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AEterna Zentaris Inc.

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FY2018 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, 2018

☐ 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
Summerville, South Carolina, USA
29486
(Address of Principal Executive Offices)
Michael V. Ward
Telephone: 843-900-3201
E-mail: mward@aezsinc.com
315 Sigma Drive
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: 16,440,760
Common Shares as at December 31, 2018.
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, a non-accelerated filer, or an emerging growth company. See definitions of
"accelerated filer," "large accelerated filer," and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer    ☐ Accelerated filer  ☐ Non-accelerated filer  ☒ Emerging growth company  ☐
If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, indicate by check mark if the registrant has elected not to use the
extended transition period for complying with any new or revised financial accounting standards† provided pursuant to Section 13(a) of the Exchange Act.
† The term "new or revised financial accounting standard" refers to any update issued by the Financial Accounting Standards Board to its Accounting Standards Codification
after April 5, 2012
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", "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 "$" and "U.S.$"
are to United States ("U.S.") 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, 2018.

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 U.S. 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  "will,"  "expects,"  "believes,"  "intends,"  "would,"  "could,"  "may,"  "anticipates,"  and  similar  terms  that
relate  to  future  events,  performance,  or  our  results.  Forward-looking  statements  involve  known  risks  and  uncertainties,  including  those  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 U.S. Securities and Exchange Commission ("SEC"). 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, our now heavy dependence on
the success of Macrilen™ (macimorelin) and related out-licensing arrangements and the continued availability of funds and resources to successfully launch
the  product,  the  ability  of  Aeterna  Zentaris  to  enter  into  out-licensing,  development,  manufacturing  and  marketing  and  distribution  agreements  with  other
pharmaceutical  companies  and  keep  such  agreements  in  effect,  reliance  on  third  parties  for  the  manufacturing  and  commercialization  of  our  product
candidates, potential disputes with third parties, leading to delays in or termination of the manufacturing, development, out-licensing or commercialization of
our product candidates, or resulting in significant litigation or arbitration, and, more generally, uncertainties related to the regulatory process, the ability of the
Company to efficiently commercialize or out-license Macrilen™ (macimorelin), the degree of market acceptance of Macrilen™ (macimorelin), our ability to
obtain necessary approvals from the relevant regulatory authorities to enable us to use the desired brand names for our products, the impact of securities class
action litigation, on our cash flow, results of operations and financial position; any evaluation of potential strategic alternatives to maximize potential future
growth and stakeholder value may not result in any such alternative being pursued, and even if pursued, may not result in the anticipated benefits, 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
U.S. 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 Offer 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

4

4

4

20

20

22

31

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32

32

35

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47

50

63

64

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65

66

66

67

67

67

67

67

67

67

67

67

    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 Modifications 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

67

68

68

68

77

81

81

88

88

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139

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 income (loss) information set forth in this Item 3.A. with respect to the years ended December 31, 2018, 2017
and 2016 and the consolidated statement of financial position information as at December 31, 2018 and 2017 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 income (loss) information with respect to the years ended
December 31, 2015 and 2014 and the consolidated statement of financial position information as at December 31, 2016, 2015 and 2014 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.

The Company has not declared or paid any dividends per share during the periods covered by the selected financial data.

1

Consolidated Statements of Comprehensive Income (Loss) Information

(in thousands of U.S. dollars, except share and per share data)

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

Revenues

License fees

Product sales

Royalty income

Sales commission and other

Cost of sales

Research and development costs

General and administrative expenses

Selling expenses

Income (loss) from operations

Settlements

Gain (loss) due to changes in foreign currency exchange rates

Change in fair value of warrant liability

Warrant exercise inducement fee

Other finance income

Net finance income (costs)

Income (loss) before income taxes

Income tax recovery (expense)

Net income (loss) from operations

Net income from discontinued operations

Net (loss) income

Other comprehensive income (loss):

December 31,

2018

$

2017

$

2016

$

2015

$

2014

$

24,325  

2,167  

184  

205  

26,881  

2,104  

2,932  

8,894  

3,109  

17,039  

9,842  

(1,400)  

656  

263  

—  

278  

1,197  

9,639  

(5,452)  

4,187  

—  

4,187  

458  

—  

—  

465  

923  

—  

10,704  

8,198  

5,095  

23,997  

(23,074)  

—  

502  

2,222  

—  

75  

2,799  

(20,275)  

3,479  

(16,796)  

—  

497  

—  

—  

414  

911  

—  

16,495  

7,147  

6,745  

30,387  

248  

—  

—  

297  

545  

—  

17,234  

11,308  

6,887  

35,429  

11

—

—

—

11

—

23,716

9,840

3,850

37,406

(29,476)  

(34,884)  

(37,395)

—  

(70)  

—  

(1,767)  

4,437  

(10,956)  

—  

150  

(2,926)  

305  

—

1,879

18,272

—

168

4,517  

(15,344)  

20,319

(24,959)  

(50,228)  

(17,076)

—  

—  

(111)

(24,959)  

(50,228)  

(17,187)

—  

85  

623

(16,796)  

(24,959)  

(50,143)  

(16,564)

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) income

Basic Net income (loss) per share from continuing operations(1)

Diluted Net income (loss) per share from continuing operations(1)

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

Net (loss) income per share (basic)1

Net (loss) income per share (diluted)1

Weighted average number of shares outstanding:

Basic

Diluted

(260)  

(1,430)  

569  

1,509  

(1,158)

193  

4,120  

0.25  

0.24  

—  

0.25  

0.24  

694  

(1,479)  

844  

(17,532)  

(25,869)  

(47,790)  

(1.12)  

(1.12)  

—  

(1.12)  

(1.12)  

(2.41)  

(2.41)  

—  

(2.41)  

(2.41)  

(18.17)  

(18.17)  

0.03  

(18.14)  

(18.14)  

16,440,760  

14,958,704  

10,348,879  

2,763,603  

17,034,812  

14,958,704  

10,348,879  

2,763,603  

(1,833)

(19,555)

(29.12)

(29.12)

1.06

(28.06)

(28.06)

590,247

590,247

2

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

3

Consolidated Statement of Financial Position Information

(in thousands of U.S. dollars)

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

As at December 31,

2018

$

2017

$

2016

$

14,512  

418  

25,011  

3,634  

222,335  

1,907  

7,780  

381  

22,195  

3,897  

222,335  

(2,783)  

21,999  

496  

31,659  

6,854  

213,980  

6,212  

2015

$

41,450  

255  

51,498  

10,891  

204,596  

21,615  

2014

$

34,931

760

47,435

8,225

150,544

14,484

Cash and cash equivalents

Restricted cash equivalents

Total assets

Warrant liability (current and non-current portion)

Share capital

Shareholders' (deficiency) equity

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 in nature.

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. If we are unsuccessful in generating new revenue,
increasing our revenues 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 commercialize products. Consequently, we have incurred
operating losses historically and in each of the last several years. As at December 31, 2018, we had an accumulated deficit of approximately $310 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  focus  on  the  commercialization  of  Macrilen™  (macimorelin).  In  developing,  acquiring,  or  out-licensing
Macrilen™ (macimorelin), we could incur additional operating losses for at least the next several years. If we do not ultimately generate sufficient revenue
from  a  commercialized  product  and  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. In 2018, our primary source of liquidity was the $24.0
million licensing payment received from Strongbridge Biopharma plc in January 2018.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We stated in our management’s discussion and analysis of financial condition and results of operations for the year ended 2018 that we expect existing cash
balances  and  operating  cash  flows  will  provide  us  with  adequate  funds  to  support  our  current  operating  plan  for  at  least  twelve  months.  There  can  be  no
assurance, however, that unplanned capital requirements or other future events, will not require us to seek debt or equity financing and, if so required, that it
will be available on terms acceptable to us, if at all.

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 with 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. If we do not ultimately achieve
operating  profitability,  an  investment  in  our  Common  Shares  or  other  securities  could  result  in  a  significant  or  total  loss.  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.

If we are unable to successfully commercialize or out-license Macrilen™ (macimorelin), or if we experience significant delays in doing so, our business
would be materially harmed, and the future and viability of our Company could be imperiled.

Our principal focus is on the licensing and development of Macrilen™ (macimorelin) and we currently do not have any other product. The Company is a
party  to  a  license  and  assignment  agreement  with  a  subsidiary  of  Novo  Nordisk  A/S  (“Novo”)  to  carry  out  development,  manufacturing,  registration  and
commercialization  of  Macrilen™  (macimorelin)  in  the  U.S.  and  Canada  (the  “License  and  Assignment  Agreement”).  The  Company  continues  to  explore
licensing opportunities worldwide.

The commercial success of Macrilen™ (macimorelin) depends on several factors, including the following:

•

•

•

•

•

•

receipt of approvals from foreign regulatory authorities;

successfully contracting with qualified third-party suppliers to manufacture Macrilen™ (macimorelin);

developing appropriate distribution and marketing infrastructure and arrangements for our product;

launching and growing commercial sales of the product;

out-licensing Macrilen™ (macimorelin) to third parties; and

acceptance of the product in the medical community, among patients and with third party payers.

If  we  are  unable  to  successfully  achieve  any  of  these  factors,  our  business,  financial  condition  and  results  of  operations  may  be  materially  adversely

affected.

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 timing and willingness of any current or future collaborators to invest the resources necessary to commercialize Macrilen™ (macimorelin);

5

•

•

•

•

•

•

•

not obtaining necessary regulatory approvals from the U.S. Food and Drug Administration ("FDA"), European Medicines Agency ("EMA") and other
agencies that may delay or prevent us from obtaining approval of a pediatric indication for Macrilen™ (macimorelin), which may affect the price of our
securities;

the timing of regulatory submissions and approvals;

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 licensing partners; and

failure to enter into new or the expiration or termination of current agreements with suppliers who manufacture Macrilen™ (macimorelin).

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 the value of our other securities could fluctuate significantly or decline.

If  we  are  unable  to  successfully  complete  the  pediatric  clinical  trial  program  for  Macrilen™  (macimorelin),  or  if  such  clinical  trial  takes  longer  to
complete than we project, our ability to execute any related business strategy will be adversely affected.

If  we  experience  delays  in  identifying  and  contracting  with  sites  and/or  in-patient  enrollment  in  our  pediatric  clinical  trial  program  for  Macrilen™
(macimorelin), 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 pediatric clinical trial within an acceptable time-frame, if at all. If we
or our contract resource organization (a "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.

Clinical trials are subject to continuing oversight by governmental regulatory authorities and institutional review boards and must, among other requirements:

• meet the requirements of these authorities from multiple countries and jurisdictions and their related statutes, regulations, and guidances;

• meet the requirements for informed consent;

• meet the requirements for institutional review boards; and

• meet the requirements for good clinical practices

We  are  currently  dependent  on  certain  strategic  relationships  with  third  parties  for  the  development,  manufacturing  and  licensing  of  Macrilen™
(macimorelin) and we may enter into future collaborations for the development, manufacturing and licensing of Macrilen™ (macimorelin).

We  are  currently  dependent  on  certain  strategic  relationships  with  third  parties  for  the  development,  manufacturing  and  licensing  of  Macrilen™
(macimorelin), and may enter into future collaborations for the development, manufacturing and licensing of Macrilen™ (macimorelin). Our arrangements
with these third parties may not provide us with the benefits we expect and may expose us to a number of risks.

Currently,  we  are  dependent  on  Novo  to  commercialize  Macrilen™  (macimorelin)  in  the  U.S  and  Canada.  Most  of  our  potential  revenue  consists  of
contingent payments, including regulatory milestones and royalties on the sale of Macrilen™ (macimorelin). The milestone and royalty revenue that we may
receive under this collaboration will depend upon Novo’s ability to successfully introduce, market and sell Macrilen™ (macimorelin) in the United States. If
Novo  does  not  devote  sufficient  time  and  resources  to  its  collaboration  arrangement  with  us,  we  may  not  realize  the  potential  commercial  benefits  of  the
arrangement, and our results of operations may be materially adversely affected.

6

Our  reliance  on  relationships  with  Novo  and  other  potential  third  parties  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 to third parties. These agreements create certain additional risks. The occurrence of any of the following or
other events may delay or impair commercialization of Macrilen™ (macimorelin):

•

•

•

•

•

•

•

in  certain  circumstances,  third  parties  may  assign  their  rights  and  obligations  under  these  agreements  to  other  third  parties  without  our  consent  or
approval;

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 Macrilen™
(macimorelin);

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 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 Macrilen™
(macimorelin); and

disputes may arise between us and the third parties that could result in the delay or termination of the manufacturing or commercialization of Macrilen™
(macimorelin),  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.

i.

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
manufacturing and commercializing Macrilen™ (macimorelin), which would likely cause a drop in the price of our Common Shares.

We may be unsuccessful in consummating further out-licensing arrangements for MacrilenTM (macimorelin) on favorable terms and conditions, or we
may be significantly delayed in doing so.

As part of our product development and commercialization strategy, we are evaluating out-licensing opportunities for MacrilenTM (macimorelin) in addition
to  the  License  and  Assignment  Agreement.  If  we  elect  to  collaborate  with  third  parties  in  respect  of  MacrilenTM  (macimorelin),  we  may  not  be  able  to
negotiate  a  collaborative  arrangement  for  MacrilenTM  (macimorelin)  on  favorable  terms  and  conditions,  if  at  all.  Should  any  partner  fail  to  successfully
commercialize MacrilenTM (macimorelin), our business, financial condition and results of operations may be adversely affected.

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

We  may  require  significant  additional  capital  to  fund  our  commercial  operations  and  may  require  additional  capital  to  pursue  planned  clinical  trials  and
regulatory  approvals.  Although  we  have  capital  from  the  License  and  Assignment  Agreement,  we  do  not  anticipate  generating  significant  revenues  from
operations in the near future other than from the License and Assignment Agreement, 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, 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.

7

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

•

•

•

•

•

•

•

the duration of changes to and results of our clinical trials for any future products going forward;

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;

the outcome of current and future 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 Macrilen™ (macimorelin) are and will be subject to strict and ongoing regulation, even with marketing approval by
the FDA and EMA for Macrilen™ (macimorelin). Compliance with such regulation will be expensive and consume substantial financial and management
resources. For example, the EMA approval for macimorelin was conditioned on our agreement to conduct 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
current  or  future  products  and  other  regulations.  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 a
product 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, complete withdrawal of a marketing application, exclusion from government healthcare
programs,  import  or  export  bans  or  restrictions,  and/or  criminal  prosecution  and  penalties.  Any  of  these  penalties  could  delay  or  prevent  the  promotion,
marketing or sale of a product.

Even  with  marketing  approval  for  MacrilenTM  (macimorelin),  such  product  approval  could  be  subject  to  restrictions  or  withdrawals.  Regulatory
requirements are subject to change.

On December 20, 2017, the FDA granted marketing approval in the United States for Macrilen™ (macimorelin) to be used in the diagnosis of patients with
adult growth hormone deficiency ("AGHD") and on January 16, 2019, the EMA granted marketing approval in Europe for macimorelin for the diagnosis of
AGHD. Regulatory authorities generally approve products for specified 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  or  untitled  letters,  fines,  injunctions,  civil  penalties,  recalls  or  seizures  of  products  and  related  publicity  requirements,  total  or  partial
suspension  of  production,  import  or  export  bans  or  restrictions,  refusal  of  the  government  to  renew  marketing  applications,  complete  withdrawal  of  a
marketing

8

application,  criminal  prosecution  and  penalties,  suspension  or  withdrawals  of  previously  granted  regulatory  approvals,  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  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 FDA, EMA and other health authorities. Additionally, regulations and guidance are often revised or reinterpreted by
health agencies in ways that may significantly affect our business Macrilen™ (macimorelin). 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 a product 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 Macrilen™ (macimorelin), 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 Macrilen™ (macimorelin) 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  Donald
Trump. Additionally, in the U.S., states have also passed legislation and proposed bills that are aimed at drug pricing transparency, which will likely impact
drug pricing. There can be no assurance as to how this scrutiny on pricing of pharmaceutical products will impact future pricing of Macrilen™ (macimorelin).

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. Since January 2017, the U.S. Congress has proposed various bills to revise the ACA. Additionally, President Donald Trump has suggested similar
action and enacted Executive Orders to curtail the ACA and its impacts on healthcare in the U.S. We cannot predict the ultimate content, timing or effect of
any healthcare reform legislation, or potential legislation, regulation, and orders or their impact 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.

If we or our licensees market products or interact with health care practitioners in a manner that violates healthcare fraud and abuse laws, we or our
licensees 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  current  product,  certain  federal  and  state  healthcare  laws  and  regulations  pertaining  to  fraud  and  abuse  are  and  will  be
applicable to our business. We and our licensees are subject to healthcare fraud and abuse regulation by both the federal government and the states in which
we conduct our business.

9

The laws that may affect our and our licensee's 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, through the Physician Payment
Sunshine Act, 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 or our licensees for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses,
cause  reputational  harm  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.

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. In addition, 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 Macrilen™ (macimorelin) does not gain market acceptance, we may be unable to generate significant revenues.

10

Market acceptance of Macrilen™ (macimorelin) depends on a number of factors, including, but not limited to:

•

•

•

•

•

•

•

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 Macrilen™ (macimorelin) 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 Macrilen™ (macimorelin).

If Macrilen™ (macimorelin) does not gain market acceptance among physicians, patients, healthcare payers and others in the medical community, who may
not  accept  or  utilize  Macrilen™  (macimorelin),  our  ability  to  generate  significant  revenues  from  Macrilen™  (macimorelin)  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 Macrilen™ (macimorelin), 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.  Macrilen™  (macimorelin),  if  successfully
commercialized, may compete with a number of drugs, therapies, products and tests currently manufactured and marketed by major pharmaceutical and other
biotechnology companies. Macrilen™ (macimorelin) may also compete with new products currently under development by others or with products which
may  be  less  expensive  than  Macrilen™  (macimorelin).  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.

We may expend our limited resources to pursue a particular product or indication and fail to capitalize on other products 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 Macrilen™ (macimorelin), and we are doing so for
specific indications. As a result, we may forego or delay pursuit of opportunities for other potential indications for Macrilen™ (macimorelin) which there
may be a greater likelihood of success or may prove to have greater commercial potential. Research programs to identify new product candidates or pursue
alternative indications for Macrilen™ (macimorelin) 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 may 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 any clinical trials, the uncertainties inherent in the regulatory approval process
and delays in achieving manufacturing or marketing arrangements sufficient to commercialize Macrilen™ (macimorelin). There can be no assurance that we
will make regulatory submissions or receive regulatory approvals as planned or that we will be able to adhere to our schedule for launching of Macrilen™
(macimorelin) outside of the U.S. If we fail to achieve one or more of these milestones as planned, the price of our Common Shares would likely decline.

If we fail to obtain acceptable prices or adequate reimbursement for Macrilen™ (macimorelin), our ability to generate revenues will be diminished.

11

Our  ability  or  that  of  our  licensee(s)  to  successfully  commercialize  Macrilen™  (macimorelin)  will  depend  significantly  on  our  or  their  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. Macrilen™ (macimorelin) may not be considered cost-effective, and reimbursement to the patient may not be
available or sufficient to allow us or our licensee(s) to sell our products on a competitive basis. It may not be possible to negotiate favorable reimbursement
rates for Macrilen™ (macimorelin). Adverse pricing and reimbursement conditions would also likely diminish our ability to induce third parties to in-license
Macrilen™ (macimorelin).

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 that proposals to implement similar government controls will 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 Donald 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.  Additionally,  there  is  drug  pricing  reform
taking place at the state level in the U.S., in the form of laws and bills, that will impact how pharmaceutical companies can market and sell drug products and
at  what  price.  Further,  third-party  payers  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 a product 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 a product and could adversely affect our profitability. In addition, in the U.S., Canada and many
other countries, pricing and/or profitability of some or all prescription pharmaceuticals and biopharmaceuticals are subject to government control.

If  we  or  our  licensee(s)  fail  to  obtain  acceptable  prices  or  an  adequate  level  of  reimbursement  for  Macrilen™  (macimorelin),  the  sales  of  Macrilen™
(macimorelin) would be adversely affected or there may be no commercially viable market for Macrilen™ (macimorelin).

Competition in our targeted markets is intense, and development by other companies could render Macrilen™ (macimorelin) non-competitive.

The  biopharmaceutical  field  is  highly  competitive.  New  products  developed  by  other  companies  in  the  industry  could  render  Macrilen™  (macimorelin)
uncompetitive.  Competitors  are  developing  and  testing  products  and  technologies  that  would  compete  with  Macrilen™  (macimorelin).  Some  of  these
products  may  be  more  effective  or  have  an  entirely  different  approach  or  means  of  accomplishing  the  desired  effect  than  Macrilen™  (macimorelin).  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.

We may not obtain adequate protection for Macrilen™ (macimorelin) through our intellectual property.

We rely heavily on our proprietary information in developing and manufacturing Macrilen™ (macimorelin). Our success depends, in large part, on our ability
to  protect  our  competitive  position  through  patents,  trade  secrets,  trademarks  and  other  intellectual  property  rights.  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 Macrilen™ (macimorelin).

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.  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 and prevent infringement.

Our  patents  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 Macrilen™ (macimorelin). 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
for Macrilen™ (macimorelin). The patents issued

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or  to  be  issued  to  us  for  Macrilen™  (macimorelin)  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.
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 Macrilen™ (macimorelin) in the marketplace.

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. 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

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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, re-examination 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 current or future products.

We  have  filed  applications  for  trademark  registrations,  including  Macrilen™  (macimorelin),  in  various  jurisdictions,  including  the  U.S.  We  may  file
applications for other possible trademarks for Macrilen™ (macimorelin). No assurance can be given that any of our trademarks will be registered elsewhere,
or that the use of any registered or unregistered trademarks will confer a competitive advantage in the marketplace.

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  contract  resource  organizations,  medical  institutions  and  clinical  investigators  to  enroll  qualified  patients  and  to  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  to  the
FDA, 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 products 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 that are favorable or 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.

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 rely on third parties to manufacture and supply Macrilen™ (macimorelin). 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  Macrilen™  (macimorelin).  To  be  successful,  Macrilen™  (macimorelin)  has  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  Macrilen™  (macimorelin)  or  the  materials  used  in  its  manufacture.  If  we  are  unable  to  do  so  ourselves  or  to  arrange  for  third-party
manufacturing  or  supply  of  Macrilen™  (macimorelin)  or  materials,  or  to  do  so  on  commercially  reasonable  terms,  we  may  not  be  able  to  commercialize
Macrilen™ (macimorelin) 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

14

increased our employee retention risk. The competition for qualified personnel in the biopharmaceutical field is intense, and if we are not able to continue to
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 a securities class-action litigation matter and we may be subject to similar or other litigation in the future.

The Company and certain of our current and former officers are defendants in a class-action lawsuit pending in the U.S. District Court for the District of
New Jersey, brought on behalf of shareholders of the Company. The lawsuit alleges 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™  (macimorelin),  and  the  prospects  for  the  approval  of  the  Company's  New  Drug  Application  for  the  product  by  the  FDA.  The
plaintiffs represent a class comprised of purchasers of the Company's common shares during the Class Period and seek damages, costs and expenses and such
other  relief  as  determined  by  the  Court.  The  Company  considers  the  claims  that  have  been  asserted  in  the  lawsuit  to  be  without  merit  and  is  vigorously
defending against them. The Company cannot, however, predict at this time the outcome or potential losses, if any, with respect to this lawsuit.

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 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 are required to satisfy before any
insurance applies to a claim, unreimbursed legal fees 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 will cover our potential liability with respect to the securities class-action lawsuit;
however, the insurer has reserved its rights to contest the applicability of the insurance to such claims 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 sale and use of Macrilen™ (macimorelin) 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  as  well  as  products
liability  insurance.  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 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, our principal operating subsidiary, AEZS Germany, may become subject to insolvency proceedings if
it is illiquid or “over-indebted” in accordance with German law.

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.  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

15

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.

German  law,  which  governs  our  principal  operating  subsidiary,  AEZS  Germany  imposes  an  obligation  on  the  managing  director  of  AEZS  Germany  to
institute insolvency proceedings of that subsidiary if the managing director concludes that AEZS Germany is insolvent because it is either illiquid or "over-
indebted" in accordance with the provisions of German law.

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 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 or officers 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 (i) 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 (ii) 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.

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 of the Canadian securities administrators. 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 - 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 a PFIC for the 2015 taxable year, but were not a PFIC for the 2016, 2017 and 2018 taxable years. 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 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 2018 taxable year and for any future taxable year.

16

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  pre-existing  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 - 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.

Our net operating losses may be limited for U.S. federal income tax purposes under Section 382 of the Internal Revenue Code.

If  a  corporation  with  net  operating  losses  ("NOLs")  undergoes  an  "ownership  change"  within  the  meaning  of  Section  382  of  the  United  States  Internal
Revenue Code of 1986, as amended, then such corporation's use of such "pre-change" NOLs to offset income incurred following such ownership change may
be limited. Such limitation also may apply to certain losses or deductions that are "built-in" (i.e., attributable to periods prior to the ownership change but not
yet taken into account for tax purposes) as of the date of the ownership change that are subsequently recognized. An ownership change generally occurs when
there is either (i) a shift in ownership involving one or more "5% shareholders"; or (ii) an "equity structure shift" and, as a result, the percentage of stock of
the corporation owned by one or more 5% shareholders (based on value) has increased by more than 50 percentage points over the lowest percentage of stock
of the corporation owned by such shareholders during the "testing period" (generally the 3 years preceding the testing date). In general, if such change occurs,
the corporation's ability to utilize its net operating loss carry-forwards and certain other tax attributes would be subject to an annual limitation, as described
below. The unused portion of any such net operating loss carry-forwards or tax attributes each year is carried forward, subject to the same limitation in future
years. The impact of an ownership change on state NOL carryforwards may vary from state to state. Recent legislation added several limitations to the ability
to claim deductions for NOLs, including a deduction limit equal to 80% of taxable income and a restriction on NOL carryback deductions.

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.

Data security breaches may disrupt our operations and adversely affect our operating results.

17

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.

Our  business  processes  personal  information,  both  in  connection  with  clinical  activities  and  our  employees.  The  use  of  this  information  is  critical  to  our
operations and innovation, including the development of our products, as well as management of our employees. New and evolving regulations, such as the
European Union General Data Protection Regulation, could bring increased scrutiny of our data management in the future. Any cyber-attacks or other failure
to protect critical and sensitive systems and information could damage our reputation, prompt litigation or lead to regulatory sanctions, all of which could
materially affect our financial condition and results of operation.

Risks Relating to our Common Shares

Our  Common  Shares  may  be  delisted  from  NASDAQ  or  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.

Between January 1, 2018 and December 31, 2018, the closing price of our Common Shares ranged from $1.19 to $3.87 per share on NASDAQ and from
C$1.53 to C$5.10 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:

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developments regarding current or future third-party suppliers and licensee(s);

clinical and regulatory developments regarding Macrilen™ (macimorelin);

delays in our anticipated clinical development or commercialization timelines;

announcements by us regarding technological, regulatory or other matters;

arrivals or departures of key personnel;

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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. 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. As a result, the return on an investment in our Common Shares, or any of our
other  securities,  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.

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 or other Convertible Securities, could dilute the interests of our existing shareholders, and could substantially decrease the
trading price of our Common Shares.

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 December 31, 2018,
there were:

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16,440,760 Common Shares issued and outstanding;

no issued and outstanding Preferred Shares;

115,844 Common Shares issuable upon exercise of warrants that we previously issued in March 2015, which had a weighted average exercise price as of
December 31, 2018 of $1.07 per Common Share, 2,331,000 Common Shares issuable upon exercise of warrants that we previously issued in December
2015, which had a weighted average exercise price as of December 31, 2018 of $7.10 per Common Share, and 945,000 Common Shares issuable upon
exercise of warrants that we previously issued in November 2016, which had a weighted average exercise price as of December 31, 2018 of $4.70 per
Common Share;

888,816 Common Shares that underlie outstanding stock options and deferred share units granted under our Plans, having a weighted average exercise
price of $3.66 per Common Share;

869 Common Shares that underlie outstanding stock options and deferred share units granted under our Plans, having a weighted average exercise price
of C$743.56 per Common Share; and

246,619 additional Common Shares available for future grants under our Stock Option Plan, and 737,942 additional Common Shares available for future
grants  under  our  Long  Term  Incentive  Plan.  The  maximum  number  of  Common  Shares  issuable  under  the  Plans  may  equal  11.4%  of  the  issued  and
outstanding Common Shares at any given time.

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.

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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  2018,  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, 2018, we continued to
be a foreign private issuer.

There can be no assurance, however, that we will remain a foreign private issuer either in 2019 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 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:

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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 pharmaceutical therapies, currently focused on the development
and commercialization of Macrilen™ (macimorelin), including through out-licensing arrangements and pursuing in-licensing opportunities.

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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 1155 René-Lévesque Blvd, West 41st  Floor,  Montréal,  Quebec,  Canada  H3B  3V2  c/o  Stikeman  Elliott,  LLP.  Our principal
executive  offices  are  located  at  315  Sigma  Drive,  Summerville,  South  Carolina  29486;  our  telephone  number  is  (843)  900-3223  and  our  website  is
www.zentaris.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. 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.

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
Germany"). AEZS Germany 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 certain of our administrative and commercial operations.

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 Germany, 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.

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,
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".

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B.

Business overview

Our  primary  business  strategy  is  to  finalize  the  development,  manufacturing,  registration  and  commercialization  of  Macrilen™  (macimorelin)  through  the
License  and  Assignment  Agreement  in  the  United  States  and  Canada.  We  continue  to  explore  various  alternatives  to  monetize  our  rights  to  Macrilen™
(macimorelin) in other countries around the globe, including whether to find other license partners in these jurisdictions or to use our internal resources to
commercialize Macrilen™ (macimorelin) in one or more of these countries. Our vision is to become a growth-oriented specialty biopharmaceutical company.

Macrilen™ (macimorelin)

Macrilen™ (macimorelin) 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™ (macimorelin) was granted orphan-
drug designation by the FDA for use in evaluating growth hormone deficiency ("GHD").

Competitors  for  Macrilen™  (macimorelin)  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.

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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 an accurate
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).

Oral administration of Macrilen™ (macimorelin) offers convenience and simplicity over the current GHD tests used, all of which require either intravenous
or intramuscular administration. Additionally, Macrilen™ (macimorelin) 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™ (macimorelin) has not thus far. These factors may be limiting the use of GHD testing and may potentially enable Macrilen™ (macimorelin)
to become the product of choice in evaluating AGHD. We believe that Macrilen™ (macimorelin) is likely to rapidly displace the ITT as the preferred means
of evaluating AGHD for the following reasons:

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

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

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

• Macrilen™ (macimorelin) results are highly reproducible;

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

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

We believe that approximately 60,000 AGHD tests will be conducted annually, in the U.S, after the introduction of Macrilen™ (macimorelin). 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  U.S.  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™ (macimorelin):

2004 - 2014

• 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  AGHD,  however  in  2008  Ardana
Bioscience filed for bankruptcy so we terminated the license and regained rights to the compound. On October 19th, 2009, we announced that we would
continue the macimorelin clinical development program for use in evaluating the AGHD and assumed the sponsorship of the Investigational New Drug
Application  (IND).  On  December  20,  2010,  we  announced  we  had  reached  agreement  with  the  FDA  on  a  Special  Protocol  Assessment  ("SPA")  for
Macrilen™ (macimorelin), enabling us to complete the ongoing registration study required to gain approval for use in evaluating AGHD. On July 26,
2011,  we  announced  the  completion  of  the  Phase  3  study  of  Macrilen™  (macimorelin)  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™ (macimorelin) in the United States. On June 26, 2012,
we announced that the final results from a Phase 3 trial for Macrilen™ (macimorelin) showed that the drug is safe and effective in evaluating AGHD. In
November  2013,  we  filed  an  NDA  for  Macrilen™  (macimorelin)  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™ (macimorelin) 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 for FDA clearance and approval.

2015 - present

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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 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™  (macimorelin)  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™  (macimorelin)  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™ (macimorelin)
for the evaluation of AGHD, as well as a dedicated thorough QT study to evaluate the effect of Macrilen™ (macimorelin) on myocardial repolarization.
The confirmatory Phase 3 clinical study of Macrilen™ (macimorelin), entitled "Confirmatory validation of oral macimorelin as a growth hormone (GH)
stimulation test (ST) for the diagnosis of 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.

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On May 26, 2015, we announced that we had received written scientific advice from the EMA regarding the further development plan, including the
study design, for the new confirmatory Phase 3 clinical study of Macrilen™ (macimorelin) 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 U.S. 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™ (macimorelin).

On  October  26,  2016,  we  announced  completion  of  patient  recruitment  for  the  confirmatory  Phase  3  clinical  trial  of  Macrilen™  (macimorelin)  as  a
growth hormone stimulation test for the evaluation of AGHD. In addition, we completed the dedicated QT study as requested by the FDA in the CRL to
evaluate the effect of Macrilen™ (macimorelin) on the QT interval.

On January 4, 2017, we announced that, based on an analysis of top-line data, the confirmatory Phase 3 clinical trial of Macrilen™ (macimorelin) failed
to  achieve  one  of  its  co-primary  endpoints.  Under  the  study  protocol,  the  evaluation  of  AGHD  with  Macrilen™  (macimorelin)  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™
(macimorelin) 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 met 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™ (macimorelin) 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™ (macimorelin) for the evaluation of AGHD.

On July 18, 2017, we were provided a PDUFA date of December 30, 2017 by the FDA.

On November 27, 2017, the EMA accepted our MMA submission for Macrilen™ (macimorelin).

On  December  20,  2017,  the  FDA  approved  the  market  authorization  for  Macrilen™  (macimorelin),  to  be  used  in  the  diagnosis  of  patients  with  adult
growth hormone deficiency (AGHD).

On  January  16,  2018,  the  Company,  through  AEZS  Germany,  entered  into  the  License  and  Assignment  Agreement  to  carry  out  development,
manufacturing,  registration,  regulatory  and  supply  chain  services  for  the  commercialization  of  Macrilen™  (macimorelin)  in  the  U.S.  and  Canada  as
further described below.

In the August 2018, Volume 103, Issue 8 edition of The Journal of Clinical Endocrinology and Metabolism, the pivotal Phase 3 data from the
macimorelin confirmatory trial was published by Jose M. Garcia, MD, PhD, et al., titled ‘Macimorelin as a Diagnostic Test for Adult GH Deficiency’.

On November 19, 2018, we announced the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA)
adopted a positive opinion recommending a marketing authorization for macimorelin.

On January 16, 2019, the Company announced that the EMA has granted marketing authorization for macimorelin.

Macrilen™ (macimorelin) License and Assignment Agreement

On  January  16,  2018,  the  Company,  through  AEZS  Germany,  entered  into  the  License  and  Assignment  Agreement  with  Strongbridge  Ireland  Limited
("Strongbridge")  to  carry  out  development,  manufacturing,  registration,  regulatory  and  supply  chain  services  for  the  commercialization  of  Macrilen™
(macimorelin) in the U.S. and Canada. This agreement provides (i) for the "right to use" license relating to the Adult Indication; (ii) for the right to acquire a
license for the Pediatric Indication if and when the FDA approves a pediatric indication; (iii) that the licensee is to fund 70% of the costs of a pediatric clinical
trial  submitted  for  approval  to  the  EMA  and  FDA  (the  "PIP")  to  be  run  by  the  Company  with  customary  oversight  from  a  joint  steering  committee  (the
"JSC"); and (iv) the Interim Supply Arrangement.

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Effective  December  19,  2018,  Strongbridge  sold  the  United  States  and  Canadian  rights  to  Macrilen™  (macimorelin)  under  the  License  and  Assignment
Agreement  to  Novo  for  a  payment  plus  tiered  royalties  on  net  sales  and  Novo  will  fund  Strongbridge's  Macrilen™(macimorelin)  field  organization  as  a
contract field force to promote the product in the United States for up to three years.

(i) Adult Indication

Under the terms of the License and Assignment Agreement, and for as long as Macrilen™ (macimorelin) is patent-protected, the Company will be entitled to
a 15% royalty on annual net sales up to $75.0 million and an 18% royalty on annual net sales above $75.0 million. Following the end of patent protection in
United States or Canada for Macrilen™ (macimorelin), the Company is entitled to a 5% royalty on net sales in that country. In addition, the Company will
receive one-time payments ranging from $4.0 million to $100.0 million upon the achievement of commercial milestones going from $25.0 million annual net
sales up to $500.0 million annual net sales.

In January 2018, the Company received a cash payment of $24.0 million from Strongbridge and on July 23, 2018, Strongbridge launched product sales of
Macrilen™ (macimorelin) in the United States.

(ii) Pediatric Indication

Upon  approval  by  the  FDA  of  a  pediatric  indication  for  Macrilen™  (macimorelin),  the  Company  will  receive  a  one-time  milestone  payment  from
Strongbridge of $5.0 million.

(iii) PIP study

We have initiated an open label, single dose trial to investigate the pharmacokinetics, pharmacodynamics, safety and tolerability of macimorelin in pediatric
patients  from  two  to  less  than  18  years  of  age  with  suspected  growth  hormone  deficiency  ("GHD").  Under  the  terms  of  the  License  and  Assignment
Agreement, the licensee will pay 70% and the Company will pay the remaining 30% of the research and development costs associate with the PIP. During
2018, the Company invoiced Strongbridge $358,000 as its share of the costs incurred by the Company under the PIP; such amounts have been collected in
full.

(iv) Interim supply arrangement

The  Company  has  agreed  to  supply  ingredients  for  the  manufacture  of  Macrilen™  (macimorelin)  during  an  interim  period  at  a  price  that  is  set  ‘at  cost’,
without  any  profit  margin.  During  2018,  the  Company  invoiced  $2,108,000  and  has  received  payment  in  full  of  these  invoices  under  an  interim  supply
agreement.

Rest of world commercialization of macimorelin

On January 16, 2019, we announced that the EMA had granted marketing authorization for macimorelin for the diagnosis of AGHD. AGHD may occur in an
adult patient who has a history of childhood onset GHD or may occur during adulthood as an acquired condition. Considering a population of 510 million for
the European Union, research based on incidence prevalence suggests that at least 35,000 adults could be afflicted with GHD. This milestone marks a key
development  in  our  European  commercialization  strategy  and  we  are  in  discussions  with  a  variety  of  companies  regarding  licensing  and/or  distribution
opportunities in the rest of the world.

Monetization of non-strategic assets

Other pipeline prospects for the Company include preclinical work done on AEZS-120, a prostate cancer vaccine, discovery research for ERK-inhibitors for
Oncology indications; and discovery research conducted at the Medical University of South Carolina on Compound Library as well as other research and
clinical development projects that have been undertaken by our German subsidiary.

2017 and earlier - 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.

On  January  30,  2017,  we  announced  the  completion  of  the  clinical  phase  of  the  pivotal  Phase  3  ZoptEC  (Zoptarelin  Doxorubicin  in  Endometrial  Cancer)
study with the occurrence of the 384th death.

25

On  May  1,  2017,  we  announced  that  the  ZoptEC  pivotal  Phase  3  clinical  study  of  Zoptrex™  (zoptarelin  doxorubicin)  in  women  with  locally  advanced,
recurrent or metastatic endometrial cancer did not achieve its primary endpoint of demonstrating a statistically significant increase in the median period of
overall  survival  of  patients  treated  with  Zoptrex™  (zoptarelin  doxorubicin)  as  compared  to  patients  treated  with  doxorubicin  and  we  discontinued  its
development.  Similarly,  we  discontinued  the  development  of  AEZS-138/Disorazol  Z,  as  it  was  based  on  the  same  concept  as  Zoptrex™  (zoptarelin
doxorubicin).

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.

We do not anticipate significant revenues from the Sinopharm License Agreement in the future other than the amortization of the remaining deferred revenue.

Other

Our commercial operations were significantly reduced in the fourth quarter of 2017. We eliminated our contract sales team in its entirety, as well as remaining
sales  management  in  November  2017,  in  accordance  with  the  terms  of  our  agreement  with  inVentiv  Commercial  Services,  LLC,  an  affiliate  of  inVentiv
Health, Inc. ("inVentiv"), a contract-sales organization. Our agreement with inVentiv commenced in November 2014.

Pursuant  to  termination  of  the  inVentiv  agreement,  we  ended  our  co-promotion  with  EMD  Serono,  Inc.  ("EMD  Serono")  and  Armune  BioScience,  Inc.
("Armune").

Until September 1, 2016, we co-promoted a product, EstroGel®, and until termination of our sales team in November 2017, the inVentiv sales force promoted
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 promoted Saizen® pursuant to our promotional services agreement (the “EMD Serono Agreement”) with EMD Serono Inc. which we entered into in May
2015 and amended as of December 31, 2016. The EMD Serono Agreement, as amended, provided that we were to promote Saizen® in specific agreed-upon
U.S.  territories  to  adult  and  pediatric  endocrinologists  in  exchange  for  a  sales  commission  that  was  based  upon  new  patient  starts  of  the  product.  The
agreement was terminated in accordance with its terms in December 2017.

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, 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, which allowed us to exclusively promote APIFINY® throughout the entire United States. We received a commission for each
test performed resulting from our targeted promotion without regard to any established baseline. The Armune Agreement, as amended, had a three-year term
that renewed automatically for successive one-year periods. The parties agreed in January 2018 that the Armune Agreement was terminated.

Geographic Areas

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 25 (Segment information) to our consolidated financial statements included in this Annual Report on Form 20-F at Item 18.

Seasonality

As a specialty biopharmaceutical company, the Company does not consider any of its products or services to be seasonal.

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 or our licensees 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.

26

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 is 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.

27

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 Macrilen™ (macimorelin) 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.

28

• 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  U.  S.,  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 4 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  3.D.  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.

29

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.

Macrilen™ (macimorelin):

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  Germany,  as  licensee.  Macrilen™  is  the  approved  marketing  name  for  macimorelin  as  licensed  under  the  License  and  Assignment
Agreement for commercialization in the U.S. and Canada, only.

The following patents and patent applications relate to macimorelin:

•

•

•

•

•

•

•

•

U.S. patent 6,861,409 covers macimorelin 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  macimorelin  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 macimorelin 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 macimorelin 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 macimorelin 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 macimorelin. 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 macimorelin. This patent
expires in February 2027.

U.S. provisional patent applications Serial No. 62/607,866 was filed on December 19, 2017 and Serial No. 62/609,059 was filed on December 21, 2017.
Both  are  identical  and  are  directed  to  a  method  of  assessing  growth  hormone  deficiency  comprising  oral  administration  of  a  macimorelin  containing
composition and collecting one or two post-administration samples.    

30

•

•

A non-provisional U.S. application was filed on May 30, 2018 drawing the priority of both provisional applications. The US-PTO issued a Notice of
Allowance on January 09, 2019. If granted, a patent would presumably expire December 19, 2037.    

A PCT application was filed December 18, 2018 drawing the priority of both provisional U.S. applications. In addition to the method of assessing growth
hormone deficiency comprising oral administration of a macimorelin containing composition and collecting one or two post-administration samples, the
PCT application also covers a similar method of assessing growth hormone deficiency using 3 post-administration samples.

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 Germany, 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 licensed
patents. 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 licensed patents, 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.

All patents covered by the Tulane Agreement expired by 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. As a consequence of the negative Phase 3 ZoptEC
study received in April 2017, we ceased further Zoptrex™ development and intellectual property filings.

Disorazol Z - LHRH conjugates (AEZS-138):

We own a number of patents that relate to our Disorazol Z - LHRH conjugates. As a consequence of the negative Phase III ZoptEC study received in April
2017, we ceased further Disorazol Z - LHRH conjugate development and intellectual property filings.

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, 2018 is depicted in the chart set forth under the caption "Item 4.A. History and development of the Company".

31

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 and our largest office is located in Frankfurt, Germany. We do not own any real property. The following table sets forth information with
respect to our main facilities as at December 31, 2018.

Location

Use of space

Square Footage

Type of interest

315 Sigma Drive, Summerville SC
29486

Occupied for management, administration, commercial
operations and business development

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

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

300

Leasehold

36,168

Leasehold

We believe that our current facilities are adequate to meet our ongoing needs and that, if we require additional space, we will be able to obtain additional
facilities on commercially reasonable terms.

Item 4A

Unresolved Staff Comments

Not required.

Item 5.

Operating and Financial Review and Prospects

Key Developments

Macrilen™ (macimorelin) license agreement

Macrilen™ (macimorelin), a ghrelin receptor agonist, is a novel orally-active small molecule that stimulates the secretion of growth hormone. The FDA has
granted marketing approval for Macrilen™ (macimorelin) to be used in the diagnosis of AGHD.

On January 16, 2018, the Company, through AEZS Germany, entered into the License and Assignment Agreement to carry out development, manufacturing,
registration, regulatory and supply chain services for the commercialization of Macrilen™ (macimorelin) in the United States and Canada. This agreement
provides (i) for the "right to use" license relating to the Adult Indication; (ii) for the right to acquire a license for the Pediatric Indication if and when the FDA
approves a pediatric indication; (iii) that the licensee is to fund 70% of the costs of a pediatric clinical trial submitted for approval to the EMA and FDA (the
"PIP") to be run by the Company with customary oversight from a joint steering committee (the "JSC"); and (iv) for the Interim Supply Arrangement.

(i) Adult Indication

Under the terms of the License and Assignment Agreement, and for as long as Macrilen™ (macimorelin) is patent-protected, the Company will be entitled to
a 15% royalty on annual net sales up to $75.0 million and an 18% royalty on annual net sales above $75.0 million. Following the end of patent protection in
United States or Canada for Macrilen™ (macimorelin), the Company is entitled to a 5% royalty on net sales in that country. In addition, the Company will
receive one-time payments ranging from $4.0 million to $100.0 million upon the achievement of commercial milestones going from $25.0 million annual net
sales up to $500.0 million annual net sales.

In January 2018, the Company received a cash payment of $24.0 million from Strongbridge and on July 23, 2018, Strongbridge launched product sales of
Macrilen™ (macimorelin) in the United States.

(ii) Pediatric Indication

Upon  approval  by  the  FDA  of  a  pediatric  indication  for  Macrilen™  (macimorelin),  the  Company  will  receive  a  one-time  milestone  payment  from
Strongbridge of $5.0 million.

(iii) PIP study

We have initiated an open label, single dose trial to investigate the pharmacokinetics, pharmacodynamics, safety and tolerability of macimorelin in pediatric
patients from two to less than 18 years of age with suspected GHD. Under the terms of the License and Assignment Agreement, the licensee will pay 70%
and the Company will pay the remaining 30% of the research and

32

 
 
 
 
 
 
 
 
 
development costs associate with the PIP. During 2018, the Company invoiced Strongbridge $358,000 as its share of the costs incurred by the Company under
the PIP; such amounts have been collected in full.

(iv) Interim supply arrangement

The  Company  has  agreed  to  supply  ingredients  for  the  manufacture  of  Macrilen™  (macimorelin)  during  an  interim  period  at  a  price  that  is  set  ‘at  cost’,
without  any  profit  margin.  During  2018,  the  Company  invoiced  $2,108,000  and  has  received  payment  in  full  of  these  invoices  under  an  interim  supply
agreement.

Novo Nordisk purchase of Strongbridge License Agreement

Effective December 19, 2018, Strongbridge sold the United States and Canadian rights to Macrilen™ under the License and Assignment Agreement to Novo
and Novo will fund Strongbridge's Macrilen™ (macimorelin) field organization as a contract field force to promote the product in the United States for up to
three years.

Rest of world commercialization of macimorelin

On January 16, 2019, we announced that the European Medicines Agency ("EMA") had granted marketing authorization for macimorelin for the diagnosis of
AGHD.  AGHD  may  occur  in  an  adult  patient  who  has  a  history  of  childhood  onset  GHD  or  may  occur  during  adulthood  as  an  acquired  condition.
Considering a population of 510 million for the European Community, research based on incidence prevalence suggests that at least 35,000 adults could be
afflicted  with  GHD.  This  milestone  marks  a  key  development  in  our  European  commercialization  strategy  and  we  are  in  discussions  with  a  variety  of
companies regarding licensing and/or distribution opportunities in the rest of world (“ROW”).

Monetization of non-strategic assets

On  May  1,  2017,  we  announced  that  the  ZoptEC  pivotal  Phase  3  clinical  study  of  Zoptrex™  (zoptarelin  doxorubicin)  in  women  with  locally  advanced,
recurrent or metastatic endometrial cancer did not achieve its primary endpoint of demonstrating a statistically significant increase in the median period of
overall  survival  of  patients  treated  with  Zoptrex™  (zoptarelin  doxorubicin)  as  compared  to  patients  treated  with  doxorubicin,  and  we  discontinued  its
development.  Similarly,  we  discontinued  the  development  of  AEZS-138/Disorazol  Z,  as  it  was  based  on  the  same  concept  as  Zoptrex™  (zoptarelin
doxorubicin).

Other pipeline prospects for the Company include preclinical work done on AEZS-120, a prostate cancer vaccine, discovery research for ERK-inhibitors for
Oncology indications; and discovery research conducted at the Medical University of South Carolina on Compound Library as well as other research and
clinical development projects which have been undertaken by our German subsidiary.

Commercial Operations

Our commercial operations were significantly reduced in the fourth quarter of 2017. We eliminated our contract sales team in its entirety, as well as remaining
sales  management  in  November  2017,  in  accordance  with  the  terms  of  our  agreement  with  inVentiv  Commercial  Services,  LLC,  an  affiliate  of  inVentiv
Health, Inc. ("inVentiv"), a contract-sales organization.

Pursuant to termination of the inVentiv agreement, we ended our co-promotion with EMD Serono, Inc. and Armune BioScience, Inc.

Until termination of our sales team in November 2017, the inVentiv sales force promoted two products during 2017:

Saizen® [somatropin (rDNA origin) for injection] is a prescription medicine indicated for the treatment of growth hormone deficiency in children and adults.
We promoted Saizen® pursuant to our promotional services agreement (the "EMD Serono Agreement") with EMD Serono, which we entered into in May
2015 and amended as of December 31, 2016. The EMD Serono Agreement, as amended, provided that we were to promote Saizen® in specific agreed-upon
U.S.  territories  to  adult  and  pediatric  endocrinologists  in  exchange  for  a  sales  commission  that  was  based  upon  new  patient  starts  of  the  product.  The
agreement was terminated in accordance with its terms on December, 13 2017.

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, which allowed us to exclusively promote APIFINY® throughout the entire United States. We
received a commission for each test performed resulting from our targeted promotion without regard to any established baseline. The Armune Agreement, as
amended, had a three-year term that renewed automatically for successive one-year periods. The parties agreed in January 2018 that the Armune Agreement
was terminated.

33

Leadership

On May 8, 2018, the following individuals were elected to the Board of Directors: Carolyn Egbert, Michael Cardiff, Juergen Ernst, Gerard Limoges, Dr. Brent
Norton, Jonathan Pollack, and Robin Smith Hoke. On September 25, 2018, we announced the appointment of Leslie Auld as Senior Vice President, Chief
Financial Officer. On March 26, 2019, the Company announced that Mr. Cardiff has resigned from the board of directors for personal reasons.

Special Committee

On March 12, 2019, the Company announced that its board of directors has formed a special committee of independent directors (the "Special Committee") to
review  strategic  options  available  to  the  Company.  The  Special  Committee  has  approved  the  engagement  by  the  Company  of  a  financial  advisor  that  is
working with management to assist the Special Committee and the board of directors in considering a wide range of transactions (including opportunities for
the license of Macrilen outside of the United States and Canada, or other monetization transactions relating to Macrilen. Management has evaluated whether
material uncertainties exist relating to events or conditions as described in Note 4 of our Financial Statements included in this Form 20-F, and has considered
the following in making that critical judgment.

The  Company’s  current  operating  budget  and  cash  flows  from  operating  activities  in  2019  are  expected  to  decline  compared  with  2018,  however,  the
Company  believes  it  will  continue  to  generate  growth  in  its  royalty  income,  which,  when  combined  with  its  forecasted  cash  and  cash  equivalents,  the
Company believes will provide liquidity that is in excess of its costs for at least, but not limited to, twelve months from the date of approval of these financial
statements.

Contingencies

Securities class action litigation

The Company and certain of its current and former officers are defendants in a class-action lawsuit pending in the U.S. District Court for the District of New
Jersey, brought on behalf of shareholders of the Company. The lawsuit alleges 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™ (macimorelin) and the prospects for the approval of the Company's New Drug Application for the product by the FDA. The plaintiffs
represent a class comprised of purchasers of the Company's common shares during the Class Period and seek damages, costs and expenses and such other
relief as determined by the Court. The Company considers the claims that have been asserted in the lawsuit to be without merit and is vigorously defending
against them.  The Company cannot, however, predict at this time the outcome or potential losses, if any, with respect to this lawsuit.

Other litigation

In late July 2017, the Company terminated for cause the employment agreement of Mr. David A. Dodd, the former President and Chief Executive Officer and
it also terminated the employment of Mr. Philip A. Theodore, the former Senior Vice President, Chief Administrative Officer, General Counsel and Corporate
Secretary. On August 3, 2017, the Company filed a lawsuit against both Messrs. Dodd and Theodore for damages suffered by the Company for breach of
confidence  and/or  breach  of  fiduciary  duty  in  an  amount  to  be  determined  prior  to  trial.  On  December  21,  2017,  Messrs.  Dodd  and  Theodore  brought  a
counterclaim against the Company and its Chair, Carolyn Egbert, in the amount of CAN$6.0 million alleging, among other things, that defamatory statements
were made against Messrs. Dodd and Theodore. On December 21, 2018, the matter was amicably resolved with the Company making a payment to Mr. Dodd
in the amount of $775,000. The parties consider their contractual relationship as having been terminated.

Cogas  Consulting,  LLC  ("Cogas")  filed  a  lawsuit  against  the  Company  in  state  court  in  Fulton  County,  Georgia  on  February  2,  2018.  The  lawsuit  was
removed to federal court in Georgia.  In the lawsuit, Cogas alleged that its employee (and sole shareholder) John Sharkey was entitled to a "success fee"
commission on the Strongbridge License Agreement.  Cogas was claiming damages in the form of a lost commission on the transaction.  Cogas claims its
commission  is  5%  on  payments  the  Company  receives  within  the  first  three  years  after  January  14,  2018  including  5%  of  the  $24.0  million  Strongbridge
already paid the Company, plus 5% of any royalty Strongbridge pays the Company through January 17, 2021. On November 5, 2018, the matter was amicably
resolved with the Company making a payment to Cogas in the amount of $625,000. The parties now consider their contractual relationship as having been
terminated.

34

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,

2018

$

2017

$

2018

$

2017

$

2016

$

Revenues

License fees

Product sales

Royalty income

Sales commission and other

Cost of sales

Gross income

Operating expenses

Research and development costs

General and administrative expenses

Selling expenses

Income (loss) from operations

Settlements

Gain (loss) due to changes in foreign currency exchange rates

Change in fair value of warrant liability

Other finance income

Net finance income (costs)

Income (loss) before income taxes

Income tax recovery (expense)

Net income (loss)

Other comprehensive income (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 income (loss)

Basic Net income (loss) per share

Diluted Net income (loss) per share

(332)  

1,446  

184  

94  

1,392  

1,413  

(21)  

767  

1,665  

588  

3,020  

(3,041)  

(1,400)  

64  

(1,489)  

104  

(1,321)  

(5,762)  

636  

(5,126)  

119  

—  

—  

59  

178  

—  

178  

526  

2,778  

452  

3,756  

(3,578)  

—  

72  

(478)  

21  

(385)  

(3,963)  

3,479  

(484)  

24,325  

2,167  

184  

205  

26,881  

2,104  

24,777  

2,932  

8,894  

3,109  

14,935  

9,842  

(1,400)  

656  

263  

278  

1,197  

9,639  

(5,452)  

4,187  

458  

—  

—  

465  

923  

—  

923  

10,704  

8,198  

5,095  

23,997  

(23,074)  

—  

502  

2,222  

75  

2,799  

(20,275)  

3,479  

(16,796)  

497

—

—

414

911

—

911

16,495

7,147

6,745

30,387

(29,476)

—

(70)

4,437

150

4,517

(24,959)

—

(24,959)

(13)  

(238)  

(260)  

(1,430)  

569

(418)  

(5,557)  

(0.31)  

(0.31)  

59  

(663)  

(0.03)  

(0.03)  

193  

4,120  

0.25  

0.24  

694  

(17,532)  

(1.12)  

(1.12)  

(1,479)

(25,869)

(2.41)

(2.41)

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.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
 
   
   
   
   
   
 
 
 
 
2018 compared with 2017

Fourth Quarter

Revenues

Our  total  revenue  for  the  three-month  period  ended  December  31,  2018  was  $1.4  million  as  compared  with  $0.2  million  for  the  same  period  in  2017,
representing an increase of $1.2 million. The 2018 revenue comprised the net impact of $1.4 million in product sales less the $0.2 million reclassification of
the $24.0 million license revenue associated with the Pediatric Indication, to the consolidated statements of financial position. For the same period in 2017,
total revenue was comprised of $0.1 million in license fees and $0.1 million in sales commission and other. The increase in product sales in the fourth quarter
of 2018 arises from the sale of Macrilen™ (macimorelin) inventory to our licensee for sale in the United States.

Cost of sales

Our total cost of goods sold for the three-month period ended December 31, 2018 was $1.4 million as compared with nil for the same period in 2017. The
2018 balance reflects the cost of Macrilen™ (macimorelin) inventory sold under an interim supply agreement to our licensee for future sales in the United
States.

Operating expenses

Our total operating expenses for the three-month period ended December 31, 2018 was $3.0 million as compared with $3.8 million for the same period in
2017, representing a decrease of $0.8 million. This net decline arises primarily from a $1.1 million decrease in general and administration expenses, offset by
a $0.2 million increase in research and development costs and a $0.1 million increase in selling expenses. These increases are in-line with the expected impact
of the roll-out of our PIP study beginning in the third quarter of 2018.

Settlements

In the three-month period ended December 31, 2018, $1.4 million was classified as settlements as compared with nil in the same period in 2017. These were
costs to settle a lawsuit against the Company from two of its former executives and former sales agent.

Net finance costs

Our  net  finance  loss  for  the  three-month  period  ended  December  31,  2018  was  $1.3 million,  as  compared  to  $0.4  million  for  the  same  period  in  2017,
representing an increase of $0.9 million. The increase in net finance costs is primarily due to the change in fair value of warrant liability. Such change in fair
value results from the periodic "mark-to-market" revaluation, via the application of pricing models, of outstanding share purchase warrants. The closing price
of our common shares, which, on the NASDAQ, fluctuated from $1.19 to $3.87 during the twelve-month period ended December  31,  2018,  compared  to
$2.67 to $2.70 during the same period in 2017, also had a direct impact on the change in fair value of warrant liability.

Net loss

For the three-month period ended December 31, 2018, we reported a consolidated net loss of $5.1 million, or $0.31 loss per common share, as compared with
a consolidated net loss of $0.5 million, or $0.03 loss per common share, for the three-month period ended December 31, 2017. The $4.6 million increase in
net loss, as compared with 2017, results primarily from a $2.8 million in tax expense, $1.4 million increase in cost of goods, $0.9 million increase in finance
costs and $1.4 million increase in settlements, offset by $1.2 million increase in total revenues. In the fourth quarter of 2018, unlike in 2017, we earned $0.2
million  in  royalty  income  from  our  licensee,  expensed  $1.4  million  in  settlement  costs  and  had  actively  begun  the  EMA  and  FDA  pediatric  study  for
Macrilen™ (macimorelin).

Fiscal Year-End

Revenues

Our  total  revenue  for  the  year  ended  December  31,  2018  was  $26.9  million  as  compared  with  $0.9  million  for  the  same  period  in  2017,  representing  an
increase of $26.0 million. The 2018 revenue comprised $24.3 million in license revenue, $2.2 million in product sales and $0.2 million in royalty income and
$0.2 million in sales commissions as compared with $0.4 million in license fee and $0.5 million in sales commission in 2017. The increase in total revenue in
2018  relates  to  license  fees  and  product  sales  associated  with  executing  the  License  and  Assignment  Agreement  signed  for  Macrilen™  (macimorelin)  in
January 2018.

36

Cost of sales

Our total cost of goods sold for the year ended December 31, 2018 was $2.1 million as compared with nil for the same period in 2017, reflecting the sale of
Macrilen™ (macimorelin) inventory pursuant to an interim supply agreement under the License and Assignment Agreement.

Operating expenses

Our  total  operating  expenses  for  the  year  ended  December  31,  2018  was  $14.9  million  as  compared  with  $24.0  million  for  the  same  period  in  2017,
representing a decline of $9.1 million. This was primarily due to a $7.8 million decrease in research and development costs and a $2.0 million decrease in
selling expenses, offset by $0.7 million increase in general and administration expenses.

Research and development
In 2018, our focus was on our pediatric clinical trial submitted for approval to the EMA and FDA (the "PIP study") for Macrilen™ (macimorelin), for which
we received $0.4 million from our licensee for their share of such costs. This study was initiated in the third quarter of 2018 with active screening of patients
beginning in early 2019.

In 2017, we spent $2.5 million on third-party costs associated with the ZoptEC pivotal Phase 3 clinical study of Zoptrex™ (zoptarelin doxorubicin) and $1.2
million on Macrilen™ (macimorelin) third-party costs. In addition, we recorded $2.6 million in severance accruals and other directly related costs and an
onerous  lease  provision  related  to  the  2017  German  Restructuring.  This  restructuring  resulted  from  the  May  2017  announcement  that  the  ZoptEC  pivotal
Phase 3 clinical study of Zoptrex™ (zoptarelin doxorubicin) did not achieve its primary endpoint of demonstrating a statistically significant increase in the
median period of overall survival of patients treated with Zoptrex™ (zoptarelin doxorubicin) as compared to patients treated with doxorubicin.

General and administrative expenses
These  costs  were  higher  in  2018  than  expected  as  we  incurred  significant  legal  costs  in  the  course  of  reaching  settlement  agreements  for  $1.4  million,  as
previously discussed in Contingencies Other litigation.

Selling expenses
These costs are in-line with expectations and lower in 2018 than in 2017 due to the Q1 2018 termination of our North American sales team and their co-
promotion activities as we shifted our focus to the commercialization of Macrilen™ (macimorelin) in markets in the rest of the world.

Settlements

In 2018, $1.4 million was expensed for settlements as compared with nil in the same period in 2017. These were costs to settle a two lawsuits against the
Company from two of its former executives and from its former sales agent.

Net finance income

Our net finance income for the year ended December 31, 2018 was $1.2 million, as compared to $2.8 million for the same period in 2017, representing a
decrease of $1.6 million. The decline in net finance income is primarily due to the change in fair value of our warrant liability. Such change in fair value
results from the periodic "mark-to-market" revaluation via the application of pricing models to our outstanding share purchase warrants. The closing price of
our common shares, which, on the NASDAQ, fluctuated from $1.19 to $3.87 during the twelve-month period ended December 31, 2018, compared to $2.67
to $2.70 during the same period in 2017, also had a direct impact on the change in fair value of warrant liability.

Net Income

For the year ended December 31, 2018, we reported a consolidated net income of $4.2 million, or $0.25 per common share, as compared with a consolidated
net loss of $16.8 million, or $1.12 loss per common share, for the year ended December 31, 2017. The $21.0 million improvement in results, as compared
with 2017, arose primarily from a $23.9 million increase in gross profit and $9.1 million reduction in operating expenses, offset by $8.9 million movement in
income taxes from recovery to (expense) and $1.6 million decrease in net finance income.

2017 compared to 2016

Revenues

37

Sales commission and other were $0.1 million and $0.5 million for the three and twelve months ended December 31, 2017 and $0.1 million and $0.4 million
for the same periods in 2016, and thus increased in 2017 as compared to 2016. In 2017, 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 2016, sales commission and other revenues were mainly related to EstroGel®.

License fees were $0.1 million and $0.5 million for the three and twelve months ended December 31, 2017, as compared to $0.2 million and $0.5 million for
the same periods in 2016. The Company has deferred revenues at December 31, 2017 of $541,000 relating to non-refundable upfront payments it previously
received for licensing and technology transfer arrangements that it entered into with respect to the development of Zoptrex™ in various territories. Due to
events that occurred in 2018, the Company does not anticipate development of Zoptrex™ under the licensing agreements, therefore the Company's remaining
carrying amount of deferred revenues was recognized in the first quarter of 2018 as income.

Operating Expenses

R&D costs were $0.5 million and $10.7 million for the three and twelve months ended December 31, 2017, compared to $4.6 million and $16.5 million for
the same periods in 2016. R&D costs decreased for the three-month and twelve-month periods ended December 31, 2017 as compared to the same period in
2016. The decrease in R&D costs is mainly attributable to lower comparative third-party costs, as described below, partially offset by the recording, in the
third quarter of 2017, of a provision in connection with the 2017 German Restructuring.

Additionally, the decrease in our R&D costs for the twelve months ended December 31, 2017, as compared to the same period in 2016, 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,
2017 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.

A  substantial  portion  of  the  R&D  costs  relates  to  development  initiatives  associated  with  Zoptrex™,  and  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, 2017, as
compared to the same period in 2016, mainly since we completed the clinical portion of the ZoptEC trial during the first quarter of 2017 which was partially
offset by the additional liability recognized following the negative ZoptrexTM top-line results.

Third-party costs attributable to Zoptrex™ decreased during the three and twelve months ended December 31, 2017, as compared
to the same period in 2016, mainly since we closed out the study and related activities in the second quarter following the negative
ZoptrexTM top-line results on May 1, 2017. The negative costs for the three-month period ended December 31, 2017 are mainly
explained by lower close out costs as compared to the accrual made in the second quarter.

Third-party costs attributable to Macrilen™ (macimorelin) decreased during the three and twelve months ended December 31, 2017, as compared to the same
period in 2016. This is mainly since we completed the Phase 3 clinical trial at the end of 2016. The costs incurred in 2017 related to the detailed analysis of
the top-line results as well as the preparation of the NDA filing which
was submitted on June 30, 2017. The costs reversal in the fourth quarter of 2017 are explained mainly by the reductions to close
out costs.

G&A expenses were $2.8 million and $8.2 million for both the three and twelve-month periods ended December 31, 2017, as compared to $1.8 million and
$7.1 million for the same periods in 2016. The increase in our G&A costs for the three and twelve months ended December 31, 2017, as compared to the
same period in 2016, is mainly due to outside legal costs.

Selling expenses were $0.5 million and $5.1 million for the three and twelve months ended December 31, 2017, as compared to $1.5 million and $6.7 million
for the same periods in 2016. Selling expenses for the three and twelve months ended December 31, 2017 and 2016 represent mainly the costs of our sales
force related to the co-promotion activities as well as our sales management
team. The decrease in selling expenses is explained by the elimination of sales representatives. In the fourth quarter, we eliminated
all sales representatives as part of the restructuring efforts.

Net finance income (costs) was $(0.4) million and $2.8 million for the three and twelve months ended December 31, 2017, as compared to $(0.6) million and
$4.5 million, for the same periods in 2016. The decrease in finance income is mainly attributable

38

to the change in fair value of warrant liability. Such change in fair value results from the periodic "mark-to-market" revaluation, via the application of pricing
models, of outstanding share purchase warrants. The closing price of our common shares, which, on the NASDAQ, fluctuated from $0.84 to $3.65 during the
twelve-month period ended December 31, 2017, compared to $2.67 to $4.94 during the same period in 2016, also had a direct impact on the change in fair
value of warrant liability.

Net loss for the three and twelve months ended December 31, 2017 was $0.5 million and $16.8 million (or $0.03 and $1.12 per share), as compared to a net
loss of $8.2 million and $25.0 million (or $0.71 and $2.41 per share) for the same periods in 2016. The decrease in net loss for the three-month period ended
December  31,  2017  is  a  result  of  the  reduction  in  third  party  R&D  costs.  The  reduction  is  attributed  to  closing  out  the  Zoptrex  study  and  successful
completion in the U.S. of the Macrilen™ (macimorelin) filing.

Selected quarterly financial data

(in thousands, except for per share data)

Revenues

Net income (loss)

Net income (loss) per share [basic]

Net income (loss) per share [diluted]

  December 31, 2018   September 30, 2018  

June 30, 2018

  March 31, 2018

Three months ended

$

$

$

1,392  

(5,126)  

(0.31)  

(0.31)  

663  

(2,509)  

(0.15)  

(0.15)  

168  

(2,602)  

(0.16)  

(0.16)  

$

24,658

14,424

0.88

0.87

(in thousands, except for per share data)

Three months ended

Revenues

Net loss

Net loss per share [basic and diluted]

_________________________

  December 31, 2017   September 30, 2017  

June 30, 2017

  March 31, 2017

$

$

$

178  

(484)  

(0.03)  

241  

(9,631)  

(0.61)  

243  

(2,550)  

(0.18)  

$

261

(4,131)

(0.31)

*    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, 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  many  factors  that  often  do  not  occur  on  a  linear  or  predictable  basis. Our  selling
expenses have been consistent but can also vary on a quarter-over-quarter basis due to the ramping up of pre-commercialization activities associated with
Macrilen™ (macimorelin).

39

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Condensed Consolidated Statement of Financial Position Information

(in thousands)

Cash and cash equivalents

Trade and other receivables and other current assets

Restricted cash equivalents

Inventory

Property, plant and equipment

Deferred tax assets

Other non-current assets

Total assets

Payables and accrued liabilities and income taxes payable

Current portion of provision for restructuring and other costs

Current portion of deferred revenues

Warrant liability

Non-financial non-current liabilities (1)

Total liabilities

Shareholders' equity (deficiency)

Total liabilities and shareholders' equity

_________________________

December 31,

2018

$

2017

$

14,512  

1,504  

418  

240  

65  

—  

8,272  

25,011  

4,635  

887  

74  

3,634  

13,874  

23,104  

1,907  

25,011  

7,780

1,047

381

554

101

3,479

8,853

22,195

2,814

2,469

486

3,897

15,312

24,978

(2,783)

22,195

1. Comprised mainly of employee future benefits, provisions for restructuring and other costs and non-current portion of deferred revenues.

The increase in cash and cash equivalents as at December 31, 2018, as compared to December 31, 2017, is due to the receipt of $24.0 million as the payment
from the execution of the License and Assignment Agreement.

The  increase  in  payables  and  other  current  liabilities  is  mainly  attributable  to  taxes  payable  owing  for  the  payments  received  from  our
MacrilenTM(macemorelin) licensee in 2018.

The decrease in non-financial non-current liabilities from December 31, 2017 to December 31, 2018 is primarily due to the decline in future obligations with
employee future benefits and our restructuring and other costs.

The improvement in shareholders' equity (deficiency) as at December 31, 2018, as compared to December 31, 2017, is attributable to the net income of $4.2
million earned in 2018 as compared with the net loss of $(16.8) million in 2017.

Outstanding Share Data

As at March 29, 2019 we  had  16,440,760,Common  Shares  issued  and  outstanding,  as  well  as 888,816  US  dollar-denominated  awards  (including  deferred
share units and stock options) and 869 Canadian dollar-denominated stock options, outstanding. Share purchase warrants outstanding as at March 29, 2019
represented a total of 3,391,844 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 5 to the Company's December 31, 2018 consolidated financial statements which are included in Item 18 of this Annual Report
on Form 20-F.

B.

Liquidity, Cash Flows and Capital Resources

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
40

Our operations and capital expenditures have been generally been financed through certain transactions impacting our cash flows from operating activities,
public equity offerings and issuances under various ATM programs. In 2018, we are investing the $24.0 million up front payment received from Strongbridge
to fund operations and capital expenditures.

Since inception, we have incurred significant expenses in its efforts to develop and commercialize products. Consequently, we have incurred operating losses
and negative cash flow from operations historically and in each of the last several years except for the year ended December 31, 2018 when the Company
earned revenue from the sale of a license for the adult indication of MacrilenTM (macimorelin) in the United States and Canada. As at December 31, 2018, we
had an accumulated deficit of $310 million.

We have $14,512 of cash and cash equivalents as at December 31, 2018, and management believes it has sufficient liquidity to meet its current obligations
and continue its planned level of expenses for at least, but not limited to the next twelve months after the date of the issuance of this Annual Report on Form
20-F.  We  are  focused  on  managing  our  operating  expenses,  and  have  the  discretion  to  limit  research  and  development  costs,  administrative  expenses  and
capital  expenditures  in  order  to  maintain  our  liquidity,  until  such  time  that  additional  sources  of  funding  can  be  obtained.  Our  principal  focus  is  on  the
licensing and development of MacrilenTM (macimorelin) and we currently do not have any other approved product.

As  described  above  under  “Special  Committee,”  our  current  operating  budget  and  cash  flows  from  operating  activities  in  2019  are  expected  to  decline
compared with 2018, however, we believe we will experience an increase in our royalty income, which, when combined with our forecasted cash flows, will
provide sufficient liquidity to finance operations and meet our commitments for at least, but not limited to, twelve months from the date of issuance of this
Annual Report on Form 20-F.

License and Assignment Agreement

On January 16, 2018, the Company entered into the License and Assignment Arrangement.

(i) Adult Indication

Under the terms of the license agreement, and for as long as Macrilen™ (macimorelin) is patent-protected, the Company will be entitled to a 15% royalty on
annual net sales up to $75.0 million and an 18% royalty on annual net sales above $75.0 million. Following the end of patent protection in United States or
Canada for Macrilen™ (macimorelin), the Company will be entitled to a 5% royalty on net sales in that country. In addition, the Company will also receive
one-time payments ranging from $4.0 million to $100.0 million upon the achievement of commercial milestones going from $25.0 million annual net sales up
to $500.0 million annual net sales.

(ii) Pediatric Indication

Upon approval by the FDA of a pediatric indication for Macrilen™ (macimorelin), the Company will receive a one-time milestone payment of $5.0 million.
This amount will be recognized once it is probable that it will be received.

(iii) PIP study

We have initiated an open label, single dose trial to investigate the pharmacokinetics, pharmacodynamics, safety and tolerability of macimorelin in pediatric
patients  from  two  to  less  than  18  years  of  age  with  suspected  growth  hormone  deficiency  ("GHD").  Under  the  terms  of  the  License  and  Assignment
Agreement, the licensee will pay 70% and the Company will pay the remaining 30% of the research and development costs associate with the PIP. During
2018, the Company invoiced Strongbridge $358,000 as its share of the costs incurred by the Company under the PIP; such amounts have been collected in
full.

(iv) Interim Supply Arrangement

The Company has agreed under the contract to supply ingredients for the manufacture of Macrilen™ (macimorelin) during an interim period at a price that is
set  ‘at  cost’,  without  any  profit  margin.  The  Company  believes  the  stand-alone  selling  price  of  the  manufacturing  ingredients  to  be  their  cost,  as  that
approximates  the  amount  at  which  Strongbridge  would  be  able  to  procure  those  same  goods  with  other  suppliers.  During  2018,  the  Company  invoiced
$2,108,000 and has received payment in full of these invoices under the Interim Supply Arrangement.

Novo purchase of Strongbridge License Agreement

Effective  December  19,  2018,  Strongbridge  sold  the  United  States  and  Canadian  rights  to  Macrilen™  (macimorelin)  to  Novo  and  Novo  will  fund
Strongbridge's Macrilen™ (macimorelin) contract field force to promote the product in the United States for up to three years.

41

Public Offerings

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 "April 2016 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. During the year
ended  December  31,  2017,  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 $1.8 million. The shelf registration statement pursuant to which this program was established expired on
March 28, 2017.

On March 28, 2017, we commenced a new ATM offering pursuant to its existing ATM Sales Agreement, dated April 1, 2016, under which we were able, at
our discretion, from time to time, to sell up to a maximum of 3 million common shares through ATM issuances on the NASDAQ, up to an aggregate amount
of $9.0 million (the "March 2017 ATM Program"). The common shares were to be sold at market prices prevailing at the time of the sale of the common
shares and, as a result, sale prices varied.

Between March 28, 2017 and April 18, 2017, we issued a total of 597,994 common shares under the March 2017 ATM Program at an average issuance price
of $2.97 per share for aggregate gross proceeds of $1.8 million less cash transaction costs of $55,000 and previously deferred financing costs of $65,000.

On April 27, 2017, we entered into a new ATM Sales Agreement (the "New ATM Sales Agreement"), and filed with the SEC a prospectus supplement (the
"Prospectus Supplement") related to sales and distributions of up to a maximum of 2,240,000 common shares through ATM issuances on the NASDAQ, up to
an aggregate amount of $6.9 million under the New ATM Sales Agreement. The common shares will be sold at market prices prevailing at the time of the sale
of the common shares and, as a result, prices may vary. The New ATM Sales Agreement and the Prospectus Supplement superseded and replaced the March
2017 ATM Program, which itself had superseded and replaced the April 2016 ATM Program. The Prospectus Supplement supplements the base prospectus
included in our Shelf Registration Statement on Form F-3, as amended (the "2017 Shelf Registration Statement"), which was declared effective by the SEC
on April 27, 2017. The 2017 Shelf Registration Statement allows us to offer up to $50 million of common shares and is effective for a three-year period.
Between May 30, 2017 and December 31, 2017, we issued 1.8 million common shares at an average issuance price of $1.71 per share under the New ATM
Sales Agreement.

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 $7.6 million, less cash transaction costs of $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.

42

The variations in our liquidity by activity are explained below.

(in thousands)

Three months ended December
31,

2018

$

2017

$

Years ended December 31,

2018

$

2017

$

2016

$

Cash and cash equivalents - Beginning of period

16,800  

12,173  

7,780  

21,999  

41,450

Cash flows from operating activities:

Net cash used in operating activities

Cash flows from financing activities:

Net proceeds from issuance of common shares

Proceeds from warrants exercised (note 19)

Cash flows from investing activities:

Net cash provided by (used in) investing activities

(2,679)  

(2,679)  

(4,527)  

(4,527)  

6,825  

6,825  

(22,913)  

(22,913)  

(29,010)

(29,010)

—  

—  

—  

4  

4  

—  

—  

—  

140  

140  

—  

—  

—  

(35)  

(35)  

7,788  

242  

8,030  

307  

307  

9,924

—

9,924

(314)

(314)

Effect of exchange rate changes on cash and cash

equivalents

Cash and cash equivalents - End of period

387  

14,512  

(6)  

7,780  

(58)  

14,512  

357  

7,780  

(51)

21,999

Operating Activities

2018 compared to 2017

Cash provided by operating activities totaled $6.8 million for year ended December 31, 2018, as compared to $22.9 million used by operating activities in the
same period in 2017, which is a net provision of cash from operating activities of $29.7 million. This increase is primarily due to the $24.0 million license
payment received from Strongbridge in January 2018.

2017 compared to 2016

Cash  used  in  operating  activities  totaled  $4.5  million  and  $22.9  million  for  the  three  and  twelve  months  ended  December  31,  2017  as  compared  to  $8.1
million and $29.0 million for the same periods in 2016. The decrease in cash used in operating activities for the twelve months ended December 31, 2017, as
compared to the same periods in 2016, is mainly due to lower operating expenses.

Financing Activities

2018 compared to 2017

Cash flows from financing activities were nil for the year ended December 31, 2018, as compared to $8.0 million for the same period in 2017. During 2018,
we have focused on commercializing Macrilen™ (macimorelin) though the application of the $24.0 milestone payment from Strongbridge to our operating
costs and working capital needs. This is a change from the same period in 2017 when we raised capital from certain At-The-Market programs.

2017 compared to 2016

Cash flows from financing activities totaled $0.0 million and $8.0 million for the three and twelve months ended December 31, 2017, as compared to $9.4
million and 49.9 million for the same periods in 2016. The decrease is mainly due to higher net proceeds received from the November 2016 Offering.

Investing Activities

2018 compared to 2017

43

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
   
   
 
 
Cash flows from investing activities totaled $0.0 million for the year ended December 31, 2018, as compared with $0.3 million for the same period in 2017.
We have reduced our investment in non-current assets over the last number of years.

2017 compared to 2016

Cash (used in) provided by investing activities totaled $0.1 million and $0.3 million for the three and twelve months ended December 31, 2017, as compared
to $0.0 million and ($0.3) million for the same periods in 2016.

Critical Accounting Policies, Estimates and Judgments

Our consolidated financial statements as at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017  and  2016  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.

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.

Critical accounting estimates and assumptions, as well as critical judgments used in applying accounting policies in the preparation of our interim condensed
consolidated financial statements were the same as those that applied to our annual consolidated financial statements as of December 31, 2018 and December
31, 2017 and for the years ended December 31, 2018, 2017 and 2016.

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, G&A expenses, working capital and capital expenditures.

Over the past several years, we have increasingly raised capital via public equity offerings and drawdowns and issuances under various ATM sales programs
as  our  primary  source  of  liquidity.  In  2018,  we  invested  the  $24.0  million  up  front  payment  received  from  Strongbridge  to  fund  operations  and  capital
expenditures.

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 4.B. Business Overview" and "Key Developments" at the beginning of this Item 5.
Over the past three years, our research and development activities have encompassed a 2016 confirmatory Phase 3 clinical trial of MacrilenTM(macimorelin),
a  2017  unsuccessful  Phase  3  clinical  study  of  ZoptrexTM  (zoptarelin  doxorubicin)  and  the  2018  initiation  of  pediatric  indication  study  for
MacrilenTM(macimorelin) for which our licensee is paying 70% of the costs. You can also find relevant information in our consolidated financial statements
in Item 18.

D.

Trend Information

Outlook for 2019

By the end of December 2018, the License and Assignment Agreement for the U.S. and Canadian rights to Macrilen™ (macimorelin) had been purchased by
Novo Nordisk from Strongbridge. In January 2019, the JSC met to discuss Novo's commercialization plan for the United States, their supply chain needs and
the status of the PIP study. Quarterly meetings will continue as forecasts for sales, inventory build and purchases as well as clinical trial needs continue to
occur.

The January 2019 announcement of marketing authorization for macimorelin for the diagnosis of AGHD by the EMA has further validated the clinical profile
and commercial value of macimorelin.

44

On March 12, 2019, we announced that our board of directors formed the Special Committee to review our strategic options. The Special Committee has
approved the engagement of Torreya, a global investment bank specializing in life sciences, as its financial advisor. Torreya is working with management to
assist the Special Committee and the board of directors in considering a wide range of transactions (including opportunities for the license of macimorelin
outside of the United States and Canada, other monetization transactions relating to macimorelin or the potential sale of the Company).

Our priority is the commercialization of macimorelin; however, we continue to pursue out-licensing opportunities of our non-strategic assets, as they arise.

Summary of key expectations for revenues and operating expenditures

The following represents forward-looking information and users are cautioned that actual results may vary.

The January 2018 licensing of Macrilen™ (macimorelin) for its commercialization in the United States and Canada was a significant turning point for the
Company and the further development and commercialization of Macrilen™ (macimorelin) in 2019 is the Company's primary focus.

To that end, we expect that research and development costs will be up to $2.0 million for the year ending December 31, 2019 and will comprise commercial
service, consultant, employee and patent costs related to the PIP study and to follow-up studies agreed with the EMA. In the third quarter of 2018, we began
invoicing our licensee for its 70% share of the PIP study costs. In 2019, we will continue this collaboration and will work with Novo to optimize this trial.

In addition, we expect our general and administrative expenses to range between $6.5 million and $7.5 million for the year ending December 31, 2019 and
will consist primarily of employee, insurance, rent, as well as legal and public company costs.

We are working with Torreya on European and the rest of the world business development activities to support the commercialization of macimorelin outside
of Canada and the United States.

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, 2018 and 2017
and for the years ended December 31, 2018, 2017 and 2016.

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, 2018, 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, 2018 are as follows:

(in thousands)

Less than 1 year

1 - 3 years

4 - 5 years

More than 5 years

Total

  Minimum lease payments   Minimum sublease receipts   Service and manufacturing

$

$

$

408  

533  

60  

5  

1,006  

45

(117)  

(24)  

—  

—  

(141)  

2,180

—

—

—

2,180

 
 
 
 
 
 
 
 
 
In accordance with the assumptions used in our employee future benefit obligation calculation as at December 31, 2018, undiscounted benefits expected to be
paid in Euros are as follows:

(in thousands)

Less than 1 year

1 – 3 years

4 – 5 years

More than 5 years

Total

Item 6.

Directors, Senior Management and Employees

46

Euros

453

921

944

13,658

15,976

 
 
 
 
 
 
A.

Directors and senior management

The following table sets forth information about our directors and our senior corporate officers as at March 29, 2019:

Name and Place of Residence

Position with Aeterna Zentaris

Ammer, Nicola

Frankfurt, Germany

Auld, Leslie

Ontario, Canada

Egbert, Carolyn

Texas, United States

Ernst, Juergen

North Rhine-Westphalia, Germany

Garrison, Brian

Pennsylvania, United States

Grau, Günther

Frankfurt, Germany

Guenther, Eckhard

Hessen, Germany

Limoges, Gérard

Quebec, Canada

Norton, Brent

Ontario, Canada

Pollack, Jonathan

Ontario, Canada

Smith Hoke, Robin

Ohio, United States

Teifel, Michael

Hessen, Germany

Ward, Michael

Illinois, United States

Chief Medical Officer, Vice President Clinical Development

Senior Vice President, Chief Financial Officer

Chair of the Board of Directors

Director

Senior Vice President, Global Commercial Operations

Vice President, Finance

Vice President, Alliance Management

Director

Director

Director

Director

Vice President, Non-Clinical Sciences

President and Chief Executive Officer

The following is a brief biography of each of our directors and executive officers.

Nicola Ammer was appointed as our Vice President, Clinical Development and as Chief Medical Officer in January 2018. She serves as one of our executive
officers. Dr. Ammer, who is based in the Frankfurt, Germany, office of our German subsidiary, began her career in the pharmaceutical medicine environment
in  the  CRO  business  in  2002  and  gained  profound  knowledge  of  all  aspects  of  clinical  research  &  development  in  various  positions  with  increasing
responsibility, including a Director of Clinical Operations. She joined Aeterna Zentaris GmbH in March 2015 as Clinical Program Director and took over the
role of the Head of Clinical Development in January 2016. She possesses numerous skills in the area of pharmaceutical medicine and contributed significantly
to the successful completion of the macimorelin clinical development program in the adult indication. Dr. Ammer obtained the license to practice medicine in
1995 after completion of her academic studies at the University of Essen. She was awarded a doctorate diploma in medicine by the University of Münster in
2004 and a Master of Science in Pharmaceutical Medicine by the University Duisburg-Essen in 2009.

Leslie Auld was appointed as our Senior Vice President, Chief Financial Officer in September 2018. She has over twenty-five years of accounting, finance
and pharmaceutical industry experience, with increasingly senior roles at PricewaterhouseCoopers,

47

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Helix BioPharma Corp., Luminex Diagnostics (formerly TM BioScience Corp.), Attwell Capital Inc. (formerly Fralex Therapeutics) and GeneNews Limited.
A Chartered Professional Accountant, Ms. Auld graduated with an Honors Bachelor of Science degree in Pharmacology & Toxicology from the University of
Western Ontario and has a Master of Business Administration degree from the University of Toronto.

Carolyn 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. (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 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.

Brian Garrison  became  our  Senior  Vice  President,  Global  Commercial  Operations  in  December  2017.  For  the  last  three  years  he  has  held  the  roles  of
National  Sales  Director,  managing  the  co-promotion  efforts  for  two  endocrinology  products  and  a  urology  diagnostic  and  as  the  Marketing  Director  for
Macrilen™(macimorelin). Mr. Garrison worked at Amgen, Inc. where he held the role of Oncology Reimbursement Marketing Director. In this position, he
was in charge of the Field Reimbursement Team and the Oncology Call Center for all of Amgen's oncology brands. Mr. Garrison also worked on the access
strategy  for  several  of  the  key  oncology  brands,  such  as  Neulasta®, Neupogen®, Vectibix®  and  Imlygic®. Also,  while  at  Amgen,  Mr.  Garrison  served  as  a
Marketing Manager in the Inflammatory Business Unit working on key access programs for Enbrel®. Prior to his work on Enbrel®, Mr. Garrison was a Sales
Manager for the Bone Health Business Unit, launching the first-in-class biologic therapy for osteoporosis, Prolia®. Mr. Garrison began his career at Merck &
Co. where he held various positions of increasing responsibility in sales and marketing, winning top national sales honors, both as a representative and sales
manager. Mr. Garrison is a combat veteran, leading an infantry platoon with the 10th Mountain Division through combat operations in the Horn of Africa. Mr.
Garrison is a graduate of the U.S. Military Academy, West Point, where he was commissioned as an Infantry officer, serving ten years active duty in the U.S.
Army.

Günther Grau was appointed as our Vice President, Finance in February 2018. Mr. Grau, has been part of the Company since 2000. He began his career in
the pharmaceutical industry at ASTA Medica AG, a predecessor of our Company, in 1995, assuming roles of increasing responsibility in areas of internal and
external accounting during his career.  Mr. Grau obtained a diploma in Business Administration from the Philipps-University, Marburg, in 1991.

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 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.

Gérard Limoges, C.M., FCPA, FCA 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

48

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.

Dr. Brent Norton has served as a director on our Board since 2018. Dr. Norton is a business leader in the life science industry with operational and director
experience  across  several  successful  enterprises  which  have  achieved  significant  product  sales  and  returns  for  investors.  He  uses  his  cross  functional
knowledge  to  develop  strategy,  raise  capital  and  build  important  relationships  in  the  academic  and  business  community.  Dr.  Norton  founded  PreMD,
completing IPO’s and listings on both the Toronto Stock Exchange and the American Stock Exchange. Operationally, he has research and development and
commercial  operations,  led  transactions  with  AstraZeneca,  Eli  Lilly,  L’Oreal,  Parke  Davis/Pfizer,  etc.,  and  taken  products  through  the  FDA  to  global  out-
licensing  with  Johnson  &  Johnson.  He  is  a  founding  Director  of  Novadaq  Technologies  (TSX:NDQ,  NASDAQ:NVDQ)  and  was  recently  sold  to  Stryker
Corporation. Dr. Norton has been an active member of several boards in Canada and the United States. He is a Venture Partner at Lumira Capital, Executive
Chairman & CEO of Ortho RTI, a member of the Research Committee for CAMH, an Advisory BOD member for the Ivey International Centre for Health
Innovation, a Director of Alpine Ontario and Past-President and Director of the Osler Bluff Ski Club.

Jonathan Pollack has served as a director on our Board since 2018. Mr. Pollack is the President of The JMP Group, a private investment and consulting firm.
  He  is  also  a  director  of  several  public  and  private  companies  including  CECO  Environmental  Corp.  (NASDAQ:CECE)  and  is  an  officer  of  AcuityAds
Holdings, Inc. (TSX-V:AT).  Mr. Pollack also served as a director of API Technologies Corp. (NASDAQ: ATNY), Pinetree Capital Ltd. (TSX:PNP), Hanfeng
Evergreen  Inc.  (TSX:HF)  and  Lifebank  Corp.  (TSX-V:LBK).  Previously,  he  served  as  Executive  Vice  President  of  API  Technologies  Corp.
(NASDAQ:ATNY), a leading provider of RF/microwave, microelectronics and security technologies for critical and high-reliability applications from 2009
and as a director from 2007 until January 2011 when it was sold.  From March 2005 through its sale in 2009, he served as the Chief Financial Officer and
Corporate Secretary of Kaboose Inc. Prior thereto, he worked in investment banking in New York. Mr. Pollack received a Master of Science in Finance from
the London School of Economics and a Bachelor of Commerce from McGill University. He sits on the boards of several philanthropic organizations including
the Mt. Sinai Hospital Foundation, the Crescent School Foundation, and the Sterling Hall School Foundation.

Robin Smith Hoke has  served  as  a  director  on  our  Board  since  2018.  Ms.  Hoke  is  a  business  and  legal  executive  with  over  25  years  of  healthcare  and
pharmaceutical  experience  in  various  legal  and  business  roles  where  she  focused  on  operations,  strategy,  business  development,  acquisitions,  strategic
relationships, and commercialization. Ms. Hoke currently serves as President & CEO of Leiters, a 503B FDA registered outsourcing service provider with
manufacturing facilities in Denver, Colorado and San Jose, California. She also serves as a member of the Board of Directors of Camargo Pharmaceutical
Services, LLC., a privately held 505(b)(2) global drug development and regulatory services company in Cincinnati, Ohio. She previously served as a member
of  the  board  of  Oncobiologics,  Inc.,  a  publicly  held  clinical  stage  biopharmaceutical  company  focused  on  identifying,  developing,  manufacturing  and
commercializing  complex  biosimilar  therapeutics.  She  previously  served  as  chair  of  the  Board  of  Directors  and  interim  chief  executive  officer  at  Ricerca
Biosciences, LLC, a pre-clinical CRO. Prior to Ricerca, Ms. Hoke served as the president of GeneraMedix, Inc., a specialty generic injectable company and
held senior legal and business roles at Cardinal Health, Inc. She also spent time with Abbott Laboratories, Inc., and served as a partner in the business law
firm of Kegler, Brown, Hill & Ritter, Co., L.P.A.

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.

Michael Ward became our President and Chief Executive Officer in July 2017. He has over thirty years of executive and legal experience in the healthcare,
pharmaceutical  and  technology  industries.  Most  recently,  Mr.  Ward  served  as  Chief  Compliance  &  Legal  Officer  and  Corporate  Secretary  for  Sagent
Pharmaceuticals, a global specialty generic pharmaceutical company, and led its sale to Nichi-Iko Pharmaceutical Co., Ltd. for $736 million. Mr. Ward has
served  as  Strategic  Advisor  to  Benevolent  Capital  Partners  for  the  last  five  years  and  is  an  inactive  Partner  with  Outside  GC  LLC.  Prior  to  Sagent
Pharmaceuticals,  Mr. Ward  was  Vice  President,  Assistant  General  Counsel  of  Global  Compliance,  Ethics  &  Litigation  and  Chief  Privacy  Officer  at  CDK
Global. Mr. Ward has served in several executive roles and was responsible for business development, compliance, legal and operational

49

matters in the healthcare, pharmaceutical and technology industries during his career. Mr. Ward graduated from Albion College and Case Western Reserve
University Law School.

There are no family relationships between any of the persons named above and no arrangement with any customers, major shareholders, suppliers or others
pursuant to which any person above was selected as a director or executive officer.

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 U.S. dollars and, to the extent a director or officer has been paid in a currency other than U.S. dollars, the amounts have been
converted  from  such  person's  home  country  currency  to  U.S.  dollars  based  on  the  following  annual  average  exchange  rates:  for  the  financial  year  ended
December  31,  2018:  €1.000  =  U.S.$1.181  and  CAN$1.000  =  U.S.$0.772;  for  the  financial  year  ended  December  31,  2017:  €1.000  =  U.S.$1.198  and
CAN$1.000 = U.S.$0.797; for the financial year ended December 31, 2016: €1.000 = U.S.$1.110 and CAN$1.000 = U.S.$0.754.

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 three Outside Directors, each of whom is independent,
namely Ms. Carolyn Egbert (Chair), Mr. Juergen Ernst and Ms. Robin Smith Hoke.

Retainers

Our Outside Directors are paid an annual retainer, the amount of which depends on the position held on the Board. Annual retainers are paid on a quarterly
basis to our Outside Directors. Each Outside Director is paid the equivalent value of the payment in his or her home currency, net of any withholdings or
deductions  required  by  applicable  law.  Members  of  the  Strategic  Review  Committee  (the  "SRC")  were  granted  a  monthly  retainer  in  the  amount  of  U.S.
$7,500 from July 2017 up to and including January 2018, Ms. Egbert and Mr. Ernst deferred payment of their SRC retainers to 2018.

Type of Compensation

Annual Retainer for the
year 2018

Monthly Retainer for
January 2018

Chair of the Board Retainer

Board Member Retainer

Audit Committee Chair Retainer

Audit Committee Member Retainer

NGCC Chair Retainer

NGCC Member Retainer

SRC Chair Retainer

SRC Member Retainer

80,000

40,000

20,000

5,000

15,000

3,000

-

-

-

-

-

-

-

-

7,500

7,500

All Directors are reimbursed for travel and other out-of-pocket expenses incurred in attending Board or committee meetings.

50

 
 
 
 
 
 
 
 
 
Outstanding Awards

The following table shows all awards outstanding to each Outside Director as at December 31, 2018:

Name

Issuance Date

Number of
Securities
Underlying
Unexercised
Options

Option-based Awards

Option
Exercise Price

Option
Expiration Date

Value of
Unexercised In-the-
money
Options(1)

Issuance Date

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(2)

(mm-dd-yyyy)

(#)

($)

(mm-dd-yyyy)

($)

Cardiff,
Michael

Egbert,
Carolyn

05-10-2016

12-06-2016

08-15-2017

20,000

7,850

60,000

3.48

3.45

2.05

05-09-2023

12-06-2023

08-15-2024

—  

—  

—  

—  

05-10-2016

12-06-2016

08-15-2017

10,000

7,850

60,000

3.48

3.45

2.05

05-09-2023

12-06-2023

08-15-2024

—  

—  

—  

—  

Ernst, Juergen  

Smith Hoke,
Robin

Limoges,
Gérard

Norton, Brent

Pollack,
Jonathan

05-10-2016

12-06-2016

08-15-2017

—  

—  

05-10-2016

12-06-2016

08-15-2017

—  

—  

—  

10,000

7,850

60,000

—  

—  

10,000

7,850

60,000

—  

—  

—  

3.48

3.45

2.05

—  

—  

3.48

3.45

2.05

—  

—  

—  

05-09-2023

12-06-2023

08-15-2024

—  

—  

05-09-2023

12-06-2023

08-15-2024

—  
—  

—  

—  
—  

53,400

—  
—  
—  

53,400

—  
—  
—  

53,400

—  

—  
—  
—  

53,400

—  
—  
—  

05-08-2018

05-08-2018

—  
—  
—  

—  
—  

—  

05-08-2018

05-08-2018

05-08-2018

(mm-dd-yyyy)  
—  
—  
—  

05-08-2018

—  
—  
—  

(#)

($)

—  
—  
—  

—

—

—

23,000

67,620

—  
—  
—  

—

—

—

05-08-2018

23,000

67,620

—  
—  
—  

23,000

23,000

—  
—  
—  

23,000

23,000

23,000

—

—

—

67,620

67,620

—

—

—

67,620

67,620

67,620

(1) 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 31, 2018) of $2.94 and the exercise price of the options, multiplied by the number of unexercised options.

(2) The Company used the closing price of its Common Shares on the NASDAQ as at the last trading day of the fiscal year (December 31, 2018) of $2.94

See "Summary of the Stock Option Plan" for more details on the Company's second amended and restated stock option plan adopted by the Board on March
29, 2016 and ratified by the shareholders on May 10, 2016 ("Stock Option Plan") and see "Summary of Long-Term Incentive Plan" for more details on the
Company's long-term incentive plan adopted by the Board of Directors on March 27, 2018, and ratified by the shareholders on May 8, 2018 ("Long-Term
Incentive Plan").

51

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Compensation of Outside Directors

The table below summarizes the total compensation paid to our Outside Directors during the financial year ended December 31, 2018 (all amounts are in U.S.
dollars). Our Outside Directors are generally paid in their home currency, Messrs. Cardiff, Limoges, Norton and Pollack were paid in Canadian dollars. Mses.
Egbert and Smith Hoke were paid in U.S. dollars and Mr. Ernst was paid in euros.

Name

Fees earned(1)

Share-based
Awards(2)

Option-based
Awards

Non-Equity
Incentive Plan
Compensation

Pension
Value

All Other
Compensation

($)

53,555

177,500

51,065

27,879

67,500

29,176

29,176

($)

41,170

41,170

41,170

41,170

41,170

41,170

41,170

($)

—

—

—

—

—

—

—

($)

—

—

—

—

—

—

—

($)

—

—

—

—

—

—

—

($)

—

—

—

—

—

—

—

Cardiff, Michael

Egbert, Carolyn(3)

Ernst, Juergen

Smith Hoke, Robin

Limoges, Gérard

Norton, Brent

Pollack, Jonathan

_________________________

Total

($)

94,725

218,670

92,235

69,049

108,670

70,346

70,346

(1)

In  respect  of  our  financial  year  ended  December  31,  2018,  we  paid  an  aggregate  amount  of  $450,577 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 share-based awards and option-based awards granted in 2018.

(2) Amounts shown represent the value of the DSUs on the grant date ($1.79). The value of one DSU on the grant date is the closing price of one Common Share on the NASDAQ on the last

trading day preceding the date of grant.

(3) Ms. Egbert was awarded a cash bonus in the amount of $75,000.

Compensation of Executive Officers

The following is disclosure of information related to the compensation that we paid to our “Named Executive Officers” during 2018. For the 2018 year, our
"Named Executive Officers" were as follows:

• Mr. Michael V. Ward, who currently serves as President and Chief Executive Officer as an employee;

• Mr. James Clavijo, who served as Chief Financial Officer as an employee from March 5, 2018 to September 24, 2018;

• Ms. Leslie Auld, who currently serves as Senior Vice President, Chief Financial Officer as an independent contractor from September 24, 2018; and

•

Dr. Richard Sachse, who served as Senior Vice President and Chief Scientific and Chief Medical Officer until June 14, 2018, Mr. Brian Garrison, who
currently  serves  as  Senior  Vice  President,  Global  Commercial  Operations,  and  Eckhard  Guenther,  who  currently  serves  as  Vice  President,  Alliance
Management, who were our three most highly compensated executive officers (other than our Chief Executive Officer and our current and former Chief
Financial Officer) during 2018.

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:

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•

•

•

•

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.

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, including stock options, previously granted under our second amended and restated stock option
plan adopted by the Board on March 29, 2016 and ratified by the shareholders of Aeterna on May 10, 2016 (the "Stock Option Plan"), and presently granted
under the Company's long-term incentive plan adopted by the Board on March 27, 2018 and ratified by the shareholders of Aeterna on May 8, 2018 (the
"Long-Term Incentive 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; 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 is based exclusively on
the  Long  Term  Incentive  Plan,  which  permits  the  issuance  of  a  number  of  equity-based  awards  based  on  the  contribution  of  the  officers  and  their
responsibilities. The Board adopted a policy regarding stock option grants in December 2014, 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. Since the adoption of the Long-Term Incentive Plan in 2018, we have
broadened the types of equity-based awards which we may issue beyond stock options (to include, among other types, restricted stock units, deferred share
units and others).

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

53

North American organizations in the life sciences industry. We also contribute to our North American employees' retirement plans up to an annual maximum
amount of $11,200 for employees 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.

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 NGCC did not repeat or update the benchmarking process
in  2014  -  2018  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, annually reviews and assesses the Company's current compensation program and makes appropriate adjustments, if
any.

In June 2018, the NGCC retained Bowers Consulting LLC (“Bowers”), an independent compensation consulting firm, to assist the NGCC in analyzing the
Corporation’s director and executive compensation. The Corporation paid fees to Bowers in the amount of $5,400.

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
long-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 long-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  equity-based  awards)  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  equity-based  awards,  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 equity-based awards) 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 equity-based awards 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.

54

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 behavior.

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 and other equity-based awards issued pursuant to our Stock Option Plan or Long-Term Incentive Plan are not derivative securities
for this purpose.

2018 Compensation

Base Salary. The primary element of our compensation program is base salary. Our view is that a competitive base salary is a necessary element for retaining
qualified executive officers. 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. The Board, based on the NGCC's recommendation, adopted the following performance objectives for 2018:

55

Goal

Assuming EMA approval, develop strategy and implementation
plan for commercialization through the out-licensing of
Macrilen™ (macimorelin) for Europe and ROW

Commercialization of Macrilen™
(macimorelin) in Europe and ROW

Successfully execute the board-approved strategy and
implementation plan.

Deploy all effective resources to ensure timely EMA approval
of Macrilen™ (macimorelin).

Result

The Board developed and approved a strategy to out-license
macimorelin for the ROW, but the Corporation did not secure
acceptable ROW agreements in 2018. The Corporation
subsequently (in 2019) engaged Torreya to assist in identifying
and executing upon such opportunities.

Not completed. The Board approved a strategy and
implementation plan to pursue commercialization opportunities
for macimorelin for the ROW and to implement non-
macimorelin related opportunities. The Corporation explored
several potential opportunities, but none resulted in a
transaction that was acceptable to the Corporation.

Completed. EMA approval of macimorelin was obtained in
January 2019 based on the work of the Corporation during
2018.

Provide effective support to Strongbridge in its
commercialization efforts to ensure Macrilen™ (macimorelin)
is timely marketed in 2018.

Not completed. The Corporation provided support, but efforts
were slowed due to Strongbridge’s sale of its license rights to
Novo Nordisk A/S in December 2018.

Commercialization of Macrilen™
(macimorelin) in United States and Canada

Ensure effective clinical studies are in place to obtain approval
of pediatric indication of Macrilen™ (macimorelin).

Manage costs and control expenses to maximize cash
conservation.

Improve operations

Provide cash forecast by month on a 24-month projection.

Ensure effective and efficient use of resources and personnel.

In progress. The Corporation is collaborating with Novo
Nordisk (and previously with Strongbridge) and is providing
appropriate activities with respect to the ongoing clinical
studies that are required to obtain approval for the pediatric
indication of Macrilen™.

In progress. The Corporation is focused on cost-savings and
cash conservation. To this end, the Corporation reduced
operating costs in both Germany and the United States in 2018.
This continues to be an important objective in 2019.

The Corporation remains focused on aligning essential
personnel, both in Germany and the United States, with the
Corporation’s strategy and improving cost-effectiveness. In
2018, this included the termination of employment of certain
employees.

The Corporation remains focused on aligning essential
personnel, both in Germany and the United States, with the
Corporation’s strategy and improving cost-effectiveness. In
2018, this included the termination of employment of certain
employees.

Ensure that performance milestones for key managers align
with and support CEO milestones.

Completed.

Long-Term Equity Compensation

The Board approved an award of 50,000 stock options at an exercise price of $1.46, to Mr. Ward on April 2, 2018 in accordance with the Stock Option Plan.
The  Board  approved  an  award  of  100,000  stock  options  at  an  exercise  price  of  $2.11,  to  Mr.  Ward  on  June  22,  2018,  in  accordance  with  the  Long-Term
Incentive Plan.

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.

There were 628,685 options outstanding under the Stock Option Plan representing approximately 3.82%  of  all  issued  and  outstanding  Common  Shares  on
March 29, 2019. The proposed number of Common Shares issuable pursuant to the Long-Term

56

 
Incentive Plan is fixed at 11.4% of the issued and outstanding Common Shares at any given time less the number of Common Shares issuable pursuant to
stock options granted at such time under the Stock Option Plan. See below for a complete description of the Long-Term Incentive Plan. The Company does
not intend on issuing any new stock options under the Stock Option Plan, and instead will issue any future stock options under the Long-Term Incentive Plan.

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 person eligible to receive grants under the
Stock Option Plan (each a "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 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:

57

•

•

•

•

•

•

•

•

•

•

•

•

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;

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.

Summary of the Long-Term Incentive Plan

The purpose of the Long-Term Incentive Plan is to (i) promote our long-term financial interests and growth by attracting and retaining management and other
personnel and key service providers with the training, experience and ability to enable them to make a substantial contribution to the success of our business;
(ii)  motivate  management  personnel  by  means  of  growth-related  incentives  to  achieve  long-range  goals;  and  (iii)  further  the  alignment  of  interests  of
participants with those of our shareholders through opportunities for increased share ownership in the Company.

58

The NGCC is the administrator of the Long-Term Incentive Plan (the “Administrator”). At any time, the Board may serve as the Administrator of the Long-
Term Incentive Plan, in lieu of, or in addition, to the NGCC. Except as provided otherwise under the Long-Term Incentive Plan, the Administrator has plenary
authority to grant awards pursuant to the terms of the Long-Term Incentive Plan to eligible individuals, determine the types of awards and the number of
shares to be covered by the awards, establish the terms and conditions for awards and take all other actions necessary or desirable to carry out the purpose and
intent of the Long-Term Incentive Plan.

Participation in the Long-Term Incentive Plan is generally open to all officers, employees and other individuals, including Outside Directors. However, any
individual whose services to the Company or any of its subsidiaries are limited to capital-raising transactions, or the promotion and maintenance of a market
for the Company securities, are ineligible to participate in the Long-Term Incentive Plan. Prospective officers, employees and other service providers who
have accepted offers to provide services to the Company may also participate in the Long-Term Incentive Plan.

The Long-Term Incentive Plan enables the grant of stock options, stock appreciation rights, stock awards, stock unit awards, performance shares, cash-based
performance units and other stock-based awards, each of which may be granted separately or in tandem with other awards.

The maximum number of Common Shares issuable under the Long-Term Incentive Plan is fixed at 11.4% of the issued and outstanding Common Shares at
any given time, less the number of Common Shares issuable pursuant to stock options granted at such time under the Stock Option Plan. There were 261,000
awards outstanding under the Long-Term Incentive Plan representing approximately 1.59% of all issued and outstanding Common Shares on March 26, 2019.
See above for a complete description of the Stock Option Plan.

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 no single participant may hold options to purchase, from time to time, more than 5% of our
issued and outstanding Common Shares.

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 Long-Term Incentive Plan, within any one-year period, cannot exceed $100,000 valued on a Black-Scholes basis and as determined by the
NGCC;  and  the  aggregate  number  of  securities  issuable  to  all  of  our  Outside  Directors  entitled  to  receive  a  benefit  under  the  Long-Term  Incentive  Plan,
within any one-year period, under all of our security-based compensation arrangements, cannot exceed 1% of its issued and outstanding securities.

Except as provided below or within an award agreement, each award granted under the Long-Term Incentive Plan (other than a performance unit that cannot
be paid in shares) will be subject to a minimum vesting period or minimum restriction period as follows: (i) each stock option or SAR will be subject to a
minimum vesting period of 12 months from the date of grant, (ii) each award of stock, stock units, performance shares, performance units payable in shares
and other stock- based awards (“Full Value Awards”) granted to non-employee directors will be subject to a minimum restriction period of 12 months from
the date of grant, and (iii) each Full Value Award granted to a participant other than a non-employee director will be subject to a minimum restriction period
of 12 months from the date of grant if vesting of or lapse of restrictions on such award is based on the satisfaction of performance goals and a minimum
restriction period of 36 months from the date of grant, applied in either pro rata installments or a single installment, if vesting of or lapse of restrictions on
such award is based solely on the participant’s satisfaction of specified service requirements with us (provided that no such Full Value Awards will vest or
have  its  restrictions  lapse  during  the  first  12  months  following  the  date  of  grant).  If  the  grant  of  a  performance  award  is  conditioned  on  satisfaction  of
performance  goals,  the  performance  period  must  not  be  less  than  12  months’  duration,  but  no  additional  minimum  restriction  period  need  apply  to  such
award. The minimum vesting period or minimum restriction period will not apply in the case of death or disability of a participant or in the event of a change
in control. Awards that result in the issuance of an aggregate of up to 5% of the share pool under the Long-Term Incentive Plan may be granted without regard
to such minimum vesting period or minimum restriction period.

Awards  granted  under  the  Long-Term  Incentive  Plan  shall  not  be  subject  in  any  manner  to  alienation,  anticipation,  sale,  transfer,  assignment,  pledge,  or
encumbrance, except as otherwise determined by the Administrator; provided, however, that this restriction shall not apply to the Common Shares received in
connection with an award after the date that the restrictions on transferability of such shares set forth in the applicable award agreement have lapsed.

Except as provided in the applicable award agreement or otherwise determined by the Administrator, and subject to the minimum vesting period or minimum
restriction period described above, upon termination of service (as defined in the Long-Term Incentive Plan):

•

Stock options or stock appreciation rights shall be forfeited, to the extent stock options or stock appreciation rights are not vested and exercisable;

59

During the applicable restriction period, restricted stock and any accrued but unpaid dividends that are at that time subject to restrictions shall be

•
forfeited; and

•
During  the  applicable  deferral  period  or  portion  thereof  to  which  forfeiture  conditions  apply,  or  upon  failure  to  satisfy  any  other  conditions
precedent to the delivery of common shares or cash to which RSUs, performance shares or performance units relate, all performance shares, performance
units  and  RSUs  and  any  other  accrued  but  unpaid  dividend  equivalents  with  respect  to  such  RSUs  that  are  then  subject  to  deferral  or  restriction  shall  be
forfeited.

In the event of a change in control (as defined in the Long-Term Incentive Plan) of the Company, outstanding awards will terminate upon the effective time of
the change in control unless provision is made for the continuation, assumption or substitution of awards by the surviving or successor entity or its parent.
Unless  an  award  agreement  says  otherwise,  the  following  will  occur  with  respect  to  awards  that  terminate  in  connection  with  a  change  in  control  of  the
Company:

stock  options  and  SARs,  whether  vested  or  unvested,  will  become  fully  exercisable  and  holders  of  these  awards  will  be  permitted  immediately

•
before the change in control to exercise them;

restricted stock and RSUs with time-based vesting (i.e., not subject to achievement of performance goals) will become fully vested immediately

•
before the change in control, and RSUs will be settled as promptly as is practicable in accordance with applicable law; and

•
restricted  stock,  RSUs,  performance  shares,  and  performance  units  that  vest  based  on  the  achievement  of  performance  goals  will  become  fully
vested and earned based on the target performance level as to the performance goals, such that 100% of the target award is earned as of the date of the change
of control; and the RSUs and performance units will be settled as promptly as is practicable in accordance with applicable law.

The Long-Term Incentive Plan will terminate on the earlier of (i) the earliest date as of which all awards granted under the Long-Term Incentive Plan have
been satisfied in full or terminated and no shares approved for issuance under the Long-Term Incentive Plan remain available to be granted under new awards,
or (ii) the tenth anniversary of date the Long-Term Incentive Plan, as amended and restated, is approved by our shareholders.

The Administrator may amend, alter or discontinue the Long-Term Incentive Plan, but no amendment, alteration or discontinuation will be made that would
materially impair the rights of a participant with respect to a previously granted award without his or her consent, except such an amendment made to comply
with applicable law or rule of any securities exchange or market on which our Common Shares are listed or admitted for trading or to prevent adverse tax or
accounting consequences to the Company or the participant. In no event, however, will an amendment be made without the approval of our shareholders to
the extent such amendment would (i) materially increase the benefits accruing to participants under the Long-Term Incentive Plan, (ii) increase the number of
shares that may be issued under the Long-Term Incentive Plan or to a participant, (iii) materially expand the eligibility for participation in the Long-Term
Incentive  Plan,  (iv)  eliminate  or  modify  the  prohibition  on  repricing  of  stock  options  and  SARs,  (v)  lengthen  the  maximum  term  or  lower  the  minimum
exercise price or base price permitted for stock options and SARs, (vi) modify the prohibition on the issuance of reload or replenishment options, (vii) amend
the amendment provisions in the Long-Term Incentive Plan, or (viii) amend the Long-Term Incentive Plan to remove or exceed the 10% insider participation
limit.

Outstanding Option-Based Awards and Share-Based Awards

The following table shows all awards outstanding to our Named Executive Officers as of December 31, 2018:

60

Name

Issuance Date

Auld, Leslie

Clavijo, James(3)

Garrison, Brian

Guenther, Eckhard

Sachse, Richard(4)

Ward, Michael V.

(mm-dd-yyyy)

—  
—  
11/17/2015  
12/21/2015  
12/06/2016  
12/21/2015  
11/08/2016  
12/06/2016  
—  
08/15/2017  
04/02/2018  
06/22/2018  

_________________________

Number of
Securities
Underlying
Unexercised
Options(1)

(#)
—  
—  
500  
3,000  
2,500  
5,000  
398  
10,000  
—  
150,000  
50,000  
100,000  

Option-based Awards

Option
Exercise Price

Option
Expiration Date

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

Issuance
Date

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

($)

—

—

116.00

4.58

3.45

4.58

3.50

3.45

—

2.05

1.46

2.11

(mm-dd-yyyy)

($)

(#)

($)

—

—

11/17/2022

12/21/2022

12/06/2023

12/21/2022

11/08/2023

12/06/2023

—

08/15/2024

04/02/2025

06/22/2025

—

—

—

—

—

—

—

—

—

133,500

74,000

83,000

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

(1) The number of securities underlying unexercised options represents all awards outstanding at December 31, 2018.

(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 fiscal year (December 31, 2018) of $2.94 and the exercise price of the options, multiplied by the number of unexercised options.

(3) Mr. Clavijo ceased to be Chief Financial Officer on September 24, 2018. All outstanding stock options held by Mr. Clavijo were cancelled effective as of his termination date in accordance

with the provisions of the Stock Option Plan.

(4) Dr. Sachse's employment was terminated effective June 14, 2018. All outstanding stock options held by Dr. Sachse were cancelled in accordance with the provisions of the Stock Option Plan.

There were no share-based awards outstanding to our Named Executive Officers at December 31, 2018.

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,
2018:

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

Auld, Leslie

Clavijo, James

Garrison, Brian

Guenther, Eckhard

Sachse, Richard

Ward, Michael V.

($)

—

—

3,074

12,299

—

—

($)

—

—

—

—

—

—

($)

—

—

35,000

—

120,000

35,000

(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.

61

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2018, 2017 and 2016. All amounts in the table below are in U.S. dollars. All cash amounts
paid  to  Messrs.  Ward,  Clavijo  and  Garrison  were  paid  in  U.S.  dollars,  Ms.  Auld’s  cash  payments  were  made  in  Canadian  dollars  and  Dr.  Sachse  and  Mr.
Guenther’s cash payments were made in euros.

SUMMARY COMPENSATION TABLE

Non-equity incentive plan
compensation

Name and
principal position

Years

Salary

($)

Share
based
awards

($)

Ward, Michael V. President
and Chief Executive Officer

Clavijo, James(2) Former
Chief Financial Officer

Auld, Leslie
Senior Vice President, Chief
Financial Officer

Sachse, Richard(4)
Former Senior Vice
President, Chief Scientific
Officer and Chief Medical
Officer

Garrison, Brian
Senior Vice President,
Global Commercial
Operations

Guenther, Eckhard
Vice President, Alliance
Management

2018

2017

2016

2018

2017

2016

2018

2017

2016

2018

2017

2016

2018

2017

2016

2018

2017

2016

_________________________

325,000  

121,461  

—  

190,574  

—  

—  

62,385

—  

—  

403,297  

222,000  

222,000  

235,015  

—  

—  

191,242  

155,318  

152,510

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

Option based
awards (1)

($)

227,241

242,495

—  

130,240

—  

—  

—  

—  

—  

—  

—  

257,000

3,550

—  

—  

—  

—  

27,797

Annual
incentive
plan

($)

35,000

—  

—  

—  

—  

—  

—  

—  

—  

—

120,000

55,500

35,000

—  

—  

13,154

—  

—  

Long-term
incentive
plans

Pension
Value

All other
compensation

($)

($)

($)

Total
compensation

($)

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

37,067

37,067

—  

—  

—  

3,298

2,970

2,851

—  

—  

—  

137,500

—  

—  

—  

—  

—  

—

—  

—  

—  

—  

—  

—  

—  

—  

587,241

363,956

—

458,314

—

—

62,385

—

—

403,297

379,067

571,567

273,565

—

—

207,694

158,288

183,158

(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
November 9, 2016
December 6, 2016
December 16, 2016
August 15, 2017
April 2, 2018
June 22, 2018

Value of Grant
$3.50
$3.45
$3.80
$2.05
$1.46
$2.11

Black-Scholes Factor
80.35%
80.57%
80.68%
78.86%
77.57%
80.86%

(2) Mr. Clavijo received a severance payment of $137,500 following the date that he ceased to be the Chief Financial Officer on September 24, 2018. All outstanding stock options held by Mr.

Clavijo were cancelled in accordance with the provisions of the Stock Option Plan.

(3) We  maintained  a  reinsured  benevolent  fund  (Rückgedeckte Unterstützungskasse),  which  is  a  type  of  private  defined  contribution  pension  plan,  for  Dr.  Sachse.  We  contributed  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 contributed 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

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2018, as well as changes in the foreign exchange rate, his contributions

being made in euros.

Accumulated value at start of year

$133,639

Compensatory

$12,258

Accumulated value at year end

$145,897

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
our incentive plans.

Mr. Ward's total earnings during the financial year ended December 31, 2018 was $360,000 including an incentive bonus in the amount of $35,000.

For the financial year ended December 31, 2018, the Board approved an award of 50,000 stock options at an exercise price of $1.46, to Mr. Ward on April 2,
2018, in accordance with the Stock Option Plan. The Board approved an award of 100,000 stock options at an exercise price of $2.11, to Mr. Ward on June
22, 2018, in accordance with the Long-Term Incentive 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.
See "Long-Term Equity Compensation Plan of Executive Officers - Summary of the Long-Term Incentive Plan", for a complete description of the Long-Term
Incentive Plan.

Pension, retirement or similar benefits

As at December 31, 2018, the Company and its subsidiaries had accrued pension, retirement or similar benefits obligations amounting to $13.1 million. See
note 18 - 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.

Standing 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
11.3 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), Brent Norton, and Jonathan Pollack.

63

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. 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.

The current members of the Compensation Committee are Carolyn Egbert (Chair), Juergen Ernst and Robin Smith Hoke.

D.

Employees

As at December 31, 2018, we had a total of 22 active employees, of which  18  are based in Frankfurt, Germany. The remaining four employees are based in
the  United  States  and  our  CFO  is  based  in  Toronto,  Canada.  Our  employees  are  engaged  in  the  following  activities:  (i)    12  are  engaged  in  research  and
development, regulatory affairs and quality assurance; (ii) four are involved in commercial operations and business development; and (iii) 6 are involved in
various  administrative  functions,  including  finance  and  accounting.  We  do  not  employ  any  sales  representatives.  Under  the    German  Restructuring  Plan
started in 2017 , 14 employees left our German subsidiary in 2018 (22 were terminated in 2017, three of them left in 2017, 14 of them left in 2018. Five of the
employees who were terminated in 2017 were re-employed in 2018). The Managing Director of the German site was replaced during 2018.

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 29, 2019 provided to us by our directors and executive officers concerning their ownership of Common
Shares and stock options of the Company:

64

Name

No. of Common Shares
owned or held

Percent(1)

No. of stock options
held(2)

No. of currently
exercisable options

Auld, Leslie
Cardiff, Michael(3)
Clavijo, James(4)

Egbert, Carolyn

Ernst, Juergen

Garrison, Brian

Guenther, Eckhard

Hoke Smith, Robin

Limoges, Gérard

Norton, Brent

Pollack, Jonathan
Sachse, Richard(5)

Teifel, Michael

Ward, Michael V.

Total

________________________
*

Less than 1%

—  

—  

—  

1,920  

1,348  

—  

—  

—  

1,200  

—  

—  

—  

—  

—  

4,468  

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

—  

87,850  

—  

77,850  

77,850  

6,000  

15,398  

—  

77,850  

—  

—  

—  

30,350  

—  

373,148  

—

87,850

—

5,951

5,951

—

6,801

—

5,951

—

—

—

13,451

—

125,955

(1) Based on 16,440,760 Common Shares outstanding as at December 31, 2018.

(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".

(3) Mr. Cardiff resigned from the Board for personal reasons in March 2019. At such time, the Board amended the Stock Option Plan to accelerate vesting of Mr. Cardiff’s stock options. His stock

options will remain exercisable until the seventh business day following the end of the current blackout period, following which time any unexercised options of Mr. Cardiff will be forfeited
and cancelled.

(4) Mr. Clavijo ceased to be the Company's Chief Financial Officer on September 24, 2018. All outstanding stock options held by Mr. Clavijo were cancelled effective as of his termination date in

accordance with the provisions of the Stock Option Plan.

(5) Dr. Sachse employment was terminated effective June 14, 2018. All outstanding stock options held by Dr. Sachse were cancelled in accordance with the provisions of 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  29,  2019,  no  individual  or  entity,  other  than  as  set  out  below,  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 (to whom we refer as
our  major  shareholders).  The  ownership  percentages  reflected  below  are  based  on  16,440,760  Common  Shares  outstanding  as  of  March  26,  2019.  The
shareholders listed below do not have any different voting rights from any of our other shareholders. We know of no arrangements that would, at a subsequent
date, result in a change of control of the Company.

Beneficial Owner

No. of Common Shares

Percentage

J. Goldman & Co., L.P.
J. Goldman Capital Management, Inc.
Jay G. Goldman1

997,494

6.067201%

1 Based solely on a Schedule 13G, dated February 11, 2019, filed by J. Goldman & Co., L.P. (“JGC”), J. Goldman Capital Management, Inc.
(“JGCM”) and Jay G. Goldman (“JGG”) with the SEC. As indicated in that statement, JGC, JGCM, and JGG possess shared voting and dispositive
power with respect to all of such Common Shares, all of which are beneficially owned by J. Goldman Master Fund, L.P.

Changes in Percentage Ownership by Major Shareholders

65

 
We had no major shareholders in 2016 or 2017. During 2018, the above listed major shareholders became major shareholders due to the acquisition of over
5% of our outstanding Common Shares.

United States Shareholders

Based on a review of the information provide to us by our transfer agent, as at March 7, 2019, there were thirteen holders of record of our Common Shares, of
which two were registered with an address in the United States holding in the aggregate approximately 99.8% 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."

B.

Related party transactions

Other than employment agreements and indemnification agreements with our management, there are no related party transactions.

C.

Interests of experts and counsel

Not required.

66

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 Offer 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

3.87

3.65

4.27

3.87

2.03

2.62

2.41

2.70

2.87

3.35

3.65

1.19

0.84

3.03

1.30

1.60

1.19

1.46

1.87

0.98

0.84

2.45

5.10

4.81

5.70

5.10

2.69

3.34

3.01

3.48

3.57

4.50

4.81

1.53

1.13

4.12

1.69

2.10

1.53

1.89

2.38

1.28

1.13

3.24

2018

2017

2019

First quarter 1

2018

Fourth quarter

Third quarter

Second quarter

First quarter

2017

Fourth quarter

Third quarter

Second quarter

First quarter

(1)     Up to and including March 28, 2019.

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 required.

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 17, 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 impose 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.

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

68

•

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.

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.

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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  29,  2019,  there  were  approximately  16.4  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.

Warrants

For a description of our Warrants, see note 17 - warrant liability, to the audited consolidated financial statements included in Item 18 of this Annual Report on
Form 20-F.

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.

Amended and Restated Shareholder Rights Plan

The  Board  of  Directors  of  the  Corporation  approved  a  shareholder  rights  plan  of  the  Corporation  on  March  29,  2016,  which  was  approved,  ratified  and
confirmed  by  the  shareholders  at  the  annual  and  special  meeting  of  shareholders  of  the  Corporation  on  May  10,  2016  (the  “Existing  Rights  Plan”).  The
Existing Rights Plan was implemented to ensure, to the extent possible, that all shareholders of the Corporation are treated fairly in connection with any take-
over offer or other acquisition of control of the Corporation.

Pursuant  to  the  terms  of  the  Existing  Rights  Plan,  the  Existing  Rights  Plan  will  expire  upon  the  termination  of  the  Meeting  unless  shareholders  ratify  its
continued existence. The Board of Directors reviewed the terms of the Existing Rights Plan for conformity

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with current Canadian securities laws, as well as the evolving practices of public corporations in Canada, with respect to shareholder rights plan design and
has made some minor amendments thereto as a result.

The Board of Directors determined it appropriate and in the best interests of the shareholders to continue the Existing Rights Plan and approved the amended
and restated shareholder rights plan (the "Rights Plan") on March 26, 2019. The Rights Plan will take effect immediately upon receipt of approval of the
shareholders of the Corporation at the annual and special meeting of shareholders scheduled to be held on May 8, 2019.

If the Rights Plan is approved by the shareholders, the Existing Rights Plan will be amended as set forth below:

•

•

•

•

•

•

•

the provisions in which future shareholder approval is required to ratify the continued existence of the Rights Plan will be revised to specify that such
events  will  occur  at  every  third  annual  meeting  of  the  shareholders  subsequent  to  the  annual  meeting  of  shareholders  whereby  the  Rights  Plan  is
initially approved, as well as the addition of certain provisions in respect of the effective date of the plan to give effect to the fact that the Rights Plan is
in effect a continuation of the Existing Rights Plan;

the definition of “Acquiring Person” will exclude Convertible Security Acquisitions (as defined below);

the definition of “Beneficial Owner”, “Beneficial Ownership” and “Beneficially Own” will:

•

•

exclude securities that may be acquired pursuant to any agreement related to an amalgamation, merger, arrangement, business combination
or  other  similar  transaction  (statutory  or  otherwise,  but  for  greater  certainty  not  including  a  Take-over  Bid)  that  is  conditional  upon
shareholder approval prior to such Person acquiring such securities; and

include  securities  which  are  subject  to  a  lock-up  or  similar  agreement  to  tender  or  deposit  them  into  any  Take-over  Bid  made  by  such
Person or made by any Affiliate or Associate of such Person or made by any other person acting jointly or in concert with such Person,
other than Permitted Lock-up Agreements;

“Convertible Security Acquisitions” will be defined to mean an acquisition of Voting Shares by a Person upon the purchase, exercise, conversion or
exchange  of  Convertible  Securities,  where  such  Convertible  Securities  are  acquired  or  received  by  such  Person  pursuant  to  a  Permitted  Bid
Acquisition, an Exempt Acquisition or a Pro Rata Acquisition;

“Market Price” will be defined to mean the average of the daily closing price per security on the 20 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;

the definition of “Permitted Lock-Up Agreement” will be added (as described below); and

certain other amendments of a non-substantive, “housekeeping” nature have been made to provide for greater clarity and consistency.

Other than the amendments as described above, the Rights Plan is substantially similar to the Existing Rights Plan.

Objectives and Background of the 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

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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 Rights Plan. A draft of the Rights Plan is available at the
following websites: www.zenataris.com, www.sedar.com and www.sec.gov.

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 20 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.

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.

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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 Permitted 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 Permitted 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%).

A Permitted 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  Permitted  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 Permitted Lock-up Agreement be made available to us and the public. The definition of Permitted Lock-up Agreement also
provides that under a Permitted 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.

Permitted Bid Requirements

The requirements of a Permitted Bid include the following:

1.

2.

3.

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

73

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;

4.

5.

6.

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.

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.

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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  on  the  earlier  of  (i)  the  Termination  Time;  and  (ii)  the  Close  of  Business  on  the  date  on  which  the  annual  meeting  of  the
Corporation to be held in 2022 and at every third annual meeting of the Corporation thereafter (each such annual meeting being a “Reconfirmation Meeting”)
occurs and at which the Rights Plan is not reconfirmed or presented for reconfirmation as contemplated in the Rights Plan (the “Expiration Time”).

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.

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  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

75

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.

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  Innovation,  Science  and  Economic
Development Canada.

As of February 2, 2019, the threshold for review of a direct acquisition of control of a non-cultural Canadian business by a World Trade Organization member
country investor that is not a state-owned enterprise is an enterprise value of assets that exceeds CAN$1.045 billion. For “trade agreement investors” that are
not  state-owned  enterprises  (as  defined  in  the  Investment  Act),  which  as  of  March  2019  include  investors  ultimately  controlled  by  nationals  of  Australia,
Chile, Colombia, EU member states, Honduras, Japan, Korea, Mexico, New Zealand, Panama, Peru, Singapore, the United States or Vietnam, the threshold
for review of a direct acquisition of control of a non-cultural Canadian business is an enterprise value of assets that exceeds C$1.568 billion. The enterprise
value  review  thresholds  for  both  World  Trade  Organization  member  countries  and  trade  agreement  investors  are  indexed  to  annual  GDP  growth  and  are
adjusted accordingly each year. For purposes of a publicly traded company, the "enterprise value"

76

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 or a trade agreement investor, including a U.S. 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, if the acquisition is subject to approval under the Bank Act, the Cooperative Credit Associations Act,
the Insurance Companies Act or the Trust and Loan Companies 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.

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 "Amended and Restated 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.

License and Assignment Agreement

On January 16, 2018, the Company, through AEZS Germany, entered into a license and assignment agreement (the "License and Assignment Agreement")
with  Strongbridge,  to  carry  out  development,  manufacturing,  registration  and  commercialization  of  Macrilen™  (macimorelin)  in  the  United  States  and
Canada.

The Company received a cash payment of $24,000,000 from Strongbridge, and, for as long as Macrilen™ (macimorelin) is patent-protected, the Company
will be entitled to a 15% royalty on net sales up to $75,000,000 and an 18% royalty on net sales above $75,000,000. Following the end of patent protection in
U.S. or Canada for Macrilen™ (macimorelin), the Company will be entitled to a 5% royalty on net sales in that country. In addition, the Company will also
receive one-time payments from Strongbridge following the first achievement of the following commercial milestone events:

•

$4,000,000 on achieving $25,000,000 annual net sales,

77

•

•

•

•

$10,000,000 on achieving $50,000,000 annual net sales,

$20,000,000 on achieving $100,000,000 annual net sales,

$40,000,000 on achieving $200,000,000 annual net sales, and

$100,000,000 on achieving $500,000,000 annual net sales.

Upon approval by the FDA of a pediatric indication for Macrilen™ (macimorelin), the Company will receive a one-time milestone payment of $5,000,000
from the licensee.

The  licensee  will  fund  70%  of  the  costs  of  a  pediatric  clinical  submitted  for  approval  to  the  EMA  and  FDA  to  be  run  by  the  Company  with  customary
oversight  from  a  joint  steering  committee.  The  joint  steering  committee  will  be  comprised  of  four  persons,  two  of  whom  will  be  appointed  by  each  of
Strongbridge and the Company.

The License and Assignment Agreement will expire at the end of a defined royalty period in each of the U.S. and Canada (the "Territory"), at which time the
license that the Company granted will become irrevocable, fully paid-up, perpetual and royalty-free in such country. The licensee has the right to terminate
the License and Assignment Agreement if there is a safety concern related to Macrilen™ (macimorelin), withdrawal of regulatory approval for Macrilen™
(macimorelin) in the U.S. believed to be permanent, two hundred and seventy (270) days' prior written notice, or if the Company commits a material breach
of any term of the License and Assignment Agreement that it fails to cure within 90 days after receiving written notice of the breach. The Company has the
right to terminate the License and Assignment Agreement if the licensee commits a material breach of any term of the License and Assignment Agreement
that it fails to cure within 90 days after receiving written notice of the breach. If the breach relates to Canada then the Company shall only have the right to
terminate the License and Assignment Agreement in relation to Canada. If the breach relates to the United States, then the Company shall have the right to
terminate the License and Assignment Agreement in its entirety.

The License and Assignment Agreement contains customary provisions related to, among other things, confidentiality and non-disclosure, representations and
warranties, indemnity and dispute resolution. The License and Assignment Agreement is governed by the laws of the State of New York, United States.

The License and Assignment Agreement is incorporated by reference as Exhibit 4.3 to this Annual Report on Form 20-F.

Effective  December  19,  2018,  Strongbridge  sold  its  rights  to  Macrilen™  (macimorelin)  in  Canada  and  the  United  States  to  Novo  and  Novo  will  fund
Strongbridge’s Macrilen™ (macimorelin) field organization as a contract field force to promote the product in the United States for up to three years.

Sinopharm Agreements

On December 1, 2014, we entered into an exclusive master collaboration agreement ("Master Collaboration Agreement"), a technology transfer and technical
assistance  agreement  ("Tech  Transfer  Agreement")  and  a  license  agreement  ("Sinopharm  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 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  Sinopharm  Territory.  Furthermore,  we  will  be  entitled  to  royalties  on  future  net  sales  of  Zoptrex™  in  the  Sinopharm  Territory.
Sinopharm will be responsible for the development, production, registration and commercialization of Zoptrex™ in the Sinopharm Territory.

Sinopharm is required to use commercially reasonable efforts to develop, manufacture and commercialize Zoptrex™ in the Sinopharm Territory, in order to
maximize  the  net  sales  derived  from  Zoptrex™  during  the  royalty  term  of  the  Sinopharm  License  Agreement.  In  particular,  Sinopharm  is  required  to  use
commercially reasonable efforts to: (i) develop Zoptrex™ for the indication of endometrial cancer in the Sinopharm 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 Sinopharm Territory following successful completion of all appropriate clinical
studies; (iii) make the first commercial sale of Zoptrex™ in the Sinopharm 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 Sinopharm Territory; and (v) seek to maximize sales of Zoptrex™ in the Sinopharm Territory. Sinopharm’s failure to use
commercially reasonable efforts to develop, manufacture and commercialize Zoptrex™ would be a material breach of the Sinopharm License Agreement.

78

The Sinopharm License Agreement imposes on Sinopharm the responsibility for marketing, promoting and selling Zoptrex™ in the Sinopharm 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 Sinopharm 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 Sinopharm 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 Sinopharm 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 Sinopharm License Agreement if Sinopharm commits a material breach of any term of the Sinopharm 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 Sinopharm 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 Sinopharm
License Agreement is governed by the laws of Hong Kong.

We do not anticipate significant revenues from the Sinopharm License Agreement in the future other than the amoritzation of the remaining deferred revenue.

The Master Collaboration Agreement, the Sinopharm License Agreement and the Tech Transfer Agreement are incorporated by reference as Exhibits 4.9,
4.10 and 4.11 to this Annual Report on Form 20-F.

Employment and Service Agreements

We had, or one of our subsidiaries had, entered into an employment agreement and, in some cases, a change of control agreement with each of our Named
Executive  Officers.  We  terminated  Dr.  Sachse’s  employment  on  January  17,  2018,  effective  June  14,  2018,  and  terminated  Mr.  Clavijo’s  employment  on
September 24, 2018.

The  employment  and  change  of  control  agreements  of  Mr.  Ward,  the  employment  and  change  of  control  agreements  of  Mr.  Clavijo.  and  the  consulting
agreement of Ms. Auld described below are filed as Exhibits 4.4, 4.5, 4.6, 4.7 and 4.8 to this Annual Report on Form 20-F.

Michael Ward

We entered into an employment agreement and a change of control agreement with Michael V. Ward, Chief Executive Officer, effective as of October 1, 2017
(the "Employment Agreement"). The Employment Agreement provides that we will pay Mr. Ward (the "Executive") an initial base salary of $250,000 and an
annual cash 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.
Additionally, the Executive 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. Under the terms of the Employment Agreement, Mr. Ward's base salary increased to $325,000, upon approval of Macrilen™ (macimorelin)
by the FDA, effective as of December 11, 2017.

The Employment Agreement provides that if there is a "separation form service" within the meaning of Section 409A of the U.S. Internal Revenue Code of
1986, as amended, as a result of (i) termination of the Executive's employment by us without "Cause" or (ii) the Executive resigns for "Good Reason," then
the  Executive  will  be  entitled  to  receive  severance  payments  in  the  amount  equal  to  at  least  eighteen  (18)  months  of  his  then  base  salary  paid  in  equal
installments  over  one  (1)  year,  and  conditional  upon  the  Executive  executing  a  full  and  general  Release  and  complying  with  certain  non-compete  and
confidentiality agreements. The Executive has no right to receive a cash bonus or any other form of remuneration.

The Executive shall not, for a period equal to one year following his termination of employment with us, directly or indirectly,

79

compete with us in a business in the development and commercialization of substantially similar endocrine therapies and oncology treatments; 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  applies  in  those  geographic  areas  in  the  United  States,  Canada  and  Europe  in  which  the  same  or  substantially  similar  endocrine
therapies and oncology treatment are developed and commercialized by us.

Pursuant to the Employment Agreement, the Executive is also entitled to receive certain payments in lieu of and not in addition to any severance payments
provided under the Employment Agreement (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  eighteen  (18)  months  of  the
Executive’s then annual base salary, (ii) an amount equivalent to eighteen (18) months of the Executive’s annual bonus, if any, which he would have received
in the year immediately prior to the year the Change of Control occurred, and (iii) an amount equivalent to eighteen (18) months of the then monthly premium
to  provide  the  group  medical  benefits  to  the  any  earned  retention  bonus,  and  (iv)  an  amount  equivalent  to  eighteen  (18)  months  of  the  then  annual  cost
monthly  premium  to  provide  the  other  benefits  to  which  he  is  entitled,  or  our  cost  to  purchase  coverage  under  COBRA  for  such  benefits,  whichever  is
applicable.  group  medical  benefits  Executive,  his  spouse  and  dependents  determined  by  utilizing  the  applicable  COBRA  premium  rates  for  the  month  the
Executive’s employment terminates. The Change of Control Payment is subject to applicable statutory withholdings. Any outstanding stock options to acquire
our stock shall, in such circumstances, become fully exercisable, vested and non-forfeitable on the date the Executive’s employment terminates following a
Change of Contract during the term of the agreement. The payments are conditional on the Executive executing a full and general Release.

For the purposes of the Employment Agreement:

•

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, during the term of the change of control 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  during  the  term  of  the  change  of  control  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, or (ii) if the Executive commits an act of serious misconduct or willful or gross negligence in the performance of his duties.

Termination  of  employment  by  the  Executive  for  "Good  Reason"  means  the  occurrence,  without  the  Executive’s  express  written  consent,  of  any  of  the
following acts: (i) a material reduction of the Executive’s base salary as in effect on the date of his Employment Agreement or as same may be increased from
time to time, and (ii) any material and sustained reduction in the Executive’s duties and responsibilities as Chief Executive Officer and the Board has been
provided with notice and fails to cure the situation within thirty (30) days following receipt of notice.

James Clavijo

We entered into an employment agreement and a change of control agreement with Mr. James Clavijo, Chief Financial Officer. Mr. Clavijo left the Company
in September 2018, at which time, he received a severance payment in accordance with his employment agreement.

Leslie Auld

We entered into a consulting agreement with Leslie Auld, Senior Vice President, Chief Financial Officer, effective as of September 24, 2018 (the "Consulting
Agreement"). The Consulting Agreement provides that Ms. Auld (the "Consultant") will perform specified services for us for up to 120 hours per month. The
Consultant will be paid $150 per hour (plus HST) (the “base fees”) for these services. Additionally, the Consultant will be paid for up to eight (8) hours of
travel time per round trip, at a rate of $150 per hour.

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The Consulting Agreement may be terminated by either party for convenience, upon thirty (30) days written notice. The Consulting Agreement may also be
terminated  by  us  upon  the  material  breach  or  default  of  any  provision  of  the  Consulting  Agreement  by  the  Consultant,  immediately  upon  the  Consultants
death  or  upon  the  parties’  mutual  agreement.  In  the  event  of  termination,  the  Consultant  will  be  entitled  to  receive  any  outstanding  base  fees  and
reimbursement for incurred expenses to the effective date of termination.

The  Consulting  Agreement  provides  the  Consultant  indemnifies  us  from  and  against  any  and  all  claims,  costs,  liabilities,  damages,  charges  and  expenses
arising out of the Consulting Agreement or the services, including in respect of misclassification.

The table below shows estimated incremental payments triggered pursuant to termination of employment of our Named Executive Officers who remained
employed on December 31, 2018. The amounts shown are in U.S. dollars.

Name

Auld, Leslie

Garrison, Brian

Guenther, Eckhard

Ward, Michael V.

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

0

0

94,800

487,500

(1) The termination values assume that the triggering event took place on the last business day of our financial year-end (December 31, 2018).

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

termination of employment.

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, or does not deal at
arm's length for purposes of the Tax Act with a corporation resident in Canada that is or becomes, as part of a transaction or series of transactions or events
that includes the acquisition of the Common Shares, controlled by a non-

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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 a foreign currency 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 business in Canada (a "Non-Resident holder"). In
addition, this discussion does not apply to an insurer who carries or is deemed to carry 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) the 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
U.S. for purposes of the Convention and entitled to the benefits of the Convention (a "U.S. holder") is generally limited to 15% of the gross amount of the
dividend  (or  5%  in  the  case  of  a  U.S.  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.

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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. Canadian holders should consult their own tax advisors for advice as to whether
an election under subsection 39(4) of the Tax Act is available and/or advisable in their particular circumstances.

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 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.

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 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.

Material U.S. Federal Income Tax Considerations

The following discussion is a summary of the material U.S. federal income tax consequences applicable to the ownership and disposition of Common Shares
by a U.S. Holder (as defined below), but does not purport to be a complete analysis of all potential U.S. federal income tax effects. This summary is based on
the Internal Revenue Code of 1986, as amended (the "Code"), U.S. 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.

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This  summary  does  not  address  all  aspects  of  U.S.  federal  income  taxation  that  may  be  relevant  to  particular  U.S.  Holders  in  light  of  their  specific
circumstances (for example, U.S. 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 U.S. 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 U.S. federal income tax purposes and their partners or members;

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 U.S. dollar; and

direct, indirect or constructive owners of 10% or more of the total combined voting power of all classes of our voting stock or 10% or more of the
total value of shares of all classes of our 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,  U.S.  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.  U.S.  Holders  of  warrants  should  consult  their  tax  advisors  with  regard  to  the  U.S.  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 U.S. Holders. In addition, this discussion
is  limited  to  U.S.  Holders  holding  Common  Shares  as  capital  assets.  For  purposes  of  this  summary,  "U.S.  Holder"  means  a  beneficial  holder  of  Common
Shares who or that for U.S. federal income tax purposes is:

•

•

•

•

an individual citizen or resident of the United States;

a corporation or other entity classified as a corporation for U.S. 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 U.S. 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 "U.S.
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 U.S. person for U.S. federal income tax purposes.

If a partnership or other entity or arrangement classified as a partnership for U.S. federal income tax purposes holds Common Shares, the U.S. 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.

U.S.  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.

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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
quarterly 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-U.S. corporation owns at least 25% by value of the stock of another corporation, the non-U.S. 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, 2017 and 2018 taxable years. 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  2018  or  any  future  taxable  year.  U.S.  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  U.S.  Holder  owns  Common  Shares,  the  U.S.  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 U.S. Holder on the Common Shares in a
taxable year that are greater than 125% of the average annual distributions received by the U.S. Holder in the three preceding taxable years or, if shorter, the
U.S. 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 U.S. 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 U.S. Holder that is not a corporation will be required to treat any such interest paid as "personal interest", which is not deductible.

U.S. 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  U.S.  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 U.S. 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 U.S. Holder's Common Shares at the close of the taxable year over the U.S. Holder's adjusted tax basis in the Common
Shares.  An  electing  U.S.  Holder  may  also  claim  an  ordinary  loss  deduction  for  the  excess,  if  any,  of  the  U.S.  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 U.S. Holder that makes a mark-to-market election generally will adjust such U.S. 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 U.S. 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.

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If the Company is classified as a PFIC, a U.S. 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. U.S. 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 U.S. Holders with the information that such U.S. 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 U.S. Holders.

A U.S. 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 U.S. Holder that makes a timely and effective
QEF election will be subject to U.S. federal income tax on such U.S. Holder's pro rata share of (a) the Company's net capital gain, which will be taxed as
long-term capital gain to such U.S. Holder, and (b) the Company's ordinary earnings, which will be taxed as ordinary income to such U.S. Holder, in each
case regardless of which such amounts are actually distributed to the U.S. 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.

A U.S. 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 U.S. Holder because of such QEF election and
(b) will adjust such U.S. 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 U.S. 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
U.S. 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 U.S. Holder may make an election (a "deemed sale election") to be treated for
U.S. federal income tax purposes as having sold such U.S. Holder's Common Shares on the last day of the taxable year of the Company during which it was a
PFIC. A U.S. 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 U.S. Holder, the U.S. 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, U.S. 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 U.S. federal income tax or information returns) relating to their ownership of Common Shares.

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.

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 U.S.
federal  income  tax  purposes),  before  reduction  for  any  Canadian  withholding  tax  paid  with  respect  thereto,  will  generally  be  taxable  to  a  U.S.  Holder  as
foreign source dividend income, and generally 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 U.S. 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
U.S. federal income tax principles. Therefore, U.S. Holders should expect that any distribution from the Company generally will be treated for U.S. federal
income tax purposes as a dividend. U.S. Holders

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should consult their own tax advisors with respect to the appropriate U.S. federal income tax treatment of any distribution received from the Company.

Dividends paid to non-corporate U.S. 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 U.S. Holder at the special reduced rates normally applicable to long-term capital gains, provided that certain conditions
are satisfied. (including a minimum holding period requirement). The Company believes it was not a PFIC for the 2018 taxable year. However, no assurance
can be provided that the Company will not be classified as a PFIC for 2019 and, therefore, no assurance can be provided that a U.S. Holder will be able to
claim a reduced rate for dividends paid in 2019 or 2020 (if any).

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 U.S. 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 U.S. Holder are effectively connected with a permanent
establishment of the U.S. Holder in Canada. For U.S. federal income tax purposes, U.S. 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 U.S. federal income tax purposes by a U.S. Holder with respect to a payment of dividends may be greater than
the amount of cash actually received (or receivable) by the U.S. Holder from the Company with respect to the payment.

Subject  to  certain  limitations,  a  U.S.  Holder  will  generally  be  entitled,  at  the  election  of  the  U.S.  Holder,  to  a  credit  against  its  U.S.  federal  income  tax
liability, or a deduction in computing its U.S. federal taxable income, for Canadian income taxes withheld by 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 U.S. 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  U.S.  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 U.S. Holder in a U.S. dollar amount calculated by reference to the exchange rate
in effect on the date the U.S. Holder (actually or constructively) receives the dividend, regardless of whether such Canadian dollars are actually converted into
U.S. dollars at that time. If the Canadian dollars received are not converted into U.S. dollars on the date of receipt, a U.S. Holder will have a tax basis in the
Canadian dollars equal to their U.S. 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 U.S. source ordinary income or loss to a U.S. 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 U.S. Holder generally will recognize
capital gain or loss for U.S. federal income tax purposes equal to the difference, if any, between the amount realized on the sale, exchange or other taxable
disposition and the U.S. Holder's adjusted tax basis in the Common Shares.

This capital gain or loss will be long-term capital gain or loss if the U.S. 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 U.S. source for U.S. foreign tax credit purposes.

Information Reporting and Backup Withholding

Payments made within the U.S., or by a U.S. payor or U.S. 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 U.S. Holder as required under applicable regulations. Backup withholding tax may apply to these
payments if the U.S. 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  U.S.  Holders  are  not  subject  to  the  information  reporting  or  backup
withholding tax requirements described herein. U.S. 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. U.S. Holders generally will be allowed a refund or credit against their U.S. federal income tax liability for
amounts withheld, provided the required information is timely furnished to the IRS.

87

Subject to certain exceptions and future guidance, U.S. tax legislation generally requires a U.S. Holder that is a specified individual or a domestic entity, to
report annually to the IRS on IRS Form 8938 such U.S. Holder's interests in stock or securities issued by a non-U.S. person (such as the Company). U.S.
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 required.

G.

Statement by experts

Not required.

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  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 8, 2019 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, 2018 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

Not required.

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 payables, accrued liabilities, and provision for restructuring costs.

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, market risk (share price risk) and foreign exchange 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 financial assets at amortized cost in the table

88

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,  2018  trade  accounts  receivable  for  an  amount  of  approximately  $197 were with four  counterparties  of  whichl  $55  was  past  due  and
impaired and impaired amounts were fully reserved and not a part of the balance .

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. On this basis, as at December 31, 2018, the Company has provided for all outstanding and unpaid
amounts relating to its operations before its licensing of MacrilenTM(macemorelin). The licensee has paid all amounts owing within 90 days of invoicing.

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 23 - Capital disclosures
of  our  financial  statements  included  in  this  Form  20-F,  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 as further discussed in note 2 - Assessment of liquidity and management's plans.
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.

On December 20, 2017, the FDA granted marketing approval for Macrilen™ (macimorelin) to be used in the diagnosis of patients with AGHD. On January
16,  2018,  the  Company,  through  AEZS  Germany  entered  into  the  License  and  Assignment  Agreement.  The  License  and  Assignment  Agreement  will
contribute to fulfilling the Company's future obligations.

(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, as further
described in note 17 of our financial statements included in this Form 20-F as it applies to its outstanding share purchase warrants. The 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 income (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 ranged from $1.19 to $3.87 during the year ended December 31, 2018.

If variations in the market price of our common shares of -30% and +30%  were  to  occur,  the  impact  on  the  Company's  net  income  related  to  the  warrant
liability held at December 31, 2018 would be as follows:

(in thousands)

Warrant liability

Total impact on net income – (decrease) / increase

Foreign currency risk

Carrying 
amount

$

3,634  

-30%

$

+30%

$

1,792  

1,792  

(1,504)

(1,504)

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.

89

 
 
 
 
 
 
 
 
   
 
Item 12.

Description of Securities Other than Equity Securities

A.

Debt securities

Not required.

B.

Warrants and rights

Not required.

C.

Other securities

Not required.

D.

American depositary shares

Not applicable.

PART II

Item 13.

Defaults, Dividend Arrearages and Delinquencies

None.

Item 14.

Material Modifications 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  Chief  Financial  Officer,  we  have
evaluated the effectiveness of our disclosure controls and procedures as at December 31, 2018. Based on that evaluation, the Chief Executive Officer and
Chief Financial Officer have concluded that these disclosure controls and procedures were effective as at December 31, 2018.

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, 2018.

90

Changes in Internal Controls over Financial Reporting

There were no changes in our internal control over financial reporting during the year ended December 31, 2018 that 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.

In  accordance  with  Securities  and  Exchange  Commission’s  rules  regarding  non-accelerated  filers,  this  Annual  Report  on  Form  20-F  does  not  include  an
attestation report of the Company's independent registered public accounting firm regarding the Company's internal control over financial reporting.

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 current members of the Audit Committee are
Messrs. Brent Norton and Jonathan Pollack, 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 December 16, 2017, the Board adopted a "Code of Conduct and Business Ethics", which replaced the then existing Code of Ethical Conduct as of January
1, 2018. The Code of Conduct and Business Ethics expanded on the previous Code of Ethical Conduct to provide additional details of expected conduct of all
employees  and  directors  of  the  Company,  including  specific  obligations  the  Company  and  its  employees  has  as  a  member  of  the  healthcare  industry.  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.zentaris.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, Summerville, South
Carolina 29486.

Item 16C. Principal Accountant Fees and Services

(All amounts are in U.S. dollars)

(a)

Audit Fees

During the  financial  years  ended  December  31,  2018  and  2017,  the  Company's  principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $563,558  and
$506,309, respectively, for the audit of the Company's annual consolidated financial statements and for services rendered in connection with statutory and
regulatory filings.

91

(b)

Audit-related Fees

During  the  financial  years  ended  December  31,  2018  and  2017,  the  Company's  principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $37,663  and
$113,430, 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.

(c)

Tax Fees

During  the  financial  years  ended  December  31,  2018  and  2017,  the  Company's  principal  accountants,  PricewaterhouseCoopers  LLP  billed  $36,224  and
$5,426, respectively, for services related to tax compliance, tax planning and tax advice.

(d)

All Other Fees

During the financial years ended December 31, 2018 and 2017, 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, 2018 and 2017, 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,  2018,  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

92

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.

93

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 95 to 137.

PART III

94

Aeterna Zentaris Inc.

Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended
December 31, 2018, 2017 and 2016
(presented in thousands of U.S. dollars)

95

Report of Independent Registered Public Accounting Firm

To the Board of Directors and Shareholders of
Aeterna Zentaris Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated statements of financial position of Aeterna Zentaris Inc. and its subsidiaries (the “Company”) as of
December 31, 2018 and 2017, and the related consolidated statements of changes in shareholders’ (deficiency) equity, comprehensive income (loss) and cash
flows for each of the three years in the period ended December 31, 2018, including the related notes (collectively referred to as the “consolidated financial
statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of
December 31, 2018 and 2017, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2018 in
conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board
(United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits of these consolidated financial statements in accordance with the standards of the PCAOB. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to error
or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits
we are required to obtain an understanding of internal control over financial reporting 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.

Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud,
and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures
in the consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as
well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion.

“/s/PricewaterhouseCoopers LLP”

Toronto, Ontario, Canada
March 28, 2019

We have served as the Company’s auditor since 1993.

96

Aeterna Zentaris Inc.
Consolidated Statements of Financial Position
(in thousands of US dollars)

ASSETS

Current assets

Cash and cash equivalents (note 7)

Trade and other receivables (note 8)

Inventory (note 9)

Prepaid expenses and other current assets (note 10)

Total current assets

Restricted cash equivalents (note 11)

Property, plant and equipment (note 12)

Deferred tax assets (note 20)

Identifiable intangible assets (note 13)

Other non-current assets

Goodwill (note 14)

Total Assets

LIABILITIES

Current liabilities

Payables and accrued liabilities (note 15)

Provision for restructuring and other costs (note 16)

Income taxes (note 22)

Current portion of deferred revenues (note 6)

Total current liabilities

Deferred revenues (note 6)

Warrant liability (note 17)

Employee future benefits (note 18)

Non-current portion of provision for restructuring and other costs (note 16)

Total liabilities

SHAREHOLDERS' EQUITY (DEFICIENCY)

Share capital (note 19)

Other capital (note 19)

Deficit

Accumulated other comprehensive income

Total shareholders' equity (deficiency)

Total liabilities and shareholders' equity

Commitments and contingencies (note 27)

December 31, 2018

December 31, 2017

$

$

14,512  

294  

240  

1,210  

16,256  

418  

65  

—  

62  

—  

8,210  

25,011  

2,966  

887  

1,669  

74  

5,596  

258  

3,634  

13,205  

411  

23,104  

222,335  

89,342  

(309,781)  

11  

1,907  

25,011  

7,780

221

554

826

9,381

381

101

3,479

90

150

8,613

22,195

2,814

2,469

—

486

5,769

55

3,897

14,229

1,028

24,978

222,335

88,772

(314,161)

271

(2,783)

22,195

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

97

 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Changes in Shareholders' (Deficiency) Equity
For the years ended December 31, 2018, 2017 and 2016
(in thousands of US dollars, except share data)

Common shares
(number of) 1

Share
capital

$

  Other capital  

Deficit

Accumulated other
comprehensive
income

$

$

$

Total

$

16,440,760  

222,335  

88,772  

(314,161)  

—  

—  

—  

4,187  

271  

—  

(2,783)

4,187

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

—  

570  

—  

193  

4,380  

—  

16,440,760  

222,335  

89,342  

(309,781)  

(260)  

—  

(260)  

—  

11  

(260)

193

4,120

570

1,907

Balance - January 1, 2018

Net income

Other comprehensive income (loss):

Foreign currency translation adjustments

Actuarial gain on defined benefit plans (note 18)

Comprehensive loss

Share-based compensation costs

Balance - December 31, 2018

________________________

1  Issued and paid in full.

Common shares
(number of) 1

Share
capital

$

Pre-funded
warrants

$

Other
capital

$

Deficit

$

Accumulated
other
comprehensive
income (loss)

$

Total

$

Balance - January 1, 2017

Net loss

Other comprehensive income (loss):

Foreign currency translation adjustments

Actuarial gain on defined benefit plans (note

18)

Comprehensive loss

Share issuances pursuant to the exercise of
pre-funded warrants (note 19)

Share issuances in connection with "at-the-

market" drawdowns (note 19)

Share-based compensation costs

Balance - December 31, 2017

________________________

1  Issued and paid in full.

12,917,995  

213,980  

—  

—  

—  

—  

—  

—  

—  

—  

301,343  

977  

3,221,422  

7,378  

—  

16,440,760  

222,335  

—  

—  

—  

—  

—  

—  

—  

—  

—  

88,590  

(298,059)  

—  

(16,796)  

1,701  

—  

6,212

(16,796)

—  

—  

—  

—  

—  

182  

—  

(1,430)  

(1,430)

694  

(16,102)  

—  

694

(1,430)  

(17,532)

—  

—  

—  

—  

977

—  

—  

271  

7,378

182

(2,783)

88,772  

(314,161)  

The accompanying notes are an integral part of these consolidated financial statements.

98

 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
   
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Changes in Shareholders' (Deficiency) Equity
For the years ended December 31, 2018, 2017 and 2016
(in thousands of US dollars, except share data)

Common shares
(number of)1

Share
capital

$

Pre-funded
warrants

$

Other
capital

$

Deficit

$

Accumulated
other
comprehensive
income (loss)

$

Total

$

Balance - January 1, 2016

Net loss

Other comprehensive income (loss):

Foreign currency translation adjustments

Actuarial loss on defined benefit plan (note

18)

Comprehensive loss

Share issuances in connection with a public
offering (note 19)

Pre-funded warrant issuances in connection

with a public offering (note 19)

Share issuances pursuant to the exercise of

pre-funded warrants (note 19)

Share issuances in connection with "at-the-

market" drawdowns (note 19)

Share-based compensation costs

Balance - December 31, 2016

_________________________
1    Issued and paid in full.

9,928,697  

204,596  

—  

—  

—  

—  

—  

—  

—  

—  

1,150,000  

3,377  

—  

—  

—  

—  

—  

—  

—  

—  

2,789  

950,000  

2,789  

(2,789)  

889,298  

3,218  

—  

87,508  

(271,621)  

1,132  

21,615

—  

(24,959)  

—  

(24,959)

—  

—  

—  

—  

—  

—  

—  

1,082  

—  

(1,479)  

(26,438)  

—  

—  

—  

—  

—  

569  

—  

569  

—  

—  

—  

—  

—  

569

(1,479)

(25,869)

3,377

2,789

—

3,218

1,082

6,212

12,917,995  

213,980  

—  

88,590  

(298,059)  

1,701  

The accompanying notes are an integral part of these consolidated financial statements.

99

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
   
   
 
Aeterna Zentaris Inc.
Consolidated Statements of Comprehensive Income (Loss)
For the years ended December 31, 2018, 2017 and 2016
(in thousands of US dollars, except share and per share data)

Revenues

License fees (note 6)

Product sales (note 6)

Royalty income (note 6)

Sales commission and other

Total revenues

Cost of sales

Gross income

Operating expenses (note 20)

Research and development costs

General and administrative expenses

Selling expenses

Total operating expenses

Income (loss) from operations

Settlements (note 27)

Gain (loss) due to changes in foreign currency exchange rates

Change in fair value of warrant liability (note 17)

Other finance income

Net finance income (costs)

Income (loss) before income taxes

Income tax (expense) recovery (note 22)

Net income (loss)

Other comprehensive income (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 income (loss)

Net income (loss) per share (basic) (note 26)

Net income (loss) per share (diluted) (note 26)

Weighted average number of shares outstanding (note 26)

Basic

Diluted

Years Ended December 31,

2018

$

2017

$

2016

$

24,325  

2,167  

184  

205  

26,881  

2,104  

24,777  

2,932  

8,894  

3,109  

14,935  

9,842  

(1,400)  

656  

263  

278  

1,197  

9,639  

(5,452)  

4,187  

(260)  

193  

4,120  

0.25  

0.24  

458  

—  

—  

465  

923  

—  

923  

10,704  

8,198  

5,095  

23,997  

(23,074)  

—  

502  

2,222  

75  

2,799  

(20,275)  

3,479  

(16,796)  

(1,430)  

694  

(17,532)  

(1.12)  

(1.12)  

497

—

—

414

911

—

911

16,495

7,147

6,745

30,387

(29,476)

—

(70)

4,437

150

4,517

(24,959)

—

(24,959)

569

(1,479)

(25,869)

(2.41)

(2.41)

16,440,760  

17,034,812  

14,958,704  

14,958,704  

10,348,879

10,348,879

The accompanying notes are an integral part of these consolidated financial statements.

100

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
   
   
   
 
 
 
 
   
   
   
 
 
Aeterna Zentaris Inc.

Consolidated Statements of Cash Flows
For the years ended December 31, 2018, 2017 and 2016
(in thousands of US dollars)

Cash flows from operating activities

Net income (loss) for the year

Items not affecting cash and cash equivalents:

Change in fair value of warrant liability (note 17)

Provision for restructuring and other costs (note 16)

Recapture of inventory previously written off

Depreciation, amortization and impairment (notes 12 and 13)

Deferred income taxes (note 22)

Share-based compensation costs

Employee future benefits (note 18)

Amortization of deferred revenues (note 6)

Foreign exchange (gain) loss on items denominated in foreign currencies

Gain on disposal of property, plant and equipment

Other non-cash items

Transaction cost allocated to warrants issued (note 19)

Changes in operating assets and liabilities (note 21)

Net cash provided by/(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 $nil, $250 and $1,107 in 2018, 2017, and 2016,
respectively (note 19)

Proceeds from warrants exercised (note 19)

Net cash provided by financing activities

Cash flows from investing activities

Purchase of property, plant and equipment (note 12)

Proceeds for disposals of property, plant and equipment (note 12)

Change in restricted cash equivalents

Net cash provided by (used in) 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 year (note 6)

Cash and cash equivalents – end of year (note 6)

Years ended December 31,

2018

$

2017

$

2016

$

4,187  

(16,796)  

(24,959)

(263)  

(136)  

—  

58  

3,479  

570  

316  

(609)  

(652)  

(9)  

35  

—  

(151)  

6,825  

—  

—  

—  

(9)  

24  

(50)  

(35)  

(58)  

6,732  

7,780  

14,512  

(2,222)  

3,083  

(643)  

94  

(3,479)  

182  

246  

(458)  

(553)  

(136)  

(19)  

—  

(2,212)  

(22,913)  

7,788  

242  

8,030  

(4)  

161  

150  

307  

357  

(14,219)  

21,999  

7,780  

(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

The accompanying notes are an integral part of these consolidated financial statements.

101

 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

1 Business overview

Summary of business

Aeterna  Zentaris  Inc.  ("Aeterna  Zentaris"  or  the  "Company")  is  a  specialty  biopharmaceutical  company  which  is  commercializing  novel
pharmaceutical  therapies.  On  December  20,  2017,  the  United  States  Food  and  Drug  Administration  ("FDA")  granted  marketing  approval  for
Macrilen™  (macimorelin)  to  be  used  in  the  diagnosis  of  patients  with  adult  growth  hormone  deficiency  ("AGHD").  On  January  16,  2018,  the
Company, through Aeterna Zentaris GmbH, entered into a license and assignment agreement with Strongbridge Ireland Limited ("Strongbridge") to
carry out development, manufacturing, registration, regulatory and supply chain services for the commercialization of Macrilen™ (macimorelin) in the
United  States  and  Canada  (the  "License  and  Assignment  Agreement").  Effective  December  19,  2018,  Strongbridge  sold  the  United  States  and
Canadian rights to Macrilen™ to Novo Nordisk ("Novo").

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 1155 Rene-Levesque Blvd. West, 41st Floor, Montreal, Quebec H3B 3V2, Canada and its principal
place of business is 315 Sigma Drive, Summerville, South Carolina 29486.

The Company's common shares are listed on both the Toronto Stock Exchange (the "TSX") and on the NASDAQ Capital Market (the "NASDAQ").

Basis of presentation

(a) Statement of compliance

These consolidated financial statements as at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016
have  been  prepared  in  accordance  with  International  Financial  Reporting  Standards  ("IFRS")  as  issued  by  the  International  Accounting  Standards
Board ("IASB").

The accounting policies in these consolidated financial statements are consistent with those of the previous financial year except for the adoption of
those standards in 2018 (note 4) and are consistent with the previous quarter.

These consolidated financial statements were approved by the Company's Board of Directors on March 29, 2019.

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 4 - 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.

102

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

(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") which is U.S. dollars for the Company and its U.S. subsidiary, Aeterna Zentaris, Inc. and Euro ("EUR") for
its German subsidiaries.

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 (deficiency).

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 income (loss).

2 Assessment of liquidity and management's plans

Since inception, the Company has incurred significant expenses in its efforts to develop and commercialize products. Consequently, the Company has
incurred operating losses and negative cash flow from operations historically and in each of the last several years except for the year ended
December 31, 2018 when the Company earned revenue from the sale of a license for the adult indication of MacrilenTM (macimorelin) in the United
States and Canada (note 6). As at December 31, 2018, the Company had an accumulated deficit of $310 million.

The Company has $14,512  of  cash  and  cash  equivalents  as  at  December  31,  2018,  and  management  believes  it  has  sufficient  liquidity  to  meet  its
current obligations of $5,596 and continue its planned level of expenses for at least, but not limited to the next twelve months from the date of issuance
of these consolidated financial statements. The Company is focused on managing its operating expenses, and has the discretion to limit research and
development costs, administrative expenses and capital expenditures in order to maintain its liquidity, until such time that additional sources of funding
can be obtained. The Company’s principal focus is on the licensing and development of MacrilenTM (macimorelin) and it currently does not have any
other  approved  product.  In  January  2018,  the  Company  signed  a  license  and  assignment  agreement  with  Strongbridge  Ireland  Ltd.,  which  as  of
December  19,  2018  is  a  wholly-owned  subsidiary  of  Novo  Nordisk  A/S  (“Novo”),  to  carry  out  development,  manufacturing,  registration  and
commercialization  of  MacrilenTM  (macimorelin)  in  the  U.S.  and  Canada  (the  “License  and  Assignment  Agreement”)  (see  note  6).  Consistent  with
Strongbridge, Novo is funding 70% of the pediatric clinical trial submitted to the EMA and FDA, the Company's sole development priority.

On  March  12,  2019,  the  Company  announced  that  its  board  of  directors  has  formed  a  special  committee  of  independent  directors  (the  "Special
Committee")  to  review  strategic  options  available  to  the  Company.  The  Special  Committee  has  approved  the  engagement  by  the  Company  of  a
financial  advisor  that  is  working  with  management  to  assist  the  Special  Committee  and  the  board  of  directors  in  considering  a  wide  range  of
transactions  (including  opportunities  for  the  license  of  MacrilenTM  (macimorelin)  outside  of  the  United  States  and  Canada,  or  other  monetization
transactions relating to MacrilenTM (macimorelin). Management has evaluated whether material uncertainties exist relating to events or conditions as
described in Note 4 and has considered the following in making that critical judgment.

The Company’s current operating budget and cash flows from operating activities in 2019 are expected to decline compared with 2018, however, the
Company believes it will experience an increase in its royalty income, which, when combined with its forecasted cash flows, the Company believes
will provide sufficient liquidity to finance operations and meet its commitments for at least, but not limited to, twelve months from the date of approval
of these financial statements.

3 Summary of significant accounting policies

The accounting policies set out below have been applied consistently to all years presented in these consolidated financial statements except for the
adoption of those standards in 2018 (note 4) and have been applied consistently by all Group entities.

Cash and cash equivalents

103

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

Inventories

Inventories  are  valued  at  the  lower  of  cost  or  net  realizable  value.  Cost  is  determined  using  the  first-in,  first-out  method  for  all  inventories.  The
Company's policy is to write down inventory that has become obsolete and inventory that has a cost basis in excess of its expected net realizable value.
Increases in the reserve are recorded as charges in cost of product sales. For product candidates that have not been approved by the FDA, inventory
used in clinical trials is written down at the time of production and recorded as research and development ("R&D") costs. For products that have been
approved by the FDA, inventory used in clinical trials is expensed at the time the inventory is packaged for the clinical trial. All direct manufacturing
costs incurred after approval are capitalized into inventory.

Restricted cash equivalents

Restricted cash equivalents are comprised of bank deposits, related to a guarantee for a long-term operating lease 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  income  (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 income (loss), is allocated to the appropriate functional expense categories to which the underlying identifiable intangible assets relate.

Goodwill

Goodwill  is  recognized  as  the  fair  value  of  the  consideration  transferred  including  the  recognized  amount  of  any  non-controlling  interest  in  the
acquiree, less the fair value of the net identifiable assets acquired and liabilities assumed, as of the acquisition date. Subsequent to initial recognition,
goodwill is measured at cost less accumulated impairment losses. Goodwill acquired in business combinations is allocated to groups of cash generating
units ("CGU") that are expected to benefit from the synergies of the combination.

Impairment of assets

104

 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 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 income (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 will 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 income (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.

105

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 comprehensive income (loss), 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
income (loss) in subsequent periods.

For  defined  contribution  plans,  expenses  are  recorded  in  the  consolidated  statement  of  comprehensive  income  (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  income  (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");
"Financial assets at amortized cost"; "Financial liabilities at "FVTPL"; and "Financial liabilities at amortized cost".

Financial assets at FVTPL: Financial assets carried at FVTPL are initially recorded at fair value and transaction costs are expensed in the statement
of comprehensive income (loss). Realized and unrealized gains and losses arising from changes in the fair value of the financial assets held at FVTPL
are included in the statement of comprehensive income (loss) in the period in which they arise.

Financial liabilities at FVTPL: These financial liabilities are initially recognized at fair value, and transaction costs directly attributable to issuing the
warrants are expensed in the statement of comprehensive income (loss). Financial liabilities that are required to be measured at FVTPL have all fair
value movements, excluding those related to changes in the credit risk of the liability which are recorded in other comprehensive income (loss),
recognized in the statement of comprehensive income (loss).

Financial  assets  at  fair  value  through  other  comprehensive  income  (FVTOCI):  Investments  in  equity  instruments  at  FVTOCI  are  initially
recognized at fair value plus transaction costs. Subsequently they are measured at fair value, with gains and losses arising from changes in fair value
recognized in other comprehensive income (loss) in the period in which they arise.

Financial assets at amortized cost: A financial asset is measured at amortized cost if the objective of the business model is to hold the financial asset
for the collection of contractual cash flows, and the asset's contractual cash flows are comprised solely of payments of principal and interest. They are
classified  as  current  assets  or  non-current  assets  based  on  their  maturity  date,  and  are  initially  recognized  at  fair  value  and  subsequently  carried  at
amortized cost less any impairment.

Impairment of financial assets at amortized cost: The Company recognizes a loss allowance for expected credit losses on financial assets that are
measured at amortized cost.

106

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

The  following  table  shows  the  classification  of  the  Company’s  financial  assets/liabilities  under  IFRS  9  Financial  Instruments  ("IFRS  9")  and  the
previous classifications under IAS 39:

Financial asset/liability             IFRS 9 Classification     IAS 39 Classification

Cash and cash equivalents Amortized cost         Loans and receivables

Trade and other receivables Amortized cost         Loans and receivables

Restricted cash and cash equivalents Amortized cost         Loans and receivables

Warrant liability (derivative) FVTPL             FVTPL

Payable and accrued liabilities Amortized cost        Other financial liabilities

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.

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

License fees

License fees representing non-refundable payments received at the time of executing the license agreements. The Company’s promise to grant a license
provides  its  customer  with  either  a  right  to  access  the  Company’s  intellectual  property  ("IP")  or  a  right  to  use  the  Company’s  IP.  Revenue  from  a
license that provides a customer the right to use the Company’s IP is recognized at a point in time when the transfers to the licensee is completed and
the  license  period  begins.  Revenue  from  a  license  that  provides  access  to  the  Company’s  IP  over  a  license  term  is  considered  to  be  a  performance
obligation satisfied over time and, therefore, revenue is recognized over the term of the license arrangement.

Royalty and milestone income

Royalty income earned through a license is recognized when the underlying sales have occurred. Milestone income is recognized at the point in time
when it is highly probable that the respective milestone event criteria are met, and the risk of reversal of revenue recognition is remote. Other revenue
also includes revenue from activities such as manufacturing or

107

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

other services rendered, to the extent such revenue is not recorded under net sales, and is recognized when control transfers to the third party and the
related performance obligations are satisfied.

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 income (loss) or directly in equity is also recognized directly in other comprehensive income
(loss)  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 the 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.

Net income (loss) per share

Basic net income (loss) income per share is calculated using the weighted average number of common shares outstanding during the year.

Diluted net income (loss) 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.

108

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

This method requires that diluted net income (loss) 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.

4 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.

Accounting for the Macrilen License and Assignment Agreement

See the performance obligations further described in note 6 - Licensing arrangements.

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  selection  of  the  most  appropriate  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 17 - Warrant liability and 19 - Share and other capital.

Impairment of goodwill and identifiable intangible assets

The annual impairment assessment related to goodwill requires to estimate the recoverable amount, which has been determined using value in use
model.  The  Company  also  concluded  that  there  was  only  one  CGU  as  management  monitors  goodwill  and  identifiable  intangible  assets  on  an
overall entity basis. Future events 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 18 - Employee future benefits.

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

109

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 22 - Income taxes. .

5 Recent accounting pronouncements

Accounting standards adopted in 2018

IFRS 9 Financial instruments

IFRS 9 replaces the provisions of IAS 39 Financial Instruments: Recognition and Measurement ("IAS 39") that relate to the recognition, classification
and  measurement  of  financial  assets  and  financial  liabilities,  de-recognition  of  financial  instruments,  impairment  of  financial  assets  and  hedge
accounting.

The Company's financial assets are mainly comprised of cash and cash equivalents, trade and other receivables, and restricted cash equivalents, which
are classified and accounted for under IFRS 9 at amortized cost. Financial liabilities are mainly comprised of payables and accrued liabilities, which
are accounted for at amortized cost, and the warrant liability, which is a derivative that is accounted for at fair value through profit and loss (FVTPL).

The  impairment  of  financial  assets,  including  trade  and  other  receivables,  is  now  assessed  using  the  simplified  method  of  the  expected  credit  loss
model:  previously,  the  incurred  loss  model  was  used.  Applying  the  expected  credit  loss  model  has  not  had  a  significant  impact  on  the  value  of  the
financial assets.

The Company applied the modified retrospective method upon adoption of IFRS 9 on January 1, 2018. This method requires the recognition of the
cumulative effect of initially applying IFRS 9 to retained earnings (deficit) and not to restate prior years. The application of this new standard resulted
in changes in accounting policies but has no impact on opening deficit.

IFRS 15 Revenue from contracts with customers

Effective January 1, 2018, the Company has adopted IFRS 15 Revenue from Contracts with Customers (“IFRS 15”). This new standard was applied
using a modified retrospective approach. The adoption of IFRS 15 did not have a significant impact on the timing or measurement of the Company’s
revenue and no adjustment to the opening balance of deficit as at January 1, 2018 has been recorded as result of adopting IFRS 15.

The impacts of adoption of the new standard are summarized below:

The  Company's  revenue  consists  of  licensing  fees  representing  non-refundable  payments  received  at  the  time  of  executing  the  license  agreement,
which are recognized as revenue upon execution of the license agreements when the Company has no significant future performance obligation and
collectability of the fees is probable. Under IFRS 15, the Company determines whether the Company's promise to grant a license provides its customer
with either a right to access the Company’s IP or a right to use the Company’s IP. Revenue from a license that provides a customer the right to use the
Company’s IP is recognized at a point in time when the transfer to the licensee is completed and the license period begins. Revenue from a license that
provides access to the Company's IP over a license term is considered to be a performance obligation satisfied over time and, therefore, revenue is
recognized over the term of the license arrangement.

Revenue consists also of royalty income from the out-licensing of IP, which is recognized as earned and from manufacturing and other services, where
revenue is recognized when control transfers to the third party and the Company’s performance obligations are satisfied. The adoption of IFRS 15 did
not  significantly  change  the  timing  or  amount  of  revenue  recognized  from  these  manufacturing  and  other  services  arrangements,  nor  did  it  change
accounting for these royalty arrangements, as the standard's royalty exception is applied for IP licenses.

110

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Furthermore, the Company receives milestone payments related to the out-licensing of IP. IFRS 15 resulted in the following changes in timing and
amount of revenue recognized under these arrangements.In January 2018, the Company received $24.0 million of which $23.6 million was recognized
in the consolidated statements of comprehensive income (loss) and $0.4 million was deferred to the consolidated statements of financial position and is
being amortized until June 2023 when we expect to commence product sales for the pediatric indication. Under IAS 18, the full $24.0 million would
have  been  deferred  to  the  consolidated  statements  of  financial  position  and  would  have  been  amortized  to  the  consolidated  statements  of
comprehensive income (loss) evenly until October 2027, representing the expiry date of the underlying patents.

The Company applied the modified retrospective method upon adoption of IFRS 15 on January 1, 2018. This method requires the recognition of the
cumulative effect of initially applying IFRS 15 to deficit and not to restate prior years. The application of this new standard effective January 1, 2018
had no impact on opening deficit.

Accounting standards not yet adopted

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 that this new standard may have
on the Company's consolidated financial statements.

In June 2017, IFRIC 23, "Uncertainty over Income Tax Treatment" ("IFRIC 23"), was issued. IFRIC 23 provides guidance on how to value uncertain
income tax positions based on the probability of whether the relevant tax authorities will accept the company's tax treatments. A company is to assume
that a taxation authority with the right to examine any amounts reported to it will examine those amounts and will have full knowledge of all relevant
information when doing so. IFRIC 23 is effective for annual periods beginning on or after January 1, 2019.  The adoption of this interpretation is not
expected to have a significant impact on the Company's consolidated financial statements.

In  June  2015,  the  IASB  published  ED/2015/5  Remeasurement  on  a  Plan  Amendment,  Curtailment  or  Settlement/Availability  of  a  Refund  from  a
Defined  Benefit  Plan  (Proposed  amendments  to  IAS  19  and  IFRIC  14)  combining  two  issues  submitted  separately  to  the  IFRS  Interpretations
Committee into a single package of narrow-scope amendments to IAS 19 Employee Benefits and IFRIC 14 IAS 19 - The Limit on a Defined Benefit
Asset, Minimum Funding Requirements and their Interaction. However, in April 2017 the IASB decided to pursue the amendments to IAS 19 and in
September  2017  confirmed  it  would  do  so  despite  putting  off  the  amendments  to  IFRIC  14.  The  amendments  in  Plan  Amendment,  Curtailment  or
Settlement (Amendments to IAS 19) are: (i) if a plan amendment, curtailment or settlement occurs, it is now mandatory that the current service cost and
the net interest for the period after the remeasurement are determined using the assumptions used for the remeasurement and (ii) amendments have
been included to clarify the effect of a plan amendment, curtailment or settlement on the requirements regarding the asset ceiling. An entity applies the
amendments to plan amendments, curtailments or settlements occurring on or after the beginning of the first annual reporting period that begins on or
after  1  January  2019.  The  adoption  of  these  amendments  is  not  expected  to  have  a  significant  impact  on  the  Company's  consolidated  financial
statements.

6 Licensing arrangements

Macrilen License and Assignment Agreement

On January 16, 2018, the Company through Aeterna Zentaris GmbH entered into a license and assignment agreement (the "License and Assignment
Agreement") with Strongbridge to carry out development, manufacturing, registration, regulatory and supply chain services for the commercialization
of Macrilen™ (macimorelin) in the United States and Canada, which provides for (i) the "right to use" license relating to the Adult Indication; (ii) the
sale of the right to acquire a license of a future FDA-approved Pediatric Indication; (iii) Strongbridge has agreed to fund 70% of the costs of a pediatric
clinical trial submitted for approval to the EMA and FDA to be run by the Company with customary oversight from a joint steering committee; and (iv)
for an Interim Supply Arrangement.

(i) Adult Indication

111

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Under the terms of the License and Assignment Agreement, and for as long as Macrilen™ (macimorelin) is patent-protected, the Company will be
entitled to a 15% royalty on annual net sales up to $75.0 million and an 18% royalty on annual net sales above $75.0 million. Following the end of
patent protection in United States or Canada for Macrilen™ (macimorelin), the Company will be entitled to a 5% royalty on net sales in that country.
In  addition,  the  Company  will  also  receive  one-time  payments  ranging  from  $4.0 million  to  $100.0  million  upon  the  achievement  of  commercial
milestones going from $25.0 million annual net sales up to $500.0 million annual net sales.

In January 2018, the Company received a cash payment of $24.0 million from Strongbridge and on July 23, 2018, Strongbridge launched product sales
of Macrilen™ (macimorelin) in the United States.

(ii) Pediatric Indication

Upon approval by the FDA of a pediatric indication for Macrilen™ (macimorelin), the Company will receive a one-time milestone payment of $5.0
million. This amount will be recognized once it is probable that it will be received.

Transaction price

Analysis  of  the  total  discounted  cash  flows  of  both  the  $24.0 million  payment  and  the  $5.0 million  payment  upon  FDA  approval  of  the  Pediatric
Instance demonstrates that 84% of the future revenue streams would be derived from the Adult Indication and 16% from the Pediatric Indication. On a
relative fair value basis, the Company has allocated the transaction price to the performance obligations resulting in $23.6 million being allocated to
the  Adult  Indication  and  being  recognized  as  license  fee  revenue  in  the  consolidated  statements  of  comprehensive  income  (loss)  effective  January
2018, and $400 being allocated to the right to a future Pediatric Indication, which is recognized as deferred revenue on the consolidated statements of
financial position and amortized monthly beginning January 2018 into the consolidated statements of comprehensive income (loss).

(iii) PIP study

During 2018, the Company invoiced Strongbridge $358 as its share of the costs incurred by the Company under the PIP. The Company considers the
funding  arrangement  under  the  PIP  to  be  a  collaboration  arrangement  under  IFRS  11  and  has  accounted  for  the  invoicing  as  a  reduction  of  costs
incurred during the period. This amount is presented in the consolidated statement of financial position as trade and other receivables and has been
fully collected.

(iv) Interim Supply Arrangement

The Company has agreed under the License and Assignment Agreement to supply ingredients for the manufacture of Macrilen™ (macimorelin) during
an interim period at a price that is set ‘at cost’, without any profit margin. The Company believes the stand-alone selling price of the manufacturing
ingredients to be their cost, as that approximates the amount at which Strongbridge would be able to procure those same goods with other suppliers.
During  2018,  the  Company  invoiced  $2,167  and  has  received  payment  in  full  of  these  invoices.  These  items  are  presented  in  the  consolidated
statements of comprehensive income (loss) as product sales and cost of goods sold.

Novo purchase of Strongbridge License Agreement

Effective December 19, 2018, Strongbridge sold the entity which owned the License and Assignment Agreement for the United States and Canadian
rights to Macrilen™ to Novo .

Zoptrex™ License Agreements

On July 1, 2016, the Company entered into a license agreement (the "Cyntec 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
Cyntec License Agreement, the Company was paid a nonrefundable

upfront cash payment (the "License Fee") of EUR 0.5 million 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

112

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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  an  exclusive  master  collaboration  agreement  ("Master  Collaboration  Agreement"),  a  technology
transfer and technical assistance agreement ("Tech Transfer Agreement") and a license agreement ("Sinopharm 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") of $1,000 to the Company in consideration for the transfer of technical documentation and
materials, know-how and technical assistance services. Additionally, pursuant to the Sinopharm License Agreement, the Company is 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  is  entitled  to  royalties  on  future  net  sales  of  Zoptrex™  in  the  Sinopharm  Territory.  The  Company  has  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.

The Company 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.

At December 31, 2017, the Company had deferred revenues net of amortization of $541 relating to non-refundable upfront payments and, due to events
that occurred in 2017, the Company does not anticipate development of Zoptrex™ under the licensing agreements. In the first quarter of 2018, the
Company recognized this amount as revenue.

7 Cash and cash equivalents

Cash on hand and balances with banks

Interest-bearing deposits with maturities of three months or less

8 Trade and other receivables

113

December 31,

2018

$

2017

$

3,501  

11,011  

14,512  

7,099

681

7,780

 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Trade accounts receivable (net of allowance for doubtful accounts of $55 (2017 - $5))

Value added tax

Other receivables

See note 24 - Financial instruments and financial risk management for discussion of credit losses.

9 Inventory

Finished goods

Work in process

December 31,

2018

$

2017

$

142  

49  

103  

294  

December 31,

2018

$

2017

$

—  

240  

240  

20

186

15

221

554

—

554

The Company recognized $2,087 of inventory costs as cost of sales in the consolidated statement of comprehensive income (loss) for the year ended
December 31, 2018 (2017 - nil).

10 Prepaid expenses and other current assets

Prepaid insurance

Prepaid inventory

Other

11 Restricted cash equivalents

December 31,

2018

$

2017

$

832  

175  

203  

1,210  

410

87

329

826

The Company had restricted cash equivalents amounting to $418 at December 31, 2018 and $381 at December 31, 2017. These balances consist of
certificates of deposit that are used as collateral for corporate credit cards and leases.

114

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

12 Property, plant and equipment

Components of the Company's property, plant and equipment are summarized below.

Equipment

$

Furniture and
fixtures

$

Cost

Computer
equipment

$

Leasehold
improvements

$

Total

$

At January 1, 2017

Additions

Disposals / Retirements

Impact of foreign exchange rate changes

At December 31, 2017

Additions

Disposals / Retirements

Reclassifications

Impact of foreign exchange rate changes

At December 31, 2018

3,919  

2  

(2,160)  

507  

2,268  

1  

(758)  

11  

(64)  

1,458  

19  

—  

—  

—  

19  

—  

—  

(11)  

(1)  

7  

737  

2  

(43)  

94  

790  

8  

(137)  

—  

(24)  

637  

37  

—  

—  

5  

42  

—  

—  

—  

(2)  

40  

4,712

4

(2,203)

606

3,119

9

(895)

—

(91)

2,142

At January 1, 2017

Disposals / Retirements

Depreciation expense

Impact of foreign exchange rate changes

At December 31, 2017

Disposals / Retirements

Depreciation expense

Impact of foreign exchange rate changes

At December 31, 2018

At December 31, 2017

At December 31, 2018

Accumulated depreciation

Equipment

$

Furniture and
fixtures

$

Computer
equipment

$

Leasehold
improvements

$

Total

$

3,799  

(2,135)  

50  

496  

2,210  

(752)  

19  

(63)  

1,414  

2  

—  

2  

—  

4  

—  

1  

—  

5  

692  

(43)  

30  

90  

769  

(137)  

14  

(22)  

624  

15  

—  

18  

2  

35  

—  

1  

(2)  

34  

4,508

(2,178)

100

588

3,018

(889)

35

(87)

2,077

Carrying amount

Equipment

$

Furniture and
fixtures

$

Computer
equipment

$

Leasehold
improvements

$

58  

44  

15  

2  

21  

13  

7  

6  

Total

$

101

65

Depreciation of $35 ($100 in 2017 and $112 in 2016) is presented in the consolidated statement of comprehensive income (loss) as follows: $20 ($69
in 2017 and $80 in 2016) in R&D costs, $10 ($10 in 2017 and $11 in 2016) in general and administrative ("G&A") expenses and $5 ($21 in 2017 and
$21 in 2016) in selling expenses.

115

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

13 Identifiable intangible assets

Identifiable intangible assets with finite useful lives consist entirely of in-process R&D costs, patents and trademarks with such assets expected to be
fully amortized by 2021. Changes in the carrying value of the Company's identifiable intangible assets with finite useful lives are summarized below.

Year ended December 31, 2018

Year ended December 31, 2017

Cost

$

Accumulated
amortization

Carrying
value

$

$

Cost

$

Accumulated
amortization  

Carrying
value

$

$

Balances – Beginning of the year

34,246  

(34,156)  

Additions

Impairment (loss) reversal*

Recurring amortization expense*

Impact of foreign exchange rate

changes

Balances – End of the year

_________________________

—  

—  

—  

—  

—  

(23)  

(1,603)  

32,643  

1,598  

(32,581)  

90  

—  

—  

(23)  

(5)  

62  

30,032  

(29,962)  

—  

—  

—  

—  

44  

(38)  

4,214  

34,246  

(4,200)  

(34,156)  

70

—

44

(38)

14

90

* Recorded as R&D costs in the consolidated statements of comprehensive income (loss).

14 Goodwill

The change in carrying value is as follows:

At January 1, 2017

Impact of foreign exchange rate changes

At December 31, 2017

Impact of foreign exchange rate changes

At December 31, 2018

Cost

$

Accumulated
impairment loss

  Carrying amount

$

$

7,553  

1,060  

8,613  

(403)  

8,210  

—  

—  

—  

—  

—  

7,553

1,060

8,613

(403)

8,210

Management's evaluation of impairment in goodwill is based on estimates that are derived from our licensee's projected sales of Macrilen for 2019
(both units and selling price), annual revenue growth rate, growth in operating expenses, the effect of future costs of the pediatric development
program (the "PIP") and discount rate for generating the Company's net present value. There was no impairment assessed at December 31, 2018.

116

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

15 Payables and accrued liabilities

Trade accounts payable

Accrued research and development costs

Salaries, employment taxes and benefits

Financing of insurance premiums (a)

Other accrued liabilities

December 31,

2018

$

2017

$

1,282  

26  

183  

738  

737  

2,966  

1,222

127

390

—

1,075

2,814

(a)

Represents financing of the Company's 2019 insurance premiums, carrying interest at 6.5% and repayable in eight equal monthly installments
commencing January 31, 2019.

16 Provision for restructuring and other costs

In the third quarter of 2017, Aeterna Zentaris GmbH, and its Works Council approved a restructuring program (the "2017 German Restructuring"),
which was rolled out as a consequence of the negative Phase 3 clinical trial results of Zoptrex™ and the related impact on the product pipeline. This
was  also  part  of  the  continued  strategy  to  transition  into  a  commercially  operating  specialty  biopharmaceutical  organization  focused  on  the
development  and  commercialization  of  Macrilen™  (macimorelin),  including  through  out-licensing  arrangements  and  pursuing  in-licensing
opportunities.

The changes in the Company's provision for restructuring and other costs can be summarized as follows:

117

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Other
provision

Cetrotide(R) onerous
contracts

2017 German
Restructuring:
onerous lease

2017 German
Restructuring:
severance

$

$

$

Total

$

January 1, 2017

Provision recognized

Utilization of provision

Change in the provision

Unwinding of discount and impact
of foreign exchange rate changes

December 31, 2017

Provision recognized

Utilization of provision

Change in the provision

Unwinding of discount and impact
of foreign exchange rate changes

December 31, 2018

Less: current portion

Non-current portion

158  

—  

(152)  

—  

3  

9  

—  

(9)  

—  

—  

—  

—  

—  

574  

—  

(145)  

(20)  

64  

473  

317  

(222)  

—  

(21)  

547  

(136)  

411  

—  

1,113  

(19)  

10  

104  

1,208  

—  

(467)  

(21)  

(57)

663  

(663)  

—  

—  

2,002  

(138)  

(41)  

(16)  

1,807  

—  

(1,202)  

(432)  

(85)  

88  

(88)  

—  

17 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 19)

Share purchase warrants exercised during the year

Change in fair value of share purchase warrants

Balance - End of the year

Years ended December 31,

2018

$

2017

$

2016

$

3,897  

—  

—  

(263)  

3,634  

6,854  

—  

(735)  

(2,222)  

3,897  

A summary of the activity related to the Company's share purchase warrants is provided below.

118

732

3,115

(454)

(51)

155

3,497

317

(1,900)

(453)

(163)

1,298

(887)

411

10,891

400

—

(4,437)

6,854

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Years ended December 31,

2018

2017

2016

Weighted
average
exercise price
($)

Weighted
average
exercise price
($)

Number

Weighted
average
exercise price
($)

Number

Number

3,417,840  

7.59  

3,779,245  

9.66  

2,842,309  

—  

—  

(25,996)  

3,391,844  

—  

—  

—  

(331,730) *

—  

1.07  

945,000  

—  

185.00  

(29,675)  

345.00  

(8,064)  

6.23  

3,417,840  

7.59  

3,779,245  

11.30  

4.70  

—  

4.23  

9.66  

Balance – Beginning of the

year

Issued (note 19)

Exercised

Expired (note 19)

Balance – End of the year

_________________________
* A portion of the Series A warrants was exercised using the cashless feature. Therefore, the total number of equivalent shares issued was 301,343.

The following table summarizes the share purchase warrants outstanding and exercisable as at December 31, 2018:

Exercise price ($)

1.07

4.70

7.10

Weighted average
remaining
contractual life
(years)

1.19

1.34

1.96

1.76

Number

115,844  

945,000  

2,331,000  

3,391,844  

119

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU 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 warrants outstanding as at December 31, 2018. 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 24 - 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)

Expected
dividend yield

(c)

(d)

March 2015 Series A

Warrants (e)

115,844  

December 2015 Warrants

2,331,000  

November 2016 Warrants (f)
________________________

945,000  

2.94  

2.94  

2.94  

1.07  

7.10  

4.70  

2.58%  

2.47%  

2.56%  

81.81%  

122.00%  

78.95%  

1.19  

1.96  

1.34  

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.

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 19 - Share and other capital).

For the November 2016 Warrants, the Company reduced the fair value of these warrants to take into consideration the fair value of the $10 call option, which was also calculated
using the Black-Scholes pricing model. (see note 19 - Share and other capital).

18 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:

120

 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Pension benefit plans 
Years ended December 31,

Other benefit plans 
Years ended December 31,

2018

$

2017

$

2016

$

2018

$

2017

$

2016

$

Balances – Beginning of the year

14,145  

13,197  

12,375  

Current service cost

Interest cost

Actuarial (gain) loss arising from

changes in financial assumptions

Benefits paid

Impact of foreign exchange rate

changes

Balances – End of the year

Amounts recognized:

In net loss

In other comprehensive income (loss)  

66  

224  

(193)  

(492)  

107  

237  

(694)  

(485)  

87  

282  

1,479  

(399)  

(650)  

13,100  

1,783  

14,145  

(627)  

13,197  

(290)  

843  

(344)  

(1,089)  

(369)  

(852)  

84  

6  

1  

19  

(2)  

(3)  

105  

(26)  

3  

217  

14  

3  

(115)  

(66)  

31  

84  

98  

(31)  

281

13

—

—

(60)

(17)

217

(13)

17

The  cumulative  amount  of  actuarial  net  losses  recognized  in  other  comprehensive  income  (loss)  as  at  December  31,  2018  is  $4,084($4,277  as  at
December 31, 2017 and $4,971 as at December 31, 2016).

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,

2018

%

1.90

1.80

2.00

2017

%

1.70

1.80

2.00

2016

%

1.60

1.80

2.00

2018

%

1.90

1.80

2.00

2017

%

1.70

1.80

2.00

2016

%

1.60

1.80

2.00

The calculation of the pension benefit obligation is sensitive to the discount rate assumption. Effective January 1, 2018, management determined that
the discount rate assumption should be adjusted from 1.7% to 1.9% 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

2018

2017

2016

20

24

28

31

121

20

24

22

26

20

24

22

26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

The most recent actuarial reports give effect to the pension and post-employment benefit obligations as at December 31, 2018. The next actuarial
reports are planned for December 31, 2019.

In accordance with the assumptions used as at December 31, 2018, undiscounted defined pension benefits expected to be paid, in Euro, are as follows:

2019

2020

2021

2022

2023

Thereafter

$

453

458

463

468

476

13,658

15,976

The weighted average duration of the defined benefit obligation is 15.3 years.

Total expenses for the Company's defined contribution plan in its German subsidiary amounted to approximately $75 for the year ended December 31,
2018 ($119 for 2017 and $129 for 2016).

If  variations  in  the  following  assumptions  had  occurred  during  2018,  the  impact  on  the  Company's  pension  benefit  obligation  of  $13,100  as  at
December 31, 2018 would have been as follows:

Assumption

Change interest rate by 0.25%

Change salary rate by 0.25%

Change pension by 0.25%

Change mortality by 1 year

19 Share and other capital

Increase

Decrease

(467)

19

372

464

498

(17)

(355)

(463)

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.

Common shares issued in connection with "At-the-Market" ("ATM") drawdowns

April 2016 ATM Program

On April 1, 2016, the Company entered into an ATM sales agreement (the "April 1, 2016 ATM Program"), under which the Company was 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 April 2016 ATM Program provides that common shares were to be sold at market prices prevailing at the time of sale
and, as a result, prices varied.

Between April  1,  2016  and  March  24,  2017,  the  Company  issued  a  total  of  1,706,968  common  shares  under  the  April  2016  ATM  Program  at  an
average  issuance  price  of  $3.52  per  share  for  aggregate  gross  proceeds  of  $6.0 million  less  cash  transaction  costs  of  $190  and  previously  deferred
financing costs of $225.

122

 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

March 2017 ATM Program

On March 28, 2017, the Company commenced a new ATM offering pursuant to its existing ATM Sales Agreement, dated April 1, 2016, under which
the  Company  was  able,  at  its  discretion,  from  time  to  time,  to  sell  up  to  a  maximum  of  3  million  common  shares  through  ATM  issuances  on  the
NASDAQ,  up  to  an  aggregate  amount  of  $9.0  million  (the  "March  2017  ATM  Program").  The  common  shares  were  to  be  sold  at  market  prices
prevailing at the time of the sale of the common shares and, as a result, sale prices varied.

Between March  28,  2017  and  April  18,  2017,  the  Company  issued  a  total  of  597,994  common  shares  under  the  March 2017  ATM  Program  at  an
average  issuance  price  of  $2.97  per  share  for  aggregate  gross  proceeds  of  $1,780,000  less  cash  transaction  costs  of  $55  and  previously  deferred
financing costs of $65.

April 2017 ATM Program

On April 27, 2017, the Company entered into a New ATM Sales Agreement and filed with the Securities and Exchange Commission (the "SEC") a
prospectus supplement (the "April 2017  ATM  Prospectus  Supplement"  or  "April  2017  ATM  Program")  related  to  sales  and  distributions  of  up  to  a
maximum of 2.24 million common shares through ATM issuances on the NASDAQ, up to an aggregate amount of $6.9 million under the New ATM
Sales Agreement. The common shares will be sold at market prices prevailing at the time of the sale of the common shares and, as a result, prices may
vary.  The  New  ATM  Sales  Agreement  and  the  April  2017  ATM  Program  superseded  and  replaced  the  March  2017  ATM  Program,  which  itself
superseded and replaced the April 2016 ATM Program. The April 2017 ATM Prospectus Supplement supplements the base prospectus included in the
Company's Shelf Registration Statement on Form F-3, as amended (the "2017 Shelf Registration Statement"), which was declared effective by the SEC
on April 27, 2017. The 2017 Shelf Registration Statement allowed the Company to offer up to $50 million of common shares and is effective for a
three-year period.

Between May 30, 2017 and December 31, 2017, the Company issued a total of 1,805,758 common shares under the April 2017 ATM Program at an
average  issuance  price  of  $2.08  per  share  for  aggregate  gross  proceeds  of  $3,761,000  less  cash  transaction  costs  of  $115  and  previously  deferred
financing costs of $285. Because of these issuances, the exercise price of the Series A warrants issued in March 2015 was adjusted to $1.07 pursuant to
the anti-dilution provisions contained in such warrants.

Public offerings

November 2016 Offering

On November 1, 2016, the Company completed a registered direct offering of 2.1 million 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  $7.6  million,  less  cash  transaction  costs  of  $1.0  million,  and
previously  deferred  transactions  costs  of  $27.  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 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 17 - 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,

123

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

The pre-funded warrants were offered in the November 2016 Offering to the investor because the purchase of Units would have resulted in the investor
beneficially owning more than an "initial beneficial ownership limitation" of 4.9% of the Company's 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 was allocated to the warrant liability, $3,239 was allocated to the
pre-funded warrants, and the balance of $3,921 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 was allocated to the warrant liability and immediately recognized in general and
administrative expenses in the consolidated statement of comprehensive income (loss), an amount of $544 was allocated to share capital and an amount
of $450 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.

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 that may be issued from time to time. The Rights Plan was approved, ratified and confirmed by the Company's shareholders at its annual meeting
of shareholders held on May 10, 2016.

The Board of Directors reviewed the terms of the Existing Rights Plan for conformity with current Canadian securities laws, as well as the evolving
practices of public corporations in Canada, with respect to shareholder rights plan design and has made some minor amendments thereto as a result.
The Board of Directors determined it appropriate and in the best interests of the shareholders to continue the Rights Plan and approved the amended
and  restated  rights  plan  (the  "Rights  Plan")  on  March  26,  2019.  The  Rights  Plan  will  take  effect  immediately  upon  receipt  of  approval  of  the
shareholders of the Corporation at the annual and special meeting of shareholders scheduled to be held on May 8, 2019.

Other capital

The Company accounts for costs associated with share-based compensation from security grants under its long-term incentive plan and stock option
plans as other capital in its consolidated statements of changes in shareholders' equity (deficiency) and as general and administrative expenses in its
consolidated statements of comprehensive income (loss).

Long-term incentive plan

At the 2018 annual and special meeting of shareholders, the Company's shareholders approved the adoption of the 2018 long-term incentive plan (the
"LTIP"), which allows the Board of Directors to issue up to 11.4% of the total issued and outstanding common shares at any given time to eligible
individuals  at  an  exercise  price  to  be  determined  by  the  Board  of  Directors  at  the  time  of  the  grant,  subject  to  a  ceiling,  as  stock  options,  stock
appreciation  rights,  stock  awards,  stock  units,  performance  shares,  performance  units,  and  other  stock-based  awards.  This  LTIP  replaces  the  stock
option plan (the "Stock Option Plan") for its directors, senior executives, employees and other collaborators who provide services to the Company. 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  of10  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.

124

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

During 2018, the Company granted Deferred Share Units (DSU) and stock options.The following tables summarizes the activity under the LTIP and,
previously, the Stock Option Plan:

US dollar-denominated options

Number

2018

2017

2016

Years ended December 31,

Weighted
average
exercise
price (US$)

Number

Weighted
average
exercise
price (US$)

Number

Balance – Beginning of the year

Granted

Forfeited

Cancelled

Expired

Balance – End of period

712,415  

426,000  

(249,599)  

—  

—  

888,816  

4.66  

1.74  

3.23  

—  

—  

3.66  

966,539  

390,000  

(643,271)  

—  

(853)  

712,415  

7.23  

2.05  

6.02  

—  

704.88  

4.66  

272,874  

713,573  

(10,034)  

(9,874)  

—  

966,539  

Weighted
average
exercise
price (US$)

25.88

3.47

99.22

157.11

—

7.23

Canadian dollar-denominated
stock options

Number

Years ended December 31,

2018

2017

2016

Weighted
average
exercise
price (CAN$)  

Number

Weighted
average
exercise
price (CAN$)  

Number

Weighted
average
exercise
price (CAN$)

Balance – Beginning of the year

Forfeited

Cancelled

Expired

Balance – End of the year

1,503  

(104)  

—  

(530)  

869  

605.84  

668.65  

—  

367.70  

743.56  

1,858  

820.27  

—  

—  

(355)  

1,503  

—  

—  

1,728.15  

605.84  

3,787  

(1,028)  

(901)  

—  

1,858  

845.46

967.63

758

—

820.27

Exercise price
(US$)

1.46 to 1.79

1.80 to 2.11

2.12 to 3.50

3.51 to 4.58

4.59 to 1,044.00

Total US$ share-based awards as at December 31, 2018

Weighted average
remaining 
contractual life 
(years)

Weighted
average exercise
price
(US$)

8.62  

6.41  

4.75  

3.97  

2.77  

6.55  

1.71

2.06

3.46

4.58

260.87

3.66

Number

211,000  

490,000  

157,148  

26,000  

4,668  

888,816  

125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Exercise price
(US$)

1.46 to 1.79

1.80 to 2.11

2.12 to 3.50

3.51 to 4.58

4.59 to 1,044.00

Exercise price
(CAN$)

570.00 to 741.00

741.01 to 912.00

Total exercisable US$ share-based awards as at December 31, 2018

Number

Weighted average remaining 
contractual life 
(years)

Weighted average exercise
price
(US$)

161,000  

130,000  

104,774  

26,000  

4,668  

426,442  

9.35  

5.62  

4.75  

3.97  

2.77  

6.68  

1.79

2.05

3.46

4.58

260.87

5.29

CAN$ options outstanding and exercisable as at December 31, 2018

Number

Weighted average remaining
contractual life  (years)

Weighted average exercise
price
(CAN$)

428  

441  

869  

0.94  

1.87  

1.41  

570.00

912.00

743.56

As  at  December  31,  2018,  the  total  compensation  cost  related  to  unvested  US  Dollar  stock  options  not  yet  recognized  amounted  to  $198 ($444  in
2017). This amount is expected to be recognized over a weighted average period of 1.15 years (1.38 years in 2017).

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.

Fair value input assumptions for US dollar-denominated grants

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,

2018

2017

0.00 %  

129.23 %  

2.51 %  

3.60  

$1.74  

$1.74  

$1.39  

0.00 %

137.60 %

1.53 %

3.26  

$2.05  

$2.05  

$1.62  

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)

126

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 24 -
Financial instruments and financial risk management.

127

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

20 Operating expenses

The nature of the Company's operating expenses from continuing operations include the following:

Key management personnel compensation(1)
Salaries and short-term employee benefits

Consultants fees

Termination benefits

Post-employment benefits

Share-based compensation costs

Other employees compensation:

Salaries and short-term employee benefits

Termination benefits (note 16)

Post-employment benefits

Share-based compensation costs

Professional fees

Insurance

Third-party R&D

Contracted sales force

Travel

Marketing services

Laboratory supplies

Other goods and services

Leasing costs, net of sublease receipts of $121 in 2018, $359 in 2017 and $345

in 2016(2)

Transaction costs related to share purchase warrants

Depreciation and amortization

Impairment (reversal) losses

Operating foreign exchange (gains) losses

Years ended December 31,

2018

$

2017

$

2016

$

2,388  

2,081  

2,430

62  

356  

147  

462  

—  

—  

59  

87  

3,415  

2,227  

1,325  

—  

275  

108  

1,708  

6,421  

1,303  

498  

256  

256  

176  

139  

342  

344  

—  

60  

—  

17  

9,812  

14,935  

3,584  

1,806  

441  

95  

5,926  

7,153  

949  

3,758  

22  

831  

698  

2  

162  

2,247  

—  

138  

(44)  

(72)  

15,844  

23,997  

—

—

78

1,051

3,559

3,574

—

500

31

4,105

7,157

870

11,796

14

1,185

5

30

160

1,131

56

195

85

39

22,723

30,387

_________________________

(1) 

(2) 

Key management includes the Company's executive management team and directors.  

Leasing costs also include changes in the onerous lease provision (note 16 - provisions for restructuring and other costs), 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

128

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

 21 Supplemental disclosure of cash flow information

Changes in operating assets and liabilities:

Trade and other receivables

Inventory

Prepaid expenses and other current assets

Other non-current assets

Payables and accrued liabilities

Taxes payable

Deferred revenues

Provision for restructuring and other costs (note 16)

Employee future benefits (note 18)

Years ended December 31,

2018

$

2017

$

2016

$

(95)  

314  

448  

150  

(586)  

1,669  

400  

(1,957)  

(494)  

(151)  

158  

—  

(343)  

39  

(1,080)  

—  

—  

(435)  

(551)  

(2,212)  

22 Income taxes

Significant components of current and deferred income tax expense (recovery) are as follows:

Current tax (expense) recovery

Deferred tax:

Origination and reversal of temporary differences

Adjustments in respect of prior years

Change in unrecognized tax assets

Income tax (expense) recovery

Years ended December 31,

2018

$

2017

$

2016

$

—  

—  

(4,003)  

742  

(2,191)  

(5,452)  

6,395  

(149)  

(2,767)  

3,479  

228

—

(45)

(233)

(199)

—

555

(911)

(459)

(1,064)

—

9,199

36

(9,235)

—

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

26.7%  

26.8%  

26.9%

Years ended December 31,

2018

2017

2016

129

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Income tax (expense) 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

Adjustments in respect of prior years

Other

Years ended December 31,

2018

$

2017

$

2016

$

(2,574)  

(1,963)  

(188)  

(40)  

792  

(58)  

70  

(152)  

(917)  

(372)  

(50)  

(5,452)  

5,434  

(2,701)  

(228)  

164  

(71)  

(358)  

595  

(49)  

768  

(149)  

74  

3,479  

6,714

(9,235)

436

224

(30)

(16)

1,194

(291)

972

36

(4)

—

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.

Income (loss) before income taxes

Income (loss) before income taxes is attributable to the Company's tax jurisdictions as follows:

Years ended December 31,

2018

$

2017

$

2016

$

16,297  

(5,504)  

(1,154)  

9,639  

(13,950)  

(5,592)  

(733)  

(20,275)  

(19,179)

(5,659)

(121)

(24,959)

Germany

Canada

United States

Significant components of deferred tax assets and liabilities are as follows:

130

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Deferred tax assets

Current:

Operating losses carried forward

Non-current:

Operating losses carried forward

Intangible assets

Deferred tax liabilities

Current:

Deferred revenues

Restricted cash

Payables and accrued liabilities

Non-current:

Property, plant and equipment

Deferred revenues

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

SR&ED Pool

Unused tax credits

Employee future benefits

Property, plant and equipment

Share issuance expenses

Other

Unrecognized deferred tax assets

131

December 31,

2018

$

2017

$

—  

764  

3,646  

4,410  

38  

153  

95  

286  

3  

4,074  

47  

4,124  

4,410  

—  

December 31,

2018

$

2017

$

649  

649  

—  

81,731  

9,148  

5,894  

2,048  

448  

467  

241  

99,977  

100,626  

3,479

696

4,812

8,987

—

—

—

—

5

5,316

187

5,508

5,508

3,479

584

584

—

82,421

9,167

8,019

2,296

407

841

335

103,486

104,070

 
 
 
 
 
 
 
 
   
   
   
   
 
   
   
 
 
 
 
   
   
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

As at December 31, 2018, 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

2037

2038

Canada

Federal

$

 Provincial

$

7,880  

4,791  

4,104  

1,753  

4,250  

3,721  

4,153  

10,418  

10,592  

7,343  

6,557  

65,562  

6,494

4,773

4,089

1,737

4,250

3,721

4,153

10,452

10,592

7,343

6,557

64,161

The Company has estimated non-refundable R&D investment tax credits of approximately $5,894 which can be carried forward to reduce Canadian
federal income taxes payable and which expire at dates ranging from 2019 to 2038. 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 $205,343 in Germany
(EUR 173,733) for which there is no expiry date, and to $3,322 in the United States, which expire as follows:

2028

2029

2034

2035

2036

2037

2038

 United States

$

369

178

151

447

195

709

1,273

3,322

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.

23 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, G&A expenses and working capital requirements.

132

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Over the past several years, the Company has raised capital via public equity offerings and issuances under various ATM sales programs as its primary
source of liquidity, as discussed in note 19 - Share and other 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.

24 Financial instruments and financial risk management

Financial assets (liabilities) as at December 31, 2018 and December 31, 2017 are presented below.

December 31, 2018

Cash and cash equivalents (note 7)

Trade and other receivables (note 8)

Restricted cash equivalents (note 11)

Payables and accrued liabilities (note 15)

Provision for restructuring and other costs (note 16)

Warrant liability (note 17)

December 31, 2017

Cash and cash equivalents (note 7)

Trade and other receivables (note 8)

Restricted cash equivalents (note 11)

Payables and accrued liabilities (note 15)

Provision for restructuring and other costs (note 16)

Warrant liability (note 17)

Fair value

Financial assets
at amortized
cost

$

14,512  

245  

418  

—  

—  

—  

15,175  

Financial
liabilities at
FVTPL

$

Financial
liabilities at
amortized cost

$

—  

—  

—  

—  

—  

(3,634)  

(3,634)  

—  

—  

—  

(2,940)  

(1,298)  

—  

(4,238)  

Total

$

14,512

245

418

(2,940)

(1,298)

(3,634)

7,303

Financial assets
at amortized
cost

$

Financial
liabilities at
FVTPL

$

Financial
liabilities at
amortized cost

$

Total

$

7,780  

35  

381  

—  

—  

—  

8,196  

—  

—  

—  

—  

—  

(3,897)  

(3,897)  

—  

—  

—  

(2,687)  

(3,497)  

—  

(6,184)  

7,780

35

381

(2,687)

(3,497)

(3,897)

(1,885)

As discussed in note  17  -  Warrant  liability,  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.

133

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 and provision for restructuring and other costs 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.

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, market risk (share price risk) and foreign exchange 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  financial  assets  at  amortized  cost  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.
Once  there  are  indicators  that  there  is  no  reasonable  expectation  of  recovery,  such  financial  assets  are  written  off  but  are  still  subject  to
enforcement activity.

As at December 31, 2018, trade accounts receivable for an amount of approximately $197 were with four counterparties of which $55 was past
due or impaired and fully provided for (2017 - $25 with three counterparties and $5 past due or impaired and fully provided for).The licensee is
obligated to pay its quarterly royalties, 60 days after quarter-end.

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. On this basis, as at December 31, 2018, the Company has
provided for all outstanding and unpaid amounts relating to its operations before its licensing of MacrilenTM(macemorelin). The  licensee  has
paid all amounts owing within 90 days of invoicing.

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 23 - 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  as  further  discussed  in  note  2  -  Assessment  of  liquidity  and  management's  plans.  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.

(c) Market risk

134

Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 as further described in note 15 as it applies to its outstanding share purchase warrants. The 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 income (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 ranged from $1.19 to $3.87 during  the  year
ended December 31, 2018.

If variations in the market price of our common shares of -30% and +30% were to occur, the impact on the Company's net income related to the
warrant liability held at December 31, 2018 would be as follows:

Carrying 
amount

$

3,634  

-30%

$

+30%

$

1,792  

1,792  

(1,504)

(1,504)

Warrant liability

Total impact on net income – (decrease) / increase

(d) Foreign exchange risk

Entities using the Euro as their functional currency

The Company is exposed to foreign exchange risk due to its investments in foreign operations whose functional currency is the Euro. As at
December 31, 2018, if the US dollar had increased or decreased by 10% against the Euro, with all variables held constant, net income for the
year ended December 31, 2018 would have been lower or higher by approximately $1,134 (2017 - $1,087).

25 Segment information

The Company operates in a single operating segment, being the biopharmaceutical segment.

Geographical information

Revenues by geographical area are detailed as follows:

Ireland

United States

China

Singapore

British Virgin Islands

Other

Years ended December 31,

2018

$

2017

$

2016

$

24,910  

1,416  

275  

—  

280  

—  

26,881  

—  

452  

262  

—  

206  

3  

923  

—

410

249

101

100

51

911

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:

135

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Germany

United States

Canada

December 31,

2018

$

2017

$

8,599  

153  

3  

8,755  

12,552

102

160

12,814

_______________________________    

*

Non-current assets include property, plant and equipment, identifiable intangible assets and goodwill.

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

26 Net income (loss) per share

Years ended December 31,

2018

$

2017

$

2016

$

26,127  

—  

275  

—  

—  

—  

280  

—  

—  

262  

323  

129  

—  

206  

—

20

249

222

167

101

100

The following table sets forth pertinent data relating to the computation of basic and diluted net income (loss) per share attributable to common
shareholders.

Net income (loss)

Basic weighted average number of shares outstanding

Diluted weighted average number of shares outstanding

Items excluded from the calculation of diluted net income (loss) per
share because the exercise price was greater than the average
market price of the common shares or due to their anti-dilutive
effect

Stock options

Share purchase warrants

Years ended December 31,

2018

$

4,187  

16,440,760  

17,034,812  

2017

$

(16,796)  

14,958,704  

14,958,704  

2016

$

(24,959)

10,348,879

10,348,879

889,685  

3,391,844  

713,918  

3,417,840  

968,397

3,779,245

Net income (loss) per share is calculated by dividing net income (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

136

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

share purchase warrants are deemed anti-dilutive such that basic net loss per share and diluted net loss per share are equal, and thus "in the money"
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.

27 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, 2018 are as follows:

Less than 1 year

1 - 3 years

4 - 5 years

More than 5 years

Total

Contingencies

Minimum lease
payments

Minimum sublease
receipts

Service and
manufacturing

$

$

$

Total

$

408  

533  

60  

5  

1,006  

(117)  

(24)  

—  

—  

(141)  

2,180  

—  

—  

—  

2,180  

2,471

509

60

5

3,045

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.

Securities class action lawsuit

The Company and certain of its current and former officers are defendants in a class-action lawsuit pending in the U.S. District Court for the District of
New Jersey, brought on behalf of shareholders of the Company. The lawsuit alleges 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™  (macimorelin)  and  the  prospects  for  the  approval  of  the  Company's  New  Drug  Application  for  the
product  by  the  FDA.  The  plaintiffs  represent  a  class  comprised  of  purchasers  of  the  Company's  common  shares  during  the  Class  Period  and  seek
damages,  costs  and  expenses  and  such  other  relief  as  determined  by  the  Court.  The  Company  considers  the  claims  that  have  been  asserted  in  the
lawsuit to be without merit and is vigorously defending against them.  The Company cannot, however, predict at this time the outcome or potential
losses, if any, with respect to this lawsuit.

Other lawsuits

In  late  July  2017,  the  Company  terminated  for  cause  the  employment  agreement  of  Mr.  David  A.  Dodd,  the  former  President  and  Chief  Executive
Officer  and  it  also  terminated  the  employment  of  Mr.  Philip  A.  Theodore,  the  former  Senior  Vice  President,  Chief  Administrative  Officer,  General
Counsel and Corporate Secretary. On August 3, 2017, the Company filed a lawsuit against both Messrs. Dodd and Theodore for damages suffered by
the Company for breach of confidence and/or breach of fiduciary duty in an amount to be determined prior to trial. On December 21, 2017, Messrs.
Dodd and Theodore brought a counterclaim against the Company and its Chair, Carolyn Egbert, in the amount of CAN$6.0 million alleging, among
other things, that defamatory statements were made against Messrs. Dodd and Theodore. On December 21, 2018, the matter was amicably resolved
with the Company agreeing to make a payment to Mr. Dodd in the amount of $775. The parties consider their contractual relationship as having been
terminated.

Cogas Consulting, LLC ("Cogas") filed a lawsuit against the Company in state court in Fulton County, Georgia on February 2, 2018. The lawsuit was
removed to federal court in Georgia.  In the lawsuit, Cogas alleged that its employee (and sole shareholder) John Sharkey was entitled to a "success
fee" commission on the Strongbridge License Agreement.  Cogas was

137

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2018 and December 31, 2017 and for the years ended December 31, 2018, 2017 and 2016

(tabular amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

claiming damages in the form of a lost commission on the transaction.  Cogas claims its commission is 5% on payments the Company receives within
the  first  three  years  after  January  14,  2018  including  5%  of  the  $24.0  million  Strongbridge  already  paid  the  Company,  plus  5%  of  any  royalty
Strongbridge pays the Company through January 17, 2021. On November 5, 2018, the matter was amicably resolved with the Company agreeing to
make a payment to Cogas in the amount of $625. The parties now consider their contractual relationship as having been terminated.

28 Reclassification on comparative figures

To consolidate the presentation of similar items, during 2018, the Company reclassified certain of its prior year comparative balance sheet items as
follows:

Prepaid expenses and other current assets

The semi-finished goods inventory of $87 that was classified as inventory as at December 31, 2017 has been reclassified to prepaid expenses and other
current assets as at December 31, 2018.

Provision for restructuring and other costs

The current portion of onerous contract provisions of $173 that was classified as payables and accrued liabilities as at December 31, 2017 has been
reclassified to provision for restructuring and other costs as at December 31, 2018.

The full balance of provisions, comprising $310 of onerous contract provisions and $718 of non-current portion of provision for restructuring costs, as
at December 31, 2017 has been reclassified to provision for restructuring and other costs at December 31, 2018.

138

Item 19.

Exhibits

Exhibit Index

1.1

1.2

1.3

1.4

2.1

2.2

4.1

4.2

4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

4.11

4.12

4.13

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)
Draft (subject to approval at Shareholders meeting) Amended and Restated Shareholder Rights Plan Agreement between the Registrant and Computershare Trust Company
of Canada, as Rights Agent, dated as of [May 8], 2019
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)

  2018 Long-Term Incentive Plan of the Registrant (incorporated by reference to Exhibit 4.7 of the Registrant's Form S-8 filed with the Commission on May 8, 2018

License and Assignment Agreement, dated January 16, 2018 by and between Aeterna Zentaris GmbH and Strongbridge Ireland Limited (incorporated by reference to
Exhibit 99.2 of the Registrant's report on Form 6-K furnished to the Commission on January 19, 2018)
Employment Agreement dated October 1, 2017 between Michael Ward and the Registrant (incorporated by reference to Exhibit 4.3 of the Registrant's Annual Report on
Form 20-F for the financial year ended December 31, 2017 filed with the Commission on March 28, 2018)
Change of Control Agreement dated October 1, 2017 between Michael Ward and 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, 2017 filed with the Commission on March 28, 2018)
Employment Agreement dated March 5, 2018 between James Clavijo and 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, 2017 filed with the Commission on March 28, 2018)
Change of Control Agreement dated March 5, 2018 between James Clavijo and the Registrant (incorporated by reference to Exhibit 4.6 of the Registrant's Annual Report
on Form 20-F for the financial year ended December 31, 2017 filed with the Commission on March 28, 2018)

  Independent Contractor Agreement dated September 18, 2018 between Leslie Auld 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)
Director and Officer Indemnification Agreement (incorporated by reference to Exhibit 99.1 of the Registrant's report on Form 6-K furnished to the Commission on October
21, 2016)
At Market Issuance Sales Agreement dated April 27, 2017 between the Registrant and H.C. Wainwright & Co. LLC (incorporated by reference to Exhibit 99.1 of the
Registrant's report on Form 6-K furnished to the Commission on April 28, 2017)

  Subsidiaries of the Registrant

Code of Conduct and Business Ethics 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, 2017 filed with the Commission on March 28, 2018)
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 Registered Public Accounting Firm

101. INS XBRL Instance Document

139

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
101. SCH XBRL Taxonomy Extension Schema

101. CAL XBRL Taxonomy Extension Schema Calculation Linkbase

101. DEF XBRL Taxonomy Extension Schema Definition Linkbase

101. LAB XBRL Taxonomy Extension Schema Label Linkbase

101. PRE XBRL Taxonomy Extension Schema Presentation Linkbase

140

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/ Michael V. Ward

Michael V. Ward

President and Chief Executive Officer

141

Date:  March 29, 2019

 
 
 
NOTICE

Aeterna Zentaris Inc. (the “Corporation”) has adopted an amendment to the proposed amended and restated shareholder rights plan to be dated
as of May 8, 2019 (the “2019 Shareholder Rights Plan”) and to be considered for approval by shareholders of the Corporation at the annual
and special meeting of shareholders to be held on May 8, 2019 (the “Meeting”).

The  2019  Shareholder  Rights  Plan  (attached  hereto,  as  so  amended)  is  subject  to  approval  by  the  shareholders  of  the  Corporation  at  the
Meeting.  Capitalized  terms  not  otherwise  defined  in  this  Notice  shall  have  the  meaning  ascribed  thereto  in  the  proposed  2019  Shareholder
Rights Plan.

AMENDED AND RESTATED SHAREHOLDER RIGHTS PLAN AGREEMENT

(amending and restating the Shareholder Rights Plan dated March 29, 2016)

BETWEEN

AETERNA ZENTARIS INC.

- and -

COMPUTERSHARE TRUST COMPANY OF CANADA,

as Rights Agent

 
DATED AS OF [MAY 8], 2019

Article 1 INTERPRETATION    2

Section 1.1Certain Definitions    2

Section 1.2Currency    16

Section 1.3Number and Gender    16

Section 1.4Sections and Headings    16

Section 1.5Statutory References    16

Section 1.6Determination of Percentage Ownership    17

Section 1.7Acting Jointly or in Concert    17

Article 2 THE RIGHTS    17

Section 2.1Legend on Share Certificates    17

Section 2.2Initial Exercise Price; Exercise of Rights; Detachment of Rights    18

Section 2.3Adjustments to Exercise Price; Number of Rights    21

Section 2.4Date on Which Exercise is Effective    27

Section 2.5Execution, Authentication, Delivery and Dating of Rights Certificates    28

Section 2.6Registration, Transfer and Exchange    28

Section 2.7Mutilated, Lost, Stolen and Destroyed Rights Certificates    29

Section 2.8Persons Deemed Owners    30

Section 2.9Delivery and Cancellation of Certificates    30

Section 2.10Agreement of Rights Holders    30

Article 3 ADJUSTMENTS TO THE RIGHTS    31

Section 3.1Flip-in Event    31

Section 3.2Fiduciary Duties of the Board of Directors of the Corporation    33

Article 4 THE RIGHTS AGENT    33

Section 4.1General    33

Section 4.2Merger, Amalgamation, Consolidation or Change of Name of Rights Agent    34

Section 4.3Duties of Rights Agent    35

Section 4.4Change of Rights Agent    37

    
Section 4.5Compliance with Anti-Money Laundering Legislation    37

Section 4.6Privacy Legislation    38

Section 4.7Liability    38

Article 5 MISCELLANEOUS    38

Section 5.1Redemption, Waiver and Termination    38

Section 5.2Expiration    40

Section 5.3Issuance of New Rights Certificates    40

Section 5.4Supplements and Amendments    41

Section 5.5Fractional Rights and Fractional Shares    42

Section 5.6Rights of Action    43

Section 5.7Holder of Rights Not Deemed a Shareholder    43

Section 5.8Notice of Proposed Actions    43

Section 5.9Notices    44

Section 5.10Costs of Enforcement    44

Section 5.11Regulatory Approvals    44

Section 5.12Declaration as to Non-Canadian and Non-U.S. Holders    45

Section 5.13Successors    45

Section 5.14Benefits of this Agreement    45

Section 5.15Determination and Actions by the Board of Directors    45

Section 5.16Governing Law    45

Section 5.17Language    46

Section 5.18Counterparts    46

Section 5.19Severability    46

Section 5.20Reconfirmation    46

Section 5.21Time of the Essence    46

EXHIBIT A FORM OF RIGHTS CERTIFICATE        A-1

THIS AMENDED AND RESTATED SHAREHOLDER RIGHTS PLAN AGREEMENT is made as of the [8th] day of [May], 2019 (the
“Agreement”).

BETWEEN:

AETERNA ZENTARIS INC., a Canadian corporation, having its registered office at [5300 Commerce Court West,
199 Bay Street, Toronto, Ontario, M5L 1B9]

(the “Corporation”)

AND:                    

COMPUTERSHARE  TRUST  COMPANY  OF  CANADA,                                  1500  Robert-Bourassa  Blvd.,  Suite  700,

Montreal, Quebec, H3A 3S8

(the “Rights Agent”)

WHEREAS:

A.

B.

C.

The Board of Directors of the Corporation, in the exercise of its fiduciary duties to the Corporation, has determined that it is advisable
to implement a shareholder rights plan to ensure, to the extent possible, that all shareholders of the Corporation are treated fairly in
connection with any take-over offer or other acquisition of control of the Corporation;

The  Board  of  Directors  of  the  Corporation  approved  a  shareholder  rights  plan  of  the  Corporation  on  March  29,  2016,  which  was
approved, ratified and confirmed by the shareholders at the annual and special meeting of shareholders of the Corporation on May 10,
2016 (the “Original Agreement”).

On March 26, 2019, the Board of Directors approved certain amendments to update and restate the Original Agreement in its entirety to
be  on  the  terms  and  conditions  and  in  the  form  of  this  agreement  to  take  effect  immediately  upon  receipt  of  approval  of  the
shareholders at the annual and special meeting of shareholders which was held on [May 8], 2019;

D.

The Board of Directors had previously:

(a)

authorized and declared a distribution of one right (a “Right”) in respect of each Share outstanding at the Record Time;

(b)

(c)

authorized  the  issuance  of  one  Right  in  respect  of  each  Share  issued  after  the  Record  Time  and  prior  to  the  earlier  of  the
Separation Time and the Expiration Time; and

authorized the issuance of Rights Certificates to holders of Rights pursuant to the terms and subject to the conditions set forth
herein.

A.

B.

Each Right entitles the holder thereof, after the Separation Time, to purchase securities of the Corporation pursuant to the terms and
subject to the conditions set forth herein.

The Corporation desires to confirm the appointment of Computershare Trust Company of Canada as the Rights Agent to act on behalf
of the Corporation, and the Rights Agent is willing to so act, in connection with the issuance, transfer, exchange and replacement of
Rights Certificates, the exercise of Rights and other matters referred to herein.

NOW THEREFORE in consideration of the premises and respective agreements set forth herein, the parties hereby agree as follows:

Article 1 
INTERPRETATION

Section 1.1

Certain Definitions

For the purposes of this Agreement, including the recitals hereto, the following terms have the meanings indicated:

(a)

“Acquiring Person” shall mean any Person who is at any time after the Effective Date the Beneficial Owner of 20% or more
of the outstanding Voting Shares; provided, however, that the term “Acquiring Person” shall not include:

(i)the Corporation or any corporation controlled by the Corporation;

(ii)any Person who becomes the Beneficial Owner of 20% or more of the outstanding Voting Shares as a result of one or any

combination of:

(A)a Voting Share Reduction;

(B)a Permitted Bid Acquisition;

(C)an Exempt Acquisition;

(D)a Pro Rata Acquisition; or

(E)a Convertible Security Acquisition;

provided, however, that if a Person shall become the Beneficial Owner of 20% or more of the outstanding Voting Shares by
reason of one or any combination of a Voting Share Reduction, a Permitted Bid Acquisition, an Exempt Acquisition, a
Pro  Rata  Acquisition  or  a  Convertible  Security  Acquisition  and  thereafter  becomes  the  Beneficial  Owner  of  an
additional one percent of the Voting Shares then outstanding (otherwise than pursuant to a Voting Share Reduction, a
Permitted Bid Acquisition, an Exempt Acquisition, a Pro Rata Acquisition or a Convertible Security Acquisition or any
combination  thereof),  then,  as  of  the  date  that  such  Person  becomes  a  Beneficial  Owner  of  such  additional  Voting
Shares, such Person shall become an “Acquiring Person”; or

(iii)an underwriter or member of a banking or selling group acting in such capacity that becomes the Beneficial Owner of 20%
or more of the Voting Shares in connection with a distribution of securities pursuant to a prospectus or by way of
private placement; or

(iv)a  Person  (a  “Grandfathered  Person”)  who  is  the  Beneficial  Owner  of  20%  or  more  of  the  outstanding  Voting  Shares
determined  as  of  the  Record  Time,  provided,  however,  that  this  exemption  shall  not  be,  and  shall  cease  to  be,
applicable to a Grandfathered Person in the event that such Grandfathered Person shall, after the Record Time, (A)
cease  to  own  20  percent  or  more  of  the  outstanding  Voting  Shares,  or  (B)  become  the  Beneficial  Owner  of
additional Voting Shares that increases its Beneficial Ownership of Voting Shares by more than one percent of the
number of Voting Shares outstanding as at the Record Time, other than through one or any combination of a Voting
Share  Reduction,  a  Permitted  Bid  Acquisition,  an  Exempt  Acquisition,  a  Pro  Rata  Acquisition  or  a  Convertible
Security Acquisition; or

(v)for a period of 10 calendar days after the Disqualification Date (as defined below), any Person who becomes the Beneficial
Owner  of  20%  or  more  of  the  outstanding  Voting  Shares  as  a  result  of  such  Person  becoming  disqualified  from
relying on Section 1.1(e)(vi) solely because such Person is making or has announced a current intention to make a
Take-over  Bid,  either  alone  or  by  acting  jointly  or  in  concert  with  any  other  Person.  For  the  purposes  of  this
definition,  “Disqualification  Date”  means  the  first  date  of  a  public  announcement  of  facts  indicating  that  any
Person is making, or has announced a current intention to make a Take-over Bid.

“Affiliate” shall mean, when used to indicate a relationship with a specified body corporate, a Person that directly or indirectly
through  one  or  more  intermediaries  controls,  or  is  a  body  corporate  controlled  by,  or  under  common  control  with,  such
specified body corporate.

“Agreement” means this agreement as may be amended, modified or supplemented from time to time.

“Associate”  shall  mean,  when  used  to  indicate  a  relationship  with  a  specified  Person,  (i)  a  spouse  of  that  Person,  (ii)  any
Person  of  the  same  or  opposite  sex  with  whom  that  Person  is  living  in  a  conjugal  relationship  outside  marriage,  (iii)  any
relative of that Person if that relative has the same residence as that Person or (iv) any relative of such spouse or other Person
referred to in the immediately preceding clauses (i), (ii) or (iii) above, if that relative has the same residence as the specified
Person.

(b)

(c)

(d)

(e)

A Person shall be deemed the “Beneficial Owner” of, and to have “Beneficial Ownership” of, and to “Beneficially Own”:

(i)any securities of which such Person or any of such Person’s Affiliates or Associates is owner at law or in equity;

(ii)any securities which the Person or any of such Person’s Affiliates or Associates has the right or obligation to acquire within
60  days  (where  such  right  is  exercisable  within  a  period  of  60  days  whether  or  not  upon  the  occurrence  of  a
contingency or the making of a payment) pursuant to any Convertible Security, agreement, arrangement, pledge or
understanding,  whether  or  not  in  writing  (other  than  (A)  customary  agreements  with  and  between  underwriters
and/or  banking  group  and/or  selling  group  members  with  respect  to  a  distribution  of  securities  (B)  pledges  of
securities in the ordinary course of the pledgee’s business) or (C) agreements pursuant to an amalgamation, merger,
arrangement, business combination or other similar transaction (statutory or otherwise, but for greater certainty not
including  a  Take-over  Bid)  that  are  conditional  upon  the  approval  of  the  shareholders  of  the  Corporation  to  be
obtained prior to such Person acquiring such securities;

(iii)any securities which are subject to a lock-up or similar agreement to tender or deposit them into any Take-over Bid made
by such Person or made by any Affiliate or Associate of such Person or made by any other person acting jointly or
in concert with such Person; and

(iv)any securities that are Beneficially Owned within the meaning of clause (i), (ii) or (iii) of this Section 1.1(e) by any other

Person with whom such Person is acting jointly or in concert;

provided,  however,  that  a  Person  shall  not  be  deemed  the  “Beneficial  Owner”  of,  or  to  have  “Beneficial  Ownership”  of,  or  to

“Beneficially Own”, any security solely by reason of any one or more of the following circumstances:

(v)such  security  has  been  agreed  to  be  deposited  or  tendered  pursuant  to  a  Permitted  Lock-up  Agreement  or  is  otherwise
deposited or tendered pursuant to any Take-over Bid made by such Person, made by any of such Person’s Affiliates

or Associates or made by any other Person acting jointly or in concert with such Person, but only until such time as
such deposited or tendered security has been taken up or paid for, whichever shall occur first; or

(vi)

such Person, for greater certainty holding such security in the ordinary course of such Person’s business, holds such
security, provided that:

(A)

(B)

(C)

(D)

(E)

the ordinary business of that Person (a "Fund Manager") includes the management of pension or mutual or
investment  funds  for  others  (which  others,  for  greater  certainty,  may  include  or  be  limited  to  one  or  more
employee benefit plans or pension plans) and such security is held by the Fund Manager in the ordinary course
of  such  business  in  the  performance  of  such  Fund  Manager’s  duties  for  the  account  of  any  other  Person  (a
"Client")  including  non-discretionary  accounts  held  on  behalf  of  a  Client  by  a  broker  or  dealer  registered
under applicable laws; or

such Person (the "Trust Company") is licensed to carry on the business of a trust company under applicable
law and, as such, acts as trustee or administrator or in a similar capacity in relation to the estates of deceased or
incompetent Persons (each, an "Estate Account") or in relation to other accounts (each, an "Other Account")
and  holds  such  security  in  the  ordinary  course  of  such  duties  for  such  Estate  Accounts  or  for  such  Other
Accounts; or

such Person (the "Statutory Body") is an independent Person established by statute for purposes that include,
and  the  ordinary  business  or  activity  of  such  Person  includes,  the  management  of  investment  funds  for
employee benefit plans, pension plans, insurance plans of various public bodies and the Statutory Body holds
such security for the purposes of its activities as such; or

such Person (the "Plan Administrator") is the administrator or the trustee of one or more pension funds or
plans  registered  under  the  laws  of  Canada  or  any  province  thereof  or  the  United  States  or  any  state  thereof
(each, a "Plan"), or is a Plan;

such  Person  (the  “Crown  Agent”)  is  acting  as  an  agent  of  the  Crown  for  purposes  that  include,  and  the
ordinary  business  or  activity  of  such  Person  includes,  the  management  of  public  assets  and  such  security  is
held by the Crown Agent in the ordinary course of the management of such public assets; or

(F)

such Person is a Plan and such security is held by the Plan in the ordinary course of such Plan’s activities;

provided, however, that in any of the foregoing cases, the Fund Manager, the Trust Company, the Statutory Body, the
Plan  Administrator,  the  Crown  Agent,  or  the  Plan  as  the  case  may  be,  is  not  then  making  or  has  not  announced  an
intention to make a Take-over Bid, or is not then acting jointly or in concert with any other Person who is making a
Take-over  Bid  or  who  has  announced  an  intention  to  make  a  Take-over  Bid,  other  than  an  Offer  to  Acquire  Voting
Shares or other securities of the Corporation (X) by means of a distribution by the Corporation, or (Y) by means of
ordinary  market  transactions  (including  pre-arranged  trades  entered  into  in  the  ordinary  course  of  business  of  such
Person)  executed  through  the  facilities  of  a  stock  exchange,  securities  quotation  system  or  an  organized  over-the-
counter market;

(vii)such  Person  is  a  Client  of  the  same  Fund  Manager  as  another  Person  on  whose  account  the  Fund  Manager  holds  such
security, or because such Person is an Estate Account or an Other Account of the same Trust Company as another
Person on whose account the Trust Company holds such security, or because such Person is a Plan with the same
Plan Administrator as another Plan on whose account the Plan Administrator holds such security;

(viii)such  Person  is  a  Client  of  a  Fund  Manager  and  such  security  is  owned  at  law  or  in  equity  by  the  Fund  Manager,  or
because such Person is an Estate Account or an Other Account of a Trust Company and such security is owned at
law or in equity by the Trust Company, or because such Person is a Plan and such security is owned at law or in
equity by the Plan Administrator; or

(ix)such  Person  is  the  registered  holder  of  securities  as  a  result  of  carrying  on  the  business  of,  or  acting  as,  a  nominee  of  a

securities depository.

For purposes of this Agreement, in determining the percentage of the outstanding Voting Shares with respect to which a Person
is,  or  is  deemed  to  be,  the  Beneficial  Owner,  any  unissued  Voting  Shares  as  to  which  such  Person  is  deemed  the  Beneficial
Owner pursuant to this Section 1.1(e) shall be deemed outstanding.

“Board of Directors” shall mean the board of directors of the Corporation or any duly constituted and empowered committee
thereof.

“Business Day”  shall  mean  any  day,  other  than  a  Saturday  or  Sunday  or  a  day  on  which  banking  institutions  in  Montreal,
Quebec are authorized or obligated by law to close.

“Canada Business Corporations Act” shall mean the Canada Business Corporations Act (Canada), R.S.C. 1985, c. C-44, as
amended and the regulations thereunder, as from time to time in effect.

“Canadian  Dollar  Equivalent”  of  any  amount  which  is  expressed  in  United  States  dollars  shall  mean  on  any  date  the
Canadian dollar equivalent of such amount determined by reference to the U.S. - Canadian Exchange Rate in effect on such
date.

(f)

(g)

(h)

(i)

(j)

“Close  of  Business”  on  any  date  means  the  time  on  such  date  (or,  if  such  date  is  not  a  Business  Day,  the  time  on  the  next
succeeding Business Day) at which the office of the transfer agent for the Shares in the City of Montreal, Quebec (or, after the
Separation Time, the office of the Rights Agent in the City of Montreal, Quebec) is closed to the public; provided, however,
that for the purposes of the definition of “Competing Permitted Bid” and the definition of “Permitted Bid”, “Close of Business”
on any date means 11:59 p.m. (local time, at the place of deposit) on such date (or, if such date is not a Business Day, 11:59
p.m. (local time, at the place of deposit) on the next succeeding Business Day).

(k)

“Competing  Permitted  Bid”  means  a  Take-over  Bid  that  is  made  by  means  of  a  Take-over  Bid  circular  and  which  also
complies with the following additional provisions:

(i)is made after a Permitted Bid or another Competing Permitted Bid (each such Permitted Bid or Competing Permitted Bid
being in this definition, the “Prior Bid”) has been made and prior to the expiry, termination or withdrawal of that
Prior Bid;

(ii)satisfies all the components of the definition of a Permitted Bid provided that it is not required to satisfy the requirement set

forth in Clause (ff)(ii)(A) thereof; and

(iii)contains,  and  the  take-up  and  payment  for  securities  deposited  or  tendered  thereunder  are  subject  to,  an  irrevocable  and
unqualified condition that no Voting Shares and/or Convertible Securities shall be taken up or paid for pursuant to
the Take-over Bid 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 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  provisions  of  this
definition  and  any  acquisition  of  Voting  Shares  and/or  Convertible  Securities  made  pursuant  to  such  Take-over  Bid  that
qualified as a Competing Permitted Bid, including any acquisition of Voting 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.

(l)

“controlled”: a Person is “controlled” by another Person or two or more Persons acting jointly or in concert if and only if:

(i)

in the case of a body corporate, securities entitled to vote in the election of directors of such body corporate carrying
more than 50% of the votes for the election of the directors are held, directly or indirectly, by or for the benefit of the
other  Person  or  Persons  and  the  votes  carried  by  such  securities  are  entitled,  if  exercised,  to  elect  a  majority  of  the
board of directors of such body corporate; or

(ii)

in the case of a Person which is not a body corporate, more than 50% of the voting interests of such entity are held,
directly or indirectly, by or for the benefit of the other Person or Persons;

and “controls”, “controlling” “under common control with” shall be interpreted accordingly.

(m)

“Convertible Security” means, at any time, any securities issued by the Corporation from time to time (other than the Rights)
carrying any exercise, conversion or exchange right to which the holder thereof may acquire Voting Shares or other securities
which are convertible into or exercisable or exchangeable for Voting Shares (whether such right is exercisable immediately or
exercisable after a specified period and whether or not on condition or the happening of any contingency).

(n)

(o)

(p)

(q)

(r)

(s)

(t)

(u)

(v)

“Convertible  Security  Acquisition”  means  the  acquisition  of  Voting  Shares  by  a  Person  upon  the  purchase,  exercise,
conversion or exchange of Convertible Securities acquired or received by such Person pursuant to a Permitted Bid Acquisition,
an Exempt Acquisition or a Pro Rata Acquisition.

“Co-Rights Agents” shall have the meaning ascribed thereto in Subsection 4.1a).

“Disposition Date” shall have the meaning ascribed thereto in Subsection 5.1b).

“Effective Date” shall mean 5:01 p.m. on March 29, 2016.

“Election to Exercise” shall have the meaning ascribed thereto in Subsection 2.2d).

“Exempt Acquisition” means a share acquisition (i) in respect of which the Board of Directors has waived the application of
Section  3.1  pursuant  to  Subsection  5.1b),  5.1d)  or  5.1e)  or  (ii)  pursuant  to  an  amalgamation,  merger  or  other  statutory
procedure requiring shareholder approval.

“Exercise Price” shall mean, as of any date from and after the Separation Time, the price at which a holder of a Right may
purchase the securities issuable upon exercise of one whole Right which, subject to adjustment in accordance with the terms
hereof,  shall  be  an  aggregate  dollar  amount  equal  to  the  Market  Price  per  Share  (determined  as  at  the  Separation  Time)
multiplied by five (5).

“Expiration Time” shall mean the earlier of: (i) the Termination Time; and (ii) the Close of Business on the date on which a
Reconfirmation  Meeting  occurs  and  at  which  this  Agreement  is  not  reconfirmed  or  presented  for  reconfirmation  as
contemplated in Section 5.20.

“Fiduciary” shall mean, when acting in that capacity, a trust company registered under the trust company legislation of Canada
or any province thereof, a trust company organized under the laws of any state of the United States of America, a portfolio

manager  registered  under  the  securities  legislation  of  one  or  more  provinces  of  Canada  or  an  investment  adviser  registered
under the United States Investment Advisers Act of 1940 or any other securities legislation of the United States of America or
any state of the United States of America.

(w)

“Flip-in Event” shall mean a transaction or event in or pursuant to which any Person becomes an Acquiring Person.

(x)

(y)

(z)

“holder” shall have the meaning ascribed thereto in Section 2.8.

“Independent Shareholders” shall mean holders of outstanding Voting Shares, other than (i) any Acquiring Person or Offeror
other than a Person who is deemed not to Beneficially Own such Voting Shares by reason of Section 1.1(e)(vi) hereof; (ii) any
Person  acting  jointly  or  in  concert  with  any  Acquiring  Person  or  Offeror;  (iii)  any  Associate  or  Affiliate  of  any  Acquiring
Person or Offeror; and (iv) any employee benefit plan, stock purchase plan, deferred profit sharing plan and any similar plan or
trust for the benefit of employees of the Corporation or a corporation controlled by the Corporation, unless the beneficiaries of
the plan or trust direct the manner in which the Voting Shares are to be voted or withheld from voting or direct whether the
Voting Shares are to be deposited or tendered to a Take-over Bid.

"Market Price" per security of any securities on any date of determination shall mean the VWAP of such securities for the
twenty  (20)  consecutive  Trading  Days  through  and  including  the  Trading  Day  immediately  preceding  such  date  of
determination, provided, however, that (i) if on any such date the securities are not traded on any exchange or in the over-the-
counter market, the Market Price per share of such securities on such date shall mean the fair market value per security of the
securities  on  such  date  as  determined  by  a  nationally  or  internationally  recognized  investment  dealer  or  investment  banker
selected by the Board of Directors, and (ii) if the Market Price so determined is expressed in United States dollars, such amount
shall be converted to the Canadian Dollar Equivalent.

(aa)

"NI 62-104" means National Instrument 62-104 – Take-Over Bids and Issuer Bids.

(bb)

“Nominee” shall have the meaning ascribed thereto in Subsection 2.2c).

(cc)

“Offer to Acquire” shall include:

(i)an offer to purchase or a solicitation of an offer to sell Voting Shares, or a public announcement of an intention to make such

an offer or solicitation; and

(ii)an acceptance of an offer to sell Voting Shares, whether or not such offer to sell has been solicited;

or any combination thereof, and the Person accepting an offer to sell shall be deemed to be making an Offer to Acquire to the Person

that made the offer to sell.

(dd)

“Offeror” shall mean a Person who has announced a current intention to make, or who is making, a Take-over Bid.

(ee)

“Offeror’s Securities” shall mean the Voting Shares Beneficially Owned on the date of a Take-over Bid by an Offeror.

(ff)

“Permitted Bid”  means  a  Take-over  Bid  that  is  made  by  means  of  a  take-over  bid  circular  and  that  also  complies  with  the
following additional provisions:

(i)the Take-over Bid shall be made to all holders of Voting Shares of record (other than the Offeror); and

(ii)

the Take-over Bid contains, and the take-up and payment for securities tendered or deposited thereunder are subject to,
an irrevocable and unqualified condition that no securities shall be taken up or paid for pursuant to the Take-over Bid:

(A)prior to the close of business on the date which is not less than one hundred and five (105) days following the date
of the Take-over Bid or such shorter minimum period as determined in accordance with section 2.28.2 or
section 2.28.3 of NI 62-104 for which 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 deposit of securities thereunder; and

(B)unless, at the close of business on such date in (A), more than 50% of the then outstanding Voting Shares held by
Independent  Shareholders  have  been  deposited  or  tendered  pursuant  to  the  Take-over  Bid  and  have  not
been withdrawn;

(iii)

(iv)

the Take-over Bid contains an irrevocable and unqualified provision that securities may be deposited pursuant to such
Take-over Bid at any time during the period of time described in Section 1.1(ff)(ii)(A) above and during any extension
of such Take-over Bid and any securities deposited pursuant to the Take-over Bid may be withdrawn until taken up and
paid for; and

the Take-over Bid contains an irrevocable and unqualified provision that if the requirement set forth in Section 1.1(ff)
(ii)(B) is satisfied and such securities are taken up by the Offeror, the Offeror will make a public announcement of that
fact and the Take-over Bid will remain open for deposits and tenders of Voting Shares for not less than 10 days from
the date of such public announcement;

provided, however, that a Take-over Bid that qualified as a Permitted Bid ceases to be a Permitted Bid at any time and as soon
as such time when such Take-over Bid ceases to meet any or all of the provisions of this definition, and provided that, at such

time, any acquisitions of securities made pursuant to such Permitted Bid, including any acquisition of securities made prior to
such time, will cease to be a Permitted Bid Acquisition.

For purposes of this Agreement, the term “Permitted Bid” shall include a Competing Permitted Bid.

(gg)

(hh)

“Permitted  Bid  Acquisition”  means  an  acquisition  of  Voting  Shares  made  pursuant  to  a  Permitted  Bid  or  a  Competing
Permitted Bid.

“Permitted Lock-up Agreement” means  an  agreement  (the  "Lock-up Agreement")  between  an  Offeror  or  any  Affiliate  or
Associate  of  an  Offeror  and  one  or  more  holders  of  Voting  Shares  (each  such  holder  herein  referred  to  as  a  “Locked-up
Person”)  who  are  not  Affiliates  or  Associates  of  the  Offeror  and  who  are  not,  other  than  by  virtue  of  entering  into  such
agreement, acting jointly or in concert with the Offeror, the terms of which are publicly disclosed and a copy of which is made
available to the public (including the Corporation) not later than the date of the Lock-up Bid (as hereinafter defined) or, if the
Lock-up Bid has been made prior to the date of the Lock-up Agreement, not later than the Business Day following the date the
Lock-up Agreement was entered into, pursuant to which each Locked-up Person agrees to deposit or tender the Voting Shares
and/or  Convertible  Securities  held  by  such  holder  to  a  Take-over  Bid  (the  “Lock-up  Bid”)  made  by  the  Offeror  or  any
Affiliates or Associates of the Offeror or any other Person acting jointly or in concert with the Offeror provided that:

(i)the Lock-up Agreement permits the Locked-up Person to withdraw its Voting Shares and/or Convertible Securities from the
Lock-up  Agreement  and  the  Lock-up  Bid  in  order  to  deposit  or  tender  the  Voting  Shares  and/or  Convertible
Securities to another Take-over Bid or to support another transaction prior to the Voting Shares and/or Convertible
Securities being taken up and paid for under the Lock-up Bid:

(A)at  a  price  or  value  per  Voting  Share  or  Convertible  Security  that  exceeds  the  price  or  value  per  Voting  Share  or

Convertible Security offered under the Lock-up Bid; or

(B)for  a  number  of  Voting  Shares  or  Convertible  Securities  that  exceeds  by  as  much  as  or  more  than  a  number
specified in the Lock-up Agreement (the “Specified Number”) the number of Voting Shares or Convertible
Securities  that  the  Offeror  has  offered  to  purchase  under  the  Lock-up  Bid  at  a  price  or  value  per  Voting
Share  or  Convertible  Security  that  is  not  less  than  the  price  or  value  per  Voting  Share  or  Convertible
Security offered under the Lock-up Bid, provided that the Specified Number is not greater than 7% of the
number of Voting Shares or Convertible Securities offered to be purchased under the Lock-up Bid; or

(C)at such price or value that exceeds by as much as or more than an amount specified in the Lock-up Agreement (the
“Specified  Amount”)  the  offering  price  for  each  Voting  Share  or  Convertible  Security  contained  in  or
proposed to be contained in the Lock-up Bid, provided that the Specified Amount is not greater than 7% of
the offering price contained in or proposed to be contained in the Lock-up Bid;

for greater certainty, the Lock-up Agreement may contain a right of first refusal or require a period of delay to give the Person who
made the Lock-up Bid an opportunity to match a higher price in another Take-over Bid or transaction or other similar limitation
on  a  Locked-up  Person’s  right  to  withdraw  Voting  Shares  and/or  Convertible  Securities  from  the  agreement,  so  long  as  the
limitation does not preclude the exercise by the Locked-up Person of the right to withdraw Voting Shares and/or Convertible
Securities during the period of the other Take- over Bid or transaction; and

(ii)no “break-up” fees, “topping” fees, penalties, expenses or other amounts that exceed in aggregate the greater of:

(A)2½% of the price or value of the aggregate consideration payable under the Lock-up Bid to a Locked-up Person;

and

(B)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  the  price  or  value  of  the  consideration  that  the  Locked-up  Person
would have received under the Lock-up Bid;

shall  be  payable  by  such  Locked-up  Person  if  the  Locked-up  Person  fails  to  deposit  or  tender  Voting  Shares  and/or  Convertible
Securities to the Lock-up Bid or withdraws Voting Shares and/or Convertible Securities previously tendered thereto, in order to
deposit or tender such Voting Shares and/or Convertible Securities to another Take- over Bid or support another transaction.

(ii)

“Person” shall  include  any  individual,  firm,  limited  partnership,  limited  liability  company  or  partnership,  association,  trust,
trustee,  executor,  administrator,  legal  or  personal  representative,  government,  governmental  body,  entity  or  authority,  group,
body corporate, or other incorporated or unincorporated organization or association, syndicate, joint venture or any other entity,
whether  or  not  having  legal  personality,  and  any  of  the  foregoing  in  any  derivative,  representative  or  fiduciary  capacity  and
pronouns have a similar extended meaning.

(jj)

“Privacy Laws” shall have the meaning ascribed thereto in Section 4.6.

(kk)

“Pro Rata Acquisition”  means  an  acquisition  by  a  Person  of  Voting  Shares  pursuant  to  (i)  any  dividend  reinvestment  plan,
share purchase plan or other plan of the Corporation made available to all holders of Voting Shares (other than holders resident
in  any  jurisdiction  where  participation  in  such  plan  is  restricted  or  impractical  as  a  result  of  applicable  law);  (ii)  a  stock
dividend, a stock split or other event pursuant to which such Person becomes the Beneficial Owner of Voting Shares on the
same pro rata basis as all other holders of Voting Shares of the same class or series; (iii) the acquisition or exercise of rights to

purchase Voting Shares distributed to all holders of Voting Shares (other than holders resident in any jurisdiction where such
distribution or exercise is restricted or impractical as a result of applicable law) by the Corporation pursuant to a rights offering
(but  only  if  such  rights  are  acquired  directly  from  the  Corporation);  or  (iv)  a  distribution  of  Voting  Shares  or  Convertible
Securities  in  respect  thereof  offered  pursuant  to  a  prospectus  or  by  way  of  a  private  placement  by  the  Corporation  or  a
conversion or exchange of any such Convertible Security, provided that, in the cases of (iii) and (iv) above, such Person does
not thereby acquire a greater percentage of Voting Shares or Convertible Securities so offered than the Person’s percentage of
Voting Shares Beneficially Owned immediately prior to such acquisition.

(ll)

“Reconfirmation Meeting” shall have the meaning ascribed thereto in Section 5.20.

(mm)

“Record Time” means 5:01 p.m. on March 29, 2016, being the Effective Date.

(nn)

“Redemption Price” shall have the meaning attributed thereto in Subsection 5.1a).

(oo)

“Regular Cash Dividend” means cash dividends paid on the Shares in any fiscal year of the Corporation to the extent that
such cash dividends do not exceed in the aggregate in any fiscal year the greatest of:

(i)

(ii)

(iii)

100%  of  the  aggregate  consolidated  net  income  of  the  Corporation,  before  extraordinary  items,  for  its  immediately
preceding fiscal year; and

200% of the aggregate amount of cash dividends declared payable by the Corporation on its Shares in its immediately
preceding fiscal year; and

300% of the arithmetic mean of the aggregate amounts of cash dividends declared payable by the Corporation on its
Shares in its three immediately preceding fiscal years.

“Right” shall mean the rights described herein to purchase securities pursuant to the terms and subject to the conditions set
forth herein.

“Rights Certificate” shall mean the certificates representing the Rights after the Separation Time which shall be substantially
in the form attached hereto as Exhibit A.

“Rights Register” and “Rights Registrar” shall have the respective meanings ascribed thereto in Subsection 2.6a).

“Securities Act” shall mean the Securities Act, R.S.Q., c. V-1.1, as amended and the regulations, rules and policy statements
made thereunder, as from time to time in effect.

(pp)

(qq)

(rr)

(ss)

(tt)

“Separation Time” means the Close of Business on the eighth Trading Day after the earlier of:

(i)the Stock Acquisition Date; and

(ii)the  date  of  the  commencement  of,  or  first  public  announcement  or  disclosure  of  the  intent  of  any  Person  (other  than  the
Corporation  or  any  corporation  controlled  by  the  Corporation)  to  commence,  a  Take-over  Bid  (other  than  a
Permitted Bid, so long as such Take-over Bid continues to satisfy the requirements of a Permitted Bid);

or such later Business Day as may be determined at any time or from time to time by the Board of Directors; provided, however, that if
any such Take-over Bid expires, is cancelled, is terminated or is otherwise withdrawn prior to the Separation Time, without
securities  deposited  thereunder  being  taken  up  and  paid  for,  such  Take-over  Bid  shall  be  deemed,  for  purposes  of
Section  1.1(rr),  never  to  have  been  made,  and,  provided  further,  that  if  the  Board  of  Directors  determines,  pursuant  to
Section 5.1, to waive the application of Section 3.1 to a Flip-in Event, the Separation Time in respect of such Flip-in Event
shall be deemed never to have occurred.

(uu)

(vv)

“Shares” means the common shares in the share capital of the Corporation, as such shares may be subdivided, consolidated,
reclassified or otherwise changed from time to time.

“Stock Acquisition Date” shall mean the first date of public announcement or disclosure by the Corporation or an Acquiring
Person  of  facts  indicating  that  a  Person  has  become  an  Acquiring  Person  (which,  for  the  purposes  of  this  definition,  shall
include, without limitation, an early warning report filed pursuant to National Instrument 62-103 – The Early Warning System
and  Related  Take-over  Bid  and  Insider  Reporting  Issues  (adopted  in  Québec  as  Regulation  62-103  respecting  the  Early
Warning  System  and  Related  Take-Over  Bid  and  Insider  Reporting  Issues)  or  Section  13(d)  of  the  U.S.  Exchange  Act
disclosing such information).

(ww)

“Take-over Bid” means an Offer to Acquire Voting Shares of any class, or Convertible Securities with respect thereto, where
the Voting Shares subject to the Offer to Acquire, together with the Voting Shares into or for which the securities subject to the
Offer to Acquire are convertible or exchangeable and the Offeror’s Securities constitute in the aggregate 20% or more of the
outstanding Voting Shares at the date of the Offer to Acquire.

(xx)

“Termination Time” means the time at which the right to exercise Rights shall terminate pursuant to Section 5.1 hereof.

(yy)

“Trading Day”  when  used  with  respect  to  any  securities,  means  the  day  on  which  the  principal  Canadian  or  United  States
securities  exchange  (as  determined  by  the  Board  of  Directors  acting  in  good  faith)  on  which  such  securities  are  listed  or

admitted  to  trading  is  open  for  the  transaction  of  business  or,  if  the  securities  are  not  listed  or  admitted  to  trading  on  any
Canadian or United States securities exchange, a Business Day.

(zz)

“TSX” means the Toronto Stock Exchange.

([[)

“U.S. - Canadian Exchange Rate” on any date shall mean:

(i)if on such date the Bank of Canada sets an average noon spot rate of exchange for the conversion of one United States dollar

into Canadian dollars, such rate; and

(ii)in  any  other  case,  the  rate  for  such  date  for  the  conversion  of  one  United  States  dollar  into  Canadian  dollars  which  is
calculated  in  the  manner  which  shall  be  determined  by  the  Board  of  Directors  from  time  to  time  acting  in  good
faith.

(aaa)

“U.S. Exchange Act”  means  the  United  States  Securities  Exchange  Act  of  1934,  as  amended,  and  the  rules  and  regulations
thereunder as from time to time in effect.

(bbb)

(ccc)

(ddd)

“Voting  Share  Reduction”  means  an  acquisition  or  redemption  by  the  Corporation  or  any  corporation  controlled  by  the
Corporation of Voting Shares which, by reducing the number of Voting Shares outstanding, increases the percentage of Voting
Shares Beneficially Owned by any Person to 20% or more of the Voting Shares then outstanding.

“Voting Shares” means the Shares and any other securities the holders of which are entitled to vote generally on the election of
directors of the Corporation, and “voting shares”, when used with reference to any Person other than the Corporation, means
common shares of such other Person and any other securities the holders of which are entitled to vote generally on the election
of the directors of such other Person.

“VWAP” means, with respect to any class of securities, the volume weighted average trading price of the securities, calculated
by dividing the aggregate sale price by the total volume of the securities traded on the TSX for the relevant period, as adjusted,
as the case may be, by the TSX (provided that, if at the date of determination such securities are listed or admitted to trading on
more  than  one  stock  exchange  or  national  securities  quotation  system  (including,  for  greater  certainty,  each  of  the  Nasdaq
Global Select Market, the Nasdaq Global Market and the Nasdaq Capital Market), such volume shall be determined based on
the  stock  exchange  or  quotation  system  on  which  such  securities  are  then  listed  or  admitted  to  trading  on  which  the  largest
number  of  such  securities  were  traded  during  the  most  recently  completed  calendar  year  or,  if  a  calendar  year  has  not  been
completed  prior  to  the  date  of  determination,  during  such  shorter  period  as  the  Board  of  Directors  acting  in  good  faith
determines to be appropriate, and provided in each case that the TSX shall have approved and accepted the use of the prices of
the  securities  in  question  on  such  other  stock  exchange  or  national  securities  quotation  system  for  purposes  of  such
determination) or, if for any reason any of the sale prices used in determining the VWAP is not available on such date or the
securities are not listed or admitted to trading on a stock exchange or a national securities quotation system on such date, the
last sale price, or in case no sale takes place on such date, the average of the high bid and low asked prices for each of such
securities in the over-the-counter market; provided, however, that if an event of a type analogous to any of the events described
in Section 2.3 hereof shall have caused any of the sale prices used to determine the VWAP for any Trading Day not to be fully
comparable with the sale prices on the Trading Day immediately preceding such date of determination, each such sale price so
used shall be appropriately adjusted in a manner analogous to the applicable adjustment provided for in Section 2.3 hereof (as
determined  by  the  Board  of  Directors  acting  in  good  faith)  in  order  to  make  it  fully  comparable  with  the  sale  price  on  the
Trading Day immediately preceding such date of determination.

Section 1.2

Currency

All sums of money which are referred to in this Agreement are expressed in lawful money of Canada, unless otherwise specified.

Section 1.3

Number and Gender

Whenever the context shall require, terms (including defined terms) used herein denoting the singular number only shall include the

plural and vice versa and words denoting any one gender shall include all others.

Section 1.4

Sections and Headings

The  division  of  this  Agreement  into  Articles,  Sections,  Subsections,  clauses  and  subclauses  and  the  insertion  of  headings  are  for
convenience  of  reference  only  and  shall  not  affect  the  construction  or  interpretation  of  this  Agreement.  The  terms  this  “Agreement”,
“hereunder”, “hereof” and similar expressions refer to this Agreement, as amended or supplemented from time to time, and not to any particular
Article,  Section  or  other  portion  hereof  and  include  any  agreement  or  instrument  supplemental  or  ancillary  hereto.  Unless  something  in  the
subject matter or context is inconsistent therewith, references herein to Articles, Sections, Subsections, clauses and subclauses are to Articles,
Sections, Subsections, clauses and subclauses of this Agreement.

Section 1.5

Statutory References

Unless the context otherwise requires, any reference to a specific Section, Subsection, clause or Rule of any statute or regulation shall
be deemed to refer to the same as it may be amended, reenacted or replaced or, if repealed and there shall be no replacement therefor, to the
same as it is in effect on the date of this Agreement.

Section 1.6

Determination of Percentage Ownership

The percentage of Voting Shares Beneficially Owned by any Person, shall, for the purposes of this Agreement, be and be deemed to be

the product determined by the formula:

100 x A B

where:

A  =        the  aggregate  number  of  votes  for  the  election  of  all  directors  generally  attaching  to  the  Voting  Shares  Beneficially
Owned by such Person; and

B =    the aggregate number of votes for the election of all directors generally attaching to all outstanding Voting Shares.

Where  any  Person  is  deemed  to  Beneficially  Own  unissued  Voting  Shares  pursuant  to  Section  1.1(e),  such  Voting  Shares  shall  be
deemed to be outstanding for the purpose of both A and B in the formula above, but no other unissued Voting Shares shall, for the purposes of
this calculation, be deemed to be outstanding.

Section 1.7

Acting Jointly or in Concert

For  the  purposes  of  this  Agreement,  a  Person  is  acting  jointly  or  in  concert  with  every  Person  who  is  a  party  to  an  agreement,
commitment or understanding, whether formal or informal and whether or not in writing, with the first Person, to acquire or to Offer to Acquire
Voting Shares or Convertible Securities in respect thereof (other than customary agreements with and between underwriters and banking group
or selling group members with respect to a distribution of securities pursuant to a prospectus or by way of a private placement (prospectus-
exempt distribution) or a pledge of securities in the ordinary course of the pledgee’s business).

Section 2.1

Legend on Share Certificates

Article 2     
THE RIGHTS

(a)

Certificates representing the Shares, including without limitation Shares issued upon the conversion of Convertible Securities,
issued after the Record Time but prior to the Close of Business on the earlier of the Separation Time and the Expiration Time
shall  also  evidence  one  Right  for  each  Share  represented  thereby  and  shall  have  impressed  on,  printed  on,  written  on  or
otherwise affixed to them the following legend:

“Until the Separation Time (as defined in the Rights Agreement referred to below), this certificate also evidences and entitles
the holder hereof to certain Rights as set forth in an Amended and Restated Shareholder Rights Plan Agreement dated as of
[May 8], 2019 (the “Rights Agreement”), between the Corporation and Computershare Trust Company of Canada, as rights
agent,  as  the  same  may  be  amended  or  supplemented  from  time  to  time  in  accordance  with  the  terms  thereof,  the  terms  of
which are hereby incorporated herein by reference and a copy of which is on file at the registered office of the Corporation.
Under certain circumstances, as set forth in the Rights Agreement, such Rights may be amended or redeemed, may expire, may
become void (if, in certain cases, they are “Beneficially Owned” by an “Acquiring Person”, as such terms are defined in the
Rights Agreement, whether currently held by or on behalf of such Person or any subsequent holder) or may be evidenced by
separate certificates and may no longer be evidenced by this certificate. The Corporation will mail or arrange for the mailing of
a  copy  of  the  Rights  Agreement  to  the  holder  of  this  certificate  without  charge  as  soon  as  practicable  after  the  receipt  of  a
written request therefor.

(b)

Certificates representing Shares that have been issued prior to, and remain outstanding at, the Record Time, shall evidence one
Right for each Share evidenced thereby until the earlier of the Separation Time and the Expiration Time notwithstanding the
absence of the legend required by Subsection 2.1a).

Section 2.2

Initial Exercise Price; Exercise of Rights; Detachment of Rights

(a)

(b)

(c)

Right  to  entitle  holder  to  purchase  one  Share  prior  to  adjustment.  Subject  to  adjustment  as  herein  set  forth,  including
without limitation as set forth in Article 3, each Right will entitle the holder thereof, from and after the Separation Time and
prior  to  the  Expiration  Time,  to  purchase  one  Share  for  the  Exercise  Price  (which  Exercise  Price  and  number  of  Shares  are
subject  to  adjustment  as  set  forth  below).  Notwithstanding  any  other  provision  of  this  Agreement,  any  Rights  held  by  the
Corporation or any of its subsidiaries shall be void.

Rights not exercisable until Separation Time. Until the Separation Time, (i) the Rights shall not be exercisable and no Right
may be exercised and (ii) for administrative purposes, each Right will be evidenced by the certificate for the associated Shares
registered in the name of the holder thereof (which certificate shall be deemed to represent a Rights Certificate) and will be
transferable only together with, and will be transferred by a transfer of, such associated Shares.

Delivery  of  Rights  Certificate  and  disclosure  statement. From  and  after  the  Separation  Time  and  prior  to  the  Expiration
Time, the Rights may be exercised, and the registration and transfer of the Rights shall be separate from and independent of
Shares. Promptly following the Separation Time, the Corporation will prepare or cause to be prepared and the Rights Agent
will mail to each holder of record of Shares as of the Separation Time and, in respect of each Convertible Security converted
into Shares after the Separation Time and prior to the Expiration Time, promptly after such conversion, the Corporation will
prepare  or  cause  to  be  prepared  and  the  Rights  Agent  will  mail  to  the  holder  so  converting  (other  than  in  each  case  an

Acquiring Person or any other Person whose Rights are or become void pursuant to the provisions of Section 3.1(b) hereof and,
in  respect  of  any  Rights  Beneficially  Owned  by  such  Acquiring  Person  or  other  Person  whose  Rights  are  or  become  void
pursuant to the provisions of Section 3.1(b) hereof, which are not held of record by such Acquiring Person or other Person, the
holder  of  record  of  such  rights  (a  “Nominee”))  at  such  holder’s  address  as  shown  by  the  records  of  the  Corporation  (the
Corporation hereby agreeing to furnish copies of such record to the Rights Agent for this purpose):

(i)a Rights Certificate in substantially the form of Exhibit A hereto appropriately completed, representing the number of Rights
held by such holder at the Separation Time and having such marks of identification or designation and such legends,
summaries  or  endorsements  printed  thereon  as  the  Corporation  may  deem  appropriate  and  as  are  not  inconsistent
with the provisions of this Agreement, or as may be required to comply with any law, rule or regulation or judicial or
administrative  order,  or  with  any  article,  requirement  or  regulation  of  any  stock  exchange  or  quotation  system  on
which the Rights may from time to time be listed or traded, or to conform to usage; and

(ii)a disclosure statement prepared by the Corporation describing the Rights;

provided that a Nominee shall be sent the materials provided for in (i) and (ii) only in respect of all Shares held of record by it
which  are  not  Beneficially  Owned  by  an  Acquiring  Person  and  the  Corporation  may  require  any  Nominee  or  suspected
Nominee to provide such information and documentation as the Corporation may reasonably require for such purpose.

(d)

Exercise of Rights. Rights may be exercised in whole or in part on any Business Day after the Separation Time and prior to the
Expiration Time by submitting to the Rights Agent at its principal office in Montreal, Quebec, or any other office of the Rights
Agent designated for that purpose from time to time by the Corporation:

(i)the Rights Certificate evidencing such Rights;

(ii)an  election  to  exercise  (an  “Election  to  Exercise”)  substantially  in  the  form  attached  to  the  Rights  Certificate  duly

completed and executed in a manner acceptable to the Rights Agent; and

(iii)payment by certified cheque, banker’s draft or money order payable to the order of the Rights Agent, or by wire transfer to
an account designated by the Rights Agent, of a sum equal to the Exercise Price multiplied by the number of Rights
being exercised and a sum sufficient to cover any transfer tax or charge which may be payable in respect of any
transfer  involved  in  the  transfer  or  delivery  of  Rights  Certificates  or  the  issuance  or  delivery  of  certificates  for
Shares in a name other than that of the holder of the Rights being exercised.

(e)

Duties of Rights Agent upon receipt of Election to Exercise. Upon receipt of a Rights Certificate, which is accompanied by
an appropriately completed and duly executed Election to Exercise (which does not or is not deemed to indicate that such Right
is  null  and  void  as  provided  by  Subsection  3.1b))  and  payment  as  set  forth  in  Subsection  2.2d),  the  Rights  Agent  (unless
otherwise instructed by the Corporation) will thereupon promptly:

(i)requisition  from  the  transfer  agent  of  the  Shares  certificates  representing  the  number  of  Shares  to  be  purchased  (the

Corporation hereby irrevocably authorizing its transfer agent to comply with all such requisitions);

(ii)after receipt of such share certificates, deliver such certificates to, or to the order of, the registered holder of such Rights

Certificate, registered in such name or names as may be designated by such holder;

(iii)when  appropriate,  requisition  from  the  Corporation  the  amount  of  cash,  if  any,  to  be  paid  in  lieu  of  issuing  fractional

Shares;

(iv)when  appropriate,  after  receipt  of  such  cash,  deliver  such  cash  to,  or  to  the  order  of,  the  registered  holder  of  the  Rights

Certificate; and

(v)tender to the Corporation all payments received on exercise of the Rights.

(f)

Partial Exercise of Rights. If the holder of any Rights shall exercise less than all of the Rights evidenced by such holder’s
Rights Certificate, a new Rights Certificate evidencing the Rights remaining unexercised will be issued by the Rights Agent to
such holder or to such holder’s duly authorized assigns.

(g)

Duties of the Corporation. The Corporation covenants and agrees that it will:

(i)take all such action as may be necessary and within its power to ensure that all Shares delivered upon the exercise of Rights
shall, at the time of delivery of the certificates for such Shares (subject to payment of the Exercise Price), be duly
and validly authorized, executed, issued and delivered as fully paid and non-assessable;

(ii)take all such action as may reasonably be considered to be necessary and within its power to comply with any applicable
requirements of the Canada Business Corporations Act, the Securities Act, the U.S. Exchange Act, the United States
Securities Act of 1933, as amended, and applicable comparable legislation of each of the provinces and territories of
Canada and states of the United States of America, or the rules and regulations thereunder or any other applicable
law, rule or regulation, in connection with the issuance and delivery of the Rights, the Rights Certificates and the
issuance of any Shares upon exercise of the Rights;

(iii)use reasonable efforts to cause all Shares issued upon exercise of the Rights to be listed on the stock exchanges on which

the Shares are listed at that time;

(iv)cause to be reserved and kept available out of its authorized and unissued Shares, the number of Shares that, as provided in

this Agreement, will from time to time be sufficient to permit the exercise in full of all outstanding Rights;

(v)pay  when  due  and  payable,  if  applicable,  any  and  all  federal,  provincial,  state  and  municipal  taxes  (not  in  the  nature  of
income, capital gains or withholding taxes) and charges which may be payable in respect of the original issuance or
delivery  of  the  Rights  Certificates  or  certificates  for  Shares  issued  upon  the  exercise  of  Rights,  provided  that  the
Corporation shall not be required to pay any transfer tax or charge which may be payable in respect of any transfer
of Rights or the issuance or delivery of certificates for Shares issued upon the exercise of Rights, in a name other
than that of the holder of the Rights being transferred or exercised; and

(vi)after the Separation Time, except as permitted by Section 5.1 or Section 5.4, not take (or permit any corporation it controls
to  take)  any  action  if  at  the  time  such  action  is  taken  it  is  reasonably  foreseeable  that  such  action  will  diminish
substantially or otherwise eliminate the benefits intended to be afforded by the Rights.

Section 2.3

Adjustments to Exercise Price; Number of Rights

(a)

(b)

(c)

(d)

(e)

The  Exercise  Price,  the  number  and  kind  of  securities  subject  to  purchase  upon  exercise  of  each  Right  and  the  number  of
Rights outstanding are subject to adjustment from time to time as provided in this Section 2.3 and in Article 3.

Adjustment to Exercise Price upon changes to share capital. In the event that the Corporation shall at any time after the
Record Time and prior to the Expiration Time:

(i)declare or pay a dividend on the Shares payable in Voting Shares or Convertible Securities in respect thereof other than in

the ordinary course of business or pursuant to any dividend reinvestment plan or program;

(ii)subdivide or change the then outstanding Shares into a greater number of Shares;

(iii)consolidate, combine or change the then outstanding Shares into a smaller number of Shares; or

(iv)issue any Voting Shares (or Convertible Securities in respect thereof) in respect of, in lieu of, or in exchange for existing
Shares, whether in a reclassification, amalgamation, statutory arrangement, consolidation or otherwise;

the  Exercise  Price  and  the  number  of  Rights  outstanding  (or,  if  the  payment  or  effective  date  therefor  shall  occur  after  the
Separation Time, the securities purchasable upon the exercise of Rights) shall be adjusted as follows:

(A)If the Exercise Price and number of Rights outstanding are to be adjusted:

i.

the  Exercise  Price  in  effect  after  such  adjustment  will  be  equal  to  the  Exercise  Price  in  effect
immediately  prior  to  such  adjustment  divided  by  the  number  of  Shares  (or  other  securities  of  the
Corporation)  that  a  holder  of  one  Share  immediately  prior  to  such  dividend,  subdivision,  change,
consolidation or issuance would hold thereafter as a result thereof; and

ii. each Right held prior to such adjustment will become that number of Rights equal to that number that
is  equal  to  the  number  of  Shares  (or  other  securities  of  the  Corporation)  that  a  holder  of  one  Share
immediately  prior  to  such  dividend,  subdivision,  change,  consolidation  or  issuance  would  hold
immediately  thereafter  as  a  result  thereof,  and  the  adjusted  number  of  Rights  will  be  deemed  to  be
allocated among the Shares with respect to which the original Rights were associated (if they remain
outstanding)  and  the  securities  of  the  Corporation  issued  in  respect  of  such  dividend,  subdivision,
change, consolidation or issuance, so that each such Share (or other security of the Corporation) will
have exactly one Right associated with it.

(B)If the securities purchasable upon exercise of Rights are to be adjusted, the securities purchasable upon exercise of
each  Right  after  such  adjustment  will  be  the  securities  that  a  holder  of  the  securities  purchasable  upon
exercise of one Right immediately prior to such dividend, subdivision, change, consolidation or issuance
would hold thereafter as a result thereof.

Adjustments  pursuant  to  Subsection  2.3b)  shall  be  made  successively,  whenever  an  event  referred  to  in  Subsection  2.3b)
occurs.

If  an  event  occurs  which  would  require  an  adjustment  under  both  this  Section  2.3  and  Section  3.1  hereof,  the  adjustment
provided  for  in  this  Section  2.3  shall  be  in  addition  to,  and  shall  be  made  prior  to,  any  adjustment  required  pursuant  to
Section 3.1 hereof.

If,  after  the  Record  Time  and  prior  to  the  Expiration  Time,  the  Corporation  shall  issue  any  shares  of  its  capital  other  than
Shares  in  a  transaction  of  a  type  described  in  Section  2.3(b)(i)  or  Section  2.3(b)(iv),  such  shares  shall  be  treated  herein  as
nearly equivalent to Shares as may be practicable and appropriate under the circumstances, and the Corporation and the Rights
Agent hereby agree to amend this Agreement in accordance with Section 5.4 in order to effect such treatment. In the event the
Corporation  shall  at  any  time  after  the  Record  Time  and  prior  to  the  Expiration  Time  issue  any  Shares  otherwise  than  in  a
transaction referred to in Subsection 2.3b), each such Share so issued shall automatically have one new Right associated with
it, which Right shall be evidenced by the certificate representing such Shares.

(f)

Adjustment to Exercise Price upon issue of rights, options and warrants. In the event the Corporation shall, at any time
after  the  Record  Time  and  prior  to  the  Expiration  Time,  fix  a  record  date  for  the  making  of  a  distribution  to  all  holders  of

Shares  of  Convertible  Securities  entitling  them  (for  a  period  expiring  within  45  calendar  days  after  such  record  date)  to
subscribe for or purchase Shares (or other Convertible Securities in respect of Shares) at a price per Share (or, in the case of
such other Convertible Security, having a conversion, exchange or exercise price per share (including the price required to be
paid  to  purchase  such  other  Convertible  Security))  less  than  90%  of  the  Market  Price  per  Share  on  such  record  date,  the
Exercise  Price  in  effect  after  such  record  date  will  equal  the  Exercise  Price  in  effect  immediately  prior  to  such  record  date
multiplied by a fraction;

(i)of which the numerator shall be the number of Shares outstanding on such record date plus the number of Shares which the
aggregate  offering  price  of  the  total  number  of  Shares  so  to  be  offered  (and/or  the  aggregate  initial  conversion,
exchange or exercise price of the Convertible Securities so to be offered (including the price required to be paid to
purchase such Convertible Securities)) would purchase at such Market Price per Share; and

(ii)of  which  the  denominator  shall  be  the  number  of  Shares  outstanding  on  such  record  date  plus  the  number  of  additional
Shares  to  be  offered  for  subscription  or  purchase  (or  into  which  the  Convertible  Securities  so  to  be  offered  are
initially convertible, exchangeable or exercisable).

In  case  such  subscription  price  is  satisfied,  in  whole  or  in  part,  by  consideration  other  than  cash,  the  value  of  such
consideration  shall  be  as  determined  in  good  faith  by  the  Board  of  Directors.  Such  adjustment  shall  be  made  successively
whenever  such  a  record  date  is  fixed.  To  the  extent  that  such  Convertible  Securities  are  not  so  issued,  or  if  issued,  are  not
exercised prior to the expiration thereof, the Exercise Price shall be readjusted in the manner contemplated above based on the
number of Shares (or securities convertible into or exchangeable for Shares) actually issued on the exercise of such Convertible
Securities.

For  purposes  of  this  Agreement,  the  granting  of  the  right  to  purchase  Shares  (whether  from  treasury  or  otherwise)
pursuant  to  any  dividend  or  interest  reinvestment  plan  or  program  or  any  share  purchase  plan  or  program  providing  for  the
reinvestment of dividends or interest payable on securities of the Corporation or the investment of periodic optional payments
or employee benefit or similar plans (so long as such right to purchase is in no case evidenced by the delivery of Convertible
Securities  by  the  Corporation)  shall  not  be  deemed  to  constitute  an  issue  of  Convertible  Securities  by  the  Corporation;
provided,  however,  that  in  the  case  of  any  dividend  or  interest  reinvestment  or  share  purchase  plan  or  program,  the  right  to
purchase Shares is at a price per share of not less than 90% of the current Market Price per share (determined as provided in
such plans) of the Shares.

(g)

Adjustment to Exercise Price upon Corporate Distributions. In the event the Corporation shall, at any time after the Record
Time and prior to the Expiration Time, fix a record date for the making of a distribution to all holders of Shares of (i) evidences
of indebtedness or assets (other than a Regular Cash Dividend or a dividend paid in Shares, but including any dividend payable
in  securities  other  than  Shares),  (ii)  Convertible  Securities  entitling  them  to  subscribe  for  or  purchase  Voting  Shares  (or
Convertible  Securities  in  respect  of  Voting  Shares),  at  a  price  per  Voting  Share  (or,  in  the  case  of  a  Convertible  Security  in
respect of Voting Shares, having a conversion, exchange or exercise price per share (including the price required to be paid to
purchase such Convertible Security)) less than 90% of the Market Price per Share on such record date (excluding Convertible
Securities  referred  to  in  Subsection  2.3f))  or  (iii)  other  securities  of  the  Corporation,  the  Exercise  Price  in  effect  after  such
record date shall be equal to the Exercise Price in effect immediately prior to such record date less the fair market value (as
determined  in  good  faith  by  the  Board  of  Directors)  of  the  portion  of  the  assets,  evidences  of  indebtedness,  Convertible
Securities or other securities so to be distributed applicable to each of the securities purchasable upon exercise of one Right.
Such adjustment shall be made successively whenever such a record date is fixed.

(h)

Each adjustment made pursuant to Section 2.3 shall be made as of

(i)the payment or effective date for the applicable dividend, subdivision, change, consolidation or issuance, in the case of an

adjustment made pursuant to Subsection 2.3b) above; and

(ii)the record date for the applicable dividend or distribution, in the case of an adjustment made pursuant to Subsections 2.3f)

or 2.3g) above, subject to readjustment to reverse the same if such distribution shall not be made.

(i)

(j)

Corporation  may  provide  for  alternate  means  of  adjustment.  In  the  event  the  Corporation  shall,  at  any  time  after  the
Record Time and prior to the Expiration Time, issue any shares (other than Shares), or Convertible Securities to subscribe for
or  purchase  any  such  shares,  or  Convertible  Securities  in  respect  of  any  such  shares,  in  a  transaction  referred  to  in  any  of
clauses 2.3b)i) to (iv), Subsection 2.3f) or Subsection 2.3g) above, if the Board of Directors acting in good faith determines that
the  adjustments  contemplated  by  Subsections  2.3b),  2.3f)  and  2.3g)  above  in  connection  with  such  transaction  would  not
appropriately protect the interests of the holders of Rights, the Board of Directors may from time to time acting in good faith
determine what other adjustments, if any, to the Exercise Price, number of Rights or securities purchasable upon exercise of
Rights would be appropriate in the circumstances, if any, and such other adjustments (if any) shall be made upon the Board of
Directors  providing  written  certification  thereof  to  the  Rights  Agent  pursuant  to  Subsection  2.3q)  and  no  adjustments
contemplated by Subsections 2.3b), 2.3f) or 2.3g) shall be made notwithstanding the terms thereof. The Corporation and the
Rights  Agent  shall  amend  this  Agreement  to  provide  for  any  such  other  adjustments  contemplated  by  this  Subsection  2.3i),
subject to the prior approval of the TSX (if the Shares are then listed on the TSX), and of the shareholders of the Corporation
or the holders of Rights obtained in accordance with Section 5.4.

De minimis threshold for adjustment to Exercise Price. Notwithstanding anything herein to the contrary, no adjustment of
the  Exercise  Price  shall  be  required  unless  such  adjustment  would  require  an  increase  or  decrease  of  at  least  1%  in  such
Exercise Price; provided, however, that any adjustments which by reason of this Subsection 2.3j) are not required to be made
shall  be  carried  forward  and  taken  into  account  in  any  subsequent  adjustment.  All  adjustments  to  the  Exercise  Price  made
pursuant to this Section 2.3 shall be calculated to the nearest cent.

(k)

(l)

(m)

(n)

(o)

(p)

(q)

Rights to evidence right to purchase Shares at adjusted Exercise Price. Each  Right  originally  issued  by  the  Corporation
subsequent  to  any  adjustment  made  to  the  Exercise  Price  hereunder  shall  evidence  the  right  to  purchase,  at  the  adjusted
Exercise Price, the number of Shares purchasable from time to time hereunder upon exercise of the Rights, all subject to further
adjustment as provided herein.

Adjustment  to  number  of  Shares  purchasable  upon  adjustment  to  Exercise  Price.  Unless  the  Corporation  shall  have
exercised its election as provided in Subsection 2.3m) to adjust the number of Rights in lieu of any adjustment in the number of
Shares  purchasable  upon  the  exercise  of  a  Right,  upon  each  adjustment  of  the  Exercise  Price  as  a  result  of  the  calculations
made  in  Subsections  2.3f)  and  2.3g),  each  Right  outstanding  immediately  prior  to  the  making  of  such  adjustment  shall
thereafter evidence the right to purchase, at the adjusted Exercise Price, that number of Shares obtained by:

(i)multiplying (A) the number of Shares covered by a Right immediately prior to such adjustment, by (B) the Exercise Price in

effect immediately prior to such adjustment; and

(ii)dividing the product so obtained by the Exercise Price in effect immediately after such adjustment.

Election to adjust number of Rights upon adjustment to Exercise Price. The Corporation may elect on or after the date of
any  adjustment  of  the  Exercise  Price  to  adjust  the  number  of  Rights,  in  lieu  of  any  adjustment  in  the  number  of  Shares
purchasable upon the exercise of a Right. Each of the Rights outstanding after the adjustment in the number of Rights shall be
exercisable for the number of Shares for which a Right was exercisable immediately prior to such adjustment. Each Right held
of record prior to such adjustment of the number of Rights shall become the number of Rights obtained by dividing the relevant
Exercise Price in effect immediately prior to adjustment of the relevant Exercise Price by the relevant Exercise Price in effect
immediately after adjustment of the relevant Exercise Price. The Corporation shall make a public announcement of its election
to adjust the number of Rights pursuant to this Subsection 2.3m), indicating the record date for the adjustment; and, if known at
the time, the amount of the adjustment to be made. This record date may be the date on which the relevant Exercise Price is
adjusted or any day thereafter, but, if the Rights Certificates have been issued, shall be at least 10 calendar days later than the
date  of  the  public  announcement.  If  Rights  Certificates  have  been  issued,  upon  each  adjustment  of  the  number  of  Rights
pursuant to this Subsection 2.3m), the Corporation shall, as promptly as practicable, cause to be distributed to holders of record
of Rights Certificates on such record date, Rights Certificates evidencing, subject to Section 5.5, the additional Rights to which
such holders shall be entitled as a result of such adjustment, or, at the option of the Corporation, shall cause to be distributed to
such  holders  of  record  in  substitution  and  replacement  for  the  Rights  Certificates  held  by  such  holders  prior  to  the  date  of
adjustment,  and  upon  surrender  thereof,  if  required  by  the  Corporation,  new  Rights  Certificates  evidencing  all  the  Rights  to
which such holders shall be entitled after such adjustment. Rights Certificates so to be distributed shall be issued, executed and
countersigned in the manner provided for herein and may bear, at the option of the Corporation, the relevant adjusted Exercise
Price and shall be registered in the names of holders of record of Rights Certificates on the record date specified in the public
announcement.

Corporation  may  in  certain  cases  defer  issues  of  securities.  In  any  case  in  which  this  Section  2.3  shall  require  that  an
adjustment in an Exercise Price be made effective as of a record date for a specified event, the Corporation may elect to defer
until the occurrence of such event the issuance to the holder of any Right exercised after such record date of the number of
Shares and other securities of the Corporation, if any, issuable upon such exercise over and above the number of Shares and
other securities of the Corporation, if any, issuable upon such exercise on the basis of the relevant Exercise Price in effect prior
to such adjustment; provided, however, that the Corporation shall deliver to such holder an appropriate instrument evidencing
such  holder’s  right  to  receive  such  additional  Shares  (fractional  or  otherwise)  or  other  securities  upon  the  occurrence  of  the
event requiring such adjustment.

Corporation has discretion to reduce Exercise Price for tax reasons. Notwithstanding anything in this Section 2.3 to the
contrary,  the  Corporation  shall  be  entitled  to  make  such  adjustments  in  the  Exercise  Price,  in  addition  to  those  adjustments
expressly  required  by  this  Section  2.3,  as  and  to  the  extent  that  in  its  good  faith  judgment  the  Board  of  Directors  shall
determine to be advisable in order that any (i) subdivision or consolidation of the Shares, (ii) issuance wholly for cash of any
Shares at less than the applicable Market Price, (iii) issuance wholly for cash of any Shares or securities that by their terms are
exchangeable  for  or  convertible  into  or  give  a  right  to  acquire  Shares,  (iv)  stock  dividends,  or  (v)  issuance  of  Convertible
Securities referred to in this Section 2.3, hereafter made by the Corporation to holders of its Shares, shall not be taxable to such
shareholders, subject to the prior approval of the TSX (if the Shares are then listed on the TSX).

Rights  Certificates  may  contain  Exercise  Price  before  adjustment.  Irrespective  of  any  adjustment  or  change  in  the
securities  purchasable  upon  exercise  of  the  Rights,  the  Rights  Certificates  theretofore  and  thereafter  issued  may  continue  to
represent the securities so purchasable which were represented in the initial Rights Certificates issued hereunder.

Adjustment  to  Rights  exercisable  into  shares  other  than  Shares.  If,  as  a  result  of  an  adjustment  made  pursuant  to
Section  3.1,  the  holder  of  any  Right  thereafter  exercised  shall  become  entitled  to  receive  any  securities  other  than  Shares,
thereafter  the  number  of  such  other  securities  so  receivable  upon  exercise  of  any  Right  and  the  applicable  Exercise  Price
thereof shall be subject to adjustment from time to time in a manner and on terms as nearly equivalent as may be practicable to
the  provisions  with  respect  to  the  Shares  contained  in  the  foregoing  Sections  of  this  Section  2.3  and  the  provisions  of  this
Agreement with respect to the Shares shall apply on like terms to any such other securities.

(r)

Notice in Respect of Adjustments. Whenever an adjustment to the Exercise Price or a change in the securities purchasable
upon the exercise of Rights is made pursuant to this Section 2.3, the Corporation shall:

(i)promptly prepare a certificate setting forth such adjustment and a brief statement of the facts accounting for such adjustment;

and

(ii)promptly file with the Rights Agent and with each transfer agent for the Shares a copy of such certificate and mail a brief

summary thereof to each holder of Rights who requests a copy.

Failure to file such certificate or to cause such notice to be given as aforesaid, or any defect therein, shall not affect the validity of any such
adjustment or change.

Section 2.4

Date on Which Exercise is Effective

Each Person in whose name any certificate for Shares or other securities, if applicable, is issued upon the exercise of Rights shall for all
purposes  be  deemed  to  have  become  the  holder  of  record  of  the  Shares  or  other  securities,  if  applicable  represented  thereby  on,  and  such
certificate  shall  be  dated,  the  date  upon  which  the  Rights  Certificate  evidencing  such  Rights  was  duly  surrendered  (together  with  a  duly
completed Election to Exercise) and payment of the Exercise Price for such Rights (and any applicable transfer taxes and other governmental
charges payable by the exercising Person hereunder) was made; provided, however, that if the date of such surrender and payment is a date
upon which the transfer books of the Corporation’s Shares are closed, such Person shall be deemed to have become the record holder of such
shares on, and such certificate shall be dated, the next Business Day on which the Shares transfer books of the Corporation are open.

Section 2.5

Execution, Authentication, Delivery and Dating of Rights Certificates

(a)

(b)

The Rights Certificates shall be executed on behalf of the Corporation by any two officers of the Corporation. The signature of
any of these officers on the Rights Certificates may be manual or facsimile. Rights Certificates bearing the manual or facsimile
signatures  of  individuals  who  were  at  any  time  the  proper  officers  of  the  Corporation  shall  bind  the  Corporation,
notwithstanding that such individuals or any of them have ceased to hold such offices prior to the countersignature and delivery
of such Rights Certificates.

Promptly after the Corporation learns of the Separation Time, the Corporation will notify the Rights Agent of such Separation
Time and will deliver Rights Certificates executed by the Corporation to the Rights Agent for countersignature and a statement
describing the Rights, and the Rights Agent shall countersign manually (or by facsimile signature in a manner satisfactory to
the Corporation) and deliver such Rights Certificates and statement to the holders of the Rights pursuant to Section 2.2 hereof.
No Rights Certificate shall be valid for any purpose until countersigned by the Rights Agent as aforesaid.

(c)

Each Rights Certificate shall be dated the date of countersignature thereof.

Section 2.6

Registration, Transfer and Exchange

(a)

(b)

(c)

(d)

Following the Separation Time, the Corporation shall cause to be kept a register (the “Rights Register”) in which, subject to
such reasonable regulations as it may prescribe, the Corporation will provide for the registration and transfer of Rights. The
Rights Agent is hereby appointed “Rights Registrar” for the purpose of maintaining the Rights Register for the Corporation and
registering  Rights  and  transfers  of  Rights  as  herein  provided  and  the  Rights  Agent  hereby  accepts  such  appointment.  In  the
event that the Rights Agent shall cease to be the Rights Registrar, the Rights Agent will have the right to examine the Rights
Register at all reasonable times.

After  the  Separation  Time  and  prior  to  the  Expiration  Time,  upon  surrender  for  registration  of  transfer  or  exchange  of  any
Rights Certificate, and subject to the provisions of Subsections 2.6d) and 3.1b) below, the Corporation will execute, and the
Rights  Agent  will  countersign,  register  and  deliver,  in  the  name  of  the  holder  or  the  designated  transferee  or  transferees,  as
required pursuant to the holder’s instructions, one or more new Rights Certificates evidencing the same aggregate number of
Rights as did the Rights Certificates so surrendered.

All  Rights  issued  upon  any  registration  of  transfer  or  exchange  of  Rights  Certificates  shall  be  valid  obligations  of  the
Corporation, and such Rights shall be entitled to the same benefits under this Agreement as the Rights surrendered upon such
registration of transfer or exchange.

Every Rights Certificate surrendered for registration of transfer or exchange shall be duly endorsed, or be accompanied by a
written instrument of transfer in form satisfactory to the Corporation or the Rights Agent, as the case may be, duly executed by
the registered holder thereof or such holder’s attorney duly authorized in writing. As a condition to the issuance of any new
Rights Certificate under this Section 2.6, the Corporation may require the payment of a sum sufficient to cover any tax or other
governmental charge that may be imposed in relation thereto and any other expenses (including the fees and expenses of the
Rights Agent) in connection therewith.

(e)

The Corporation shall not be required to register the transfer or exchange of any Rights after the Rights have been terminated
pursuant to the provisions of this Agreement.

Section 2.7

Mutilated, Lost, Stolen and Destroyed Rights Certificates

(a)

(b)

If  any  mutilated  Rights  Certificate  is  surrendered  to  the  Rights  Agent  prior  to  the  Expiration  Time,  the  Corporation  shall
execute and the Rights Agent shall countersign and deliver in exchange therefor a new Rights Certificate evidencing the same
number of Rights as did the Rights Certificate so surrendered.

If there shall be delivered to the Corporation and the Rights Agent prior to the Expiration Time: (i) evidence to their reasonable
satisfaction of the ownership, destruction, loss or theft of any Rights Certificate; and (ii) such security or indemnity as may be
reasonably  required  by  them  to  save  each  of  them  and  any  of  their  agents  harmless,  then,  in  the  absence  of  notice  to  the
Corporation or the Rights Agent that such Rights Certificate has been acquired by a bona fide purchaser, the Corporation shall
execute and, upon the Corporation’s request the Rights Agent shall countersign and deliver, in lieu of any such destroyed, lost

(c)

(d)

or stolen Rights Certificate, a new Rights Certificate evidencing the same number of Rights as did the Rights Certificate so
destroyed, lost or stolen.

As a condition to the issuance of any new Rights Certificate under this Section 2.7, the Corporation may require the payment of
a sum sufficient to cover any tax or other governmental charge that may be imposed in relation thereto and any other expenses
(including the fees and expenses of the Rights Agent) connected therewith.

Every new Rights Certificate issued pursuant to this Section 2.7 in lieu of any destroyed, lost or stolen Rights Certificate shall
evidence a contractual obligation of the Corporation, whether or not the destroyed, lost or stolen Rights Certificate shall be at
any time enforceable by anyone, and shall be entitled to all the benefits of this Agreement equally and proportionately with any
and all other Rights duly issued hereunder.

Section 2.8

Persons Deemed Owners

The Corporation, the Rights Agent and any agent of the Corporation or the Rights Agent may deem and treat the Person in whose name
a Rights Certificate (or, prior to the Separation Time, the associated share certificate representing the Shares) is registered as the absolute owner
thereof and of the Rights evidenced thereby for all purposes whatsoever. As used in this Agreement, unless the context otherwise requires, the
term “holder” of any Rights shall mean the registered holder of such Rights (or, prior to the Separation Time, the associated Shares).

Section 2.9

Delivery and Cancellation of Certificates

All Rights Certificates surrendered upon exercise or for redemption, for registration of transfer or for exchange shall, if surrendered to
any Person other than the Rights Agent, be delivered to the Rights Agent and, in any case, shall be promptly cancelled by the Rights Agent.
The Corporation may at any time deliver to the Rights Agent for cancellation any Rights Certificates previously countersigned and delivered
hereunder  which  the  Corporation  may  have  acquired  in  any  manner  whatsoever,  and  all  Rights  Certificates  so  delivered  shall  be  promptly
cancelled by the Rights Agent. No Rights Certificate shall be countersigned in lieu of or in exchange for any Rights Certificates cancelled as
provided  in  this  Section  2.9  except  as  expressly  permitted  by  this  Agreement.  The  Rights  Agent  shall,  subject  to  applicable  law,  destroy  all
cancelled Rights Certificates and deliver a certificate of destruction to the Corporation.

Section 2.10 Agreement of Rights Holders

Every holder of Rights, by accepting such Rights, consents and agrees with the Corporation and the Rights Agent and with every other

holder of Rights:

(a)

(b)

(c)

(d)

(e)

(f)

(g)

to be bound by and subject to the provisions of this Agreement, as amended or supplemented from time to time in accordance
with the terms hereof, in respect of all Rights held;

that, prior to the Separation Time, each Right will be transferable only together with, and will be transferred by a transfer of,
the associated share certificate representing such Right;

that, after the Separation Time, the Rights Certificate will be transferable only on the Rights Register as provided herein;

that  prior  to  due  presentment  of  a  Rights  Certificate  (or,  prior  to  the  Separation  Time,  the  associated  share  certificate
representing the Shares) for registration of transfer, the Corporation, the Rights Agent and any agent of the Corporation or the
Rights  Agent  may  deem  and  treat  the  Person  in  whose  name  the  Rights  Certificate  (or,  prior  to  the  Separation  Time,  the
associated Shares certificate) is registered as the absolute owner thereof and of the Rights evidenced thereby (notwithstanding
any notations of ownership or writing on such Rights Certificate or the associated share certificate made by anyone other than
the Corporation or the Rights Agent) for all purposes whatsoever, and neither the Corporation nor the Rights Agent shall be
affected by any notice to the contrary;

that such holder of Rights has waived its right to receive any fractional Rights or any fractional Shares or other securities upon
exercise of a Right;

that, subject to the provisions of Section 5.4, without the approval of any holder of Rights or Voting Shares and upon the sole
authority of the Board of Directors acting in good faith, this Agreement may be supplemented or amended from time to time as
provided herein; and

that notwithstanding anything in this Agreement to the contrary, neither the Corporation nor the Rights Agent shall have any
liability  to  any  holder  of  a  Right  or  any  other  Person  as  a  result  of  its  inability  to  perform  any  of  its  obligations  under  this
Agreement  by  reason  of  any  preliminary  or  permanent  injunction  or  other  order,  decree  or  ruling  issued  by  a  court  of
competent  jurisdiction  or  by  a  governmental,  regulatory  or  administrative  agency  or  commission,  or  any  statute,  rule,
regulation  or  executive  order  promulgated  or  enacted  by  any  governmental  authority,  prohibiting  or  otherwise  restraining
performance of such obligation.

Section 3.1

Flip-in Event

Article 3     
ADJUSTMENTS TO THE RIGHTS

(a)

Subject  to  Sections  3.1b)  and  5.1,  in  the  event  that  prior  to  the  Expiration  Time  a  Flip-in  Event  occurs,  each  Right  shall
thereafter constitute, effective at the close of business on the eighth Trading Day after the Stock Acquisition Date, the right to
purchase from the Corporation, upon exercise thereof in accordance with the terms hereof, that number of Shares as have an
aggregate Market Price on the date of consummation or occurrence of such Flip-in Event equal to twice the Exercise Price for

an amount in cash equal to the Exercise Price (such Right to be appropriately adjusted in a manner analogous to the applicable
adjustment  provided  for  in  Section  2.3  in  the  event  that,  after  such  date  of  consummation  or  occurrence,  an  event  of  a  type
analogous to any of the events described in Section 2.3 shall have occurred with respect to such Shares).

(b)

Notwithstanding anything in this Agreement to the contrary, upon the occurrence of any Flip-in Event, any Rights that are or
were  Beneficially  Owned  on  or  after  the  earlier  of  the  Separation  Time  and  the  Stock  Acquisition  Date,  or  which  may
thereafter be Beneficially Owned, by:

(i)an Acquiring Person (or any Affiliate or Associate of an Acquiring Person or any other Person acting jointly or in concert

with an Acquiring Person or any Associate or Affiliate of such other Person); or

(ii)a  transferee  of  Rights,  direct  or  indirect,  from  an  Acquiring  Person  (or  from  any  Affiliate  or  Associate  of  an  Acquiring
Person or any Person acting jointly or in concert with an Acquiring Person or any Associate or Affiliate thereof)
where such a transferee becomes a transferee concurrently with or subsequent to the Acquiring Person becoming
such in a transfer that the Board of Directors, acting in good faith, has determined is part of a plan, arrangement or
scheme  of  an  Acquiring  Person  (or  of  any  Person  acting  jointly  or  in  concert  with  an  Acquiring  Person  or  any
Associate or Affiliate of an Acquiring Person), that has the purpose or effect of avoiding clause 3.1b)i);

shall  become  null  and  void  without  any  further  action  and  any  holder  of  such  Rights  (including  any  transferee  of,  or  other
successor entitled to, such Rights, whether directly or indirectly) shall thereafter have no right to exercise such Rights under
any  provisions  of  this  Agreement  and  further  shall  thereafter  not  have  any  rights  whatsoever  with  respect  to  such  Rights,
whether  under  any  provision  of  this  Agreement  or  otherwise.  The  holder  of  any  Rights  represented  by  a  Rights  Certificate
which is submitted to the Rights Agent upon exercise or for registration of transfer or exchange which does not contain the
necessary certifications set forth in the Rights Certificate establishing that such Rights are not void under this Subsection 3.1b)
shall be deemed to be an Acquiring Person for the purposes of this Subsection 3.1b) and such Rights shall become null and
void.

(c)

Any Rights Certificate that represents Rights Beneficially Owned by a Person described in either of clauses 3.1b)i) or 3.1b)ii)
or transferred to any Nominee of any such Person, and any Rights Certificate issued upon transfer, exchange, replacement or
adjustment of any other Rights Certificate referred to in this sentence, shall contain or will be deemed to contain the following
legend:

“The Rights represented by this Rights Certificate were issued to a Person who was an Acquiring Person or an Affiliate
or  an  Associate  of  an  Acquiring  Person  (as  such  terms  are  defined  in  the  Rights  Agreement)  or  to  a  Person  acting
jointly or in concert with any of them. This Rights Certificate and the Rights represented hereby shall be void in the
circumstances specified in Subsection 3.1b) of the Rights Agreement.”

The Rights Agent shall not be under any responsibility to ascertain the existence of facts that would require the imposition of
such legend but shall be required to impose such legend only if instructed to do so in writing by the Corporation or if a holder
fails  to  certify  upon  transfer  or  exchange  in  the  space  provided  to  do  so  that  such  holder  is  not  a  Person  described  in  such
legend.

After  the  Separation  Time,  the  Corporation  shall  do  all  such  acts  and  things  necessary  and  within  its  power  to  ensure
compliance with the provisions of this Section 3.1 including, without limitation, all such acts and things as may be required to
satisfy  the  requirements  of  the  Canada  Business  Corporations  Act,  the  Securities  Act  and  the  securities  laws  or  comparable
legislation in each of the provinces of Canada and in any other jurisdiction where the Corporation is subject to such laws and
the rules of the stock exchanges or quotation systems where the Shares are listed or quoted at such time in respect of the issue
of Shares upon the exercise of Rights in accordance with this Agreement.

In  the  event  that  there  shall  not  be  sufficient  Shares  authorized  for  issuance  to  permit  the  exercise  in  full  of  the  Rights  in
accordance  with  this  Section  3.1,  the  Corporation  shall  take  such  actions  as  may  be  reasonably  necessary  to  authorize
additional Shares for issuance upon the exercise of the Rights.

(d)

(e)

Section 3.2

Fiduciary Duties of the Board of Directors of the Corporation

For clarification, it is understood that nothing contained in this Article 3 shall be considered to affect the obligations of the Board of
Directors  to  exercise  its  fiduciary  duties.  Without  limiting  the  generality  of  the  foregoing,  nothing  contained  herein  shall  be  construed  to
suggest or imply that the Board of Directors shall not be entitled to recommend that holders of the Voting Shares reject or accept any Take-over
Bid  or  take  any  other  action  including,  without  limitation,  the  commencement,  prosecution,  defence  or  settlement  of  any  litigation  and  the
submission of additional or alternative Take-over Bids or other proposals to the shareholders of the Corporation with respect to any Take-over
Bid or otherwise that the Board of Directors believes is necessary or appropriate in the exercise of its fiduciary duties.

Section 4.1

General

Article 4     
THE RIGHTS AGENT

(a)

The  Corporation  hereby  appoints  the  Rights  Agent  to  act  as  agent  for  the  Corporation  and  the  holders  of  the  Rights  in
accordance with the terms and conditions hereof, and the Rights Agent hereby accepts such appointment. The Corporation may
from time to time appoint such co-rights agents (“Co-Rights Agents”)  as  it  may  deem  necessary  or  desirable  subject  to  the
prior written approval of the Rights Agent. In the event the Corporation appoints one or more Co-Rights Agents, the respective
duties of the Rights Agent and Co-Rights Agents shall be as the Corporation may determine with the written approval of the

Rights  Agent.  The  Corporation  agrees  to  pay  to  the  Rights  Agent  reasonable  compensation  for  all  services  rendered  by  it
hereunder and, from time to time, on demand of the Rights Agent, its reasonable expenses and other disbursements reasonably
incurred  in  the  administration  and  execution  of  this  Agreement  and  the  exercise  and  performance  of  its  duties  hereunder,
including  the  reasonable  fees  and  disbursements  of  counsel  and  other  experts  consulted  by  the  Rights  Agent  pursuant  to
Subsection 4.3a). The Corporation also agrees to indemnify the Rights Agent, its officers, directors, employees and agents for,
and to hold it harmless against any loss, liability, cost, claim, action, damage, suit or expense, incurred without negligence, bad
faith or willful misconduct on the part of the Rights Agent for anything done or omitted by the Rights Agent in connection with
the  acceptance  and  administration  of  this  Agreement  including  its  reasonable  legal  costs  and  expenses,  which  right  to
indemnification will survive the termination of this Agreement or the removal or resignation of the Rights Agent.

The Rights Agent shall be protected and shall incur no liability for or in respect of any action taken, suffered or omitted by it in
connection with its administration of this Agreement in reliance upon any certificate for Shares, Rights Certificate, certificate
for other securities of the Corporation, instrument of assignment or transfer, power of attorney, endorsement, affidavit, letter,
notice,  direction,  consent,  certificate,  statement,  or  other  paper  or  document  believed  by  it  to  be  genuine  and  to  be  signed,
executed and, where necessary, verified or acknowledged, by the proper Person or Persons.

The  Corporation  shall  inform  the  Rights  Agent  in  a  reasonably  timely  manner  of  events  which  may  materially  affect  the
administration  of  this  Agreement  by  the  Rights  Agent  and,  at  any  time  upon  request,  shall  provide  to  the  Rights  Agent  an
incumbency certificate certifying the then current officers of the Corporation.

(b)

(c)

Section 4.2

Merger, Amalgamation, Consolidation or Change of Name of Rights Agent

(a)

(b)

Any corporation into which the Rights Agent or any successor Rights Agent may be merged or amalgamated or with which it
may be consolidated, or any corporation resulting from any merger, amalgamation or consolidation to which the Rights Agent
or  any  successor  Rights  Agent  is  a  party,  or  any  corporation  succeeding  to  the  shareholder  services  business  of  the  Rights
Agent or any successor Rights Agent, will be the successor to the Rights Agent under this Agreement without the execution or
filing  of  any  document  or  any  further  act  on  the  part  of  any  of  the  parties  hereto,  provided  that  such  corporation  would  be
eligible  for  appointment  as  a  successor  Rights  Agent  under  the  provisions  of  Section  4.4  hereof.  In  case  at  the  time  such
successor  Rights  Agent  succeeds  to  the  agency  created  by  this  Agreement  any  of  the  Rights  Certificates  have  been
countersigned but not delivered, any such successor Rights Agent may adopt the countersignature of the predecessor Rights
Agent and deliver such Rights Certificates so countersigned; and in case at that time any of the Rights Certificates have not
been countersigned, any successor Rights Agent may countersign such Rights Certificates either in the name of the predecessor
Rights Agent or in the name of the successor Rights Agent; and in all such cases such Rights Certificates will have the full
force provided in the Rights Certificates and in this Agreement.

In case at any time the name of the Rights Agent is changed and at such time any of the Rights Certificates shall have been
countersigned  but  not  delivered,  the  Rights  Agent  may  adopt  the  countersignature  under  its  prior  name  and  deliver  Rights
Certificates  so  countersigned;  and  in  case  at  that  time  any  of  the  Rights  Certificates  shall  not  have  been  countersigned,  the
Rights Agent may countersign such Rights Certificates either in its prior name or in its changed name; and in all such cases
such Rights Certificates shall have the full force provided in the Rights Certificates and in this Agreement.

Section 4.3

Duties of Rights Agent

The Rights Agent undertakes the duties and obligations imposed by this Agreement upon the following terms and conditions, by all of

which the Corporation and the holders of Rights Certificates, by their acceptance thereof, shall be bound:

(a)

(b)

(c)

(d)

(e)

The  Rights  Agent  may  retain  and  consult  with  legal  counsel  (who  may  be  legal  counsel  for  the  Corporation)  or  such  other
experts that the Rights Agent considers necessary to carry out its duties under this Agreement and the opinion of such counsel
or other expert will be full and complete authorization and protection to the Rights Agent as to any action taken or omitted by it
in  good  faith  and  in  accordance  with  such  opinion;  the  Rights  Agent  may  also,  with  the  approval  of  the  Corporation  (such
approval not to be unreasonably withheld), consult with such other experts (at the expense of the Corporation) as the Rights
Agent shall consider necessary or appropriate to properly carry out the duties and obligations imposed under this Agreement
and the Rights Agent shall be entitled to act and rely in good faith on the advice of any such expert.

Whenever in the performance of its duties under this Agreement the Rights Agent deems it necessary or desirable that any fact
or  matter  be  proved  or  established  by  the  Corporation  prior  to  taking  or  suffering  any  action  hereunder,  such  fact  or  matter
(unless  other  evidence  in  respect  thereof  be  herein  specifically  prescribed)  may  be  deemed  to  be  conclusively  proved  and
established  by  a  certificate  signed  by  a  person  believed  by  the  Rights  Agent  to  be  a  senior  officer  of  the  Corporation  and
delivered to the Rights Agent; and such certificate will be full authorization to the Rights Agent for any action taken or suffered
in good faith by it under the provisions of this Agreement in reliance upon such certificate.

The Rights agent will be liable hereunder only for its own fault, negligence, gross negligence, bad faith or wilful misconduct.

The Rights Agent will not be liable for or by reason of any of the statements of fact or recitals contained in this Agreement or
in the certificates for Shares, or the Rights Certificates (except its countersignature thereof) or be required to verify the same,
and all such statements and recitals are and will be deemed to have been made by the Corporation only.

The Rights Agent will not be under any responsibility in respect of the validity of this Agreement or the execution and delivery
hereof  (except  the  due  authorization,  execution  and  delivery  hereof  by  the  Rights  Agent)  or  in  respect  of  the  validity  or
execution of any share certificate, or Rights Certificate (except its countersignature thereon) nor will it be responsible for any
breach by the Corporation of any covenant or condition contained in this Agreement or in any Rights Certificate; nor will it be
responsible for any change in the exercisability of the Rights (including the Rights becoming void pursuant to Subsection 3.1b)

hereof or any adjustment required under the provisions of Section 2.3) hereof or responsible for the manner, method or amount
of any such adjustment or the ascertaining of the existence of facts that would require any such adjustment (except with respect
to  the  exercise  of  Rights  after  receipt  of  the  certificate  contemplated  by  Section  2.3  describing  any  such  adjustment  or  any
written  notice  from  the  Corporation  or  any  holder  that  a  Person  has  become  an  Acquiring  Person);  nor  will  it  by  any  act
hereunder be deemed to make any representation or warranty as to the authorization of any Shares to be issued pursuant to this
Agreement or any Rights or as to any Shares, when issued, being duly and validly authorized, issued and delivered as fully paid
and non-assessable.

The  Corporation  agrees  that  it  will  perform,  execute,  acknowledge  and  deliver  or  cause  to  be  performed,  executed,
acknowledged and delivered all such further and other acts, instruments and assurances as may reasonably be required by the
Rights Agent for the carrying out or performing by the Rights Agent of the provisions of this Agreement.

The  Rights  Agent  is  hereby  authorized  and  directed  to  accept  instructions  with  respect  to  the  performance  of  its  duties
hereunder from any person designated in writing by the Corporation, and to apply to such individuals for advice or instructions
in connection with its duties, and it shall not be liable for any action taken or suffered by it in good faith in accordance with
instructions  of  any  such  individual.  It  is  understood  that  instructions  to  the  Rights  Agent  shall,  except  where  circumstances
make it impractical or the Rights Agent otherwise agrees, be given in writing and, where not in writing, such instructions shall
be confirmed in writing as soon as reasonably practicable after the giving of such instructions.

Subject to applicable law, the Rights Agent and any shareholder or director, officer or employee of the Rights Agent may buy,
sell or deal in Shares, Rights or other securities of the Corporation or become pecuniarily interested in any transaction in which
the Corporation may be interested, or contract with or lend money to the Corporation or otherwise act as fully and freely as
though it were not the Rights Agent under this Agreement. Nothing herein shall preclude the Rights Agent from acting in any
other capacity for the Corporation or for any other legal entity.

The  Rights  Agent  may  execute  and  exercise  any  of  the  rights  or  powers  hereby  vested  in  it  or  perform  any  duty  hereunder
either itself or by or through its attorneys or agents, and the Rights Agent will not be answerable or accountable for any act,
default, neglect or misconduct of any such attorneys or agents or for any loss to the Corporation resulting from any such act,
default,  neglect  or  misconduct,  provided  reasonable  care  was  exercised  in  the  selection  and  continued  employment  of  such
attorneys and agents.

(f)

(g)

(h)

(i)

Section 4.4

Change of Rights Agent

The Rights Agent may resign and be discharged from its duties under this Agreement by giving 60 days’ prior written notice (or such
lesser notice as is acceptable to the Corporation) thereof to the Corporation, to each transfer agent of Shares and to the holders of the Rights, all
in accordance with Section 5.9 and at the expense of the Corporation. The Corporation may remove the Rights Agent by giving 30 days’ prior
written notice thereof to the Rights Agent, to each transfer agent of the Shares and to the holders of the Rights in accordance with Section 5.9.
If  the  Rights  Agent  should  resign  or  be  removed  or  otherwise  become  incapable  of  acting,  the  Corporation  will  appoint  a  successor  to  the
Rights Agent. If the Corporation fails to make such appointment within a period of 30 days after such removal or after it has been notified in
writing of such resignation or incapacity by the resigning or incapacitated Rights Agent or by the holder of any Rights (which holder shall, with
such notice, submit such holder’s Rights Certificate for inspection of the Corporation), then, subject to prior written notice to the Corporation,
the holder of any Rights or the Rights Agent may apply to any court of competent jurisdiction for the appointment of a new Rights Agent at the
Corporation’s  expense.  Any  successor  Rights  Agent,  whether  appointed  by  the  Corporation  or  by  such  a  court,  must  be  a  corporation
incorporated  under  the  laws  of  Canada  or  a  province  thereof  and  authorized  to  carry  on  the  business  of  a  trust  company  in  the  Province  of
Quebec. After appointment, the successor Rights Agent will be vested with the same powers, rights, duties and responsibilities as if it had been
originally  named  as  Rights  Agent  without  further  act  or  deed;  but  the  predecessor  Rights  Agent,  upon  receipt  of  any  outstanding  fees  and
expenses then owing, shall deliver and transfer to the successor Rights Agent any property at the time held by it hereunder, and execute and
deliver any further assurance, conveyance, act or deed necessary for the purpose. Not later than the effective date of any such appointment, the
Corporation will file notice thereof in writing with the predecessor Rights Agent and each transfer agent of the Shares and mail a notice thereof
in writing to the holders of the Rights in accordance with Section 5.9. Failure to give any notice provided for in this Section 4.4, however, or
any defect therein, shall not affect the legality or validity of the resignation or removal of the Rights Agent or the appointment of the successor
Rights Agent, as the case may be.

Section 4.5

Compliance with Anti-Money Laundering Legislation

The Rights Agent shall retain the right not to act and shall not be liable for refusing to act if, due to a lack of information or for any
other reason whatsoever, the Rights Agent reasonably determines that such an act might cause it to be in non-compliance with any applicable
anti-money laundering or anti-terrorist legislation, regulation or guideline. Further, should the Rights Agent reasonably determine at any time
that  its  acting  under  this  Agreement  has  resulted  in  it  being  in  non-  compliance  with  any  applicable  anti-money  laundering  or  anti-terrorist
legislation, regulation or guideline, then it shall have the right to resign on 10 days’ prior written notice to the Corporation, provided: (a) that
the Rights Agent’s written notice shall describe the circumstances of such non- compliance; and (b) that if such circumstances are rectified to
the Rights Agent’s satisfaction within such 10 day period, then such resignation shall not be effective.

Section 4.6

Privacy Legislation

The  parties  acknowledge  that  federal  and/or  provincial  legislation  that  addresses  the  protection  of  individual’s  personal  information
(collectively,  “Privacy  Laws”)  applies  to  obligations  and  activities  under  this  Agreement.  Despite  any  other  provision  of  this  Agreement,
neither party will take or direct any action that would contravene, or cause the other to contravene, applicable Privacy Laws. The Corporation
will,  prior  to  transferring  or  causing  to  be  transferred  personal  information  to  the  Rights  Agent,  obtain  and  retain  required  consents  of  the
relevant individuals to the collection, use and disclosure of their personal information, or will have determined that such consents either have
previously been given upon which the parties can rely or are not required under the Privacy Laws. The Rights Agent will use commercially
reasonable efforts to ensure that its services hereunder comply with Privacy Laws.

Section 4.7

Liability

Notwithstanding  any  other  provision  of  this  Agreement,  and  whether  such  losses  or  damages  are  foreseeable  or  unforeseeable,  the
Rights Agent shall not be liable under any circumstances whatsoever for any (a) breach by any other party of securities law or other rule of any
securities  regulatory  authority,  (b)  lost  profits  or  (c)  special,  indirect,  incidental,  consequential,  exemplary,  aggravated  or  punitive  losses  or
damages.

Section 5.1

Redemption, Waiver and Termination

Article 5     
MISCELLANEOUS

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

Subject to the prior consent of the holders of the Voting Shares or the Rights obtained as set forth herein, the Board of Directors
acting in good faith may, at any time prior to a Flip-in Event as to which the application of Section 3.1 has not been waived
pursuant to this Section 5.1, elect to redeem all but not less than all of the then outstanding Rights at a redemption price of
$0.00001 per Right (appropriately adjusted in a manner analogous to the applicable adjustments provided for in Section 2.3 in
the  event  that  an  event  of  the  type  analogous  to  any  of  the  events  described  in  Section  2.3  shall  have  occurred)  (such
redemption price being herein referred to as the “Redemption Price”).

The Board of Directors shall waive the application of Section 3.1 in respect of the occurrence of any Flip-in Event if the Board
of Directors has determined, following the Stock Acquisition Date and prior to the Separation Time, that a Person became an
Acquiring  Person  by  inadvertence  and  without  any  intention  to  become,  or  knowledge  that  it  would  become,  an  Acquiring
Person under this Agreement and, in the event that such a waiver is granted by the Board of Directors, such Stock Acquisition
Date  shall  be  deemed  not  to  have  occurred.  Any  such  waiver  pursuant  to  this  Subsection  5.1b)  may  only  be  given  on  the
condition that such Person, within 10 days after the foregoing determination by the Board of Directors or such later date as the
Board of Directors may determine (the “Disposition Date”), has reduced its Beneficial Ownership of Voting Shares such that
the  Person  is  no  longer  an  Acquiring  Person.  If  the  Person  remains  an  Acquiring  Person  at  the  Close  of  Business  on  the
Disposition Date, the Disposition Date shall be deemed to be the date of occurrence of a further Stock Acquisition Date and
Section 3.1 shall apply thereto.

In  the  event  that  a  Person  acquires  Voting  Shares  pursuant  to  a  Permitted  Bid  or  an  Exempt  Acquisition  referred  to  in
Subsection 5.1d), then the Board of Directors of the Corporation shall, immediately upon the consummation of such acquisition
and without further formality, be deemed to have elected to redeem the Rights at the Redemption Price.

The Board of Directors acting in good faith may, prior to the occurrence of the relevant Flip-in Event, upon prior written notice
delivered to the Rights Agent, determine to waive the application of Section 3.1 to a Flip-in Event that may occur by reason of
a Take-over Bid made by means of a take-over bid circular to all holders of record of Voting Shares, provided that if the Board
of Directors waives the application of Section 3.1 in respect of a Take-over Bid pursuant to this Subsection 5.1d), the Board of
Directors shall also be deemed to have waived the application of Section 3.1 in respect of any other Take-over Bid made by
means of a take-over bid circular to all holders of record of Voting Shares prior to the expiry of any Take-over Bid (as the same
may be extended from time to time) in respect of which a waiver is, or is deemed to have been, granted under this Subsection
5.1d).

The Board of Directors acting in good faith may, with the prior consent of the holders of Voting Shares obtained as set forth
herein, prior to the occurrence of the relevant Flip-in Event, upon prior written notice delivered to the Rights Agent, determine
to waive the application of Section 3.1 to a Flip-in Event that may occur by reason of an acquisition of Voting Shares other than
pursuant to a Take-over Bid made by means of a take-over bid circular to all holders of record of Voting Shares and other than
in the circumstances set out in Subsection 5.1b). In the event that the Board of Directors proposes such a waiver, the Board of
Directors shall extend the Separation Time to a time and date subsequent to and not more than 10 Business Days following the
meeting of shareholders held to approve such waiver.

Where a Take-over Bid that is not a 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  of  Directors  may  elect  to  redeem  all  the  outstanding  Rights  at  the
Redemption  Price  without  the  consent  of  the  holders  of  the  Voting  Shares  or  the  Rights  and  reissue  Rights  under  this
Agreement to holders of record of Voting Shares immediately following such redemption. Upon the Rights being redeemed and
reissued pursuant to this Subsection 5.1f), all the provisions of this Agreement shall continue to apply as if the Separation Time
had  not  occurred  and  Rights  Certificates  representing  the  number  of  Rights  held  by  each  holder  of  record  of  Shares  at  the
Separation Time had not been mailed to each such holder, and for all purposes of this Agreement the Separation Time shall be
deemed not to have occurred and the Corporation shall be deemed to have issued replacement Rights to the holders of its then
outstanding Shares.

If  the  Board  of  Directors  is  deemed  under  Subsection  5.1c)  to  have  elected  or  elects  under  Subsection  5.1a)  to  redeem  the
Rights, the right to exercise the Rights will thereupon, without further action and without notice, terminate and the only right
thereafter of the holders of Rights shall be to receive the Redemption Price.

Within 10 days after the Board of Directors is deemed under Subsection 5.1c) to have elected or elects under Subsection 5.1a)
or (f) to redeem the Rights, the Corporation shall give notice of redemption to the holders of the then outstanding Rights by
mailing such notice to each such holder at his last address as it appears upon the registry books of the Rights Agent or, prior to
the  Separation  Time,  on  the  registry  books  of  the  transfer  agent  for  the  Voting  Shares.  Any  notice  which  is  mailed  in  the
manner herein provided shall be deemed given, whether or not the holder receives the notice. Each such notice of redemption
will state the method by which the payment of the Redemption Price will be made.

(i)

(j)

If a redemption of Rights pursuant to Subsection 5.1a) or a waiver of a Flip-in Event pursuant to Subsection 5.1e) is proposed
at any time prior to the Separation Time, such redemption or waiver shall be submitted for approval to the holders of Voting
Shares. Such approval shall be deemed to have been given if the redemption or waiver is approved by the affirmative vote of a
majority of the votes cast by Independent Shareholders represented in person or by proxy at a meeting of such holders duly
held in accordance with applicable laws and the Corporation’s by-laws.

If a redemption of Rights pursuant to Subsection 5.1a) or a waiver of a Flip-in Event pursuant to Subsection 5.1e) is proposed
at any time after the Separation Time, such redemption or waiver shall be submitted for approval to the holders of Rights. Such
approval  shall  be  deemed  to  have  been  given  if  the  redemption  or  waiver  is  approved  by  holders  of  Rights  as  set  forth  in
Subsection 5.4d).

Section 5.2

Expiration

No Person will have any rights pursuant to this Agreement or in respect of any Right after the Expiration Time, except in respect of any
right to receive cash, securities or other property which has accrued at the Expiration Time and except as specified in Subsections 4.1a) and
4.1b) hereof.

Section 5.3

Issuance of New Rights Certificates

Notwithstanding any of the provisions of this Agreement or of the Rights to the contrary, the Corporation may, at its option, issue new
Rights Certificates evidencing Rights in such form as may be approved by its Board of Directors to reflect any adjustment or change in the
number or kind or class of shares purchasable upon exercise of Rights made in accordance with the provisions of this Agreement.

Section 5.4

Supplements and Amendments

(a)

Subject to Subsections 5.4b) and (c) and this Subsection 5.4a), the Corporation may from time to time amend, vary or delete
any of the provisions of this Agreement and the Rights; provided, however, that no amendment, variation or deletion made on
or after the date of the 2022 meeting of shareholders at which the resolution referred to in Section 5.20 is to be considered shall
be  made  without  the  prior  consent  of  the  holders  of  the  Rights,  given  as  provided  in  Subsection  5.4b)  below,  except  that
amendments, variations or deletions made for any of the following purposes shall not require such prior approval but shall be
subject to subsequent ratification in accordance with Subsection 5.4b):

(i)in order to make such changes as are necessary in order to maintain the validity of this Agreement and the Rights as a result

of any change in any applicable legislation, regulations or rules; or

(ii)in order to make such changes as are necessary in order to cure any clerical or typographical error.

(b)

Any amendment, variation or deletion to or from this Agreement made by the Board of Directors pursuant to Subsection 5.4a)
shall:

(i)if made prior to the Separation Time, be submitted to the shareholders of the Corporation at the next meeting of shareholders
and  the  shareholders  may,  by  resolution  passed  by  a  majority  of  the  votes  cast  by  Independent  Shareholders  who
vote in respect of such amendment, variation or deletion, confirm or reject such amendment or supplement; or

(ii)if made after the Separation Time, be submitted to the holders of Rights at a meeting to be held on a date not later than the
date of the next meeting of shareholders of the Corporation and the holders of Rights may, by resolution passed by a
majority of the votes cast by the holders of Rights which have not or are not deemed to have become void pursuant
to  Subsection  3.1b)  who  vote  in  respect  of  such  amendment,  variation  or  deletion,  confirm  or  reject  such
amendment or supplement.

Any amendment, variation or deletion pursuant to Subsection 5.4a) shall be effective only when so consented to by the holders
of  Voting  Shares  or  Rights,  as  applicable  (except  in  the  case  of  an  amendment,  variation  or  deletion  referred  to  in  any  of
clauses  5.4a)i)  or  (ii),  which  shall  be  effective  from  the  date  of  the  resolution  of  the  Board  of  Directors  adopting  such
amendment, variation or deletion and shall continue in effect until it ceases to be effective (as in this paragraph described) and,
where  such  amendment,  variation  or  deletion  is  confirmed,  it  shall  continue  in  effect  in  the  form  so  confirmed).  If  an
amendment, variation or deletion pursuant to clause 5.4a)i) or (ii) is rejected by the shareholders or the holders of Rights or is
not submitted to the shareholders or holders of Rights as required, then such amendment, variation or deletion shall cease to be
effective from and after the termination of the meeting at which it was rejected or to which it should have been but was not
submitted  or  from  and  after  the  date  of  the  meeting  of  holders  of  Rights  that  should  have  been  but  was  not  held,  and  no
subsequent resolution of the Board of Directors to amend, vary or delete any provision of this Agreement to substantially the
same effect shall be effective until confirmed by the shareholders or holders of Rights, as the case may be.

For greater certainty and notwithstanding anything herein contained, (i) no amendment, variation or deletion to the provisions
of Article 4 shall be made except with the concurrence of the Rights Agent thereto, and (ii) neither the exercise by the Board of
Directors of any power or discretion conferred on it hereunder nor the making by the Board of Directors of any determination
or the granting of any waiver it is permitted to make or give hereunder shall constitute an amendment, variation or deletion of
the provisions of this Agreement or the Rights, for purposes of this Section 5.4 or otherwise.

The approval, confirmation or consent of the holders of Rights with respect to any matter arising hereunder shall be deemed to
have  been  given  if  the  action  requiring  such  approval,  confirmation  or  consent  is  authorized  by  the  affirmative  votes  of  the
holders of Rights present or represented at and entitled to be voted at a meeting of the holders of Rights and representing a
majority of the votes cast in respect thereof. For the purposes hereof, each outstanding Right (other than Rights which are void
pursuant to the provisions hereof or which, prior to the Separation Time, are held otherwise than by Independent Shareholders)

(c)

(d)

shall be entitled to one vote, and the procedures for the calling, holding and conduct of the meeting shall be those, as nearly as
may be, which are provided in the Corporation’s by- laws and the Canada Business Corporations Act with respect to meetings
of shareholders of the Corporation.

The  Corporation  shall  be  required  to  provide  the  Rights  Agent  with  notice  in  writing  of  any  such  amendment,  variation  or
deletion to this Agreement as referred to in this Section 5.4 within 5 days of effecting such amendment, variation or deletion.

Any supplement or amendment to this Agreement pursuant to Subsections 5.4b) through (e) shall be subject to the receipt of
any  requisite  approval  or  consent  from  any  governmental  or  regulatory  authority  having  jurisdiction  over  the  Corporation,
including without limitation any requisite approval of stock exchanges on which the Shares are listed.

(e)

(f)

Section 5.5

Fractional Rights and Fractional Shares

(a)

(b)

The Corporation will not be required to issue fractions of Rights or to distribute Rights Certificates which evidence fractional
Rights. Any such fractional Right shall be null and void and the Corporation will not have any obligation or liability in respect
thereof.

The  Corporation  shall  not  be  required  to  issue  fractional  Shares  upon  exercise  of  the  Rights  or  to  distribute  certificates  that
evidence  fractional  Shares.  In  lieu  of  issuing  fractional  Shares,  the  Corporation  shall  pay  to  the  registered  holder  of  Rights
Certificates  at  the  time  such  Rights  are  exercised  as  herein  provided,  an  amount  in  cash  equal  to  the  same  fraction  of  the
Market Price of one Share at the date of such exercise. The Rights Agent shall have no obligation to make any payments in lieu
of  fractional  Shares  unless  the  Corporation  shall  have  provided  the  Rights  Agent  with  the  necessary  funds  to  pay  in  full  all
amounts payable in accordance with Subsection 2.2e)iii).

Section 5.6

Rights of Action

Subject to the terms of this Agreement, rights of action in respect of this Agreement, other than rights of action vested solely in the
Rights Agent, are vested in the respective holders of the Rights; and any holder of any Rights, without the consent of the Rights Agent or of the
holder  of  any  other  Rights  may,  on  such  holder’s  own  behalf  and  for  such  holder’s  own  benefit  and  the  benefit  of  other  holders  of  Rights,
enforce, and may institute and maintain any suit, action or proceeding against the Corporation to enforce, or otherwise act in respect of, such
holder’s  right  to  exercise  such  holder’s  Rights  in  the  manner  provided  in  this  Agreement  and  in  such  holder’s  Rights  Certificate.  Without
limiting the foregoing or any remedies available to the holders of Rights, it is specifically acknowledged that the holders of Rights would not
have an adequate remedy at law for any breach of this Agreement and will be entitled to specific performance of the obligations under, and
injunctive relief against actual or threatened violations of, the obligations of any Person subject to this Agreement.

Section 5.7

Holder of Rights Not Deemed a Shareholder

No holder, as such, of any Rights or Rights Certificate shall be entitled to vote, receive dividends or be deemed for any purpose the
holder of Shares or any other securities which may at any time be issuable on the exercise of Rights, nor shall anything contained herein or in
any Rights Certificate be construed to confer upon the holder of any Rights, as such, any of the rights of a shareholder of the Corporation or any
right to vote for the election of directors or upon any matter submitted to shareholders at any meeting thereof, or to give or withhold consent to
any corporate action, or to receive notice of meetings or other actions affecting shareholders (except as provided in Section 5.8 hereof) or to
receive dividends or subscription rights or otherwise, until such Rights shall have been exercised in accordance with the provisions hereof.

Section 5.8

Notice of Proposed Actions

In  case  the  Corporation  proposes  after  the  Separation  Time  and  prior  to  the  Expiration  Time  to  effect  the  liquidation,  dissolution  or
winding up of the Corporation or the sale of all or substantially all of the Corporation’s assets, then, in each such case, the Corporation shall
give to each holder of a Right, in accordance with Section 5.9 hereof, a notice of such proposed action, which shall specify the date on which
such liquidation, dissolution, winding-up or sale is to take place, and such notice shall be so given at least 20 Business Days prior to the date of
the taking of such proposed action by the Corporation.

Section 5.9

Notices

Notices or demands authorized or required by this Agreement to be given or made to or by the Rights Agent, the holder of any Rights
or the Corporation will be sufficiently given or made and shall be deemed to be received if delivered or sent by first-class mail, postage prepaid,
or by fax machine or other means of printed telecommunication, charges prepaid and confirmed in writing by mail or delivery, addressed (until
another address is filed in writing with the Rights Agent or the Corporation, as applicable), as follows:

(a)

if to the Corporation:

Aeterna Zentaris Inc.
315 Sigma Drive, Suite 302D
Summerville, SC 29483
Attention: Chief Financial Officer
Facsimile No. (843) 900-3250

(b)

if to the Rights Agent:

Computershare Trust Company of Canada
1500 Robert-Bourassa Blvd. Suite 700
Montreal, QC H3A 3S8
Attention: Manager, Investor Services

Facsimile No. (514) 982-7580

(c)

if to the holder of any Rights, to the address of such holder as it appears on the registry books of the Rights Agent or, prior to
the Separation Time, on the registry books of the Corporation for the Shares.

Section 5.10 Costs of Enforcement

The Corporation agrees that if the Corporation or any other Person the securities of which are purchasable upon exercise of Rights fails
to fulfil any of its obligations pursuant to this Agreement, then the Corporation or such Person will reimburse the holder of any Rights for the
costs and expenses (including legal fees) incurred by such holder in actions to enforce his rights pursuant to any Rights or this Agreement.

Section 5.11

Regulatory Approvals

Any  obligation  of  the  Corporation  or  action  or  event  contemplated  by  this  Agreement  shall  be  subject  to  applicable  law  and  to  the
receipt of any requisite approval or consent from any governmental or regulatory authority. Without limiting the generality of the foregoing,
any issuance or delivery of debt or equity securities (other than non-convertible debt securities) of the Corporation upon the exercise of Rights
and any amendment to this Agreement shall be subject to any required prior consent of the stock exchange(s) on which the Corporation is from
time to time listed or has been listed during the six months prior to such amendment.

Section 5.12 Declaration as to Non-Canadian and Non-U.S. Holders

If  in  the  opinion  of  the  Board  of  Directors  (who  may  rely  upon  the  advice  of  counsel),  any  action  or  event  contemplated  by  this
Agreement would require compliance with the securities laws or comparable legislation of a jurisdiction outside Canada and the United States
of America, its territories and possessions, the Board of Directors acting in good faith may take such actions as it may deem appropriate to
ensure  that  such  compliance  is  not  required,  including  without  limitation  establishing  procedures  for  the  issuance  to  a  Canadian  resident
Fiduciary of Rights or securities issuable on exercise of Rights, the holding thereof in trust for the Persons entitled thereto (but reserving to the
Fiduciary  or  to  the  Fiduciary  and  the  Corporation,  as  the  Corporation  may  determine,  absolute  discretion  with  respect  thereto)  and  the  sale
thereof and remittance of the proceeds of such sale, if any, to the Persons entitled thereto. In no event shall the Corporation or the Rights Agent
be  required  to  issue  or  deliver  Rights  or  securities  issuable  on  exercise  of  Rights  to  Persons  who  are  citizens,  residents  or  nationals  of  any
jurisdiction other than Canada and a province or territory thereof and the United States of America and any state thereof in which such issue or
delivery would be unlawful without registration of the relevant Persons or securities for such purposes.

Section 5.13

Successors

All the covenants and provisions of this Agreement by or for the benefit of the Corporation or the Rights Agent shall bind and enure to

the benefit of their respective successors and assigns hereunder.

Section 5.14

Benefits of this Agreement

Nothing in this Agreement shall be construed to give to any Person other than the Corporation, the Rights Agent and the holders of the
Rights any legal or equitable right, remedy or claim under this Agreement; this Agreement shall be for the sole and exclusive benefit of the
Corporation, the Rights Agent and the holders of the Rights.

Section 5.15 Determination and Actions by the Board of Directors

All  actions,  calculations  and  determinations  (including  all  omissions  with  respect  to  the  foregoing)  which  are  done  or  made  by  the
Board of Directors pursuant to this Agreement, in good faith, (i) may be relied on by the Rights Agent, and (ii) shall not subject the Board of
Directors or any director to any liability to the holders of the Rights or to any other parties.

Section 5.16 Governing Law

This Agreement and the Rights issued hereunder shall be deemed to be a contract made under the laws of the Province of Quebec and
for all purposes will be governed by and construed in accordance with the laws of such province and the federal laws of Canada applicable
therein.

Section 5.17

Language

Les  parties  aux  présentes  ont  exigé  que  la  présente  convention  ainsi  que  tous  les  documents  et  avis  qui  s’y  rattachent  ou  qui  en
découlent soient rédigés en langue anglaise. The parties hereto have required that this Agreement and all documents and notices related thereto
or resulting therefrom be drawn up in English.

Section 5.18 Counterparts

This Agreement may be executed in any number of counterparts and each of such counterparts will for all purposes be deemed to be an

original, and all such counterparts shall together constitute one and the same instrument.

Section 5.19

Severability

If  any  term  or  provision  hereof  or  the  application  thereof  to  any  circumstance  is,  in  any  jurisdiction  and  to  any  extent,  invalid  or
unenforceable, such term or provision will be ineffective only to the extent of such invalidity or unenforceability in such jurisdiction without
invalidating or rendering unenforceable the remaining terms and provisions hereof or the enforceability thereof in any other jurisdiction or the
application of such term or provision to circumstances other than those as to which it is held invalid or unenforceable.

Section 5.20 Reconfirmation

This Agreement must be reconfirmed by a resolution passed by a majority of greater than 50% of the votes cast by all holders of Voting
Shares  who  vote  in  respect  of  such  reconfirmation  at  the  annual  meeting  of  the  Corporation  to  be  held  in  2022  and  at  every  third  annual
meeting of the Corporation thereafter (each such annual meeting being a (“Reconfirmation Meeting”)). If the Agreement is not so reconfirmed
or is not presented for reconfirmation at each such Reconfirmation Meeting, the Agreement and all outstanding Rights shall terminate and be
void and of no further force and effect on and from the date of termination of any such Reconfirmation Meeting; provided that termination shall
not occur if a Flip-in Event has occurred (other than a Flip-in Event which has been waived pursuant to Section 5.1(b) or Section 5.1(d) hereof),
prior to the date upon which this Agreement would otherwise terminate pursuant to this Section 5.20.

Section 5.21

Time of the Essence

Time shall be of the essence hereof.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed as of 26th of March, 2019.

AETERNA ZENTARIS INC.

By:

Name: Michael V. Ward

Title: President and Chief Executive Officer

COMPUTERSHARE TRUST COMPANY OF CANADA

By:

By:

Name: Martine Gauthier

Title: Professional, Client Services

Name: Steve Gilbert

Title: Professional, Client Services

EXHIBIT A 
FORM OF RIGHTS CERTIFICATE

Certificate No.            Rights

THE RIGHTS ARE SUBJECT TO REDEMPTION, AT THE OPTION OF THE CORPORATION, ON THE TERMS SET FORTH IN THE
AMENDED AND RESTATED SHAREHOLDER RIGHTS PLAN AGREEMENT. UNDER CERTAIN CIRCUMSTANCES (SPECIFIED IN
SUBSECTION  3.1b)  OF  SUCH  AGREEMENT),  RIGHTS  BENEFICIALLY  OWNED  BY  AN  ACQUIRING  PERSON,  CERTAIN

 
 
 
 
 
 
 
 
 
 
 
 
 
 
RELATED  PARTIES  OF  AN  ACQUIRING  PERSON  OR  A  TRANSFEREE  OF  AN  ACQUIRING  PERSON  OR  ANY  SUCH  RELATED
PARTIES WILL BECOME VOID WITHOUT FURTHER ACTION.

Rights Certificate

This certifies that l is the registered holder of the number of Rights set forth above, each of which entitles the registered holder thereof, subject
to the terms, provisions and conditions of the Amended and Restated Shareholder Rights Plan Agreement made as of [May 8], 2019 between
Aeterna Zentaris Inc., a corporation existing under the laws of Canada (the “Corporation”), and Computershare Trust Company of Canada, a
trust company incorporated under the laws of Canada, as Rights Agent (the “Rights Agent”), which term shall include any successor Rights
Agent  under  the  Rights  Agreement,  as  such  agreement  may  from  time  to  time  be  amended,  varied,  restated  or  replaced  (the  “Rights
Agreement”),  to  purchase  from  the  Corporation,  at  any  time  after  the  Separation  Time  and  prior  to  the  Expiration  Time  (as  such  terms  are
defined  in  the  Rights  Agreement),  one  fully  paid  Share  (as  defined  in  the  Rights  Agreement)  at  the  Exercise  Price  referred  to  below,  upon
presentation and surrender of this Rights Certificate, together with the Form of Election to Exercise appropriately completed and duly executed,
to  the  Rights  Agent  at  its  principal  office  in  Montreal.  Until  adjustment  thereof  in  certain  events  as  provided  in  the  Rights  Agreement,  the
Exercise  Price  per  Right  shall  be  an  aggregate  dollar  amount  equal  to  the  Market  Price  (as  defined  in  the  Rights  Agreement)  per  Share
(determined as at the Separation Time) multiplied by five (5) (payable by certified cheque, banker’s draft or money order payable to the order
of the Rights Agent or by wire transfer to an account designated by the Rights Agent). The number of Shares which may be purchased for the
Exercise Price is subject to adjustment as set forth in the Rights Agreement.

In certain circumstances described in the Rights Agreement, each Right evidenced hereby may entitle the registered holder thereof to purchase
or receive securities of the Corporation other than Shares, or more or less than one Share, all as provided in the Rights Agreement.

This Rights Certificate is subject to all of the terms, provisions and conditions of the Rights Agreement, which terms, provisions and conditions
are hereby incorporated by reference and made a part hereof and to which Rights Agreement reference is hereby made for a full description of
the rights, limitations of rights, obligations, duties and immunities thereunder of the Rights Agent, the Corporation and the holders of the Rights
Certificates. Copies of the Rights Agreement are on file at the registered office of the Corporation and are available upon written request. This
Rights Certificate, with or without other Rights Certificates, upon surrender at the principal office of the Rights Agent in Montreal, may be
exchanged for another Rights Certificate or Rights Certificates of like tenor evidencing an aggregate number of Rights equal to the aggregate
number of Rights evidenced by the Rights Certificate or Rights Certificates surrendered. If this Rights Certificate shall be exercised in part, the
registered holder shall be entitled to receive, upon surrender hereof, another Rights Certificate or Rights Certificates for the number of whole
Rights not exercised.

Subject to the provisions of the Rights Agreement, the Rights evidenced by this Rights Certificate may be redeemed by the Corporation at a
redemption price of $0.00001 per Right subject to adjustment in certain events.

No fractional Shares will be issued upon the exercise of any Right or Rights evidenced hereby, but in lieu thereof a cash payment will be made,
as provided in the Rights Agreement.

No holder of this Rights Certificate, as such, shall be entitled to vote or receive dividends or be deemed for any purpose the holder of Shares or
any other securities which may at any time be issuable upon the exercise hereof, nor shall anything contained in the Rights Agreement or herein
be construed to confer upon the holder hereof, as such, any of the rights of a shareholder of the Corporation or any right to vote for the election
of directors or upon any matter submitted to shareholders at any meeting thereof, or to give or withhold consent to any corporate action, or to
receive notice of any meeting or other actions affecting shareholders (except as provided in the Rights Agreement), or to receive dividends or
subscription  rights  or  otherwise,  until  the  Rights  evidenced  by  this  Rights  Certificate  shall  have  been  exercised  as  provided  in  the  Rights
Agreement.

This Rights Certificate shall not be valid for any purpose until it shall have been countersigned by the Rights Agent.

WITNESS the facsimile signature of the proper officers of the Corporation.

Date:

AETERNA ZENTARIS INC.

By:

By:

Authorized Signing Officer

Authorized Signing Officer

Countersigned:

COMPUTERSHARE TRUST COMPANY OF CANADA, in the
City of Montreal

 
 
 
 
 
 
 
 
By:

Authorized Signing Officer

FORM OF ELECTION TO EXERCISE

The undersigned hereby irrevocably elects to exercise     whole Rights represented by this Rights Certificate to purchase the Shares or other
securities, if applicable, issuable upon the exercise of such Rights and requests that certificates for such securities be issued in the name of and
delivered to:

    Name

City and Province

Address

Social Insurance No. or other taxpayer identification number

If such number of Rights shall not be all the Rights evidenced by this Rights Certificate, a new Rights Certificate for the balance of such Rights
shall be registered in the name of and delivered to:

    Name

City and Province

Address

Social Insurance No. or other taxpayer identification number

Date:

Signature

Signature Guaranteed

(Signature  must  correspond  to  name  as  written  upon  the  face  of
this  Rights  Certificate  in  every  particular,  without  alteration  or
enlargement or any change whatsoever)

Signature  must  be  signature  guaranteed  by  a  Schedule  1  Canadian  chartered  bank,  a  Canadian  major  trust  company  or  a  member  firm  of  a
recognized Medallion Signature Guarantee Program.

(To be completed by the holder if true)

The undersigned hereby certifies and represents, for the benefit of the Corporation and all holders of the Rights and Shares, that the Rights
evidenced by this Rights Certificate are not and, to the knowledge of the undersigned, have never been, Beneficially owned by an Acquiring
Person or by an Affiliate or Associate of an Acquiring Person or any other Person acting jointly or in concert with any of the foregoing (as such
terms are defined in the Rights Agreement).

Signature

(Please print name below signature)

NOTICE

 
 
    
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In the event that the certificate set forth above in the Form of Election to Exercise is not completed, the Corporation shall deem the
Beneficial Owner of the Rights represented by this Rights Certificate to be an Acquiring Person (as defined in the Rights Agreement)
and, accordingly, such Rights shall be null and void. No Rights Certificate shall be issued in exchange for a Rights Certificate owned or
deemed to have been owned by an Acquiring Person or any Affiliate or Associate of an Acquiring Person, or any other Person acting
jointly  or  in  concert  with  an  Acquiring  Person,  or  any  Associate  or  Affiliate  of  such  other  Person.  Capitalized  terms  shall  have  the
meaning ascribed thereto in the Rights Agreement.

FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto

FORM OF ASSIGNMENT

(please print name and address of transferee) the Rights represented by this Rights Certificate, together with all right, title and interest therein.

Date:

Signature

Signature Guaranteed

(Signature  must  correspond  to  name  as  written  upon  the  face  of
this  Rights  Certificate  in  every  particular,  without  alteration  or
enlargement or any change whatsoever)

Signature  must  be  signature  guaranteed  by  a  Schedule  1  Canadian  chartered  bank,  a  Canadian  major  trust  company  or  a  member  firm  of  a
recognized Medallion Signature Guarantee Program.

(To be completed by the assignor if true)

The undersigned hereby certifies and represents, for the benefit of the Corporation and all holders of the Rights and Shares, that the Rights
evidenced by this Rights Certificate are not and, to the knowledge of the undersigned, have never been, Beneficially owned by an Acquiring
Person or by an Affiliate or Associate of an Acquiring Person or any other Person acting jointly or in concert with any of the foregoing (as such
terms are defined in the Rights Agreement).

Signature

(Please print name below signature

NOTICE

In the event that the certificate set forth above in the Form of Election to Exercise is not completed, the Corporation shall deem the
Beneficial Owner of the Rights represented by this Rights Certificate to be an Acquiring Person (as defined in the Rights Agreement)
and, accordingly, such Rights shall be null and void. No Rights Certificate shall be issued in exchange for a Rights Certificate owned or
deemed to have been owned by an Acquiring Person or any Affiliate or Associate of an Acquiring Person, or any other Person acting
jointly  or  in  concert  with  an  Acquiring  Person,  or  any  Associate  or  Affiliate  of  such  other  Person.  Capitalized  terms  shall  have  the
meaning ascribed thereto in the Rights Agreement.

Certificat n° Droits

LES  DROITS  PEUVENT  ÊTRE  RACHETÉS,  AU  GRÉ  DE  LA  SOCIÉTÉ,  SELON  LES  MODALITÉS  INDIQUÉES  DANS  LA
CONVENTION VISANT UN RÉGIME DE DROITS DE SOUSCRIPTION DES ACTIONNAIRES MODIFIÉE ET MISE À JOUR. DANS
CERTAINES  CIRCONSTANCES  (PRÉCISÉES  À  L’ALINÉA  3.1(b)  DE  CETTE  CONVENTION),  LES  DROITS  DÉTENUS  EN
PROPRIÉTÉ  EFFECTIVE  PAR  UNE  PERSONNE  FAISANT  UNE  ACQUISITION,  CERTAINES  PARTIES  APPARENTÉES  À  UNE
PERSONNE FAISANT UNE ACQUI- SITION OU LE CESSIONNAIRE D’UNE PERSONNE FAISANT UNE ACQUISITION OU D’UNE
DE CES PARTIES APPARENTÉES DEVIENDRONT NULS SANS AUTRE FORMALITÉ.

Certificat de Droits

Les présentes attestent que l est le porteur inscrit du nombre de Droits indiqué ci-dessus, dont chacun permet au porteur inscrit des  Droits,
sous réserve des modalités, dispositions et conditions de la convention visant un régime de droits de souscription des actionnaires modifiée et
mise à jour qui a été passée en date du [8 mai] 2019 entre Aeterna Zentaris Inc., une société existant en vertu des lois du Canada (“Société”) et
la  Société  de  fiducie  Computershare  du  Canada,  société  de  fiducie  constituée  en  vertu  des  lois  du  Canada,  en  qualité  d’agent  des  Droits

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(“agent des Droits”), terme qui comprend tout successeur de l’agent des Droits conformément à la convention visant les Droits, comme cette
convention peut de temps à autre être modifiée, mise à jour ou remplacée (« convention visant les Droits »), d’acheter auprès de la Société, en
tout temps après l’heure de séparation et avant l’heure d’expiration (selon la définition de ces termes dans la convention visant les Droits) une
action  (selon  la  définition  de  ce  terme  dans  la  convention  visant  les  Droits)  entièrement  libérée  au  prix  d’exercice  indiqué  ci-dessous,  sur
présentation et remise du présent certificat de Droits, accompagné du formulaire de choix d’exercice adéquatement rempli et dûment signé, à
l’agent des Droits à son bureau principal de Montréal. Tant qu’il ne sera pas ajusté dans certaines circonstances prévues dans la convention
visant les Droits, le prix d’exercice pour chaque Droit sera un montant total en dollars égal au cours du marché (selon la définition de ce terme
dans la convention visant les Droits) par action (déterminé à l’heure de séparation) multiplié par cinq (5) (payable par chèque certifié, traite
bancaire ou mandat-poste établi à l’ordre de l’agent des Droits ou par virement électronique à un compte désigné par l’agent des Droits). Le
nombre d’actions pouvant être acheté pour le prix d’exercice peut faire l’objet d’ajustements comme le stipule la convention visant les Droits.

Dans certaines circonstances décrites dans la convention de droits de souscription, chaque droit de souscription attesté par les présentes peut
permettre au porteur inscrit de celui-ci d’acheter ou de recevoir des titres de la Société autres que des actions ordinaires, ou plus ou moins
qu’une action ordinaire, le tout comme il est prévu dans la convention de droits de souscription.

Le présent certificat de Droits est assujetti à toutes les modalités, dispositions et conditions de la convention visant les Droits, lesquelles sont
intégrées dans les présentes par renvoi et en font partie intégrante, convention à laquelle il est fait renvoi par les présentes pour la description
complète des droits, restrictions des droits, obligations, fonctions et immunités qu’elle confère à l’agent des Droits, à la Société et aux porteurs
des certificats de Droits. Des copies de la convention visant les Droits sont conservées au siège social de la Société et peuvent être obtenues
sur demande écrite.

Le présent certificat de Droits, avec ou sans autres certificats de Droits, peut, sur remise au bureau principal de l’agent des Droits à Montréal,
être échangé contre un ou plusieurs autres certificats de Droits de la même teneur attestant un nombre global de Droits égal au nombre global
des Droits attestés par le ou les certificats de Droits remis. Si le présent certificat de Droits est exercé en partie, le porteur inscrit aura le droit
de recevoir, sur remise de celui-ci, un ou plusieurs autres certificats de Droits représentant le nombre de Droits entiers qui n’auront pas été
exercés.

Sous réserve des dispositions de la convention visant les Droits, les Droits attestés par le présent certificat de Droits peuvent être rachetés par
la Société au prix de rachat de 0,00001 $ par Droit, sous réserve d’ajustements dans certaines circonstances.

Aucune fraction d’action ne sera émise au moment de l’exercice d’un ou de plusieurs Droits attestés par les présentes mais, en remplacement
de celle-ci, un paiement comptant sera effectué comme le prévoit la convention visant les Droits.

Aucun porteur du présent certificat de Droits, en tant que tel, ne sera habile à voter ou à recevoir des dividendes ni ne sera réputé à quelque fin
que ce soit être le porteur d’actions ou d’autres titres pouvant être émissibles à un moment quelconque au moment de l’exercice du présent
certificat, et aucune disposition de la convention visant les Droits ou du présent certificat ne devra être interprétée comme conférant au porteur
du  présent  certificat,  en  tant  que  tel,  l’un  quelconque  des  droits  d’un  actionnaire  de  la  Société  ni  le  droit  de  voter  en  vue  de  l’élection
d’administrateurs ou à l’égard de toute question soumise aux actionnaires à une assemblée de ceux-ci, ni le droit d’approuver ou de s’abstenir
d’approuver toute mesure prise par la Société, ni le droit de recevoir l’avis de convocation à quelque assemblée des actionnaires que ce soit ou
un avis des autres mesures visant les actionnaires de la Société (sauf comme le prévoit la convention visant les Droits), ni le droit de recevoir
des dividendes ou des droits de souscription ni quelque autre droit, et ce, tant que les Droits attestés par le présent certificat de Droits n’auront
pas été exercés comme le prévoit la convention visant les Droits.

Le présent certificat de Droits n’est pas valide à quelque fin que ce soit tant qu’il n’a pas été contresigné par l’agent des Droits.

EN FOI DE QUOI le fac-similé de la signature des dirigeants appropriés de la Société a été apposé sur le présent certificat de Droits.

Date :

AETERNA ZENTARIS INC.

Par :         

Par :         

Contresignature:

SOCIETE DE FIDUCIE COMPUTERSHARE DU CANADA dans Ia ville de Montreal

Par:     

FORMULAIRE DE CHOIX D’EXERCICE

Par les présentes, le soussigné choisit irrévocablement d’exercer
Droits  entiers  attestés  par  le  présent  certificat  de  Droits  en  vue  de  l’achat  des  actions  ou  autres  titres,  s’il  en  est,  émissibles  au  moment  de
l’exercice de ces Droits et demande que les certificats attestant ces titres soient émis au nom de la personne suivante et lui soient livrés :

    
    Nom

Ville et province

Adresse

Numéro d’assurance sociale ou autre numéro d’identification du contribuable

Si ce nombre de Droits ne constitue pas la totalité des Droits attestés par le présent certificat de Droits, un nouveau certificat de Droits attestant
le reste de ces Droits sera immatriculé au nom de la personne suivante et lui sera livre :

    Nom

Ville et province

Adresse

Numéro d’assurance sociale ou autre numéro d’identification du contribuable

Date:

Signature

(Signature avalisée)

(La  signature  doit  correspondre  en 
tous  points  au  nom
apparaissant  au  recto  du  présent  certificat  de  Droits,  sans
modification, ajout ni changement d’aucune sorte.)

La  signature  doit  être  avalisée  par  une  banque  à  charte  canadienne  de  l’annexe  1,  une  grande  société  de  fiducie  canadienne  ou  une  firme
membre d’un programme Medallion Signature Guarantee reconnu.

(Attestation devant être signée par le cédant si elle est exacte)

Le soussigné atteste et déclare par les présentes, au profit de la Société et de tous les porteurs de Droits et d’actions, que les Droits attestés par
le présent certificat de Droits ne sont pas et, à la connaissance du soussigné, n’ont jamais été détenus en propriété effective par une personne
faisant  une  acquisition  ou  un  membre  du  même  groupe  qu’elle  ou  une  personne  avec  qui  elle  a  des  liens  ou  une  autre  personne  agissant
conjointement ou de concert avec l’un de ceux-ci (selon la définition de ces termes dans la convention visant les Droits).

Signature

(Veuillez écrire le nom en lettres moulées sous la signature)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
AVIS

Si l’attestation figurant ci-dessus dans le formulaire de choix d’exercice n’est pas signée, la Société considérera le véritable propriétaire
des Droits représentés par le présent certificat de Droits comme une personne faisant une acquisition (selon la définition donnée dans la
convention visant les Droits) et, par conséquent, ces Droits seront nuls et non avenus. Aucun certificat de droits de souscription ne sera
émis en échange d’un certificat de droits de souscription appartenant ou réputé avoir appartenu à une personne faisant une acquisition
ou à un membre du même groupe qu’elle ou à une personne avec qui elle a des liens, ou à une personne qui agit conjointement ou de
concert  avec  une  personne  faisant  une  acquisition  ou  avec  un  membre  du  même  groupe  qu’elle  ou  une  personne  avec  qui  elle  a  des
liens.

FORMULAIRE DE CESSION

CONTRE VALEUR REÇUE, le soussigné vend, cède et transfère par les présentes à

(veuillez écrire le nom et l’adresse du cessionnaire en lettres moulées) les Droits représentés par le présent certificat de Droits, de
même que tous les droits, titres et intérêts s’y attachant.

Date:

Signature

(Signature avalisée)

(La  signature  doit  correspondre  en 
tous  points  au  nom
apparaissant  au  recto  du  présent  certificat  de  Droits,  sans
modification, ajout ni changement d’aucune sorte.)

La signature doit être avalisée par une banque à charte canadienne de l’annexe 1, une grande société de fiducie canadienne ou une
firme membre d’un programme Medallion Signature Guarantee reconnu.

(Attestation devant être signée par le cédant si elle est exacte)

Le soussigné atteste et déclare par les présentes, au profit de la Société et de tous les porteurs de Droits et d’actions, que les Droits
attestés  par  le  présent  certificat  de  Droits  ne  sont  pas  et,  à  la  connaissance  du  soussigné,  n’ont  jamais  été  détenus  en  propriété
effective par une personne faisant une acquisition ou un membre du même groupe qu’elle ou une personne avec qui elle a des
liens ou une autre personne agissant conjointement ou de concert avec l’un de ceux-ci (selon la définition de ces termes dans la
convention visant les Droits).

Signature

(Veuillez écrire le nom en lettres moulées sous la signature)

AVIS

Si l’attestation figurant ci-dessus dans le formulaire de choix d’exercice n’est pas signée, la Société considérera le véritable propriétaire des
Droits représentés par le présent certificat de Droits comme une personne faisant une acquisition (selon la définition donnée dans la convention
visant les Droits) et, par conséquent, ces Droits seront nuls et non avenus. Aucun certificat de droits de souscription ne sera émis en échange
d’un certificat de droits de souscription appartenant ou réputé avoir appartenu à une personne faisant une acquisition ou à un membre du même
groupe qu’elle ou à une personne avec qui elle a des liens, ou à une personne qui agit conjointement ou de concert avec une personne faisant
une acquisition ou avec un membre du même groupe qu’elle ou une personne avec qui elle a des liens.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
109033296 v4

 
INDEPENDENT CONTRACTOR AGREEMENT

Exhibit 4.8

September 18, 2018

Leslie Auld

199 Rumsey Road,
Toronto
Ontario M4G 1P6

Dear Leslie:

This will confirm the terms of your engagement as a consultant with Aeterna Zentaris Inc., a corporation duly incorporated
under  the  laws  of  Canada,  having  its  head  office  at  315  Sigma  Drive,  Summerville,  South  Carolina  29483  (the  “Corporation”)
effective September 24, 2018 (the “Effective Date”) on the following terms and conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

Services: As a consultant you will perform such services as may be mutually agreed to between you and the Corporation
(the “Services”) from time to time. We have agreed that you will perform the Services described in Schedule “A” hereto.
The Corporation anticipates the provision of these Services will require not more than One Hundred Twenty (120) hours of
work each month, with any additional hours to be agreed upon in advance between the parties. To assist in the provision of
the Services, you will have the title of Senior Vice President, Chief Financial Officer.

Standard of Care. You will provide the Services to the best of your ability and in a competent and professional manner.
You represent and warrant that you have sufficient expertise and resources, and the ability, to provide the Services. You
will act in good faith and in the best interests of the Corporation in carrying out the Services.

Term:  The  term  of  this  Agreement  will  commence  as  of  the  Effective  Date  and  unless  sooner  terminated  as  provided
herein, will continue for an indefinite term (the “Term”).

Conflict of Interest: You represent that (a) there are, as of the date hereof, no conflicts of interest or fiduciary obligations,
written or unwritten, which would affect your ability to provide the Services; and (b) during the Term of this Agreement, you
will not enter into any agreement, or undertake any other course of action which may reasonably be expected to give rise
to  a  conflict  of  interest  on  your  part  or  materially  impair  your  ability  to  provide  the  Services  hereunder.  The  Corporation
agrees the voluntary team positions held by you at the Effective Date do not give rise to a conflict of interest under this
section 4.

Direction & Control: You will be solely responsible for determining the means and methods of performing the Services at
all times complying with the standards contained in Section 6 below. You will ensure that you devote adequate time and
attention in order to provide the Services as required herein provided you are under no obligation to provide the Services
for any particular number of hours a day, or for any particular number of days a week. It is understood and agreed between
the parties that you are not limited in providing services to any other person during the term of this Agreement provided
that  the  provision  of  such  Services  does  not  breach  the  provisions  of  this  Agreement  including  Section  4  and  do  not
compete  with  the  business  of  the  Corporation.  Except  as  expressly  set  out  herein  to  the  contrary,  you  will  provide  all
necessary tools, equipment and labour related to the provision of the Services.

Service  Standards:  You  will  perform  the  Services  in  accordance  with  (i)  the  overall  standards  and  lawful  policies  and
procedures established by the Corporation, including any code of ethics or business conduct adopted by the Corporation
(including  any  future  revisions  of  such  policies,  procedures  or  other  codes  of  business  conduct)  and  you  acknowledge
having  been  given  copies  of  the  Corporation’s  Code  of  Conduct  and  Business  Ethics  in  advance  of  executing  this
Agreement;  and  (ii)  all  applicable  laws,  rules  and  regulations,  and  all  requirements  of  all  applicable  regulatory,  self-
regulatory and administrative bodies.

Reporting: You will report on the Services to the President and Chief Executive Officer of the Corporation (“CEO”). You will
also  provide  reporting  as  part  of  your  Services  as  a  member  of  the  executive  management  team  of  the  Corporation,
including to the Corporation’s Audit Committee and Board, as required.

Location: The Services will be principally performed at your home office in Toronto. You agree domestic and international
travel will be required in the provision of the Services. Time travelling will be paid up to eight (8) hours per round trip at an
hourly rate of C$150.00.

Consulting Fees: In consideration of the Services rendered hereunder, you will be paid a consulting fee of C$150.00 per
hour (the “Base Fees”), plus goods and services or harmonized sales tax eligible under the Excise Tax Act, 1985 (Canada)
(“HST”), as required. The Base Fee will be paid monthly in arrears, payable within 30 days of submission of appropriate
invoices  reflecting  the  Services  rendered  in  the  previous  month.  You  will  not  invoice  the  Corporation  for  more  than  the
hours set out in section 1 (together with any time travelling) unless you have obtained prior approval from the CEO for such
additional hours. All or part of the Base Fees may be paid through an affiliate of the Corporation.

If you are required to charge HST for the Services provided to the Corporation, you must be registered under the Excise
Tax Act (Canada) as required, obtain an HST number, and include such number and the HST payable in your invoices to
the Corporation.

10.

11.

12.

13.

Clawback  Entitlement:  If  the  Corporation  finds,  after  full  consideration  of  the  facts,  that  you  engaged  in  fraud,  theft,
embezzlement or any other criminal act of a similar nature in the performance of the Services, you agree the Corporation is
entitled to obtain reimbursement from you, to the full extent permitted by governing law and to the extent it determines (in
its sole discretion) that it is in the Corporation’s best interest to do so. This subsection 10 does not limit the Corporation’s
right to take other appropriate actions with respect to you, including termination of this engagement and other remedial and
recovery action.

the  Corporation  and 

Independent  Status:  The  parties  agree  that  you  are  a  self-employed  independent  contractor  and  that  you  are  not  an
employee  or  agent  of 
joint  venture,
employer/employee,  principal/agent,  master/servant  or  any  other  relationship  between  the  parties  except  that  of
independent  contractor.  Accordingly,  the  Corporation  has  no  responsibility  to  make  deductions  for,  or  to  pay,  benefits,
health,  welfare  and  pension  costs,  withholdings  for  income  taxes,  employment  insurance  premiums,  Workers’
Compensation  premiums,  Canada  Pension  Plan  premiums,  payroll  taxes,  disability  insurance  premiums  or  any  other
similar charges with respect to the payment for the Services.

this  Agreement  will  not  create  any  partnership, 

Expenses: The Corporation will reimburse you for reasonable entertainment, travel and other business expenses, incurred
on behalf of or at the request of the Corporation, so long as they are in incurred accordance with the Corporation’s policies
and  rules  for  such  reimbursements.  As  an  independent  contractor,  you  are  solely  responsible  for  any  and  all  other
expenses  incurred  in  providing  the  Services  and  the  Corporation  is  not  responsible  for  reimbursing  you  for  any  other
expenses.

Confidentiality: You acknowledge that you have received and will receive or conceive, in carrying on or in the course of
providing Services to the Corporation, Confidential Information (defined below) pertaining to the activities, the technologies,
the operations and the business, past, present and future, of the Corporation, which information is not in the public domain.
You acknowledge that such Confidential Information belongs to the Corporation and that its disclosure or unauthorized use
could  be  damaging  or  prejudicial  to  the  Corporation  and  contrary  to  the  Corporation’s  best  interests.  Accordingly,  you
agree that you will maintain as confidential all information obtained under or in connection with this Agreement and will not
use or disclose such information to any third party without prior consent of the Corporation. You agree to take no action
that  may  cause  any  such  information  to  lose  its  character  as  Confidential  Information.  This  clause  does  not  extend  to
information  which  was  rightfully  in  your  possession  prior  to  the  commencement  of  the  negotiations  that  led  to  this
Agreement, which was already in the public domain, or which becomes so at a future date through no fault by you.

In the event you are required to disclose confidential information pursuant to any law, regulation, governmental authority or
court, you will give prompt notice to the Corporation of such requirement (where it is within your control to provide such
notice)  so  as  to  allow  the  Corporation  sufficient  opportunity  to  contest  such  requirement.  Any  such  disclosure  must  be
limited solely to the extent of the requirement.

Nothing in this section 13 shall be read to prevent you from discussing or disclosing confidential information in connection
with  an  investigation  by  the  U.S.  Securities  and  Exchange  Commission,  or  another  Canadian  or  U.S  state  or  federal
agency, or from filing and/or pursuing a charge or complaint with any such agency.

Upon  the  expiration  or  earlier  termination  of  this  Agreement,  or  whenever  requested  by  the  Corporation,  you  will
immediately  deliver  to  the  Corporation  all  Confidential  Information  you  possess  or  control.  These  obligations  of
confidentiality will survive the expiration or any termination of this Agreement.

For the purposes of this Agreement, “Confidential Information” includes, among other things: (a) work product resulting
from  or  related  to  work  or  projects  performed  or  to  be  performed  by  the  Corporation,  including,  but  not  limited  to,  the
interim  and  final  lines  of  inquiry,  hypotheses,  research  and  conclusions  related  thereto  and  the  methods,  processes,
procedures,  analysis,  techniques  and  audits  used  in  connection  therewith;  (b)  products,  formulae,  processes  and
composition of products, as well as raw materials and ingredients, of whatever kind, that are used in their manufacture; (c)
technical  knowledge  and  methods,  quality  control  processes,  inspection  methods,  laboratory  and  testing  methods,
information processing programs and systems, manufacturing processes, plans, drawings, tests, test reports and software;
(d)  equipment,  machinery,  devices,  tools,  instruments  and  accessories;  (e)  information  relating  to  Developments  (as
defined  below)  prior  to  any  public  disclosure  thereof,  including,  but  not  limited  to,  the  nature  of  the  developments,
production  data,  technical  and  engineering  data,  test  data  and  test  results,  the  status  and  details  of  research  and
development of products and services, and information regarding acquiring, protecting, enforcing and licensing proprietary
rights (including patents, copyrights and trade secrets); (f) financial information, production cost data, marketing strategies,
raw  materials  supplies,  suppliers,  staff  and  client  lists  and  related  information,  marketing  plans,  sales  techniques  and
policies, including pricing policies, sales and distribution data, purchasing and internal cost information, internal services,
operational  manuals  and  present  and  future  expansion  plans;  (g)  contracts  and  their  contents,  client  services,  data
provided  by  clients  and  the  type,  quantity  and  specifications  of  products  and  services  purchased,  leased,  licensed  or
received  by  clients  of  the  Corporation;  (h)  research,  experiments,  inventions,  discoveries,  developments,  improvements,
ideas,  industrial  secrets  and  know-how;  (i)  personnel  information  of  employees  of  the  Corporation;  and  (j)  both  the
existence and the terms of this Agreement.

14.

Ownership of Developments and Intellectual Property in Developments: You acknowledge and agree that all rights,
titles and interests in or to the Developments and all Intellectual Property (defined below) in and to the Developments shall
be  owned  exclusively  by  the  Corporation  as  of  their  creation  and  you  will  make  full  and  prompt  disclosure  to  the
Corporation of all information relating to any Developments unless specifically released from such obligation in writing by
the  Corporation’s  Board  of  Directors.  Copyrightable  work  included  in  Developments  shall  be  deemed  to  "work  made  for
hire" (as defined in the Copyright Act, 17 U.S.C.A. § 101 et seq., as amended). Without further compensation, you hereby

irrevocably  quit-claim  and  assign,  and  agree  to  assign  to  the  Corporation,  or  any  designee,  your  entire  right,  title  and
interest  in  and  to  the  Developments  and  all  Intellectual  Property  in  and  to  the  Developments.  You  understand  that  this
assignment  is  intended  to,  and  does,  extend  to  Developments  currently  in  existence,  in  development,  as  well  as
Developments which have yet to be created.

You hereby irrevocably waive, in favour of the Corporation, its successors, assigns and nominees, all moral rights arising
under the Copyright Act, 1985 (Canada) as amended (or any successor legislation of similar effect) or similar legislation in
any  applicable  jurisdiction,  or  at  common  law,  to  the  full  extent  that  such  rights  may  be  waived  in  each  respective
jurisdiction,  that  you  may  have  now  or  in  the  future  with  respect  to  the  Developments.  You  acknowledge  that  the
Corporation has the right to use, modify or reproduce any Developments realized by you, at its entire discretion, without
your authorization and without your name being mentioned.

For  the  purposes  of  this  Agreement,  “Developments”  means  any  discovery,  invention,  design,  improvement,  concept,
design,  specification,  creation,  development,  treatment,  computer  program,  method,  process,  apparatus,  specimen,
formula, formulation, product, hardware or firmware, any drawing, report, memorandum, article, letter, notebook and any
other work of authorship and ideas (whether or not patentable or copyrightable) and legally recognized proprietary rights
(including, but not limited to, patents, copyrights, trademarks, topographies, know-how and trade secrets), and all records
and tangible embodiments relating to the foregoing, that:

a)

result  or  derive  from  the  relationship  created  under  this  Agreement  or  from  your  knowledge  or  use  of  the
Corporation’s confidential information;

b) are conceived or made by you (individually or in collaboration with others) in the course of your engagement by

the Corporation under this Agreement;

c)

result from or derive from the use or application of the resources of the Corporation; or

d)

relate  to  the  business  operations  of  actual  or  demonstrably  anticipated  research  and  development  by  the
Corporation.

For  the  purposes  of  this  Agreement,  “Intellectual Property”  shall  mean  all  common  law,  statutory  and  other  intellectual
and industrial property rights including, without limiting the generality of the foregoing:

a)

rights  to  any  patents,  trademarks,  service  marks,  trade  names,  domain  names,  copyright,  database  rights,
designs, industrial designs, trade secrets, integrated circuit rights and topography rights; and

b) all  domestic  and  foreign  registrations,  applications,  divisionals,  continuations,  continuations  in-part,  re-

examinations and renewals thereof.

15.

Further  Assurances.  You  shall,  at  the  Corporation’s  expense,  perform  all  actions  reasonably  requested  by  the
Corporation  (whether  during  or  after  the  Term)  to  establish  and  confirm  title  and  ownership  of  Developments  and  all
Intellectual Property in and to the Developments (including, without limitation, assignments, consents, powers of attorney
and other instruments). You  agree  to  execute  on  demand,  whether  during  or  after  the  Term,  any  applications,  transfers,
assignments or other documents as the Corporation may consider necessary for the purpose of either:

a) obtaining  maintaining,  or  vesting  or  assigning  absolute  title  in  any  Developments  and  any  Intellectual  Property

related thereto to the Corporation; or

b) applying for, prosecuting, obtaining or protecting any patent, copyright, industrial design or trade-mark registration
or any other similar right pertaining to any Intellectual Property in Developments in any country. You further agree
to  cooperate  and  assist  the  Corporation  in  every  way  possible  in  the  application  for  or  prosecution  of  rights
pertaining to such Intellectual Property.

16.

17.

Remedies: You recognize and expressly acknowledge that the Corporation would be subject to irreparable harm should
any  of  the  provisions  of  sections  13  and  14  be  infringed,  or  should  any  of  your  obligations  under  this  Agreement  be
breached by you, and that damages alone will be an inadequate remedy for any breach or violation thereof and that the
Corporation, in addition to all other remedies, will be entitled as a matter of right to equitable relief, including temporary or
permanent injunction to restrain such breach.

Ownership  of  Files  and  Other  Property:  Any  property  of  the  Corporation,  including  any  file,  sketch,  drawing,  letter,
report,  memorandum  or  other  document,  any  equipment,  machinery,  tool,  instrument  or  other  device,  any  diskette,
recording  tape,  compact  disc,  software,  electronic  communication  device  or  any  other  property,  which  comes  into  your
control or possession during the Term in the performance or in the course of performing the Services for the Corporation,
regardless of whether you participated in its preparation or design, how it may have come under your control or into your
possession and whether it is an original or a copy, shall at all times remain the property of the Corporation and, forthwith
upon  any  request  by  the  Corporation  and  upon  the  termination  of  this  Agreement  (for  any  reason),  shall  promptly  be
returned to the Corporation or its designated representative. You may not keep a copy or give one to a third party without
the prior expressly written permission of the Chairman of the Board.

18.

Termination:  This  Agreement  and  the  relationship  created  under  this  Agreement  may  be  terminated  by  you  or  the
Corporation, as the case may be prior to the expiry of the Term, upon the occurrence of any of the following events:

a) By the Corporation upon the material breach or default by you of any provision of this Agreement; or

b) By  the  Corporation  at  any  time  by  providing  thirty  (30)  days  written  notice  to  you.  During  this  working  notice

period you will assist with transitional duties as required by the Corporation; or

c) By you by providing at least thirty (30) days prior written notice and during such working notice period assisting
with  transitional  duties  as  required  by  the  Corporation.  Any  such  notice  shall  not  relieve  either  party  of  their
mutual obligations to perform under this Agreement (it being understood the Corporation is under no obligation to
utilize you to provide Services during this period); or

d)

Immediately upon your death; or

e) Upon the mutual agreement of the parties.

19.

20.

21.

22.

23.

Following the termination of this Agreement, you will be paid any outstanding Base Fees and incurred expenses owing to
the effective date of termination. You agree that you accepting payment under this paragraph is in full and final satisfaction
of all claims in respect of Services rendered and that you have no claim to notice or payment in lieu of notice in respect of
the termination of your engagement.

Privacy and Personal Information:  You  acknowledge  that  as  a  result  of  your  engagement,  you  may  become  aware  of
personal  information  (as  such  term  is  defined  in  the  Personal  Information  Electronic  Documents  Act)  which  is  collected,
used  or  disclosed  by  the  Corporation.  You  agree  that  you  will  not,  without  the  prior  written  consent  of  the  Corporation,
disclose  or  make  available  any  such  personal  information  to  any  other  person  or  entity  except  in  accordance  with  the
Corporation’s express instructions. You agree that any personal information provided to you by the Corporation will only be
used by you for such purposes as are specified therein and for no other purpose. You agree to execute any such further
agreements required to evidence your agreement in respect thereof.

Indemnity:  You  agree  to  indemnify  the  Corporation  from  and  against  any  and  all  claims,  costs,  liabilities,  damages,
charges and expenses, arising out of or in connection with this Agreement or the Services, including any costs, losses or
penalties  incurred  by  the  Corporation  as  a  result  of  the  Corporation’s  failure  to  make  any  deductions,  withholdings,
remittances  and  contributions  required  by  law,  if  any.  If  the  Corporation  should  ever  be  required  by  any  governmental
authority  at  any  time  to  pay  on  your  behalf  any  assessments  including,  but  not  limited  to,  income  taxes,  employment
insurance premiums, workers’ compensation premiums, Canada Pension Plan premiums, payroll taxes or any other similar
charges,  you  will,  forthwith  upon  notice,  reimburse  the  Corporation  for  such  payment,  together  with  interest  and  any
penalties  applicable  thereon.  Your  obligation  under  this  paragraph  will  survive  the  termination  or  expiration  of  this
Agreement.

Survival:  Notwithstanding  the  termination  of  this  Agreement,  each  party  shall  remain  bound  by  the  provisions  of  this
Agreement which by their terms impose obligations upon that party that extend beyond the termination of this Agreement.

Binding  Arbitration:  Any  dispute,  claim  or  controversy  arising  out  of  or  relating  to  this  Agreement  or  the  breach,
termination, enforcement, interpretation or validity thereof, including the determination of the scope or applicability of this
agreement to arbitrate, shall be determined exclusively by arbitration administered by the International Centre for Dispute
Resolution Canada ("ICDR Canada") and carried out in Toronto, Ontario, Canada, before one arbitrator, with the cost of
such  arbitration  to  be  split  equally  between  the  parties.  The  arbitration  shall  be  conducted  in  accordance  with  ICDR
Canada's  Canadian  Arbitration  Rules,  except  as  modified  herein.  The  arbitrator  may  award  any  form  of  relief  permitted
under  this  Agreement  and  applicable  law.  The  arbitrator  shall  have  no  jurisdiction  to  vary  the  express  terms  of  this
Agreement. The  decision  of  the  arbitrator  shall  be  in  writing,  in  English,  and  shall  state  the  reasons  for  the  award.  The
decision rendered by the arbitrator may be entered in any court of competent jurisdiction. The parties hereto waive, to the
fullest extent permitted by law, any rights to appeal to, or to seek review of such award by, any court. The  parties  hereto
further agree to obtain the arbitral tribunal's agreement to preserve the confidentiality of the arbitration.

Notices: Any notice given hereunder shall be given in writing and sent by registered or certified mail or hand-delivered. If
such notice is sent by registered or certified mail, it shall be deemed to have been received five (5) business days following
the  date  of  its  mailing  if  the  postal  services  are  working  normally.  If  such  is  not  the  case,  the  notice  must  be  sent  by
electronic mail, hand-delivered or served by bailiff, at the discretion of the sender. In the case of sending by electronic mail,
hand-delivery or service, the notice shall be deemed to have been received the same day. It is agreed that if the delivery
date is a non-business day, the notice shall be deemed to have been received on the following business day.

For  purposes  of  mailed  or  hand-delivered  notices  to  be  effectively  delivered  under  this  provision,  the  notices  must  be
addressed as follows:

For the Corporation, the address is: 315 Sigma Drive, Summerville, South Carolina 29483.

For you, the address is: 199 Rumsey Road, Toronto, Ontario M4G 1P6.

For purposes of an electronic mail notice to be effectively delivered under this provision, the notice must be addressed as
follows:

For the Corporation, the address is: lauld@sympatico.ca

For you, the address is: mward@aezsinc.com

24.

General:

a) This  Agreement  constitutes  the  entire  agreement  between  the  parties  with  respect  to  the  subject  matter  hereof
and the parties acknowledge and agree that its execution has not been induced by, nor do either of the parties
rely upon or regard as material, any representations or writings whatsoever not incorporated and made a part of
this Agreement. This Agreement supersedes any prior agreements understandings, negotiations and discussions,
whether oral or written, between the parties with respect to the subject matter hereof.

b) No  amendment,  change  or  modification  of  this  Agreement  will  be  valid  unless  in  writing  signed  by  the  parties

hereto.

c) This Agreement will be governed by and construed in accordance with the laws of the Province of Ontario and the

laws of Canada applicable therein.

d)

If  any  provision  of  this  Agreement  will  be  determined  by  any  court  of  competent  jurisdiction  to  be  invalid  and
unenforceable to any extent, the remainder of this Agreement will not be affected by such invalidity. Moreover, if
any  provision  of  this  Agreement  is  deemed  to  be  overbroad  or  otherwise  unenforceable  as  written,  the  parties
agree that such provision should be modified and reformed, and then enforced, to the maximum extent permitted
by applicable law.

e) This Agreement is personal to you and may not be assigned.

25.

Acknowledgment: By entering into this Agreement, you acknowledge and agree that you have read and understand your
obligations  under  this  Agreement,  agree  to  all  of  the  terms  hereof  and  have  been  given  the  opportunity  to  seek
independent legal advice in respect of the same. You understand and agree that you are an independent contractor and
are not and will not be an employee of the Corporation. You agree that the Corporation will not be obligated to make any
payments to you upon termination of this Agreement except in respect of Services rendered to the date of termination.

26.

Counterparts: This Agreement may be executed in counterparts, each of which when so executed and delivered shall be
deemed to be an original and such counterparts will together constitute one and the same Agreement

To confirm your acceptance of the terms and conditions of this Agreement, please sign in the space indicated and return to

the undersigned.

Yours very truly,

/s/ Michael V. Ward

Michael Ward

AGREED TO AND ACCEPTED this     19th     day of September, 2018.

AETERNA ZENTARIS INC. 

By:    /s/ Michael V. Ward    

Title:    President and CEO    

Printed Name:     Michael V. Ward    

Date:    19 September 2018        

(“CORPORATION”)

LESLIE AULD                    WITNESS

/s/ Leslie Auld                         /s/ Amelia Filige                

Date:     /s/ 18 September 2018        Printed Name:        Amelia Filige        

SCHEDULE “A” 
SERVICES

Planning

Assist the CEO in formulating the Corporation’s future direction and supporting tactical initiatives
Monitor/direct the implementation of strategic business plans in collaboration with the CEO
Develop effective strategic financial and tax strategies
Develop financial performance measures that support the company’s strategic direction
Assist the CEO in developing an effective operating budget
Manage the capital request and budgeting process
Ensure an effective and appropriate IT strategy and operations in support of activities and plans

Operations

Participate in key decisions as a member of the executive management team
Participate in developing new business, specifically assisting the CEO in identifying new funding opportunities
Develop and maintain effective, collaborative relationships with all members of the management team
Oversee all aspects of accounting, cash flow planning, budgeting, forecasting, controlling, tax, treasury and payroll functions
Oversee all transaction processing systems
Oversee employee benefit plans, with particular emphasis on maximizing a cost-effective benefits package
Oversee the IT area and operations, ensuring appropriate technology and support of all Corporation operations
Supervise acquisition due diligence and negotiate acquisitions, mergers and divestitures in collaboration with the CEO
Recruit, train, develop, supervise and evaluate finance department staff

Financial Information

Oversee the issuance of all financial information in compliance with applicable regulations and laws
Personally review and approve all required filings with regulatory authorities,
Execute the Corporation’s quarterly financial certifications for filing
Report all monthly, quarterly and annual financial planning, analyses and results to the Board of Directors

Funding

Arrange for debt and equity financing
Monitor cash balances and cash forecasts
Invest funds
Oversee qualified pension/employee savings/retirement funds

Risk Management

Understand and mitigate key elements of the Corporation’s risk profile
Monitor all open legal issues involving financial risk and cost to the Corporation
Construct and monitor reliable control systems
Maintain appropriate insurance coverage
Serve as a member of the executive management team of the Corporation
Report risk issues to the Audit Committee of the Board of Directors
Ensure that the Corporation complies with all applicable regulatory requirements
Ensure that record keeping meets auditors and government agency requirements
Maintain relations with external auditors and investigate their findings and recommendations

Third Parties

Participate in conference calls with the investment community
Maintain effective financing relationships and professional network
Represent the Corporation with investment bankers and investors, ensuring an ongoing effective investor relations program

DMS 14214648.1

SUBSIDIARIES OF THE REGISTRANT

Zentaris IVF GmbH
(Germany)
Aeterna Zentaris, Inc.
(Delaware)
Aeterna Zentaris GmbH
(Germany)
Aeterna Zentaris Inc.
(Canada)
AETERNA ZENTARIS INC.

100%
100%
100%

Exhibit 8.1

Exhibit 12.1

Certification of the Principal Executive Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002

Certification

I, Michael V. Ward, certify that:

1.

2.

3.

4.

I have reviewed this annual report on Form 20-F of Aeterna Zentaris Inc.;

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;

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;

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)

(b)

(c)

(d)

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;

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;

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

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)

(b)

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

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 28, 2019

/s/ Michael V. Ward    
Michael V. Ward
President and Chief Executive Officer

Exhibit 12.2

Certification of the Principal Financial Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002

Certification

I, Leslie Auld, certify that:

1.

2.

3.

4.

I have reviewed this annual report on Form 20-F of Aeterna Zentaris Inc.;

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;

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;

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)

(b)

(c)

(d)

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;

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;

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

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)

(b)

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

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 28, 2019

/s/ Leslie Auld    
Leslie Auld
Chief Financial Officer

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

Exhibit 13.1

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,  2018  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, Michael V. Ward, 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)

(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 28, 2019

/s/ Michael V. Ward    
Michael V. Ward
President and Chief Executive Officer

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.

Exhibit 13.2

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,  2017  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, James Clavijo, Chief Financial 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 28, 2019

/s/ Leslie Auld    
Leslie Auld
Chief Financial Officer

Consent of Independent Registered Public Accounting Firm

Exhibit 15.1

We hereby consent to the incorporation by reference in the Registration Statements on Forms S-8 (No. 333-224737, No. 333-210561 and No. 333-200834) of
Aeterna Zentaris Inc. of our report dated March 29, 2019 relating to the consolidated financial statements, which appears in this Form 20-F.

"/s/ PricewaterhouseCoopers LLP"

Chartered Professional Accountants, Licenses Public Accountants
Toronto, Ontario, Canada
March 29, 2019

1 CPA auditor, CA, public accountancy permit No. A121191