event occurring under a take-over bid made by way of a take-over bid circular to all holders of Common
Shares prior to the expiry of the first mentioned take-over bid.

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The Board may, with the approval of a majority of Independent Shareholders (or, after the Separation Time has occurred, holders of rights, other than rights
which are void pursuant to the provisions of the Rights Plan or which, prior to the Separation Time, are held otherwise than by Independent Shareholders), at
any time prior to the occurrence of a Flip-in Event which has not been waived, elect to redeem all, but not less than all, of the then outstanding rights at a
price of CAN$0.00001 each, appropriately adjusted as provided in the Rights Plan (the "Redemption Price").

Where a take-over bid that is not a Permitted Bid or Competing Permitted Bid is withdrawn or otherwise terminated after the Separation Time has occurred
and prior to the occurrence of a Flip-in Event, the Board may elect to redeem all the outstanding rights at the Redemption Price without the consent of the
holders of the Common Shares or the rights and reissue rights under the Rights Plan to holders of record of Common Shares immediately following such
redemption. Upon the rights being so redeemed and reissued, all the provisions of the Rights Plan will continue to apply as if the Separation Time had not
occurred, and the Separation Time will be deemed not to have occurred and we shall be deemed to have issued replacement rights to the holders of its then
outstanding Common Shares.

Amendment to the Rights Plan

The Rights Plan may be amended to correct any clerical or typographical error or to make such changes as are required to maintain the validity of the Rights
Plan as a result of any change in any applicable legislation, regulations or rules thereunder, without the approval of the holders of the Common Shares or
rights. Prior to the Separation Time, we may, with the prior consent of the holders of Common Shares, amend, vary or delete any of the provisions of the
Rights  Plan  in  order  to  effect  any  changes  which  the  Board,  acting  in  good  faith,  considers  necessary  or  desirable.  We  may,  with  the  prior  consent  of  the
holders of rights, at any time after the Separation Time and before the Expiration Time, amend, vary or delete any of the provisions of the Rights Plan.

Protection Against Dilution

The Exercise Price, the number and nature of securities which may be purchased upon the exercise of rights and the number of rights outstanding are subject
to  adjustment  from  time  to  time  to  prevent  dilution  in  the  event  of  stock  dividends,  subdivisions,  consolidations,  reclassifications  or  other  changes  in  the
outstanding Common Shares, pro rata distributions to holders of Common Shares and other circumstances where adjustments are required to appropriately
protect the interests of the holders of rights.

Fiduciary Duty of Board

The Rights Plan will not detract from or lessen the duty of the Board to act honestly and in good faith with a view to our best interests and the best interests of
our  shareholders.  The  Board  will  continue  to  have  the  duty  and  power  to  take  such  actions  and  make  such  recommendations  to  our  shareholders  as  are
considered appropriate.

Exemptions for Investment Advisors

Fund managers, investment advisors (for fully-managed accounts), trust companies (acting in their capacities as trustees and administrators), statutory bodies
whose business includes the management of funds, and administrators of registered pension plans are exempt from triggering a Flip-in Event, provided that
they are not making, or are not part of a group making, a take-over bid.

Term

The  Rights  Plan  will  expire  (the  "Expiration  Time")  at  the  close  of  business  on  the  date  on  which  the  first  annual  meeting  of  our  shareholders  following
March  29,  2019  (being  the  third  anniversary  of  the  Record  Time)  is  held;  provided,  however,  that  if  our  Independent  Shareholders  approve  a  resolution
confirming the Rights Plan at or prior to the 2019 annual meeting of our shareholders, Expiration Time shall mean the close of business on the date on which
the first annual meeting of our shareholders following March 29, 2022 (being the sixth anniversary of the Record Time) is held.

Action Necessary to Change Rights of Shareholders

In order to change the rights of our shareholders, we would need to amend our Articles to effect the change. Such an amendment would require the approval
of holders of two-thirds of the issued and outstanding shares cast at a duly called special meeting. For certain amendments, a shareholder is entitled under the
CBCA to dissent in respect of such a resolution amending the Articles and, if the resolution is adopted and we implement such changes, demand payment of
the fair value of its shares.

77

Disclosure of Share Ownership

In general, under applicable securities regulation in Canada, a person or company who beneficially owns, or who directly or indirectly exercises control or
direction over voting securities of a reporting issuer, voting securities of an issuer or a combination of both, carrying more than ten percent of the voting rights
attached  to  all  the  issuer's  outstanding  voting  securities  is  an  insider  and  must,  within  ten  days  of  becoming  an  insider,  file  a  report  in  the  required  form
effective the date on which the person became an insider, disclosing any direct or indirect beneficial ownership of, or control or direction over, securities of
the reporting issuer.

Additionally, securities regulation in Canada provides for the filing of a report by an insider of a reporting issuer whose holdings change, which report must
be filed within five days from the day on which the change takes place.

Section 13 of the United States Securities Exchange Act of 1934 (the "Exchange Act") imposes reporting requirements on persons who acquire beneficial
ownership (as such term is defined in the Rule 13d-3 under the Exchange Act) of more than five percent of a class of an equity security registered under
Section 12 of the Exchange Act. Our Common Shares are so registered. In general, such persons must file, within ten days after such acquisition, a report of
beneficial ownership with the SEC containing the information prescribed by the regulations under Section 13 of the Exchange Act. This information is also
required to be sent to the issuer of the securities and to each exchange where the securities are traded.

Meeting of Shareholders

An annual meeting of shareholders is held each year for the purpose of considering the financial statements and reports, electing directors, appointing auditors
and fixing or authorizing the Board to fix their remuneration and for the transaction of other business as may properly come before a meeting of shareholders.
Any annual meeting may also constitute a special meeting to take cognizance and dispose of any matter of which a special meeting may take cognizance and
dispose. Under the bylaws, our Chief Executive Officer or our President has the power to call a meeting of shareholders.

The CBCA provides that the holders of not less than 5% of our outstanding voting shares may requisition our directors to call a meeting of shareholders for
the  purpose  stated  in  the  requisition.  Except  in  limited  circumstances,  including  where  a  meeting  of  shareholders  has  already  been  called  and  a  notice  of
meeting already given or where it is clear that the primary purpose of the requisition is to redress a personal grievance against us or our directors, officers or
shareholders, our directors, on receipt of such requisition, must call a meeting of shareholders. If the directors fail to call a meeting of shareholders within
twenty-one days after receiving the requisition, any shareholder who signed the requisition may call the meeting of shareholders and, unless the shareholders
resolve otherwise at the meeting, we shall reimburse the shareholders for the expenses reasonably incurred by them in requisitioning, calling and holding the
meeting of shareholders.

The CBCA also provides that, except in limited circumstances, a resolution in writing signed by all of the shareholders entitled to vote on that resolution at a
meeting of shareholders is as valid as if it had been passed at a meeting of shareholders.

A quorum of shareholders is present at an annual or special meeting of shareholders, regardless of the number of persons present in person at the meeting, if
the holder(s) of shares representing at least 10% of the outstanding voting shares at such meeting are present in person or represented in accordance with our
bylaws. In the case where the CBCA, our Articles or our bylaws require or permit the vote by class of holders of a given class of shares of our share capital,
the quorum at any meeting will be one or more persons representing 10% of the outstanding shares of such class.

Notice of the time and place of each annual or special meeting of shareholders must be given not less than 21 days, nor more than 50 days, before the date of
each meeting to each director, to the auditor and to each shareholder entitled to vote thereat. If the address of any shareholder, director or auditor does not
appear in our books, the notice may be sent to such address as the person sending the notice may consider to be most likely to reach such shareholder, director
or auditor promptly. Every person who, by operation of the CBCA, transfers or by any other means whatsoever, becomes entitled to any share, shall be bound
by every notice given in respect of such share which, prior to the entry of his or her name and address on our register, is given to the person whose name
appears on the register at the time such notice is sent. Notice of meeting of shareholders called for any other purpose other than consideration of the financial
statements and auditor's report, election of directors and reappointment of the incumbent auditor, must state the nature of the business in sufficient detail to
permit the shareholder to form a reasoned judgment on and must state the text of any special resolution or bylaw to be submitted to the meeting.

Our bylaws include an advance notice provision (the "Advance Notice Requirement"). The Advance Notice Requirement applies in certain circumstances
where nominations of persons for election to the Board of Directors are made by our shareholders other than pursuant to: (a) a requisition of a meeting made
pursuant to the provisions of the CBCA; or (b) a shareholder proposal made pursuant to the provisions of the CBCA.

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Among other things, the Advance Notice Requirement fixes a deadline by which shareholders must submit a notice of director nominations to us prior to any
annual or special meeting of shareholders where directors are to be elected and sets forth the information that a shareholder must include in the notice for it to
be valid. In the case of an annual meeting of shareholders, we must be given not less than 30 nor more than 65 days' notice prior to the date of the annual
meeting; provided, however, that in the event that the annual meeting is to be held on a date that is less than 50 days after the date on which the first public
announcement of the date of the annual meeting was made, notice may be made not later than the close of business on the 10th day following such public
announcement. In the case of a special meeting of shareholders (which is not also an annual meeting), we must be given notice not later than the close of
business on the 15th day following the day on which the first public announcement of the date of the special meeting was made.

The Board of Directors may, in its sole discretion, waive any requirement of the Advance Notice Requirement.

Limitations on Right to Own Securities

Neither Canadian law nor our Articles or bylaws limit the right of a non-resident to hold or vote our Common Shares, other than as provided in the Investment
Canada Act (the "Investment Act").

The Investment Act requires any person that is a “non-Canadian” (as defined in the Investment Act) who acquires “control” (as defined in the Investment
Act) of an existing Canadian business to file either a pre-closing application for review or a post-closing notification with Industry Canada.

On March 25, 2015, the Canadian government announced new Investment Act regulations that changed the thresholds for determining when an acquisition of
control of a Canadian business is a reviewable transaction (from an asset value-based test to an enterprise value-based test, in most cases). As of April 24,
2015, when amendments to the Investment Act and the regulations come into force, the threshold for review of a direct acquisition of control of a non-cultural
Canadian business by a World Trade Organization member country investor is an enterprise value of assets that exceeds CAN$600 million. The enterprise
value review threshold will remain at CAN$600 million for two years, before increasing to CAN$800 million for the following two years, and then to CAN$1
billion. For purposes of a publicly traded company, the “enterprise value” of the assets of the Canadian business is equal to the market capitalization of the
entity, plus its liabilities (excluding its operating liabilities), minus its cash and cash equivalents.

As such, under the Investment Act, the acquisition of control of us (either through the acquisition of our Common Shares or all or substantially all our assets)
by a non-Canadian who is a World Trade Organization member country investor, including a US investor, would be reviewable only if the enterprise value of
our assets exceeds the specified threshold for review.

Where the acquisition of control is a reviewable transaction, the Investment Act generally prohibits the implementation of the reviewable transaction unless,
after review, the relevant Minister is satisfied or deemed to be satisfied that the acquisition is likely to be of net benefit to Canada.

The acquisition of a majority of the voting interests of an entity is deemed to be acquisition of “control” of that entity. The acquisition of less than a majority
but one-third or more of the total number of votes attached to all of the voting shares of a corporation or of an equivalent undivided ownership interest in the
total number of votes attached to all of the voting shares of the corporation is presumed to be an acquisition of control of that corporation unless it can be
established that, on the acquisition, the corporation is not controlled in fact by the acquiror through the ownership of voting shares. The acquisition of less
than one-third of the total number of votes attached to all of the voting shares of a corporation is deemed not to be acquisition of control of that corporation
subject to certain discretionary rights relative to investments involving state owned enterprises. Other than in connection with a "national security" review,
discussed below, certain transactions in relation to our Common Shares would be exempt from the Investment Act including:

•

•

•

 the acquisition of our Common Shares by a person in the ordinary course of that person's business as a trader or dealer in securities;

the  acquisition  or  control  of  us  in  connection  with  the  realization  of  security  granted  for  a  loan  or  other  financial  assistance  and  not  for  any  purpose
related to the provisions of the Investment Act; and

the acquisition or control of us by reason of an amalgamation, merger, consolidation or corporate reorganization following which the ultimate direct or
indirect control in fact of us, through the ownership of our voting interests, remains unchanged.

Under the national security regime in the Investment Act, review on a discretionary basis may also be undertaken by the federal government in respect of a
much broader range of investments by a non-Canadian to "acquire, in whole or in part, or to establish an entity carrying on all or any part of its operations in
Canada". The relevant test is whether such an investment by a non-Canadian could be "injurious to national security". The Minister of Innovation, Science
and  Economic  Development  has  broad  discretion  to  determine  whether  an  investor  is  a  non-Canadian  and  therefore  may  be  subject  to  national  security
review. Review on national security grounds is at the discretion of the federal government and may occur on a pre or post-closing basis.

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There is no law, governmental decree or regulation in Canada that restricts the export or import of capital, or which would affect the remittance of dividends
or other payments by us to non-resident holders of our Common Shares, other than withholding tax requirements.

C.

Material contracts

Other than as disclosed herein under "Shareholder Rights Plan" and below, and except for contracts entered into in the ordinary course of business, there are
no material contracts to which we or any of our subsidiaries is a party.

Sinopharm Agreements

On December 1, 2014, we entered into an exclusive Master Collaboration Agreement, a Technology Transfer and Technical Assistance Agreement ("Tech
Transfer  Agreement")  and  a  License  Agreement  ("License  Agreement")  with  Sinopharm  A-Think  Pharmaceuticals  Co.,  Ltd.  ("Sinopharm")  for  the
development,  manufacture  and  commercialization  of  Zoptrex™  in  all  human  uses,  in  the  People's  Republic  of  China,  including  Hong  Kong  and  Macau
(collectively,  the  “Territory").  Under  the  terms  of  the  Tech  Transfer  Agreement,  Sinopharm  made  a  one-time,  non-refundable  payment  of  $1,101,000
("Transfer Fee") to us for the transfer of technical documentation and materials, know-how and technical assistance services. We will be entitled to receive
additional  consideration  upon  achieving  certain  milestones,  including  the  occurrence  of  certain  regulatory  and  commercial  events  in  the  Territory.
Furthermore, we will be entitled to royalties on future net sales of Zoptrex™ in the Territory. Sinopharm will be responsible for the development, production,
registration and commercialization of Zoptrex™ in the Territory.

Sinopharm is required to use commercially reasonable efforts to develop, manufacture and commercialize Zoptrex™ in the Territory, in order to maximize the
net  sales  derived  from  Zoptrex™  during  the  royalty  term  of  the  License  Agreement.  In  particular,  Sinopharm  is  required  to  use  commercially  reasonable
efforts to: (i) develop Zoptrex™ for the indication of endometrial cancer in the Territory in accordance with an agreed development plan and not to terminate,
suspend, halt or delay development, unless there are substantial safety, efficacy, commercial or regulatory reasons for doing so; (ii) apply for and obtain all
required  regulatory  approvals  in  the  Territory  following  successful  completion  of  all  appropriate  clinical  studies;  (iii)  make  the  first  commercial  sale  of
Zoptrex™ in the Territory within a specified period of time following the approval of Zoptrex™ for endometrial cancer; (iv) maintain an adequate sales force
and provide for relevant staff to manage the pre- and post-launch activities required to commercialize Zoptrex™ in the Territory; and (v) seek to maximize
sales of Zoptrex™ in the Territory. Sinopharm’s failure to use commercially reasonable efforts to develop, manufacture and commercialize Zoptrex™ would
be a material breach of the License Agreement.

The  License  Agreement  imposes  on  Sinopharm  the  responsibility  for  marketing,  promoting  and  selling  Zoptrex™  in  the  Territory  after  all  regulatory
approvals  for  commercial  sale  have  been  obtained,  including  pre-launch  and  post-launch  marketing,  promoting,  conducting  market  research,  distributing,
offering to commercially sell and commercially selling Zoptrex™, importing, exporting or transporting Zoptrex™ for commercial sale, conducting medical
education  activities,  conducting  clinical  studies  that  are  not  required  to  obtain  or  maintain  regulatory  approval  of  Zoptrex™  for  an  indication,  which  may
include epidemiological studies, modeling and pharmacoeconomic studies, conducting post-marketing surveillance studies, conducting investigator sponsored
studies and health economics studies and regulatory affairs.

The License Agreement will expire at the end of a defined royalty period, at which time the license that we granted to Sinopharm will become a fully paid-up,
perpetual license. Sinopharm  has  the  right  to  terminate  the  License  Agreement  if  there  are  material  safety,  efficacy,  commercial  or  regulatory  reasons  for
doing so; if we commit a material breach of any term of the License Agreement that we fail to cure within 90 days after receiving written notice of the breach;
if we file or institute bankruptcy, reorganization, liquidation or receivership proceedings; or if we assign a substantial portion of our assets for the benefit of
our creditors. If Sinopharm has the right to terminate because a third party institutes involuntary bankruptcy proceedings against us, we will have 90 days to
obtain the dismissal of the proceedings, during which time, Sinopharm may not terminate the Agreement.

We have the right to terminate the License Agreement if Sinopharm commits a material breach of any term of the License Agreement that it fails to cure
within 90 days after receiving written notice of the breach; if it files or institutes bankruptcy, reorganization, liquidation or receivership proceedings, or if it
assigns  a  substantial  portion  of  its  assets  for  the  benefit  of  its  creditors.  If  we  have  the  right  to  terminate  because  a  third-party  institutes  involuntary
bankruptcy  proceedings  against  Sinopharm,  it  will  have  90  days  to  obtain  the  dismissal  of  the  proceedings,  during  which  time,  we  may  not  terminate  the
Agreement.

The License Agreement contains customary provisions related to, among other things, our oversight of Sinopharm’s commercialization efforts, intellectual
property, pharmacovigilance, confidentiality and non-disclosure, representations and warranties, indemnity and dispute resolution. The License Agreement is
governed by the laws of Hong Kong.

The Master Collaboration Agreement, the License Agreement and the Tech Transfer Agreement are incorporated by reference as Exhibits 4.13, 4.14 and 4.15
to this Annual Report on Form 20-F.

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Employment and Service Agreements

We  have,  or  one  of  our  subsidiaries  has,  entered  into  an  employment  agreement  and,  in  some  cases,  a  change  of  control  agreement  (collectively,  the
“Employment Agreements”) with each of our Named Executive Officers except for Ms. Genevieve Lemaire, who provides services to us as a contractor and
not  as  an  employee  and  for  Mr.  Philip  A.  Theodore,  our  Senior  Vice  President,  Chief  Administrative  Officer,  General  Counsel  and  Secretary.  The
Employment Agreements provide that we will pay the executive a base salary and an annual bonus, if our financial results and position justify payment of a
bonus and subject to the determination and approval of the NGCC and our Board, and that such executives will be eligible to receive long-term incentive
grants in the form of stock options, which will be reviewed annually in accordance with our policies. The Employment Agreements have an indefinite term;
provided, however, that Dr. Sachse's Employment Agreement will end without the need to give notice not later than the expiry of the month during which Dr.
Sachse attains the minimum age of legal retirement in Germany.

The Employment Agreements of Messrs. Dodd and Dinges provide that (i) if we terminate their employment without “Cause”, (ii) in the case of Mr. Dinges,
there  is  a  “separation  from  service”  within  the  meaning  of  Section  409A  of  the  U.S.  Internal  Revenue  Code  of  1986,  as  amended  (a  “Separation  from
Service”) or (iii) if they resign for “Good Reason”, then the executive will be entitled to receive certain severance payments. Mr. Dodd is entitled to receive a
lump-sum payment (less applicable tax withholdings) in an amount equal to twice the sum of his then base salary, his then annual bonus, the amount of his
then car allowance, plus any earned retention bonus and eighteen months of the value of the other benefits to which he is entitled (through the purchase by us
of  eighteen  months  of  the  coverage  required  under  the  Consolidated  Omnibus  Budget  Reconciliation  Act  of  1986  (“COBRA”)).  Mr.  Dinges  is  entitled  to
receive a lump-sum payment (less applicable tax withholdings) in an amount equal to one times the sum of his then base salary, his then annual bonus, pro-
rated as applicable, any earned retention bonus, if applicable, the amount of his then car allowance, if applicable, and eighteen months of the value of the
other benefits to which he is entitled (through our purchase of eighteen months of the coverage required under COBRA). In addition, in the case of Messrs.
Dodd and Dinges, if the executive has a Separation of Service, then the executive's right to exercise all then outstanding stock options granted to him shall
fully and immediately vest on the effective date of the Separation from Service.

Dr. Sachse's Employment Agreement provides that we are entitled to terminate his agreement without cause by giving him six months' prior notice effective
to the end of any calendar month. During the six-month notice period, Dr. Sachse is entitled only to his salary and he has no right to receive a cash bonus or
any other form of remuneration.

Furthermore,  each  of  Messrs.  Dodd  and  Dinges  shall  not,  for  a  period  equal  to  one  year  following  such  executive's  termination  of  employment  with  us,
directly or indirectly, compete with us; solicit any of our clients or do anything whatsoever to induce or to lead any person to end, in whole or in part, its
business relations with us; induce, attempt to induce or otherwise interfere in the relations that we have with our distributors, suppliers, representatives, agents
and other parties with whom we deal; or induce, attempt to induce or otherwise solicit our personnel to leave their employment with us or hire our personnel
for any enterprise in which the executive has an interest. The foregoing agreements apply in each territory in which we had “actively exploited” (as defined in
each executive’s employment agreement) a product during the two years preceding the date of such executive's termination of employment.

Dr. Sachse’s Employment Agreement also contains a non-competition provision. Dr. Sachse is prohibited from competing with us, or any of our subsidiaries,
during  the  term  of  his  Employment  Agreement  and  for  a  period  of  one  year  following  the  date  of  termination  of  his  Employment  Agreement.  The non-
competition provision prohibits Dr. Sachse from participating in any capacity whatsoever, and from having any interest whatsoever, in a business that would
directly or indirectly compete with us, or with any of our subsidiaries, including a business involved in the development and commercialization of the specific
endocrine  therapies  and  oncology  treatments  that  we,  or  any  of  our  subsidiaries,  are  actively  developing.  The  territory  covered  by  Dr.  Sachse's  non-
competition provision is the geographical areas in which a specific product had been actively exploited by us or one of our subsidiaries during the two years
preceding the date of termination of his employment. The non-competition provision prohibits Dr. Sachse from performing duties for the competing business
that are identical or substantially similar to those duties he performed or carried on for us during the 24 months preceding the termination of his Employment
Agreement. If Dr. Sachse is unable to find new employment because of the existence of the non-competition provision, we will pay him his base salary during
a period ending on the first to occur of (i) the date on which he starts new employment, and (ii) the date on which the non-competition provision expires.

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The table below shows estimated incremental payments triggered pursuant to termination of employment of our Named Executive Officers who remained
employed on December 31, 2016 in accordance with the termination provisions described above. The amounts shown for Messrs. Dodd and Dinges would be
paid to them in US dollars. The amount shown for Dr. Sachse would be paid to him in euros.

Name

Dodd, David

Sachse, Richard

Dinges, Jude

Termination Provisions
Value ($)(1) (2)

1,662,009

111,000

505,230

(1) The termination values assume that the triggering event took place on the last business day of our financial year-end (December 31, 2016).

(2) Value of earned/unused vacation and amounts owing for expense reimbursement are not included as they are not considered as “incremental” payments made in connection with termination of

employment.

Pursuant to his Employment Agreement, Mr. Dodd is also entitled to receive certain payments (the “Change of Control Payments”) in the event (i) a “Change
of Control” occurs, and (ii) during the twelve-month period following the Change of Control, either we terminate his employment without “Cause” or he
terminates his employment for “Good Reason” during such period. The  Change  of  Control  Payment  will  equal  the  sum  of  the  following  amounts:  (i)  the
equivalent of thirty-six months of his then annual base salary, (ii) an amount equivalent to twice the annual bonus, if any, which he would have been entitled
to receive in the year during which the Change of Control occurred, (iii) any earned retention bonus, and (iv) an amount equivalent to 12 months of the then
annual cost to provide the other benefits to which he is entitled, or our cost to purchase coverage under COBRA for such benefits, whichever is applicable.
The Change of Control Payment is subject to applicable statutory withholdings. Any outstanding stock options held by Mr. Dodd shall, in such circumstances,
fully and immediately vest on the date of his Separation from Service. If a Change of Control had occurred on December 31, 2016, Mr. Dodd would have
been entitled to receive incremental payments in the amount of approximately $2,078,839. Such amount does not include the value of earned and unused
vacation  and  amounts  owing  for  expense  reimbursement  because  such  amounts  are  not  considered  as  “incremental”  payments  made  in  connection  with
termination of employment.

For the purposes of the Employment Agreements (including the annexes and schedules thereto) of Messrs. Dodd and Dinges:

•

•

•

a “Change of Control” shall be deemed to have occurred in any of the following circumstances: (i) subject to certain exceptions, upon the acquisition by a
person  (or  one  or  more  persons  who  are  affiliates  of  one  another  or  who  are  acting  jointly  or  in  concert)  of  a  beneficial  interest  in  our  securities
representing in any circumstance 50% or more of the voting rights attaching to our then outstanding securities; (ii) upon a sale or other disposition of all
or substantially all of our assets; (iii) upon a plan of liquidation or dissolution of us; or (iv) if, for any reason, including our amalgamation, merger or
consolidation with or into another company, the individuals who, as at the date of the relevant Employment Agreement, constituted the Board (and any
new directors whose appointment by the Board or whose nomination for election by our shareholders was approved by a vote of at least two-thirds of the
directors  then  still  in  office  who  either  were  directors  as  at  the  date  of  the  relevant  Employment  Agreement  or  whose  appointment  or  nomination  for
election was previously so approved) cease to constitute a majority of the members of the Board;

termination of employment for “Cause” includes (but is not limited to) (i) if the executive commits any fraud, theft, embezzlement or other criminal act
of a similar nature, and (ii) if the executive is guilty of serious misconduct or wilful negligence in the performance of his duties; and

termination of employment by the executive officer for “Good Reason” means,

o

o

in  the  case  of  Mr.  Dodd,  the  occurrence,  without  his  express  written  consent,  of  any  of  the  following  acts:  (i)  a  material  reduction  of  his  total
compensation (including annual base salary plus annual bonus, benefits and number of stock options) as in effect on the date of his Employment
Agreement or as same may be increased from time to time, provided such reduction is not warranted and due to our performance; (ii) any change in
his direct reporting relationship to the Board; (iii) any reduction in his duties and responsibilities as our President and Chief Executive Officer; or
(iv) a physical change of one hundred miles of more in his principal place of business; and

in the case of Mr. Dinges, the occurrence, without his express written consent, of any of the following acts: (i) a more than 25% reduction of his base
annual salary as in effect on the date of his Employment Agreement or as the same may be increased from time to time, provided such reduction is
not  warranted  and  due  to  either  our  performance  or  failure  of  Mr.  Dinges  to  achieve  performance  standards  or  objectives  as  determined  by  our
President in his sole and absolute discretion and judgment; or (ii) a material reduction in his duties and responsibilities as our Chief Commercial
Officer.

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We entered into an Amended and Restated Consulting Agreement with Ms. Genevieve Lemaire effective as of February 18, 2016. The Consulting Agreement
indicates that Ms. Genevieve Lemaire will fulfill all responsibilities of the position of Vice President Finance and Chief Accounting Officer. The Company
agrees to pay the Consultant for her services performed under this Agreement at an hourly rate of CDN$170. This Agreement shall terminate 120 days after
the  date  of  hire  of  a  Chief  Financial  Officer  (unless  both  parties  agree  on  a  different  period  before  this  Agreement  expires).  At  the  conclusion  of  the
Agreement, the consultant will be paid a bonus in the amount of CDN$20,000.

D.

Exchange controls

Canada  has  no  system  of  exchange  controls.  There  are  no  exchange  restrictions  on  borrowing  from  foreign  countries  or  on  the  remittance  of  dividends,
interest, royalties and similar payments, management fees, loan repayments, settlement of trade debts or the repatriation of capital.

E.     Taxation

THE FOLLOWING SUMMARY IS OF A GENERAL NATURE ONLY AND IS NOT INTENDED TO BE, NOR SHOULD IT BE CONSTRUED TO BE,
LEGAL  OR  TAX  ADVICE  TO  ANY  PARTICULAR  HOLDER.  CONSEQUENTLY,  HOLDERS  ARE  URGED  TO  CONSULT  THEIR  OWN  TAX
ADVISORS FOR ADVICE AS TO THE TAX CONSEQUENCES OF AN INVESTMENT IN THE COMMON SHARES HAVING REGARD TO THEIR
PARTICULAR CIRCUMSTANCES.

Material Canadian Income Tax Considerations

The  following  summary  describes  the  principal  Canadian  federal  income  tax  considerations  applicable  to  a  holder  of  Common  Shares  and  who,  for  the
purposes of the Canadian federal Income Tax Act, R.S.C. 1985, as amended (the "Tax Act"), and at all relevant times, deals at arm's length with, and is not
affiliated  with,  the  Company  and  holds  their  Common  Shares  as  capital  property  (a  "holder").  Common  Shares  will  generally  be  considered  to  be  capital
property to a holder for purposes of the Tax Act unless either the holder holds such Common Shares in the course of carrying on a business of trading or
dealing in securities, or the holder has held or acquired such Common Shares in a transaction or transactions considered to be an adventure in the nature of
trade.

This summary is not applicable to a holder (i) that is a "financial institution", as defined in the Tax Act for purposes of the mark-to- market rules, (ii) that is a
"specified financial institution", as defined in the Tax Act, (iii) an interest in which would be a "tax shelter investment" as defined in the Tax Act, (iv) that has
made a functional currency reporting election for purposes of the Tax Act, (v) that has entered or will enter into a "derivative forward agreement", as defined
in the Tax Act, in respect of Common Shares, or (vi) that receives dividends on Common Shares under or as part of a dividend rental arrangement as defined
in the Tax Act. Such holders should consult their own tax advisors.

Additional considerations, not discussed herein, may be applicable to a holder that is a corporation resident in Canada, and is, or becomes, controlled by a
non-resident  corporation  for  the  purposes  of  the  "foreign  affiliate  dumping"  rules  in  section  212.3  of  the  Tax  Act.  Such  holders  should  consult  their  tax
advisors with respect to the consequences of acquiring Common Shares.

This  summary  is  based  upon  the  current  provisions  of  the  Tax  Act  and  the  regulations  promulgated  thereunder  (the  "Regulations")  and  the  Company's
understanding of the current published administrative policies and assessing practices of the Canada Revenue Agency ("CRA"). It also takes into account all
proposed amendments to the Tax Act and the Regulations publicly released by the Minister of Finance (Canada) prior to the date hereof ("Tax Proposals"),
and assumes that all such Tax Proposals will be enacted as currently proposed. No assurance can be given that the Tax Proposals will be enacted in the form
proposed or at all. This summary does not otherwise take into account or anticipate any changes in law or administrative or assessing practice or policy of the
CRA, whether by legislative, regulatory, judicial or administrative action or interpretation, nor does it address any provincial, local, territorial or foreign tax
considerations.

For  purposes  of  the  Tax  Act,  all  amounts,  including  dividends,  adjusted  cost  base  and  proceeds  of  disposition,  must  generally  be  determined  in  Canadian
dollars. Amounts denominated in US dollars must be converted to Canadian currency using exchange rates determined in accordance with the Tax Act. The
amount of any capital gain or any capital loss to a holder with respect to the Common Shares may be affected by fluctuations in Canadian dollar exchange
rates.

Holders Not Resident in Canada

The following discussion applies to a holder who, at all relevant times, for purposes of the Tax Act, is neither resident nor deemed to be resident in Canada
and does not, and is not deemed to, use or hold Common Shares in carrying on a business or part of a

83

business in Canada (a "Non-Resident holder"). In addition, this discussion does not apply to an insurer who carries on an insurance business in Canada and
elsewhere or to an "authorized foreign bank" (as defined in the Tax Act).

Disposition of Common Shares

A  Non-Resident  holder  generally  will  not  be  subject  to  tax  under  the  Tax  Act  in  respect  of  any  capital  gain  realized  by  such  Non-  Resident  holder  on  a
disposition  or  deemed  disposition  of  Common  Shares  unless  such  shares  constitute  "taxable  Canadian  property"  (as  defined  in  the  Tax  Act)  of  the  Non-
Resident holder at the time of disposition and the gain is not exempt from tax pursuant to the terms of an applicable income tax treaty or convention. As long
as  the  Common  Shares  are  listed  on  a  designated  stock  exchange  (which  currently  includes  NASDAQ  and  the  TSX)  at  the  time  of  their  disposition,  the
Common  Shares  generally  will  not  constitute  taxable  Canadian  property  of  a  Non-Resident  holder,  unless  (a)  at  any  time  during  the  60-month  period
immediately preceding the disposition (i) one or any combination of (A) the Non-Resident holder, (B) persons with whom the Non-Resident holder did not
deal at arm's length, and (C) partnerships in which the Non-Resident holder or a person described in (B) holds a membership interest directly or indirectly
through one or more partnerships, owned 25% or more of the issued shares of any class or series of shares of the Company; and (ii) more than 50% of the fair
market value of the shares of the Company was derived directly or indirectly from one or any combination of real or immovable property situated in Canada,
"Canadian resource properties" (as defined in the Tax Act), "timber resource properties" (as defined in the Tax Act) or options in respect of, or interests in, or
for civil law rights in, any such property whether or not such property exists or (b) our Common Shares are otherwise deemed to be taxable Canadian property
to the Non-Resident holder.

A Non-Resident holder's capital gain (or capital loss) in respect of Common Shares that constitute or are deemed to constitute taxable Canadian property (and
are not "treaty-protected property" as defined in the Tax Act) will generally be computed in the manner described below under the heading "Holders Resident
in  Canada  -  Disposition  of  Common  Shares".  If  the  Common  Shares  were  to  cease  being  listed  on  NASDAQ,  the  TSX  or  another  "recognized  stock
exchange" (as defined in the Tax Act), a Non-Resident holder who disposes of Common Shares that are taxable Canadian property may be required to fulfill
the requirements of section 116 of the Tax Act, unless the Common Shares are "treaty-protected property" (as defined in the Tax Act) of the disposing Non-
Resident holder.

Non-Resident holders whose Common Shares are taxable Canadian property should consult their own tax advisors.

Taxation of Dividends on Common Shares

Dividends paid or credited or deemed to be paid or credited to a Non-Resident holder by the Company are subject to Canadian withholding tax at the rate of
25% unless reduced by the terms of an applicable tax treaty or convention. Under the Canada - United States Tax Convention (1980) (the "Convention") as
amended, the rate of withholding tax on dividends paid or credited to a Non-Resident holder who is the beneficial owner of the dividends, is resident in the
US  for  purposes  of  the  Convention  and  entitled  to  the  benefits  of  the  Convention  (a  "US  holder")  is  generally  limited  to  15%  of  the  gross  amount  of  the
dividend (or 5% in the case of a US holder that is a company beneficially owning at least 10% of the Company's voting shares). Non-Resident holders should
consult their own tax advisors.

Holders Resident in Canada

The following discussion applies to a holder of Common Shares who, at all relevant times, for purposes of the Tax Act, is or is deemed to be resident in
Canada  (a  "Canadian  holder").  Certain  Canadian  holders  whose  Common  Shares  might  not  otherwise  qualify  as  capital  property  may,  in  certain
circumstances, treat the Common Shares and every other "Canadian security" (as defined in the Tax Act) owned by the Canadian holder as capital property by
making an irrevocable election provided by subsection 39(4) of the Tax Act.

Taxation of Dividends on Common Shares

Dividends received or deemed to have been received on the Common Shares will be included in a Canadian holder's income for purposes of the Tax Act.
Such dividends received or deemed to have been received by a Canadian holder that is an individual (other than certain trusts) will be subject to the gross-up
and dividend tax credit rules generally applicable under the Tax Act in respect of dividends received on shares of taxable Canadian corporations. Generally, a
dividend  will  be  eligible  for  the  enhanced  gross-up  and  dividend  tax  credit  if  the  Company  designates  the  dividend  as  an  "eligible  dividend"  (within  the
meaning of the Tax Act) in accordance with the provisions of the Tax Act. There may be limitations on the ability of the Company to designate dividends as
eligible dividends. A Canadian holder that is a corporation will be required to include such dividends in computing its income and will generally be entitled to
deduct the amount of such dividends in computing its taxable income. In certain circumstances, subsection 55(2) of the Tax Act may treat a taxable dividend
received by a Canadian holder that is a corporation as proceeds of disposition or a capital gain. A Canadian holder that is a "private corporation" or a "subject
corporation" (as such terms are defined in the Tax Act), may be liable under Part IV of the Tax Act to pay a refundable tax of 38 1/3% on dividends received
or deemed to have been received on the Common Shares to the extent such dividends are deductible in computing the holder's taxable income.

84

Disposition of Common Shares

A disposition, or a deemed disposition, of a Common Share by a Canadian holder will generally give rise to a capital gain (or a capital loss) equal to the
amount by which the proceeds of disposition of the share, net of any reasonable costs of disposition, exceed (or are less than) the adjusted cost base of the
share to the holder. Such capital gain (or capital loss) will be subject to the treatment described below under "Taxation of Capital Gains and Capital Losses".

Additional Refundable Tax

A Canadian holder that is a "Canadian-controlled private corporation" (as such term is defined in the Tax Act) may be liable to pay an additional refundable
tax of 10 2/3% on certain investment income including amounts in respect of "Taxable Capital Gains", as defined below.

Taxation of Capital Gains and Capital Losses

In general, one half of any capital gain (a "Taxable Capital Gain") realized by a Canadian holder in a taxation year will be included in the holder's income in
the year. Subject to and in accordance with the provisions of the Tax Act, one half of any capital loss (an "Allowable Capital Loss") realized by a Canadian
holder in a taxation year must be deducted from Taxable Capital Gains realized by the holder in the year and Allowable Capital Losses in excess of Taxable
Capital Gains may be carried back and deducted in any of the three preceding taxation years or carried forward and deducted in any subsequent taxation year
against net Taxable Capital Gains realized in such years. The amount of any capital loss realized by a Canadian holder that is a corporation on the disposition
or deemed disposition of a Common Share may be reduced by the amount of dividends received or deemed to have been received by it on such Common
Share (or on a share for which the Common Share has been substituted) to the extent and under the circumstances prescribed by the Tax Act. Similar rules
may apply where a corporation is a member of a partnership or a beneficiary of a trust that owns Common Shares, directly or indirectly, through a partnership
or a trust.

Alternative Minimum Tax

A Taxable Capital Gain realized and taxable dividends received or deemed to have been received by a Canadian holder who is an individual (including a trust,
other than certain specified trusts) may give rise to liability for alternative minimum tax.

Certain Material US Federal Income Tax Considerations

The  following  discussion  is  a  summary  of  certain  material  US  federal  income  tax  consequences  applicable  to  the  ownership  and  disposition  of  Common
Shares by a US Holder (as defined below), but does not purport to be a complete analysis of all potential US federal income tax effects. This summary is
based on the Internal Revenue Code of 1986, as amended (the "Code"), US Treasury regulations promulgated thereunder, IRS rulings and judicial decisions in
effect on the date hereof. All of these are subject to change, possibly with retroactive effect, or different interpretations. This summary does not discuss the
potential  effects,  whether  adverse  or  beneficial,  of  any  proposed  legislation  that,  if  enacted,  could  be  applied  on  a  retroactive  basis.  This  summary  is  not
binding on the IRS, and the IRS is not precluded from taking a position that is different from, and contrary to, the positions taken in this summary.

This summary does not address all aspects of US federal income taxation that may be relevant to particular US Holders in light of their specific circumstances
(for example, US Holders subject to the alternative minimum tax or the Medicare contribution tax on net investment income under the Code) or to holders
that may be subject to special rules under US federal income tax law, including:

•

•

•

•

•

•

•

•

•

dealers in stocks, securities or currencies;

securities traders that use a mark-to-market accounting method;

banks and financial institutions;

insurance companies;

regulated investment companies;

real estate investment trusts;

tax-exempt organizations;

retirement plans, individual plans, individual retirement accounts and tax-deferred accounts;

partnerships or other pass-through entities for US federal income tax purposes and their partners or members;

85

•

•

•

•

persons holding Common Shares as part of a hedging or conversion transaction straddle or other integrated or risk reduction transaction;

persons who or that are, or may become, subject to the expatriation provisions of the Code;

persons whose functional currency is not the US dollar; and

direct, indirect or constructive owners of 10% or more of the total combined voting power of all classes of our voting stock.

This  summary  also  does  not  address  the  tax  consequences  of  holding,  exercising  or  disposing  of  warrants  in  the  Company.  If  the  Company  is  a  PFIC,  as
described  below,  US  Holders  of  its  warrants  will  be  subject  to  adverse  tax  rules  and  will  not  be  able  to  make  the  mark-to-market  or  the  QEF  election
described  below  with  respect  to  such  warrants.  US  Holders  of  warrants  should  consult  their  tax  advisors  with  regard  to  the  US  federal  income  tax
consequences of holding, exercising or disposing of warrants in the Company, including in the situation in which the Company is classified as a PFIC.

This summary also does not discuss any aspect of state, local or foreign law, or estate or gift tax law as applicable to US Holders. In addition, this discussion
is limited to US Holders holding Common Shares as capital assets. For purposes of this summary, "US Holder" means a beneficial holder of Common Shares
who or that for US federal income tax purposes is:

•

•

•

•

an individual citizen or resident of the United States;

a corporation or other entity classified as a corporation for US federal income tax purposes created or organized in or under the laws of the United
States, any state thereof or the District of Columbia;

an estate, the income of which is subject to US federal income taxation regardless of its source; or

a  trust,  if  (a)  a  court  within  the  United  States  is  able  to  exercise  primary  supervision  over  the  administration  of  such  trust  and  one  or  more  "US
persons" (within the meaning of the Code) have the authority to control all substantial decisions of the trust, or (b) a valid election is in effect to be
treated as a US person for US federal income tax purposes.

If a partnership or other entity or arrangement classified as a partnership for US federal income tax purposes holds Common Shares, the US federal income
tax  treatment  of  a  partner  generally  will  depend  on  the  status  of  the  partner  and  the  activities  of  the  partnership.  This  summary  does  not  address  the  tax
consequences to any such partner. Such a partner should consult its own tax advisor as to the tax consequences of the partnership owning and disposing of
Common Shares.

US  HOLDERS  SHOULD  CONSULT  THEIR  OWN  TAX  ADVISORS  WITH  REGARD  TO  THE  APPLICATION  OF  THE  TAX  CONSEQUENCES
DESCRIBED BELOW TO THEIR PARTICULAR SITUATIONS AS WELL AS THE APPLICATION OF ANY STATE, LOCAL, FOREIGN OR OTHER
TAX LAWS, INCLUDING GIFT AND ESTATE TAX LAWS.

Tax Consequences if we are a Passive Foreign Investment Company ("PFIC")

A foreign corporation will be classified as a PFIC for any taxable year in which, after taking into account the income and assets of the corporation and certain
subsidiaries pursuant to applicable "look-through rules", either (i) at least 75% of its gross income is "passive income" or (ii) at least 50% of the average value
of  its  assets  is  attributable  to  assets  which  produce  passive  income  or  are  held  for  the  production  of  passive  income.  Passive  income  generally  includes
dividends, interest, rents and royalties (other than certain rents and royalties derived in the active conduct of a trade or business), annuities and gains from
assets that produce passive income. If a non-US corporation owns at least 25% by value of the stock of another corporation, the non-US corporation is treated
for purposes of the PFIC tests as owning its proportionate share of the assets of the other corporation and as receiving directly its proportionate share of the
other corporation's income.

The Company believes it was a PFIC for the 2015 taxable year but not for the 2016 taxable year. However, the fair market value of the Company's assets may
be determined in large part by the market price of the Common Shares, which is likely to fluctuate, and the composition of the Company's income and assets
will be affected by how, and how quickly, the Company spends any cash that is raised in any financing transaction. Thus, no assurance can be provided that
the Company will not be classified as a PFIC for 2017 or any future taxable year. US Holders should consult their tax advisors regarding the Company's PFIC
status.

If  the  Company  is  classified  as  a  PFIC  for  any  taxable  year  during  which  a  US  Holder  owns  Common  Shares,  the  US  Holder,  absent  certain  elections
(including the mark-to-market and QEF elections described below), will generally be subject to adverse rules (regardless of whether the Company continues
to be classified as a PFIC) with respect to (i) any "excess distributions" (generally, any distributions received by the US Holder on the Common Shares in a
taxable year that are greater

86

than 125% of the average annual distributions received by the US Holder in the three preceding taxable years or, if shorter, the US Holder's holding period for
the Common Shares) and (ii) any gain realized on the sale or other disposition of the Common Shares.

Under these adverse rules (a) the excess distribution or gain will be allocated ratably over the US Holder's holding period, (b) the amount allocated to the
current taxable year and any taxable year prior to the first taxable year in which the Company is classified as a PFIC will be taxed as ordinary income, and (c)
the amount allocated to each of the other taxable years during which the Company was classified as a PFIC will be subject to tax at the highest rate of tax in
effect for the applicable category of taxpayer for that year and an interest charge will be imposed with respect to the resulting tax attributable to each such
other taxable year. A US Holder that is not a corporation will be required to treat any such interest paid as "personal interest", which is not deductible.

US Holders can avoid the adverse rules described above in part by making a mark-to-market election with respect to the Common Shares, provided that the
Common Shares are "marketable". The Common Shares will be marketable if they are "regularly traded" on a "qualified exchange" or other market within the
meaning of applicable US Treasury regulations. For this purpose, the Common Shares generally will be considered to be regularly traded during any calendar
year during which they are traded, other than in de minimis quantities, on at least 15 days during each calendar quarter. The Common Shares are currently
listed on NASDAQ, which constitutes a qualified exchange; however, there can be no assurance that the Common Shares will be treated as regularly traded
for purposes of the mark-to-market election on a qualified exchange. If the Common Shares were not regularly traded on NASDAQ or were delisted from
NASDAQ  and  were  not  traded  on  another  qualified  exchange  for  the  requisite  time  period  described  above,  the  mark-to-market  election  would  not  be
available.

A US Holder that makes a mark-to-market election must include in gross income, as ordinary income, for each taxable year an amount equal to the excess, if
any, of the fair market value of the US Holder's Common Shares at the close of the taxable year over the US Holder's adjusted tax basis in the Common
Shares. An electing US Holder may also claim an ordinary loss deduction for the excess, if any, of the US Holder's adjusted tax basis in the Common Shares
over the fair market value of the Common Shares at the close of the taxable year, but this deduction is allowable only to the extent of any net mark-to-market
gains previously included in income. A US Holder that makes a mark-to-market election generally will adjust such US Holder's tax basis in the Common
Shares to reflect the amount included in gross income or allowed as a deduction because of such mark-to-market election. Gains from an actual sale or other
disposition of the Common Shares will be treated as ordinary income, and any losses incurred on a sale or other disposition of the Common Shares will be
treated as ordinary losses to the extent of any net mark-to-market gains previously included in income.

If the Company is classified as a PFIC for any taxable year in which a US Holder owns Common Shares but before a mark-to-market election is made, the
adverse PFIC rules described above will apply to any mark-to-market gain recognized in the year the election is made. Otherwise, a mark-to-market election
will be effective for the taxable year for which the election is made and all subsequent taxable years. The election cannot be revoked without the consent of
the IRS unless the Common Shares cease to be marketable, in which case the election is automatically terminated.

If the Company is classified as a PFIC, a US Holder of Common Shares will generally be treated as owning stock owned by the Company in any direct or
indirect subsidiaries that are also PFICs and will be subject to similar adverse rules with respect to distributions to the Company by, and dispositions by the
Company of, the stock of such subsidiaries. A mark-to-market election is not permitted for the shares of any subsidiary of the Company that is also classified
as a PFIC. US Holders should consult their tax advisors regarding the availability of, and procedure for making, a mark-to-market election.

In some cases, a shareholder of a PFIC can avoid the interest charge and the other adverse PFIC consequences described above by making a QEF election to
be taxed currently on its share of the PFIC's undistributed income. We will endeavor to satisfy the record keeping requirements that apply to a QEF and to
supply requesting US Holders with the information that such US Holders are required to report under the QEF rules. However, there can be no assurance that
the Company will satisfy the record keeping requirements or provide the information required to be reported by US Holders.

A US Holder that makes a timely and effective QEF election for the first tax year in which its holding period of its Common Shares begins generally will not
be subject to the adverse PFIC consequences described above with respect to its Common Shares. Rather, a US Holder that makes a timely and effective QEF
election will be subject to US federal income tax on such US Holder's pro rata share of (a) the Company's net capital gain, which will be taxed as long-term
capital gain to such US Holder, and (b) the Company's ordinary earnings, which will be taxed as ordinary income to such US Holder, in each case regardless
of which such amounts are actually distributed to the US Holder by the Company. Generally, "net capital gain" is the excess of (a) net long-term capital gain
over (b) net short-term capital loss, and "ordinary earnings" are the excess of (a) "earnings and profits" over (b) net capital gain.

87

A US Holder that makes a timely and effective QEF election with respect to the Company generally (a) may receive a tax-free distribution from us to the
extent that such distribution represents "earnings and profits" that were previously included in income by the US Holder because of such QEF election and (b)
will adjust such US Holder's tax basis in the Common Shares to reflect the amount included in income or allowed as a tax-free distribution because of such
QEF election. In addition, a US Holder that makes a QEF election generally will recognize capital gain or loss on the sale or other taxable disposition of
Common Shares.

The QEF election is made on a shareholder-by-shareholder basis. Once made, a QEF election will apply to the tax year for which the QEF election is made
and to all subsequent tax years, unless the QEF election is invalidated or terminated or the IRS consents to revocation of the QEF election. In addition, if a US
Holder makes a QEF election, the QEF election will remain in effect (although it will not be applicable) during those tax years in which the Company is not a
PFIC.

If the Company is classified as a PFIC and then ceases to be so classified, a US Holder may make an election (a "deemed sale election") to be treated for US
federal income tax purposes as having sold such US Holder's Common Shares on the last day of the taxable year of the Company during which it was a PFIC.
A US Holder that made a deemed sale election would then cease to be treated as owning stock in a PFIC by reason of ownership of Common Shares in the
Company. However, gain recognized as a result of making the deemed sale election would be subject to the adverse rules described above and loss would not
be recognized.

If the Company is a PFIC in any year with respect to a US Holder, the US Holder will be required to file an annual information return on IRS Form 8621
regarding distributions received on Common Shares and any gain realized on the disposition of Common Shares.

In addition, if the Company is a PFIC, US Holders will generally be required to file an annual information return with the IRS (also on IRS Form 8621, which
PFIC shareholders are required to file with their US federal income tax or information returns) relating to their ownership of Common Shares. This new filing
requirement is in addition to the preexisting reporting requirements described above that apply to a US Holder's interest in a PFIC (which this requirement
does not affect).

US  Holders  should  consult  their  tax  advisors  regarding  the  potential  application  of  the  PFIC  regime  and  any  reporting  obligations  to  which  they  may  be
subject under that regime.

Dividends

Subject to the PFIC rules discussed above, any distributions paid by the Company out of current or accumulated earnings and profits (as determined for US
federal income tax purposes), before reduction for any Canadian withholding tax paid with respect thereto, will generally be taxable to a US Holder as foreign
source dividend income, and will not be eligible for the dividends received deduction generally allowed to corporations. Distributions in excess of current and
accumulated earnings and profits will be treated as a non-taxable return of capital to the extent of the US Holder's adjusted tax basis in the Common Shares
and thereafter as capital gain. The Company does not, however, intend to calculate its earnings and profits under US federal income tax principles. Therefore,
US Holders should expect that any distribution from the Company generally will be treated for US federal income tax purposes as a dividend. US Holders
should consult their own tax advisors with respect to the appropriate US federal income tax treatment of any distribution received from the Company.

Dividends paid to non-corporate US Holders by the Company in a taxable year in which it is treated as a PFIC, or in the immediately following taxable year,
will not be eligible for the special reduced rates normally applicable to long-term capital gains. In all other taxable years, dividends paid by the Company
should be taxable to a non-corporate US Holder at the special reduced rates normally applicable to long-term capital gains, provided that certain conditions
are  satisfied.  The  Company  believes  it  was  not  a  PFIC  for  the  2016  taxable  year.  However,  no  assurance  can  be  provided  that  the  Company  will  not  be
classified as a PFIC for 2017 and, therefore, no assurance can be provided that a US Holder will be able to claim a reduced rate for dividends paid in 2017 or
2018 (if any). See "Passive Foreign Investment Company Considerations" above.

Under current law, payments of dividends by the Company to non-Canadian investors are generally subject to a 25% Canadian withholding tax. The rate of
withholding tax applicable to US Holders that are eligible for benefits under the Canada-United States Tax Convention (the "Convention") is reduced to a
maximum  of  15%.  This  reduced  rate  of  withholding  will  not  apply  if  the  dividends  received  by  a  US  Holder  are  effectively  connected  with  a  permanent
establishment of the US Holder in Canada. For US federal income tax purposes, US Holders will be treated as having received the amount of Canadian taxes
withheld by the Company, and as then having paid over the withheld taxes to the Canadian taxing authorities. As a result of this rule, the amount of dividend
income included in gross income for US federal income tax purposes by a US Holder with respect to a payment of dividends may be greater than the amount
of cash actually received (or receivable) by the US Holder from the Company with respect to the payment.

Subject to certain limitations, a US Holder will generally be entitled, at the election of the US Holder, to a credit against its US federal income tax liability, or
a deduction in computing its US federal taxable income, for Canadian income taxes withheld by

88

the Company. This election is made on a year-by-year basis and applies to all foreign taxes paid (whether directly or through withholding) by a US Holder
during a year. For purposes of the foreign tax credit limitation, dividends paid by the Company generally will constitute foreign source income in the "passive
category income" basket. The foreign tax credit rules are complex and US Holders should consult their tax advisors concerning the availability of the foreign
tax credit in their particular circumstances.

Dividends paid in Canadian dollars will be included in the gross income of a US Holder in a US dollar amount calculated by reference to the exchange rate in
effect on the date the US Holder (actually or constructively) receives the dividend, regardless of whether such Canadian dollars are actually converted into US
dollars at that time. If the Canadian dollars received are not converted into US dollars on the date of receipt, a US Holder will have a tax basis in the Canadian
dollars equal to their US dollar value on the date of receipt. Gain or loss, if any, realized on a sale or other disposition of the Canadian dollars will generally
be US source ordinary income or loss to a US Holder.

The Company generally does not pay any dividends and does not anticipate paying any dividends in the foreseeable future.

Sale, Exchange or Other Taxable Disposition of Common Shares

Subject  to  the  PFIC  rules  discussed  above,  upon  a  sale,  exchange  or  other  taxable  disposition  of  Common  Shares,  a  US  Holder  generally  will  recognize
capital gain or loss for US federal income tax purposes equal to the difference, if any, between the amount realized on the sale, exchange or other taxable
disposition and the US Holder's adjusted tax basis in the Common Shares.

This capital gain or loss will be long-term capital gain or loss if the US Holder's holding period in the Common Shares exceeds one year. The deductibility of
capital losses is subject to limitations. Any gain or loss will generally be US source for US foreign tax credit purposes.

Information Reporting and Backup Withholding

Payments  made  within  the  United  States,  or  by  a  US  payor  or  US  middleman,  of  dividends  on,  and  proceeds  arising  from  sales  or  other  dispositions  of
Common Shares, generally will be reported to the IRS and to the US Holder as required under applicable regulations. Backup withholding tax may apply to
these payments if the US Holder fails to timely provide in the appropriate manner an accurate taxpayer identification number or otherwise fails to comply
with, or establish an exemption from, such backup withholding tax requirements. Certain US Holders are not subject to the information reporting or backup
withholding tax requirements described herein. US Holders should consult their tax advisors as to their qualification for exemption from backup withholding
tax and the procedure for establishing an exemption.

Backup withholding tax is not an additional tax. US Holders generally will be allowed a refund or credit against their US federal income tax liability for
amounts withheld, provided the required information is timely furnished to the IRS.

Subject to certain exceptions and future guidance, US tax legislation generally requires a US Holder that is a specified individual or, to the extent provided in
future  guidance,  a  domestic  entity,  to  report  annually  to  the  IRS  on  IRS  Form  8938  such  US  Holder's  interests  in  stock  or  securities  issued  by  a  non-US
person  (such  as  the  Company).  US  Holders  should  consult  their  tax  advisors  regarding  the  information  reporting  obligations  that  may  arise  from  their
acquisition, ownership or disposition of Common Shares.

F.

Dividends and paying agents

Not applicable.

G.

Statement by experts

Not applicable.

H.

Documents on display

In addition to placing our audited consolidated annual financial statements before every annual meeting of shareholders as described above, we are subject to
the information requirements of the Securities Exchange Act of 1934, as amended. In accordance with these requirements, we file and furnish reports and
other information with the SEC. These materials, including this Annual Report on Form 20-F and the exhibits hereto, may be inspected and copied at the
SEC's Public Reference Room at 100 F Street, N.E., Room 1580, Washington, D.C. 20549. The public may obtain information on the operation of the SEC's
Public Reference Room by calling the SEC in the United States at 1-800-SEC-0330. The SEC also maintains a website at www.sec.gov that contains reports,
proxy statements and other information regarding registrants that file electronically with the SEC. Our annual reports and some of the other information we
submitted to the SEC may be accessed through this website. In addition, material we filed can

89

be inspected on the Canadian Securities Administrators' electronic filing system, SEDAR, accessible at the website www.sedar.com. This material includes
our Management Information Circular for our annual meeting of shareholders to be held on May 9, 2017 to be furnished to the SEC on Form 6-K, which
provides information including directors' and officers' remuneration and indebtedness and principal holders of securities. Additional financial information is
provided in our audited annual financial statements for the year ended December 31, 2016 and our MD&A relating to these statements included elsewhere in
this Annual Report on Form 20-F. These documents are also accessible on SEDAR (www.sedar.com) and on EDGAR (www.sec.gov).

I.

Subsidiary information

Our subsidiaries are set forth under "Item 4C. – Organizational Structure".

Item 11.

Quantitative and Qualitative Disclosures About Market Risk

Fair value

The Company classifies its financial instruments in the following categories: "Financial assets at fair value through profit or loss ("FVTPL")"; "Loans and
receivables"; "Financial liabilities at FVTPL"; and "Other financial liabilities".

•

•

•

The Company's loans and receivables are comprised of cash and cash equivalents, trade and other receivables and restricted cash equivalents.

Financial liabilities at FVTPL are currently comprised of the Company's warrant liability.

Other financial liabilities include trade accounts payable and accrued liabilities, provision for restructuring costs and other non-current liabilities.

The carrying values of all of the aforementioned financial instruments, excluding warrant liability which is stated at fair value, approximate their fair values
due to their short-term maturity or to the prevailing interest rates of these instruments, which are comparable to those of the market.

Financial risk factors

The following provides disclosures relating to the nature and extent of the Company's exposure to risks arising from financial instruments, including credit
risk, liquidity risk and market risk (share price risk) and how the Company manages those risks.

(a) Credit risk

Credit risk is the risk of an unexpected loss if a customer or counterparty to a financial instrument fails to meet its contractual obligations. The Company
regularly monitors credit risk exposure and takes steps to mitigate the likelihood of this exposure resulting in losses. The Company's exposure to credit risk
currently  relates  to  the  loans  and  receivables  in  the  table  above.  The  Company  holds  its  available  cash  in  amounts  that  are  readily  convertible  to  known
amounts  of  cash  and  deposits  its  cash  balances  with  financial  institutions  that  have  an  investment  grade  rating  of  at  least  "P-2"  or  the  equivalent.  This
information is supplied by independent rating agencies where available and, if not available, the Company uses publicly available financial information to
ensure that it invests its cash in creditworthy and reputable financial institutions.

As  at  December  31,  2016,  trade  accounts  receivable  for  an  amount  of  approximately  $155,000  were  with  three  counterparties,  and  no  trade  accounts
receivable were past due and none were impaired.

Generally, the Company does not require collateral or other security from customers for trade accounts receivable; however, credit is extended following an
evaluation of creditworthiness. In addition, the Company performs ongoing credit reviews of all of its customers and establishes an allowance for doubtful
accounts when accounts are determined to be uncollectible.

The maximum exposure to credit risk approximates the amount recognized in the Company's consolidated statement of financial position.

(b) Liquidity risk

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they become due. As indicated in the capital disclosures section
(see  "Item  5  -  Operating  and  Financial  Review  and  Prospects"),  the  Company  manages  this  risk  through  the  management  of  its  capital  structure.  It  also
manages liquidity risk by continuously monitoring actual and projected cash flows. The Board of Directors reviews and approves the Company's operating
and capital budgets, as well as any material transactions occurring outside of the ordinary course of business. The Company has adopted an investment policy
in  respect  of  the  safety  and  preservation  of  its  capital  to  ensure  the  Company's  liquidity  needs  are  met.  The  instruments  are  selected  with  regard  to  the
expected timing of expenditures and prevailing interest rates.

90

The Company expects to continue to incur operating expenses and may require significant capital to fulfill its future obligations in the absence of sufficient
corresponding revenues. The Company's ability to continue future operations until and beyond December 31, 2017 and to fund its activities is dependent on
its ability to secure additional financings, which may be completed in a number of ways, including but not limited to licensing arrangements, partnerships,
promotional  arrangements,  the  issuance  of  securities,  which  could  include  using  any  then  available  "at-the-market"  equity  issuance  program  and  other
financing activities. Management will pursue such additional sources of financing when required, and while the Company has been successful in securing
financing in the past, there can be no assurance it will be able to do so in the future or that these sources of funding or initiatives will be available or on terms
acceptable  to  the  Company.  See  note  1  -  Summary  of  business,  going  concern,  reporting  entity  and  basis  of  preparation  of  the  Company's  consolidated
financial statements included in Item 18 of this Annual Report on Form 20-F for further details.

(c) Market risk

Share price risk

The change in fair value of the Company's warrant liability, which is measured at FVTPL, results from the periodic "mark-to-market" revaluation, via the
application  of  option  pricing  models,  of  currently  outstanding  share  purchase  warrants.  These  valuation  models  are  impacted,  among  other  inputs,  by  the
market price of the Company's common shares. As a result, the change in fair value of the warrant liability, which is reported in the consolidated statements of
comprehensive loss, has been and may continue in future periods to be materially affected most notably by changes in the Company's common share closing
price, which on the NASDAQ, has ranged from $2.67 to $4.94 during the year ended December 31, 2016.

If variations in the market price of our common shares of -30% and +30% were to occur, the impact on the Company's net loss related to the warrant liability
held at December 31, 2016 would be as follows:

(in thousands)

Warrant liability

Total impact on net loss – decrease / (increase)

Foreign currency risk

Carrying 
amount

$

6,854  

-30%

$

+30%

$

2,656  

2,656  

(2,448)

(2,448)

We have not entered into any forward currency contracts or other financial derivatives to hedge foreign exchange risk. We are therefore subject to foreign
currency transaction and translation gains and losses.

91

 
 
 
 
 
 
 
 
   
 
Item 12.

Description of Securities Other than Equity Securities

A.

Debt securities

Not applicable.

B.

Warrants and rights

Not applicable.

C.

Other securities

Not applicable.

D.

American depositary shares

Not applicable.

PART II

Item 13.

Defaults, Dividend Arrearages and Delinquencies

None.

Item 14.

Material Modification to the Rights of Security Holders and Use of Proceeds

None.

Item 15.

Controls and Procedures

Under the supervision and with the participation of our management, including the Chief Executive Officer and the acting principal financial officer, we have
evaluated the effectiveness of our disclosure controls and procedures as at December 31, 2016. Based on that evaluation, the Chief Executive Officer and
acting principal financial officer have concluded that these disclosure controls and procedures were effective as at December 31, 2016.

Management's Annual Report on Internal Control over Financial Reporting

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial  reporting.  Our  internal  control  over  financial
reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with IFRS as issued by the IASB.

Our internal control over financial reporting includes those policies and procedures that: (i) pertain to the maintenance of records that, in reasonable detail,
accurately and fairly reflect the transactions and dispositions of the assets of Aeterna Zentaris; (ii) provide reasonable assurance that transactions are recorded
as necessary to permit preparation of financial statements in accordance with IFRS, and that receipts and expenditures of the Company are being made only in
accordance  with  authorizations  of  Company  management;  and  (iii)  provide  reasonable  assurance  regarding  prevention  or  timely  detection  of  unauthorized
acquisition, use or disposition of Company assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of
effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance
with the policies or procedures may deteriorate.

Management conducted an evaluation of the effectiveness of our internal control over financial reporting based on the criteria established in Internal Control
– Integrated Framework: 2013 issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this evaluation, management
has concluded that our internal control over financial reporting was effective as at December 31, 2016.

92

Changes in Internal Controls over Financial Reporting

There have been no changes in our internal control over financial reporting during the year ended December 31, 2016 that have materially affected, or are
reasonably likely to materially affect, our internal control over financial reporting.

The  design  of  any  system  of  controls  and  procedures  is  based  in  part  upon  certain  assumptions  about  the  likelihood  of  certain  events.  There  can  be  no
assurance that any design will succeed in achieving its stated goals under all potential future conditions, including conditions that are remote.

Item 16A. Audit Committee Financial Expert

Our Board has determined that we have at least one audit committee financial expert (as defined in paragraph (b) of Item 16A to Form 20-F). The name of the
audit committee financial expert is Mr. Gérard Limoges, FCPA, FCA, the Audit Committee's Chairman. In accordance with Item 16A, paragraph (d) of Form
20-F, the designation of Mr. Limoges as our audit committee financial expert does not: (i) make Mr. Limoges an "expert" for any purpose, including without
limitation for purposes of Section 11 of the Securities Act of 1933, as amended, as a result of this designation; (ii) impose any duties, obligations or liability
on Mr. Limoges that are greater than those imposed on him as a member of the Audit Committee and the Board in the absence of such designation; or (iii)
affect the duties, obligations or liability of any other member of the Audit Committee or the Board. The other members of the Audit Committee are Messrs.
Michael Cardiff and Ken Newport, each of whom, along with Mr. Limoges, is independent, as that term is defined in the NASDAQ listing standards. For a
description of their respective education and experience, please refer to "Item 6. – Directors, Senior Management and Employees".

Item 16B. Code of Ethics

On March 29, 2004, the Board adopted a "Code of Ethical Conduct", which was amended by the Board on November 3, 2004, December 13, 2005, March 2,
2007  and  March  10,  2009.  The  December  13,  2005  amendment  incorporates  changes  to  the  duty  to  report  violations  consistent  with  applicable  laws.  We
selected an independent third party supplier to provide a confidential and anonymous communication channel for reporting concerns about possible violations
to  our  Code  of  Ethical  Conduct  as  well  as  financial  and/or  accounting  irregularities  or  fraud.  A  copy  of  the  Code  of  Ethical  Conduct,  as  amended,  is
incorporated by reference as Exhibit 11.1 to this Annual Report on Form 20-F and is also available on our Web site at www.aezsinc.com under the Investors -
Corporate Governance tab. The Code of Ethical Conduct is a "code of ethics" as defined in paragraph (b) of Item 16B to Form 20- F. The Code of Ethical
Conduct applies to all of our employees, directors and officers, including our principal executive officer, principal financial officer, and principal accounting
officer  or  controller,  or  persons  performing  similar  functions,  and  includes  specific  provisions  dealing  with  integrity  in  accounting  matters,  conflicts  of
interest and compliance with applicable laws and regulations. On December 4, 2014, our Board of Directors adopted a "Code of Business Conduct and Ethics
for  Members  of  the  Board  of  Directors",  which  is  incorporated  by  reference  as  Exhibit  11.2  to  this  Annual  Report  on  Form  20-F.  We  will  provide  these
documents  without  charge  to  any  person  or  company  upon  request  to  our  Corporate  Secretary,  at  our  head  office  at  315  Sigma  Drive,  Suite  302D,
Summerville, South Carolina 29486.

Item 16C. Principal Accountant Fees and Services

(All amounts are in US dollars)

(a)

Audit Fees

During the  financial  years  ended  December  31,  2016  and  2015,  the  Company's  principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $363,962  and
$473,515, respectively, for the audit of the Company's annual consolidated financial statements and for services rendered in connection with statutory and
regulatory filings.

(b)

Audit-related Fees

During  the  financial  years  ended  December  31,  2016  and  2015,  the  Company's  principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $164,477  and
$57,524, respectively, for audit or attest services not required by statute or regulation, for accounting consultations on proposed transactions, for the review of
prospectuses and prospectus supplements, including the delivery of customary consent and comfort letters in connection therewith.

93

(c)

Tax Fees

During  the  financial  years  ended  December  31,  2016  and  2015,  the  Company's  principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $17,153  and
$24,269, respectively, for services related to tax compliance, tax planning and tax advice.

(d)

All Other Fees

During the financial years ended December 31, 2016 and 2015, the Company's principal accountant, PricewaterhouseCoopers LLP, did not bill us for services
not included in audit fees, audit-related fees and tax fees.

(e)

Audit Committee Pre-Approval Policies and Procedures

Under applicable Canadian securities regulations, we are required to disclose whether our Audit Committee has adopted specific policies and procedures for
the engagement of non-audit services and to prepare a summary of these policies and procedures. The Audit Committee Charter (incorporated by reference as
Exhibit 11.3 to this Annual Report on Form 20-F) provides that it is such committee's responsibility to approve all audit engagement fees and terms as well as
reviewing policies for the provision of non-audit services by the external auditors and, when required, the framework for pre-approval of such services. The
Audit  Committee  delegates  to  its  Chairman  the  pre-approval  of  such  non-audit  fees.  The  pre-approval  by  the  Chairman  is  then  presented  to  the  Audit
Committee at its first scheduled meeting following such pre-approval.

For each of the years ended December 31, 2016 and 2015, there were no non-audit services provided by our external auditor that required the approval from
the Audit Committee pursuant to the "de minimis exception" to the pre-approval requirement for non-audit services.

(f)

Work performed by Full-time, Permanent Employees of Principal Accountant

During  the  financial  year  ended  December  31,  2016,  no  person  other  than  the  full-time,  permanent  employees  of  our  principal  accountant,
PricewaterhouseCoopers LLP, performed more than 50% of the audit work on our financial statements.

Item 16D. Exemptions from the Listing Standards for Audit Committees

None.

Item 16E.

Purchases of Equity Securities by the Issuer and Affiliated Purchasers

None.

Item 16F. Change in Registrant's Certifying Accountant

None.

Item 16G. Corporate Governance

We  are  generally  in  compliance  with  the  corporate  governance  requirements  of  NASDAQ  except  as  described  below.  We  are  not  in  compliance  with  the
NASDAQ requirement that a quorum for a meeting of the holders of our Common Shares be no less than 33 1/3% of such outstanding shares. Our bylaws
provide  that  a  quorum  for  purposes  of  any  meeting  of  our  shareholders  consists  of  at  least  10%  of  the  outstanding  voting  shares.  We  benefit  from  an
exemption from NASDAQ from this quorum requirement because the quorum provided for in our bylaws complies with the requirements of the CBCA, our
governing corporate statute, and with the rules of TSX, the home country exchange on which our voting shares are traded. In accordance with applicable
current NASDAQ requirements, we have in the past, and upon request, provided to NASDAQ letters from outside counsel certifying that these practices are
not prohibited by our home country law.

Item 16H. Mine Safety Disclosure

None.

94

Item 17

Financial Statements

We have elected to provide financial statements pursuant to Item 18.

Item 18.

Financial Statements

The financial statements appear on pages 96 to 141.

PART III

95

Aeterna Zentaris Inc.

Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended
December 31, 2016, 2015 and 2014
(presented in thousands of US dollars)

96

Independent Auditor's Report

To the Shareholders of
Aeterna Zentaris Inc.

We  have  audited  the  accompanying  consolidated  financial  statements  of  Aeterna  Zentaris  Inc.  and  its  subsidiaries,  which  comprise  the  consolidated
statements  of  financial  position  as  at  December  31,  2016  and  December  31,  2015  and  the  consolidated  statements  of  changes  in  shareholders'  equity,
comprehensive loss and cash flows for each of the three years in the period ended December 31, 2016, and the related notes, which comprise a summary of
significant accounting policies and other explanatory information.

Management's responsibility for the consolidated financial statements

Management  is  responsible  for  the  preparation  and  fair  presentation  of  these  consolidated  financial  statements  in  accordance  with  International  Financial
Reporting  Standards  as  issued  by  the  International  Accounting  Standards  Board  and  for  such  internal  control  as  management  determines  is  necessary  to
enable the preparation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

Auditor's responsibility

Our  responsibility  is  to  express  an  opinion  on  these  consolidated  financial  statements  based  on  our  audits.  We  conducted  our  audits  in  accordance  with
Canadian  generally  accepted  auditing  standards  and  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States).  Those  standards
require  that  we  plan  and  perform  the  audit  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  from  material
misstatement. Canadian generally accepted auditing standards also require that we comply with ethical requirements.

An audit involves performing procedures to obtain audit evidence, on a test basis, about the amounts and disclosures in the consolidated financial statements.
The  procedures  selected  depend  on  the  auditor's  judgment,  including  the  assessment  of  the  risks  of  material  misstatement  of  the  consolidated  financial
statements, whether due to fraud or error. We were not engaged to perform an audit of the company's internal control over financial reporting. Our audits
included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not
for  the  purpose  of  expressing  an  opinion  on  the  effectiveness  of  the  company's  internal  control  over  financial  reporting.  Accordingly,  we  express  no  such
opinion.  An  audit  also  includes  evaluating  the  appropriateness  of  accounting  principles  and  policies  used  and  the  reasonableness  of  accounting  estimates
made by management, as well as evaluating the overall presentation of the consolidated financial statements.

We believe that the audit evidence we have obtained in our audits is sufficient and appropriate to provide a basis for our audit opinion.

Opinion

In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of Aeterna Zentaris Inc. and its subsidiaries
as  at  December  31,  2016  and  December  31,  2015  and  their  financial  performance  and  their  cash  flows  for  each  of  the  three  years  in  the  period  ended
December 31, 2016 in accordance with International Financial Reporting Standards as issued by the International Accounting Standards Board.

Emphasis of matter

The accompanying consolidated financial statements have been prepared assuming the Company will continue as a going concern. As discussed in note 1 to
the consolidated financial statements, Aeterna Zentaris Inc. and its subsidiaries have suffered recurring losses from operations and has cash outflows from
operating activities that raise substantial doubt about their ability to continue as a going concern. Management's plans in regard to these matters are also
described in note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

Quebec, Quebec, Canada
March 15, 2017

1 CPA auditor, CA, public accountancy permit No. A121191

97

Aeterna Zentaris Inc.
Consolidated Statements of Financial Position
(in thousands of US dollars)

ASSETS

Current Assets

Cash and cash equivalents (note 6)

Trade and other receivables (note 7)

Prepaid expenses and other current assets

Restricted cash equivalents

Property, plant and equipment (note 8)

Identifiable intangible assets (note 9)

Other non-current assets

Goodwill (note 10)

LIABILITIES

Current liabilities

Payables and accrued liabilities (note 11)

Provision for restructuring costs (note 12)

Current portion of deferred revenues (note 5)

Current portion of warrant liability (note 13)

Deferred revenues (note 5)

Warrant liability (note 13)

Employee future benefits (note 17)

Provisions and non-current liabilities (note 14)

SHAREHOLDERS' EQUITY

Share capital (note 15)

Other capital

Deficit

Accumulated other comprehensive income

Going concern (note 1)
Commitments and contingencies (note 24)
Subsequent events (note 25)

December 31, 2016

December 31, 2015

$

$

21,999  

365  

379  

22,743  

496  

204  

70  

593  

7,553  

31,659  

3,745  

33  

426  

—  

4,204  

474  

6,854  

13,414  

501  

25,447  

213,980  

88,590  

(298,059)  

1,701  

6,212  

31,659  

41,450

598

346

42,394

255

256

237

520

7,836

51,498

4,172

598

244

1,411

6,425

487

9,480

12,656

835

29,883

204,596

87,508

(271,621)

1,132

21,615

51,498

The accompanying notes are an integral part of these consolidated financial statements.

Approved by the Board of Directors

/s/ Carolyn Egbert

Carolyn Egbert
Chair of the Board

/s/ Gérard Limoges

Gérard Limoges
Director

98

 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Changes in Shareholders' Equity
For the years ended December 31, 2016, 2015 and 2014
(in thousands of US dollars, except share data)

Balance - January 1, 2016

Net loss

Other comprehensive income (loss):

Foreign currency translation adjustments  

Actuarial loss on defined benefit plan

(note 17)

Comprehensive loss

Share issuances in connection with a public

offering (note 15)

Pre-funded warrant issuances in connection

with a public offering (note 15)

Share issuances pursuant to the exercise of

pre-funded warrants (note 15)

Share issuances in connection with "At-the-

Market" drawdowns (note 15)

Share-based compensation costs

Balance - December 31, 2016

________________________

Common shares
(number of) 1, 2

Share
capital

$

9,928,697  

204,596  

—  

—  

—  

—  

—  

—  

—  

—  

1,150,000  

3,377  

—  

—  

—  

—  

—  

—  

—  

—  

2,789  

950,000  

2,789  

(2,789)  

889,298  

—  

3,218  

—  

12,917,995  

213,980  

—  

—  

—  

Pre-funded
warrants

  Other capital  

Deficit

Accumulated other
comprehensive loss  

$

$

$

$

Total

$

87,508  

(271,621)  

—  

(24,959)  

1,132  

21,615

—  

(24,959)

—  

569  

569

—  

—  

—  

—  

—  

—  

—  

1,082  

(1,479)  

(26,438)  

—  

—  

—  

—  

—  

—  

569  

(1,479)

(25,869)

—  

3,377

—  

2,789

—  

—  

—  

—

3,218

1,082

6,212

88,590  

(298,059)  

1,701  

1  Issued and paid in full.
2  Adjusted to reflect the November 17, 2015 100-to-1 Share Consolidation (see note 1 - Summary of business, liquidity risk, reporting entity, share consolidation and basis of

preparation; and note 15 - Share capital).

The accompanying notes are an integral part of these consolidated financial statements.

99

 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Changes in Shareholders' Equity
For the years ended December 31, 2016, 2015 and 2014
(in thousands of US dollars, except share data)

Common shares
(number of) 1, 2

Share
capital

$

Pre-funded
warrants

$

Other
capital

$

Deficit

$

Accumulated
other
comprehensive
income (loss)

$

Total

$

86,639  

(222,322)  

—  

(50,143)  

(377)  

—  

14,484

(50,143)

—  

1,509  

1,509

Balance - January 1, 2015

Net loss

Other comprehensive income:

Foreign currency translation adjustments  

Actuarial gain on defined benefit plan

(note 17)

Comprehensive loss

Share issuances in connection with public

offerings (note 15)

Pre-funded warrant issuances in connection

with a public offering (note 15)

Share issuances pursuant to the exercise of

pre-funded warrants (note 15)

Share issuances pursuant to the exercise of

warrants (other than pre-funded
warrants) (notes 13 and 15)

Share-based compensation costs

Balance - December 31, 2015

655,091  

150,544  

—  

—  

—  

—  

—  

—  

—  

—  

3,250,481  

14,322  

—  

—  

—  

—  

—  

—  

—  

—  

8,653  

346,294  

8,653  

(8,653)  

5,676,831  

31,077  

—  

9,928,697  

204,596  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

869  

844  

(49,299)  

—  

—  

—  

—  

—  

87,508  

(271,621)  

Balance - January 1, 2014

Net loss

Other comprehensive loss:

Foreign currency translation adjustments

Actuarial loss on defined benefit plans (note 17)

Comprehensive loss

Share issuances in connection with a public offering (note

15)

Share issuances in connection with "At-the-Market"

drawdowns (note 15)

Share-based compensation costs

Balance - December 31, 2014

Common shares
(number of) 1, 2

Share
capital

$

Other
capital

$

Deficit

$

Accumulated other
comprehensive
income (loss)

$

453,120  

134,101  

86,107  

(203,925)  

—  

—  

—  

(16,564)  

781  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

(1,833)  

(18,397)  

(1,158)  

—  

(1,158)

(1,833)

(1,158)  

(19,555)

110,000  

4,340  

—  

91,971  

12,103  

—  

—  

—  

532  

—  

—  

—  

655,091  

150,544  

86,639  

(222,322)  

—  

—  

—  

(377)  

4,340

12,103

532

14,484

_________________________
1    Issued and paid in full.
2  Adjusted to reflect the November 17, 2015 100-to-1 Share Consolidation (see note 1 - Summary of business, going concern, reporting entity and basis of preparation and

note 15 - Share capital).

The accompanying notes are an integral part of these consolidated financial statements.

100

—  

1,509  

—  

—  

—  

—  

—  

1,132  

844

(47,790)

14,322

8,653

—

31,077

869

21,615

Total

$

17,064

(16,564)

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Comprehensive Loss
For the years ended December 31, 2016, 2015 and 2014
(in thousands of US dollars, except share and per share data)

Revenues

Sales commission and other

License fees (note 5)

Operating expenses (note 16)

Research and development costs

General and administrative expenses

Selling expenses

Loss from operations

(Loss) gain due to changes in foreign currency exchange rates

Change in fair value of warrant liability (note 13)

Warrant exercise inducement fee (note 13)

Other finance income

Net finance (costs) income

Loss before income taxes

Income tax expense (note 19)

Net loss from continuing operations

Net income from discontinued operations

Net loss

Other comprehensive loss:

Items that may be reclassified subsequently to profit or loss:

Foreign currency translation adjustments

Items that will not be reclassified to profit or loss:

Actuarial (loss) gain on defined benefit plans (note 17)

Comprehensive loss

Net loss per share (basic and diluted) from continuing operations

(note 23)¹

Net income per share (basic and diluted) from discontinued

operations (note 23)¹

Net loss per share (basic and diluted) (note 23)¹

Weighted average number of shares outstanding 

(notes 15 and 23):¹

Basic

Diluted

Year ended December 31

2016

$

2015

$

2014

$

414  

497  

911  

16,495  

7,147  

6,745  

30,387  

(29,476)  

(70)  

4,437  

—  

150  

4,517  

(24,959)  

—  

(24,959)  

—  

(24,959)  

297  

248  

545  

17,234  

11,308  

6,887  

35,429  

(34,884)  

(1,767)  

(10,956)  

(2,926)  

305  

(15,344)  

(50,228)  

—  

(50,228)  

85  

(50,143)  

569  

1,509  

(1,479)  

(25,869)  

(2.41)

—

(2.41)  

844  

(47,790)  

(18.17)

0.03

(18.14)  

—

11

11

23,716

9,840

3,850

37,406

(37,395)

1,879

18,272

—

168

20,319

(17,076)

(111)

(17,187)

623

(16,564)

(1,158)

(1,833)

(19,555)

(29.12)

1.06

(28.06)

10,348,879  

10,665,149  

2,763,603  

3,424,336  

590,247

590,247

1  Adjusted to reflect the November 17, 2015 100-to-1 Share Consolidation (see note 1 - Summary of business, liquidity risk, reporting entity, share consolidation and basis

of preparation; and note 15 - Share capital).

The accompanying notes are an integral part of these consolidated financial statements.

101

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
   
   
   
 
 
 
 
 
 
 
 
 
   
   
   
 
 
Aeterna Zentaris Inc.

Consolidated Statements of Cash Flows
For the years ended December 31, 2016, 2015 and 2014
(in thousands of US dollars)

Cash flows from operating activities

Net loss from continuing operations

Items not affecting cash and cash equivalents:

Change in fair value of warrant liability (note 13)

Provision for restructuring costs (note 12)

Depreciation, amortization and impairment (notes 8 and 9)

Share-based compensation costs (note 15)

Employee future benefits (note 17)

Amortization of deferred revenues (note 5)

Foreign exchange loss (gain) on items denominated in foreign currencies

Gain on disposal of property, plant and equipment

Amortization of prepaid expenses and other non-cash items

Gain associated with the extinguishment of warrant liability (note 15)

Transaction cost allocated to warrants issued (note 15)

Series B Warrant exercise inducement fee (note 13)

Changes in operating assets and liabilities (note 18)

Net cash provided by (used in) operating activities of discontinued operations

Net cash used in operating activities

Cash flows from financing activities

Proceeds from issuances of common shares, warrants,(including pre-funded

warrants), net of cash transaction costs of $1,107 in 2016, $4,223 in 2015 and
$1,348 in 2014 (note 15)

Series B Warrant exercise inducement fee (note 13)

Payment pursuant to warrant amendment agreements (note 15)

Net cash provided by financing activities

Cash flows from investing activities

Purchase of property, plant and equipment (note 8)

Disposals of property, plant and equipment (note 8)

(Increase) decrease in restricted cash equivalents

Net cash (used in) provided by investing activities

Effect of exchange rate changes on cash and cash equivalents

Net change in cash and cash equivalents

Cash and cash equivalents – Beginning of the year

Cash and cash equivalents – End of the year

Year ended December 31

2016

$

2015

$

2014

$

(24,959)  

(50,228)  

(17,187)

(4,437)  

(8)  

280  

1,082  

382  

(345)  

87  

(1)  

(83)  

—  

56  

—  

(1,064)  

—  

(29,010)  

9,924  

—  

—  

9,924  

(66)  

2  

(250)  

(314)  

(51)  

(19,451)  

41,450  

21,999  

10,956  

932  

341  

919  

351  

(248)  

1,581  

(264)  

154  

(162)  

2,208  

2,926  

(3,395)  

85  

(33,844)  

49,427  

(2,926)  

(5,703)  

40,798  

(26)  

505  

434  

913  

(1,348)  

6,519  

34,931  

41,450  

(18,272)

2,489

878

497

605

—

(1,164)

(66)

2,640

—

666

—

(1,873)

(295)

(31,082)

24,358

—

—

24,358

(127)

66

—

(61)

(1,486)

(8,271)

43,202

34,931

The accompanying notes are an integral part of these consolidated financial statements.

102

 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

1 Summary of business, going concern, reporting entity and basis of preparation

Summary of Business

Aeterna Zentaris Inc. ("Aeterna Zentaris" or the "Company") is a specialty biopharmaceutical company engaged in developing and commercializing
novel treatments in oncology, endocrinology and women's health.

Going Concern

These consolidated financial statements have been prepared on a going concern basis, which assumes that the Company will be able to realize its assets
and discharge its liabilities in the normal course of business. Since the Company’s inception, the Company’s operations have been financed through the
sale of shares and warrants, revenue from license agreements and commissions, interest income on funds available for investment, government grants
and  tax  credits  and  other  non-dilutive  financing  sources.  For  the  twelve  months  ended  December  31,  2016,  the  Company  did  not  generate  any
meaningful  revenues  from  operations,  and  the  Company  has  incurred  significant  operating  losses  and  negative  cash  flows  from  operations  since
inception and has an accumulated deficit of $298,059,000 as at December 31, 2016.

The ability of the Company to continue operating as a going concern is dependent upon raising additional financing through equity and non-dilutive
sources of funding, including partnerships and licensing arrangements. There can be no assurance that the Company will have sufficient capital to fund
its  ongoing  operations,  or  to  develop  or  commercialize  any  products  without  future  financings.  The  foregoing  factors  indicate  the  existence  of  a
material uncertainty that may cast substantial doubt as to the Company’s continued ability to meet its obligations as they come due and, accordingly,
the appropriateness of the use of accounting principles applicable to a going concern. The Company is currently pursuing financing alternatives that
may include equity, debt, and non-dilutive financing alternatives, including co-development through potential collaborations, strategic partnerships or
other transactions with third parties. There can be no assurance that additional financing will be available on acceptable terms or at all. If the Company
is  unable  to  obtain  additional  financing  when  required,  the  Company  may  have  to  substantially  reduce  or  eliminate  planned  expenditures  or  the
Company may be unable to continue operations. The Company’s ultimate success, its ability to raise additional financing, whether through equity, debt
or  other  sources  of  funding  and,  consequently,  to  continue  as  a  going  concern,  is  also  dependent  upon  at  least  one  of  the  two  internally  developed
compounds obtaining positive results in their Phase 3 studies.

These  consolidated  financial  statements  do  not  reflect  the  adjustments  to  the  carrying  values  of  assets  and  liabilities  and  the  reported  expenses  and
statement of financial position classifications that would be necessary if the Company were unable to realize its assets and discharge its liabilities as a
going concern in the normal course of operations. Such adjustments could be material.

Reporting entity

The accompanying consolidated financial statements include the accounts of Aeterna Zentaris Inc., an entity incorporated under the Canada Business
Corporations Act, and its wholly owned subsidiaries (collectively referred to as the "Group"). Aeterna Zentaris Inc. is the ultimate parent company of
the Group.

The  Company  currently  has  three  wholly  owned  direct  and  indirect  subsidiaries,  Aeterna  Zentaris  GmbH  ("AEZS  Germany"),  based  in  Frankfurt,
Germany,  Zentaris  IVF  GmbH,  a  wholly  owned  subsidiary  of  AEZS  Germany,  based  in  Frankfurt,  Germany,  and  Aeterna  Zentaris,  Inc.,  an  entity
incorporated in the state of Delaware and with offices in Summerville, South Carolina, in the United States.

The registered office of the Company is located at 1 Place Ville Marie, Suite 2500, Montreal, Quebec H3B 1R1, Canada.

The Company's common shares are listed on both the Toronto Stock Exchange (the "TSX") and on the NASDAQ Capital Market (the "NASDAQ").

103

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Basis of presentation

(a) Statement of compliance

These consolidated financial statements as at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014
have  been  prepared  in  accordance  with  International  Financial  Reporting  Standards  ("IFRS")  as  issued  by  the  International  Accounting  Standards
Board ("IASB").

The accounting policies adopted in these consolidated financial statements are consistent with those of the previous financial year and previous quarter.

These consolidated financial statements were approved by the Company's Board of Directors on March 15, 2017.

The  accompanying  consolidated  financial  statements  were  prepared  on  a  going  concern  basis,  under  the  historical  cost  convention,  except  for  the
warrant liability, which is measured at fair value.

The  preparation  of  financial  statements  in  accordance  with  IFRS  requires  the  use  of  certain  critical  accounting  estimates  and  the  exercise  of
management's judgment in applying the Company's accounting policies. Areas involving a high degree of judgment or complexity and areas where
assumptions and estimates are significant to the Company's consolidated financial statements are discussed in note 3 - Critical accounting estimates
and judgments.

(b) Principles of consolidation

These consolidated financial statements include any entity in which the Company directly or indirectly holds more than 50% of the voting rights or
over which the Company exercises control. The Company controls an entity when the Company is exposed to, or has rights to, variable returns from its
involvement with the entity and has the ability to affect those returns through its power over the entity. An entity is included in the consolidation from
the  date  that  control  is  transferred  to  the  Company,  while  any  entities  that  are  sold  are  excluded  from  the  consolidation  from  the  date  that  control
ceases. All inter-company balances and transactions are eliminated on consolidation.

(c) Foreign currency

Items included in the financial statements of the Group's entities are measured using the currency of the primary economic environment in which the
entities operate (the "functional currency"). On January 1, 2015, the Company and its US subsidiary, Aeterna Zentaris, Inc., changed their functional
currency from the Euro ("EUR") to the US dollar, given that changes to underlying transactions, events and conditions indicated that the US dollar
more appropriately reflects the primary economic environment in which these entities operate. This change in functional currency was accounted for
prospectively. The functional currency of the German subsidiaries remains the EUR.

Assets and liabilities of the German subsidiaries are translated from EUR balances at the period-end exchange rates, and the results of operations are
translated  from  EUR  amounts  at  average  rates  of  exchange  for  the  period.  The  resulting  translation  adjustments  are  included  in  accumulated  other
comprehensive income within shareholders' equity.

Foreign currency transactions are translated into the functional currency using the exchange rates prevailing at the dates of the underlying transaction.
Foreign  exchange  gains  and  losses  resulting  from  the  settlement  of  such  transactions  and  from  the  translation  of  monetary  assets  and  liabilities  not
denominated in the functional currency are recognized in the consolidated statement of comprehensive loss.

Foreign exchange gains and losses that relate to cash and cash equivalents are presented within finance income or finance costs in the consolidated
statement of comprehensive loss. All other foreign exchange gains and losses are presented in the consolidated statement of comprehensive loss within
operating expenses.

(d) Share consolidation (reverse stock split)

On  November  17,  2015,  the  Company  effected  a  consolidation  of  its  issued  and  outstanding  common  shares  on  a  100-to-1  basis  (the  "Share
Consolidation"). The Share Consolidation affected all shareholders, option holders and warrant holders uniformly and thus did not materially affect any
security  holder's  percentage  of  ownership  interest.  All  references  in  these  consolidated  financial  statements  to  common  shares,  options  and  share
purchase warrants have been retroactively adjusted to reflect the Share Consolidation.

104

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

2 Summary of significant accounting policies

The accounting policies set out below have been applied consistently to all years presented in these consolidated financial statements and have been
applied consistently by all Group entities.

Cash and cash equivalents

Cash and cash equivalents consist of unrestricted cash on hand and balances with banks, as well as short-term interest-bearing deposits, such as money
market accounts, that are readily convertible to known amounts of cash and are subject to an insignificant risk of changes in value, with a maturity of
three months or less from the date of acquisition.

Restricted cash equivalents

Restricted cash equivalents are comprised of bank deposits, related to a guarantee for long-term operating leases obligation and for a corporate credit
card program that cannot be used for current purposes.

Property, plant and equipment and depreciation

Items of property, plant and equipment are recorded at cost, net of related government grants and accumulated depreciation and impairment charges.
Depreciation is calculated using the following methods, annual rates and period:

Equipment

Furniture and fixtures

Computer equipment

Leasehold improvements

Methods

Declining balance and straight-line

Declining balance and straight-line

Straight-line

Straight-line

Annual rates and period

20%

10% and 20%
25% and 331/3%
Remaining lease term

Depreciation  expense,  which  is  recorded  in  the  consolidated  statement  of  comprehensive  loss,  is  allocated  to  the  appropriate  functional  expense
categories to which the underlying items of property, plant and equipment relate.

Identifiable intangible assets and amortization

Identifiable intangible assets with finite useful lives consist of in-process R&D acquired in business combinations, patents and trademarks. In-process
R&D acquired in business combinations is recognized at fair value at the acquisition date. Patents and trademarks are comprised of costs, including
professional fees incurred in connection with the filing of patents and the registration of trademarks for product marketing and manufacturing purposes,
net of related government grants, impairment losses, where applicable, and accumulated amortization. Identifiable intangible assets with finite useful
lives are amortized, from the time at which the assets are available for use, on a straight-line basis over their estimated useful lives of eight to fifteen
years  for  in-process  R&D  and  patents  and  ten  years  for  trademarks.  Amortization  expense,  which  is  recorded  in  the  consolidated  statement  of
comprehensive loss, is allocated to the appropriate functional expense categories to which the underlying identifiable intangible assets relate.

Goodwill

Goodwill represents the excess of the purchase price over the fair values of the net assets of entities acquired at their respective dates of acquisition.
Goodwill is carried at cost less accumulated impairment losses. Goodwill is allocated to each cash-generating unit ("CGU") or group of CGUs that are
expected to benefit from the related business combination.

Impairment of assets

Items  of  property,  plant  and  equipment  and  identifiable  intangible  assets  with  finite  lives  subject  to  depreciation  or  amortization,  respectively,  are
reviewed  for  impairment  whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  amounts  of  the  assets  may  not  be  recoverable.
Management is required to assess at each reporting date whether there is any indication that an asset may be impaired. Where such an indication exists,
the asset's recoverable amount is compared to its carrying value, and an impairment loss is recognized for the amount by which the asset's carrying
amount

 
 
 
 
 
 
 
 
 
 
 
105

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

exceeds its recoverable amount. The recoverable amount is the higher of an asset's fair value less costs to sell and value in use. For the purpose of
assessing impairment, assets are grouped at the lowest levels for which there are separately identifiable cash flows, or CGU. In determining value in
use of a given asset or CGU, estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market
assessments  of  the  time  value  of  money  and  the  risks  specific  to  the  asset.  Impairment  losses  are  allocated  to  the  appropriate  functional  expense
categories to which the underlying identifiable intangible assets relate, and are recorded in the consolidated statement of comprehensive loss.

Items  of  property,  plant  and  equipment  and  amortizable  identifiable  intangible  assets  with  finite  lives  that  suffered  impairment  are  reviewed  for
possible reversal of the impairment if there has been a change, since the date of the most recent impairment test, in the estimates used to determine the
impaired asset's recoverable amount. However, an asset's carrying amount, increased due to the reversal of a prior impairment loss, must not exceed the
carrying amount that would have been determined, net of depreciation or amortization, had the original impairment not occurred.

Goodwill is not subject to amortization and instead is tested for impairment annually or more often if there is an indication that the CGU to which the
goodwill has been allocated may be impaired. Impairment is determined for goodwill by assessing whether the carrying value of a CGU, including the
allocated goodwill, exceeds its recoverable amount, which is the higher of fair value less costs to sell and value in use. In the event that the carrying
amount of goodwill exceeds its recoverable amount, an impairment loss is recognized in an amount equal to the excess. Impairment losses related to
goodwill are not subsequently reversed.

Share purchase warrants

Share purchase warrants are classified as liabilities when the Company does not have the unconditional right to avoid delivering cash to the holders in
the future. Each of the Company's share purchase warrants contains a written put option, arising upon the occurrence of a Fundamental Transaction, as
that term is defined in the share purchase warrants, including a change of control. As a result of the existence of these put options, and despite the fact
that the repurchase feature is conditional on a defined contingency, the share purchase warrants are required to be classified as a financial liability,
since such contingency could ultimately result in the transfer of assets by the Company.

The warrant liability is initially measured at fair value, and any subsequent changes in fair value are recognized as gains or losses through profit or
loss. Any transaction costs related to the share purchase warrants are expensed as incurred.

The warrant liability is classified as non-current, unless the underlying share purchase warrants are about to expire or be settled within 12 months from
the end of a given reporting period.

Employee benefits

Salaries and other short-term benefits

Salaries  and  other  short-term  benefit  obligations  are  measured  on  an  undiscounted  basis  and  are  recognized  in  the  consolidated  statement  of
comprehensive loss over the related service period or when the Company has a present legal or constructive obligation to make payments as a result of
past events and when the amount payable can be estimated reliably.

Post-employment benefits

The  Company's  subsidiary  in  Germany  maintains  defined  contribution  and  unfunded  defined  benefit  plans,  as  well  as  other  benefit  plans  for  its
employees.  For  defined  benefit  pension  plans  and  other  post-employment  benefits,  net  periodic  pension  expense  is  actuarially  determined  on  a
quarterly basis using the projected unit credit method. The cost of pension and other benefits earned by employees is determined by applying certain
assumptions,  including  discount  rates,  the  projected  age  of  employees  upon  retirement,  the  expected  rate  of  future  compensation  and  employee
turnover.

The employee future benefits liability is recognized at its present value, which is determined by discounting the estimated future cash outflows using
interest rates of high-quality corporate bonds that are denominated in the currency in which the benefits will be paid and that have terms to maturity
approximating the terms of the related future benefit liability. Actuarial gains and losses that arise in calculating the present value of the defined benefit
obligation are recognized in other, net of tax, and simultaneously reclassified in the deficit in the consolidated statement of financial position in the
year in which the actuarial gains and losses arise and without recycling to the consolidated statement of comprehensive loss in subsequent periods.

106

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

For defined contribution plans, expenses are recorded in the consolidated statement of comprehensive loss as incurred–namely, over the period that the
related employee service is rendered.

Termination benefits

Termination benefits are recognized in the consolidated statement of comprehensive loss when the Company is demonstrably committed, without the
realistic possibility of withdrawal, to a formal detailed plan to terminate employment earlier than originally expected. Termination benefit liabilities
expected to be settled after 12 months from the end of a given reporting period are discounted to their present value, where material.

Financial instruments

The Company classifies its financial instruments in the following categories: "Financial assets at fair value through profit or loss ("FVTPL"); "Loans
and receivables"; "Financial liabilities at "FVTPL"; and "Other financial liabilities".

Financial  assets  and  liabilities  are  offset,  and  the  net  amount  is  reported  in  the  consolidated  statement  of  financial  position,  when  there  is  a  legally
enforceable  right  to  offset  the  recognized  amounts  and  there  is  an  intention  to  settle  on  a  net  basis  or  realize  the  asset  and  settle  the  liability
simultaneously.

(a) Classification

Financial assets at fair value through profit or loss

Financial  assets  at  FVTPL  are  financial  assets  held  for  trading.  Fair  value  is  defined  as  the  amount  at  which  the  financial  assets  could  be
exchanged in a current transaction between willing parties, other than in a forced or liquidation sale. A financial asset is classified as at FVTPL if
the  instrument  is  acquired  or  received  as  consideration  principally  for  the  purpose  of  selling  in  the  short-term.  Financial  assets  at  FVTPL  are
classified as current assets if expected to be settled within 12 months from the end of a given reporting period; otherwise, the assets are classified
as non-current.

As at December 31, 2016 and 2015, the Company held no assets classified as financial assets at FVTPL.

Loans and receivables

Loans and receivables are non-derivative financial assets with fixed or determinable payments that are not quoted in an active market. Loans and
receivables are included in current assets, except for instruments with maturities greater than 12 months after the end of a given reporting period or
where restrictions apply that limit the Company from using the instrument for current purposes, which are classified as non-current assets.

The Company's loans and receivables are comprised of cash and cash equivalents, trade and other receivables and restricted cash equivalents.

Financial liabilities at fair value through profit or loss

Financial liabilities at FVTPL are financial liabilities held for trading. A financial liability is classified as at FVTPL if the instrument is acquired or
incurred principally for the purpose of selling or repurchasing in the short-term or where the Company does not have the unconditional right to
avoid  delivering  cash  or  another  financial  asset  to  the  holders  in  certain  circumstances.  Financial  liabilities  at  FVTPL  are  classified  as  current
liabilities if required to be settled within 12 months from the end of a given reporting period; otherwise, the liabilities are classified as non-current.

Financial liabilities at FVTPL are currently comprised of the Company's warrant liability.

Other financial liabilities

Other financial liabilities include trade accounts payable and accrued liabilities, provision for restructuring and other non-current liabilities.

107

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

(b) Recognition and measurement

Financial assets at fair value through profit or loss

Financial assets at FVTPL are recognized on the settlement date, which is the date on which the asset is delivered to the Company. Financial assets
at FVTPL are initially recognized at fair value, and transaction costs are expensed immediately in the consolidated statement of comprehensive
loss. Financial assets at FVTPL are derecognized when the right to receive cash flows from the underlying investment have expired or have been
transferred and when the Group has transferred substantially all risks and rewards of ownership. Gains and losses arising from changes in the fair
value of financial assets at FVTPL are presented in the consolidated statement of comprehensive loss within finance income or finance costs in the
period in which they arise.

Loans and receivables

Loans and receivables are recognized on the settlement date and are measured initially at fair value and subsequently at amortized cost using the
effective interest rate method.

Financial liabilities at fair value through profit or loss

Financial  liabilities  at  FVTPL  are  recognized  on  the  settlement  date.  Financial  liabilities  at  FVTPL  are  initially  recognized  at  fair  value,  and
transaction costs are expensed immediately in the consolidated statement of comprehensive loss. Gains and losses arising from changes in the fair
value of financial liabilities at FVTPL are presented in the consolidated statement of comprehensive loss in the period in which they arise.

Other financial liabilities

Financial  instruments  classified  as  "Other  financial  liabilities"  are  measured  initially  at  fair  value  and  subsequently  at  amortized  cost  using  the
effective interest rate method.

(c) Impairment

Financial assets measured at amortized cost are reviewed for impairment at each reporting date. Where there is objective evidence that impairment
exists for a financial asset measured at amortized cost, an impairment charge equivalent to the difference between the asset's carrying amount and
the present value of estimated future cash flows is recorded in the consolidated statement of comprehensive loss. The expected cash flows exclude
future credit losses that have not been incurred and are discounted at the financial asset's original effective interest rate.

Impairment charges related to financial assets carried at amortized cost are reversed if, in a subsequent period, the amount of the impairment loss
decreases and the decrease can be related objectively to an event occurring after the impairment was recognized. However, the reversal cannot
result in a carrying amount of the financial asset that exceeds what the amortized cost would have been had the impairment not been recognized at
the date the impairment is reversed.

Share capital

Common  shares  are  classified  as  equity.  Incremental  costs  that  are  directly  attributable  to  the  issuance  of  common  shares  and  stock  options  are
recognized as a deduction from equity, net of any tax effects.

Where  offerings  result  in  the  issuance  of  units  (where  each  unit  is  comprised  of  a  common  share  of  the  Company  and  a  share  purchase  warrant,
exercisable in order to purchase a common share or fraction thereof), proceeds received in connection with those offerings are allocated between Share
capital  and  Share  purchase  warrants  based  on  the  residual  method.  Proceeds  are  allocated  to  warrant  liability  based  on  the  fair  value  of  the  share
purchase warrants, and the residual amount of proceeds is allocated to Share capital. Transaction costs in connection with such offerings are allocated
to the liability and equity unit components in proportion to the allocation of proceeds.

108

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Provisions

Provisions represent liabilities to the Company for which the amount or timing is uncertain. Provisions are recognized when the Company has a present
legal or constructive obligation as a result of past events, such as organizational restructuring, when it is probable that an outflow of resources will be
required to settle the obligation and where the amount can be reliably estimated. Provisions are not recognized for future operating losses.

Provisions are made for any contracts which are deemed onerous. A contract is onerous if the unavoidable costs of meeting the obligations under the
contract exceed the economic benefits expected to be received under it. Provisions for onerous contracts are measured at the present value of the lower
of  the  expected  cost  of  terminating  the  contract  and  the  expected  net  cost  of  continuing  with  the  contract.  Present  value  is  determined  based  on
expected  future  cash  flows  that  are  discounted  at  a  pre-tax  rate  that  reflects  current  market  assessments  of  the  time  value  of  money  and  the  risks
specific to the liability. The unwinding of the discount is recognized in finance costs.

Revenue recognition

Licensing revenues and multiple element arrangements

The Company is currently in a phase in which certain potential products are being further developed or marketed jointly with partners and licensees.
Existing licensing agreements usually involve one-time payments (upfront payments), payments for R&D services in the form of cost reimbursements,
milestone  payments  and  royalty  receipts  for  licensing  and  marketing  product  candidates.  Revenues  associated  with  those  multiple-element
arrangements are allocated to the various elements based on their relative fair value.

Agreements  containing  multiple  elements  are  divided  into  separate  units  of  accounting  if  certain  criteria  are  met,  including  whether  the  delivered
element has stand-alone value to the customer and whether there is objective and reliable evidence of the fair value of the undelivered obligation(s).
The consideration received is allocated among the separate units based on each unit's fair value, and the applicable revenue recognition criteria are
applied to each of the separate units.

License fees representing non-refundable payments received at the time of executing the license agreements are recognized as revenue upon signature
of the license agreements when the Company has no significant future performance obligations under a multiple element arrangement and collectibility
of  the  fees  is  probable.  When  there  are  future  performance  obligations  under  a  multiple  element  arrangement,  upfront  payments  received  at  the
beginning of licensing agreements are deferred and recognized as revenue on a systematic basis over the period during which the related services are
rendered and all obligations are performed.

Milestone payments

Milestone payments, which are generally based on developmental or regulatory events, are recognized as revenue when the milestones are achieved,
collectibility is assured, and when the Company has no significant future performance obligations in connection with the milestones.

Sales Commission

Revenues from sales commission are recognized when all the following conditions are satisfied:

i.
ii.

the amount of revenue can be measured reliably; and
it is probable that the economic benefits associated with the transaction will flow to the Company.

The Company is responsible for promoting some products. Therefore, there is no continuing involvement following the patient starting the treatment
and buying the products.

109

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Share-based compensation costs

The Company operates an equity-settled share-based compensation plan under which the Company receives services from directors, senior executives,
employees and other collaborators as consideration for equity instruments of the Company.

The Company accounts for all forms of share-based compensation using the fair value-based method. Fair value of stock options is determined at the
date of grant using the Black-Scholes option pricing model, which includes estimates of the number of awards that are expected to vest over the vesting
period. Where granted share options vest in installments over the vesting period (defined as graded vesting), the Company treats each installment as a
separate share option grant. Share-based compensation expense is recognized over the vesting period, or as specified vesting conditions are satisfied,
and credited to Other Capital.

Any  consideration  received  by  the  Company  in  connection  with  the  exercise  of  stock  options  is  credited  to  Share  Capital.  Any  Other  Capital
component of the share-based compensation is transferred to Share Capital upon the issuance of shares.

Current and deferred income tax

Income  tax  on  profit  or  loss  comprises  current  and  deferred  tax.  Tax  is  recognized  in  profit  or  loss,  except  that  a  change  attributable  to  an  item  of
income  or  expense  recognized  as  other  comprehensive  (loss)  income  or  directly  in  equity  is  also  recognized  directly  in  other  comprehensive  (loss)
income  or  directly  in  equity.  Management  periodically  evaluates  positions  taken  in  tax  returns  with  respect  to  situations  in  which  applicable  tax
regulation is subject to interpretation and establishes provisions where appropriate on the basis of amounts expected to be paid to the tax authorities.

The current income tax charge is calculated in accordance with tax rates and laws that have been enacted or substantively enacted by the reporting date
in the countries where the Company's subsidiaries operate and generate taxable income.

Deferred income tax is recognized on temporary differences (other than, where applicable, temporary differences associated with unremitted earnings
from foreign subsidiaries and associates to the extent that the investment is essentially permanent in duration, and temporary differences associated
with the initial recognition of goodwill) arising between the tax bases of assets and liabilities and their carrying amounts in the consolidated financial
statements and on unused tax losses or R&D non-refundable tax credits in the Group. Deferred income tax is determined using tax rates and laws that
have been enacted or substantively enacted by the reporting date.

Deferred income tax assets are recognized only to the extent that it is probable that future taxable profit will be available against which the temporary
differences can be utilized.

Deferred income tax assets and liabilities are offset when there is a legally enforceable right to offset current tax assets against current tax liabilities
and when the deferred income taxes assets and liabilities relate to income taxes levied by the same taxation authority on either the same taxable entity
or different taxable entities where there is an intention to settle the balances on a net basis.

Research and development costs

Research  costs  are  expensed  as  incurred.  Development  costs  are  expensed  as  incurred,  except  for  those  that  meet  generally  accepted  criteria  for
deferral,  in  which  case  the  costs  are  capitalized  and  amortized  to  operations  over  the  estimated  period  of  benefit.  No  development  costs  have  been
capitalized during any of the periods presented.

Discontinued operations

A discontinued operation is a component of the Company that has been disposed of, or is classified as held for sale, and represents a separate major
line  of  business  or  geographical  area  of  operations  and/or  is  part  of  a  single  co-ordinated  plan  to  dispose  of  a  separate  major  line  of  business  or
geographical area of operations. Classification as a discontinued operation occurs upon the earlier of the disposal of the operation (or disposal group)
or the date at which the operation meets the criteria for classification as held for sale. When an operation is classified as discontinued, comparative
statements of comprehensive loss and cash flows are presented as if the operations had been discontinued at the beginning of the earliest comparative
period presented.

110

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Net (loss) income per share

Basic net (loss) income per share is calculated using the weighted average number of common shares outstanding during the year.

Diluted net (loss) income per share is calculated based on the weighted average number of common shares outstanding during the year, plus the effects
of dilutive common share equivalents, such as stock options and share purchase warrants. This method requires that diluted net (loss) income per share
be calculated using the treasury stock method, as if all common share equivalents had been exercised at the beginning of the reporting period, or period
of issuance, as the case may be, and that the funds obtained thereby were used to purchase common shares of the Company at the average trading price
of the common shares during the period.

3 Critical accounting estimates and judgments

The preparation of consolidated financial statements in accordance with IFRS requires management to make judgments, estimates and assumptions that
affect the reported amounts of the Company's assets, liabilities, revenues, expenses and related disclosures. Judgments, estimates and assumptions are
based  on  historical  experience,  expectations,  current  trends  and  other  factors  that  management  believes  to  be  relevant  at  the  time  at  which  the
Company's consolidated financial statements are prepared.

Management  reviews,  on  a  regular  basis,  the  Company's  accounting  policies,  assumptions,  estimates  and  judgments  in  order  to  ensure  that  the
consolidated financial statements are presented fairly and in accordance with IFRS. Revisions to accounting estimates are recognized in the period in
which the estimates are revised and in any future periods affected.

(a) Critical accounting estimates and assumptions

Critical accounting estimates and assumptions are those that have a significant risk of causing material adjustment and are often applied to matters
or outcomes that are inherently uncertain and subject to change. As such, management cautions that future events often vary from forecasts and
expectations and that estimates routinely require adjustment.

The  following  discusses  the  most  significant  accounting  estimates  and  assumptions  that  the  Company  has  made  in  the  preparation  of  the
consolidated financial statements.

Fair value of the warrant liability and stock options

Determining the fair value of the warrant liability and stock options requires judgment related to the choice of a pricing model, the estimation of
stock price volatility and the expected term of the underlying instruments. Any changes in the estimates or inputs utilized to determine fair value
could result in a significant impact on the Company's future operating results, liabilities or other components of shareholders' equity. Fair value
assumptions used are described in note 13 - Warrant liability and 15 - Share capital.

Goodwill impairment

The annual impairment assessment related to goodwill requires to estimate the recoverable amount, which has been determined using fair value
less  costs  of  disposal.  This  evaluation  is  based  on  estimates  that  are  derived  from  current  market  capitalization  and  on  other  factors,  including
assumptions related to relevant industry-specific market analyses and potential costs to dispose. The Company also concluded that there was only
one CGU as management monitors goodwill on an overall entity basis. Future events, including a significant reduction in the Company's share
price, could cause the assumptions utilized in the impairment tests to change, resulting in a potentially adverse effect on the Company's future
results due to increased impairment charges.

Employee future benefits

The determination of expenses and obligations associated with employee future benefits requires the use of assumptions, such as the discount rate
to  measure  obligations,  the  projected  age  of  employees  upon  retirement,  the  expected  rate  of  future  compensation  and  estimated  employee
turnover. Because the determination of the cost and obligations associated with employee future benefits requires the use of various assumptions,
there is measurement uncertainty inherent in the actuarial valuation process. Actual results will differ from results that are estimated based on the
aforementioned assumptions. Additional information is included in note 17 - Employee future benefits.

111

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Income taxes

The estimation of income taxes includes evaluating the recoverability of deferred tax assets based on an assessment of Group entities' ability to
utilize the underlying future tax deductions against future taxable income prior to expiry of those deductions. Management assesses whether it is
probable that some or all of the deferred income tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon
the  generation  of  future  taxable  income,  which  in  turn  is  dependent  upon  the  successful  commercialization  of  the  Company's  products.  To  the
extent  that  management's  assessment  of  any  Group  entity's  ability  to  utilize  future  tax  deductions  changes,  the  Company  would  be  required  to
recognize more or fewer deferred tax assets, and future income tax provisions or recoveries could be affected. Additional information is included
in note 19 - Income taxes.

(b) Critical judgments in applying the Company's accounting policies

Revenue recognition

Management's  assessments  related  to  the  recognition  of  revenues  related  to  arrangements  containing  multiple  elements  are  based  on  judgment.
Judgment  is  necessary  to  identify  separate  units  of  accounting  and  to  allocate  related  consideration  to  each  separate  unit  of  accounting.  Where
deferral of upfront payments or license fees is deemed appropriate, subsequent revenue recognition is often determined based upon the assessment
of the Company's continuing involvement in the arrangement, the benefits expected to be derived by the customer and, where applicable, expected
patent lives. Additional information is included in note 5 - Deferred revenues related to licensing arrangements and co-development agreement.

4 Recent accounting pronouncements

Not yet adopted

In January 2016, the IASB issued amendments to IAS 12, Income taxes to clarify the requirements for recognizing deferred tax assets on unrealized
losses. The amendments clarify the accounting for deferred tax where an asset is measured at fair value and that fair value is below the asset’s tax base.
They  also  clarify  certain  other  aspects  of  accounting  for  deferred  tax  assets.  The  amendments  are  effective  from  January  1,  2017.  The  Company  is
currently assessing the impact, if any, which these amendments may have on the Company’s consolidated financial statements.

In  January  2016,  the  IASB  issued  an  amendment  to  IAS  7,  Statement  of  cash  flows,  introducing  an  additional  disclosure  that  will  enable  users  of
financial  statements  to  evaluate  changes  in  liabilities  arising  from  financing  activities.  The  amendment  is  part  of  the  IASB’s  Disclosure  Initiative,
which  continues  to  explore  how  financial  statement  disclosure  can  be  improved.  The  amendment  is  effective  from  January  1,  2017.  The  Company
believes that the information already provided in note 13 will be sufficient to meet this new requirement.

The final version of IFRS 9, Financial Instruments ("IFRS 9"), was issued by the IASB in July 2014 and will replace IAS 39, Financial Instruments:
Recognition and Measurement ("IAS  39").  IFRS  9  introduces  a  model  for  classification  and  measurement,  a  single,  forward-looking  expected  loss
impairment  model  and  a  substantially  reformed  approach  to  hedge  accounting.  The  new  single,  principle-based  approach  for  determining  the
classification of financial assets is driven by cash flow characteristics and the business model in which an asset is held. The new model also results in a
single  impairment  model  being  applied  to  all  financial  instruments,  which  will  require  more  timely  recognition  of  expected  credit  losses.  It  also
includes  changes  in  respect  of  an  entity's  own  credit  risk  in  measuring  liabilities  elected  to  be  measured  at  fair  value,  so  that  gains  caused  by  the
deterioration of an entity's own credit risk on such liabilities are no longer recognized in profit or loss. IFRS 9, which is to be applied retrospectively, is
effective for annual periods beginning on or after January 1, 2018 and is available for early adoption. In addition, an entity's own credit risk changes
can be applied early in isolation without otherwise changing the accounting for financial instruments. There are amendments to IFRS 7 which require
additional  disclosures  on  transition  from  IAS  39  to  IFRS  9.  These  amendments  are  effective  upon  adoption  of  IFRS  9.  The  Company  is  currently
assessing the impact, if any, that these new standards may have on the Company's consolidated financial statements.

112

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

In May 2014, the IASB issued IFRS 15, Revenue from Contracts with Customers ("IFRS 15"). The objective of this new standard is to provide a single,
comprehensive  revenue  recognition  framework  for  all  contracts  with  customers  to  improve  comparability  of  financial  statements  of  companies
globally. This new standard contains principles that an entity will apply to determine the measurement of revenue and timing of when it is recognized.
The underlying principle is that an entity will recognize revenue to depict the transfer of goods or services to customers at an amount that the entity
expects to be entitled to receive in exchange for those goods or services. This new standard is effective for annual periods beginning on or after January
1,  2018,  with  early  adoption  permitted.  The  Company  is  currently  assessing  the  impact,  if  any,  that  this  new  standard  may  have  on  the  Company's
consolidated financial statements.

In November 2016, the IFRS Interpretations Committee issued an Interpretation on how to determine the date of the transaction when applying IAS 21,
The  Effects  of  Changes  in  Foreign  Exchange  Rates.  The  Interpretation  applies  where  an  entity  either  pays  or  receives  consideration  in  advance  for
foreign  currency-denominated  contracts.  The  Interpretation  provides  guidance  for  when  a  single  payment/receipt  is  made,  as  well  as  for  situations
where multiple payments/receipts are made. The Interpretation is effective for annual periods beginning on or after January 1, 2018. The Company is
currently assessing the impact, if any, which these amendments may have on the Company’s consolidated financial statements.

In January 2016, the IASB issued IFRS 16, Leases ("IFRS 16"), which supersedes IAS 17, Leases, and the related interpretations on leases: IFRIC 4,
Determining Whether an Arrangement Contains a Lease; Standard Interpretations Committee ("SIC") 15, Operating Leases - Incentives; and SIC 27,
Evaluating the Substance of Transactions in the Legal Form of a Lease. IFRS 16 is effective for annual periods beginning on or after January 1, 2019,
with earlier adoption permitted for companies that also apply IFRS 15. The Company is currently assessing the impact, if any, that this new standard
may have on the Company's consolidated financial statements.

5 Deferred revenues related to licensing arrangements and co-development agreement

Zoptrex™ License Agreements

On  July  1,  2016,  the  Company  entered  into  a  License  Agreement  with  Cyntec  Co.,  Ltd.  ("Cyntec"),  an  affiliate  of  Orient  EuroPharma  Co.,  Ltd.
("OEP")  for  Zoptrex™  (zoptarelin  doxorubicin)  for  the  initial  indication  of  endometrial  cancer.  Under  the  terms  of  the  License  Agreement,  the
Company was paid a non-refundable upfront cash payment (the "License Fee") in consideration for the license to Cyntec of the Company's intellectual
property related to Zoptrex™ and the grant to Cyntec of the right to commercialize Zoptrex™ in a territory consisting of Taiwan and nine countries in
southeast  Asia  (the  "OEP  Territory").  Cyntec  has  also  agreed  to  make  additional  payments  to  the  Company  upon  achieving  certain  pre-established
regulatory and commercial milestones. Furthermore, the Company will receive royalties based on future net sales of Zoptrex™ in the OEP Territory.
Cyntec will be responsible for the development, registration, reimbursement and commercialization of the product in the OEP Territory. The Company
also entered into related Technology Transfer and Supply Agreements with another affiliate of OEP, pursuant to which the Company will transfer to
such  affiliate  the  technology  necessary  to  permit  the  affiliate  to  manufacture  finished  Zoptrex™  using  quantities  of  the  active  pharmaceutical
agreement purchased from the Company pursuant to the Supply Agreement.

On  December  1,  2014,  the  Company  entered  into  a  Master  Collaboration  Agreement,  a  Technology  Transfer  and  Technical  Assistance  Agreement
("TTA")  and  a  License  Agreement  with  Sinopharm  A-Think  Pharmaceuticals  Co.,  Ltd.  ("Sinopharm")  for  the  development,  manufacture  and
commercialization of Zoptrex™ in all human uses, in the People's Republic of China, including Hong Kong and Macau (collectively, the "Sinopharm
Territory"). Under the terms of the TTA, Sinopharm made a one-time, non-refundable payment (the "Transfer Fee") to the Company in consideration
for  the  transfer  of  technical  documentation  and  materials,  know-how  and  technical  assistance  services.  Additionally,  pursuant  to  the  License
Agreement, the Company will be entitled to receive additional consideration upon achieving certain milestones, including the occurrence of certain
regulatory and commercial events in the Sinopharm Territory. Furthermore, the Company will be entitled to royalties on future net sales of Zoptrex™
in the Sinopharm Territory.

The  Company  has  substantial  continuing  involvement  in  the  aforementioned  arrangements,  including  the  transfer  of  documentation,  know-how  and
materials,  as  well  as  the  provision  of  technical  assistance,  such  as  quality  systems  implementation,  analytical  and  stability  testing,  territory-specific
development initiatives, and other services.

113

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

The  Company  has  applied  the  provisions  of  IAS  18,  Revenue  ("IAS  18"),  and  has  determined  that  all  deliverables  and  performance  obligations
contemplated by the agreements with Cyntec/OEP and Sinopharm should be accounted for as a single unit of accounting, limited to amounts that are
not  contingent  upon  the  delivery  of  additional  items  or  the  meeting  of  other  specified  performance  conditions  which  are  not  known,  probable  or
estimable at the time at which the agreements with OEP and Sinopharm were entered into.

The Company has deferred the non-refundable License and Transfer Fees and is amortizing the related payment as revenue on a straight-line basis over
the period during which the aforementioned services are rendered and obligations are performed.

In  determining  the  period  over  which  the  License  and  Transfer  Fee  revenues  are  to  be  recognized,  the  Company  concluded  that  its  significant
continuing  involvement  in  the  aforementioned  agreements  will  span  approximately  until  the  end  of  December  2018.  However,  the  Company  may
adjust  the  amortization  period  based  on  appropriate  facts  and  circumstances  not  yet  known,  that  would  significantly  change  the  duration  of  the
Company's continuing involvement and performance obligations or benefits expected to be derived by OEP and Sinopharm.

Future  milestone  payments  will  be  recognized  as  revenue  individually  and  in  full  upon  the  actual  achievement  of  the  related  milestone,  given  the
substantive nature of each milestone. Lastly, upon initial commercialization and sale of the developed product, the Company will recognize royalty
revenues as earned, based on the contractual percentage applied to the actual net sales achieved by OEP or Sinopharm, as per the LA.

Pursuant to the Sinopharm agreements, the Company was required to remit to the Chinese tax authorities $111,000 of the gross proceeds received from
Sinopharm. This amount, which was withheld at source, was recognized as income tax expense in the consolidated statement of comprehensive loss, in
2014, in accordance with the provision of IAS 12, Income Taxes.

Ergomed agreement

On April 10, 2013, the Company entered into a co-development and revenue-sharing agreement ("CDRSA") with Ergomed Clinical Research Limited
("Ergomed"),  pursuant  to  which  Ergomed  agreed  to  assist  the  Company  in  the  clinical  development  program  for  Zoptrex™  for  the  purpose  of
maximizing the commercialization potential of Zoptrex™ with the ultimate aim of selling or licensing Zoptrex™. Concurrently with the execution of
the CDRSA, the Company entered into a master services agreement ("MSA") with Ergomed for a Phase 3 clinical trial of Zoptrex™ in endometrial
cancer, pursuant to which Ergomed provided clinical development services with respect to the co-development initiative referred to above.

Under the CDRSA, Ergomed will not charge the Company for 30% of the total costs of the Phase 3 clinical trial of Zoptrex™ up to a maximum of
$10,000,000.  As  of  December  31,  2016,  the  amount  not  charged  by  Ergomed  totaled  approximately  $9,400,000.  While  Ergomed  will  not  directly
contribute  any  cash  proceeds  towards  the  completion  of  the  activities  contemplated  by  the  CDRSA,  Ergomed,  as  primary  supplier  of  a  substantial
portion  of  Zoptrex™  related  clinical  and  regulatory  activities,  will  contribute  to  the  overall  funding  of  the  initiative  via  the  application  of  a  30%
discount from the costs set forth in the MSA until the cumulative total of such reductions reaches a maximum of $10,000,000. Ergomed will be entitled
to receive an agreed upon single-digit percentage of any future net income (as defined in the CDRSA) or other proceeds related to the licensing of
Zoptrex™ in endometrial cancer indication, up to a specified maximum amount.

The  Company  recognizes  R&D  costs  associated  with  the  CDRSA  and  MSA  net  of  the  30%  discount,  as  services  are  rendered  by  Ergomed  in  the
consolidated  statement  of  comprehensive  loss.  During  the  years  ended  December  31,  2016,  2015  and  2014,  the  Company  expensed  a  total  of
$4,435,929, $7,140,000, $7,195,000, respectively, pursuant to the CDRSA and MSA.

114

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

6 Cash and cash equivalents

Cash on hand and balances with banks

Interest-bearing deposits with maturities of three months or less

7 Trade and other receivables

Trade accounts receivable

Value added tax

Other

8 Property, plant and equipment

December 31,

2016

$

2015

$

21,999  

—  

21,999  

11,233

30,217

41,450

December 31,

2016

$

2015

$

155  

130  

80  

365  

180

291

127

598

Components of the Company's property, plant and equipment are summarized below.

At January 1, 2015

Additions

Disposals / Retirements

Impact of foreign exchange rate changes

At December 31, 2015

Additions

Disposals / Retirements

Impact of foreign exchange rate changes

At December 31, 2016

Equipment

$

Furniture and
fixtures

$

Cost

Computer
equipment

$

Leasehold
improvements

$

Total

$

6,812  

2  

(2,108)  

(667)  

4,039  

27  

—  

(147)  

3,919  

1,106  

8  

(1,021)  

(74)  

19  

—  

—  

—  

19  

115

1,534  

16  

(719)  

(85)  

746  

19  

(3)  

(25)  

737  

1,055  

—  

(962)  

(74)  

19  

20  

—  

(2)  

37  

10,507

26

(4,810)

(900)

4,823

66

(3)

(174)

4,712

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Accumulated depreciation

Equipment

$

Furniture and
fixtures

Computer
equipment

Leasehold
improvements

$

$

$

Total

$

6,313  

(1,957)  

—  

138  

(621)  

3,873  

—  

70  

(144)  

3,799  

1,087  

(1,015)  

—  

1  

(73)  

—  

—  

2  

—  

2  

1,448  

(719)  

—  

36  

(82)  

683  

(2)  

36  

(25)  

692  

862  

(882)  

70  

15  

(54)  

11  

—  

4  

—  

15  

9,710

(4,573)

70

190

(830)

4,567

(2)

112

(169)

4,508

At January 1, 2015

Disposals / Retirements

Impairment loss*

Recurring depreciation expense

Impact of foreign exchange rate changes

At December 31, 2015

Disposals / Retirements

Recurring depreciation expense

Impact of foreign exchange rate changes

At December 31, 2016

_________________________

*Related to R&D equipment impaired as a result of a restructuring (note 12 - Restructuring).

At December 31, 2015

At December 31, 2016

Carrying amount

Equipment

$

Furniture and
fixtures

Computer
equipment

Leasehold
improvements

$

$

$

166  

120  

19  

17  

63  

45  

8  

22  

Total

$

256

204

Depreciation of $112,000 ($260,000 in 2015 and $577,000 in 2014) is presented in the consolidated statement of comprehensive loss as follows: $80,000 ($231,000 in
2015 and $530,000 in 2014) in R&D costs, $11,000 ($13,000 in 2015 and $47,000 in 2014) in general and administrative ("G&A") expenses and $21,000 (16,000 in
2015 and nil in 2014) in selling expenses.

116

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

9 Identifiable intangible assets

Identifiable intangible assets with finite useful lives consist entirely of in-process R&D costs, patents and trademarks. Changes in the carrying value of
the Company's identifiable intangible assets with finite useful lives are summarized below.

Year ended December 31, 2016

Year ended December 31, 2015

Cost

$

Accumulated
amortization

Carrying
value

$

$

Cost

$

Accumulated
amortization  

Carrying
value

$

$

Balances – Beginning of the year

31,151  

(30,914)  

Additions

Disposal/Retirements

Impairment loss*

Recurring amortization expense*

Impact of foreign exchange rate

changes

Balances – End of the year

_________________________

5  

—  

—  

—  

—  

—  

(85)  

(83)  

(1,124)  

30,032  

1,120  

(29,962)  

237  

5  

—  

(85)  

(83)  

(4)  

70  

35,032  

(34,680)  

—  

(538)  

—  

—  

—  

538  

—  

(81)  

(3,343)  

31,151  

3,309  

(30,914)  

352

—

—

—

(81)

(34)

237

* Recorded as R&D costs in the consolidated statements of comprehensive (loss) income.

10 Goodwill

The change in carrying value is as follows:

Cost

$

Accumulated
impairment loss

  Carrying amount

$

$

At January 1, 2015

Impact of foreign exchange rate changes

At December 31, 2015

Impact of foreign exchange rate changes

At December 31, 2016

11 Payables and accrued liabilities

8,687  

(851)  

7,836  

(283)  

7,553  

—  

—  

—  

—  

—  

Trade accounts payable

Accrued research and development costs

Salaries, employment taxes and benefits

Current portion of onerous contract provisions (note 14)

Other accrued liabilities

117

December 31,

2016

$

2015

$

2,044  

340  

156  

295  

910  

3,745  

8,687

(851)

7,836

(283)

7,553

2,488

312

256

334

782

4,172

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

12 Restructuring

On  August  7,  2014,  the  Company's  Nominating,  Governance  and  Compensation  Committee  and  Board  of  Directors  approved  a  global  resources
optimization  program  (the  "Resource  Optimization  Program"),  which  was  rolled  out  as  part  of  a  strategy  to  transition  Aeterna  Zentaris  into  a
commercially  operating  specialty  biopharmaceutical  organization.  As  at  December  31,  2016,  the  Resource  Optimization  Program  was  substantially
complete.

On October 9, 2015, the Company's Board of Directors approved a plan to restructure the Company's finance and accounting operations and to close
the  Company's  Quebec  City  office  (the  "Corporate  Restructuring").  The  Company  transferred  all  functions  performed  by  the  five  employees  in  its
Quebec City office to other personnel. As of December 31, 2016, the Corporate Restructuring was complete.

The change in the Company's provision for restructuring costs can be summarized as follows:

Resource Optimization
Program

  Corporate Restructuring

$

$

Total

$

At January 1, 2015

Provision recognized

Utilization of provision

Change in the provision

Impact of foreign exchange rate changes

At December 31, 2015

Less: non-current portion

At December 31, 2015

Utilization of provision

Change in the provision

Impact of foreign exchange rate changes

At December 31, 2016

1,651  

—  

(1,154)  

(265)  

(157)  

75  

(34)  

41  

75  

(43)  

—  

1  

33  

—  

1,244

(636)

(47)

(4)

557

—  

557

557

(523)

(8)

(26)

—  

1,651

1,244

(1,790)

(312)

(161)

632

(34)

598

632

(566)

(8)

(25)

33

13 Warrant liability

The change in the Company's warrant liability can be summarized as follows:

Balance – Beginning of the year

Share purchase warrants issued during the year (note 15)

Derecognition due to early expiry (note 15)

Share purchase warrants exercised during the year

Change in fair value of share purchase warrants

Balance - End of year

Less: current portion

Balance – End of the year

Year ended December 31,

2016

$

2015

$

2014

$

10,891  

400  

—  

—  

(4,437)  

6,854  

—  

6,854  

8,225  

28,678  

(5,865)  

(31,103)  

10,956  

10,891  

(1,411)  

9,480  

18,010

8,487

—

—

(18,272)

8,225

—

8,225

118

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

A summary of the activity related to the Company's share purchase warrants is provided below.

Year ended December 31,

2016

2015

2014

Weighted
average
exercise price
(US$)

11.67  

4.70  

—  

4.23

*

9.94  

Number

2,842,309  

945,000  

—  

(8,064)  

3,779,245  

Weighted
average
exercise price
(US$)

104.46  
6.28 *
4.24 *
66.90  

Number

201,074  

88,000  

—  

(1,222)  

11.67  

287,852  

Weighted
average
exercise price
(US$)

154.49 *
— *
—  

750.00  

104.46  

Number

287,852  
3,076,956 **
(298,088)  

(224,111)  

2,842,309  

Balance – Beginning of the year

Issued (note 15)

Exercised

Expired (note 15)

Balance – End of the year

_________________________

*

As adjusted (note 15 - Share capital)

** 298,382 of which represent the Series B Warrants (see note 15 - Share capital), which were exercisable on an alternate cashless basis, as discussed below.

The following table summarizes the share purchase warrants outstanding and exercisable as at December 31, 2016:

Exercise price ($)

3.41

4.70

7.10

185.00

345.00

Weighted average
remaining
contractual life
(years)

3.19

3.34

3.95

1.58

0.80

3.67

Number

447,574  

945,000  

2,331,000  

25,996  

29,675  

3,779,245  

119

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

The table presented below shows the inputs and assumptions applied to the Black-Scholes option pricing model in order to determine the fair value of
all outstanding warrants outstanding as at December 31, 2016. The Black-Scholes option pricing model uses "Level 2" inputs, as defined by IFRS 13,
Fair value measurement ("IFRS 13") and as discussed in note 21 - Financial instruments and financial risk management.

Number of
equivalent
shares

Market-
value per
share price  

Weighted
average
exercise price  

Risk-free
annual
interest rate

($)

($)

(a)

Expected
volatility

(b)

Expected
life (years)

(c)

Expected
dividend
yield

(d)

October 2012 Investor

Warrants

July 2013 Warrants

March 2015 Series A

Warrants (e)

29,675  

25,996  

447,574  

December 2015 Warrants

2,331,000  

November 2016 Warrants (f)
________________________

945,000  

3.60  

3.60  

3.60  

3.60  

3.60  

345.00  

185.00  

3.41  

7.10  

4.70  

0.85%  

1.05%  

1.51%  

1.68%  

1.15%  

55.98%  

133.23%  

117.06%  

108.03%  

108.18%  

0.80  

1.58  

3.19  

3.95  

1.90  

0.00%

0.00%

0.00%

0.00%

0.00%

(a)

(b)

(c)

(d)

(e)

(f)

Based on United States Treasury Government Bond interest rates with a term that is consistent with the expected life of the warrants.

Based on the historical volatility of the Company's stock price over the most recent period consistent with the expected life of the warrants, as well as on future expectations.

Based upon time to expiry from the reporting period date, except for the November 2016 Warrants (see note (f) below).

The Company has not paid dividends and it does not intend to pay dividends in the foreseeable future.

For the March 2015 Series A Warrants, the inputs and assumptions applied to the Black-Scholes option pricing model have been further adjusted to take into consideration the value
attributed to certain anti-dilution provisions. Specifically, the weighted average exercise price is subject to adjustment (see note 15 - Share capital).

For the November 2016 Warrants, the Company estimated the fair value attributable to the warrants by applying probability to multiple Black-Scholes pricing models, to which the
weighed average assumptions included in the table above were applied. In addition, the Company reduced fair value of these warrants to take into consideration the fair value of the
$10.00 call option, which was also calculated using the Black-Scholes pricing model with similar assumptions as described above. (see description in note 15 - Share capital).

Series B Warrants

In addition to the availability of standard cashless exercise provisions, the Series B Warrants (defined and discussed in note 15 - Share capital) were
entitled  to  be  exercised  on  an  alternate  cashless  basis  in  accordance  with  their  terms.  Such  an  exercise  permitted  the  holder  to  obtain  a  number  of
common  shares  equal  to:  200%  of  (i)  the  total  number  of  common  shares  with  respect  to  which  the  Series  B  Warrant  was  then  being  exercised
multiplied by (ii) 81.00 divided by (iii) 85% of the quotient of (A) the sum of the per share volume weighted average price ("VWAP") of the common
share for each of the five lowest trading days during the fifteen trading day period ending on and including the trading day immediately prior to the
applicable Exercise Date, divided by (B) five, less (iv) the total number of common shares with respect to which the Series B Warrant is then being
exercised.

Exercises of Series B Warrants on an alternate cashless basis resulted in the issuance of a substantially larger number of the Company's common shares
than would have been otherwise issued following a standard cash or cashless exercise of the Series B Warrants.

Management has determined that, in light of the alternate cashless exercise feature and of actual Series B Warrant exercises since original issuance,
application  of  the  Black-Scholes  option  pricing  model  did  not  appropriately  reflect  the  fair  value  of  the  Series  B  Warrants  outstanding  at  a  given
statement of financial position date. Instead, management has determined that the application of an intrinsic valuation method is more representative of
the market value of the Series B Warrants.

120

 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

On November 2, 2015, the Company announced that the holders (the "Participating Holders") of substantially all of the remaining outstanding Series B
Warrants at that time had agreed to exercise all Series B Warrants held by them, at a maximum exercise ratio of approximately 33.23 common shares
per  warrant  in  accordance  with  the  alternate  cashless  exercise  feature  in  such  Series  B  Warrants.  We  paid  the  Participating  Holders  a  total  of
$2,925,653 pursuant to the aforementioned agreements.

The 8,064 Series B Warrants remaining on December 31, 2015 expired on September 12, 2016 without having been exercised.

14 Provisions and non-current liabilities

Onerous contract provisions (detailed below)

Non-current portion of provision for restructuring costs (note 12)

Other

Onerous contract provisions

At January 1, 2015

Additional provision recognized

Utilization of provision

Unwinding of discount and effect of changes in the discount and

foreign exchange rates

At December 31, 2015

Less: current portion (note 11)

At December 31, 2015

Change in the provision

Utilization of provision

Unwinding of discount and effect of changes in the discount and

foreign exchange rates

At December 31, 2016

Less: current portion (note 11)

_________________________

December 31,

2016

$

2015

$

404  

—  

97  

501  

Cetrotide® onerous
contracts*

  Onerous lease**

$

$

Total

$

998  

170  

(278)  

(87)  

803  

(225)  

578  

803  

(24)  

(196)  

(9)  

574  

(181)  

393  

338  

—  

(108)  

4  

234  

(109)  

125  

234  

—  

(113)  

4  

125  

(114)  

11  

703

34

98

835

1,336

170

(386)

(83)

1,037

(334)

703

1,037

(24)

(309)

(5)

699

(295)

404

*

**

Recorded following the transfer of the Cetrotide® Business (discontinued operations).

Represents the present value of the future lease payments that the Company is obligated to make pursuant to a non-cancellable operating lease in the United
States,  net  of  estimated  future  sublease  income.  The  estimate  may  vary  as  a  result  of  changes  in  the  utilization  of  the  leased  premises  and  of  the  sublease
arrangement. The remaining term of the lease is approximately one year as at December 31, 2016.

121

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

15 Share capital

The Company has an unlimited number of authorized common shares (being voting and participating shares) with no par value, as well as an unlimited
number of preferred, first and second ranking shares, issuable in series, with rights and privileges specific to each class, with no par value.

Share consolidation

The 655,984,512 common shares issued and outstanding immediately prior to the Share Consolidation, which became legally effective on November
17, 2015, were consolidated into 6,559,846 common shares (the "Post-Consolidation Shares"). The Post-Consolidation Shares began trading on each of
the TSX and NASDAQ at the opening of markets on November 20, 2015. The number of outstanding stock options and share purchase warrants were
adjusted on the same basis with proportionate adjustments being made to each stock option and share purchase warrant exercise price.

All  share,  option  and  share  purchase  warrant  and  per  share,  option  and  share  purchase  warrant  data  have  been  retroactively  adjusted  in  these
consolidated financial statements to reflect and give effect to the Share Consolidation as if it occurred at the beginning of the earliest period presented.

Common shares issued in connection with "At-the-Market" ("ATM") drawdowns

May 2014 ATM Program

On  May  9,  2014,  the  Company  entered  into  an  ATM  sales  agreement  (the  "May  2014  ATM  Program"),  under  which  the  Company  was  able,  at  its
discretion and from time to time, to sell up to 140,187 of its common shares through ATM issuances on the NASDAQ for aggregate gross proceeds not
to exceed $15,000,000. The May 2014 ATM Program provided that common shares were to be sold at market prices prevailing at the time of sale and,
as a result, prices varied.

Between July 1, 2014 and December 31, 2014, the Company issued a total of 89,951common shares under the May 2014 ATM Program at an average
price  of  approximately  $136.00  per  share  for  aggregate  gross  proceeds  of  approximately  $12,200,000  less  cash  transaction  costs  of  $305,430  and
previously deferred transaction costs of $71,575.

April 2016 ATM Program

On  April  1,  2016,  the  Company  entered  into  an  ATM  sales  agreement  (the  "April  2016  ATM  Program"),  under  which  the  Company  is  able,  at  its
discretion and from time to time, to sell up to 3 million common shares through ATM issuances on the NASDAQ for aggregate gross proceeds of up to
approximately $10 million. The ATM program provides that common shares are to be sold at market prices prevailing at the time of sale and, as a
result, prices may vary. The shelf registration statement pursuant to which the April 2016 ATM Program was established expires on March 28, 2017.

Between  April  1,  2016  and  December  31,  2016,  the  Company  issued  a  total  of  889,298  common  shares  under  the  April  2016  ATM  Program  at  an
average price of approximately $3.89 per share for aggregate gross proceeds of approximately $3.5 million less cash transaction costs of approximately
$107,000 and previously deferred transaction costs of approximately $130,000. Because of these issuances, the exercise price of the March 2015 Series
A warrants was adjusted to $3.41 pursuant to the anti-dilution provisions contained in such warrants.

Public offerings

January 2014 Offering

On January 14, 2014, the Company completed a public offering (the "January 2014 Offering") of 110,000 units, at a purchase price of $120.00 per unit,
with each unit consisting of one common share and 0.8 of a warrant to purchase a common share. The related warrants (the "January 2014 Warrants")
represent the right to acquire an aggregate of 88,000 common shares, as discussed below.

Total gross cash proceeds raised through the January 2014 Offering amounted to $13,200,000, less cash transaction costs of approximately $1,034,000
and previously deferred transaction costs of $5,000.

122

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

The Company issued the January 2014 Warrants to the investors who participated in the January 2014 Offering. The exercise price of such warrants is
$125.00 per share, subject to adjustment pursuant to certain anti-dilution provisions. These warrants were exercisable at any time during their five-year
term  and,  upon  complete  exercise,  would  have  resulted  in  the  issuance  of  an  aggregate  of  88,000  common  shares  that  would  generate  additional
proceeds for an amount that would be determined based on the then adjusted exercise price.

The Company estimated the fair value attributable to the January 2014 Warrants as of the date of grant by applying the Black-Scholes pricing model, to
which the following assumptions were applied: a risk-free annual interest rate of 1.64%, an expected volatility of 102.31%, an expected life of 5 years
and a dividend yield of 0.0%. As a result, the fair value of the share purchase warrants was estimated at $8,487,000.

Total  gross  proceeds  of  the  January  2014  Offering  were  allocated  as  follows:  $8,487,000  was  allocated  to  Warrant  liability,  and  the  balance  of
$4,713,000 was allocated to Share capital. Transaction costs were allocated to the liability and equity components in proportion to the allocation of
proceeds.  As  such,  an  amount  of  $666,000  was  allocated  to  the  share  purchase  warrants  and  immediately  recognized  in  general  and  administrative
expenses in the consolidated statement of comprehensive (loss) income, and an amount of $373,000 was allocated to Share capital.

In  connection  with  the  January  2014  Offering,  the  holders  of  warrants  issued  as  part  of  a  financing  in  November  2013  (the  "November  2013
Warrants"), who participated in the January 2014 Offering agreed to waive certain anti-dilution provisions of such warrants solely in connection with
the January 2014 Offering, and agreed to an adjustment of the exercise price of such warrants following the closing of the January 2014 Offering from
their original exercise price of $160.00 per share to an exercise price equal to $125.00 per share. The exercise price of the November 2013 Warrants
held by the sole holder who did not participate in the January 2014 Offering, was further reduced by $5.00 per share.

March 2015 Offering

On March 11, 2015, the Company completed a public offering of 596,775 units (the "Units"), with each Unit consisting of either one common share or
one pre-funded warrant to purchase one common share ("Series C Warrant"), 0.75 of a warrant to purchase one common share ("Series A Warrant")
and 0.50 of a warrant to purchase one common share ("Series B Warrant"), at a purchase price of $62.00 per Unit (the "March 2015 Offering").

Total gross cash proceeds raised through the March 2015 Offering amounted to $37,000,000, less cash transaction costs of approximately $2,560,000
and previously deferred transaction costs of $7,000.

The  Series  A  Warrants  were  exercisable  during  a  five-year  term  at  an  initial  exercise  price  of  $81.00  per  share,  and  the  Series  B  Warrants  were
exercisable during an 18-month term at an initial exercise price of $81.00 per share. The Series A Warrants are and the Series B Warrants were subject
to certain anti-dilution provision and may at any time be exercised on a standard cashless basis and, in addition, the Series B Warrants were exercisable
on  an  alternate  net  cashless  basis.  The  exercise  of  Series  B  Warrants  performed  on  an  alternate  net  cashless  basis  resulted  in  the  issuance  of  a
substantially larger number of the Company's common shares than otherwise would be issued following a standard cash or cashless exercise. See also
note 13 - Warrant liability. The remaining 8,064 Series B Warrants expired in September 2016.

Between  May  26,  2015  and  December  31,  2015,  290,318  of  the  Series  B  Warrants  were  exercised  on  an  alternate  cashless  basis,  resulting  in  the
issuance of 5,670,118 common shares.

The Company estimated the fair value attributable to the Series A and Series B warrants as of the date of grant by applying the Black-Scholes pricing
model, to which the following assumptions were applied: Series A warrants: a risk-free annual interest rate of 1.59%, an expected volatility of 95.11%,
an expected life of 5 years and a dividend yield of 0.0%; Series B warrants: a risk-free annual interest rate of 0.47%, an expected volatility of 97.34%,
an expected life of 18 months and a dividend yield of 0.0%. As a result, on March 11, 2015, the total fair value of the share purchase warrants was
estimated at $20,980,000.

123

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

The Series C Warrants were offered in the March 2015 Offering to investors whose purchase of Units would have resulted in their beneficially owning
more than an "initial beneficial ownership limitation" of either 4.9% or 9.9% of our common shares following the offering. The Series C Warrants,
which were exercisable immediately upon issuance and for a period of five years at an exercise price of $62.00 per share, were fully exercised between
March 23, 2015 and June 15, 2015. Total gross proceeds payable to the Company in connection with the exercise of the Series C Warrants were pre-
funded by investors and therefore were included in the proceeds of the offering. No additional consideration was required to be paid to the Company
upon exercise of the Series C Warrants.

Total  gross  proceeds  of  the  March  2015  Offering  were  allocated  as  follows:  $20,980,000  was  allocated  to  the  warrant  liability,  $9,296,000  was
allocated to pre-funded warrants, and the balance of $6,724,000 was allocated to Share capital. Transaction costs were allocated to the liability and
equity components in proportion to the allocation of proceeds. As such, an amount of $1,451,000 was allocated to the warrant liability and immediately
recognized in general and administrative expenses in the consolidated statement of comprehensive loss, an amount of $473,000 was allocated to Share
capital and an amount of $643,000 was allocated to pre-funded warrants. Upon exercise of the Series C Warrants, the net proceeds initially allocated to
the pre-funded warrants were re-allocated to Share capital.

In connection with the March 2015 Offering, the holders of 211,230 of the 219,000 then outstanding warrants issued by the Company in connection
with  public  offerings  completed  in  November  2013  and  January  2014  entered  into  an  amendment  agreement  that  caused  such  previously  issued
warrants to expire and terminate. The Company made a cash payment in the aggregate amount of $5,703,000 out of the proceeds of the March 2015
Offering  as  consideration  to  the  relevant  warrantholders  in  exchange  for  the  latter  agreeing  to  the  aforementioned  amendment.  Upon  expiry  of  the
warrants in question, the Company recognized a gain of $5,865,000 and derecognized the expired warrants. The gain on derecognition was recorded,
net of the aforementioned amendment fee, within finance income in the accompanying condensed interim consolidated statement of comprehensive
loss. For holders of the remaining 7,770 outstanding warrants issued by the Company in connection with the November 2013 and the January 2014
offerings who did not enter into a warrant amendment agreement, the exercise price of the corresponding warrants was reduced to $14.00 per share in
accordance with the terms thereof.

December 2015 Offering

On December 14, 2015, the Company completed a public offering of 3,000,000 common shares at a purchase price of $5.54 per share and 2,100,000
warrants to purchase one common share at a purchase price of $0.01 per warrant (the "December 2015 Offering").

In connection with the December 2015 Offering, the Company granted the underwriter a 45-day over-allotment option to separately acquire up to an
additional 330,000 common shares at the same purchase price of $5.54 per share and/or up to an additional 231,000 warrants at the same purchase
price of $0.01 per warrants. The underwriter exercised its option in full with respect to the 231,000 warrants for market stabilization purposes but did
not exercise any of its option in respect of common shares.

Total  gross  cash  proceeds  raised  through  the  December  2015  Offering  amounted  to  approximately  $16,650,000,  less  cash  transaction  costs  of
approximately $1,638,000.

The warrants are exercisable for a period of five years at an exercise price of $7.10 per share. Upon complete exercise for cash, these warrants would
result in the issuance of an aggregate of 2,331,000 common shares that would generate additional proceeds for an amount of $16,550,100. However,
those warrants may at any time be exercised on a "net" or "cashless" basis.

The Company estimated the fair value attributable to the warrants as of the date of grant by applying the Black-Scholes pricing model, to which the
following  assumptions  were  applied:  a  risk-free  annual  interest  rate  of  1.68%,  an  expected  volatility  of  107.57%,  an  expected  life  of  5  years  and  a
dividend yield of 0.0%. As a result, on December 14, 2015, the total fair value of the share purchase warrants was estimated at $7,698,000.

124

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Total gross proceeds of the December 2015 Offering were allocated as follows: $7,698,000 was allocated to the warrant liability and $8,952,000 was
allocated to Share capital. Transaction costs were allocated to the liability and equity components in proportion to the allocation of proceeds. As such,
an amount of $757,000 was allocated to the warrant liability and immediately recognized in general and administrative expenses in the consolidated
statement of comprehensive loss, an amount of $881,000 was allocated to Share capital.

In connection with the December 2015 Offering and in accordance with the anti-dilution provisions, the exercise prices of the January 2014 and March
2015  Series  A  and  Series  B  warrants  were  adjusted  to  $0.00  and  $4.95,  respectively.  The  remaining  January  2014  Warrants  were  exercised  on
December 30, 2015 and no longer remain outstanding.

November 2016 Offering

On November 1, 2016, the Company completed a registered direct offering of 2,100,000 units (the "Units"), with each Unit consisting of one common
share or one pre-funded warrant to purchase one common share and 0.45 of a warrant to purchase one common share (the "November 2016 Offering").

Total  gross  cash  proceeds  raised  through  the  November  2016  Offering  amounted  to  approximately  $7.6  million,  less  cash  transaction  costs  of
approximately $1.0 million, and previously deferred transactions costs of approximately $27,000. The warrants are exercisable six months after their
date of issuance and for a period of three years thereafter at an exercise price of $4.70 per share.

The warrants contain a call provision which provides that, in the event the Company’s common shares trade at or above $10.00 on the market during a
specified measurement period and subject to a minimum volume of trading during such measurement period, then, subject to certain conditions, the
Company has the right to call for cancellation all or any portion of the warrants which are not exercised by holders within 10 trading days following
receipt of a call notice from the Company. Upon complete exercise for cash, these warrants would result in the issuance of an aggregate of 945,000
common  shares  that  would  generate  additional  proceeds  of  approximately  $4.4  million,  although  these  warrants  may  be  exercised  on  a  "net"  or
"cashless" basis. See also note 13-Warrant liability.

The Company estimated the fair value attributable to the warrants as of the date of grant by applying probability to multiple Black-Scholes pricing
models, to which the following weighed average assumptions were applied: a risk-free annual interest rate of 0.63%, an expected volatility of 112.48%,
an  expected  life  of  1.63  years  and  a  dividend  yield  of  0.0%.  In  addition,  the  Company  reduced  the  fair  value  of  these  warrants  to  take  into
consideration the fair value of the $10.00 call option, which was also calculated using the Black-Scholes pricing model with similar assumptions as
described above. As a result, on November 1, 2016, being the date of issuance, the total fair value of the share purchase warrants was estimated at
$400,000.

The  pre-funded  warrants  were  offered  in  the  November  2016  Offering  to  the  investor  because  purchase  of  Units  would  have  resulted  in  their
beneficially  owning  more  than  an  "initial  beneficial  ownership  limitation"  of  4.9%  of  our  common  shares  following  the  offering.  The  pre-funded
warrants, which were exercisable immediately upon issuance and for a period of five years at an exercise price of $3.60 per share, were fully exercised
between November 10, 2016 and December 19, 2016. Total gross proceeds payable to the Company in connection with the exercise of the pre-funded
warrants were pre-funded by the investor and therefore were included in the proceeds of the offering. No additional consideration was required to be
paid to the Company upon exercise of the pre-funded warrants.

Total  gross  proceeds  of  the  November  2016  Offering  were  allocated  as  follows:  $400,000  was  allocated  to  the  warrant  liability,  $3,239,000  was
allocated to the pre-funded warrants, and the balance of $3,921,000 was allocated to Share capital. Transaction costs were allocated to the liability and
equity components in proportion to the allocation of proceeds. As such, an amount of $56,000 was allocated to the warrant liability and immediately
recognized in general and administrative expenses in the consolidated statement of comprehensive loss, an amount of $544,000 was allocated to Share
capital and an amount of $450,000 was allocated to pre-funded warrants. Upon exercise of the pre-funded warrants, the net proceeds initially allocated
to the pre-funded warrants were re-allocated to Share capital.

125

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Shareholder rights plan

The Company has a shareholder rights plan (the "Rights Plan") that provides the Board of Directors and the Company's shareholders with additional
time to assess any unsolicited take-over bid for the Company and, where appropriate, to pursue other alternatives for maximizing shareholder value.
Under the Rights Plan, one right has been issued for each currently issued common share, and one right will be issued with each additional common
share to be issued. The Rights Plan was approved, ratified and confirmed by the Company's shareholders at its annual meeting of shareholders held on
May 10, 2016.

Stock options

The Company has in place a stock option plan (the "Stock Option Plan") for its directors, senior executives, employees and other collaborators who
provide services to the Company. The total number of common shares that may be issued under the Stock Option Plan cannot exceed 11.4% of the total
number of issued and outstanding common shares at any given time. The Company's Board of Directors amended the Stock Option Plan on March 20,
2014 and the Company's Shareholders approved, ratified and confirmed the Stock Option Plan on May 10, 2016.

Options granted under the Stock Option Plan prior to the 2014 amendment expire after a maximum period of ten years following the date of grant.
Options granted after the 2014 amendment expire after a maximum period of seven years following the date of grant.

The following tables summarize the activity under the Stock Option Plan.

2016

2015

2014

Years ended December 31,

US dollar-denominated options

Number

Balance – Beginning of the year

Granted

Forfeited

Cancelled

Balance – End of the year

272,874  

713,573  

(10,034)  

(9,874)  

966,539  

Weighted
average
exercise price
(US$)

25.88  

3.47  

99.22  

157.00  

Number

33,956  

243,000  

(4,082)  

—  

7.23  

272,874  

Weighted
average
exercise price
(US$)

187.36  

5.17  

136.17  

—  

25.88  

Weighted
average
exercise price
(US$)

339.61

93.03

453.77

—

187.36

Number

17,575  

19,515  

(3,134)  

—  

33,956  

2016

2015

2014

Years ended December 31,

Canadian dollar-denominated
options

Balance – Beginning of the year

Forfeited

Cancelled

Expired

Balance – End of the year

Number

3,787  

(1,028)  

(901)  

—  

1,858  

Weighted
average
exercise price
(CAN$)

Weighted
average
exercise price
(CAN$)

Weighted
average
exercise price
(CAN$)

Number

Number

4,909  

(271)  

—  

(851)  

3,787  

1,010.40  

923.20  

—  

1,772.17  

845.46  

6,484  

(810)  

—  

(765)  

4,909  

1,290.50

748.53

—

3,661.77

1,010.40

845.46  

967.63  

758.00  

—  

820.27  

126

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Exercise price
(US$)

3.45 to 3.47

3.48 to 4.19

4.20 to 40.29

40.30 to 114.00

114.01 to 2,178.00

Exercise price
(US$)

4.20 to 40.29

40.30 to 114.00

114.01 to 2,178.00

Exercise price
(CAN$)

330.00 to 480.00

480.01 to 741.00

741.01 to 1,002.00

1,002.01 to 1,941.00

1,941.01 to 2,790.00

US$ options outstanding as at December 31, 2016

Number

Weighted average remaining 
contractual life 
(years)

Weighted average exercise
price
(US$)

611,075  

102,498  

234,000  

10,325  

8,641  

966,539  

6.93  

6.54  

5.97  

5.04  

5.09  

6.62  

3.45

3.57

4.58

86.15

295.77

7.23

US$ options exercisable as at December 31, 2016

Number

Weighted average remaining 
contractual life 
(years)

Weighted average exercise
price
(US$)

78,004  

7,818  

7,925  

93,747  

5.97  

5.12  

5.13  

5.83  

4.58

88.62

310.88

37.48

CAN$ options both outstanding and exercisable December 31, 2016

Number

Weighted average remaining
contractual life  (years)

Weighted average exercise
price
(CAN$)

530  

502  

471  

222  

133  

1,858  

1.89  

2.93  

3.87  

0.94  

0.01  

2.43  

367.70

570.00

912.00

1,092.00

2,790.00

820.27

As  at  December  31,  2016,  the  total  compensation  cost  related  to  unvested  US  Dollar  stock  options  not  yet  recognized  amounted  to  $2,057,188
($1,221,998 in 2015). This amount is expected to be recognized over a weighted average period of 1.71 years (1.70 years in 2015).

The Company settles stock options exercised through the issuance of new common shares as opposed to purchasing common shares on the market to
settle stock option exercises.

127

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Fair value input assumptions for US dollar-denominated options granted

The table below shows the assumptions, or weighted average parameters, applied to the Black-Scholes option pricing model in order to determine
share-based compensation costs over the life of the awards.

Expected dividend yield

Expected volatility

Risk-free annual interest rate

Expected life (years)

Weighted average share price

Weighted average exercise price

Weighted average grant date fair value
________________________
(a)
(b)

(a)

(b)

(c)

(d)

Years ended December 31,

2016

2015

0.0 %  

115.1 %  

1.80 %  

4.92  

$3.47  

$3.47  

$2.80  

0.0 %

110.5 %

1.79 %

5.77  

$5.65  

$5.17  

$4.69  

The Company has not paid dividends and it does not intend to pay dividends in the foreseeable future.
Based on the historical volatility of the Company's stock price over the most recent period consistent with the expected life of the stock options, as well as on
future expectations.
Based on United States Treasury Government Bond interest rates with a term that is consistent with the expected life of the stock options.
Based  upon  historical  data  related  to  the  exercise  of  stock  options,  on  post-vesting  employment  terminations  and  on  future  expectations  related  to  exercise
behavior.

(c)
(d)

The Black-Scholes pricing models referred above use "Level 2" inputs in calculating fair value, as defined by IFRS 13, and as discussed in note 21 -
Financial instruments and financial risk management.

128

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

16 Operating expenses

Components of the Company's operating expenses from continuing operations include the following:

Key management personnel compensation(1)
Salaries and short-term employee benefits

Termination benefits (note 12)

Post-employment benefits

Share-based compensation costs

Other employees compensation:

Salaries and short-term employee benefits

Termination benefits (note 12)

Post-employment benefits

Share-based compensation costs

Goods and services(2)
Leasing costs, net of sublease receipts of $345 in 2016, $380 in 2015 and

$344 in 2014(3)

Refundable tax credits and grants

Onerous contract expenses resulting from the Resource Optimization

Program and from the Corporate Restructuring (note 12)

Transaction costs related to share purchase warrants

Depreciation and amortization

Impairment losses

Operating foreign exchange losses

_________________________

Years ended December 31,

2016

$

2015

$

2014

$

2,430  

—  

78  

1,051  

3,559  

3,574  

—  

500  

31  

4,105  

21,217  

1,131  

—  

—  

56  

195  

85  

39  

22,723  

30,387  

2,957  

843  

119  

828  

4,747  

4,431  

245  

511  

91  

5,278  

21,429  

1,452  

(23)  

(202)  

2,208  

271  

70  

199  

25,404  

35,429  

2,405

439

77

392

3,313

7,663

1,984

832

105

10,584

19,016

1,802

(131)

563

666

488

390

715

23,509

37,406

(1) 

(2) 

(3) 

Key management includes the Company's directors and members of the executive management team.  

Goods and services include third-party R&D costs, laboratory supplies, professional fees, contracted sales force costs, marketing services, insurance and travel
expenses.  

Leasing costs also include changes in the onerous lease provision (note 14 - Provisions and non-current liabilities), other than attributable to the unwinding of
the discount.

Most  of  the  employment  agreements  entered  into  between  the  Company  and  its  executive  officers  include  termination  provisions,  whereby  the
executive officers would be entitled to receive benefits that would be payable if the Company were to terminate the executive officers' employment
without cause or if their employment is terminated following a change of control. Separation benefits generally are calculated based on an agreed-upon
multiple of applicable base salary and incentive compensation and, in certain cases, other benefit amounts.

129

 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

17 Employee future benefits

The  Company's  subsidiary  in  Germany  provides  unfunded  defined  benefit  pension  plans  and  unfunded  post-employment  benefit  plans  for  certain
groups  of  employees.  Provisions  for  pension  obligations  are  established  for  benefits  payable  in  the  form  of  retirement,  disability  and  surviving
dependent pensions.

The unfunded defined benefit pension plans are final salary pension plans, which provide benefits to members (or to their surviving dependents) in the
form of a guaranteed level of pension payable for life. The level of benefits provided depends on the member’s length of service and on his or her base
salary  in  the  final  years  leading  up  to  retirement.  Current  pensions  vary  in  accordance  with  applicable  statutory  requirements,  which  foresee  an
adjustment  every  three  years  on  an  individual  basis  that  is  based  on  inflationary  increases  or  in  relation  to  salaries  of  comparable  groups  of  active
employees  in  the  Company. An  adjustment  may  be  denied  by  the  Company  if  the  Company's  financial  situation  does  not  allow  for  an  increase  in
pensions. These plans are unfunded, and the Company meets benefit payment obligations as they fall due.

The change in the Company's accrued benefit obligations is summarized as follows:

Pension benefit plans 
Years ended December 31,

Other benefit plans 
Years ended December 31,

2016

$

2015

$

2014

$

2016

$

2015

$

2014

$

Balance – Beginning of year

12,375  

14,619  

14,646  

Current service cost

Interest cost

Actuarial loss (gain) arising from

changes in financial assumptions

Benefits paid

Impact of foreign exchange rate

changes

Balance – End of year

Amounts recognized:

In comprehensive loss

In other comprehensive loss

87  

282  

1,479  

(399)  

103  

260  

(844)  

(410)  

176  

476  

1,833  

(411)  

(627)  

13,197  

(1,353)  

12,375  

(2,101)  

14,619  

(369)  

(852)  

(363)  

2,197  

(652)  

268  

281  

13  

—  

—  

(60)  

(17)  

217  

(13)  

17  

433  

14  

8  

(34)  

(97)  

(43)  

281  

12  

43  

762

24

25

(96)

(210)

(72)

433

47

72

The  cumulative  amount  of  actuarial  net  losses  recognized  in  other  comprehensive  loss  as  at  December  31,  2016  is  approximately  $4,971,000
(approximately $3,492,000 as at December 31, 2015 and approximately $4,336,000 as at December 31, 2014).

The significant actuarial assumptions applied to determine the Company's accrued benefit obligations are as follows:

Actuarial assumptions

Discount rate

Pension benefits increase

Rate of compensation increase

Pension benefit plans

Years ended December 31,

Other benefit plans

Years ended December 31,

2016

%

1.60

1.80

2.00

2015

%

2.40

1.80

2.00

2014

%

2.00

1.80

2.00

2016

%

1.60

1.80

2.00

2015

%

2.40

2.40

2.00

2014

%

2.00

1.80

2.00

130

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

The calculation of the pension benefit obligation is sensitive to the discount rate assumption. Since January 1, 2016, management determined that the
discount rate assumption should be adjusted from 2.4% to 1.6% as a result of changes in the European economic environment.

Assumptions regarding future mortality are set based on actuarial advice in accordance with published statistics and experience in Germany. These
assumptions translate into an average remaining life expectancy in years for a pensioner retiring at age 65:

Retiring at the end of the reporting period:

Male

Female

Retiring 20 years after the end of the reporting period:

Male

Female

2016

2015

2014

20  

24  

22  

26  

20  

24  

22  

26  

19

23

22

26

The most recent actuarial reports give effect to the pension and post-employment benefit obligations as at December 31, 2016. The next actuarial
reports are planned for December 31, 2017.

In accordance with the assumptions used as at December 31, 2016, undiscounted defined pension benefits expected to be paid are as follows:

2017

2018

2019

2020

2021

Thereafter

$

420

436

455

466

471

15,165

17,413

The weighted average duration of the defined benefit obligation is 16.8 years.

Total  expenses  for  the  Company's  defined  contribution  plan  in  its  German  subsidiary  amounted  to  approximately  $129,000  for  the  year  ended
December 31, 2016 ($159,000 for 2015 and $223,954 for 2014).

131

 
 
 
 
   
   
   
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

 18 Supplemental disclosure of cash flow information

Changes in operating assets and liabilities:

Trade and other receivables

Prepaid expenses and other current assets

Other non-current assets

Payables and accrued liabilities

Deferred revenues

Provision for restructuring costs (note 12)

Employee future benefits (note 17)

Provisions and other non-current liabilities

Years ended December 31,

2016

$

2015

$

2014

$

228  

(45)  

(233)  

(313)  

555  

(566)  

(459)  

(231)  

(1,064)  

270  

(111)  

58  

(1,013)  

—  

(1,840)  

(507)  

(252)  

(3,395)  

(578)

(2,453)

(204)

1,732

1,101

(687)

(621)

(163)

(1,873)

During the year ended December 31, 2014, the Company paid approximately $111,000 in income taxes in the form of foreign jurisdiction withholding
tax  on  payments  received  pursuant  to  the  agreements  entered  into  with  Sinopharm,  as  discussed  in  note  5  -  Deferred  revenues  related  to  licensing
arrangements and co-development agreement.

19 Income taxes

Significant components of current and deferred income tax expense are as follows:

Current tax expense

Deferred tax:

Origination and reversal of temporary differences

Adjustments in respect of prior years

Change in unrecognized tax assets

Income tax expense

Years ended December 31,

2016

$

2015

$

2014

$

—  

—  

111

9,199  

36  

(9,235)  

—  

8,581  

—  

(8,581)  

—  

10,785

5

(10,790)

111

The reconciliation of the combined Canadian federal and provincial income tax rate to the income tax expense is provided below:

Combined Canadian federal and provincial statutory income

tax rate

26.9%  

26.9%  

26.9%

Years ended December 31,

2016

2015

2014

132

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Income tax recovery based on combined statutory income tax

rate

Change in unrecognized tax assets

Change in unrecognized tax assets related to OCI

Share issuance costs

Permanent difference attributable to the use of local currency for

tax reporting

Change in enacted rates used

Permanent difference attributable to net change in fair value of

warrant liability

Share-based compensation costs

Difference in statutory income tax rate of foreign subsidiaries

Permanent difference attributable to expiring loss carry forward  

Foreign withholding tax

Adjustments in respect of prior years

Other

Years ended December 31,

2016

$

2015

$

2014

$

6,714  

(9,235)  

436  

224  

(30)  

(16)  

1,194  

(291)  

972  

—  

—  

36  

(4)  

—  

13,511  

(8,581)  

(269)  

—  

(1,297)  

—  

(3,754)  

(248)  

1,135  

(563)  

—  

—  

66  

—  

4,426

(10,790)

585

—

145

—

4,408

(133)

1,398

—

(111)

5

(44)

(111)

Income tax expense in each of the years ended December 31, 2016 and December 31, 2015 was nil as compared to an income tax expense of $111,000
for the year ended December 31, 2014, which represents current taxation in the form of foreign jurisdiction tax withholdings on payments pursuant to
the License Agreement entered into with Sinopharm (note 5 - Deferred revenues related to licensing arrangements and co-development agreement).

Deferred  income  tax  assets  are  recognized  to  the  extent  that  the  realization  of  the  related  tax  benefit  through  reversal  of  temporary  differences  and
future taxable profits is probable.

Loss before income taxes

Loss before income taxes is attributable to the Company's tax jurisdictions as follows:

Germany

Canada

United States

Years ended December 31,

2016

$

2015

$

2014

$

(19,179)  

(5,659)  

(121)  

(24,959)  

(20,500)  

(29,496)  

(232)  

(50,228)  

(29,672)

12,867

(271)

(17,076)

133

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Significant components of deferred tax assets and liabilities are as follows:

Deferred tax assets

Non-current:

Operating losses carried forward

Intangible assets

Deferred tax liabilities

Current:

Payables and accrued liabilities

Non-current:

Property, plant and equipment

Deferred revenues

Warrant liability

Other

Deferred tax assets (liabilities), net

Significant components of unrecognized deferred tax assets are as follows:

Deferred tax assets

Current:

Deferred revenues and other provisions

Non-current:

Deferred Revenues

Operating losses carried forward

Research and development costs

Unused tax credits

Employee future benefits

Property, plant and equipment

Share issuance expenses

Onerous contract provisions

Intangible assets

Other

Unrecognized deferred tax assets

134

As at December 31,

2016

$

2015

$

1,009  

5,199  

6,208  

109  

109  

7  

5,658  

386  

48  

6,099  

6,208  

—  

December 31,

2016

$

2015

$

217  

217  

—  

71,654  

9,195  

8,019  

2,275  

175  

941  

26  

189  

144  

92,618  

92,835  

1,355

6,242

7,597

327

327

9

6,868

390

3

7,270

7,597

—

167

167

155

64,471

9,207

7,977

1,919

219

1,226

96

190

197

85,657

85,824

 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
   
   
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

As at December 31, 2016, amounts and expiry dates of tax attributes to be deferred for which no deferred tax asset was recognized were as follows:

2028

2029

2030

2031

2032

2033

2034

2035

2036

Canada

Federal

$

 Provincial

$

6,429  

4,791  

4,104  

1,753  

4,250  

3,721  

4,153  

9,752  

11,259  

50,212  

5,043

4,773

4,089

1,737

4,250

3,721

4,153

9,786

11,259

48,811

The  Company  has  estimated  non-refundable  R&D  investment  tax  credits  of  approximately  $8,019,000  which  can  be  carried  forward  to  reduce
Canadian federal income taxes payable and which expire at dates ranging from 2018 to 2035. Furthermore, the Company has unrecognized tax assets
in respect of operating losses to be carried forward in Germany and in the United States. The federal tax losses amount to approximately $184,386,000
in Germany, for which there is no expiry date, and to $1,340,000 in the United States, which expire as follows:

2028

2029

2034

2035

2036

 United States

$

369

178

151

447

195

1,340

The  operating  loss  carryforwards  and  the  tax  credits  claimed  are  subject  to  review,  and  potential  adjustment,  by  tax  authorities.  Other  deductible
temporary  differences  for  which  tax  assets  have  not  been  booked  are  not  subject  to  a  time  limit,  except  for  share  issuance  expenses  which  are
amortizable over five years.

20 Capital disclosures

The Company's objective in managing capital, consisting of shareholders' equity, with cash and cash equivalents and restricted cash equivalents being
its primary components, is to ensure sufficient liquidity to fund R&D costs, selling expenses, general and administrative expenses and working capital
requirements.

Over  the  past  several  years,  the  Company  has  raised  capital  via  public  equity  offerings  and  drawdowns  under  various  ATM  sales  programs  as  its
primary source of liquidity, as discussed in note 15 - Share capital.

The capital management objective of the Company remains the same as that in previous periods. The policy on dividends is to retain cash to keep
funds  available  to  finance  the  activities  required  to  advance  the  Company's  product  development  portfolio  and  to  pursue  appropriate  commercial
opportunities as they may arise.

The Company is not subject to any capital requirements imposed by any regulators or by any other external source.

135

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

21 Financial instruments and financial risk management

Financial assets (liabilities) as at December 31, 2016 and December 31, 2015 are presented below.

December 31, 2016

Cash and cash equivalents (note 6)

Trade and other receivables (note 7)

Restricted cash equivalents

Payables and accrued liabilities (note 11)

Provision for restructuring costs (note 12)

Warrant liability (note 13)

Other non-current liabilities (note 14)

December 31, 2015

Cash and cash equivalents (note 6)

Trade and other receivables (note 7)

Restricted cash equivalents

Payables and accrued liabilities (note 11)

Provision for restructuring costs (note 12)

Warrant liability (note 13)

Other non-current liabilities (note 14)

Fair value

Loans and 
receivables

$

21,999  

235  

496  

—  

—  

—  

—  

22,730  

Loans and
receivables

$

41,450  

297  

255  

—  

—  

—  

—  

42,002  

Financial 
liabilities at 
FVTPL

$

Other 
financial 
liabilities

$

—  

—  

—  

—  

—  

(6,854)  

—  

(6,854)  

—  

—  

—  

(3,352)  

(33)  

—  

(98)  

(3,483)  

Total

$

21,999

235

496

(3,352)

—

(6,854)

(98)

12,393

Financial
liabilities at
FVTPL

$

Other financial
liabilities

$

Total

$

—  

—  

—  

—  

—  

(10,891)  

—  

(10,891)  

—  

—  

—  

(3,837)  

(625)  

—  

(98)  

(4,560)  

41,450

297

255

(3,837)

(625)

(10,891)

(98)

26,551

The Black-Scholes valuation methodology uses "Level 2" inputs in calculating fair value, as defined in IFRS 13, which establishes a hierarchy that
prioritizes the inputs used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical
assets or liabilities (Level 1 measurement) and the lowest priority to unobservable inputs (Level 3 measurement). The input levels discussed in IFRS 13
are:

Level 1 – Unadjusted quoted prices in active markets for identical assets or liabilities.

Level 2 – Inputs other than quoted prices included within Level 1 that are observable for an asset or liability, either directly (i.e. prices) or indirectly

(i.e. derived from prices).

Level 3 – Inputs for an asset or liability that are not based on observable market data (unobservable inputs).

The  carrying  values  of  the  Company's  cash  and  cash  equivalents,  trade  and  other  receivables,  restricted  cash  equivalents,  payables  and  accrued
liabilities, provision for restructuring costs and other non-current liabilities approximate their fair values due to their short-term maturities or to the
prevailing interest rates of the related instruments, which are comparable to those of the market.

136

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Financial risk factors

The following provides disclosures relating to the nature and extent of the Company's exposure to risks arising from financial instruments, including
credit risk, liquidity risk and market risk (share price risk) and how the Company manages those risks.

(a) Credit risk

Credit risk is the risk of an unexpected loss if a customer or counterparty to a financial instrument fails to meet its contractual obligations. The
Company regularly monitors credit risk exposure and takes steps to mitigate the likelihood of this exposure resulting in losses. The Company's
exposure to credit risk currently relates to the loans and receivables in the table above. The Company holds its available cash in amounts that are
readily convertible to known amounts of cash and deposits its cash balances with financial institutions that have an investment grade rating of at
least "P-2" or the equivalent. This information is supplied by independent rating agencies where available and, if not available, the Company
uses publicly available financial information to ensure that it invests its cash in creditworthy and reputable financial institutions.

As  at  December  31,  2016,  trade  accounts  receivable  for  an  amount  of  approximately  $155,000  were  with  three  counterparties,  and  no  trade
accounts receivable were past due and none were impaired.

Generally, the Company does not require collateral or other security from customers for trade accounts receivable; however, credit is extended
following an evaluation of creditworthiness. In addition, the Company performs ongoing credit reviews of all of its customers and establishes an
allowance for doubtful accounts when accounts are determined to be uncollectible.

The maximum exposure to credit risk approximates the amount recognized in the Company's consolidated statement of financial position.

(b) Liquidity risk

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they become due. As indicated in note 20 - Capital
disclosures,  the  Company  manages  this  risk  through  the  management  of  its  capital  structure.  It  also  manages  liquidity  risk  by  continuously
monitoring actual and projected cash flows. The Board of Directors reviews and approves the Company's operating and capital budgets, as well
as any material transactions occurring outside of the ordinary course of business. The Company has adopted an investment policy in respect of
the  safety  and  preservation  of  its  capital  to  ensure  the  Company's  liquidity  needs  are  met.  The  instruments  are  selected  with  regard  to  the
expected timing of expenditures and prevailing interest rates.

The Company expects to continue to incur operating expenses and may require significant capital to fulfill its future obligations in the absence
of sufficient corresponding revenues. The Company's ability to continue future operations until and beyond December 31, 2017 and to fund its
activities is dependent on its ability to secure additional financings, which may be completed in a number of ways, including but not limited to
licensing arrangements, partnerships, promotional arrangements, the issuance of securities, which could include using any then available "at-the-
market" equity issuance program and other financing activities. Management will pursue such additional sources of financing when required,
and while the Company has been successful in securing financing in the past, there can be no assurance it will be able to do so in the future or
that these sources of funding or initiatives will be available or on terms acceptable to the Company. See note 1 - Summary of business, going
concern, reporting entity and basis of preparation for further details.

(c) Market risk

Share price risk

The  change  in  fair  value  of  the  Company's  warrant  liability,  which  is  measured  at  FVTPL,  results  from  the  periodic  "mark-to-market"
revaluation,  via  the  application  of  option  pricing  models,  of  currently  outstanding  share  purchase  warrants.  These  valuation  models  are
impacted, among other inputs, by the market price of the Company's common

137

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

shares. As a result, the change in fair value of the warrant liability, which is reported in the consolidated statements of comprehensive loss, has
been and may continue in future periods to be materially affected most notably by changes in the Company's common share closing price, which
on the NASDAQ, has ranged from $2.67 to $4.94 during the year ended December 31, 2016.

If variations in the market price of our common shares of -30% and +30% were to occur, the impact on the Company's net loss related to the
warrant liability held at December 31, 2016 would be as follows:

Warrant liability

Total impact on net loss – decrease / (increase)

22 Segment information

Carrying 
amount

$

6,854  

-30%

$

+30%

$

2,656  

2,656  

(2,448)

(2,448)

The Company operates in a single operating segment, being the biopharmaceutical segment.

Geographical information

Revenues by geographical area are detailed as follows:

United States

China

Singapore

British Virgin Islands

Switzerland

Other

Amounts presented:

Within discontinued operations

Within continuing operations

Years ended December 31,

2016

$

2015

$

2014

$

410  

249  

101  

100  

—  

51  

911  

—  

911  

911  

217  

302  

—  

—  

312  

45  

876  

331  

545  

876  

6

—

—

—

956

86

1,048

1,037

11

1,048

Revenues have been allocated to geographic regions based on the country of residence of the Company's external customers or licensees.

Non-current assets* by geographical area are detailed as follows:

Germany

United States

Canada

_______________________________    

*

Non-current assets include property, plant and equipment, identifiable intangible assets and goodwill.

138

December 31,

2016

$

2015

$

7,793  

2  

32  

7,827  

8,280

—

49

8,329

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

Major customers representing 10% or more of the Company's revenues in each of the last three years are as follows:

Company 1*

Company 2

Company 3

Company 4

Company 5

Company 6

Company 7
_______________________________

*

Related to Cetrotide® (discontinued operations).

23 Net loss per share

Years ended December 31,

2016

$

2015

$

2014

$

—  

20  

249  

222  

167  

101  

100  

312  

217  

302  

—  

—  

—  

—  

956

—

—

—

—

—

—

The following table sets forth pertinent data relating to the computation of basic and diluted net (loss) income per share attributable to common
shareholders.

Years ended December 31,

2016

$

2015

$

2014

$

Net loss from continuing operations

Net income from discontinued operations

Net loss

(24,959)  

—  

(24,959)  

(50,228)  

85  

(50,143)  

Basic weighted average number of shares outstanding

10,348,879  

2,763,603  

Dilutive effect of stock options *

Dilutive effect of share purchase warrants *

—  
316,270  

5,094  
655,639  

(17,187)

623

(16,564)

590,247

—

—

Diluted weighted average number of shares outstanding *

10,665,149  

3,424,336  

590,247

Items excluded from the calculation of diluted net loss per share

because the exercise price was greater than the average market
price of the common shares

Stock options

Warrants (number of equivalent shares)

968,397  

3,331,671  

36,661  

55,671  

23,242

287,852

*  Net  loss  per  share  is  calculated  by  dividing  net  loss  by  the  weighted  average  number  of  shares  outstanding  during  the  relevant  period.  Diluted
weighted  average  number  of  shares  reflects  the  dilutive  effect  of  equity  instruments,  such  as  any  “in  the  money”  stock  options  and  share  purchase
warrants. In periods with reported net losses, all stock options and share purchase warrants are deemed anti-dilutive such that basic net loss per share
and diluted net loss per share are equal, and thus existing stock options and share purchase warrants have not been included in the computation of net
loss per share because to do so would be anti-dilutive.

139

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

24 Commitments and contingencies

The Company is committed to various operating leases for its premises. Expected future minimum lease payments, which also include future payments
in  connection  with  utility  service  agreements  and  future  minimum  sublease  receipts  under  non-cancellable  operating  leases  (subleases),  as  well  as
future payments in connection with service and manufacturing agreements, as at December 31, 2016 are as follows:

Less than 1 year

1 - 3 years

4 - 5 years

Total

Contingencies

Minimum lease
payments

Minimum sublease
receipts

Service and
manufacturing

$

$

$

1,341  

2,012  

1,101  

4,454  

(351)  

(151)  

—  

(502)  

2,891

83

—

2,974

In  the  normal  course  of  operations,  the  Company  may  become  involved  in  various  claims  and  legal  proceedings  related  to,  for  example,  contract
terminations and employee-related and other matters. No contingent liabilities have been accrued as at December 31, 2016 or 2015.

Class Action Lawsuit

The Company and certain of its current and former officers are defendants in a putative class-action lawsuit brought on behalf of shareholders of the
Company. The pending lawsuit is the result of the consolidation of several lawsuits, the first of which was filed on November 11, 2014. The plaintiffs
filed their amended consolidated complaint on April 10, 2015. The amended complaint alleged violations of the Securities Exchange Act of 1934 in
connection  with  allegedly  false  and  misleading  statements  made  by  the  defendants  between  August  30,  2011  and  November  6,  2014  (the  "Class
Period"), regarding the safety and efficacy of Macrilen™ and the prospects for the approval of the Company's new drug application for the product by
the  FDA.  The  plaintiffs  seek  to  represent  a  class  comprised  of  purchasers  of  the  Company's  common  shares  during  the  Class  Period  and  seek
unspecified damages, costs and expenses and such other relief as determined by the Court.

On September 14, 2015, the Court dismissed the lawsuit, but granted the plaintiffs leave to amend. In dismissing the lawsuit, the Court affirmed that
the plaintiffs had failed to state a claim. On October 14, 2015, the plaintiffs filed a second amended complaint. The Company subsequently filed a
motion  to  dismiss  the  second  amended  complaint.  On  March  2,  2016,  the  Court  issued  an  order  granting  the  Company's  motion  to  dismiss  the
complaint in part and denying it in part. The Court dismissed certain of the Company's current and former officers from the lawsuit. The Court allowed
the claim that the Company omitted material facts from its public statements during the Class Period to proceed against the Company and its former
CEO, who departed in 2013, while dismissing such claims against other current and former officers. The Court also allowed a claim for "controlling
person" liability to proceed against certain current and former officers.

The Company filed a motion for reconsideration of the Court’s March 2, 2016 order on March 16, 2016 and filed an answer to the second amended
complaint on April 6, 2016. On June 30, 2016, the Court issued an order denying the Company's motion for reconsideration. As a result, the lawsuit
will proceed to the class certification phase and the discovery process has commenced.

The  Company's  directors'  and  officers'  insurance  policies  ("D&O  Insurance")  provide  for  reimbursement  of  certain  costs  and  expenses  incurred  in
connection with the defense of this lawsuit, including legal and professional fees, as well as other loss (damages, settlements, and judgments), if any,
subject  to  certain  policy  exclusions,  restrictions,  limits,  deductibles  and  other  terms.  The  Company  believes  that  the  D&O  Insurance  applies  to  the
purported lawsuit; however, the insurers have issued standard reservations of rights letters reserving all rights under the D&O Insurance. Legal and
professional  fees  are  expensed  as  incurred,  and  no  reserve  is  established  for  them.  During  the  second  quarter  of  2016,  the  Company  exceeded  the
deductible amount applicable to this claim. Therefore, the Company believes that the insurers will bear most of the costs for the Company's defense in
future periods, subject to the Company's policy limits.

140

 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2016 and December 31, 2015 and for the years ended December 31, 2016, 2015 and 2014

(tabular amounts in thousands of US dollars, except share/option/warrant and per share/option/warrant data and as otherwise noted)

While the Company believes that it has meritorious defenses and intends to defend this lawsuit vigorously, management cannot currently predict the
outcome of this suit or reasonably estimate any potential loss that may result from this suit. Accordingly, the Company has not recorded any liability
related to the lawsuit. No assurance can be given with respect to the ultimate outcome of such proceedings, and the Company could incur substantial
unreimbursed legal fees, damages, settlements, judgments, and other expenses in connection with these proceedings that may not qualify for coverage
under,  or  may  exceed  the  limits  of,  its  applicable  D&O  Insurance  and  could  have  a  material  adverse  impact  on  the  Company's  financial  condition,
results of operations, liquidity and cash flows.

25 Subsequent events

On January 4, 2017, the Company announced that the confirmatory Phase 3 clinical trial of Macrilen™ (macimorelin) failed to achieve its objective of
validating a single oral dose of macimorelin for the evaluation of growth hormone deficiency in adults ("AGHD"), using the "Insulin Tolerance Test"
(the  "ITT")  as  a  comparator.  Based  on  an  analysis  of  top-line  data,  macimorelin  did  not  achieve  equivalence  to  the  ITT  as  a  means  of  diagnosing
AGHD. Under the study protocol, the evaluation of AGHD with Macrilen™ would be considered successful, if the lower bound of the two-sided 95%
confidence interval for the primary efficacy variables was 75% or higher for “percent negative agreement” with the ITT, and 70% or higher for the
“percent  positive  agreement”  with  the  ITT.  While  the  estimated  percent  negative  agreement  met  the  success  criteria,  the  estimated  percent  positive
agreement did not reach the criteria for a successful outcome. Therefore, the results did not meet the pre-defined equivalence criteria which required
success for both the percent negative agreement and the percent positive agreement. However, on February 13, 2017, the Company announced that,
following  a  comprehensive  review  of  data  obtained  from  the  confirmatory  Phase  3  clinical  trial,  it  concluded  that  Macrilen™  has  demonstrated
performance supportive of achieving FDA registration and that the Company intends to pursue registration. The announcement set forth the facts on
which the Company's conclusion was based. The Company will meet with the FDA at the end of March 2017 to discuss this position.

On January 30, 2017, the Company announced the occurrence of the 384th death in the pivotal Phase 3 study for Zoptrex™ in women with advanced,
recurrent or metastatic endometrial cancer, representing the clinical endpoint of the study. The Company currently expects to lock the clinical database
and to report top-line results in April 2017.

Subsequent to December 31, 2016, the Company issued an additional 555,068 common shares under the April 2016 ATM Program at an average price
of approximately $3.20 per share for gross proceeds of approximately $1.8 million.

141

Item 19.

Exhibits

Exhibit Index

1.1

1.2

1.3

1.4

2.1

4.1

4.2

4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

4.11

4.12

8.1

11.1

11.2

11.3

12.1

12.2

13.1

13.2

15.1

Restated Certificate of Incorporation and Restated Articles of Incorporation of the Registrant (incorporated by reference to Exhibit 99.2 to the Registrant's report on Form
6-K furnished to the Commission on May 25, 2011)
Certificate of Amendment and Articles of Amendment of the Registrant (incorporated by reference to Exhibit 99.2 to the Registrant's report on Form 6-K furnished to the
Commission on October 3, 2012)
Certificate of Amendment and Articles of Amendment of the Registrant (incorporated by reference to Exhibit 99.1 to the Registrant's report on Form 6-K furnished to the
Commission on November 17, 2015)
Amended and Restated By-Law One of the Registrant (incorporated by reference to Exhibit 1.3 of the Registrant's Annual Report on Form 20-F for the financial year ended
December 31, 2012 filed with the Commission on March 22, 2013)
Shareholder Rights Plan Agreement between the Registrant and Computershare Trust Company of Canada, as Rights Agent, dated as at March 29, 2016 (incorporated by
reference to Exhibit 99.1 to the Registrant's report on Form 6-K furnished to the Commission on March 30, 2016)
Second Amended and Restated Stock Option Plan of the Registrant (incorporated by reference to Exhibit 4.1 of the Registrant's Annual Report on Form 20-F for the
financial year ended December 31, 2013 filed with the Commission on March 21, 2014)
Employment Agreement dated November 1, 2013 between Jude Dinges and a subsidiary of the Registrant (incorporated by reference to Exhibit 4.4 of the Registrant's
Annual Report on Form 20-F for the financial year ended December 31, 2013 filed with the Commission on March 21, 2014)
Employment Agreement dated April 15, 2013 between David A. Dodd and a subsidiary of the Registrant (incorporated by reference to Exhibit 4.5 of the Registrant's
Annual Report on Form 20-F for the financial year ended December 31, 2013 filed with the Commission on March 21, 2014)
Service Contract dated January 1, 2014 between Richard Sachse, MD and Aeterna Zentaris GmbH, a subsidiary of the Registrant (incorporated by reference to Exhibit 4.8
of the Registrant's Annual Report on Form 20-F for the financial year ended December 31, 2013 filed with the Commission on March 21, 2014)
Employment Agreement dated November 11, 2013 between Keith Santorelli and a subsidiary of the Registrant (incorporated by reference to Exhibit 4.5 of the Registrant's
Annual Report on Form 20-F for the financial year ended December 31, 2014 filed with the Commission on March 17, 2015)
Amendment #1 to Employment Agreement dated May 29, 2014 between a subsidiary of the Registrant and Keith Santorelli (incorporated by reference to Exhibit 4.6 of the
Registrant's Annual Report on Form 20-F for the financial year ended December 31, 2014 filed with the Commission on March 17, 2015)
Amendment #2 to Employment Agreement, dated October 9, 2015, between a subsidiary of the Registrant and Keith Santorelli (incorporated by reference to Exhibit 4.7 of
the Registrant's Annual Report on Form 20-F for the financial year ended December 31, 2015 filed with the Commission on March 29, 2016)
Transition letter agreement, dated October 9, 2015, between a subsidiary of the Registrant and Keith Santorelli (incorporated by reference to Exhibit 4.8 of the Registrant's
Annual Report on Form 20-F for the financial year ended December 31, 2015 filed with the Commission on March 29, 2016)

  Amended and Restated Consulting Agreement dated February 17, 2016 between Genevieve Lemaire and the Registrant

Master Collaboration Agreement by and between Aeterna Zentaris GmbH, a subsidiary of the Registrant, and Sinopharm A-think Pharmaceuticals Co., Ltd, dated as of
December 1, 2014 (incorporated by reference to Exhibit 99.2 of the Registrant's report on Form 6-K furnished to the Commission on December 11, 2014).
License Agreement by and between Aeterna Zentaris GmbH, a subsidiary of the Registrant, and Sinopharm A-think Pharmaceuticals Co., Ltd, dated as of December 1,
2014 (incorporated by reference to Exhibit 99.3 of the Registrant's report on Form 6-K furnished to the Commission on December 11, 2014).
Technology Transfer and Technical Assistance, Agreement by and between Aeterna Zentaris GmbH, a subsidiary of the Registrant, and Sinopharm A-think
Pharmaceuticals Co., Ltd, dated as of December 1, 2014 (incorporated by reference to Exhibit 99.4 of the Registrant's report on Form 6-K furnished to the Commission on
December 11, 2014).

  Subsidiaries of the Registrant

Code of Ethical Conduct of the Registrant (incorporated by reference to Exhibit 11.1 of the Registrant's Annual Report on Form 20-F for the financial year ended December
31, 2008 filed with the Commission on March 30, 2009)
Code of Business Conduct and Ethics for Members of the Board of Directors (incorporated by reference to Exhibit 11.2 of the Registrant's Annual Report on Form 20-F for
the financial year ended December 31, 2014 filed with the Commission on March 17, 2015)
Audit Committee Charter of the Registrant (incorporated by reference to Exhibit 11.3 of the Registrant's Annual Report on Form 20 F for the financial year ended December
31, 2014 filed with the Commission on March 17, 2015)

  Certification of the Principal Executive Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002
  Certification of the Principal Financial Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002
  Certification of the Principal Executive Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
  Certification of the Principal Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
  Consent of the Independent Auditors

142

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SIGNATURES

The registrant hereby certifies that it meets all of the requirements for filing on Form 20-F and that it has duly caused and authorized the undersigned to sign
this annual report on its behalf.

AETERNA ZENTARIS INC.

/s/ David A. Dodd

David A. Dodd

President and Chief Executive Officer

143

Date:  March 15, 2017

 
 
 
AMENDED AND RESTATED CONSULTING AGREEMENT

Exhibit 4.9

THIS AMENDED AND RESTATED CONSULTING AGREEMENT (this "Agreement"), dated as of February 17, 2016, is between Aeterna Zentaris Inc., a
corporation with an address at 2500-1 PLACE Ville Marie Montréal Québec H3B 1R1, Canada (the "Company"), and Geneviève Lemaire, CPA,  CA,  CPA
(Illinois), with an address at 44 Montée du Bois Franc, Lac-Beauport, Québec, Canada G3B 1Y5 (the “Consultant").

The parties agree as follows:

1.     Consulting Service. The Consultant agrees that during the term of this Agreement:

(A)

(B)

The Consultant’s role will be to fill all responsibilities of the position of Vice President, Finance and Chief Accounting Officer of the Company for
an interim period, performing the specific duties listed on Exhibit 1 to this Agreement. The Board of Directors of the Company has appointed you
to such office effective as of the termination of the employment of Keith Santorelli at the close of business on February 18, 2016. As an officer of
the Company elected by the Board, you will be covered by the Company’s D&O policy, which will be confirmed by an acknowledgment obtained
from our primary D&O carrier.

The Consultant will devote best efforts to such position as consultant and an independent contractor to the Company. In addition, the Consultant
will be available to train the new Corporate Controller when this person will be hired and will provide advice and assistance to the Company from
time  to  time  as  requested  by  the  Company's  Audit  Committee  and  Management.  The  Consultant  shall  be  available  during  the  term  of  this
Agreement to assist the Company as requested by Management and at the Company’s sole discretion to offer consulting, advice, and assistance or
to  perform  other  activities  related  to  the  finance  function  of  the  Company.  The  Consultant  shall  be  acting  in  the  capacity  of  an  independent
contractor, and not as an employee of the Company. The Consultant shall not be subject to the direct control or supervision of the Management of
the  Company  with  respect  to  the  time  spent,  research  undertaken,  or  procedures  followed  in  the  performance  of  consulting  services  rendered
hereunder.

(C)

The Consultant shall exercise a reasonable degree of skill, prudence and care in performing these services.

(D) Nothing contained in this Agreement shall limit or restrict the Consultant from serving as an employee, officer or director of other companies or
entities, and the Consultant may provide consulting services for other companies or organizations, provided that such activities do not conflict with
the services and activity that the Consultant is rendering to the Company or any of its subsidiaries or the services or activities of the Company and
its subsidiaries.

(E)

The Consultant shall be available to render such consulting services to the Company under this Agreement during the term of this Agreement. The
Consultant  shall  not  be  obligated  to  render  any  services  under  this  Agreement  during  such  period  when  she  is  unable  to  do  so  due  to  illness,
disability or injury;

(F)

The  Consultant  shall  not  enter  into  agreements  or  make  commitments  on  behalf  of  the  Company,  except  when  approved  by  management  and
permitted in the delegation of authority approved by the Board of Directors.

(G)

It is possible that the Consultant will have to travel to fulfill her responsibilities. The Company will reimburse all out of pocket expenses incurred.

2. Compensation.

(A)

The  Company  agrees  to  pay  the  Consultant  for  her  services  performed  under  this  Agreement  at  an  hourly  rate  of  CDN$170  (one  hundred  and
seventy dollars). Such fees will be paid directly to the Consultant upon presentation of detailed invoice. The parties agree that the Consultant shall
not be entitled to participate in or to receive benefits pursuant to any Company program customarily made available to Company employees. The
Consultant acknowledges that she is not being covered by any worker compensation policy or program provided or managed by the Company.

(B)

    At the conclusion of Consultant’s arrangement with the Company on the terms set out herein, Consultant will be paid a bonus in the amount of
CDN$20,000.

3. Term and Termination. The term of this Agreement shall continue indefinitely ("Term"), unless otherwise terminated in accordance with the provisions

set forth below.

(A)

Termination for Cause. The Company may terminate this Agreement at any time for "Just Cause". Termination for Just Cause shall be defined as:
(i) If the Consultant shall have engaged in conduct involving fraud, deceit, personal dishonesty, or breach of fiduciary duty; (ii) If the Consultant
shall have violated any banking law or regulation, memorandum of understanding, cease and desist order, or other agreement with any banking
agency  having  jurisdiction  over  the  Company  which,  in  the  judgment  of  the  Company,  has  adversely  affected,  or  may  adversely  affect,  the
business  or  reputation  of  the  Company  as  determined  by  the  Company;  (iii)  If  the  Consultant  shall  have  become  subject  to  continuing
intemperance in the use of alcohol or drugs which has adversely affected, or may adversely affect, the business or reputation of the Company as
determined by the Company; (iv) If the Consultant shall have filed, or had filed against her, any petition under the federal bankruptcy laws or any
provincial insolvency laws; or (v) If any regulatory authority having jurisdiction over the Company, or its subsidiaries, initiates any proceedings
against the Consultant.

1

AMENDED AND RESTATED CONSULTING AGREEMENT

Exhibit 4.9

(B)

Termination following Recruitment of CFO. The Company intends to commence a search for a Senior Vice President, Chief Financial Officer in
the near future. The Company cannot predict the duration of the search; however, the Company believes that the search may require five to six
months. The Company will keep you informed of the status of the search and may request that you participate in the review of résumés or that you
interview candidates. In any event, you will be notified when a candidate is hired and this Agreement shall terminate 120 days after the date of hire
of the CFO (unless we agree on a different period before this Agreement expires).

(C) Disability  or  Death.  In  the  event  of  the  disability  or  death  of  the  Consultant,  this  Agreement  shall  terminate  without  further  action  by  the
Company; provided that the Company shall be obligated to pay the Consultant (or her estate) for any periods of work performed prior to disability
or death of the Consultant.

5. Confidential  Business.  The  Consultant,  during  the  Term  of  this  Agreement,  will  not,  without  the  express  written  consent  of  Company,  directly  or
indirectly communicate or divulge to, or use for her own benefit or for the benefit of any other person, firm, association, or corporation, any trade secrets,
proprietary data or other confidential information communicated to or otherwise learned or acquired by the Consultant from the Company while serving
as a consultant, except that the Consultant may disclose such matters to the extent that disclosure is (a) requested by the Company or (b) required by a
court or other governmental agency of competent jurisdiction.

6. General.

(A)

Entire  Agreement  and  Amendments.  This  Agreement  is  the  entire  agreement  between  the  parties  and  supersedes  all  earlier  and  simultaneous

agreements regarding the subject matter. This Agreement may be amended only in a written document, signed by both parties.

(B)

(C)

(D)

(E)

    Independent Contractors, Third Party Beneficiaries, and Subcontractors.  The parties acknowledge that they are independent contractors under
this  Agreement,  and  except  if  expressly  stated  otherwise,  neither  the  Consultant,  nor  any  of  her  employees  or  agents,  has  the  power  or
authority to bind or obligate the Company.  Except if expressly stated, no third party is a beneficiary of this Agreement. 

        Assignment.    This  Agreement  binds  and  inures  to  the  benefit  of  the  parties'  successors  and  assigns.  This  Agreement  may  not  be  assigned,
delegated, sublicensed or otherwise transferred by the Consultant in whole or in part without the prior written consent of Company. Any
transfer, assignment, delegation or sublicense by the Consultant without such consent is invalid.

    No Waivers, Cumulative Remedies. A party's failure to insist upon strict performance of any provision of this Agreement is not a waiver of any
of  its  rights  under  this  Agreement.  Except  if  expressly  stated  otherwise,  all  remedies  under  this  Agreement,  at  law  or  in  equity,  are
cumulative and nonexclusive.

    Severability.  If any portion of this Agreement is held to be unenforceable, the unenforceable portion must be construed as nearly as possible to
reflect  the  original  intent  of  the  parties,  the  remaining  portions  remain  in  full  force  and  effect,  and  the  unenforceable  portion  remains
enforceable in all other contexts and jurisdictions.

(F)

    Notices.  All notices, including notices of address changes, under this Agreement must be sent by registered or certified mail or by overnight

commercial delivery to the address set forth in this Agreement by each party.

(G)

    Captions and Plural Terms.  All captions are for purposes of convenience only and are not to be used in interpretation or enforcement of this

Agreement. Terms defined in the singular have the same meaning in the plural and vice versa.

(H)

    Governing Law. This Agreement shall be governed by the laws of the Province of Québec (without giving effect to internal choice of law rules).

(I)

    Language of Agreement. The parties have expressly requested that the present document be drafted in English. Les parties ont expressément

demandé à ce que le présent document soit rédigé en anglais.

IN WITNESS WHEREOF, the parties execute this Agreement. Each person who signs this Agreement below represents that such person is fully authorized
to sign this Agreement on behalf of the applicable party.

COMPANY

CONSULTANT

By: /s/ David A. Dodd

Name: David A. Dodd

  By: /s/ Geneviève Lemaire

 Name: Geneviève Lemaire

Title: Chairman, President and CEO

Title: CPA, CA, CPA (Illinois)

2

 
 
AMENDED AND RESTATED CONSULTING AGREEMENT

EXHIBIT 1

Exhibit 4.9

As our Chief Accounting Officer, your principal responsibilities will be as follows:

•

Supervising all other accounting personnel in the US and Germany

• Managing the Company’s relationship with PWC

•

•

•

•

•

•

•

Supervising the monthly and quarterly closes of the Company’s books

Supervising the preparation of quarterly financial statements

Signing the certifications of our filings as required by US and Canadian securities authorities

Developing a plan for transitioning our reporting basis from IFRS to US GAAP and starting the conversion process

Leading the transition into the Company of the new CFO

o

This process should begin with your proposal of a transition plan for review by me and David Dodd, our CEO

o During the transition period, there will be times in which you will need to be present in the Summerville office

Participating  in  Operating  Committee  meetings  to  provide  information  to  other  senior  managers  regarding  the  Company’s  financial
condition and the status of your activities

Participating in Board Meetings and Board conference calls, as required of the position of Vice President, Finance and Chief Accounting
Officer

3

Exhibit 8.1

SUBSIDIARIES OF THE REGISTRANT

AETERNA ZENTARIS INC.

Aeterna Zentaris Inc.
(Canada)

100%

Aeterna Zentaris GmbH
(Germany)

100%

Zentaris IVF GmbH
(Germany)

100%  

Aeterna Zentaris, Inc.
(Delaware)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Certification of the Principal Executive Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002

Certification

Exhibit 12.1

I, David A. Dodd, certify that:

1.

I have reviewed this annual report on Form 20-F of Aeterna Zentaris Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the

statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the

financial condition, results of operations and cash flows of the company as at, and for, the periods presented in this report;

4. The company's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange
Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the
company and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to

ensure that material information relating to the company, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the company's disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as at the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the company's internal control over financial reporting that occurred during the period covered by the

annual report that has materially affected, or is reasonably likely to materially affect, the company's internal control over financial reporting; and

5. The company's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

company's auditors and the audit committee of the company's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the company's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the company's internal control

over financial reporting.

Date: March 15, 2017

/s/ David A. Dodd

David A. Dodd

President and Chief Executive Officer

(principal executive officer)

 
Certification of the Principal Financial Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002

Certification

Exhibit 12.2

I, Genevieve Lemaire, certify that:

1.

I have reviewed this annual report on Form 20-F of Aeterna Zentaris Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the

statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the

financial condition, results of operations and cash flows of the company as at, and for, the periods presented in this report;

4. The company's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange
Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the
company and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to

ensure that material information relating to the company, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for
external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the company's disclosure controls and procedures and presented in this report our conclusions about the
effectiveness of the disclosure controls and procedures, as at the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the company's internal control over financial reporting that occurred during the period covered by the

annual report that has materially affected, or is reasonably likely to materially affect, the company's internal control over financial reporting; and

5. The company's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

company's auditors and the audit committee of the company's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the company's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the company's internal control

over financial reporting.

Date: March 15, 2017

/s/ Genevieve Lemaire

Genevieve Lemaire

Vice President and Chief Accounting Officer

(acting principal financial officer)

 
 
Exhibit 13.1

Certification of the Principal Executive Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In  connection  with  the  annual  report  of  Aeterna  Zentaris  Inc.  (the  “Company”)  on  Form  20-F  for  the  year  ended  December  31,  2016  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, David A. Dodd, President and Chief Executive Officer of the Company, certify,
pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1)    The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)        The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the

Company.

Dated: March 15, 2017

/s/ David A. Dodd

David A. Dodd

President and Chief Executive Officer

 
Exhibit 13.2

Certification of the Principal Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of

2002.

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In  connection  with  the  annual  report  of  Aeterna  Zentaris  Inc.  (the  “Company”)  on  Form  20-F  for  the  year  ended  December  31,  2016  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, Genevieve Lemaire, Vice President and Chief Accounting Officer of the Company,
certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1)

(2)

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the
Company.

Dated: March 15, 2017

/s/ Genevieve Lemaire

Genevieve Lemaire

Vice President and Chief Accounting Officer

 
Exhibit 15.1

CONSENT OF INDEPENDENT AUDITOR

We hereby consent to the incorporation by reference in the registration statements on Form F-3 (No. 333-194547), Form F-10/A (No. 333-208789) and Form
S-8 (No. 333-210561) of Aeterna Zentaris Inc. of our report dated March 15, 2017 relating to the consolidated financial statements, which appears in this
Form 20-F.

Quebec, Quebec, Canada
March 15, 2017

1 CPA auditor, CA, public accountancy permit No. A121191