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AEterna Zentaris Inc.

aezs · TSX Healthcare
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FY2019 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, 2019

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

OR

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

OR

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)

Klaus Paulini
Telephone: +49-69-426020
E-mail: KPaulini@aezsinc.com
Weismüllerstr. 50
Frankfurt am Main, Germany
D-60314
(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: [19,994,510] Common Shares as at
December 31, 2019.

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, 2019.

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.

Special Note on Forward-Looking Statements

This Annual Report on Form 20-F and the documents incorporated herein by reference contain “forward-looking statements” made pursuant to the safe-
harbor  provision  of  the  U.S.  Private  Securities  Litigation  Reform  Act  of  1995,  which  reflect  our  current  expectations  regarding  future  events.  All
statements other than statements of historical facts included in or incorporated by reference into 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”) that address activities, events or developments that we expect, believe or anticipate will or may occur in the
future are forward-looking statements. Our forward-looking statements generally include statements about our plans, objectives, strategies and prospects
regarding,  among  other  things,  our  businesses,  results  of  operations,  liquidity  and  financial  condition.  In  some  cases,  we  have  identified  these  forward-
looking  statements  with  words  like  “believe,”  “may,”  “could,”  “might,”  “possible,”  “potential,”  “project,”  “will,”  “should,”  “expect,”  “intend,”  “plan,”
“predict,”  “anticipate,”  “estimate,”  “approximate,”  “contemplate”  or  “continue,”  or  the  negative  of  these  words  or  other  words  and  terms  of  similar
meaning. 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, but are not limited to, the following:

●

●

●

●

●

our ability to raise capital and obtain financing to continue our currently planned operations;

our ability to continue to list our Common Shares on the NASDAQ;

our ability to continue as a going concern is dependent, in part, on our ability to transfer cash from Aeterna Zentaris GmbH (“AEZS
Germany”) to Aeterna Zentaris and the U.S. subsidiary and secure additional financing;

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 commercialize the product, including our heavy reliance on the success of the license
and assignment agreement with Novo Nordisk A/S (“Novo”);

our ability to enter into out-licensing, development, manufacturing, marketing and distribution agreements with other pharmaceutical
companies and keep such agreements in effect;

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
●

●

●

●

●

●

●

●

●

●

●

●

●

our reliance on third parties for the manufacturing and commercialization of Macrilen™ (macimorelin);

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;

uncertainties related to the regulatory process;

unforeseen global instability, including the instability due to the global pandemic of the novel coronavirus;

our ability to efficiently commercialize or out-license Macrilen™ (macimorelin);

our reliance on the success of the pediatric clinical trial in the European Union (“E.U.”) and U.S. for 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
product;

our ability to successfully negotiate pricing and reimbursement in key markets in the E.U. for Macrilen™ (macimorelin);

any evaluation of potential strategic alternatives to maximize potential future growth and shareholder 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; and

the potential of liability arising from shareholder lawsuits and general changes in economic conditions.

More  detailed  information  about  these  and  other  factors  is  included  under  “Risk  Factors”  in  this  Annual  Report  on  Form  20-F  and  in  other  documents
incorporated herein by reference. Many of these factors are beyond our control. Future events may vary substantially from what we currently foresee. You
should  not  place  undue  reliance  on  such  forward-looking  statements.  We  disavow  and  are  under  no  obligation  to  update  or  alter  such  forward-looking
statements whether as a result of new information, future results, events, developments or otherwise, unless required to do so by a governmental authority
or applicable law. We advise you, however, to review any further disclosures we make on related subjects in our reports on Form 6-K filed or furnished to
the SEC.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

GENERAL INFORMATION

PART I

Item 1.

Item 2.

Item 3.

Item 4.

Item 4A.
Item 5.

Item 6.

Item 7.

Item 8.

Item 9.

Identity of Directors, Senior Management and Advisers
A.  Directors and senior management
B.  Advisers
C.  Auditors
Offer Statistics and Expected Timetable
A.  Offer statistics
B.  Method and expected timetable
Key Information
A.  Selected financial data
B.  Capitalization and indebtedness
C.  Reasons for the offer and use of proceeds
D.  Risk factors
Information on the Company
A.  History and development of the Company
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, cash flows 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
Directors, Senior Management and Employees
A.  Directors and senior management
B.  Compensation
C.  Board practices
D.  Employees
E.  Share ownership
Major Shareholders and Related Party Transactions
A.  Major shareholders
B.  Related party transactions
C.  Interests of experts and counsel
Financial Information
A.  Consolidated statements and other financial information
B.  Significant changes
The Offer and Listing
A.  Offer and listing details
B.  Plan of distribution
C.  Markets
D.  Selling shareholders
E.  Dilution
F.  Expenses of the issue

Page
Responsibility

6
6
6

6
6

6
8
8
8

29
30
41
42
42

46
52
57
57
58
58

58
60
74
75
76

76
77
77

77
77

78
78
78
78
78
78

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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
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

Item 10.

Item 11.
Item 12.

PART II

Defaults, Dividend Arrearages and Delinquencies
Item 13.
Material Modifications to the Rights of Security Holders and Use of Proceeds
Item 14.
Controls and Procedures
Item 15.
Audit Committee Financial Expert
Item 16A.
Code of Ethics
Item 16B.
Principal Accountant Fees and Services
Item 16C.
Exemptions from the Listing Standards for Audit Committees
Item 16D.
Purchases of Equity Securities by the Issuer and Affiliated Purchasers
Item 16E.
Change in Registrant’s Certifying Accountant
Item 16F.
Corporate Governance
Item 16G.
Item 16H. Mine Safety Disclosure

PART III
Item 17.
Item 18.
Item 19.

Financial Statements
Financial Statements
Exhibits

78
78
89
92
92
100
100
100
100
100

102
102
102
102

102
102
103
103
104
104
105
105
105
105
105

106
106
107

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 1.

Identity of Directors, Senior Management and Advisers

A.

Directors and senior management

PART I

Not applicable.

B.

Advisers

Not applicable.

C.

Auditors

Not applicable.

Item 2.

Offer Statistics and Expected Timetable

A.

Offer statistics

Not applicable.

B.

Method and expected timetable

Not applicable.

Item 3.

Key Information

A.

Selected financial data

The consolidated statement of comprehensive (loss) income information set forth in this Item 3.A. with respect to the years ended December 31, 2019,
2018 and 2017 and the consolidated statement of financial position information as at December 31, 2019 and 2018 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, 2016 and 2015 and the consolidated statement of financial position information as at December 31, 2017, 2016 and 2015
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.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consolidated Statements of Comprehensive (Loss) Income 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
Supply chain

Cost of sales
Research and development costs
General and administrative expenses
Selling expenses
Restructuring costs
Impairment of right of use asset
Write-off of other current assets

(Loss) income 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 (costs) income
Net finance income (costs)
(Loss) income before income taxes
Income tax recovery (expense)
Net (loss) income from operations
Net income from discontinued operations
Net (loss) income
Other comprehensive (loss) income:
Items that may be reclassified subsequently to profit or loss:  
Foreign currency translation adjustments
Items that will not be reclassified to profit or loss:
Actuarial gain (loss) on defined benefit plans
Comprehensive (loss) income
Basic net (loss) income per share from continuing
operations(1)
Diluted net (loss) income 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

2019
$

2018
$

December 31,
2017
$

2016
$

2015
$

74     
129     
45     
—     
284     
532     
410     
1,837     
6,615     
1,214     
507     
22     
169     
10,774     
(10,242)    
—     

87     
4,518     
—     
(593)    
4,012     
(6,230)    
188     
(6,042)    
—     
(6,042)    

24,325     
2,167     
184     
110     
95     
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)    
—     
(16,796)    

497     
—     
—     
—     
414     
911     
—     
16,495     
7,147     
6,745     
—     
—     
—     
30,387     
(29,476)    
—     

(70)    
4,437     
—     
150     
4,517     
(24,959)    
—     
(24,959)    
—     
(24,959)    

248 
— 
— 
— 
297 
545 
— 
17,234 
11,308 
6,887 
— 
— 
— 
35,429 
(34,884)
— 

(1,767)
(10,956 
(2,926)
305 
(15,344)
(50,228)
— 
(50,228)
85 
(50,143)

83     

(260)    

(1,430)    

569     

1,509 

(1,068)    
(7,027)    

193     
4,120     

694     
(17,532)    

(1,479)    
(25,869)    

844 
(47,790)

(0.35)    

0.25     

(1.12)    

(2.41)    

(18.17)

(0.35)    

0.24     

(1.12)    

(2.41)    

(18.17)

—     
(0.35)    
(0.35)    

—     
0.25     
0.24     

—     
(1.12)    
(1.12)    

—     
(2.41)    
(2.41)    

0.03 
(18.14)
(18.14)

17,494,472     
17,494,472     

16,440,760     
17,034,812     

14,958,704     
14,958,704     

10,348,879     
10,348,879     

2,763,603 
2,763,603 

1

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

7

 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
   
   
   
   
 
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
      
      
  
 
      
      
      
      
  
 
 
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
      
      
  
 
 
 
 
 
 
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

2019
$

7,838     
364     
19,981     
2,255     
224,528     
(2,463)    

2018
$

As at December 31,
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 

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 be materially, adversely affected by any of these risks. Additional risks not presently known to us or that
we currently deem immaterial may also impair our business operations. The trading price of our securities could decline due to any of these risks, and you
may  lose  all  or  part  of  your  investment.  This  Annual  Report  also  contains  forward-looking  statements  that  involve  risks  and  uncertainties.  Our  actual
results could differ materially from those anticipated in these forward-looking statements as a result of certain factors, including the risks mentioned below.
Forward-looking statements included in this Annual Report are based on information available to us on the date hereof, and all forward-looking statements
in the documents incorporated by reference are based on information available to us as of the date of each such document. We disavow and are under no
obligation to update or alter such forward-looking statements whether as a result of new information, future events or otherwise, other than as required by
applicable securities legislation.

8

 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Relating to Us and Our Business

We may not be able to continue as a going concern if we do not obtain cash from AEZS Germany to fund our North American operations, and we do
not obtain additional financing.

We  have  incurred,  and  expect  to  continue  to  incur,  substantial  expenses  in  our  efforts  to  develop  Macrilen™  (macimorelin).  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 we earned revenue from the sale of a license for the adult indication of Macrilen™ (macimorelin) in the U.S. and Canada.

The ability to realize our assets and meet our obligations as they come due is dependent on earning sufficient revenues under the license and assignment
agreement  with  a  subsidiary  of  Novo  (the  “License  Agreement”),  monetizing  commercial  opportunities  for  Macrilen™  (macimorelin)  in  the  rest  of  the
world (“ROW”), realizing other monetizing transactions and raising additional sources of funding, the outcome of which cannot be predicted at this time.
The  revenue  provided  under  the  License  Agreement  was  $45,000  for  the  year  ended  December  31,  2019.  Furthermore,  the  Company  had  cash  of
$7,838,000 for the year ended December 31, 2019. In September 2019, the Company closed an equity financing which provided approximately $4,193,000
in  net  cash  proceeds  (“September  2019  Financing”).  Subsequent  to  2019,  in  February  2020,  the  Company  closed  an  equity  financing  which  provided
approximately $3,900,000 in net cash proceeds (“February 2020 Financing”).

Aeterna  Zentaris  is  a  holding  company  and  a  substantial  portion  of  our  non-cash  assets  is  the  share  capital  of  our  subsidiaries.  Our  principal  operating
subsidiary, AEZS Germany, holds most of our intellectual property rights and is also the counter-party for revenue earned under the License Agreement. In
the event that Aeterna Zentaris is unable to obtain additional funding from third party sources, it will require cash from AEZS Germany to fund its North
American operations. If and when current and medium term liabilities of AEZS Germany exceed the values ascribed to AEZS Germany’s assets, it may no
longer  be  possible  under  applicable  German  solvency  laws  for  AEZS  Germany’s  operations  to  continue.  The  Company  has  some  discretion  to  manage
research and development costs, administrative expenses and capital expenditures in order to maintain its cash liquidity; however, the Company will need
to conclude agreement(s) for licensing or selling the European or worldwide rights to Macrilen™ (macimorelin) and, if necessary, obtain further financing
in order to continue its currently planned operations. Management has assessed the Company’s ability to continue as a going concern and concluded that
additional capital will be required. There can be no assurance that the Company will be able to execute license or purchase agreements or to obtain equity
or debt financing, or on terms acceptable to it. Factors within and outside the Company’s control could have a significant bearing on its ability to obtain
additional  financing.  As  a  result,  management  has  determined  that  there  are  material  uncertainties  that  may  cast  significant  doubt  upon  the  Company’s
ability to continue as a going concern. For additional discussion of risks related to licensing and selling of Macrilen™ (macimorelin), see risk factor titled
“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 the Company could be imperiled” below.

In the event we use up the proceeds from recent third party financings and are not able to transfer cash from AEZS Germany to fund our North American
operations and/or secure additional funding, we may be forced to curtail operations, cease operations altogether or file for bankruptcy.

The economic effects of a pandemic, epidemic or outbreak of an infectious disease could adversely affect our operations or the market price of our
Common Shares.

Public health crises such as pandemics, epidemics or similar outbreaks could adversely impact our operations or the market price of our Common Shares.
In December 2019, a novel strain of coronavirus (“COVID-19”) was reported to have surfaced in Wuhan, China and has reached multiple other countries,
resulting  in  government-imposed  quarantines,  travel  restrictions,  school  closures  and  other  significant  restrictions  on  business  operations  imposed  by
governmental  authorities  in  North  America,  Europe  and  worldwide.  On  January  30,  2020,  the  World  Health  Organization  declared  the  outbreak  of  the
COVID-19  a  “Public  Health  Emergency  of  International  Concern.”  On  January  31,  2020,  U.S.  Health  and  Human  Services  Secretary Alex  M.  Azar  II
declared  a  public  health  emergency  for  the  U.S.  to  aid  the  U.S.  healthcare  community  in  responding  to  COVID-19,  and  on  March  11,  2020,  the  World
Health  Organization  characterized  the  outbreak  as  a  “pandemic”.  The  extent  to  which  the  COVID-19  impacts  our  operations  or  market  price  of  our
Common Shares will depend on future developments, which are highly uncertain and cannot be predicted with confidence, either internationally or within
the U.S., Canada or Germany, including the duration of the outbreak, new information that may emerge concerning the severity of the COVID-19 and the
actions to contain the virus or treat its impact, among others. COVID-19, however, has already resulted in significant volatility in the world and the national
trading markets.

9

 
 
 
 
 
 
 
 
 
 
The spread of COVID-19 may impact our operations, including the potential interruption of our clinical trial activities and our supply chain. For example,
the  COVID-19  outbreak  may  delay  enrollment  in  our  pediatric  clinical  trial  due  to  prioritization  of  hospital  resources  toward  the  outbreak,  and  some
patients may be unwilling to enroll in our trials or be unable to comply with clinical trial protocols if quarantines impede patient movement or interrupt
healthcare services, which would delay our ability to conduct clinical trials or release clinical trial results and could delay our ability to obtain regulatory
approval  and  commercialize  our  product  candidates.  The  spread  of  an  infectious  disease,  including  COVID-19,  may  also  result  in  the  inability  of  our
suppliers  to  deliver  components  or  raw  materials  on  a  timely  basis  or  at  all.  In  addition,  hospitals  may  reduce  staffing  and  reduce  or  postpone  certain
treatments in response to the spread of an infectious disease. Such events may result in a period of business disruption and, in reduced operations, doctors
or medical providers may be unwilling to participate in our clinical trials, any of which could materially affect our business, financial condition or results of
operations. The significant spread of COVID-19 within the U.S., Canada or Germany resulted in a widespread health crisis and has had adverse effect on
the national economies generally, the markets that we serve, our operations and the market price of our Common Shares.

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.

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 the 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. We are a party to the
License Agreement to carry out development, manufacturing, registration and commercialization of Macrilen™ (macimorelin) in the U.S. and Canada. We
continue to explore licensing opportunities worldwide.

The commercial success of Macrilen™ (macimorelin) depends on several factors, including, but not limited to, the following:

● receipt of approvals from foreign regulatory authorities;

● successfully negotiating pricing and reimbursement in key markets in the E.U. for macimorelin;

● successfully contracting with qualified third-party suppliers to manufacture macimorelin;

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

● launching and growing commercial sales of the product;

● out-licensing 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.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  of  Common  Shares  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 following:

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

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

● the timing of regulatory submissions and approvals;

● the nature and timing of licensing fee revenues;

● the outcome of future litigation;

● foreign currency fluctuations;

● the effects  of  the  recent  outbreak  of  COVID-19,  including  the  effects  of  intensified  efforts  to  contain  the  spread  of  the  virus,  which  has,  to  date,

included, among other things, quarantines and travel restrictions.

● 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 share 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. Furthermore, children have different metabolic issues than adults. 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 research 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 guidance;

● meet the requirements for informed consent;  

● meet the requirements for institutional review boards; and

● meet the requirements for good clinical practices.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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).

Our arrangements with 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 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 U.S. 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.

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.

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 share 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  macimorelin  in  addition  to  the
License Agreement. If we elect to collaborate with third parties in respect of macimorelin, we may not be able to negotiate a collaborative arrangement for
macimorelin  on  favorable  terms  and  conditions,  if  at  all.  Should  any  partner  fail  to  successfully  commercialize  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 commercialization efforts and may require additional capital to pursue planned clinical trials and
regulatory approvals. Although we have capital from the License Agreement, we do not anticipate generating significant revenues from operations in the
near future other than from the License Agreement. Moreover, we currently have no committed sources of capital. Please see the Risk Factor entitled “We
may not be able to continue as a going concern if we do not obtain cash from AEZS Germany to fund our North American operations and we do not obtain
additional financing.”

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  securities.  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  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.

Our future capital requirements are substantial and may increase beyond our current expectations depending on many factors, including, but not limited to,
the following:

● 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 future litigation; 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 manufacturing, marketing and sale of Macrilen™ (macimorelin) are and will be subject to strict and ongoing regulation, even with marketing approval
by  the  FDA  and  the  EC  for  Macrilen™  (macimorelin).  Compliance  with  such  regulation  will  be  expensive  and  consume  substantial  financial  and
management resources. For example, the EC 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  (cGMP)  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.

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 U.S. for Macrilen™ (macimorelin) to be used in the diagnosis of patients with adult
growth  hormone  deficiency  (“AGHD”),  and  on  January  16,  2019,  the  EC  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  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’ businesses or 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, the EC and other health authorities. In addition, regulations and guidance are often revised or reinterpreted by
health agencies in ways that may significantly affect our business. 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., individual 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).

14

 
 
 
 
 
 
 
 
 
 
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.  In  addition,  President  Donald  Trump  has
suggested similar action and enacted Executive Orders to curtail the ACA and its impact on healthcare in the U.S. In addition, on December 18, 2019, the
5th Circuit of the U.S. ruled that the individual mandate in the ACA is unconstitutional, and sent the case back to the applicable District Court to determine
whether the entire law is invalid or if some parts of the ACA can survive. We cannot predict the ultimate content, timing or effect of any healthcare reform
legislation, or potential legislation, regulation, judicial review 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 or 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 national or third-party payers for our current product, U.S. federal and state healthcare laws and regulations, as well as certain E.U. regulatory and
government agencies, pertaining to fraud or abuse are and will be applicable to our business. We and our licensees are subject to healthcare fraud and abuse
regulation by E.U. regulatory and government agencies in the countries where we may seek marketing access, and the U.S. federal government and the
states in which we conduct our business.

The laws that may affect our or that of 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  or  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 a 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 immediately noted above 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.

15

 
 
 
 
 
 
 
 
 
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  of  2010,  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 E.U. government and regulatory agencies and applicable U.S. 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.

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

● 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 or tests for the indications we target;

● the advantages and disadvantages of Macrilen™ (macimorelin) relative to current or alternative treatments and tests;

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

● the effectiveness of marketing and distribution methods for Macrilen™ (macimorelin).

16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 share 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  –  if  pursued  –  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 share 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.

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).

17

 
 
 
 
 
 
 
 
 
 
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. Furthermore, 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. Additionally, 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  or  significantly  less  competitive.  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 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.

18

 
 
 
 
 
 
 
 
 
 
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 or given market. 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.

19

 
 
 
 
 
 
 
 
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 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 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 CROs, 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 (“GCP”) guidelines and the investigational plan and protocols contained in an Investigational New Drug (“IND”) 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.

We are dependent on, and rely upon, third parties to perform various functions related to our business, including, but not limited to, development of some
of our product candidates. Our reliance on these relationships poses a number of risks.

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.

20

 
 
 
 
 
 
 
 
 
 
 
 
 
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  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 may be subject to litigation in the future.

We may, from time to time, be a party to 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 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.

21

 
 
 
 
 
 
 
 
 
 
 
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  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 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. As a result, 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  securities  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 securities 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,  therefore,  will  have  priority  over  the  holders  of  our  securities.  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 securities. 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(s) of AEZS Germany to
institute insolvency proceedings of that subsidiary if the managing director(s) 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 of 2002 (“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.

22

 
 
 
 
 
 
 
 
 
 
We are subject to a broad range of environmental laws and regulations and may be subject to environmental remediation obligations under such safety
and related laws and regulations. The impact of these obligations and the Company’s ability to respond effectively to them may have a material adverse
effect on our business, financial condition, cash flows and results of operations and could cause the market value of our Common Shares to decline.

We are subject to a broad range of federal, state, provincial and local environmental laws and regulations in the U.S., Canada and Germany concerning the
environment, safety matters, regulation of chemicals and product safety in the countries where we manufacture and sell our products or otherwise operate
our  business.  These  requirements  include,  among  other  matters,  regulation  of  the  handling,  manufacture,  transportation,  storage,  use  and  disposal  of
materials,  including  the  discharge  of  pollutants,  hazardous  substances  and  waste  into  the  environment.  In  the  normal  course  of  our  business,  such
substances and waste may be released into the environment, which could cause environmental or property damage or personal injuries, and which could
subject us to remediation obligations regarding contaminated soil and groundwater, potential liability for damage claims or to social or reputational harm
and other similar adverse impacts. Under certain laws, we may be required to remediate contamination at certain of our properties regardless of whether the
contamination was caused by us or by previous occupants of the property or by others and at third-party sites where we send waste.

In recent years, the operations of all companies have become subject to increasingly stringent legislation and regulation related to environmental protection.
Such legislation and regulations are complex and constantly changing. Future events, such as changes in existing laws or regulations or the enforcement
thereof  or  the  discovery  of  contamination  at  our  facilities  may,  among  other  things,  require  us  to  install  additional  controls  for  certain  of  our  emission
sources, undertake changes in our manufacturing processes, remediate soil or groundwater contamination at facilities where such cleanup is not currently
required or to take action to address social expectations or concerns arising from or relating to such changes and our response to such changes. The cost of
such additional compliance or remediation obligations or responding to such social expectations or concerns may be significant and could have a material
adverse effect on our business, financial condition, cash flows and results of operations and could cause the market value of our Common Shares and/or
debt securities to decline.

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 stock 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,  2018  and  2019  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 2020 taxable year and for any
future taxable year.

23

 
 
 
 
 
 
 
 
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 we will satisfy the record keeping requirements applicable to a QEF or that we will provide the information regarding our
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 U.S. 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.

24

 
 
 
 
 
 
 
 
 
 
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.

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 the NASDAQ or the TSX, which could affect their market price and liquidity. If our Common Shares were
to be delisted, investors may have difficulty in disposing their Common Shares.

Our Common Shares are currently listed on both the NASDAQ and the TSX under the symbol “AEZS”. We must meet continuing listing requirements to
maintain the listing of our Common Shares on the NASDAQ and the TSX. For continued listing, the NASDAQ requires, among other things, that listed
securities maintain a minimum closing bid price of not less than $1.00 per share. On January 8, 2020, we received a letter from the Listing Qualifications
Staff of the NASDAQ, notifying us that for the last 30 consecutive business days prior to the date of the letter, the closing bid price of our Common Shares
was  below  $1.00  per  share  and,  therefore,  we  did  not  meet  the  requirement  for  continued  listing  on  the  NASDAQ  as  required  by  Nasdaq  Listing  Rule
5550(b)(2). On January 23, 2020, we received a letter from the Listing Qualifications Staff of the NASDAQ notifying us that we had regained compliance
with the minimum bid price requirement. However, since February 21, 2020, our share price has fallen below $1.00 and as of March 17, was $0.49 on the
NASDAQ. There  can  be  no  assurance  that  we  will  regain  compliance  with  the  minimum  bid  price  requirement  for  continued  listing.  If  we  do  regain
compliance with the minimum bid price requirement for continued listing, there can be no assurance, however, that the market price of our Common Shares
will not again fall below $1.00 in the future or that, if it does, we will regain compliance with the minimum bid price requirement for continued listing.

In  addition  to  the  minimum  bid  price  requirement,  the  continued  listing  rules  of  the  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
securities by our total outstanding securities) 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.

25

 
 
 
 
 
 
 
 
 
 
 
Based on our financial results as at December 31, 2019, we do not believe we are in compliance with the continued listing standards of the NASDAQ.
There is no assurance that we will obtain and then maintain compliance and therefore there can be no assurance that our Common Shares will remain listed
on the NASDAQ or the TSX. If we fail to meet any of the NASDAQ’s or the TSX’s continued listing requirements, our Common Shares may be delisted.
Any delisting of our Common Shares may adversely affect our ability to raise additional financing through the public or private sale of equity securities,
would  significantly  adversely  affect  the  ability  of  investors  to  trade  our  securities  and  would  negatively  affect  the  value  and  liquidity  of  our  Common
Shares. Delisting could also have other negative results, including the potential loss of confidence by employees, the loss of institutional investor interest
and fewer business opportunities. If our Common Shares are delisted by the NASDAQ or the TSX, the price of our Common Shares may decline, and a
shareholder may find it more difficult to dispose, or obtain quotations as to the market value, of such shares. Moreover, if we are delisted, we could incur
additional costs under state blue sky laws in connection with any sales of our securities. These requirements could severely limit the market liquidity of our
Common Shares and the ability of our shareholders to sell our Common Shares in the secondary market.

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, 2019 and December 31, 2019, the closing price of our Common Shares ranged from $0.90 to $4.65 per share on the NASDAQ and
from C$1.19 to C$6.25 per share on the TSX. As of March 17, 2020, the price of our Common Shares on the NASDAQ was $0.49 and C$0.71 on the 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, the following:

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

● clinical trial and regulatory developments regarding Macrilen™ (macimorelin);

● delays in our anticipated clinical trial development or commercialization timelines;

● announcements by us regarding technological, regulatory or other matters;

● arrivals or departures of key personnel;

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

● developments or disputes concerning patent or proprietary rights;

● actual or anticipated fluctuations in our revenues or expenses;

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

● economic conditions in the U.S. or abroad, including the instability due to COVID-19.

Our listing on both the NASDAQ and the 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 share price of our Common Shares to fluctuate significantly more than the stock
market as a whole.

26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 securities or convertible securities, including the issuance of securities upon the exercise of stock options and upon the
exercise of warrants or other convertible securities or securities pursuant to which Common Shares are issuable, could dilute the interests of our existing
shareholders, and could substantially decrease the trading share 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 plans generally permit 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, 2019, there were:

● 19,994,510 Common Shares issued and outstanding;

● no issued and outstanding Preferred Shares;

● 28,144 Common Shares issuable upon exercise of warrants that we issued in March 2015, which had a weighted average exercise price of $1.07 per
Common Share (the March 2015 warrants expired by their terms in March 2020); 2,331,000 Common Shares issuable upon exercise of warrants that
we  issued  in  December  2015,  which  had  a  weighted  average  exercise  price  of  $7.10  per  Common  Share;  945,000  Common  Shares  issuable  upon
exercise  of  warrants  that  we  issued  in  November  2016,  which  had  a  weighted  average  exercise  price  of  $4.70  per  Common  Share;  and  3,325,000
Common  Shares  issuable  upon  exercise  of  warrants  that  we  issued  in  September  2019,  which  had  a  weighted  average  exercise  price  of  $1.65  per
Common Share;

● 953,116 Common Shares that underlie outstanding stock options and deferred share units granted under our plans, having a weighted average exercise

price of $3.38 per Common Share;

● 441 Common  Shares  that  underlie  outstanding  stock  options  and  deferred  share  units  granted  under  our  plans,  having  a  weighted  average exercise

price of C$912.00 per Common Share; and

● 246,619 additional Common Shares available for future grants under our Second Amended and Restated Stock Option Plan, and 1,079,198 additional
Common Shares available for future grants under our 2018 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 share price of our Common Shares could also be affected by possible sales of securities 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 securities. This hedging or
arbitrage could, in turn, affect the trading share 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 Securities
Exchange Act of 1934 domestic reporting regime, which could cause us to incur additional legal, accounting and other expenses.

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

27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In 2019, 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, 2019, we continued
to be a foreign private issuer.

There can be no assurance, however, that we will remain a foreign private issuer either in 2020 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 Securities Exchange
Act of 1934 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 the 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  (“Board”)  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.  These  provisions,  among  others,
whether alone or together, could delay or impede hostile takeovers and changes in control or changes in our management. Any provision of our constating
documents that has the effect of delaying or deterring a change in control could limit the opportunity for our shareholders to receive a premium for their
Common Shares and could also affect the price that some investors are willing to pay for our Common Shares.

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

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

● responding to proxy contests and other actions by activist shareholders may be costly and time-consuming, and may disrupt our operations and divert

the attention of management and our employees;

● perceived uncertainties as to the potential outcome of any proxy contest may result in our inability to consummate potential acquisitions, collaborations

or in-licensing opportunities and may make it more difficult to attract and retain qualified personnel and business partners; and

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

28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 4.

Information on the Company

A.

History and development of the Company

We  are  a  specialty  biopharmaceutical  company  engaged  in  commercializing  novel  pharmaceutical  therapies,  principally  through  out-licensing
arrangements.    We  are  a  party  to  a  License  Agreement  with  Novo  to  carry  out  development,  manufacturing,  registration,  regulatory  and  supply  chain
services for the commercialization of Macrilen™ (macimorelin), which is to be used in the diagnosis of patients with AGHD, in the U.S. and Canada.  In
addition, we are actively pursuing business development opportunities for macimorelin in the ROW and to monetize the value of our non-strategic assets.

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 5300 Commerce Court West, 199 Bay Street, Toronto, Ontario, Canada M5L 1B9 c/o Stikeman Elliott LLP; the telephone
number for the registered address is (416) 869-5500. 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, or any other
website referenced in this Annual Report on Form 20-F, 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 AG 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
conducts our drug development efforts. Thereafter, 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 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 the NASDAQ and the TSX on November 20, 2015.

On  June  6,  2019,  we  announced  that  the  Company  is  reducing  the  size  of  its  German  workforce  and  operations  to  more  closely  reflect  our  ongoing
commercial  activities  in  Frankfurt,  Germany.  This  restructuring  affected  eight  employees  in  Frankfurt,  Germany.  The  restructuring  was  completed  by
January 31, 2020, resulting in approximately $600,000 in severance costs.

On  August  1,  2019,  we  filed  a  shelf  registration  statement  on  Form  F-3  with  the  SEC.  Under  the  shelf  registration  statement  we  may  sell  certain
combinations  of  securities  described  in  the  applicable  prospectus  as  offered,  from  time  to  time  in  one  or  more  offerings,  up  to  a  total  dollar  amount  of
$45,000,000, subject to restrictions under SEC rules.

On  September  20,  2019,  we  entered  into  a  securities  purchase  agreement  with  institutional  investors  in  the  U.S.  to  purchase  our  Common  Shares  in  a
registered  direct  offering  and  warrants  to  purchase  our  Common  Shares  in  a  concurrent  private  placement.  The  net  proceeds  from  this  offering  were
approximately $4.2 million.

Subsequent  to  2019,  on  February  19,  2020,  we  entered  into  a  securities  purchase  agreement  with  institutional  investors  in  the  U.S.  to  purchase  our
Common Shares in a registered direct offering and warrants to purchase our Common Shares in a concurrent private placement. The net proceeds from this
offering were approximately $3.9 million.

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

29

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

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

There have been no principal capital expenditures and divestures (including interest in other companies) during the last three financial years or as the date
hereof.

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

Recent Developments

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

B.

Business overview

Our primary business strategy is to finalize the development, manufacturing, registration and commercialization of Macrilen™ (macimorelin) through the
License Agreement  in  the  U.S.  and  Canada.  We  continue  to  explore  various  alternatives  to  monetize  our  rights  to  Macrilen™  (macimorelin)  in  other
countries around the globe, by finding other license partners in these jurisdictions. 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”).

30

 
 
 
 
 
 
 
 
 
 
 
 
 
Competitors  for  Macrilen™  (macimorelin)  as  a  product  for  the  diagnosis  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:

● 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 has been proposed to be the best
alternative to ITT, but GHRH is no longer available in the U.S. 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 IV or IM
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.  patients  with  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 well-positioned to displace the ITT as
the preferred means by endocrinologists of evaluating AGHD for the following reasons:

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

● Macrilen™ (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;

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

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

We  believe  that  approximately  15,000  –  20,000  AGHD  tests  will  be  conducted  annually,  in  the  U.S.,  after  full  market  introduction  of  Macrilen™
(macimorelin).  In  addition,  based  on  published  information  from  the  U.S.  Centers  for  Disease  Control  and  Prevention,  different  scientific  publications,
Huron, TVG and Navigant Research, we estimate that the total potential U.S. market for AGHD evaluation is in the range of 28,000 to 43,000 tests per
year, excluding 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 10% to 35% of TBI victims according to published study results.
These data support a large upside potential for GHD testing.

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 IND application.
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 a New Drug Application (“NDA”) for the registration of Macrilen™ (macimorelin) in the U.S. 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

● 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
U.S. and the E.U. 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 stimulation test (“GHST”) 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 U.S. 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.

32

 
 
 
 
 
 
 
 
 
 
 
 
● 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
GHST 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 AGHD.

● On January 16, 2018, the Company, through AEZS Germany, entered into a License 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  EMA  adopted  a  positive  opinion

recommending a marketing authorization for macimorelin.

● On January 16, 2019, we announced that the EC granted marketing authorization for macimorelin.

● On  December  18,  2019,  we  announced  that  the  American  Association  of  Clinical  Endocrinologists  (“AACE”)  and  the  American  College  of
Endocrinology  (“ACE”)  published  new  “Guidelines  for  Management  of  Growth  Hormone  Deficiency  in  Adults  and  Patients  Transitioning  from
Pediatric to Adult Care” (“Guidelines”). Theses AACE/ACE 2019 Guidelines identify macimorelin as a “shorter and simpler alternative” compared to
the traditionally available GHST.

● On  January  28,  2020,  we  announced  successful  completion  of  patient  recruitment  for  the  first  pediatric  study  of  macimorelin  as  a  GHST  for  the

evaluation of GHD in children.

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Macrilen™ (macimorelin) License Agreement

On January 16, 2018, we entered into the License Agreement which 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 under the PIP to be run by the Company with customary oversight from a joint steering
committee  (the  “JSC”)  and  (iv)  an  interim  supply  arrangement  (“Supply  Arrangement”).  Strongbridge  Ireland  Limited  (“Strongbridge”),  effective
December 19, 2018, sold the U.S. and Canadian rights to Macrilen™ (macimorelin) to Novo for a payment plus tiered royalties on net sales. The service
agreement under which Novo agreed to fund Strongbridge’s Macrilen™ (macimorelin) field organization as a contract field force to promote the product in
the U.S. was terminated as of December 1, 2019.

(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 the 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 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  U.S.  In  2018,  the  Company  received  royalty  fees  of  $183,878  and  in  in  the  year  ended  December  31,  2019,  received
royalty fees of $45,000 under the License Agreement.

(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 Novo 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 Agreement, the licensee will pay 70% and the Company
will pay the remaining 30% of the research and development costs associated with the PIP. The Company invoiced $358,000 in 2018 and $979,000 in the
year ended December 31, 2019, as the licensee’s share of the costs incurred by the Company under the PIP.

(iv) Supply Arrangement

The Company agreed, in the Supply Arrangement to the License 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 Novo would be able to procure those same goods with other suppliers.

In November 2019, Novo contracted AEZS Germany, to provide supply chain services including API batch production and delivery of certain API and
semi-finished  goods,  as  well  as  the  provision  of  ongoing  support  activities.  In  2019,  the  Company  invoiced  $1,159,000  (2018  –  $2,167,000)  and  has
received payment in full of these invoices.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Rest of the world commercialization of macimorelin

On January 16, 2019, we announced that the EC 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 513 million
for the E.U. and the UK, research based on prevalence suggests that about 34,000 adults could be afflicted with GHD, with about 5,600 new cases per year.
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 ROW, although there can be no assurances that any such discussions will result in any definitive licensing
and/or distribution arrangements.

Monetization of non-strategic assets

Opportunities for the Company to monetize non-strategic assets include preclinical work done on AEZS-120, a prostate cancer vaccine and preclinical and
clinical work done on AEZS-108 (zoptarelin doxorubicin) and AEZS-104 (perifosine).

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  GHD  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 U.S. 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.

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 should allow for the specific binding and selective uptake of the cytotoxic conjugate by LHRH receptor-positive tumors. On December 1, 2014,
we have licensed the development, commercialization and certain other rights to Zoptrex™ to Sinopharm A-Think for China, Hong Kong and Macau; on
July 1, 2016, to an affiliate of Orient EuroPharma Co., Ltd. for Taiwan and southeast Asia; on July 31, 2016, to Rafa Laboratories, Ltd for Israel and the
Palestinian  territories  and  on  December  12,  2016,  to  Specialised  Therapeutics  Asia  Pte  Ltd  for  Australia  and  New  Zealand  (collectively,  the  “Zoptrex
Agreement”).

35

 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Regulation of Drug Development

Generally.  Governmental  authorities  in  the  U.S.,  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 U.S., the countries of the E.U., and other countries, we are subject to obligations to ensure that our clinical trials are conducted in
accordance with GCP guidelines and the investigational plan and protocols contained in an 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 U.S., 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 U.S., 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.

36

 
 
 
 
 
 
 
 
 
 
 
 
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.

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 an 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 GHD.

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 (“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.

37

 
 
 
 
 
 
 
 
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 U.S., which are described above.

The European Union. Medicines can be authorized in the E.U. by using either the centralized authorization procedure or national authorization procedures.
The  E.U.  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 EC that is valid across the E.U., 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.

●   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.

38

 
 
 
 
 
 
 
 
 
 
 
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 E.U., 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  6  owned  and  in-licensed  patent  families  (issued,
granted or pending in the U.S., 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  U.S.,  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.

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, we expect to apply for patent term
extensions on patents covering those products, outside the U.S. 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 U.S., 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.

39

 
 
 
 
 
 
 
 
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  a  NCE  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  E.U.  There  can  be  no  assurance  that  any  of  our  drug  candidates  will  obtain  such  orphan  drug  designation,  pediatric
exclusivity,  a  NCE  exclusivity  or  any  other  market  exclusivity  in  the  U.S.,  the  E.U.  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  trademark  for  macimorelin  as  licensed  under  the  License  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  GHD  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 GHD. This patent expires in October 2027.

● European patent 1 984 744 covers a method of assessing pituitary-related GHD by oral administration of macimorelin. This patent expires in February

2027.

● Japanese patent 4 852 728 covers a method of assessing pituitary-related GHD 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 GHD comprising oral administration of a macimorelin containing composition and
collecting one or two post-administration samples.

● The non-provisional U.S. application 15/993,507 was filed on May 30, 2018 drawing the priority of both provisional applications. The related U.S.

patent 10,288,629 was granted on May 14, 2019, and will expire on May 30, 2038.

● A PCT application was filed December 18, 2018 drawing the priority of both provisional U.S. applications. In addition to the method of assessing
GHD  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 GHD using 3 post-administration samples.

40

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Zoptrex™

We  have  licensed  the  intellectual  property  and  associated  rights  relating  to  LHRH  agonists  and  LHRH  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 LHRH agonists and LHRH 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  E.U.  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™ (zoptarelin doxorubicin) development and intellectual property filings and maintenance.

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, 2019 is depicted in the chart set forth under the caption “Item 4.A. History and development of the Company”.

41

 
 
 
 
 
 
 
 
 
 
D.

Property, plant and equipment

Our registered address is located in Toronto, 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, 2019.

Location

Use of space

  Occupied for administration

Square Footage

168 

Type of interest
Leasehold

  Occupied for management, R&D, business development

30,343 

Leasehold

and administration

315 Sigma Drive, Summerville SC
29486
Weismüllerstr. 50
D-60314
Frankfurt-am-Main, Germany

We believe that our current facilities are adequate to meet our ongoing needs.

Item 4A

Unresolved Staff Comments

Not required.

Item 5.

Operating and Financial Review and Prospects

Key Developments

Financing activities

On  September  20,  2019,  the  Company  entered  into  a  securities  purchase  agreement  with  U.S.  institutional  investors  to  purchase  $5.0  million  (before
transaction costs of $0.8 million) of our Common Shares for $1.50 per share in a registered direct offering and warrants to purchase Common Shares in a
concurrent private placement. Under the terms of the securities purchase agreement, the Company sold 3,325,000 Common Shares. In a concurrent private
placement,  the  Company  issued  warrants  to  purchase  up  to  an  aggregate  of  3,325,000  Common  Shares.  The  warrants  are  exercisable  commencing  six
months from the date of issuance, have an exercise price of $1.65 per share and expire five years following the date of issuance.

Subsequent to 2019, on February 21, 2020, the Company closed a registered direct offering for 3,478,261 Common Shares, at a purchase price of $1.29375
per  share,  priced  at-the-market.  Additionally,  the  Company  issued  to  the  investors  unregistered  warrants  to  purchase  up  to  an  aggregate  of  2,608,696
Common Shares in a concurrent private placement. The warrants have an exercise price of $1.20 per Common Share, are exercisable immediately and will
expire five and one-half years following the date of issuance. The net cash proceeds to the Company from the offering totaled approximately $3.9 million.
The  Company  also  issued  243,478  warrants  to  the  placement  agent  with  an  exercise  price  of  $1.61719  per  Common  Share,  which  are  exercisable
immediately and will expire five years following the date of issuance.

Commercialization of Macrilen™ (macimorelin) in the U.S. and Canada

On  January  16,  2018,  the  Company  through  AEZS  Germany  entered  into  the  License  Agreement  with  Strongbridge  to  carry  out  development,
manufacturing, registration, regulatory and supply chain services for the commercialization of Macrilen™ (macimorelin) in the U.S. 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  pediatric  indication
approved by the FDA; (iii) the licensee to fund 70% of the costs of a pediatric clinical trial submitted for approval to the EMA and FDA (the “PIP Study”)
to be run by the Company with customary oversight from a JSC; and (iv) an interim supply arrangement (the “Supply Arrangement”). Product sales of
Macrilen™ (macimorelin) began on July 23, 2018 by Strongbridge. Effective December 19, 2018, Strongbridge was sold to Novo.

42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Following Novo’s acquisition of the U.S. and Canadian rights to Macrilen™ (macimorelin), the JSC met in January, May, August and December 2019 to
discuss Novo’s commercialization plan for the U.S. and Canada, their supply chain needs and the enrollment of patients and protocols of the PIP Study. The
Company expects that quarterly meetings will continue as forecasts for sales, inventory build and needs for the PIP Study progresses.

On  December  18,  2019,  the  Company  announced  that  the  American  Association  of  Clinical  Endocrinologists  (“AACE”)  and  American  College  of
Endocrinology (“ACE”) recently published the new ‘Guidelines for Management of Growth Hormone Deficiency in Adults and Patients transitioning from
Pediatric  to  Adult  Care’.  These  AACE/ACE  2019  Guidelines  (publicly  available  at  (https://journals.aace.com/doi/10.4158/GL-2019-0405)  identify
macimorelin as a “shorter and simpler alternative” compared to the traditionally available growth hormone stimulation tests (“GHSTs”). For further details,
refer to the text of the guideline. Full citation: AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF
IN  ADULTS  AND  PATIENTS
ENDOCRINOLOGY  GUIDELINES  FOR  MANAGEMENT  OF  GROWTH  HORMONE  DEFICIENCY 
TRANSITIONING  FROM  PEDIATRIC  TO  ADULT  CARE  Kevin  C.  J.  Yuen,  Beverly  M.  K.  Biller,  Sally  Radovick,  John  D.  Carmichael,  Sina  Jasim,
Kevin M. Pantalone, and Andrew R. Hoffman Endocrine Practice 2019 25:11, 1191-1232

Royalty income earned under the License Agreement for the twelve-month period ending December 31, 2019 was $0.05 million (2018 - $0.2 million) and,
during the twelve-month period ended December 31, 2019, the Company invoiced Novo $1.0 million for its share of PIP Study costs (2018 - $0.4 million).

The Company agreed, in the Supply Arrangement to the License 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. In November 2019, Novo contracted AEZS Germany, to provide supply chain
services including API batch production and delivery of certain API and semi-finished goods, as well as the provision of ongoing support activities. In
2019, the Company invoiced $1.2 million (2018 – $2.2 million) and has received payment in full of these invoices.

Rest of the world commercialization of macimorelin

On January 16, 2019, we announced that the EC granted marketing authorization for macimorelin for the diagnosis of AGHD. We believe that this marks
an  important  development  in  our  European  commercialization  strategy  based  on  our  research  evaluating  the  potential  number  of  GHSTs  in  adults  in
Europe.  We  are  in  discussions  with  a  variety  of  companies  regarding  licensing  and/or  distribution  opportunities  in  the  ROW,  although  there  can  be  no
assurances that any such discussions will result in any definitive licensing and/or distribution arrangements.

Pediatric clinical trial for Macrilen™ (macimorelin)

Subsequent  to  2019,  on  January  28,  2020,  the  Company  announced  the  successful  completion  of  patient  recruitment  for  the  first  pediatric  study  of
macimorelin as a GHST for the evaluation of GHD in children. This study, AEZS-130-P01 (“Study P01”), is the first of two studies as agreed with the
European Medicines Agency in the Company’s PIP for macimorelin. Macimorelin, a ghrelin agonist, is an orally active small molecule that stimulates the
secretion  of  growth  hormone  from  the  pituitary  gland  into  the  circulatory  system.  The  goal  of  Study  P01  is  to  establish  a  dose  that  can  both  be  safely
administered  to  pediatric  patients  and  cause  a  clear  rise  in  growth  hormone  concentration  in  subjects  ultimately  diagnosed  as  not  having  GHD.  The
recommended dose derived from Study P01 will be evaluated in the pivotal second study AEZS-130-P02 (“Study P02”) on diagnostic efficacy and safety.
Study P01 is an international, multicenter study which is being conducted in Hungary, Poland, Ukraine, Serbia, Belarus and Russia. Study P01 is an open
label,  group  comparison,  dose  escalation  trial  designed  to  investigate  the  safety,  tolerability,  and  pharmacokinetic/pharmacodynamic(“PK/PD”)  of
macimorelin acetate after ascending single oral doses of macimorelin at 0.25, 0.5, and 1.0 mg per kg body weight in pediatric patients from 2 to less than
18  years  of  age  with  suspected  GHD.  We  enrolled  a  total  of  24  pediatric  patients  across  the  three  cohorts  of  the  study.  Per  study  protocol,  all  enrolled
patients will complete four study visits after successful completion of the screening period. At Visit 1 and Visit 3, a provocative GH stimulation test will be
conducted  according  to  the  study  sites’  local  practices.  At  Visit  2,  the  macimorelin  test  will  be  performed:  following  the  oral  administration  of  the
macimorelin solution, blood samples will be taken at predefined times for PK/PD assessment. Visit 4 is a safety follow-up visit at study end.

43

 
 
 
 
 
 
 
 
 
 
Study P01 is the first of two studies as agreed with the EMA in the Company’s PIP for macimorelin as a GHD diagnostic. Study P01 final study results are
expected in the second quarter of 2020. Thereafter, we plan to proceed with the pivotal Study P02 with expected start date in the fourth quarter of 2020 and
an expected completion date in July 2022, according to the PIP agreement with EMA.

Changes in personnel 

On June 6, 2019, the Company announced that it was reducing the size of its German workforce and operations to more closely reflect the Company’s
ongoing commercial activities. AEZS Germany and its Works Council approved a restructuring that affected 8 employees and was completed on January
31, 2020, resulting in approximately $0.6 million in severance costs.

In July 2019, Michael Ward resigned as managing director of AEZS Germany and Dr. Klaus Paulini assumed this role. In August 2019, Jonathan Pollack
resigned as a director and, in September 2019, Brian Garrison, resigned as a Senior Vice President, Global Commercial Operations of Aeterna Zentaris. On
October  4,  2019,  we  announced  the  appointment  of  Dr.  Klaus  Paulini  as  President  and  Chief  Executive  Officer  of  Aeterna  Zentaris,  replacing  Michael
Ward. Dr. Paulini was also appointed as a director of Aeterna Zentaris at that time.

On  December  16,  2019,  the  Company  announced  changes  to  its  director  composition  planned  for  the  first  quarter  of  2020.  Mr.  Gilles  Gagnon  (M.Sc.,
MBA, ICD.D) joined the Board of the Company on January 1, 2020. Mr. Gérard Limoges, who has served on the Board of the Company since 2004, is
planning to retire from the Board on March 31, 2020, and, upon his retirement, Mr. Pierre-Yves Desbiens (CPA, CA, CF, MBA) is joining the Board on
April 1, 2020 and replaces Mr. Limoges as Chair of the Audit Committee.

NASDAQ notifications

On January 8, 2020, the Company announced that it had received a notification letter from the NASDAQ indicating that, because the closing bid price of
the  Company’s  common  stock  for  30  consecutive  business  days  was  below  $1.00  per  share,  the  Company  no  longer  meets  the  minimum  bid  price
requirement set forth in NASDAQ Listing Rule5550(a)(2). NASDAQ Listing Rule 5810(c)(3)(A) provides that a failure to meet the minimum bid price
requirement exists if the deficiency continues for a period of 30 consecutive business days. On January 23, 2020, the Company received a letter from the
NASDAQ stating that because the Company’s shares had a closing bid price at $1.00 per share or greater for a minimum of ten (10) consecutive business
days, Aeterna Zentaris’ stock has regained compliance with the Bid Price Rule and the NASDAQ considers the matter closed. As of the date of this Annual
Report  on  Form  20-F,  the  Company’s  closing  bid  price  was  below  $1.00.  See  “Item  3.D.  Risk  factors—Our  Common  Shares  may  be  delisted  from  the
NASDAQ or the TSX, which could affect their market price and liquidity. If our Common Shares were to be delisted, investors may have difficulty in
disposing their Common Shares.”

44

 
 
 
 
 
 
 
 
 
Settlement of Class-Action Lawsuit

On  March  9,  2020,  the  Company  settled  the  previously  disclosed  class-action  lawsuit  against  it  pending  in  the  U.S.  District  Court  for  New  Jersey.  The
settlement payment of $6.5 million will be funded entirely by our insurers. The class-action lawsuit alleged that the Company and certain of its former
officers and directors violated the Securities Exchange Act of 1934 in connection with certain public statements between August 30, 2011 and November 6,
2014,  regarding  the  safety  and  efficacy  of  Macrilen™  (macimorelin)  and  the  prospects  for  the  approval  of  the  Company’s  NDA  for  the  product  by  the
FDA. This settlement remains subject to execution of final settlement documents and approval by the U.S. District Court for the District of New Jersey.

Exposure to Epidemic or Pandemic Outbreak

As of March 25, 2020, coronavirus or COVID-19, a contagious disease that has been characterized by the World Health Organization as a pandemic, is
affecting the global community and is adversely affecting our business operations, which at this time cannot currently be fully determined or quantified.
Aeterna Zentaris has developed protocols and procedures should they be required to deal with any potential epidemics and pandemics, and has put these
protocols and procedures in place to address the current COVID-19 pandemic. Despite appropriate steps being taken to mitigate such risks, there can be no
assurance that existing policies and procedures will ensure that the Company’s operations will not be adversely affected.

The COVID-19 pandemic has resulted in a widespread health crisis that has adversely affected the economies and financial markets of many regions and
countries. While the COVID-19 outbreak may still be in its early stages, international stock markets have begun to reflect the uncertainty associated with
the potential economic impact of the outbreak and the significant declines in the TSX Composite Index, the NASDAQ and other major indices around the
world in the latter part of February and in March 2020 has largely been attributed to the effects of COVID-19. There can be no assurance that a disruption
in  financial  markets,  regional  economies  and  the  world  economy  would  not  negatively  affect  Aeterna  Zentaris’  access  to  capital  or  the  financial
performance of the Company.

Uncertain  factors,  including  the  duration  of  the  outbreak,  the  severity  of  the  disease  and  the  actions  to  contain  or  treat  its  impact,  could  impair  our
operations including, among other things, employee mobility and productivity, availability of our facilities, conduct of our clinical trials and the availability
and the productivity of third party product and service suppliers. Please see the Risk Factor entitled “The economic effects of a pandemic, epidemic or
outbreak of an infectious disease could adversely affect our operations or the market price of our Common Shares” in our Annual Report on Form 20-F for
the year ended December 31, 2019.

Monetization of non-strategic assets

Opportunities for the Company to monetize non-strategic assets include preclinical work done on AEZS-120, a prostate cancer vaccine and preclinical and
clinical work done on AEZS-108 (zoptarelin doxorubicin) and AEZS-104 (perifosine).

45

 
 
 
 
 
 
 
 
 
 
A. Operating Results

Consolidated Statements of Comprehensive Loss Information

(in thousands, except share and per share data)

2019

2018

2019

Three months ended December
31,

Years ended
December 31,
2018

2017

Revenues
License fees
Product sales
Royalty income
Sales commission
Supply chain
Total revenues

Operating expenses
Cost of sales
Research and development costs
General and administrative expenses
Selling expenses
Restructuring costs
Impairment of right of use asset
Write-off of other current assets
Total operating expenses
(Loss) income from operations
Settlements
Gain due to changes in foreign currency exchange rates
Change in fair value of warrant liability
Other finance (costs) income
Net finance income (costs)
(Loss) income before income taxes
Income tax recovery (expense)
Net (loss) income
Other comprehensive (loss) income:
Foreign currency translation adjustments
Actuarial gain (loss) on defined benefit plans
Comprehensive (loss) income

Net loss per share (basic)
Net loss per share (diluted)

$   

19 
— 
16 
— 
(17)  
18 

309 
263 
1,691 
38 
(266)  
(254)  
— 
1,781 
(1,763)  
— 
26 
533 
10 
569 
(1,194)  
188 
(1,006)  

(268)  
959 
(315)  
(0.05)  
(0.05)  

$   

(332)  
1,446 
184 
— 
94 
1,392 

1,413 
767 
1,665 
588 
— 
— 
— 
4,433 
(3,041)  
(1,400)  
64 
(1,489)  
104 
(1,321)  
(5,762)  
636 
(5,126)  

(13)  
(418)  
(5,557)  
(0.31)  
(0.31)  

$   

74   
129   
45   
—   
284   
532   

410   
1,837   
6,615   
1,214   
507   
22   
169   
10,774   
(10,242)  
—   
87   
4,518   
(593)  
4,012   
(6,230)  
188   
(6,042)  

83   
(1,068)  
(7,027)  
(0.35)  
(0.35)  

$   

24,325   
2,167   
184   
110   
95   
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   

(260)  
193   
4,120   
0.25   
0.24   

$ 

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)

(1,430 
694 
(17,532)
(1.12)
(1.12)

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.

46

 
 
 
 
 
 
   
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2019 compared with 2018

Fourth Quarter

Revenues

Our total revenue for the three-month period ended December 31, 2019 was $0.02 million as compared with $1.4 million for the same period in 2018,
representing a decrease of $1.4 million. The 2019 revenue was comprised of $0.02 million in royalty revenue (2018 - $0.2 million), $nil in product sales
(2018 - $1.4 million), ($0.02) million in supply chain revenue (2018 - $0.1 million) and $0.02 million in licensing revenue (2018 – ($0.3) million). The
product sales in 2018 represented sales of Macrilen™ (macimorelin) . There were no sales of Macrilen™ (macimorelin) in the fourth quarter of 2019.

Operating expenses

Our total operating expense for the three-month period ended December 31, 2019 was $1.8 million as compared with $4.4 million for the same period in
2018, representing a decrease of $2.7 million. This decrease arises primarily from a $1.1 million decline in cost of sales, a $0.5 million decline in research
and development costs, a $0.5 million decline in general and administrative expenses, a $0.3 million reversal of restructuring costs and a $0.3 impairment
in right of use assets. The decline in cost of sales arose from there being no sales of Macrilen™ (macimorelin) in the fourth quarter of 2019, as compared to
the fourth quarter of 2019 during which there were sales of Macrilen™ (macimorelin). The decline in research and development costs are attributed to the
difference  phases  of  activity  of  Study  P01.  In  the  fourth  quarter  of  2018,  study  activities  included  study  start  with  document  development,  medication
manufacturing, study feasibility testing at different sites and clinical trial applications in Hungary, Poland, Belarus, Russia, Ukraine and Serbia, while in
2019, the focus was on the clinical conduct. The expense amounts in the fourth quarter of 2019 reflect that most sites had completed their enrollment and
clinical activities. The decline in general and administrative expenses is due primarily to our cost control measures implemented in 2018 and the decline in
selling expenses arises from a reclassification of costs to cost of sales, in accordance with the signed supply agreement with Novo.

Settlements

In prior year’s fourth quarter, $1.4 million was classified as settlements as compared with nil in the same period in 2019. The costs in the fourth quarter of
2018 were to settle a lawsuit against the Company from two of its former executives. There were no settlements in 2019.

Net finance income (costs)

Our net finance income for the three-month period ended December 31, 2019 was $0.6 million as compared with a net finance costs of $1.3 million for the
same period in 2018, representing an increase of $1.9 million. This is primarily due to a $2.0 million change in fair value of warrant liability offset by
increased finance costs of $0.1 million. Such a non-cash change in fair value results from the periodic “mark-to-market” revaluation, which occurs through
the application of our pricing model, of our outstanding share purchase warrants.

Net Loss

For  the  three-month  period  ended  December  31,  2019,  we  reported  a  consolidated  net  loss  of  $1.0  million,  or  $0.05  loss  per  common  share  (basic),  as
compared with a consolidated net loss of $5.1 million, or $0.31 loss per common share (basic), for the three-month period ended December 31, 2018. The
$4.1 million improvement in net results is primarily from a gain in fair value of warrant liability of $2.0 million and a decline in operating expenses of $2.7
million.

Fiscal Year-End

47

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues

Our total revenue for the twelve-month period ended December 31, 2019 was $0.5 million as compared with $26.9 million for the same period in 2018,
representing a decline of $26.4 million. The 2019 revenue was comprised of $0.05 million in royalty income (2018 - $0.2 million), $0.1 million in product
sales (2018 - $2.2 million), $0.3 million in supply chain revenue (2018 - $0.1 million) and $0.1 million in licensing revenue (2018 - $24.3 million). There
was no sales commission revenue in 2019. The decline in total revenue in 2019 relates primarily to the one-time $24.0 million cash payment received from
executing the License Agreement in January 2018 and the initial delivery of Macrilen™ (macimorelin) to our licensee.

Operating expenses

Our total operating expense for the twelve-month period ended December 31, 2019 was $10.8 million as compared with $17.0 million for the same period
in 2018, representing a decrease of $6.2 million. This decline arises primarily from a $2.3 million reduction in general and administration expenses, a $1.9
million reduction in selling costs, a $1.7 million decline in cost of sales and a $1.1 million reduction in research and development costs, offset by $0.5
million  increase  in  restructuring  costs,  $0.02  million  impairment  in  right  to  use  assets  and  $0.2  million  write-off  of  other  current  assets.  The  decline  in
general  and  administrative  expenses  and  in  selling  expenses  reflects  the  cost  control  improvements  implemented  in  late  2018,  the  impact  of  the
restructuring  in  June  2019  and  the  settlement  of  lawsuits  in  2018  (thereby  reducing  legal  expenses).  In  2019,  our  licensee  purchased  less  Macrilen™
(macimorelin) product than they did in 2018.

Settlements

In 2018, $1.4 million was classified as settlements. These were costs to settle a lawsuit against the Company from two of its former executives. There were
no settlements in 2019.

Net finance income

Our net finance income for the twelve-month period ended December 31, 2019 was $4.0 million as compared with $1.2 million for the same period in
2018, representing an increase of $2.8 million. This is primarily due to a $4.3 million increase change in fair value of warrant liability, offset by a reduction
in  gain  due  to  foreign  currency  exchange  rates  of  $0.6  million  and  a  $0.9  million  increase  in  other  finance  costs.  Such  a  non-cash  change  in  fair  value
results  from  the  periodic  “mark-to-market”  revaluation,  which  occurs  through  the  application  of  our  pricing  model,  of  our  outstanding  share  purchase
warrants. Increased finance costs result primarily from $0.5 million in transaction costs from the issuance of warrants in the September 2019 financing and
$0.1 million in costs from exploring other potential financings.

Net Loss

For the twelve-month period ended December 31, 2019, we reported a consolidated net loss of $6.0 million, or $0.35 loss per common share (basic), as
compared with a consolidated net income of $4.2 million, or $0.25 income per common share (basic), for the twelve-month period ended December 31,
2018. The $10.2 million decline in net results is primarily from a reduction of $26.3 million in revenue offset by $5.6 million in tax expense, $6.3 million
decline in operating expenses, $2.8 million increase in net finance income and $1.4 million decline in settlements.

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 U.S.

48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating expenses

Our total operating expenses for the three-month period ended December 31, 2018 was $4.4 million as compared with $3.8 million for the same period in
2017, representing an increase of $0.6 million. This net increase arises primarily from a $1.4 million increase of cost of sales for Macrilen™ (macimorelin)
inventory sold under the Supply Arrangement to our licensee for future sales in the U.S., a $0.2 million increase in research and development costs and a
$0.1 million increase in selling expenses, offset by $1.1 million decrease in general and administration expenses.

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 Agreement signed for Macrilen™ (macimorelin) in January
2018.

Operating expenses

Our  total  operating  expenses  for  the  year  ended  December  31,  2018  was  $17.0  million  as  compared  with  $24.0  million  for  the  same  period  in  2017,
representing a decline of $7.0 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 $2.1 million increase in cost of sales and a $0.7 million increase in general and administration expenses.

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 the Supply Arrangement under the License Agreement.

49

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and development

In 2018, our focus was on 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 first quarter of 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 ROW.

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 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.

50

 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Selected quarterly financial data

(in thousands, except for per share data)

Revenues
Net (loss) income
Net (loss) income per share [basic]*
Net (loss) income per share [diluted]*

Three months ended

December 31,
2019
$

September 30,
2019
$

June 30,
2019
$

March 31,
2019
$

18 
(1,006)  

(0.05)  

(0.05)  

283   
(331)  
(0.02)  
(0.02)  

194   
206   
0.01   
0.01   

37 
(4,911)
(0.30)
(0.30)

(in thousands, except for per share data)

Three months ended

Revenues
Net (loss) income
Net (loss) income per share [basic]*
Net loss per share [basic and diluted]*

December 31,
2018
$

September 30,
2018
$

June 30, 
2018
$

March 31,
2018
$

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 

* 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) income cannot be taken as reflective of recurring revenue or expenditure patterns of predictable
trends, largely given the non-recurring nature of certain components of our historical revenues, due most notably to unpredictable quarterly variations in net
finance  income,  which  are  impacted  by  periodic  “mark-to-market”  revaluations  of  our  warrant  liability  and  of  foreign  exchange  gains  and  losses.  In
addition, we cannot predict what the revenues from royalties will be from the License Agreement.

51

 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Condensed Consolidated Statement of Financial Position Information

(in thousands)

Cash and cash equivalents
Trade and other receivables and other current assets
Inventory
Restricted cash equivalents
Property, plant and equipment
Right of use 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
Lease liabilities
Warrant liability
Non-financial non-current liabilities (1)
Total liabilities
Shareholders’ (deficiency) equity
Total liabilities and shareholders’ (deficiency) equity

December 31,

2019
$

2018
$

7,838   
1,869   
1,203   
364   
35   
582   
8,090   
19,981   
3,596   
418   
991   
903   
2,255   
14,281   
22,444   
(2,463)  
19,981   

14,512 
1,504 
240 
418 
65 
— 
8,272 
25,011 
4,635 
887 
74 
— 
3,634 
13,874 
23,104 
1,907 
25,011 

1.

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

Outstanding Share Data

As at March 25, 2020, we had 23,472,771 Common Shares issued and outstanding, as well as 953,557 stock options and Deferred Share Units (“DSUs”)
outstanding. Share purchase warrants outstanding as at March 17, 2020 represented a total of 9,453,174 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, 2019 consolidated financial statements which are included in Item 18 of this Annual
Report on Form 20-F.

B.

Liquidity, Cash Flows and Capital Resources

Since  inception,  we  have  incurred  significant  expenses  in  our  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 Macrilen™ (macimorelin) in the U.S. and Canada. As at December
31, 2019, the Company had an accumulated deficit of $317 million. The Company also had a net loss of $6 million for the year ended December 31, 2019,
and negative cash flow from operations of $10.7 million.

52

 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The  Company’s  principal  focus  is  on  the  commercialization  of  Macrilen™  (macimorelin)  and  it  currently  does  not  have  any  other  approved  products.
Under the terms of the License Agreement with Novo, Novo is funding 70% of the pediatric clinical trial submitted to the EMA and FDA, the Company’s
sole development activity. In November 2019, Novo contracted AEZS Germany, our wholly owned German subsidiary, to provide supply chain services for
the manufacture of Macrilen™ (macimorelin).

Management has evaluated whether material uncertainties exist relating to events or conditions that may cast substantial doubt about the Company’s ability
to continue as a going concern and has considered the following in making that critical judgment.

The ability of the Company to realize its assets and meet its obligations as they come due is dependent on earning sufficient revenues under the License
Agreement, developing opportunities for Macrilen™ (macimorelin) in the rest of the world, realizing other monetizing transactions, and raising additional
sources of funding, the outcome of which cannot be predicted at this time. The revenue provided under the License Agreement was $45,000 for the year
ended  December  31,  2019  and  as  at  December  31,  2019,  the  Company  had  cash  of  $7,838,000.  In  September  2019,  the  Company  closed  an  equity
financing which provided $4,193,000 in net cash proceeds. On February 21, 2020, the Company closed an equity financing for approximately $3,920,000
in net cash proceeds.

A significant portion of the Company’s cash is held in AEZS Germany, the Company’s principle operating subsidiary. AEZS Germany is the counter-party
to  the  License  Agreement  described  above  with  Novo,  and  as  such,  for  generating  future  revenue  earned  under  the  License  Agreement.  As  such,
management considers the cash resources available to AEZS Germany in executing its obligations under the License Agreement. In the event the current
and medium term liabilities of AEZS Germany exceeds the fair values ascribed to its assets, under German solvency laws, it may no longer be possible for
AEZS  Germany’s  operations  to  continue  or  for  AEZS  Germany  to  transfer  cash  to Aeterna  Zentaris  or  its  U.S.  subsidiary.  This  imposes  additional  and
material uncertainties on the Company when evaluating liquidity and the going concern assumption.

The  Company  has  some  discretion  to  manage  its  planned  research  and  development  costs,  administrative  expenses  and  capital  expenditures  in  order  to
manage its cash liquidity, particularly in AEZS Germany. Furthermore, AEZS Germany is focused on opportunities to either license or sell the European or
worldwide rights to Macrilen™ (macimorelin) to third parties. As of the date of issuance of these consolidated financial statements, there are no assurances
that cash will be generated from such arrangements. As such, management may also need to consider other sources of financing in order to continue its
planned operations.

Management has assessed the Company’s ability to continue as a going concern and concluded that additional capital will be required. There can be no
assurance  that  the  Company  will  be  able  to  execute  license  or  purchase  agreements  or  to  obtain  equity  or  debt  financing,  or  on  terms  acceptable  to  it.
Factors within and outside the Company’s control could have a significant bearing on its ability to obtain additional financing. As a result, management has
determined that there are material uncertainties that may cast significant doubt upon the Company’s ability to continue as a going concern.

License Agreement

On January 16, 2018, the Company entered into the License Agreement. Effective December 19, 2018, Strongbridge sold the U.S. and Canadian rights to
Macrilen™ (macimorelin) to Novo.

(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 the 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 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.

53

 
 
 
 
 
 
 
 
 
 
 
 
(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 GHD. Under the terms of the License 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 2019, the Company invoiced its licensee $979,000 (2018
- $358,000) as its share of the costs incurred by the Company under the PIP; such amounts have been collected in full.

(iv) Supply Arrangement

The Company agreed, in the Supply Arrangement to the License 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 Novo would be able to procure those same goods with other suppliers. 

In November 2019, Novo contracted AEZS Germany, to provide supply chain services including API batch production and delivery of certain API and
semi-finished  goods,  as  well  as  the  provision  of  ongoing  support  activities.  In  2019,  the  Company  invoiced  $1,159,000  (2018  –  $2,167,000)  and  has
received payment in full of these invoices.

Registered and Private Offerings

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. Between May 30, 2017 and December 31, 2017, we issued 1.8 million common shares at an average issuance price of $2.08
per share under the New ATM Sales Agreement.

On September 20, 2019, we entered into a securities purchase agreement (the “2019 Securities Purchase Agreement”) with institutional investors in the
U.S. to purchase approximately $5.0 million of our Common Shares for $1.50 per share in a registered direct offering and warrants to purchase Common
Shares in a concurrent private placement. The gross proceeds from the offering were approximately $5.0 million before deducting the placement agent’s
fees  and  other  estimated  offering  expenses.  Under  the  terms  of  the  2019  Securities  Purchase  Agreement,  we  sold  3,325,000  Common  Shares.  In  a
concurrent private placement, we issued unregistered warrants to purchase up to approximately 3,325,000 Common Shares. The warrants are exercisable
six months following the date of issuance and have an exercise price of $1.65. The warrants will expire five years from the date of issuance. The Common
Shares  described  above  (but  not  the  warrants  or  the  Common  Shares  underlying  the  warrants)  were  offered  by  us  pursuant  to  a  “shelf”  registration
statement on Form F-3, as amended (the “2019 Shelf Registration Statement”), which was declared effective by the SEC on August 15, 2019.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Subsequent to 2019, on February 21, 2020, we entered into a securities purchase agreement (the “2020 Securities Purchase Agreement”) with institutional
investors in the U.S. to purchase 3,478,261 Common Shares, at a purchase price of $1.29375 per share, priced at-the-market under the NASDAQ rules.
Under the terms of the 2020 Securities Purchase Agreement, we issued to the investors unregistered warrants to purchase up to an aggregate of 2,608,696
Common Shares in a concurrent private placement. The warrants have an exercise price of $1.20 per common share, are exercisable immediately and will
expire five and one-half years following the date of issuance. The gross proceeds from the offering totaled approximately $4.5 million, before deducting
placement agent fees and offering expenses. The Common Shares described above (but not the warrants or the Common Shares underlying the warrants)
were offered by us pursuant to the 2019 Shelf Registration Statement.

The variations in our liquidity by activity are explained below.

(in thousands)

Cash and cash equivalents - Beginning of period
Cash flows from operating activities:
Net cash (used in) provided by operating activities

Cash flows from financing activities:
Net proceeds from issuance of common shares
Proceeds from exercise of warrants, stock options and
deferred share units
Payments on lease liability

Cash flows from investing activities:
Net cash provided by (used in) investing activities

Three months ended
December 31,

2019
$

2018
$

2019
$

Years ended
December 31,
2018
$

2017
$

10,862   

16,800   

14,512   

7,780   

21,999 

(2,954)  
(2,954)  

(2,679)  
(2,679)  

(10,725)  
(10,725)  

6,825   
6,825   

(22,913)
(22,913)

(9)  

—   
(152)  
(161)  

—   
—   

—   

—   
—   
—   

—   
—   

4,193   

314   
(614)  
3,893   

50   
50   

108   
7,838   

—   

—   
—   
—   

(35)  
(35)  

(58)  
14,512   

7,788 

242 
— 
8,030 

307)
307)

357)
7,780 

Effect of exchange rate changes on cash and cash
equivalents
Cash and cash equivalents - End of period

91   
7,838   

387   
14,512   

Operating Activities

2019 compared to 2018

Cash  (used  by)  operating  activities  totaled  ($10.7)  million  for  the  twelve  months  ended  December  31,  2019,  as  compared  to  $6.8  million  provided  by
operating  activities  in  the  same  period  in  2018.  In  the  twelve-month  period  ended  December  31,  2019,  the  Company  had  net  loss  of  $6.0  million  as
compared with net income of $4.2 million in the same period in 2018. In 2019, the Company did not have significant royalty or licensing revenues, while,
in the same period in 2018, the Company received a $24.0 million cash payment from executing the License Agreement in January 2018.

55

 
 
 
 
 
   
 
 
 
   
   
   
   
 
 
 
   
   
   
   
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Financing Activities

2019 compared to 2018

Cash provided by financing activities totaled $3.9 million for the twelve months ended December 31, 2019, as compared with $nil in the same period in
2018. On September 20, 2019, the Company entered into a securities purchase agreement with U.S. institutional investors to purchase $5.0 million (before
transaction costs of $0.8 million) of our Common Shares for $1.50 per share in a registered direct offering and warrants to purchase Common Shares in a
concurrent private placement. Under the terms of the securities purchase agreement, the Company sold 3,325,000 common shares. In a concurrent private
placement,  the  Company  issued  warrants  to  purchase  up  to  an  aggregate  of  3,325,000  common  shares.  The  warrants  are  exercisable  commencing  six
months from the date of issuance, have an exercise price of $1.65 per share and expire 5 years following the date of issuance. In addition, the Company
received $0.3 million from the exercise of warrants, options and deferred share units and paid $0.6 million in lease liabilities subsequent to adoption of
IFRS 16 in January 2019.

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 million 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.

Investing Activities

2019 compared to 2018

Cash provided by investing activities totaled $0.05 million for the twelve months ended December 31, 2019, as compared with ($0.04 million) used by
investing  activities  in  the  same  period  in  2018.  In  2019,  the  Company  received  $0.05  million  in  restricted  cash  when  it  closed  out  certain  banking
arrangements, while in 2018, the Company sold certain property, plant and equipment for $0.01 million and added $0.05 million in restricted cash.

2018 compared to 2017

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.

Critical Accounting Policies, Estimates and Judgments

Our consolidated financial statements as at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017 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.

56

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2019
and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017.

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.

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 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.

57

 
 
 
 
 
 
 
 
 
D.

Trend Information

Subsequent to year end, the COVID-19 pandemic began causing significant financial market declines and social dislocation. The situation is dynamic with
various cities and countries around the world responding in different ways to address the outbreak.  The spread of COVID-19 may impact our operations,
including the potential interruption of our clinical trial activities and our supply chain. For example, the COVID-19 outbreak may delay enrollment in our
pediatric clinical trial due to prioritization of hospital resources toward the outbreak, and some patients may be unwilling to enroll in our trials or be unable
to comply with clinical trial protocols if quarantines impede patient movement or interrupt healthcare services, which would delay our ability to conduct
clinical trials or release clinical trial results and could delay our ability to obtain regulatory approval and commercialize our product candidates. The spread
of an infectious disease, including COVID-19, may also result in the inability of our suppliers to deliver components or raw materials on a timely basis or
at all. In addition, hospitals may reduce staffing and reduce or postpone certain treatments in response to the spread of an infectious disease. Such events
may result in a period of business disruption and, in reduced operations, doctors or medical providers may be unwilling to participate in our clinical trials,
any  of  which  could  materially  affect  our  business,  financial  condition  or  results  of  operations.    The  significant  spread  of  COVID-19  within  the  U.S.,
Canada, Germany and elsewhere resulted in a widespread health crisis and has had adverse effects on local, national and global economies generally, the
markets that we serve, our operations and the market price of our Common Shares.The Company’s impairment test for various assets including goodwill
and intangibles is based on fair value models which are based on cash flows from operations or other market dependent models. Accordingly, as required
by IFRS we have not reflected these subsequent conditions in the recoverable value of the  estimate of these assets at December 31, 2019.

Uncertain  factors,  including  the  duration  of  the  outbreak,  the  severity  of  the  disease  and  the  actions  to  contain  or  treat  its  impact,  could  impair  our
operations including, among other things, employee mobility and productivity, availability of our facilities, conduct of our clinical trials and the availability
and the productivity of third-party product and service suppliers.

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 24 to the Company’s annual audited consolidated financial statements as at December 31, 2019 and 2018
and for the years ended December 31, 2019, 2018 and 2017.

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, 2019, 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 payments in connection with service and manufacturing agreements, as at December 31, 2019, 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

A.

Directors and senior management

Service and 
manufacturing
$

1,600 
11 
5 
5 
1,621 

The following table sets forth information about our directors and our senior corporate officers as at December 31, 2019:

Name and Place of Residence

Position with Aeterna Zentaris

Ammer, Nicola
Hessen, Germany
Auld, Leslie
Ontario, Canada
Egbert, Carolyn
Texas, United States
Gagnon, Gilles(1)
Quebec, Canada
Gerlach, Matthias
Hessen, Germany
Grau, Guenther
Hessen, Germany
Guenther, Eckhard
Hessen, Germany
Limoges, Gérard
Québec, Canada
Norton, Brent

  Chief Medical Officer, Vice President Clinical Development

  Senior Vice President, Chief Financial Officer

  Director, Chair of the Board

  Director

  Vice President Manufacturing and Supply Chain

  Vice President Finance

Vice President Business Development & Alliance Management; Managing
Director AEZS Germany

  Director

  Director

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ontario, Canada
Paulini, Klaus
Hessen, Germany
Smith Hoke, Robin
Ohio, United States

President, Chief Executive Officer, Director; Managing Director AEZS
Germany

  Director

(1)

Mr. Gagnon joined the Board on January 1, 2020.

The following is a brief biography of each of our directors and executive officers.1

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  AEZS  Germany,  began  her  career  in  the  pharmaceutical  medicine
environment  in  the  CRO  business  in  2002  and  gained  experience  in  all  aspects  of  clinical  research  &  development  in  various  positions  with  increasing
responsibility, including a Director of Clinical Operations. She joined AEZS Germany 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,  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. (“Solvay”) (a chemical and pharmaceutical company) in
Houston,  Texas.  Over  the  course  of  a  twenty-year  career  with  Solvay,  she  held  the  positions  of  Vice  President,  Human  Resources,  President  of  Solvay
Management Services, Global Head of Human Resources and Senior Executive Vice President of Global Ethics and Compliance. During her tenure with
Solvay, she served as a director on the board of directors of seven subsidiary companies and as Chair of one subsidiary board. After retiring in 2010, she
established a consulting business providing expertise in corporate governance, ethics and compliance, organizational development, executive compensation
and strategic human resources. She holds a Bachelor of Sciences degree in Biological Sciences from George Washington University, Washington D.C. and
a  Juris  Doctor  degree  from  Seattle  University,  Seattle,  Washington.  She  also  was  a  Ph.D.  candidate  in  Pharmacology  at  both  Georgetown  University
Medical School at Washington, D.C. and Northwestern University Medical School at Chicago, Illinois. She remains an active member of both the Michigan
State Bar and the District of Columbia Bar, Washington, D.C.

58

 
 
 
 
 
 
 
Gilles Gagnon  is  currently  the  President  and  Chief  Executive  Officer  of  Ceapro  Inc.  Prior  to  that,  he  was  President  and  CEO  of  Aeterna  Zentaris  Inc.
During  the  past  35  years,  Mr.  Gagnon  has  worked  at  several  management  levels  within  the  field  of  health,  especially  in  the  hospital  environment  and
pharmaceutical industry. Mr. Gagnon has participated in several international committees and strategic advisory boards. He served nine years on the board
of directors of Canada’s Research Based Pharmaceutical Companies (Rx&D—now Innovative Medicine Canada) where he represented members from the
biopharmaceutical  sector  and  pioneered  the  Rx&D’s  Canadian  Biopartnering  initiative.  He  is  currently  a  member  of  the  CEO  Council  of  Innovative
Medicine  Canada.  He  is  a  certified  corporate  Director  having  completed  the  Directors  Education  Program  at  the  Rotman  School  of  Management  at  the
University of Toronto and he has served on several boards of both private and publicly listed companies in the biopharmaceutical sector.

Matthias Gerlach was appointed as our Vice President, Manufacturing Operations in June 2014 and as Vice President, Manufacturing and Supply Chain in
January 2018. He serves as one of our executive officers. From December 2011 through May 2014, he was our Vice President, Medicinal Chemistry. Dr.
Gerlach,  who  is  based  in  the  Frankfurt  office  of  AEZS  Germany,  began  his  career  in  the  pharmaceutical  industry  in  1997.  He  joined  our  Company  in
January 2001, assuming roles of increasing responsibility in areas of medicinal chemistry and preclinical development through product commercialization
during his career. He possesses numerous scientific and business skills and has a long record of successful innovation, drug development and management
and contributed significantly to the successful U.S.-commercialization of macimorelin in the adult indication. Dr. Gerlach obtained a diploma in Chemistry
from the Johann Wolfgang Goethe University in Frankfurt in 1994 and was awarded his doctorate diploma in synthetic organic chemistry by the Johann
Wolfgang Goethe University in 1997.

Guenther 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 Guenther was appointed as Managing Director of AEZS Germany in January 2020, and Vice President of Business Development & Alliance
Management in 2018. Dr. Guenther brings more than 25 years in the pharmaceutical industry, with profound knowledge and expertise in drug discovery
and  development  in  various  indication  areas  like  oncology  and  endocrinology.  Additionally,  over  the  course  of  his  career  he  has  gained  extensive
experience  across  research  coordination,  project  management,  intellectual  properties  and  business  development.  After  receiving  his  Ph.D.  in  organic
chemistry from the Martin-Luther University of Halle-Wittenberg (Germany), he started his industrial career at Fahlberg-List Magdeburg in 1985. In 1990
he joined ASTA Medica AG in Frankfurt where he worked in the department of Medicinal Chemistry. During his time at ASTA Medica, Dr. Guenther was
significantly involved in the preparation and execution for the spin-off of the biotechnology company Zentaris from ASTA Medica. After the founding of
Aeterna  Zentaris  in  2002  he  was  appointed  to  Vice  President  of  Drug  Discovery  and  Preclinical  Research.  In  2008  he  was  promoted  to  Vice  President
Alliance  Management  &  Intellectual  Property  and  in  2014  he  became  Vice  President  of  Business  Development  at  Aeterna  Zentaris.  Dr.  Guenther  was
responsible  for  the  initiation  and  execution  of  several  R&D  and  licensing  deals  with  midsize  and  large  international  pharmaceutical  companies,  like
Schering Pharma, Solvay, Yakult Honsha, Hikma Pharmaceuticals and Sinopharm A-Think. Dr. Guenther is based in Frankfurt, Germany.

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 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.

59

 
 
 
 
 
 
 
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  U.S.  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.

Dr. Klaus Paulini was appointed President and Chief Executive Officer of the Company in October 2019 and also serves as a director on our Board. Dr.
Paulini is based in Frankfurt, Germany at our subsidiary AEZS Germany, where he was appointed Managing Director in July 2019 and as Vice President
Quality and Regulatory in February 2018. Dr. Paulini began his career in the pharmaceutical industry at ASTA Medica AG in 1997. He had an active role
when Zentaris was formed and spun out of ASTA Medica, and served in various roles with increasing responsibility at the company ever since, including
project  responsibility  for  Cetrotide®.  As  Head  of  Quality  Assurance,  Dr.  Paulini  successfully  managed  many  of  our  clinical  development  projects  –
including  Macrilen™/Macimorelin  –  in  R&D  phase  as  group  leader  medicinal  chemistry.  With  his  extensive  experience  and  knowledge,  he  provided
successful oversight and valuable input for our pharmaceutical and clinical development programs, ensuring successful and compliant outcomes, ultimately
leading to regulatory approvals by the US FDA and the EMA. Dr. Paulini obtained his PhD (Dr. Ing.) in chemistry at the Technical University Darmstadt
(Germany) in 1993 and specialized in medicinal chemistry/drug discovery during subsequent postdoctoral fellowships at Strathclyde University (Glasgow,
Scotland) and J.W. Goethe University (Frankfurt, Germany) before joining ASTA Medica AG.

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.

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, 2019: €1.000 = U.S.$1.120 and CAN$1.000 = U.S.$0.754; for the financial year ended December 31, 2018: €1.000 = U.S.$1.181 and
CAN$1.000 = U.S.$0.772; and for the financial year ended December 31, 2017: €1.000 = U.S.$1.198 and CAN$1.000 = U.S.$0.797.

60

 
 
 
 
 
 
 
 
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 Dr. Brent Norton (Chair), Ms. Carolyn Egbert 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.

Type of Compensation

Chair of the Board Retainer
Board Member Retainer
Audit Committee Chair Retainer
Audit Committee Member Retainer
NGCC Chair Retainer
NGCC Member Retainer

Annual Retainer for the year 2019
80,000
40,000
20,000
5,000
15,000
3,000

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

Outstanding Awards

The following table shows all awards outstanding to each Outside Director as at December 31, 2019:

Name

Egbert, Carolyn

Limoges, Gérard

Norton, Brent

Smith Hoke, Robin

Option-based Awards

Share-based Awards

Number of
Securities
Underlying
Unexercised
Options

Option
Exercise
Price

(#)

($)

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

($)

Option
Expiration
Date
(mm-dd-
yyyy)

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 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

Issuance
Date
(mm-dd-
yyyy)
05-10-
2016  
12-06-
2016  
08-15-
2017  

  —  

  —  
05-10-
2016  
12-06-
2016  
08-15-
2017  

  —  

  —  

  —  

  —  

  —  

  —  

Market
or Payout
Value of
Share-
based
Awards
that have
Not
Vested(2)  

Market or
Payout
Value of
Vested
Share-
based
Awards
Not Paid
Out or
Distributed 

Number
of Shares
or Units
of Shares
that have
Not
Vested  

(#)

($)

— 

— 

— 

23,000 

30,000 

— 

— 

— 

23,000 

30,000 

23,000 

30,000 

23,000 

30,000 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

20,930 

27,300 

— 

— 

— 

20,930 

27,300 

20,930 

27,300 

20,930 

27,300 

Issuance
Date
(mm-dd-
yyyy)

  —  

  —  

  —  
05-08-
2018  
05-22-
2019  

  —  

  —  

  —  
05-08-
2018  
05-22-
2019  
05-08-
2018  
05-22-
2019  
05-08-
2018  
05-22-
2019  

(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, 2019) of $0.91 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, 2019) of $0.91

61

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 on March 27, 2018, and ratified by the shareholders on May 8, 2018 (“Long-Term
Incentive Plan”).

Total Compensation of Outside Directors

The table below summarizes the total compensation paid to our Outside Directors during the financial year ended December 31, 2019 (all amounts are in
U.S.  dollars).  Our  Outside  Directors  are  generally  paid  in  their  home  currency.  Mr,  Cardiff,  Mr.  Limoges,  Dr.  Norton  and  Mr.  Pollack  were  paid  in
Canadian dollars. Ms. Egbert and Ms. Hoke were paid in U.S. dollars and Mr. Ernst was paid in Euros.

Name

Cardiff, Michael(3)
Egbert, Carolyn
Ernst, Juergen(4)
Limoges, Gérard
Norton, Brent
Pollack, Jonathan(5)
Smith Hoke, Robin

Fees
earned(1)
($)

Share-based
Awards(2)
($)

Option-
based
Awards
($)

Non-Equity
Incentive Plan
Compensation   
($)

Pension
Value
($)

All Other
Compensation   
($)

9,571   
89,417   
4,229   
60,432   
56,705   
11,181   
42,892   

—   
87,593   
—   
87,593   
87,593   
87,593   
87,593   

—   
—   
—   
—   
—   
—   
—   

—   
—   
—   
—   
—   
—   
—   

—   
—   
—   
—   
—   
—   
—   

—   
—   
—   
—   
—   
—   
—   

Total
($)

9,571 
177,010 
4,229 
148,025 
144,298 
98,774 
130,485 

(1)  In  respect  of  our  financial  year  ended  December  31,  2019,  we  paid  an  aggregate  amount  of  $274,427  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 and option-based awards granted in 2019.

(2) Amounts shown represent the value of the DSUs on the grant date ($3.15). 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) Mr. Cardiff ceased to be a director on March 18, 2019.

(4) Mr. Ernst ceased to be a director on May 7, 2019.

(5) Mr. Pollack ceased to be a director on August 21, 2019.

Compensation of Executive Officers

The following is disclosure of information related to the compensation that we paid to our “Named Executive Officers” during 2019. For the 2019 year, our
“Named Executive Officers” were as follows:

● Mr. Michael Ward, who served as the President and Chief Executive Officer from October 1, 2017 to October 4, 2019;

62

 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● Dr. Klaus Paulini, who, since October 4, 2019, is serving as President and Chief Executive Officer, as well as Managing Director AEZS Germany since

July 2019;

● Ms. Leslie Auld, who, since September 24, 2018, is serving as Senior Vice President, Chief Financial Officer as an independent contractor;

● Dr. Matthias Gerlach, who serves as Vice President Manufacturing and Supply Chain, Mr. Eckhard Guenther, who serves as Vice President Business
Development & Alliance Management and Managing Director AEZS Germany and Ms. Nicola Ammer, who serves as Chief Medical Officer and Vice
President Clinical Development, who were our three most highly compensated executive officers (other than our current and former Chief Executive
Officer and our Chief Financial Officer) employed at the end of 2019; and

● Mr. Brian Garrison, who served as Senior Vice President Global Commercial Operations from December 2017 to September 2019.

Compensation Discussion & Analysis

Compensation Philosophy and Objectives

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

● providing the opportunity for an executive to earn compensation that is competitive with the compensation received by executives serving in the same

or measurably similar positions within comparable companies;

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

● aligning executive compensation with our corporate objectives; and

● attracting and retaining highly qualified individuals in key positions.

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 Zentaris 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
Zentaris 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.

63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 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 $19,000 for employees in the U.S. The contribution amounts for
our  U.S.  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 - 2019 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.

64

 
 
 
 
 
 
 
 
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.

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

65

 
 
 
 
 
 
 
 
2019 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
2019:

Goal

Result

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

In early 2019, the Company engaged Torreya to assist
in identifying and executing upon such opportunities;
however, the arrangement with Torreya was
terminated in October 2019.

Commercialization of Macrilen™
(macimorelin) in Europe and ROW

Successfully execute the board-approved strategy and
implementation plan.

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
Company continues to explore several potential
opportunities, but none has resulted in a transaction
that was acceptable to the Company.

Provide effective support to Novo in its commercialization
efforts to ensure Macrilen™ (macimorelin) through both
effective support in transition from Strongbridge and in its
commercialization efforts.

Completed. The Company provided annual FDA
reporting, supplies, clinical development as well as
establish key opinion leader advisory board for
Macrilen™ (macimorelin).

Commercialization of Macrilen™
(macimorelin) in the U.S. and Canada

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

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

Transition from the Supply Arrangement to a final supply
agreement

Fulfilled by signing the supply agreement with Novo
in November 2019.

Manage costs and control expenses to maximize cash
conservation.

Ensure appropriate capitalization of the Company

In progress. Cost management continues to be an
important objective as demonstrated by the
restructuring of our German operations.

The Company raised approximately $5 million in
September 2019.

Improve operations

Long-Term Equity Compensation

For  the  financial  year  ended  December  31,  2019,  the  Board  approved  an  award  of  25,000  stock  options  at  an  exercise  price  of  $2.15  to  Dr.  Paulini  on
August 7, 2019 and an award of 35,000 stock options at an exercise price of $1.05 to Dr. Paulini on November 7, 2019, each in accordance with the Long-
Term Incentive Plan. Further, the Board approved awards of a total of 125,000 stock options at an exercise price of $0.87 to employees of the Company on
December 4, 2019 in accordance with the Long-Term Incentive Plan.

66

 
 
 
 
 
 
 
 
 
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 441 options outstanding under the Stock Option Plan representing approximately 0% of all issued and outstanding Common Shares on March
25, 2020. The proposed number of Common Shares issuable pursuant to 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.
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; (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 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.

67

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

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

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

● any amendment to the number of securities issuable under the Stock Option Plan (except for certain permitted adjustments, such as in the case of stock

splits, consolidations or reclassifications);

● any amendment that would permit any option granted under the Stock Option Plan to be transferable or assignable other than by will or in accordance

with the applicable laws of estates and succession;

● the addition  of  a  cashless  exercise  feature,  payable  in  cash  or  securities,  which  does  not  provide  for  a  full  deduction  of  the  number  of  underlying

securities from the Stock Option Plan reserve;

● the  addition  of  a  deferred  or  restricted  share  unit  component  or  any  other  provision  that  results  in  employees  receiving  securities  while  no  cash

consideration is received by us;

● with respect to any Participant, whether or not such Participant is an “insider” and except in respect of certain permitted adjustments, such as in the

case of stock splits, consolidations or reclassifications:

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

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

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

a “blackout period”);

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

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

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

68

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

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
953,116 awards outstanding under the Long-Term Incentive Plan representing approximately 4% of all issued and outstanding Common Shares on March
25, 2020. See above for a complete description of the Stock Option Plan.

69

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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;

● 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.

70

 
 
 
 
 
 
 
 
 
 
 
 
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, 2019:

Name

Auld, Leslie
Garrison, Brian(3)
Paulini, Klaus

Ward, Michael V.(4)

Guenther, Eckhard

Gerlach, Matthias

Ammer, Nicola

Option-based Awards

Share-based Awards

Number of
Securities
Underlying
Unexercised
Options(1)  

(#)

— 
— 
2,500 
25,000 
35,000 
150,000 
50,000 
100,000 
5,000 
398 
10,000 
25,000 
5,000 
15,000 
20,000 
10,000 
25,000 

Issuance
Date
(mm-dd-
yyyy)

—  
—  
  12/06/2016 
  08/15/2019 
  11/11/2019 
  08/15/2017 
  04/02/2018 
  06/22/2018 
  12/21/2015 
  11/08/2016 
  12/06/2016 
  12/04/2019 
  12/21/2015 
  12/06/2016 
  12/04/2019 
  12/06/2016 
  12/04/2019 

Option
Exercise
Price

($)

— 
— 
3.45 
2.15 
1.05 
2.05 
1.46 
2.11 
4.58 
3.50 
3.45 
0.87 
4.58 
3.45 
0.87 
3.45 
0.87 

Option
Expiration
Date
(mm-dd-
yyyy)

—  
—  
  12/06/2023 
  08/15/2026 
  11/11/2022 
  08/15/2024 
  04/02/2025 
  06/22/2025 
  12/21/2022 
  11/08/2023 
  12/06/2023 
  12/04/2026 
  12/21/2022 
  12/06/2023 
  12/04/2026 
  12/06/2023 
  12/04/2026 

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

Issuance
Date

Number
of Shares
or Units
of shares
that have
Not
Vested

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

Market or
Payout
Value of
Vested
Share-
based
Awards
Not Paid
Out or
Distributed  

($)

(#)

($)

($)

— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
1,000 
— 
— 
— 
— 
1,000 

— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 

— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 

— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 

— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 

(1) The number of securities underlying unexercised options represents all awards outstanding at December 31, 2019.

(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, 2019) of $0.91 and the exercise price of the options, multiplied by the number of unexercised options.

(3) Mr.  Garrison  ceased  to  be  the  Senior  Vice  President,  Global  Commercial  Operations  on  September  13,  2019.  All  outstanding  stock  options  held  by  Mr.  Garrison  were  cancelled  in

accordance with the provisions of the Stock Option Plan.

(4) Mr. Ward ceased to be the President and Chief Executive Officer on October 4, 2019.

71

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
There were no share-based awards outstanding to our Named Executive Officers at December 31, 2019.

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,
2019:

Name

Ammer, Nicola
Auld, Leslie
Garrison, Brian
Gerlach, Matthias
Guenther, Eckhard
Paulini, Klaus
Ward, Michael V.

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
($)

—   
—   
—   
—   
—   
—   
87,002   

—   
—   
—   
—   
—   
—   
—   

20,608 
— 
— 
22,400 
12,443 
22,400 
— 

(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. If closing price of the Common Shares on the NASDAQ on the vesting date was lower than the exercise price, then $nil
was considered realized.

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 the financial year ended December 31, 2019. All amounts in the table below are in U.S. dollars. All cash amounts paid to Messrs. Ward
and Garrison were paid in U.S. dollars. Ms. Auld’s cash payments were made in Canadian dollars. All cash amounts paid to Dr. Paulini, Dr. Ammer and
Messrs. Guenther and Gerlach were made in Euros.

72

 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SUMMARY COMPENSATION TABLE

Name and principal position

  Years

  Salary
($)

Share
based
awards  
($)

Option
based
awards
(1)
($)

Non-equity incentive
plan compensation  

Annual
incentive
plan
($)

Long-
term
incentive
plans
($)

Pension
Value
($)

All other
compensation  
($)

Total
compensation  
($)

Paulini, Klaus(2)
President and Chief Executive 
Officer; Managing Director
AEZS Germany
Ward, Michael V. 
Former President and Chief 
Executive Officer(3)
Auld, Leslie Senior Vice President and Chief Financial Officer
Garrison, Brian
Former Senior Vice President
Global Commercial Operations
Guenther, Eckhard Vice President Business Development and Alliance Management;
Managing Director AEZS Germany
Gerlach, Matthias Vice President Manufacturing and Supply Chain
Ammer, Nicola Chief Medical Officer and Vice President Clinical 
 Development

2019

  197,282 

— 

  66,781 

  22,400 

— 

3,213 

2019
2019

  359,260 
  194,060 

2019

  196,350 

2019
2019

  169,438 
  159,862 

— 
— 

— 

— 
— 

— 
— 

— 

— 
— 

— 

  14,792 
  11,834 

  12,443 
  22,400 

2019

  139,802 

— 

  14,792 

  20,608 

— 
— 

— 

— 
— 

— 
— 

— 

3,213 
  11,355 

2,162 

— 

— 
— 

— 

— 
— 

289,676 

359,260 
194,060 

196,350 

199,886 
205,451 

177,364 

(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
August 15, 2019
November 11, 2019
December 4, 2019

$
$
$
$
$
$
$
$
$

Value of Grant

Black-Scholes Factor

3.50   
3.45   
3.80   
2.05   
1.46   
2.11   
2.15   
1.05   
0.87   

80.35%
80.57%
80.68%
78.86%
77.57%
80.86%
79.22%
67.13%
68.01%

(2) Dr. Paulini did not receive any compensation in his role as a director.

(3) Mr. Ward received $75,000 as severance payments subsequent to October 4, 2019, the date that he ceased to be President and Chief Executive Officer. This amount is not included in the

amounts above.

73

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Dr. Paulini’s total earnings during the financial year ended December 31, 2019 was $230,733, including an incentive bonus in the amount of $22,400.

For  the  financial  year  ended  December  31,  2019,  the  Board  approved  an  award  of  25,000  stock  options  at  an  exercise  price  of  $2.15  to  Mr.  Paulini  on
August 7, 2019 and an award of 35,000 stock options at an exercise price of $1.05 to Mr. Paulini on November 7, 2019, each in accordance with the Long-
Term Incentive Plan.

Mr.  Ward’s  total  earnings  during  the  financial  year  ended  December  31,  2019  was  $524,478,  not  including  the  $75,000  severance  payment  he  received
subsequent to the date that he ceased to be President and Chief Executive Officer. He received no incentive bonus.

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, 2019, the Company and its subsidiaries had accrued pension, retirement or similar benefits obligations amounting to $13.7 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 (5) and a maximum of fifteen (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 Carolyn Egbert.

74

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 Brent Norton (Chair), Carolyn Egbert and Robin Smith Hoke.

D.

Employees

As at December 31, 2019, we had a total of 11 active employees, of which 10 are based in Frankfurt, Germany. The one remaining employee is based in the
U.S. and our CFO is based in Toronto, Canada. As of December 31, 2018, we had a total of 22 active employees, of which 18 were based in Frankfurt,
Germany, four were based in the U.S. and the CFO was based in Toronto, Canada. As of December 31, 2017, we had a total of 34 active employees, of
which 30 were based in Frankfurt, Germany and the remaining four were based in the U.S.

Our current employees are engaged in the following activities: (i) 3 are engaged in research and development, regulatory affairs and quality assurance; (ii)
3  are  involved  in  commercial  operations  and  business  development;  and  (iii)  5  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, 8 employees left our German subsidiary in
2019  and  one  was  re-employed  (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 with Mr. Ward. Mr. Ward resigned as
Managing Director effective July 26, 2019, when Dr. Paulini assumed this role.

We  have  agreements  with  our  employees  covering  confidentiality,  loyalty,  non-competition  and  assignment  of  all  intellectual  property  rights  developed
during the employment period.

75

 
 
 
 
 
 
 
 
 
 
 
E.

Share ownership

The table below sets forth information as of March 11, 2019 provided to us by our current directors and named executive officers concerning their
ownership of Common Shares and stock options of the Company:

Name

Ammer, Nicola
Auld, Leslie
Egbert, Carolyn
Gagnon, Gilles(3)
Gerlach, Matthias
Guenther, Eckhard
Limoges, Gérard
Norton, Brent
Paulini, Klaus
Smith Hoke, Robin
Total

No. of Common Shares
owned or held

Percent(1)

No. of stock options
held(2)

No. of currently
exercisable options

—   
—   
1,920   

-   
—   
—   
1,200   
—   
—   
—   
3,120   

—   
—   
*   

-   
—   
—   
*   
*   
—   
—   
*   

35,000   
—   
77,850   

—   
40,000   
40,398   
77,850   
—   
62,500   
—   
333,598   

— 
— 
57,850 
— 
20,000 
15,398 
57,850 
— 
2,500 
— 
153,598 

* Less than 1%
(1) Based on 23,472,771 Common Shares outstanding as at March 11, 2019.
(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. Gagnon joined the Board on January 1, 2020.

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 25, 2020, 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 23,472,771 Common Shares outstanding as of March 25, 2020. 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

5% or Greater Shareholders
Armistice Capital Master Fund, LTD1
Empery Asset Management, LP2

1,213,738
1,673,440

  5.2%
  4.99%

1 Based solely on a Schedule 13G filed February 28, 2020, with the SEC. Does not include any warrants held, which are subject to a 4.99% blocker. The
business address of Armistice Capital Master Fund, LTD is 510 Madison Ave, Floor 7, New York, NY 10022.
2 Based solely on a Schedule 13G filed January 23, 2020, with the SEC. Represents (i) 12,440 Common Shares and (ii) warrants to purchase 1,661,000
Common  Shares  at  $7.10  per  share  held  by  Empery  Asset  Management,  LP  (“Empery  Asset”).  The  exercise  of  the  foregoing  warrants  are  subject  to  a
4.99%  blocker.  The  “No.  of  Common  Shares”  column  in  the  table  above  represents  all  Common  Shares  and  warrants  while  the  “Percentage”  column
represents all Common Shares and only those warrants not subject to the blocker. The business address of Empery Asset is 1 Rockefeller Plaza, Suite 1205,
New York, NY 10020.

76

 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Changes in Percentage Ownership by Major Shareholders

We had no major shareholders in 2017. During 2018, J. Goldman & Co., L.P. J., Goldman Capital Management, Inc., and Jay G. Goldman (collectively,
“Goldman”) became major shareholders due to the acquisition of over 5% of our outstanding Common Shares, and as of December 31, 2019, Goldman
ceased to be the beneficial owner of more than 5% of our Common Shares, based solely on a Schedule 13G filed February 14, 2020, with the SEC.

United States Shareholders

Based on a review of the information provide to us by our transfer agent, as at March 18, 2020, there were 14 holders of record of our Common Shares, of
which two were registered with an address in the U.S. holding in the aggregate approximately 99.27% 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.

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.

77

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 the NASDAQ and the TSX under the symbol “AEZS”. The following table
indicates, for the relevant periods, the high and low closing prices of our Common Shares on the NASDAQ and on the TSX as of December 31, 2019:

NASDAQ (US$)

TSX (CAN$)

High

Low

High

Low

2018
2017

2019

Fourth quarter
Third quarter

Second quarter
First quarter

2018

Fourth quarter
Third quarter

Second quarter
First quarter

2017

Fourth quarter

Third quarter
Second quarter

First quarter

B.

Plan of distribution

Not applicable.

C.

Markets

3.87 
3.65 
5.57   
1.08   
2.97 
5.43   
4.65   

3.87   
2.03   
2.62   
2.41   

2.70   
2.87   
3.35   
3.65   

1.19 
0.84 
0.76   
0.77   
1.00 
2.04   
3.03   

1.30   
1.60   
1.19   
1.46   

1.87   
0.98   
0.84   
2.45   

5.10   
4.81   
7.43   
1.45   
3.86   
7.26   
6.25   

5.10   
2.69   
3.34   
3.01   

3.48   
3.57   
4.50   
4.81   

1.53 
1.13 
1.01 
1.02 
1.33 
2.73 
4.12 

1.69 
2.10 
1.53 
1.89 

2.38 
1.28 
1.13 
3.24 

Our Common Shares are listed and posted for trading on both the 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,  November  17,  2015,  and  May  9,  2019  (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.

78

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 (5) and the maximum number is fifteen (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

● 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

79

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● 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).

80

 
 
 
 
 
 
 
 
 
 
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  25,  2020,  there  were  approximately  23,472,771  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 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 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.

Shareholder Rights Plan

The Board of the Company approved an amended and restated shareholder rights plan of the Company on March 29, 2019, which was approved, ratified
and confirmed by the shareholders at the annual and special meeting of shareholders of the Company on May 8, 2019 (the “Rights Plan”). The Rights Plan
amended and restated the Company’s shareholder rights plan originally implemented in 2016 and was implemented to ensure, to the extent possible, that all
shareholders of the Company are treated fairly in connection with any take-over offer or other acquisition of control of the Company.

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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

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.

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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.

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%).

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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.

4.

5.

6.

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

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

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

a)

b)

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

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

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

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

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

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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.

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.

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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
Company to be held in 2022 and at every third annual meeting of the Company 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.

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

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

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

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

Our bylaws include an advance notice provision (the “Advance Notice Requirement”). The Advance Notice Requirement applies in certain circumstances
where nominations of persons for election to the Board 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 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.

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As of February 15, 2020, 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$1.075  billion.  For  “trade  agreement
investors”  that  are  not  state-owned  enterprises  (as  defined  in  the  Investment  Act),  which  as  of  March  2020  include  investors  ultimately  controlled  by
nationals of Australia, Chile, Colombia, EU member states, Honduras, Japan, Korea, Mexico, New Zealand, Panama, Peru, Singapore, the U.S. 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$1.613 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” 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.

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C.

Material contracts

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

License Agreement

On  January  16,  2018,  the  Company,  through  AEZS  Germany,  entered  into  a  License  Agreement  with  Strongbridge,  to  carry  out  development,
manufacturing, registration and commercialization of Macrilen™ (macimorelin) in the U.S. 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 the 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,

● $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 JSC. The JSC will be comprised of four persons, two of whom will be appointed by each of Strongbridge and the Company.

The License 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
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 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
Agreement if the licensee commits a material breach of any term of the License Agreement that it fails to cure within 90 days after receiving written notice
of the breach. If the breach relates to Canada then the Company shall only have the right to terminate the License Agreement in relation to Canada. If the
breach relates to the U.S., then the Company shall have the right to terminate the License Agreement in its entirety.

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

The License 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 U.S. to Novo and Novo will fund Strongbridge’s
Macrilen™ (macimorelin) field organization as a contract field force to promote the product in the U.S. for up to three years. This service agreement was
terminated as of December 1, 2019.

89

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

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.

90

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

The Master Collaboration Agreement, the Sinopharm License Agreement and the Tech Transfer Agreement are incorporated by reference as Exhibits 4.7,
4.8 and 4.9 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. Mr. Garrison left the Company effective September 13, 2019 and Mr. Ward’s employment ended effective October 4, 2019.

Michael Ward

We entered into an employment agreement and a change of control agreement in October 2017 with Mr. Michael Ward, Chief Executive Officer. Mr. Ward
left the Company in October 2019, at which time, he received a severance payment in accordance with his employment agreement.

Klaus Paulini

We entered into an employment agreement with Dr. Klaus Paulini, Chief Executive Officer, effective as of October 4, 2019 (the “Employment Agreement”)
and  the  Company,  through  AEZS  Germany,  has  entered  into  a  service  agreement  with  Dr.  Klaus  Paulini  effective  as  of  July  26,  2019  (the  “Services
Agreement”).  The  Employment  Agreement  provides  that  we  will  pay  Mr.  Paulini  (the  “Executive”)  an  initial  base  salary  of  EUR260,000  per  annum.
Additionally, pursuant to the Employment Agreement, in November 2019, we provided the Executive with an initial grant of 35,000 stock options. Under
the  terms  of  the  Services  Agreement,  the  Executive  will  be  paid  a  base  salary  of  EUR164,340  per  annum,  subsequent  grants  of  stock  options  at  the
discretion of the Board of Directors or Governance Committee, an annual bonus subject to the determination and approval of the Nomination, Governance
and Compensation Committee and participation in an employer sponsored pension scheme.

The  Employment  Agreement  provides  that  if  there  is  a  termination  of  the  Executive’s  employment  by  us  without  “Cause”,  then  the  Executive  will  be
entitled to receive a severance payment in the amount equal to €300,000. The Services Agreement provides that upon termination without “Cause” by ether
party, the Executive is entitled to nine months written notice of termination, and a payment in the amount equal to “one annual salary”. The Executive has
no right to receive a cash bonus or any other form of remuneration during the notice period.

The Employment Agreement contains customary confidentiality, intellectual property and non-disparagement covenants.

For the purposes of the Employment Agreement, 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 has committed serious misconduct or willful negligence in the
performance of his duties.

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 CAN$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 CAN$150 per hour.

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.

91

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

Brian Garrison

We  entered  into  an  employment  agreement  and  a  change  of  control  agreement  with  Mr.  Garrison,  former  Senior  Vice  President,  Global  Commercial
Operations. Mr. Garrison left the Company in September 2019.

The  table  below  shows  estimated  incremental  payments  that  would  be  triggered,  pursuant  to  their  individual  employment  contracts,  in  the  event  of  a
termination of employment of our Named Executive Officers who remained employed on December 31, 2019. The amounts shown are in U.S. dollars.

Name

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

Ammer, Nicola
Auld, Leslie
Gerlach, Matthias
Guenther, Eckhard
Paulini, Klaus

0 
0 
0 
0 
336,000 

(1) The termination values assume that the triggering event took place on the last business day of our financial year-end (December 31, 2019).

(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.

92

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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-resident person or a group of non-resident persons not dealing with each
other at arm’s length 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.

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  the  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 the 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.

93

 
 
 
 
 
 
 
 
 
 
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.

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.

94

 
 
 
 
 
 
 
 
 
 
 
 
 
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  purchase,  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.

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

95

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● 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 U.S.;

● 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 U.S., 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  U.S.  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 purchasing, 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.

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, 2018 and 2019 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 the 2020 taxable year or any future taxable year. U.S. Holders should
consult their tax advisors regarding the Company’s PFIC status.

96

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 the 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 the
NASDAQ or were delisted from the 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.

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.

97

 
 
 
 
 
 
 
 
 
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 (i)
net long-term capital gain over (ii) 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 should consult their own tax advisors with respect to the appropriate U.S. federal income tax treatment of
any distribution received from the Company.

98

 
 
 
 
 
 
 
 
 
 
 
 
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 2019 taxable year. However,
no assurance can be provided that the Company will not be classified as a PFIC for 2020 and, therefore, no assurance can be provided that a U.S. Holder
will be able to claim a reduced rate for dividends paid in 2020 or 2021 (if any). Please see the subsection above entitled “Material U.S. Federal Income Tax
Considerations—‘Tax Consequences if we are a Passive Foreign Investment Company’” for a more detailed discussion.

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.

99

 
 
 
 
 
 
 
 
 
 
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.

Subject  to  certain  exceptions  and  future  guidance,  a  U.S.  Holder  that  is  a  “specified  individual”  or  a  “specified  domestic  entity”  (as  defined  in  the
instructions to IRS Form 8938) must 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 U.S. 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  in  2020  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,  2019  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 amortized cost”; “Financial liabilities at fair value through
profit or loss (“FVTPL”)”; and “Financial liabilities at amortized cost”.

● The Company’s financial assets at amortized cost 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.

● Financial liabilities at amortized cost include payables, accrued liabilities, and provision for restructuring costs.

100

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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.

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).

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, 2019, trade accounts receivable for an amount of approximately $265,000 were with four counterparties of which $55,000 was
past due and impaired and fully provided for (2018 - $197,000 with four counterparties and $55,000 past due and 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,  2019,  the  Company  has
provided for all outstanding and unpaid amounts relating to its operations before its licensing of MacrilenTM (macimorelin). 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  to  the
audited  financial  statements,  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 1. 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.

All of the Company’s financial liabilities except lease liabilities are current liabilities with expected settlement dates within one year. The maturity
analysis for lease liabilities is disclosed in note 5 to the audited financial statements.

101

 
 
 
 
 
 
 
 
 
 
 
 
 
 
(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 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 $0.77 to $5.43 during the year ended December 31, 2019.

If  variations  in  the  market  price  of  our  Common  Shares  of  -30%  and  +30%  were  to  occur,  the  impact  on  the  Company’s  net  loss  related  to  the
warrant liability held at December 31, 2019 would be $771,000 to $(806,000), respectively.

(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, 2019, if the US dollar had increased or decreased by 10% against the Euro, with all variables held constant, net loss for the year ended
December 31, 2019 would have been lower or higher by approximately $841,000 (net income for 2018 - $1,134,000).

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.

102

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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, 2019. 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, 2019.

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, 2019.

Changes in Internal Controls over Financial Reporting

There were no changes in our internal control over financial reporting during the year ended December 31, 2019 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 SEC’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  Brent  Norton  and  Carolyn  Egbert  each  of  whom,  along  with  Gérard  Limoges  (Chair),  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”.

103

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 was amended on January 24, 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  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, 2019 and 2018, the Company’s principal accountant, PricewaterhouseCoopers LLP, billed $542,825 and
$563,558, respectively, for the audit of the Company’s annual consolidated financial statements and for services rendered in connection with statutory and
regulatory filings.

(b)

Audit-related Fees

During  the  financial  years  ended  December  31,  2019 and  2018,  the  Company’s principal  accountant,  PricewaterhouseCoopers  LLP,  billed  $73,500  and
$37,663, 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, 2019 and 2018, the Company’s principal  accountants,  PricewaterhouseCoopers  LLP  billed  $25,164  and
$36,224, respectively, for services related to tax compliance, tax planning and tax advice.

(d)

All Other Fees

During  the  financial  years  ended  December  31,  2019 and  2018,  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.

104

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For each of the years ended December 31, 2019 and 2018, there were no non-audit services provided by our external auditor that required the approval from
the Audit Committee.

(f)

Work performed by Full-time, Permanent Employees of Principal Accountant

During  the  financial  year  ended  December  31,  2019,  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 the NASDAQ except as described below and in the risk factor entitled “Our
Common Shares may be delisted from the NASDAQ or the TSX, which could affect their market price and liquidity. If our Common Shares were to be
delisted, investors may have difficulty in disposing their Common Shares” in Item 3.D above. 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  the
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 the TSX, the home country exchange on which our voting shares are traded. In accordance with applicable current
NASDAQ requirements, we have in the past, and upon request, provided to the NASDAQ letters from outside counsel certifying that these practices are
not prohibited by our home country law.

Item 16H. Mine Safety Disclosure

None.

105

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 113 to 161

PART III

106

 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.

Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended
December 31, 2019, 2018 and 2017
(presented in thousands of U.S. dollars)

Consolidated Statements of Financial Position
Consolidated Statements of Changes in Shareholders’ (Deficiency) Equity
Consolidated Statements of Comprehensive (Loss) Income
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements

1

3
4
6
7
8

 
 
 
 
 
 
 
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 (together, the Company) as of
December 31, 2019 and 2018, and the related consolidated statements of changes in shareholders’ (deficiency) equity, comprehensive (loss) income, and
cash  flows  for  each  of  the  three  years  in  the  period  ended  December  31,  2019,  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, 2019 and 2018, and its financial performance and its cash flows for each of the three years in the period ended December 31, 2019 in
conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board.

Substantial Doubt About the Company’s Ability to Continue as a Going Concern

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in
Note  1  to  the  consolidated  financial  statements,  the  Company  has  suffered  recurring  losses  from  operations  and  has  a  net  capital  deficiency  that  raises
substantial doubt about its ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 1. The financial
statements do not include any adjustments that might result from the outcome of this uncertainty.

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”

Chartered Professional Accountants, Licensed Public Accountants

Toronto, Canada
March 30, 2020

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

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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)
Right of use assets (note 5(a))
Property, plant and equipment (note 12)
Identifiable intangible assets (note 13)
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(a)(ii) and 6(a)(iv))
Current portion of lease liabilities (note 5(a))
Current portion of warrant liability (note 17)
Total current liabilities
Deferred revenues (note 6(a)(ii))
Lease liabilities (note 5(a))
Warrant liability (note 17)
Employee future benefits (note 18)
Non-current portion of provision for restructuring and other costs (note 16)
Total liabilities
SHAREHOLDERS’ (DEFICIENCY) EQUITY
Share capital (note 19)
Other capital (note 19)
Deficit
Accumulated other comprehensive income
Total shareholders’ (deficiency) equity
Total liabilities and shareholders’ (deficiency) equity

Going concern (note 1)
Commitments and contingencies (note 27)
Subsequent events (note 29)

December 31, 2019
$

December 31, 2018
$

7,838   
658   
1,203   
1,211   
10,910   
364   
582   
35   
40   
8,050   
19,981   

2,148   
418   
1,448   
991   
648   
6   
5,659   
185   
255   
2,249   
13,788   
308   
22,444   

224,528   
89,806   
(316,891)  
94   
(2,463)  
19,981   

14,512 
294 
240 
1,210 
16,256 
418 
— 
65 
62 
8,210 
25,011 

2,791 
887 
1,669 
249 
— 
— 
5,596 
258 
— 
3,634 
13,205 
411 
23,104 

222,335 
89,342 
(309,781)
11 
1,907 
25,011 

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

3

 
 
 
 
 
   
 
 
 
   
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Changes in Shareholders’ (Deficiency) Equity
For the years ended December 31, 2019, 2018 and 2017
(in thousands of US dollars)

Balance - January 1, 2019
Net loss
Other comprehensive (loss)
income:
Foreign currency translation
adjustments
Actuarial (loss) on defined benefit
plans (note 18)
Comprehensive loss
Share issuance from the exercise
of warrants, stock options and
deferred share units
Issuance of common shares and
warrants, net (notes 17 and 19)
Share-based compensation costs
Balance - December 31, 2019

1

Issued and paid in full.

Balance - January 1, 2018
Net income
Other comprehensive income
(loss):
Foreign currency translation
adjustments
Actuarial gain on defined benefit
plans (note 18)
Comprehensive income
Share-based compensation costs
Balance - December 31, 2018

1

Issued and paid in full.

Accumulated
other
comprehensive
income

$

Total

$

Common shares
(number of) 1

16,440,760 
— 

Share capital

Other capital

Deficit

$

222,335 
— 

$

89,342 
— 

$
(309,781)  
(6,042)  

— 

— 
— 

228,750 

3,325,000 
— 
19,994,510 

— 

— 
— 

906 

1,287 
— 
224,528 

— 

— 
— 

—   

(1,068)  
(7,110)  

(329)  

—   

— 
793 
89,806 

—   
—   
(316,891)  

11   
—   

83   

—   
83   

—   

—   
—   
94   

Common shares
(number of) 1

16,440,760 
— 

— 

— 
— 
— 
16,440,760 

Share capital

Other capital

Deficit

$

222,335 
— 

$

88,772 
— 

$
(314,161)  
4,187   

— 

— 
— 
— 
222,335 

— 

— 
— 
570 
89,342 

—   

193   
4,380   
—   
(309,781)  

Accumulated
other
comprehensive
income

$

271   
—   

(260)  

—   
(260)  
—   
11   

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

4

1,907 
(6,042)

83 

(1,068)
(7,027)

577 

1,287 
793 
(2,463)

Total

$

(2,783)
4,187 

(260)

193 
4,120 
570 
1,907 

 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
   
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
   
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Common shares
(number of) 1

Share capital

$

12,917,995 
— 

213,980 
— 

— 

— 
— 

— 

— 
— 

301,343 

977 

3,221,422 

7,378 

— 

16,440,760 

222,335 

Balance - January 1,
2017
Net loss
Other comprehensive
(loss) income:
Foreign currency
translation adjustments  
Actuarial gain on
defined benefit plans
(note 18)
Comprehensive loss
Share issuances
pursuant to the exercise
of pre-funded warrants  
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.

Pre-
funded
warrants

$

  Other capital

$

Deficit

$

Accumulated
other
comprehensive
income (loss)    

$

Total

$

— 
— 

— 

— 
— 

— 

— 

— 

— 

88,590     
—     

(298,059)    
(16,796)    

1,701     
—     

6,212 
(16,796)

—     

—     

(1,430)    

(1,430)

—     
—     

694     
(16,102)    

—     
(1,430)    

694 
(17,532)

—     

—     

—     

977 

—     

182     

—     

—     

—     

—     

7,378 

182 

88,772     

(314,161)    

271     

(2,783)

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

5

 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
   
      
      
      
      
      
      
  
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
   
   
    
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Comprehensive (Loss) Income
For the years ended December 31, 2019, 2018 and 2017
(in thousands of US dollars, except share and per share data)

Revenues (note 6)
License fees
Product sales
Royalty income
Sales commission
Supply chain
Total revenues

Operating expenses (note 20)
Cost of sales
Research and development costs
General and administrative expenses
Selling expenses
Restructuring costs (note 16)
Impairment of right of use asset (note 5a)
Impairment of prepaid asset (note 10)
Total operating expenses
(Loss) income from operations
Settlements (note 27)
Gain due to changes in foreign currency exchange rates
Change in fair value of warrant liability (note 17)
Other finance (costs) income
Net finance income
(Loss) income before income taxes
Income tax recovery (expense) (note 22)
Net (loss) income
Other comprehensive (loss) income:
Items that may be reclassified subsequently to profit or loss:

Foreign currency translation adjustments

Items that will not be reclassified to profit or loss:
Actuarial (loss) gain on defined benefit plans

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

Weighted average number of shares outstanding (note 26)
Basic
Diluted

2019
$

Years Ended December 31,
2018
$

2017
$

74   
129   
45   
—   
284   
532   

410   
1,837   
6,615   
1,214   
507   
22   
169   
10,774   
(10,242)  
—   
87   
4,518   
(593)  
4,012   
(6,230)  
188   
(6,042)  

83   

(1,068)  
(7,027)  
(0.35)  
(0.35)  

24,325   
2,167   
184   
110   
95   
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   

(260)  

193   
4,120   
0.25   
0.24   

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)

(1,430)

694 
(17,532)
(1.12)
(1.12)

17,494,472   
17,494,472   

16,440,760   
17,034,812   

14,958,704 
14,958,704 

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

6

 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
    
 
    
 
  
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Consolidated Statements of Cash Flows
For the years ended December 31, 2019, 2018 and 2017
(in thousands of US dollars)

Cash flows from operating activities
Net (loss) income for the year
Items not affecting cash and cash equivalents:

Change in fair value of warrant liability (note 17)
Transaction costs of warrants issued, expensed as finance cost
Provision for restructuring and other costs (note 16)
Impairment of right of use asset (note 5(a))
Impairment of prepaid asset (note 10)
Recapture of inventory previously written off
Depreciation and amortization (notes 5,12 and 13)
Deferred income taxes (note 22)
Share-based compensation costs (note 20)
Employee future benefits (note 18)
Amortization of deferred revenues (note 6)
Foreign exchange gain on items denominated in foreign currencies
Loss (gain) on disposal of property, plant and equipment
Other non-cash items
Interest accretion on lease liabilities (note 5)
Changes in operating assets and liabilities (note 21)
Net cash (used in) provided by operating activities

Cash flows from financing activities
Proceeds from issuances of common shares and warrants (note 19)
Transaction costs
Proceeds from exercise of warrants, stock options and deferred share units
Payments on lease liabilities (note 5)
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)
Cash provided by (used 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 7)
Cash and cash equivalents – end of year (note 7)

2019
$

Years Ended December 31,
2018
$

2017
$

(6,042)  

(4,518)  
550   
511   
22   
169   
—   
315   
—   
793   
262   
(74)  
(87)  
10   
(126)  
(66)  
(2,444)  
(10,725)  

4,988   
(795)  
314   
(614)  
3,893   

—   
—   
50   
50   
108   
(6,674)  
14,512   
7,838   

4,187   

(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   

(16,796)

(2,222)
— 
3,083 
— 
— 
(643)
94 
(3,479)
182 
246 
(458)
(553)
(136)
(19)
— 
(2,212)
(22,913)

8,038 
(250)
242 
— 
8,030 

(4)
161 
150 
307 
357 
(14,219)
21,999 
7,780 

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

7

 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
    
 
    
 
  
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

1

Going concern

Aeterna  Zentaris  Inc.  (“Aeterna  Zentaris”  or  the  “Company”)  has  incurred  significant  expenses  in  its  efforts  to  develop  and  co-promote  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 Macrilen™ (macimorelin) in
the United States, and Canada (note 6(a)). As at December 31, 2019, the Company had an accumulated deficit of $316,891. The Company also had a net
loss of $6,042 for the year ended December 31, 2019, and negative cash flow from operations of $10,725.

Management has evaluated whether material uncertainties exist relating to events or conditions that may cast substantial doubt about the Company’s ability
to continue as a going concern and has considered the following in making that critical judgment.

The ability of the Company to realize its assets and meet its obligations as they come due is dependent on earning sufficient revenues under the License
Agreement developing opportunities for Macrilen™ (macimorelin) in the rest of the world, realizing other monetizing transactions, and raising additional
sources of funding, the outcome of which cannot be predicted at this time. The revenue provided under the License Agreement was $45 for the year ended
December 31, 2019 and as at December 31, 2019, the Company had cash of $7,838. In September 2019, the Company closed an equity financing which
provided $4,193 in net cash proceeds. On February 21, 2020, the Company closed an equity financing for approximately $3,920 in net cash proceeds.

A significant portion of the Company’s cash is held in AEZS Germany, the Company’s principle operating subsidiary. AEZS Germany is the counter-party
to  the  License  Agreement  described  above  with  Novo,  and  as  such,  for  generating  future  revenue  earned  under  the  License  Agreement.  As  such,
management considers the cash resources available to AEZS Germany in executing its obligations under the License Agreement. In the event the current
and medium term liabilities of AEZS Germany exceeds the fair values ascribed to its assets, under German solvency laws, it may no longer be possible for
AEZS  Germany’s  operations  to  continue  or  for  AEZS  Germany  to  transfer  cash  to  Aeterna  Zentaris  or  its  U.S.  subsidiary.  This  imposes  additional  and
material uncertainties on the Company when evaluating liquidity and the going concern assumption.

The  Company  has  some  discretion  to  manage  its  planned  research  and  development  costs,  administrative  expenses  and  capital  expenditures  in  order  to
manage its cash liquidity, particularly in AEZS Germany. Furthermore, AEZS Germany is focused on opportunities to either license or sell the European or
worldwide rights to Macrilen™ (macimorelin) to third parties. As of the date of issuance of these consolidated financial statements, there are no assurances
that cash will be generated from such arrangements. As such, management may also need to consider other sources of financing in order to continue its
planned operations.

Management has assessed the Company’s ability to continue as a going concern and concluded that additional capital will be required. There can be no
assurance  that  the  Company  will  be  able  to  execute  license  or  purchase  agreements  or  to  obtain  equity  or  debt  financing,  or  on  terms  acceptable  to  it.
Factors  within  and  outside  the  Company’s  control  could  have  a  significant  bearing  on  its  ability  to  obtain  additional  financing  (note  29).  As  a  result,
management has determined that there are material uncertainties that may cast significant doubt upon the Company’s ability to continue as a going concern.

8

 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

These financial statements have been prepared on a going concern basis, which asserts the Company has the ability in the near term to continue to realize
its assets and discharge its liabilities and commitments in a planned manner giving consideration to the above and expected possible outcomes. Conversely,
if the going concern assumption is not appropriate, adjustments to the carrying amounts of the Company’s assets, liabilities, revenues, expenses and balance
sheet classifications may be necessary, and these adjustments could be material.

2

Business overview

Summary of business

Aeterna  Zentaris  is  a  specialty  biopharmaceutical  company  commercializing  and  developing  therapeutics  and  diagnostic  tests.  The  Company’s  lead
product, Macrilen™ (macimorelin), is the first and only United States Food and Drug Administration (“FDA”) and European Commission approved oral
test indicated for the diagnosis of patients with adult growth hormone deficiency (“AGHD”). Macrilen™ (macimorelin) is currently marketed in the U.S.
through a license and assignment agreement (the “License Agreement”) with Novo. Aeterna Zentaris is also pursuing the development of macimorelin for
the  diagnosis  of  child-onset  growth  hormone  deficiency  (“CGHD”),  an  area  of  significant  unmet  need.  In  addition,  we  are  actively  pursuing  business
development  opportunities  for  the  commercialization  of  macimorelin  in  Europe  and  the  rest  of  the  world  in  addition  to  other  non-strategic  assets  to
monetize their value

The  Company’s  principal  focus  is  on  the  commercialization  of  Macrilen™  (macimorelin)  and  it  currently  does  not  have  any  other  approved  products.
Under the terms of License Agreement(as defined below), Novo Nordisk A/S (“Novo”) is funding 70% of the pediatric clinical trial submitted to the EMA
and FDA, the Company’s sole development activity. In November 2019, Novo contracted Aeterna Zentaris GmbH(“AEZS Germany”), our wholly owned
German subsidiary, to provide supply chain services for the manufacture of Macrilen™ (macimorelin). 

Reporting entity

The  accompanying  consolidated  financial  statements  include  the  accounts  of  Aeterna  Zentaris,  an  entity  incorporated  under  the  Canada  Business
Corporations Act,  and  its  wholly-owned  subsidiaries  (collectively  referred  to  as  the  “Group”).  Aeterna  Zentaris  is  the  ultimate  parent  company  of  the
Group.  The  Company  currently  has  three  wholly-owned  direct  and  indirect  subsidiaries,  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 U.S.

The registered office of the Company is located at 5300 Commerce Court West, 199 Bay Street, Toronto, Ontario M5L 1B9, 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, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017 have
been  prepared  in  accordance  with  International  Financial  Reporting  Standards  (“IFRS”)  as  issued  by  the  International  Accounting  Standards  Board
(“IASB”).

These consolidated financial statements were approved by the Company’s Board of Directors subject to confirmation by the Audit Committee of the Board
of Directors, which confirmation was received on March 27, 2020.

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.

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

(b)

Basis of measurement

The consolidated financial statements have been prepared under a historical cost convention except for warrant liability which is measured at fair value
through profit or loss.

(c)

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.

(d)

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’ (deficiency) equity.

Foreign  currency  transactions  are  translated  into  the  functional  currency  using  the  exchange  rates  prevailing  at  the  dates  of  the  underlying  transaction.
Foreign  exchange  gains  and  losses  resulting  from  the  settlement  of  such  transactions  and  from  the  translation  of  monetary  assets  and  liabilities  not
denominated in the functional currency are recognized in the consolidated statement of comprehensive (loss) income.

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 2019 (note 5) and have been applied consistently by all Group entities.

Cash and cash equivalents

Cash and cash equivalents consist of unrestricted cash on hand and balances with banks, as well as short-term interest-bearing deposits, such as money
market accounts, that are readily convertible to known amounts of cash and are subject to an insignificant risk of changes in value, with a maturity of three
months or less from the date of acquisition.

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 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.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

Leases

The Company assesses, at the inception of a contract, whether a contract is, or contains, a lease. A lease is a contract in which the right to control the use of
an identified asset is granted for an agreed upon period of time in exchange for consideration. The Company assessed whether a contract conveys the right
to control the use of an identified asset when there is both the right to direct the use of the asset and obtain substantially all the economic benefits from that
use. Effective January 1, 2019, the Company recognizes a right of use and a lease liability at the lease commencement date.

The lease liability is initially measured at the present value of the non-cancellable lease payments over the lease term and discounted at the rate implicit in
the lease. If that rate cannot be determined, the Company’s incremental borrowing rate is used, being the rate that Company would have to pay to borrow
the funds necessary to obtain an asset of similar value in a similar economic environment with similar terms and conditions. Lease payments include fixed
payments and such variable payments that depend on an index or a rate; less any lease incentives receivable.

The lease liability is subsequently measured at amortized cost using the effective interest method. It is remeasured when there is a change in future lease
payments arising from a change in an index or rate, if there is a change in the Company’s estimate of the amount expected to be payable under a residual
value guarantee, or if the Company changes its assessment of whether it will exercise a purchase, extension or termination option. When the lease liability
is  remeasured,  a  corresponding  adjustment  is  made  to  the  carrying  amount  of  the  right  of  use  asset,  with  any  difference  recorded  in  the  statement  of
comprehensive (loss) income.

The right of use assets are measured at cost which comprises the initial lease liability, lease payments made at or before the lease commencement date,
initial  direct  costs  and  restoration  obligations  less  lease  incentives.  The  right  of  use  assets  are  subsequently  measured  at  amortized  cost.  The  assets  are
depreciated over the shorter of the assets’ useful life and the lease terms on a straight-line basis, less any accumulated impairment losses and adjusted for
any remeasurement of the lease liability. The lease term includes periods covered by an option to extend if the Company is reasonably certain to exercise
that option. The right of use assets are assessed for impairment in accordance with the requirements of IAS 36 Impairment of Assets.

Payments  associated  with  short-term  leases  and  leases  of  low-value  assets  are  recognized  on  a  straight-line  basis  as  an  expense  in  the  statement  of
comprehensive (loss) income.

Property, plant and equipment and depreciation

Items of property, plant and equipment are recorded at cost, net of accumulated depreciation and impairment charges. Depreciation is calculated using the
following methods, annual rates and period:

Equipment
Furniture and fixtures
Computer equipment
Leasehold improvements

Methods
Declining balance and straight-line
Declining balance and straight-line
Straight-line
Straight-line

Annual rates and period
20%
10% and 20%
25% and 331/3%
Remaining lease term

Depreciation expense, which is recorded in the consolidated statement of comprehensive (loss) income, is allocated to the appropriate functional expense
categories to which the underlying items of property, plant and equipment relate.

Identifiable intangible assets and amortization

Identifiable intangible assets with finite useful lives consist of in-process R&D acquired in business combinations, patents and trademarks. In-process R&D
acquired in business combinations is recognized at fair value at the acquisition date. Patents and trademarks are comprised of costs, including professional
fees incurred in connection with the filing of patents and the registration of trademarks for product marketing and manufacturing purposes net of related
government grants, impairment losses, where applicable, and accumulated amortization. Identifiable intangible assets with finite useful lives are amortized,
from the time at which the assets are available for use, on a straight-line basis over their estimated useful lives of eight to fifteen years for in-process R&D
and  patents  and  ten  years  for  trademarks.  Amortization  expense,  which  is  recorded  in  the  consolidated  statement  of  comprehensive  (loss)  income,  is
allocated to the appropriate functional expense categories to which the underlying identifiable intangible assets relate.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

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 (loss) income.

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.

12

 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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
(loss)  income  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

AEZS Germany maintains defined contribution and unfunded defined benefit plans, as well as other benefit plans for its employees. For defined benefit
pension  plans  and  other  post-employment  benefits,  net  periodic  pension  expense  is  actuarially  determined  on  a  quarterly  basis  using  the  projected  unit
credit method. The cost of pension and other benefits earned by employees is determined by applying certain assumptions, including discount rates, the
projected age of employees upon retirement, the expected rate of future compensation and employee turnover.

The  employee  future  benefits  liability  is  recognized  at  its  present  value,  which  is  determined  by  discounting  the  estimated  future  cash  outflows  using
interest  rates  of  high-quality  corporate  bonds  that  are  denominated  in  the  currency  in  which  the  benefits  will  be  paid  and  that  have  terms  to  maturity
approximating the terms of the related future benefit liability. Actuarial gains and losses that arise in calculating the present value of the defined benefit
obligation are recognized in other comprehensive (loss) income, net of tax, and simultaneously reclassified in the deficit in the consolidated statement of
financial  position  in  the  year  in  which  the  actuarial  gains  and  losses  arise  and  without  recycling  to  the  consolidated  statement  of  comprehensive  (loss)
income in subsequent periods.

For defined contribution plans, expenses are recorded in the consolidated statement of comprehensive (loss) income as incurred–namely, over the period
that the related employee service is rendered.

Termination benefits

Termination benefits are recognized in the consolidated statement of comprehensive (loss) income 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 (loss) income. 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 (loss) income in the period in which they arise.

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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 (loss) income. 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 (loss) income, recognized in the
statement of comprehensive (loss) income.

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.

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

Effective  January  1,  2018,  the  Company  adopted  IFRS  15,  Revenue  from  Contracts  with  Customers  (“IFRS  15”).  The  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. 

License fees

License  fees  represent  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.

14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

The Company has not recognized any such milestone revenue in these consolidated financial statements 

Product sales

The Company recognizes revenue from the sale of certain active pharmaceutical ingredients (“API”) and semi-finished goods upon delivery of such items
to its customer.

Supply chain revenue

The  Company  also  provides  oversight  support  services  for  supervision  of  stability  studies  and/or  development  activities  with  respect  to  the  API  batch
production as specified in related contracts with customers. These services are contracted with fixed-fees and are provided over a period of time equal to
one year. The Company recognizes revenue on a straight-line basis over time as it best represents the pattern of performance of the services. Amounts are
invoiced on a quarterly basis in accordance with agreed upon contractual terms

While providing services, the Company incurs certain direct costs for subcontractors and other expenses that are recoverable directly from its customers.
The  recoverable  amounts  of  these  direct  costs  are  included  in  the  Company’s  operating  expenses  as  the  Company  controls  the  services  before  they  are
transferred to the customer and acts as a principal in these arrangements.

Where the Company incurs costs to fulfil the contract, such costs are capitalized if all of the following criteria are met:

● the costs relate directly to a contract or a specifically-anticipated contract;

● the costs generate or enhance company resources that will be used in satisfying future performance obligations; and

● the costs are expected to be recovered.

The Company amortizes any asset recognized from capitalizing costs to fulfil a contract on a systematic basis that is consistent with the transfer to the
customer of the goods or services to which the asset relates.

Sales commission revenue

Revenues from sales commission are recognized when the products are sold and the related performance obligation is complete as defined in the contract
for the promotion of certain products, there is certainty about receipt of the consideration and all related costs have been incurred. The customer contracts
for sales commission were terminated in 2017 and 2018.

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.

15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Current and deferred income tax

Income tax on profit or loss comprises current and deferred tax. Tax is recognized in profit or loss, except that a change attributable to an item of income or
expense recognized as other comprehensive (loss) income or directly in equity is also recognized directly in other comprehensive (loss) income or directly
in  equity.  Management  periodically  evaluates  positions  taken  in  tax  returns  with  respect  to  situations  in  which  applicable  tax  regulation  is  subject  to
interpretation and establishes provisions where appropriate on the basis of amounts expected to be paid to the tax authorities.

The current income tax charge is calculated in accordance with tax rates and laws that have been enacted or substantively enacted by the reporting date in
the countries where the Company’s subsidiaries operate and generate taxable income.

Deferred income tax is recognized on temporary differences (other than, where applicable, temporary differences associated with unremitted earnings from
foreign  subsidiaries  and  associates  to  the  extent  that  the  investment  is  essentially  permanent  in  duration,  and  temporary  differences  associated  with  the
initial recognition of goodwill) arising between the tax bases of assets and liabilities and their carrying amounts in the consolidated financial statements and
on unused tax losses or R&D non-refundable tax credits in the Group. Deferred income tax is determined using tax rates and laws that have been enacted or
substantively enacted by the reporting date.

Deferred  income  tax  assets  are  recognized  only  to  the  extent  that  it  is  probable  that  future  taxable  profit  will  be  available  against  which  the  temporary
differences can be utilized.

Deferred income tax assets and liabilities are offset when there is a legally enforceable right to offset current tax assets against current tax liabilities and
when  the  deferred  income  taxes  assets  and  liabilities  relate  to  income  taxes  levied  by  the  same  taxation  authority  on  either  the  same  taxable  entity  or
different taxable entities where there is an intention to settle the balances on a net basis.

Research and development costs

Research costs are expensed as incurred. Development costs are expensed as incurred, except for those that meet 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 (loss) income per share

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

Diluted net (loss) income per share is calculated based on the weighted average number of common shares outstanding during the year, plus the effects of
dilutive common share equivalents, such as stock options and share purchase warrants. This method requires that diluted net (loss) income per share be
calculated using the treasury stock method, as if all common share equivalents had been exercised at the beginning of the reporting period, or period of
issuance, as the case may be, and that the funds obtained thereby were used to purchase common shares of the Company at the average trading price of the
common shares during the period.

16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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.

Going concern assessment

Management has evaluated whether material uncertainty exists relating to events or conditions that may cast substantial doubt about the Company’s ability
to continue as a going concern and has made critical judgements as described in note 1.

Accounting for the Macrilen™ License 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

The  annual  impairment  assessment  related  to  goodwill  requires  management  to  estimate  the  recoverable  amount,  which  has  been  determined  using  fair
value less cost of disposal. The Company has one reportable segment, and management monitors goodwill based on an overall entity basis. The carrying
amount of its consolidated net deficit is compared to its overall market capitalization. Based on this calculation, and given the Company has a net deficit,
management determined that goodwill was not impaired. 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.

17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Income taxes

The estimation of income taxes includes evaluating the recoverability of deferred tax assets based on an assessment of Group entities’ ability to utilize the
underlying future tax deductions against future taxable income prior to expiry of those deductions. Management assesses whether it is probable that some
or  all  of  the  deferred  income  tax  assets  will  not  be  realized.  The  ultimate  realization  of  deferred  tax  assets  is  dependent  upon  the  generation  of  future
taxable income, which in turn is dependent upon the successful commercialization of the Company’s products. To the extent that management’s assessment
of any Group entity’s ability to utilize future tax deductions changes, the Company would be required to recognize more or fewer deferred tax assets, and
future income tax provisions or recoveries could be affected. Additional information is included in note 22 - Income taxes.

5

Recent accounting pronouncements

Impact of adoption of significant new IFRS standards in 2019

The following new IFRS standards have been adopted by the Company effective January 1, 2019:

(a) IFRS 16, Leases

The Company has adopted IFRS 16 on a modified retrospective basis from January 1, 2019 with no restatement of comparatives, as permitted under the
specific transitional provisions in the standard.

Overall impact from adoption

The change in accounting policy affected the following items in the balance sheet on January 1, 2019:

● Right of use assets - increase by $859
● Provision of onerous lease contracts - decrease by $663
● Lease liabilities - increase by $1,522

(Loss) income per share for the three and twelve months to December 31, 2019 was not affected as a result of the adoption of IFRS 16.

(ii) Practical expedients applied

In applying IFRS 16 for the first time, the Company has used the following practical expedients permitted by the standard:

● the use of a single discount rate to a portfolio of leases with reasonably similar characteristics
● reliance on previous assessments on whether leases are onerous
● the exclusion of initial direct costs for the measurement of the right of use asset at the date of initial application; and
● the use of hindsight in determining the lease term where the contract contains options to extend or terminate the lease.

The Company has also elected not to reassess whether a contract is or contains a lease at the date of initial application. Instead, for contracts entered into
before  the  transition  date,  the  Company  relied  on  its  assessment  made  applying  IAS  17  and  IFRIC  4  Determining  whether  an  Arrangement  contains  a
Lease.

(iii) The Company’s leasing activities and how these are accounted for

The  Company  leases  various  office  and  lab  premises  (building),  cars  and  equipment.  The  building  lease  was  originally  for  10  years  with  one  five-year
extension, such extension is ending on April 30, 2021. Car lease contracts are typically made for fixed periods of three to four years while the equipment
lease is for five years ending April 30, 2020. Lease terms are negotiated on an individual basis and contain a wide range of different terms and conditions.
and the lease agreements do not impose any covenants, but leased assets may not be used as security for borrowing purposes.

Until the 2018 financial year, leases of property, plant and equipment were classified as operating leases. Payments made under operating leases (net of any
incentives received from the lessor) were charged to statement of comprehensive (loss) income on a straight-line basis over the period of the lease.

18

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

(iv) Adjustments recognized on adoption of IFRS 16

Lease liabilities

The Company has operating leases for building, cars and equipment leases at its location in Frankfurt. Upon adoption of IFRS 16, the Company recognized
lease liabilities in relation to leases which had previously been classified as ‘operating leases’ under the principles of IAS 17 Leases. Under IFRS 16, these
liabilities  were  measured  at  the  present  value  of  the  remaining  lease  payments  excluding  renewal  options  as  they  are  not  expected  to  be  exercised,
discounted using the Company’s incremental borrowing rate as of January 1, 2019. The Company’s incremental annual borrowing rate applied to the lease
liabilities on January 1, 2019 were:

● Building lease 5.5%
● Vehicle leases ranging from 4.84% to 5.32%
● Equipment leases 3.88%

The weighted average incremental borrowing rate applied to lease liabilities recognized in the statement of financial position at January 1, 2019 was 5.45%.

Operating lease commitments disclosed as at December 31, 2018 (revised)
Discounted using the lessee’s incremental borrowing rate of at the date of initial application:
Lease liability recognized as at January 1, 2019

Current lease liabilities
Non-current lease liabilities

During the year ended December 31, 2019

Interest paid as charged to comprehensive (loss) income as other finance income
Payment against lease liabilities
Foreign exchange

Lease liability recognized as at December 31, 2019

Current lease liabilities
Non-current lease liabilities

The Company’s lease liabilities come due, as at December 31, 2019, as follows:

Less than 1 year
1 - 3 years
4 - 5 years
More than 5 years
Total

19

2019

$

1,669 
(147)
1,522 
629 
893 

66 
614 
62 

903 
648 
255 

648 
253 
2 
— 
903 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Right of use assets

The Company’s related right of use assets were measured at the amount equal to the lease liability at the date of initial application. Only the building right
of use asset was further adjusted by the application of $663 in related onerous lease provision to the value at inception.

Cost
At January 1, 2019
Additions
Disposals
Impact of foreign exchange rate changes
At December 31, 2019

Accumulated Depreciation
At January 1, 2019
Disposals
Depreciation
Impairment
Impact of foreign exchange rate changes
At December 31, 2019

Carrying amount
At December 31, 2019

Building
$

Vehicles and
equipment
$

Building
$

735   
45   
(7)  
(16)  
757   

—   
(2)  
227   
22   
(5)  
242   

Vehicles and
equipment
$

124   
32   
(43)  
(7)  
106   

—   
(12)  
51   
—   
—   
39   

Total
$

Total
$

859 
77 
(50)
(23)
863 

— 
(14)
278 
22 
(5)
281 

Building
$

Vehicles and
equipment
$

Total
$

515   

67   

582 

During  the  three-month  period  ended  March  31,  2019,  management  continued  its  search  for  a  sub-lessee.  However,  there  were  delays  which  led  to  a
reassessment of its onerous lease provision as the Company has determined that its plan to exit its building lease, in full, as at December 31, 2019 was not
probable.  As  such,  the  Company  recognized  an  impairment  of  its  right  of  use  building  asset  of  $337  in  the  statement  of  comprehensive  (loss)  income
during  the  first  quarter  of  2019.  In  light  of  the  June  2019  restructuring  of  the  German  operations  (note  16),  management  recognized  an  additional
impairment of $64 as office and lab space was expected to become vacant or underutilized. During the third quarter of 2019, a new sub-lessee signed a 6-
month lease for certain lab and office space; management reversed the impairment of its building right of use asset by $125. During the fourth quarter of
2019,  an  existing  sub-lease  agreement  was  renewed,  and  the  amount  of  rented  space  was  expanded;  management  then  reversed  the  impairment  of  its
building right of use asset by $254.

The Company had $31 in short term lease payments which were not capitalized.

(b) IFRIC 23, “Uncertainty over Income Tax Treatment” (“IFRIC 23”)

In  June  2017,  IFRIC  23,  was  issued  and  it  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  did  not  have  a  significant  impact  on  the  Company’s  consolidated  financial
statements.

20

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

(c) Amendments in Plan Amendment, Curtailment or Settlement (Amendments to IAS 19)

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  January  1,  2019.  The  adoption  of  these
amendments did not have a significant impact on the Company’s consolidated financial statements.

Accounting standards issued but not yet adopted

(d) IAS 1 Presentation of Financial Statements and IAS 8 Accounting policies, changes in accounting estimates and errors (amendment)

In October 2018, the IASB issued Definition of Material (Amendments to IAS 1 and IAS 8) to clarify the definition of ‘material’ and to align the definition
used in the Conceptual Framework and the standards themselves. The amendments are effective annual reporting periods beginning on or after January 1,
2020. The Company is currently evaluating the new guidance and does not expect it to have a significant impact on its consolidated financial statements.

(e) Conceptual Framework for Financial Reporting

Together  with  the  revised  Conceptual  Framework  published  in  March  2018,  the  IASB  also  issued  Amendments  to  References  to  the  Conceptual
Framework  in  IFRS  Standards.  The  amendments  are  effective  for  annual  periods  beginning  on  or  after  January  1,  2020.  The  Company  is  currently
evaluating the new guidance and does not expect it to have a significant impact on its consolidated financial statements.

6

Licensing arrangements

(a) Macrilen™ License Agreement

On January 16, 2018, the Company, through AEZS Germany, entered into License 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, 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) the licensee 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 a Supply Arrangement. Effective December 19, 2018, Strongbridge
sold  the  entity  which  owned  the  License  Agreement  for  the  U.S.  and  Canadian  rights  to  Macrilen™  (macimorelin)  to  Novo.  In  2019,  the  Supply
Arrangement was concluded and Novo contracted AEZS Germany to provide supply chain services for the manufacture of Macrilen™ (macimorelin).

(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 $75,000 and an 18% royalty on annual net sales above $75,000. 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  $4,000  to  $100,000  upon  the  achievement  of  commercial  milestones  going  from  $25,000  annual  net  sales  up  to  $500,000
annual net sales.

21

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

In  January  2018,  the  Company  received  a  cash  payment  of  $24,000  from  Strongbridge  and  on  July  23,  2018,  Strongbridge  launched  product  sales  of
Macrilen™ (macimorelin) in the U.S.

Royalty income earned under the License Agreement for the year ended December 31, 2019 was $45 (2018- $184).

(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 $5,000.
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  $24,000  payment  and  the  $5,000  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 $23.600 being allocated to the Adult Indication and
being recognized as license fee revenue in the consolidated statements of comprehensive (loss) income 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, over a period of 5.4 years, into the consolidated statements of comprehensive (loss) income.

(iii) PIP Study

During  2019,  the  Company  invoiced  its  licensee  $979  (2018  –  $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) Supply Chain Arrangement

The  Company  agreed,  in  the  Interim  Supply  Arrangement  to  the  License  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 Novo would be able to procure those same goods with other suppliers.
In November 2019, Novo contracted with AEZS Germany, to provide supply chain services including provision of supervision of stability studies (support
services) as well as API batch production and delivery of certain API and semi-finished goods. The Company has determined the stand-alone selling price
of the support services and API batch production and delivery to be their respective cost, as those approximate the amount at which Novo would be able to
procure those same goods and services with other suppliers.

For all supply arrangement activities, either under the Interim Supply Agreement or the Supply Agreement with Novo, in 2019, the Company invoiced
$1,159 (2018 – $2,167) and has received payment in full for these invoices. These items are presented in the consolidated statements of comprehensive
(loss) income as product sales; supply chain, sales commissions and other revenue and as cost of sales when the performance obligations have been met
and deferred revenue on the consolidated statements of financial position when payments have been received in advance of revenue recognition.

22

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

(b) Zoptrex™ License Agreement

On December 1, 2014, the Company entered into an exclusive master collaboration agreement, a technology transfer and technical assistance agreement
(“TTA”)  and  a  license  agreement  with  Sinopharm  A-Think  Pharmaceuticals  Co.,  Ltd.  (“Sinopharm”)  for  the  development,  manufacture  and
commercialization  of  Zoptrex™  in  all  human  uses,  in  the  People’s  Republic  of  China,  including  Hong  Kong  and  Macau.  Under  the  terms  of  the  TTA,
Sinopharm made a one-time, non-refundable payment of $1,000 to the Company in consideration for the transfer of technical documentation and materials,
know-how  and  technical  assistance  services. 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

Trade accounts receivable (net of expected credit losses of $55 (2018 - $55))
Value added tax
Other receivables

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

2019
$

2019
$

December 31,

4,801   
3,037   
7,838   

December 31,

210   
254   
194   
658   

9

Inventory

Raw Materials
Work in process

December 31,

2019
$

2018
$

204   
999   
1,203   

The Company recognized $101 of inventory costs and $106 as impairment in drug product for the European market as cost of sales in the consolidated
statements of comprehensive (loss) income for the year ended December 31, 2019 (2018 - $2,087 and $nil and 2017 - $nil and $nil).

10

Prepaid expenses and other current assets

Prepaid insurance
Prepaid inventory
Other

23

December 31,

2019
$

2018
$

791   
175   
245   
1,211   

832 
175 
203 
1,210 

3,501 
11,011 
14,512 

2018
$

2018
$

142 
49 
103 
294 

— 
240 
240 

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

During 2019, the Company evaluated the recoverability of $169 paid in a prior year to the Company’s change partner for the serialization of Macrilen™
(macimorelin) sachet and packaging subject to a repayment arrangement. As the timing and amount of such partner’s future ability to repay could not be
reasonably estimated, the full amount was written off and the Company expects to recognize any associated revenues in the period in which cash, if any, is
received.  

11

Restricted cash equivalents

The Company had restricted cash equivalents amounting to $364 at December 31, 2019 (2018 - $418). These balances consist of certificates of deposit that
are used as collateral for corporate credit cards and leases.

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, 2018
Additions
Disposals / Retirements
Reclassifications
Impact of foreign exchange rate changes

At December 31, 2018
Disposals / Retirements
Impact of foreign exchange rate changes
At December 31, 2019

At January 1, 2018
Disposals / Retirements
Depreciation expense
Impact of foreign exchange rate changes

At December 31, 2018
Disposals / Retirements
Depreciation expense
Impact of foreign exchange rate changes
At December 31, 2019

2,268   
1   
(758)  
11   
(64)  
1,458   
(1,019)  
(17)  
422   

Equipment

$

2,210   
(752)  
19   
(63)  
1,414   
(1,009)  
9   
(14)  
400   

24

19   
—   
—   
(11)  
(1)  
7   
—   
—   
7   

790   
8   
(137)  
—   
(24)  
637   
(311)  
(12)  
314   

42   
—   
—   
—   
(2)  
40   
(5)  
(1)  
34   

Furniture and
fixtures

Accumulated depreciation
Computer
equipment

Leasehold
improvements    
$

$

$

4   
—   
1   
—   
5   
—   
2   
—   
7   

769   
(137)  
14   
(22)  
624   
(311)  
6   
(12)  
307   

35   
—   
1   
(2)  
34   
(5)  
—   
(1)  
28   

3,119 
9 
(895)
— 
(91)
2,142 
(1,335)
(30)
777 

Total

$

3,018 
(889)
35 
(87)
2,077 
(1,325)
17 
(27)
742 

 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

At December 31, 2018

At December 31, 2019

Equipment
$

Furniture and
fixtures
$

Carrying amount
Computer
equipment
$

Leasehold
improvements
$

44   
22   

2   
—   

13   
7   

Total
$

65 
35 

6   
6   

Depreciation of $17 ($35 in 2018 and $100 in 2017) is presented in the consolidated statement of comprehensive (loss) income as follows: $10 ($20 in 2018 and $69 in
2017) in R&D costs, $7 ($10 in 2018 and $10 in 2017) in general and administrative (“G&A”) expenses and $nil ($5 in 2018 and $21 in 2017) in selling expenses. During
2019, the Company recognized net loss on disposal of $5 (2018 - $nil and 2017 - $nil) in the consolidated statement of comprehensive (loss) income.

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.

Balances – Beginning of the year
Additions
Retirement
Recurring amortization expense
Impact of foreign exchange rate changes
Balances – End of the year

Carrying
value
$

Year ended December 31, 2019
Accumulated
amortization   
$
(32,581)  
—   
466   
(20)  
753   
(31,382)  

Cost
$
32,643   
—   
(466)  
—   
(755)  
31,422   

62   
—   
—   
(20)  
(2)  
40   

Carrying
value
$

Year ended December 31, 2018
Accumulated
amortization   
$
(34,156)  
—   
—   
(23)  
1,598   
(32,581)  

Cost
$
34,246   
—   
—   
—   
(1,603)  
32,643   

90 
— 
— 
(23)
(5)
62 

During 2019, the Company recognized a retirement of $466 on expired patents and trademarks (2018 - $nil).

14

Goodwill

The change in carrying value is as follows:

At January 1, 2018

Impact of foreign exchange rate changes
At December 31, 2018

Impact of foreign exchange rate changes
At December 31, 2019

Cost
$

Accumulated
impairment loss
$

Carrying amount  
$

8,613   
(403)  
8,210   
(160)  
8,050   

—   
—   
—   
—   
—   

8,613 
(403)
8,210 
(160)
8,050 

Management’s  evaluation  of  impairment  in  goodwill  is  based  on  fair  value  less  costs  of  disposal  based  on  the  Company’s  market  capitalization  at
December 31, 2019, its issued and outstanding common shares less estimated cost of disposal of approximately $1,100. In the prior year the Company’s
methodology incorporated estimates of its licensee’s projected sales of Macrilen™ (both units and selling price), annual revenue growth rate, growth in
operating  expenses,  the  effect  of  future  costs  of  the  PIP  and  discount  rate  for  generating  the  Company’s  net  present  value.  There  was  no  impairment
assessed at December 31, 2019.

25

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(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
PIP study payables
Accrued severance
Other accrued liabilities

16

Provision for restructuring and other costs

December 31,

2019
$

2018
$

1,087   
—   
64   
4   
118   
427   
448   
2,148   

1,282 
26 
183 
738 
— 
148 
414 
2,791 

In the third quarter of 2017, AEZS Germany and its Works Council approved a restructuring program (the “2017 German Restructuring”), which was rolled
out  as  a  part  of  the  continued  strategy  to  transition  into  a  commercially  operating  specialty  biopharmaceutical  organization  focused  on  the
commercialization of Macrilen™ (macimorelin). On June 6, 2019, the Company announced that it was further reducing the size of its German workforce to
more closely reflect the Company’s ongoing commercial activities in Frankfurt. AEZS Germany and its Works Council approved a restructuring that affects
8 employees and was completed on January 31, 2020.

26

 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

Other

provision    

Cetrotide(R)
onerous
contracts
$

2017 German
Restructuring:
onerous lease    

$

German
Restructuring:
severance
$

Total
$

January 1, 2018
Provision recognized
Utilization of provision
Change in the provision
Unwinding of discount and impact of foreign
exchange rate changes
December 31, 2018
Adoption of IFRS 16 (note 5a)
Provision recognized
Utilization of provision
Change in the provision
Unwinding of discount and impact of foreign
exchange rate changes
December 31, 2019
Less: current portion
Non-current portion

9   
—   
(9)  
—   

—   
—   
—   
—   
—   
—   

—   
—   
—   
—   

473   
317   
(222)  
—   

(21)  
547   
—   
—   
(137)  
4   

(18)  
396   
(88)  
308   

1,208   
—   
(467)  
(21)  

(57)  
663   
(663)  
—   
—   
—   

—   
—   
—   
—   

1,807   
—   
(1,202)  
(432)  

(85)  
88   
—   
507   
(252)  
—   

(13)  
330   
(330)  
—   

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
Less: current portion
Non-current portion

2019
$

Years ended December 31,
2018
$

2017
$

3,634   
3,457   
(318)  
(4,518)  
2,255   
(6)  
2,249   

3,897   
—   
—   
(263)  
3,634   
—   
3,634   

27

3,497 
317 
(1,900)
(453)

(163)
1,298 
(663)
507 
(389)
4 

(31)
726 
(418)
308 

6,854 
— 
(735)
(2,222)
3,897 
— 
3,897 

 
 
 
 
 
 
   
   
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

Balance – Beginning of the year
Issued (note 19)
Exercised
Expired (note 19)
Balance – End of the year

Years ended December 31,

2019

2018

2017

Weighted
average
exercise
price ($)

6.23   
1.65   
1.07   
—   
4.00   

  Number  
  3,417,840   
—   
—   
(25,996)  
  3,391,844   

Weighted
average
exercise
price ($)  
7.59   
—   
—   
185.00   
6.23   

  Number

  3,779,245 
— 

(331,730)*
(29,675)
  3,417,840 

  Number  
  3,391,844   
  3,325,000   
(87,700)  
—   
  6,629,144   

Weighted
average
exercise
price ($)  
9.66 
— 
1.07 
345.00 
7.59 

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

The warrants issued in March 2015 expired unexercised on March 10, 2020.See note 29, for warrants issued after December 31, 2019.

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, 2019.

March 2015 Series A Warrants (e)
December 2015 Warrants
November 2016 Warrants (f)
September 2019 Warrants (g)

Market-
value
per
share
price
($)

Weighted
average
exercise
price 
($)

Risk-
free
annual
interest
rate
(a)

0.91   
0.91   
0.91   
0.91   

1.07   
7.10   
4.70   
1.65   

1.58% 
1.58% 
1.58% 
1.67% 

Number of
equivalent
shares

28,144   
  2,331,000   
945,000   
  3,325,000   

Expected
volatility
(b)
53.18% 
78.30% 
75.89% 
117.60% 

Expected
life
(years)
(c)

Expected
dividend
yield
(d)

0.19   
0.96   
0.33   
4.73   

0.00%
0.00%
0.00%
0.00%

(a) Based on United States Treasury Government Bond interest rates with a term that is consistent with the expected life of the warrants.

(b) 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.

(c) Based upon time to expiry from the reporting period date.

(d) The Company has not paid dividends and it does not intend to pay dividends in the foreseeable future.

(e)

(f)

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 (note 19).

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. (note 19).

(g) For the September 2019 Warrants, the Company, used the Black-Scholes pricing model to fair value the warrants and allocated the gross proceeds. The remaining gross proceeds

were allocated to share capital (note 19)

28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
   
   
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

18

Employee future benefits

AEZS Germany provides unfunded defined benefit pension plans and unfunded post-employment benefit plans for certain groups of employees. Provisions
for pension obligations are established for benefits payable in the form of retirement, disability and surviving dependent pensions.

The unfunded defined benefit pension plans are final salary pension plans, which provide benefits to members (or to their surviving dependents) in the
form of a guaranteed level of pension payable for life. The level of benefits provided depends on the member’s length of service and on his or her base
salary in the final years leading up to retirement. Current pensions vary in accordance with applicable statutory requirements, which foresee an adjustment
every three years on an individual basis that is based on inflationary increases or in relation to salaries of comparable groups of active employees in the
Company. An adjustment may be denied by the Company if the Company’s financial situation does not allow for an increase in pensions. These plans are
unfunded, and the Company meets benefit payment obligations as they fall due.

The change in the Company’s accrued benefit obligations is summarized as follows:

Pension benefit plans
Years ended December 31,
2018
$

2019
$

2017
$

Balances – Beginning of the year
Current service cost
Interest cost
Actuarial loss (gain) 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 (loss) income

13,100   
41   
239   

1,068   
(483)  
(261)  
13,704   

14,145   
66   
224   

(193)  
(492)  
(650)  
13,100   

13,197   
107   
237   

(694)  
(485)  
1,783   
14,145   

(280)  
(807)  

(290)  
843   

(344)  
(1,089)  

Other benefit plans
Years ended December 31,

2019    

2018    

$
105   
8   
2   

(28)  
—   
(3)  
84   

18   
(3)  

$

84   
6   
1   

19   
(2)  
(3)  
105   

(26)  
3   

2017  
$
217 
14 
3 

(115)
(66)
31 
84 

98 
(31)

The cumulative amount of actuarial net losses recognized in other comprehensive (loss) income as at December 31, 2019 is $5,143 ($4,084 as at December
31, 2018 and $4,277 as at December 31, 2017).

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,
2018
%    
1.90   
1.80   
2.00   

2019
%    
1.10   
1.50   
2.00   

2017
%    
1.70   
1.80   
2.00   

Other benefit plans
Years ended December 31,

2019    
%    
1.90   
1.50   
2.00   

2018    
%    
1.90   
1.80   
2.00   

2017  
%  
1.70 
1.80 
2.00 

29

 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

The calculation of the pension benefit obligation is sensitive to the discount rate assumption. Throughout 2019, management has reduced the discount rate
assumption on a quarterly basis from 1.9% at December 31, 2018 to 1.1% as at December 31, 2019.

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

2019

2018

2017

20   
24   

28   
31   

20   
24   

28   
31   

20 
24 

22 
26 

The most recent actuarial reports give effect to the pension and post-employment benefit obligations as at December 31, 2019. The next actuarial reports
are planned for December 31, 2020.

In accordance with the assumptions used as at December 31, 2019, undiscounted defined pension benefits expected to be paid, in Euro, are as follows:

2020
2021
2022
2023
2024
Thereafter

$

456 
459 
462 
469 
478 
12,583 
14,907 

The weighted average duration of the defined benefit obligation is 15.6 years.

Total expenses for the Company’s defined contribution plan in its German subsidiary amounted to approximately $54 for the year ended December 31,
2019 (2018 - $75 and 2017 - $119).

If variations in the following assumptions had occurred during 2018, the impact on the Company’s pension benefit obligation of $13,704 as at December
31, 2019 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

Increase

Decrease

(506)  
17   
391   
519   

538 
(17)
(374)
(518)

30

 
 
 
 
 
 
 
   
   
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

19 Share and other capital

The Company has an unlimited number of authorized common shares (being voting and participating shares) with no par value, as well as an unlimited
number of preferred, first and second ranking shares, issuable in series, with rights and privileges specific to each class, with no par value.

On  September  20,  2019,  the  Company  entered  into  a  securities  purchase  agreement  with  U.S.  institutional  investors  to  purchase  $4,988  (before  total
transaction  costs  of  $795)  of  its  common  shares  in  a  registered  direct  offering  and  warrants  with  a  cashless  exercise  feature  (see  note  17)  to  purchase
common shares in a concurrent private placement (together, the “Offering”). The combined purchase price for one common share and one warrant was
$1.50. Under the terms of the securities purchase agreement, the Company sold 3,325,000 common shares. The gross proceeds of $4,988 was allocated as
$3,457 to warrants based on the ascribed fair value (note 17) and the remaining gross proceeds of $1,531 were allocated to share capital. The transaction
costs of $795 were allocated between share capital and warrants based on their relative fair values. The fair value of the share capital was recorded within
equity net of the allocated transaction costs. The transaction costs of $550 allocated to the warrant liability were recorded as expense in the statement of
comprehensive (loss) income.

In  April  2019,  there  were  87,850  stock  options,  23,000  deferred  share  units  and  87,700  warrants  exercised  for  gross  proceeds  of  $314  with  191,650
common shares issued. In September 2019, 53,000 deferred share units were exercised with 37,100 common shares being issued.

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

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  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.

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Shareholder rights plan

Effective May 8, 2019, the shareholders re-approved the Company’s 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.

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’ (deficiency) equity and as general and administrative expenses in its consolidated
statements of comprehensive (loss) income.

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 of 10 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.

During 2019 and 2018, the Company granted Deferred Share Units (“DSU”) and stock options under the LTIP, and stock options under the Stock Option
Plan in 2017, as follows:

Years ended December 31,
2018

2017

2019

Weighted
average
exercise

Weighted
average
exercise

US dollar-denominated grants
Balance – Beginning of the year
Granted
Exercised
Canceled/Forfeited
Expired
Balance – End of period

Number

888,816     
335,000     
(163,850)    
(6,000)    
(100,850)    
953,116     

price (US$)     Number
3.66     
2.00     
2.42     
13.39     
2.24     
3.38     

712,415     
426,000     
—     
(249,599)    
—     
888,816     

price (US$)     Number
4.66     
1.74     
—     
3.23     
—     
3.66     

966,539     
390,000     
—     
(643,271)    
(853)    
712,415     

32

Weighted
average
exercise
price (US$)  
7.23 
2.05 
— 
6.02 
704.88 
4.66 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
   
   
   
   
   
   
   
   
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

2019

Years ended December 31,
2018

2017

Canadian dollar-denominated stock options
Balance – Beginning of the year
Forfeited
Expired
Balance – End of the year

Range of US dollar-denominated options
exercise price
0.87 to 1.45
1.46 to 1.79
1.80 to 2.11
2.12 to 3.50
3.51 to 1,044.00

Exercise price
(CAN$)
0 to 912.00

Weighted
average
exercise
price
(CAN$)

  Number    

    Number    

Weighted
average
exercise
price
(CAN$)

869     
—     
(428)    
441     

743.56     
—     
570.00     
912.00     

1,503     
(104)    
(530)    
869     

    Number    
1,858     
—     
(355)    
1,503     

605.84     
668.65     
367.70     
743.56     

Options outstanding
Weighted
average
remaining
contractual
life
(years)

  Number (#)    

Weighted
average
exercise
price
($)

Options exercisable
Weighted
average
remaining
contractual
life
(years)

    Number (#)    

Weighted
average
exercise
price
(CAN$)

820.27 
— 
1,728.15 
605.84 

Weighted
average
exercise
price
($)

160,000     
142,000     
370,000     
253,948     
27,168     
953,116     

7.57     
7.26     
5.67     
7.03     
2.79     
6.50     

0.91     
1.67     
2.07     
3.18     
46.56     
3.38     

—     
108,667     
213,334     
228,948     
27,168     
578,117     

—     
7.88     
5.23     
6.74     
2.79     
6.21     

— 
1.74 
2.06 
3.30 
46.56 
4.58 

Canadian dollar options outstanding and exercisable as at December
31, 2019
Weighted average
remaining
contractual life
(years)

Weighted average
exercise price
(CAN$)

Number

441   
441   

0.87   
0.87   

912.00 
912.00 

As at December 31, 2019, the total compensation cost related to unvested US dollar stock options not yet recognized amounted to $101 (2018 - $198). This
amount is expected to be recognized over a weighted average period of 1.21 years (2018 - 1.15 years).

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.

33

 
 
 
 
 
 
 
 
   
   
 
 
   
   
   
   
 
 
 
   
 
   
   
 
   
   
   
   
   
 
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

Years ended December 31,

2019

2018

0.00% 
110.02% 
1.86% 
5.94 
2.00 
2.00 
1.73 

  $
  $
  $

0.00%
129.23%
2.51%
3.6 
1.74 
1.74 
1.39 

(a)
(b)
(c)
(d)

  $
  $
  $

(a) The Company has not paid dividends and it does not intend to pay dividends in the foreseeable future.
(b) 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.
(c) Based on United States Treasury Government Bond interest rates with a term that is consistent with the expected life of the stock options.
(d)  Based  upon  historical  data  related  to  the  exercise  of  stock  options,  on  post-vesting  employment  terminations  and  on  future  expectations  related  to
exercise behavior.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(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:

2019
$

Years ended December 31,
2018
$

2017
$

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
Post-employment benefits
Share-based compensation costs

Cost of inventory used and services provided
Write down of inventory
Professional fees
Insurance
Third-party R&D
Consulting fees
Restructuring costs
Contracted sales force
Travel
Marketing services
Laboratory supplies
Other goods and services
Leasing costs, net of sublease receipts of $214 in 2019, $121 in 2018(2)
and $359 in 2017(2)
Impairment of prepaid asset
Depreciation and amortization of property, equipment and intangibles
Depreciation - right to use assets
Impairment losses
Operating foreign exchange losses (gains)

1,705   
194   
503   
257   
784   
3,443   

1,257   
—   
78   
9   
1,344   
309   
101   
2,599   
890   
322   
144   
507   
—   
154   
18   
23   
137   

247   
169   
37   
278   
22   
30   
5,987   
10,774   

2,388   
62   
356   
147   
462   
3,415   

1,325   
—   
275   
108   
1,708   
2,104   
—   
6,421   
1,303   
498   
—   
—   
256   
256   
176   
139   
342   

344   
—   
60   
—   
—   
17   
9,812   
17,039   

2,081 
— 
— 
59 
87 
2,227 

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 

(1) Key management includes the Company’s executive management team and directors.
(2) Leasing costs also include changes in the onerous lease provision in 2018 and 2017 (note 16) other than those costs attributable to the unwinding of the
discount.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Most of the employment agreements entered into between the Company and its executive officers include termination provisions, whereby the executive
officers would be entitled to receive benefits that would be payable if the Company were to terminate the executive officers’ employment without cause or
if  their  employment  is  terminated  following  a  change  of  control.  Separation  benefits  generally  are  calculated  based  on  an  agreed-upon  multiple  of
applicable base salary and incentive compensation and, in certain cases, other benefit amounts.

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)

22 Income taxes

2019
$

Years ended December 31,
2018
$

2017
$

(371)  
(971)  
(170)  
—   
(615)  
(188)  
743   
(389)  
(483)  
(2,444)  

(95)  
314   
448   
150   
(586)  
1,669   
400   
(1,957)  
(494)  
(151)  

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

Current income tax recovery (expense)
Deferred tax:

Origination and reversal of temporary differences
Adjustments in respect of prior years
Change in unrecognized tax assets
Total income tax recovery (expense)

2019
$

Years ended December 31,
2018
$

2017
$

—   

2,943  
-

(2,755)  
188   

—   

(4,003)  
742   
(2,191)  
(5,452)  

36

158 
— 
(343)
39 
(1,080)
— 
— 
(435)
(551)
(2,212)

— 

6,395 
(149)
(2,767)
3,479 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

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

26.5% 

26.8% 

26.9%

Years ended December 31,

2018
$

2017
$

2019

2019
$

1,615  
(3,160)  
340  
65  

35   
(27)  

1,197  
(210)  
321   
—   
12   
188   

(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 

Deferred income tax assets are recognized to the extent that the realization of the related tax benefit through reversal of temporary differences and future
taxable profits is probable.

(Loss) income before income taxes

(Loss) income before income taxes is attributable to the Company’s tax jurisdictions as follows:

Germany
Canada
United States

2019
$

Years ended December 31,
2018
$

2017
$

(6,010)  
812   
(1,032)  
(6,230)  

16,297   
(5,504)  
(1,154)  
9,639   

(13,950)
(5,592)
(733)
(20,275)

37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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

December 31,

2019
$

2018
$

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

38

—   

691   
2,639   
3,330   

—   
52   
—   
52   

184   
3,047   
47   
3,278   
3,330   
—   

December 31,

2019
$

2018
$

550   
550   

—   
83,699   
9,138   
5,149   
2,303   
480   
342   
272   
101,383   
101,933   

— 

764 
3,646 
4,410 

38 
153 
95 
286 

3 
4,074 
47 
4,124 
4,410 
— 

649 
649 

— 
81,731 
9,148 
5,894 
2,048 
448 
467 
241 
99,977 
100,626 

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(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, 2019, 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
2039

Canada

Federal
$

Provincial
$

8,008   
4,791   
4,104   
1,753   
4,250   
3,721   
4,153   
10,418   
10,592   
7,343   
6,557   
3,501   
69,191   

6,622 
4,773 
4,089 
1,737 
4,250 
3,721 
4,153 
10,452 
10,592 
7,343 
6,557 
3,501 
67,790 

The Company has non-refundable R&D investment tax credits of approximately $7,005 which can be carried forward to reduce Canadian federal income
taxes payable and which expire at dates ranging from 2019 to 2035. Furthermore, the Company has unrecognized tax assets in respect of operating losses to
be carried forward in Germany and in the U.S. The federal tax losses amount to approximately $200,707 in Germany (EUR 178,883) for which there is no
expiry date, and to $4,044 in the U.S., which expire as follows:

2028
2029
2034
2035
2036
2037
2038
2039

United States
 $

369 
178 
151 
447 
195 
709 
1,224 
771 
4,044 

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’  (deficiency)  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.

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.

39

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

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, 2019 and December 31, 2018 are presented below.

December 31, 2019

Cash and cash equivalents (note 7)
Trade and other receivables (note 8)
Restricted cash equivalents (note 11)
Payables and accrued liabilities (note 15)
Lease liability (note 5)
Warrant liability (note 17)

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)
Warrant liability (note 17)

Fair value

Financial assets
at amortized cost  
$

Financial
liabilities at
FVTPL
$

Financial 
liabilities at 
amortized cost  
$

Total
$

7,838   
404   
364   
—   
—   
—   
8,606   

—   
—   
—   
—   
—   
2,255   
2,255   

—   
—   
—   
2,148   
903   
—   
3,051   

7,838 
404 
364 
2,148
903
2,255
3,300 

Financial assets
at amortized cost    
$

Financial
liabilities at
FVTPL
$

Financial
liabilities at

amortized cost    
$

Total
$

14,512   
245   
418   
—   
—   
15,175   

—   
—   
—   
—   
3,634   
3,634   

—   
—   
—   
2,791   
—   
2,791   

14,512 
245 
418 
2,791
3,634
8,750 

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.

40

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(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, 2019, trade accounts receivable for an amount of approximately $265 were with four counterparties of which $55 was past due and
impaired and fully provided for (2018 - $197 with four counterparties and $55 past due and 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 determines expected credit losses. On
this basis, as at December 31, 2019, the Company has provided for all outstanding and unpaid amounts relating to its operations before its licensing of
MacrilenTM(macimorelin). 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, 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  1.  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.

41

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

All of the Company’s financial liabilities except lease liabilities are current liabilities with expected settlement dates within one year. The maturity analysis
for lease liabilities is disclosed in note 5.

(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 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 $0.77 to $5.43 during the year ended December 31, 2019.

If  variations  in  the  market  price  of  our  common  shares  of  -30%  and  +30%  were  to  occur,  the  impact  on  the  Company’s  net  loss  related  to  the  warrant
liability held at December 31, 2019 would be $771 to $(806), respectively.

(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,
2019, if the US dollar had increased or decreased by 10% against the Euro, with all variables held constant, net loss for the year ended December 31, 2019
would have been lower or higher by approximately $841 (net income for 2018 - $1,134).

25 Segment information

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

42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Geographical information

Revenues by geographical area are detailed as follows:

Ireland
United States
China
Denmark
British Virgin Islands
Other

Years ended December 31,
2018
$

2019
$

2017
$

74   
—   
—   
413   
—   
45   
532   

24,910   
1,416   
275   
—   
280   
—   
26,881   

— 
452 
262 
— 
206 
3 
923 

Revenues have been allocated to geographic regions based on the country of residence of the Company’s external customers or licensees.

Non-current assets include restricted cash equivalents, right of use assets, property, plant and equipment, identifiable intangible assets and goodwill and are detailed by
geographical area as follows:

Germany
United States
Canada

December 31,

2019
$

2017
$

8,969   
101   
1   
9,071   

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

Years ended December 31,
2018
$

2019
$

2017
$

74   
458   
—   
—   
—   
—   

26,127   
—   
275   
—   
—   
280   

43

8,599 
153 
3 
8,755 

— 
— 
262 
323 
129 
206 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

26 Net (loss) income per share

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

Net (loss) income

Basic weighted average number of shares outstanding
Diluted weighted average number of shares outstanding
Items excluded from the calculation of diluted net (loss) income
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 and DSUs
Share purchase warrants

Years ended December 31,
2018
$

2019
$

(6,042)  
17,494,472   
17,494,472   

4,187   
16,440,760   
17,034,812   

2017
$

(16,796)
14,958,704 
14,958,704 

953,557   
6,629,144   

889,685   
3,391,844   

713,918 
3,417,840 

Net (loss) income per share is calculated by dividing net (loss) income 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, DSUs and share
purchase warrants. In periods with reported net losses, all stock options and share purchase warrants are deemed anti-dilutive such that basic net loss per
share  and  diluted  net  loss  per  share  are  equal,  and  thus  “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

Less than 1 year
1 - 3 years
4 - 5 years
More than 5 years
Total

Contingencies

Service and
manufacturing
$

1,600 
11 
5 
5 
1,621 

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.

44

 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Aeterna Zentaris Inc.
Notes to Consolidated Financial Statements
As at December 31, 2019 and December 31, 2018 and for the years ended December 31, 2019, 2018 and 2017
(amounts in thousands of US dollars, except share/option/warrant/DSU and per share/option/warrant/DSU data and as otherwise noted)

Securities class action lawsuit

On  March  9,  2020,  the  Company  settled  the  previously  disclosed  class-action  lawsuit  against  it  pending  in  the  U.S.  District  Court  for  New  Jersey.  The
settlement  payment  of  $6,500  will  be  funded  entirely  by  the  Company’s  insurers.  The  class-action  lawsuit  alleged  that  the  Company  and  certain  of  its
former  officers  and  directors  violated  the  Securities  Exchange  Act  of  1934  in  connection  with  certain  public  statements  between  August  30,  2011  and
November  6,  2014,  regarding  the  safety  and  efficacy  of  Macrilen™  (macimorelin)  and  the  prospects  for  the  approval  of  the  Company’s  NDA  for  the
product by the FDA. This settlement remains subject to execution of final settlement documents and approval by the U.S. District Court for the District of
New Jersey.

Previously settled lawsuits

On December 21, 2018, the Company settled a dispute with its former President and Chief Executive Officer and with its former Senior Vice President,
Chief Administrative Officer, General Counsel and Corporate Secretary with the Company agreeing to make a payment in the amount of $775.

On November 5, 2018, the Company settled a dispute with Cogas Consulting, LLC with the Company agreeing to make a payment of $625.

28 Reclassifications on comparative figures

To consolidate the presentation of similar items, during 2019, the Company reclassified certain of its prior year comparative balance sheet items as follows:

Payables and accrued liabilities and current portion of deferred revenues

The $175 in payables and accrued liabilities has been reclassified to deferred revenue to be recognized on the sale of inventory to our licensee in 2020.

29 Subsequent events

(a) On February 21, 2020, the Company closed a registered direct offering for 3,478,261 common shares, at a purchase price of $1.29 per share,
priced at-the-market. Additionally, the Company issued to the investors unregistered warrants to purchase up to an aggregate of 2,608,696
common  shares  in  a  concurrent  private  placement.  The  warrants  have  an  exercise  price  of  $1.20  per  common  share,  are  exercisable
immediately and will expire five and one-half years following the date of issuance. The gross proceeds of the offering were $4,500. The net
cash proceeds to the Company from the offering totaled approximately $3,920. The Company also issued 243,478 warrants to the placement
agent with an exercise price of $1.61719 per common share, which are exercisable immediately and will expire five years following the date
of issuance.

(b) Subsequent to year end, the COVID-19 pandemic began causing significant financial market declines and social dislocation. The situation is
dynamic with various cities and countries around the world responding in different ways to address the outbreak. The spread of COVID-19
may impact our operations, including the potential interruption of our clinical trial activities and our supply chain. For example, the COVID-
19  outbreak  may  delay  enrollment  in  our  pediatric  clinical  trial  due  to  prioritization  of  hospital  resources  toward  the  outbreak,  and  some
patients may be unwilling to enroll in our trials or be unable to comply with clinical trial protocols if quarantines impede patient movement or
interrupt healthcare services, which would delay our ability to conduct clinical trials or release clinical trial results and could delay our ability
to obtain regulatory approval and commercialize our product candidates. The spread of an infectious disease, including COVID-19, may also
result in the inability of our suppliers to deliver components or raw materials on a timely basis or at all. In addition, hospitals may reduce
staffing and reduce or postpone certain treatments in response to the spread of an infectious disease. Such events may result in a period of
business disruption and, in reduced operations, doctors or medical providers may be unwilling to participate in our clinical trials, any of which
could  materially  affect  our  business,  financial  condition  or  results  of  operations.    The  significant  spread  of  COVID-19  within  the  U.S.,
Canada, Germany and elsewhere resulted in a widespread health crisis and has had adverse effects on local, national and global economies
generally, the markets that we serve, our operations and the market price of our Common Shares.The Company’s impairment test for various
assets  including  goodwill  and  intangibles  is  based  on  fair  value  models  which  are  based  on  cash  flows  from  operations  or  other  market
dependent  models.  Accordingly,  as  required  by  IFRS  we  have  not  reflected  these  subsequent  conditions  in  the  recoverable  value  of  the
 estimate of these assets at December 31, 2019.

Uncertain factors, including the duration of the outbreak, the severity of the disease and the actions to contain or treat its impact, could impair
our operations including, among other things, employee mobility and productivity, availability of our facilities, conduct of our clinical trials
and the availability and the productivity of third-party product and service suppliers.

45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 19. Exhibits

Exhibit Index

1.1

1.2

1.3

1.4

2.1

4.1

4.2
4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

4.11
4.12

  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)

  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 (incorporated by reference to Exhibit 99.2 to the Registrant’s report on Form 6-K furnished to the Commission on May 9. 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)

  Independent Contractor  Agreement  dated  September  18,  2018  between  Leslie  Auld  and  the  Registrant  (incorporated  by  reference  to  Exhibit  4.8  of  the  Registrant’s

Annual Report on Form 20-F for the financial year ended December 31, 2018 filed with the Commission on April 1, 2019)

  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)

  Form of Warrant Agreement (incorporated by reference to Exhibit 99.1 of the Registrant’s report on Form 6-K furnished to the Commission on September 20, 2019)
  Placement  Agency  Agreement  between  the  Registrant  and  Maxim  Group  LLC,  dated  as  of  September  20,  2019  (incorporated  by  reference  to  Exhibit  99.2  of  the

Registrant’s report on Form 6-K furnished to the Commission on September 20, 2019)

4.13

  Form of Securities Purchase Agreement by and between the Registrant and certain institutional investors, dated as of September 20, 2019 (incorporated by reference to

Exhibit 99.3 of the Registrant’s report on Form 6-K furnished to the Commission on September 20, 2019)

4.14
4.15

  Form of Investor Warrant (incorporated by reference to Exhibit 99.1 of the Registrant’s report on Form 6-K furnished to the Commission on February 21, 2020)
  Form of Securities Purchase Agreement by and between the Registrant and certain institutional investors, dated as of February 21, 2020 (incorporated by reference to

Exhibit 99.2 of the Registrant’s report on Form 6-K furnished to the Commission on February 21, 2020)

4.16

  Engagement Agreement by and between the Registrant and H.C. Wainwright & Co., LLC, dated as of February 18, 2020 (incorporated by reference to Exhibit 99.3 of the

Registrant’s report on Form 6-K furnished to the Commission on February 21, 2020)

4.17
8.1

  Form of Placement Agent Warrant (incorporated by reference to Exhibit 99.4 of the Registrant’s report on Form 6-K furnished to the Commission on February 21, 2020)
  Subsidiaries of the Registrant

107

 
 
 
 
 
 
 
11.1

11.2

11.3

12.1
12.2
13.1
13.2
15.1

  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

Exhibit Index

101. INS XBRL Instance Document

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

108

 
 
 
 
 
 
 
 
 
 
 
 
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.

SIGNATURES

Date: March 30, 2020

AETERNA ZENTARIS INC.

/s/ Klaus Paulini
Klaus Paulini
President and Chief Executive Officer

109

 
 
 
 
 
 
 
 
 
 
 
 
 
 
SUBSIDIARIES OF THE REGISTRANT

AETERNA ZENTARIS INC.

Exhibit 8.1

 
 
 
 
 
 
 
 
 
 
Exhibit 12.1

Certification of the Principal Executive Officer pursuant to §302 of the Sarbanes-Oxley Act of 2002 Certification

I, Klaus Paulini, 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 30, 2020

/s/ Klaus Paulini
Klaus Paulini
President and Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 12.2

Certification of the Principal Executive 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 30, 2020

/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,  2019  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, Klaus Paulini, 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 30, 2020

/s/ Klaus Paulini
Klaus Paulini
President and Chief Executive 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 13.2

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,  2019  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, Leslie Auld, 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 30, 2020

/s/ Leslie Auld
Leslie Auld
Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consent of Independent Registered Public Accounting Firm

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)
and Form F-3 (No.333-232935) of Aeterna Zentaris Inc. of our report dated March 30, 2020 relating to the consolidated financial statements, which appears
in this Annual Report on Form 20-F.

Exhibit 15.1

“/s/ PricewaterhouseCoopers LLP”

Chartered Professional Accountants, Licensed Public Accountants
Toronto, Canada
March 30, 2020