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Amryt Pharma plc

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FY2018 Annual Report · Amryt Pharma plc
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254852 AMRYT AR 0cover 2018.qxp  10/06/2019  15:47  Page 1

Amryt Pharma plc 
Registered Office: 
Dept 920A 
196 High Road 
Wood Green 
London N22 8HH 
United Kingdom 

Dublin Office: 
90 Harcourt Street 
Dublin 2 
Ireland 

www.amrytpharma.com

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Amryt Pharma plc 
Annual Report 2018

The Rare and 
Orphan Diseases Specialist

 
 
 
 
 
 
254852 AMRYT AR 0cover 2018.qxp  10/06/2019  15:47  Page 85

Amryt is a biopharmaceutical company focused 
on developing and delivering innovative new 
treatments to help improve the lives of patients 
with rare or orphan diseases. 

Orphan / Rare Disease focused business with strong and 
experienced management team in place 

Delivering on strategy to acquire, develop and 
commercialise products as evidenced by our recent 
planned acquisition announcement 

The planned acquisition of Aegerion Pharmaceuticals will 
put Amryt on the path of creating a rare and orphan 
disease company with a diversified offering of multiple 
commercial and development stage assets

Robust pipeline of drug candidates with excellent 
progress made on AP101 and AP103 

Pivotal phase 3 trial, “EASE” Study, to examine AP101’s 
efficacy as a new treatment for EB is progressing with 
positive unblinded interim efficacy result received in H1 
2019. Study top line data expected to be available in H1 
2020

Driving growth of our multiple commercial products will 
be a key focus for us in 2019 

Planned NASDAQ listing will drive liquidity and investor 
reach

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

85

Company Information 

Registered Office 

Dept 920A 
196 High Road 
Wood Green 
London N22 8HH 
United Kingdom 

Company Number 

05316808 

Directors 

Harry Stratford – Non-executive Chairman 
Joe Wiley – CEO 
Rory Nealon – CFO/COO 
James Culverwell – Non-executive Director 
Ray Stafford – Non-executive Director 
Markus Ziener – Non-executive Director 

Company Secretary 

Rory Nealon 

Company Website 

www.amrytpharma.com 

AIM Nominated Adviser 

Shore Capital and Corporate Limited 
Bond Street House 
14 Clifford Street 
London, W1S 4JU 
United Kingdom 

Joint Broker 

Shore Capital Stockbrokers Limited 
Bond Street House 
14 Clifford Street 
London, W1S 4JU 
United Kingdom 

Joint Broker 

Stifel Nicolaus Europe Limited 
150 Cheapside 
London, EC2V 6ET 
United Kingdom 

Euronext Growth Adviser and Joint Broker 

J & E Davy 
Davy House 
49 Dawson Street 
Dublin 2 
Ireland 

Auditors 

Grant Thornton 
13-18 City Quay 
Dublin 2 
Ireland 

Registrars 

Link Asset Services 
The Registry 
34 Beckenham Road 
Kent, BR3 4TU 
United Kingdom

Amryt Pharma plc

Annual Report for the year ended 31 December 2018

Perivan Financial Print    254852

 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 01

01

Contents 

STRATEGIC REPORT 
•       Our Business                                                                            02 

•       Performance Highlights                                                            03 

•       Our Products                                                                            08 

•       Drug Development Pipeline                                                      10 

•       Chairman & CEO’s Statement and Business Review                  11 

•       Vision & Strategy                                                                      16 

•       Financial Review                                                                       17 

•       Key Performance Indicators                                                      21 

•       Risks & Uncertainties                                                                22 

CORPORATE GOVERNANCE 
•       Board of Directors                                                                    27 

•       Chairman’s Introduction to Governance                                   29 

•       Chairman’s Governance Overview                                            30 

•       Directors’ Report                                                                      34 

FINANCIAL STATEMENTS 
•       Independent Auditor’s Report                                                   38 

•       Consolidated Statement of Comprehensive Income                  44 

•       Consolidated Statement of Financial Position                           45 

•       Consolidated Statement of Cash Flows                                    46 

•       Consolidated Statement of Changes in Equity                          47 

•       Company Statement of Financial Position                                 48 

•       Company Statement of Cash Flows                                          49 

•       Company Statement of Changes in Equity                               50 

•       Notes to the Financial Statements                                            51 
•       Company Information                                                              85 

We are pleased to present the annual report and consolidated financial 
statements of Amryt Pharma plc for the year ended 31 December 2018. 
As used herein, references to “we”, “us”, “Amryt” or the “Group”  
in this annual report shall mean Amryt Pharma plc and its world-wide 
subsidiaries, collectively. References to the “Company” in this annual  
report shall mean Amryt Pharma plc.

Annual Report for the year ended 31 December 2018

254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 02

02

STRATEGIC REPORT: 
Our Business 

Amryt is a biopharmaceutical company focused on developing and delivering innovative new treatments to help improve the 
lives of patients with rare or orphan diseases. Through acquiring, developing and commercialising products, the Company’s  
ambition is to become a global leader in the orphan disease market. The Group has built a diverse portfolio of commercial and 
development stage assets and its strategy is focused on three pillars: 

• Expand our commercial business - driving further revenue growth of our lead commercial asset, Lojuxta® in existing and new  

territories 

• Acquisition and in-licence opportunities - actively seeking to expand the Group’s commercial product portfolio by acquiring 

further commercial or near commercial assets to leverage our successful Lojuxta business 

• Epidermolysis Bullosa (“EB”) franchise - developing our lead development asset, AP101, which is currently in Phase 3 as a  

potential treatment for EB as well as progressing our gene therapy platform, AP103, into the clinic.

Amryt Pharma plc

 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 03

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

03

STRATEGIC REPORT: 
Performance Highlights 

2018 was another very strong year for Amryt, marked by solid financial, operational and strategic progress with our lead 
commercial product Lojuxta (lomitapide), which treats HoFH, a rare, genetic, life-threatening disorder that causes abnormally 
high levels of “bad” cholesterol and the continued progress of our lead development asset AP101 for the treatment of EB, a rare 
life limiting genetic skin condition. Amryt remains well positioned to build on the positive momentum achieved in 2018 through 
2019 and beyond.  

With a relentless focus on continuous product development, revenue expansion and cash management, we believe 2019 will be 
a year of continued progress and further growth for the Group. A significant development to date in 2019 has been the 
announcement of the planned acquisition of Aegerion Pharmaceuticals (Aegerion), a subsidiary of Novelion Therapeutics Inc. 
(NASDAQ:NVLN), (Novelion). This transformational acquisition is in line with Amryt’s strategy to expand its product portfolio to 
enhance shareholder value. The combination of Aegerion and Amryt will significantly advance Amryt’s ambition to create a 
global leader in rare and orphan diseases with a diversified offering of multiple commercial and development stage assets and 
will provide Amryt with the scale to support further growth.  

Some financial and operational highlights of the Group’s performance in 2018 and in 2019 to date are as follows: 

2018 Financial Highlights 

Total Revenues Up 13%

Gross Margin - 63%

€12.78

€14.45

57.9%

63.3%

m
’
€

2017

2018

2017

2018

• Revenue growth of 13.3% to €14.5m (2017: €12.8m)  

• Revenues from Lojuxta (lomitapide), increased to €13.6m, which represents a growth rate of 14.2% year-on-year 

• Gross profit margin increased to 63% (2017: 58%) 

• Cash balance at 31 December 2018 of €9.8m (2017: €20.5m) 

2018 Operational Highlights 

Lead Commercial Asset - Lojuxta 

• Eight new distribution agreements signed in 2018, now covering 23 countries in total 

• Reimbursement approval received in the UK and France resulting in first orders from the UK in late 2018 

• Initial orders received for patients in Saudi Arabia in Q4 

• Continued expansion of the licenced territories for Lojuxta, including Russia, the Commonwealth of Independent States 

(“CIS”), and the non-EU Balkan states 

Lead Development Asset - AP101 

• Significant continued progress made in the development of AP101, a potential treatment for EB, a rare life limiting genetic 

skin condition  

• Investigational New Drug (“IND”) approval obtained from the U.S. Food and Drug Administration (“FDA”), permitting the 

Group to open clinical trial sites in the US, which is expected to help enrolment into the EASE Phase 3 study in EB 

Annual Report for the year ended 31 December 2018

 
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04

STRATEGIC REPORT: 
Performance Highlights continued

• Paediatric Rare Disease designation was granted by FDA meaning that if a New Drug Application (“NDA”) for AP101 is 

approved, Amryt will be eligible to receive a Priority Review Voucher that can be used, sold or transferred. Publicly disclosed 
sale prices for such vouchers have ranged from US$67.5m to US$350m 

• Early access programme in EB initiated in Colombia with first AP101 shipments in response to unsolicited requests for named 

patient access in Q4 2018 

Gene Therapy Platform - AP103 

• Exclusive in-licence agreement signed in March 2018 with University College Dublin (“UCD”) for a novel non-viral gene 

therapy platform technology, which offers a potential treatment for patients with EB and beyond  

• Significant grant funding totalling €8.4m awarded by the Irish Government to develop the AP103 gene therapy platform, to 

be received over the next three years 

Post Period-End Events and Q1 Highlights  

Recommended Acquisition of Aegerion Pharmaceuticals 

On 21 May 2019, Amryt announced that it had reached agreement to acquire Aegerion Pharmaceuticals (“Aegerion”), a subsidi-
ary of Novelion Therapeutics (NASDAQ:NVLN). The transaction has been unanimously approved and recommended by the Boards 
of Amryt, Aegerion and Novelion.  

Transaction Rationale  

The Company has already built a diversified portfolio of drugs to treat patients with rare and orphan diseases through the 
acquisition of its AP101 and AP103 product lines and through the in-licensing of the Lojuxta product line. The acquisition of 
Aegerion is in line with Amryt’s strategy to expand its product portfolio to enhance shareholder value. 

The transaction will put Amryt on the path to creating a rare and orphan disease company with a diversified offering of multiple 
commercial and development stage assets and will provide it with scale to support further growth. The transaction will give 
Amryt an expanded commercial footprint to market two US and EU approved products, lomitapide (Juxtapid® (US/ROW) / Lojuxta 
(EU)) and metreleptin (Myalept® (US) / Myalepta® (EU)). Amryt’s leadership team already has a deep knowledge of both these 
products and since December 2016 has successfully commercialized Lojuxta across Europe and the Middle East. 

Dr. Joe Wiley, Chief Executive Officer of Amryt, commented:

“The planned acquisition of Aegerion accelerates our ambition to become a global leader in treating 
rare conditions to help improve the lives of patients where there is a high unmet medical need. By 
delivering two substantial revenue-generating products and an enhanced pipeline of promising 
development opportunities, this will significantly strengthen our growth in highly attractive markets 
globally. Amryt has a unique insight into both Aegerion and its products, through our commercial 
success with Lojuxta and given that many of our senior management team previously worked at 
Aegerion. With this transaction we can continue the strong growth trajectory already underway with 
Lojuxta in Europe on a global scale. It also delivers metreleptin, another highly compelling commercial 
rare disease product alongside an established commercial footprint in the US and internationally. This 
transformational deal provides Amryt with the financial flexibility to fully execute our medium-term 
growth plans and is expected to deliver significant shareholder returns.” 

Amryt Pharma plc

254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 05

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

05

Transaction Highlights  

• Amryt has agreed to acquire Aegerion in a share for share transaction 

• The combined group had 2018 pro-forma combined revenues of $136.5m 

• Pre-money implied transaction equity valuations: Amryt $120m and Aegerion $190.7m  

• Contingent Value Rights (“CVRs”) will be issued to Amryt stakeholders that could result in the payment of up to $85m 

(settled in cash or stock) based on certain AP101 milestones being achieved 

• Amryt plans to raise $60m in equity concurrent with closing of the transaction and certain Aegerion bondholders have agreed 

to backstop this equity raise 

• This equity raise will be placed at a 20% discount to the implied transaction equity value 

• Aegerion’s balance sheet is to be restructured through a US Chapter 11 process prior to Amryt acquiring Aegerion - Aegerion 

will continue to operate as usual during the Chapter 11 process  

• New loan facilities for the combined group will be put in place, and the key terms of such facilities have been agreed - Amryt’s 

existing European Investment Bank facility is to be repaid 

• The combined group’s global HQ will be in Dublin, Ireland with its US HQ in Boston, Massachusetts 

• Enlarged group to be re-admitted to the Alternative Investment Market (“AIM”) and Euronext Growth on closing with a 

planned dual-listing on NASDAQ 

• Transaction already endorsed by 34.3% of Amryt shareholders and in excess of 67% of Aegerion’s bondholders 

Rich Commercial Portfolio & Development Pipeline with a Global Footprint 

• Amryt will have a differentiated, diverse, global offering of multiple commercial and development stage rare disease assets, 

including: 

• Two high-value commercial assets with multiple development opportunities in complementary global markets 

o Lomitapide (Juxtapid (US)/Lojuxta (EU)) for the treatment of HoFH 

o Metreleptin (Myalept (US) / Myalepta (EU)), a leptin hormone replacement therapy, approved in the US for Generalised 

Lipodystrophy (GL), and recently in Europe for GL and Partial Lipodystrophy (PL) 

• Additional near-term potential commercial opportunities for a broadened Amryt portfolio of products  

o Metreleptin as a potential treatment for PL in the US  

o Lomitapide (Juxtapid/Lojuxta) as a potential treatment for familial chylomicronemia syndrome (FCS) 

o A lead development asset (AP101) for Epidermolysis Bullosa (“EB”), a >$1bn market opportunity in a pivotal Phase 3 trial, 

which recently reported positive unblinded interim efficacy analysis results and is anticipated will be fully enrolled by end of 
H2 2019 

o Novel gene therapy platform (AP103) which offers a potential treatment for patients with EB and other topical indications 

Annual Report for the year ended 31 December 2018

254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 06

06

STRATEGIC REPORT: 
Performance Highlights continued

Value Creation 

• Enhanced scale of combined group expected to drive revenue growth and future profitability 

• Expected to deliver meaningful operational synergies over the medium term - the Directors believe, on the work undertaken 

to date, that the enlarged group can deliver operational synergies of between $25m and $40m in 2020, rising further in 2021 

• Amryt’s deep knowledge of Aegerion products is key to driving growth 

• Reunification of lomitapide brands provides potential to replicate success of Lojuxta in Europe with Juxtapid in the US 

• Opportunity to grow Myalepta revenues with broader reach across EU to accelerate recent launch  

• Delivers a ready-made commercial US infrastructure in advance of anticipated launch of AP101  

• Recapitalized business well-positioned to drive pipeline value 

• Planned NASDAQ listing to drive liquidity and investor reach 

• Opportunity for corporate restructuring to drive additional value 

Board & Management 

• Team led by Dr. Joe Wiley, CEO of Amryt 

• Strong international management with significant industry experience  

• Revised Board composition, on closing of the transaction, consisting of CEO and six Non-Executive Directors 

• New Board to be appointed on closing 

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Amryt Pharma plc

 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 07

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

07

Current Amryt Assets Post Period End & Q1 Update 

Lead Commercial Asset - Lojuxta 

• Lojuxta unaudited revenues for Q1 2019 of €3.9m, which represents an increase of 28.1% on the same period in 2018, 

continuing the momentum generated in 2018 

• Significant expansion in patient numbers in the UK in Q1 2019 following the launch in this new market in Q4 2018 

• First patient order received from France in Q1 2019 

• Sales to Saudi Arabia in Q1 2019 increased by 118% compared to Q4 2018 

Lead Development Asset - AP101 

• Following an assessment of the results of an unblinded interim efficacy analysis of its pivotal Phase 3 Efficacy and Safety in EB 

(“EASE”) trial for AP101 as a potential treatment for EB, the Independent Data Monitoring Committee (“IDMC”) 
recommended that the trial should continue with an increase of 48 patients in the study to a total of 230 evaluable patients, 
in order to maintain 80% statistical power 

• Following an assessment in February by the EASE trial’s IDMC of pharmacokinetic (“PK”) data received from patients already 
enrolled in the trial (aged four years and older), Amryt can now enrol infants and children with EB between the ages of 
21 days to 4 years of age into the trial 

• Expected that the final patient will be enrolled into the trial in H2 2019 

Gene Therapy Platform - AP103 

• Two pre-clinical studies showed that topical application of AP103 restored production of collagen VII in pre-clinical models of 
EB to levels exceeding those produced by healthy human keratinocytes and to levels similar to those observed following 
delivery with a viral vector 

• In addition, AP103 exhibited no evidence of cellular toxicity after repeated administration 

Annual Report for the year ended 31 December 2018

 
 
 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 08

08

STRATEGIC REPORT: 
Our Products

Commercial Assets 

What is Lojuxta? 

• Lojuxta is an approved treatment for adult patients with the rare cholesterol disorder - Homozygous Familial 

Hypercholesterolaemia (“HoFH”)  

• HoFH impairs the body’s ability to remove low density lipoprotein (“LDL”) cholesterol (“bad” cholesterol) from the blood, 

leading to excessively high blood LDL cholesterol levels in the body from before birth - often reaching ten times more than 
people unaffected by the condition - and subsequent aggressive and premature narrowing and blocking of blood vessels 

• Imlan is a range of derma-cosmetic products that Amryt acquired with the acquisition of Birken AG (now Amryt AG) 

• Imlan is marketed solely in Germany as a treatment for sensitive, allergy-prone and dry skin. 

What is Imlan? 

Development Pipeline – EB Franchise 

What is AP101? 

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Amryt Pharma plc

 
 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 09

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

09

• AP101 is being developed as a prescription medicine for EB 

• EB is a distressing and painful genetic skin condition that causes the skin layers and internal body linings to separate. There are 

currently no treatments available 

• The prevalence of EB is estimated between 25,000 – 35,000 in the U.S (Source: Stanford School of Medicine, “Epidermolysis 
Bullosa Clinic”) and estimated between 30,000 – 41,000 in the EU (Source: The Dystrophic Epidermolysis Bullosa Research 
Association (“DEBRA”) 

• Amryt is currently progressing the largest ever pivotal, global Phase 3 clinical trial of EB - “EASE” - with AP101 

What is AP103 (Gene Therapy in EB)? 

• Amryt has exclusively in-licenced a novel polymer platform technology for the delivery of gene therapies with potential 

applicability across a range of genetic disorders. This technology has been exclusively in-licenced from University College 
Dublin (“UCD”) and involves the use of Highly Branched Poly (β-Amino Ester) (“HPAE”) polymers as the delivery vehicle for 
gene therapy 

• The initial focus of the development work has been in the area of EB 

• Patients with EB have mutations in the genes that code for structural proteins in the skin. These genetic mutations cause 

impaired or absent function of the proteins that normally give the skin its mechanical strength. Mutations in the gene that 
codes for type VII collagen cause a sub-type of EB called dystrophic EB (“DEB”) 

• When this disease is inherited it can be passed on as a recessive form in which both parents are carriers of the disease but 

don’t have symptoms. This is referred to as Recessive Dystrophic Epidermolysis Bullosa (“RDEB”). RDEB is a severely debilitating 
condition that often causes widespread skin wounds that cause substantial pain, itching, infections, and predisposes patients 
to develop an aggressive form of skin cancer. The multiple complications of this disease also result in a dramatically shortened 
life expectancy 

Annual Report for the year ended 31 December 2018

 
254852 AMRYT AR 01pp-10pp.qxp  10/06/2019  15:15  Page 10

10

STRATEGIC REPORT: 
Drug Development Pipeline

Amryt has a rich pipeline with multiple development opportunities:  

• Our lead commercial asset, Lojuxta, is growing year on year with revenues increasing by 14.2% in 2018 compared to 2017 

and a 28.1% increase in revenues (unaudited) in Q1 2019 versus Q1 2018 

• Potential for Lojuxta to be used in other indications - Amryt is currently supporting an ongoing proof of concept study to 

consider efficacy and safety of Lojuxta in the treatment of Familial Chylomicronaemia (“FCS”) 

• Following on from the positive unblinded interim efficacy analysis result, we now expect to complete recruitment in our EASE 

study, the largest ever Phase 3 clinical trial in EB, in H2 2019 

• Following an assessment in February by the EASE trial’s IDMC of PK data received from patients already enrolled in the trial 

(aged four years and older), Amryt can now enrol infants and children with EB between the ages of 21 days to 4 years of age 
into the trial 

• Our earlier stage pipeline product, AP103, which we believe has the potential to be transformative in the treatment of EB and 

other indications  

• Our planned acquisition of Aegerion augments our existing pipeline and delivers significant growth opportunities. 

A significant addition to our development pipeline would be the potential expansion of the Myalept label in the US to include 
partial lipodystrophy (“PL”), which has already been approved in Europe 

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Amryt Pharma plc

 
 
254852 AMRYT AR 11pp-26pp.qxp  10/06/2019  15:15  Page 11

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

11

STRATEGIC REPORT: 
Chairman & CEO’s Statement and Business Review 

Dear Shareholder 

We are delighted to report another 
strong year of progress for Amryt 
Pharma plc. During the year, Amryt 
continued to deliver against our key 
milestones, culminating in the positive 
results achieved in the unblinded interim 
efficacy analysis for our lead 
development asset, AP101, and positive 
revenue momentum experienced with 
our lead commercial asset, Lojuxta. 

2019 promises to be a transformational 
year for Amryt following the recent 
announcement (21 May 2019) of our 
planned acquisition of Aegerion, a 
subsidiary of Novelion Therapeutics, a 
NASDAQ-listed biopharmaceutical 
company dedicated to developing and 
commercialising therapies for individuals 
living with rare diseases. We believe that 
the combination of Amryt and Aegerion 
will transform Amryt and significantly 
accelerate our ambition to create a 
global player in the rare and orphan 
disease market, with a diversified 
offering of multiple commercial and 
development stage assets and the scale 
to support further growth. We believe 
Aegerion is a perfect fit for Amryt and 

we look forward to updating 
shareholders further as the deal 
progresses. 

2018 Operational Highlights 

Lead Commercial Asset – Lojuxta 

With the completion of the Lojuxta 
in-licencing deal in December 2016, 
Amryt became a commercial 
pharmaceutical company, generating 
sales across Europe, the Middle East and 
other licenced territories. Our Lojuxta 
business has grown significantly over 
the course of the last two and a half 
years, with sales for FY 2018 growing to 
€13.6m (2017: €11.9m). Our focus on 
adoption of, and access to, Lojuxta in 
new and existing territories delivered a 
significant revenue contribution in late 
2018 and this positive momentum has 
continued into 2019 to date with 
Lojuxta revenues (unaudited) growing 
28.1% in Q1 2019 versus the same 
period in 2018. 

In 2018, Amryt agreed eight new 
distribution partnerships and we are 
now covering 23 countries across our 
territories. National reimbursement 
negotiations concluded successfully in 

the UK and France in the second half of 
2018, resulting in the first UK orders 
being received in 2018 and our first 
French orders in Q1 2019. The Group 
continues to actively negotiate the 
initiation of reimbursement in a number 
of other countries and we are optimistic 
that some of these discussions will 
conclude successfully in 2019.  

In May 2018, Amryt signed a licence 
extension with Novelion to significantly 
expand its exclusive licence agreement 
for Lojuxta into Russia and CIS, as well as 
the non-EU Balkan states. As part of this 
agreement, Amryt also formally became 
the Marketing Authorisation holder for 
Lojuxta in Europe which has marginally 
increased the level of royalties payable to 
Novelion. Amryt estimates there may be 
up to 450 additional patients who could 
benefit from treatment with Lojuxta 
across the countries covered by the 
extended agreement, representing an 
increase of approximately 25% in the 
total number of addressable patients in 
the Amryt territories. The Group believes 
the total addressable market opportunity 
for Lojuxta in its licensed territories to be 
in excess of €125 million.  

Annual Report for the year ended 31 December 2018

254852 AMRYT AR 11pp-26pp.qxp  10/06/2019  15:15  Page 12

12

STRATEGIC REPORT: 
Chairman & CEO’s Statement and Business Review 
continued

Patent term extensions for Lojuxta were granted in multiple markets within our territories including France, Germany, Italy and 
Spain during 2018. The Group expects that these extensions will prolong our product patent in these territories through 2028.  

Amryt has also received enquiries from physicians to study Lojuxta in an indication called FCS, a rare, often severe, genetic 
disease characterised by the build-up of chylomicrons (chylomicronemia), the largest protein lipoprotein particle, which are 
responsible for transporting dietary fat and cholesterol. These patients suffer severe morbidity and mortality risk from repeated 
hospitalisation for acute pancreatitis. In response to this interest, Amryt has supported an investigator-initiated study (“IIS”) in 
Italy to look at the efficacy and safety of Lojuxta in treating patients with FCS. This study is underway and data is planned to be 
available in H2 2019. This study is supported by data from two patients who received treatment under the compassionate use 
programme, both who have shown improvements in lowering of serum triglyceride levels and reduction in episodes of 
abdominal pain.  

In line with European Medicines Agency (“EMA”) commitments, Amryt also plan to initiate a study in paediatric HoFH in 2019 
which is expected to lead to label extension and an expanded growth opportunity in the mid-term. 

Future sales growth will be driven by existing markets and from new territories. This anticipated growth is underpinned by:  

• Positive momentum following the recent reimbursement decisions in the UK and France for Lojuxta which has already resulted 

in the first orders being received;  

• An increase in individual named patients, who access funding for treatment on a named patient basis in those countries 

where there is no national reimbursement agreement, and  

• Amryt’s strategy to appoint local distribution partners for new territories which is proving to be successful as evidenced by the 

first orders being received for patients in Saudi Arabia and Qatar in the second half of 2018.  

These market-access decisions will allow Amryt to provide access for a cohort of HoFH patients in these territories, which should 
result in accelerated growth for the business.  

Lead Development Asset – AP101 

The Group has continued to make strong progress with its lead development asset, AP101, as a new potential treatment for EB.  

In February 2017, Amryt was granted a patent in Japan for AP101. This followed key patents grants for AP101 in Europe and the 
US in 2016. In March 2017, Amryt commenced the pivotal Phase 3 clinical trial, EASE (Efficacy And Safety Of AP101 In Patients 
With EB), to examine AP101’s efficacy for EB patients. The first patient was enrolled to EASE in April 2017.  

Product Pipeline for EB 

Amryt Pharma plc

 
254852 AMRYT AR 11pp-26pp.qxp  10/06/2019  15:15  Page 13

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

13

Clinical Trials Update 

Adult and paediatric patients with EB 
are currently being enrolled into a 
randomised double-blind 
placebo-controlled trial. The proportion 
of patients with completely healed 
target wounds within 45 days will be 
evaluated as the primary endpoint. 
Secondary endpoints include the time to 
achieve wound healing, total wound 
burden and changes in infection risk, 
pain and pruritus (itch) and 
improvements in quality of life. 

In January 2019, Amryt received the 
result of the pre-planned unblinded 
interim efficacy analysis. The unblinded 
interim efficacy analysis was conducted 
by an Independent Data Monitoring 
Committee (“IDMC”). The IDMC 
recommended that the trial should 
continue with an increase of 48 patients 
in the study to a total of 230 evaluable 
patients, in order to achieve 80% 
statistical power. The analysis was 
conducted using unblinded efficacy data 
received by the IDMC for the primary 
endpoint from the first half of the study. 
Following this announcement, Amryt has 
already begun the recruitment process 
for the additional patients required and 
now expects to complete enrolment in 
the EASE study in H2 2019. The IDMC’s 
recommendation allows us to continue 
the trial with only a modest increase in 
the size of the study. This brings us 
closer to potentially delivering a 
treatment for patients with EB. 

Following the interim efficacy analysis, in 
February 2019, the IDMC also 
recommended that Amryt be allowed to 
expand the eligibility criteria for the study 
to be able to enrol infants and children 
with EB between the ages of 21 days 
and 4 years of age into the EASE trial. 
Extending the age eligibility criteria for 
this trial is positive news and work has 
already begun in order to be able to start 
the recruitment process for this new 

cohort of patients. This development 
represents another milestone for Amryt 
as we build on our vision of becoming a 
global leader in rare and orphan diseases. 

trial data when seeking drug 
approval. Only patients who are not 
eligible for EASE are eligible for 
consideration for early access 

Throughout 2018, various non-clinical 
studies, requested by the FDA as part of 
an Investigational New Drug (“IND”) 
filing to open clinical trial sites in the US, 
have been successfully completed. No 
safety signals or concerns were noted 
from the preliminary data and IND 
approval has recently been received 
from the FDA. This will enable us to 
open clinical trial sites in the US, thereby 
accelerating enrolment of patients into 
the EASE study. Amryt also recently 
received Paediatric Rare Disease 
designation from the FDA for AP101, 
which, pending successful approval of 
AP101 in EB, will allow the Group to 
apply for a Priority Review Voucher that 
can be used, sold or transferred. The 
Group also intends to apply to the FDA 
for breakthrough designation following 
the opening of the IND in the USA. 
Breakthrough designation would 
expedite the review process for AP101, 
conducted by the FDA, upon 
completion of the Phase 3 clinical trial. 

In November 2018, the first patients 
were enrolled in our Early Access 
programme (“EAP”) for AP101 in Latin 
America, resulting in our first EAP sales 
for AP101 in November 2018. Total EAP 
revenues for 2018 amounted to 
€50,000 (2017: €nil). This program 
allows us to provide our pre-approval 
product, AP101, to patients in need 
around the world and the program runs 
alongside the EASE clinical trial. Our 
early access programme offers several 
benefits to Amryt: 

• It allows us to collect real-world data 

from patients enrolled in the 
programs in Latin America, which 
can be used to generate real world 
evidence and to supplement clinical 

• It allows us to help patients in an 
ethical and regulatory-controlled 
manner and enables us to provide 
drug to these patients that do not 
have access to the clinical trial and 
have no other treatment options 
available to them 

• It enables real world, hands on 
experience of the product for 
physicians and healthcare providers 
before it becomes commercially 
available 

The Group intends to extend the 
availability of the early access program 
in Brazil, Columbia, Argentina and in 
countries in Europe, such as France and 
Italy, throughout 2019 where interest 
has been expressed.  

Future Indications for AP101  

Amryt has received interest from 
physicians to study AP101 in various 
PTW indications where there is high 
unmet medical need. In response to this 
interest, the Group is evaluating new life 
cycle opportunities for AP101.  

Dermatological conditions currently 
under consideration include: 

• Toxic Epidermal Necrolysis Syndrome 
(TENS), including Stevens-Johnson 
Syndrome (SJS) 

• Grade III/IV radiotherapy and 

chemotherapy induced dermatitis  

The scope of the current EMA approval 
for AP101 may offer the opportunity to 
launch AP101 in some of these 
indications in Europe.  

Management intends to file applications 
for orphan designation for some of these 
new potential orphan indications in the 

Annual Report for the year ended 31 December 2018

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14

STRATEGIC REPORT: 
Chairman & CEO’s Statement and Business Review 
continued

USA, Europe and Japan and believes that 
there is significant scope to maximise the 
value of this existing asset through either 
a global multi-orphan strategy or via the 
current EMA marketing approval to 
secure long term growth. 

Gene Therapy Platform – AP103 

In March 2018, Amryt concluded an 
exclusive in-licencing of a novel polymer 
platform technology for delivery of gene 
therapy with potential applicability 
across a range of genetic disorders. This 
technology has been exclusively 
in-licenced from University College 
Dublin (“UCD”) and involves the use of 
Highly Branched Poly (β-Amino Ester) 
(“HPAE”) polymers as the delivery 
vehicle for gene therapy.  

The initial focus of the development work 
has been in the area of EB. Patients with 
EB have mutations (changes) in the genes 
that code for structural proteins in the 
skin. These genetic mutations cause 
impaired or absent function of the 
proteins that normally give the skin its 
mechanical strength. Mutations in the 
gene that codes for type VII collagen 
cause a sub-type of EB called dystrophic 
EB (“DEB”). When this disease is inherited 
it can be passed on as a recessive form in 
which both parents are carriers of the 
disease but don’t have symptoms, it is 
referred to as Recessive Dystrophic 
Epidermolysis bullosa (“RDEB”). RDEB 
causes a severely debilitating condition 
that often causes widespread skin 
wounds that cause substantial pain, itch, 
infections, and predispose the patients to 
develop an aggressive form of skin 
cancer. The multiple complications of this 
disease also result in a dramatically 
shortened life expectancy.  

Restoration of production of normal type 
VII collagen by gene therapy could be 
transformative for these patients. 
Preliminary pre-clinical data generated 
from a human RDEB skin graft model 

Amryt Pharma plc

(“xenograft model”) has repeatedly 
shown significant levels of type VII 
collagen restored to the skin post-therapy.  

Potential competitors working in the area 
of gene therapy for EB are mostly 
working with viral vectors for gene 
delivery. The patented technology which 
Amryt has licenced from UCD involves 
the use of a novel non-viral gene delivery 
platform technology, specifically using the 
family of HPAE polymers. If successful, 
this could eliminate the requirement for 
viruses as delivery vectors and provide a 
safer, easier to manufacture and more 
convenient treatment for patients.  

The Group completed two pre-clinical 
studies in 2018, and in January 2019, 
Amryt announced positive results from 
these studies which support the 
development of its non-viral gene 
therapy, AP103, as a potentially 
disease-modifying therapy for patients 
with RDEB. 

Data from the pre-clinical studies 
demonstrated that: 

• A single application of AP103 

restored type VII collagen production 
to levels exceeding those normally 
produced by healthy human 
keratinocytes using RDEB 
keratinocytes grown in cell culture 

• Topical application of AP103 onto a 
3-D matrix of human RDEB skin 
restored collagen VII along the 
basement membrane to levels similar 
to those observed post-delivery using 
a viral vector 

• AP103 exhibited no evidence of 

cellular toxicity in vitro or in vivo after 
repeated administration 

The Group will now continue the 
pre-clinical testing of AP103. Further in 
vivo testing for efficacy is underway. A 
pre-clinical toxicology program is also in 
development for the safety assessment 
of the HPAE polymer on its own and 

formulated as AP103. The suppliers for 
the materials for production of the 
components of AP103 and the final 
AP103 product under good 
manufacturing practice (“GMP”) 
conditions are currently under 
evaluation for selection. 

In December 2018, an Amryt led 
consortium was awarded grant funding 
totalling €8.4m over three years from the 
Disruptive Technologies Innovation Fund 
(“DTIF”), part of the Irish Government’s 
Department of Business, Enterprise and 
Innovation, to develop the Company’s 
AP103 gene therapy platform. The grant 
has been awarded to a consortium 
comprised of Amryt, University College 
Dublin (“UCD”), Curran Scientific Limited 
and DEBRA Ireland. The grant funding will 
be matched by the consortium partners at 
various funding levels over the three-year 
term of the project. The grant will fund 
further development of Amryt’s AP103 
non-viral gene therapy platform from 
pre-clinical testing to proof of concept in 
humans. The initial funds will be used for 
R&D and staff costs associated with the 
project and, if pre-clinical work is 
successful, to fund the initial phases of a 
clinical trial for AP103. In addition to the 
primary work on AP103, the funds will 
also support research into the 
development of the Highly Branched Poly 
(β-Amino Ester) (“HPAE”) polymer 
technology for the potential treatment of 
other genetic disorders. 

Financial Position 

We are pleased with the total revenue 
growth of 13.3% compared to 2017, 
resulting in total revenues for the year 
of €14.5m. Already in 2019, Q1 
revenues for Lojuxta are already 28.1% 
higher than the same period last year. 
We ended the year with a cash balance 
of €9.8m and we completed the final 
draw down of €5m from our existing 
European Investment Bank (“EIB”) 
facility in Q1 2019. 

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

15

Corporate Governance 

As of 28 September 2018, companies 
quoted on AIM are required to formally 
adopt a corporate governance code as 
well as disclose details of their 
compliance with that code and, where 
they depart from the code, provide an 
explanation of the reasons for doing so.  

The Board adopted the Quoted 
Companies Alliance Code (“the QCA 
Code”) on 25 September 2018. The 
Board of Directors, including myself as 
Non-Executive Chairman, acknowledge 
the importance of the ten principles set 
out in the QCA Code and details of our 
compliance with the code can be found 
in the Corporate Governance section of 
this Annual Report as well as on our 
website – amrytpharma.com. 

Our People 

Amryt is led by an experienced senior 
management team which has been 
enhanced further in 2018 by the 
appointment of a number of new Senior 
Managers. Amryt now has in place an 
exceptionally strong leadership team, 
and also has the necessary commercial, 
regulatory and medical infrastructure in 
place across Europe. Our strategy is to 
leverage this capacity to seek to in-
license more commercial and late stage 
assets, which we are actively pursuing, 
as evidenced by the recently announced 
planned acquisition of Aegerion. 

We could not have achieved what we 
have without the continued support of 
the entire Amryt team throughout our 
sites in Europe, and also those partners 
involved in our wider collaborations. 
I would like to thank them all for their 
contribution to the progress we have 
made in 2018.  

Outlook 

The Group continued to grow and 
execute on its strategy and achieved 
significant milestones in 2018. We 

remain confident of continuing our 
significant progress in 2019 and beyond.  

We are very positive about the growth 
prospects for our Lojuxta business. 
Lojuxta revenues in 2018 increased by 
14.2% in 2018 and we were particularly 
pleased to get approval in the UK and 
France and we believe that there 
remains a significant opportunity to 
further grow revenues especially with 
material, latent opportunities in our 
licenced territories. Capitalising on these 
opportunities will be a major focus for 
us in 2019. 

Over the next 12 months, we expect to 
see further significant progress in AP101, 
with the last patient due to be enrolled 
in the Phase 3 clinical trial, EASE, in H2 
2019. This will bring us closer to 
potentially delivering a treatment for 
patients with EB. We expect a top-line 
data readout in Q1 2020, which will 
represent a significant milestone for 
Amryt and our shareholders. We are also 
encouraged about the interest from 
physicians to study AP101 in various 
other partial thickness wound indications 
with high unmet medical need and also 
FCS as another potential opportunity for 
Lojuxta. The Group will continue to 
evaluate these opportunities in 2019. 

Our in-licencing agreement for AP103 is 
an attractive opportunity for Amryt to 
be involved in the area of gene therapy, 
which is one of the most exciting and 
potentially transformative areas of 
medicine today. If successful, this 
platform has the potential to be broadly 
applicable in other dermatological 
conditions and possibly beyond.  

The planned acquisition of Aegerion will 
be transformational for Amryt. The 
transaction will create a global player in 
the orphan disease market with a 
diversified offering of multiple 
commercial and development stage 
assets and provides scale to support 

further growth. We hope to finalise the 
transaction and start the integration 
process in H2 2019 and update our 
outlook accordingly. In the meantime, 
our aim is to complete recruitment for 
AP101 EASE trial in H2 2019 ahead of 
the topline readout in early 2020 and 
continue to grow our existing Lojuxta 
business. 

Following the recent announcement of 
the acquisition of Aegerion, the key 
focus for the Company over the coming 
months will be to prepare for the 
integration of the Aegerion commercial 
and development assets into our existing 
business. Our executive management 
team has the depth of experience to 
commercialise Aegerion’s marketed 
products, as demonstrated by our ability 
to grow sales of Lojuxta in Europe. The 
acquisition gives us an expanded 
commercial footprint to market two US 
and EU approved products, lomitapide 
(Juxtapid (US/ROW) / Lojuxta (EU)) and 
metreleptin (Myalept (US) / Myalepta 
(EU)). The reunification of lomitapide 
brands provides the potential to replicate 
success of Lojuxta in Europe with 
Juxtapid in the US, while there is also an 
opportunity to grow Myalepta revenues 
with broader reach across the EU to 
accelerate the recent launch. 

We look forward to sharing further 
updates with you on our progress and 
thank you for your support. We look to 
the future with optimism and fully 
believe Amryt is now even better 
positioned to progress its ambition of 
becoming a global leader in rare and 
orphan diseases. 

Harry Stratford OBE  
Non-Executive Chairman 

10 June 2019 

Dr. Joe Wiley  
Chief Executive Officer 

10 June 2019

Annual Report for the year ended 31 December 2018

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16

Our Strengths 

o     Building a franchise in EB: 

• A management team with consider-

      -     Complete our Phase 3 clinical 

study, EASE 

      -     Continue our work in poten-
tial new indications for 
AP101  

      -     Complete pre-clinical work in 
our gene therapy asset, 
AP103 and, if successful, 
proceeding into the clinic 
with this asset 

o     Continuing our product portfolio 
expansion and diversification 
through acquisitions and in-
licensing, as evidenced through 
our recently announced planned 
acquisition of Aegerion 

able expertise in the rare and orphan 
disease space 

• Existing patents provide robust in-

market protection for Lojuxta in our 
licensed territories  

• Amryt’s lead commercial asset, 
Lojuxta, and our late stage 
development asset, AP101, are 
underpinned by novel early-stage 
development (AP103) 

• Our ambition to become a world 

leader in rare and orphan diseases 
accelerated through our recently 
announced acquisition of Aegerion, 
which will deliver two substantial 
revenue-generating products and an 
enhanced pipeline of promising 
development opportunities  

Our Strategy  

• Our ambition is to become a global 
leader in treating rare conditions to 
help improve the lives of patients 
where there is a high unmet medical 
need. 

• We will achieve this by: 

o     Maximising revenues in our 

licensed territories for Lojuxta 
through organic growth and re-
imbursement opportunities 

STRATEGIC REPORT: 
Vision & Strategy

The Board’s vision and strategy is to 
build a world leader in rare and orphan 
diseases by acquiring, developing and 
commercialising products that help 
improve the lives of patients where 
there is a high unmet medical need. 
Amryt creates shareholder value by 
participating in a diverse portfolio of 
development and commercial projects.  

Strategic Pillars 

• Drive revenue growth in existing and 
new territories with our existing com-
mercial asset, Lojuxta 

• Build a franchise in Epidermolysis Bul-
losa (“EB”) through our lead devel-
opment asset, AP101, and our gene 
therapy platform, AP103. New po-
tential indications for AP101 repre-
sent significant additional 
opportunities 

• Pursue acquisition and in-licensing 

opportunities to replicate the success 
of Lojuxta such as the recently an-
nounced planned acquisition of 
Aegerion 

The Group has assembled significant 
commercial and development expertise 
to drive sustained pipeline growth. With 
both a pipeline of development and 
commercial assets, we believe our strat-
egy can deliver shareholder value over 
the medium to the long term. 

Amryt Pharma plc

 
 
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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

17

STRATEGIC REPORT: 
Financial Review

Revenues 

Amryt primarily generates revenues from sales of Lojuxta, which is used to treat a rare and life-threatening disease called HoFH. 
In 2018, the Group generated its first revenues from the early access program in place for AP101. This program allows us to 
provide our pre-approval product, AP101, to patients in need around the world and the program runs alongside the EASE clinical 
trial. Amryt also has a range of in-house dermo cosmetic products, which are sold under the Imlan brand in Germany.  

The following table outlines the breakdown of revenues in 2018 compared to 2017: 

Lojuxta 
Imlan
Other

Total

31 December 
2018
€’000

31 December  
2017 
€’000

13,621
784
49

14,454

11,924
830
24

12,778

% change 

14% 
(6%) 
104% 

13% 

The growth in Lojuxta revenues in 2018 can be attributed to strong demand from existing markets and revenues from new 
markets within Amryt’s licenced territories. In 2018, the Group experienced significant positive momentum in the reimbursement 
position in certain countries which resulted in reimbursement being granted in the UK and France in late 2018. The first UK and 
French orders were received in Q4 2018 and Q1 2019, respectively. The Group had its first sales in Saudi Arabia and Central 
Eastern Europe (“CEE”) in 2018 and experienced an increase in total individual ‘named patients’ who continue to access funding 
for treatment in other countries. 

Selling, General and Administrative Expenses 

Selling, general and administrative expenses (“SG&A”) increased from €11,048,000 for the year ended 31 December 2017 to 
€15,357,000 for the year ended 31 December 2018, an increase of €4,309,000.  

The following table outlines the breakdown of SG&A expenses in 2018 compared to 2017: 

SG&A expenses 
Share based payments

Total

31 December 
2018
€’000

31 December  
2017 
€’000

14,663
694

15,357

10,483
565

11,048

% change 

40% 
23% 

39% 

SG&A expenses, excluding share-based payments, increased from €10,483,000 in 2017 to €14,663,000 in 2018, an increase of 
40%. This increase is mainly attributable to the ongoing growth in the Lojuxta business and the expansion of the Group’s sales 
and marketing infrastructure in anticipation of recent market access successes such as those in the UK and France.  

Share based payments represents the fair value of share options granted to Directors and employees which is charged to the 
Consolidated Statement of Comprehensive Income over the vesting period of the underlying options. The Group has used a 
Black Scholes valuation model for the purposes of valuing these share options with the key inputs to the model being the 
expected volatility over the life of the options, the expected life of the option, the option price, the dividend yield and the 
risk-free rate. The Group recorded a total share-based payment charge of €694,000 for the year ended 31 December 2018 
(2017: €565,000). The increase of €129,000 is due to the full year impact of options granted to Directors and key employees in 
2017. No new options were granted in 2018. For further details, see note 4 to the consolidated financial statements. 

Annual Report for the year ended 31 December 2018

 
 
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18

STRATEGIC REPORT: 
Financial Review continued

Research and Development Expenses 

Research and development expenses for the year ended 31 December 2018 amount to €9,049,000, compared to €10,564,000 
for the year ended 31 December 2017. The decrease of €1,515,000 is primarily due to higher costs incurred in 2017 resulting 
from higher once off set up costs incurred as part of the roll-out of our global clinical trial sites following the start of the Phase 3 
clinical trial in April 2017 and also due non-clinical studies completed in 2017 relating to the Group’s development assets, AP101 
and AP102. The decrease in these non-clinical expenses have been partially offset by the initial costs incurred in relation to our 
new development asset for gene therapy, AP103.  

Operating Loss 

The operating loss before finance expense for the year ended 31 December 2018 amounted to €15,250,000, which included 
depreciation and amortisation of €310,000 and share based payments of €694,000. This compares to an operating loss before 
finance expense for the year ended 31 December 2017 of €14,207,000, which included depreciation and amortisation of 
€259,000 and share based payments of €565,000. Excluding depreciation, amortisation and share based payments, the 
operating loss before finance costs for the year ended 31 December 2018 would have been €14,246,000 (2017: €13,383,000). 
The increase in the operating loss in 2018 is largely due to the costs associated with the rollout of the Phase 3 EASE study and 
our continued investment in the commercial and regulatory infrastructure necessary to continue to grow and expand our Lojuxta 
business. 

The loss on ordinary activities before taxation of €25,777,000 includes €8,934,000 relating to a current non-cash movement on 
contingent consideration that arose as part of the acquisition of Amryt AG in 2016. The fair value of this contingent 
consideration was initially determined by discounting the contingent amounts payable to their present value at the date of 
acquisition. The discount component is being unwound as a current non-cash financing charge in the Statement of 
Comprehensive Income over the life of the obligation. This non-cash financing charge of €8,934,000 reflects the impact of the 
revised financial forecasts and the discount component being unwound to the Statement of Comprehensive Income in 2018. 

Cash Management 

As at 31 December 2018, the Group had cash and cash equivalents of €9,811,000. This compares to cash and cash equivalents 
of €20,512,000 at 31 December 2017. Included in cash and cash equivalents at 31 December 2018 is cash at bank available on 
demand of €8,620,000 and restricted cash of €1,191,000. Restricted cash is cash held by our third-party distribution partner at 
year-end which was transferred to Amryt in January 2019. The total cash and cash equivalents at 31 December 2017 of 
€20,512,000 relates to €19,975,000 cash at bank available on demand and restricted cash of €537,000. 

In October 2017, the Company completed an equity fundraising resulting in gross proceeds of €15,083,000 (net proceeds: 
€14,393,000). There was no equity fundraising in 2018. 

Trade and Other Receivables 

As at 31 December 2018, the Group had trade and other receivables of €5,179,000. This compares to trade and other 
receivables of €4,729,000 at 31 December 2017.  

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

19

The following table outlines the breakdown of trade and other receivables at 31 December 2018 compared to 31 December 
2017: 

Trade receivables 
Other receivables

Total

31 December 
2018
€’000

31 December  
2017 
€’000

3,121
2,058

5,179

2,929
1,800

4,729

% change 

7% 
14% 

10% 

Trade debtors at 31 December 2018 is consistent with the position at 31 December 2017, the marginal increase due to growth in 
Lojuxta business in 2018. 

Included in other receivables at 31 December 2018 is €1,351,000 (2017: €1,306,000) in relation to prepaid Phase 3 clinical trial 
costs. 

Trade and Other Payables  

As at 31 December 2018, the Group had trade and other payables of €10,525,000. This compares to trade and other payables 
of €9,799,000 at 31 December 2017.  

The following table outlines the breakdown of trade and other payables at 31 December 2018 compared to 31 December 2017: 

Trade payables 
Other payables

Total

31 December 
2018
€’000

31 December  
2017 
€’000

4,666
5,859

10,525

4,698
5,101

9,799

% change 

– 
15% 

7% 

Trade payables at 31 December 2018 are consistent with the position at 31 December 2017. The increase in the other payables 
arises primarily from the increased supplier costs arising from the growth of the commercial business and the advancement of 
the Phase 3 clinical trial throughout 2018. The increase was partially offset by the first milestone payment arising from the 
acquisition of Amryt AG being included in accruals at 31 December 2017. This amounted to €2,000,000 and was payable 
24 months after receipt of EMA approval for PTW. This amount was paid in January 2018.  

Contingent Consideration 

Contingent consideration at 31 December 2018 amounted to €41,351,000 compared to €32,418,000 at 31 December 2017. At 
the date of acquisition, the fair value of the royalty payments was determined using probability weighted revenue forecasts and 
the fair value of the milestones payments was determined using probability adjusted present values. At each reporting date it is 
necessary to review the fair value of the contingent consideration. The increase in the contingent consideration in 2018 arises as 
a result of (i) part of the probability adjusted fair values being unwound to the Consolidated Statement of Comprehensive 
Income during 2018 as financing expenses and (ii) a revision of the estimates used in the revenue forecast resulting from the 
revisions to the AP101 launch timelines. 

Annual Report for the year ended 31 December 2018

 
 
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20

STRATEGIC REPORT: 
Financial Review continued

Debt Financing 

In December 2016, Amryt DAC entered into a €20,000,000 debt facility agreement with the EIB. The facility is significant 
because it provides non-dilutive funding that secures the Group's near and mid-term funding needs for its lead development 
asset, AP101.  

The facility is split into three tranches, with €10,000,000 available immediately and two further tranches of €5,000,000 each 
available upon the achievement of certain milestones. In April 2017, the Group drew down the first tranche of €10m. In October 
2017, the terms of the second tranche of €5m were amended by the EIB to give the Group the option to draw this amount 
down at any time. The Group proceeded to draw down this second tranche of €5m in September 2018. In December 2018, the 
terms of the third tranche were amended by the EIB to give the Group the option to draw down this final tranche if the interim 
efficacy analysis for AP101 was successful. Following the IDMC’s recommendation in January 2019 that the EASE Phase 3 trial 
should continue with only a modest increase in patients, the Group drew down the final tranche of €5m in February 2019. The 
facility is secured over the intellectual property assets of the Group and there is also a negative pledge whereby Amryt cannot 
permit any security to be granted over any of its assets over the course of the loan period. 

The facility has a five-year term from drawdown of each tranche. The facility has an interest rate of 3% to be paid on an annual 
basis, the first instalment of which related to the €10m drawn down in 2017 was paid in April 2018. The second interest 
instalment on the €10m tranche is due for payment in April 2019, the first instalment of the 3% interest on the second tranche 
of €5m is due in September 2019 and the first instalment of the 3% interest on the third tranche of €5m is due in February 
2020. A further annual fixed rate of 10% is payable together with the outstanding principal amount on expiry of the facility. At 
31 December 2018, the Group has a short-term accrual for €279,000 which is repayable during 2019 and a long-term accrual of 
€1,614,000 which represents the discounted present value of the long-term interest accrued but not payable until each tranche 
matures.  

Amryt Pharma plc

 
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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

21

STRATEGIC REPORT: 
Key Performance Indicators

Control of cash balances is a priority of 
the Group and these are budgeted and 
monitored closely to ensure that the 
Group has access to sufficient funds to 
finance the Phase 3 clinical trial of 
AP101 (the EASE Study). Operational 
progress in relation to AP101 and 
AP103 are reviewed by the Board on a 
regular basis and actual costs are 
compared to Board approved budgets.  

Revenue growth in our lead commercial 
asset, Lojuxta, is a key measure for the 
Group. This business has been 
contributing cash since we in-licensed 
the product in December 2016, 
culminating in annual revenues of 
€13.6m in 2018, which represents an 
increase of 14.2% compared to 2017 
annual revenues of €11.9m. 

As we are currently in the pre-revenue 
stage for our lead development asset, 
AP101, a core focus of our business is 
on progression of this drug candidate 
through the clinic into an approved 
product for the treatment of EB. The 
rate of enrolment into this study was a 
key performance measure in 2018 and 
will this will continue into 2019 as we 
aim to complete enrolment in our Phase 
3 study, EASE, in H2 2019. 

Identifying, acquiring and developing 
new drug candidates to build 
shareholder value is key to our goal of 
becoming a global leader in rare and 
orphan diseases. In 2018, the Group in-
licenced our first gene therapy 
candidate, AP103. This patented 
technology which Amryt in-licensed 
from UCD involves the use of a novel 
gene therapy delivery mechanism using 
HPAE polymer technology. If successful, 
this could eliminate the requirement for 
viruses as delivery vectors and therefore 
provides a potential competitive 
advantage to Amryt.  

Annual Report for the year ended 31 December 2018

 
 
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22

STRATEGIC REPORT: 
Risks and Uncertainties 

The management of risk is a key 
responsibility of the Board of Directors. 
The Board ensures that all key risks are 
understood and appropriately managed 
considering the Group’s strategy and 
objective, and that an effective risk 
management process, including 
appropriate internal controls, is in place 
to identify, quantify and manage 
important risks. 

Operational Risk Management 

To effectively manage the operational 
risk, the Group regularly reviews 
progress in key activities as follows: 

• The Board of Directors meets 

regularly and reviews operational 
progress against the Group’s strategy 
and key objectives 

• The senior management meets at 
least twice a month to review 
operational progress and, during 
these meetings, they identify and 
discuss areas of risk. If appropriate, 
these risks will be communicated to 
the Board for further discussion 

• Commercial and Clinical teams meet 
on a regular basis to review progress 
of all key projects. As part of these 
discussions, any key issues identified 
will be elevated for discussion with 
Senior Management team. 

Principal Risk Factors 

The Group is subject to risk factors 
relating to the business and operations 
of the Group in the healthcare industry. 
The success of the Group depends on its 
ability to engage in appropriate product 
selection and to attract sufficient 
funding to successfully develop these 
products. The following summarises the 
principal risks and uncertainties of the 
Group: 

Amryt Pharma plc

The Group has incurred losses 
since its inception and 
anticipates that it may continue 
to incur losses for the 
foreseeable future  

To date, the Group has no positive 
operating cash flow and its ultimate 
success will depend on, inter alia, the 
Board’s ability to implement the Group’s 
strategy, generate cash flow and access 
equity markets. Whilst the Board is 
optimistic about the Group’s prospects, 
there is no certainty that anticipated 
outcomes and sustainable revenues, or 
profits can be achieved. In the 
meantime, the Group will continue to 
expend its cash reserves. There can be 
no assurance that the Group’s 
operations will be profitable or produce 
a reasonable return, if any, on 
investment. 

The Group may not be successful 
in its efforts to build a further 
pipeline of product candidates 
and develop marketable 
products 

The Group operates in the 
biopharmaceutical development sector 
and has a number of drug candidates in 
various stages of clinical development. 
In addition, the Group may continue to 
exploit other opportunities within the 
sector in order to expand its present 
development pipeline. Industry 
experience indicates that there may be a 
very high incidence of delay or failure to 
produce valuable scientific results in 
relation to the present development 
pipeline. Further to this, the Group may 
not be successful in developing new 
products based on the scientific 
discoveries developed by the Group. The 
ability of the Group to develop new 
products relies on, inter alia, the 
recruitment of sufficiently qualified 
research and development partners with 
expertise in the biopharmaceutical 
sector. The Group may not be able to 

develop its relationships and/or recruit 
research partners of a sufficient calibre 
to satisfy its growth rate and develop its 
future pipeline. 

Additionally, product development 
timelines are at risk of delay as the 
timing of regulatory approvals is 
uncertain and it is not always possible to 
predict the rate of patient recruitment 
into clinical trials. There is therefore a 
risk that product development could 
take longer than presently expected by 
the Group.  

Furthermore, there can be no guarantee 
that the Group will be able to, or that it 
will be commercially advantageous for 
the Group to, develop its intellectual 
property through entering into licensing 
deals with emerging, midsize and large 
pharmaceutical companies. 

Clinical trials are expensive, time 
consuming and difficult to 
design and implement and 
involve uncertain outcomes. 
Furthermore, results of earlier 
pre-clinical studies and clinical 
trials may not be predictive of 
results of future pre-clinical 
studies or clinical trials 

To obtain the requisite regulatory 
approvals to market and sell any of the 
Group’s product candidates, it must 
demonstrate, through extensive pre-
clinical studies and clinical trials, that its 
product candidates are safe and 
effective in humans. Clinical testing is 
expensive and can take many years to 
complete and its outcome is inherently 
uncertain. Failure can occur at any time 
during the clinical trial process and in 
addition regulatory authorities may 
require further studies at additional cost. 
Furthermore, regulatory authorities such 
as the FDA and EMA may not agree on 
the same trial design for pivotal studies. 
The results of pre-clinical studies and 

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23

earlier clinical trials may not be 
predictive of the results of later-stage 
clinical trials. For example, the results 
generated to date in pre-clinical studies 
or Phase I or Phase II clinical trials for the 
Group’s product candidates do not 
ensure that later clinical trials will 
demonstrate similar results. Product 
candidates in later stages of clinical trials 
may fail to show the desired safety and 
efficacy traits despite having progressed 
through pre-clinical studies and initial 
clinical trials. The Group may suffer 
setbacks in advanced clinical trials due 
to lack of efficacy or adverse safety 
profiles, notwithstanding promising 
results in earlier clinical trials. In 
addition, the Group may experience 
delays in its on-going or future pre-
clinical studies or clinical trials and it 
does not know whether future pre-
clinical studies or clinical trials will begin 
on time, need to be redesigned, enrol 
an adequate number of subjects or 
patients on time or be completed on 
schedule, if at all. 

The regulatory approval 
processes of the EMA, FDA and 
other comparable regulatory 
agencies may be lengthy, time-
consuming and the outcome is 
unpredictable 

The Group’s future success is dependent 
upon its ability to develop successfully, 
obtain regulatory approval for and then 
successfully commercialise one or more 
of its product candidates. There can be 
no assurance that any of the Group’s 
development drug candidates will be 
successful in clinical trials or receive 
regulatory approval. Applications for any 
of the Group’s product candidates could 
fail to receive regulatory approval for 
many reasons, including, but not limited 
to, the following: 

• the EMA, FDA or any other 

comparable regulatory agency may 
disagree with the design or 

implementation of the Group’s 
clinical trials or the Group’s 
interpretation of data from 
nonclinical trials or clinical trials; 

product revenue by delaying or 
terminating the potential 
commercialisation of the Group’s 
product candidates. 

• the population studied in the clinical 
programme may not be sufficiently 
broad or representative to ensure 
that the clinical data can be relied on 
safely in the full population for which 
the Group is seeking approval; 

• the data collected from clinical trials 
of the Group’s product candidates 
may not be sufficient to support a 
finding that has statistical 
significance or clinical 
meaningfulness or support the 
submission of a new drug application 
or other submission, or to obtain 
regulatory approval in relevant 
jurisdictions, such as Europe and the 
US; 

• the Group may be unable to 

demonstrate to the EMA, FDA or any 
other comparable regulatory agency 
that a product candidate’s risk-
benefit ratio for its proposed 
indication is acceptable; 

• the EMA, FDA or any other 

comparable regulatory agency may 
fail to approve the manufacturing 
processes, test procedures and 
specifications or facilities of third-
party manufacturers with which the 
Group contracts for clinical and 
commercial supplies; or 

• the approval policies or regulations of 

the EMA, FDA or any other 
comparable regulatory agency may 
significantly change in a manner 
rendering the Group’s clinical data 
insufficient for approval. 

Any of the Group’s current or future 
product candidates could take a 
significantly longer time to gain 
regulatory approval than expected or 
may never gain regulatory approval. This 
could delay or eliminate any potential 

The Group intends to seek regulatory 
approvals to commercialise its product 
candidates in Europe and the United 
States. To obtain regulatory approval in 
other countries, the Group must comply 
with numerous and varying regulatory 
requirements of such other jurisdictions, 
which may include (without limitation) 
safety, efficacy, chemistry, 
manufacturing and controls, clinical 
trials, commercial sales, pricing and 
distribution of its product candidates. 
Even if the Group is successful in 
obtaining approval in one jurisdiction, 
there can be no guarantee that it will 
obtain approval in other jurisdictions. 
Failure to obtain marketing 
authorisations for its product candidates 
will result in the Group being unable to 
market and sell such products. If the 
Group fails to obtain approval in any 
jurisdiction, the geographic market for 
its product candidates could be limited. 
Similarly, regulatory agencies may not 
approve the labelling claims that are 
necessary or desirable for the successful 
commercialisation of the Group’s 
product candidates. 

The Group’s products may not 
gain market acceptance, in 
which case the Group may not 
be able to generate product 
revenues 

Even if the EMA, FDA or any other 
comparable regulatory agency approves 
the marketing of any product 
candidates that the Group develops 
and/or in the case of existing marketed 
products, physicians, healthcare 
providers, patients or the medical 
community may not accept or use them. 
Efforts to educate the medical 
community and third-party payors on 

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24

STRATEGIC REPORT: 
Risks and Uncertainties continued

the benefits of the Group’s product 
candidates may require significant 
resources and may not be successful. If 
any product candidate that the Group 
develops, in each case if approved, do 
not achieve an adequate level of 
acceptance, the Group may not 
generate significant product revenues or 
any profits from operations. The degree 
of market acceptance will depend on a 
variety of factors, including, but not 
limited to: 

• whether clinicians and potential 

patients perceive the Group’s product 
candidates to have a better efficacy, 
safety and tolerability profile, ease of 
use, compared with the products 
marketed by the Group’s competitors 
and the prevailing standard of care; 

• the timing of market introduction; 

• the number of competing products; 

• the Group’s ability to provide 

acceptable evidence of safety and 
efficacy; 

• the frequency and severity and causal 
relationships of any side effects and a 
continued acceptable safety profile 
following approval; 

• relative convenience and ease of 

administration; 

• cost effectiveness; 

• patient diagnostics and screening 
infrastructure in each market; 

• marketing and distribution support; 

• the availability of healthcare 

coverage, reimbursement and 
adequate payment from health 
maintenance organisations and other 
third-party payors, both public and 
private; and 

• competition from other therapies. 

In addition, the potential market 
opportunity for the product candidates 
that the Group may develop is difficult 
to estimate precisely, particularly given 

Amryt Pharma plc

that the orphan drug markets which the 
Group is targeting are, by their nature, 
relatively unknown. The Group’s 
estimates of the potential market 
opportunity for each of these product 
candidates are predicated on several key 
assumptions, such as industry 
knowledge and publications, third party 
research reports and other surveys. 
Although the Board believes that the 
Group’s internal assumptions are 
reasonable, these assumptions may 
prove to be inaccurate. If any of the 
assumptions proves to be inaccurate, 
then the actual market for Lojuxta, 
AP101 and AP102 or the Group’s other 
product candidates from time to time, 
could be smaller than the Group’s 
estimates of the potential market 
opportunity. If that turns out to be the 
case, the Group’s product revenue may 
be limited, and it may be unable to 
achieve or maintain profitability. 

The Group faces significant 
competition from other 
biotechnology and 
pharmaceutical companies 

The biotechnology and pharmaceutical 
industries are very competitive. The 
Group’s competitors include major 
multinational pharmaceutical 
companies, biotechnology companies 
and research institutions. Many of its 
competitors have substantially greater 
financial, technical and other resources, 
such as larger research and 
development staff. The Group’s 
competitors may succeed in developing, 
acquiring or licensing drug product 
candidates that are earlier to market, 
more effective or less costly than any 
product candidate which the Group is 
currently developing or which it may 
develop, and this may have a material 
adverse impact on the Group.  

The Group’s license partners may 
not be successful in their efforts 
to develop marketable products 

Revenue from any licensing and 
collaboration deals entered into is 
dependent on future progression of 
programs through development of and 
into the market. If these programs 
transfer to a partner for progression, 
there is a risk that a licensing deal may 
not deliver all the indicated milestones 
and terms due to product failure or a 
partner deprioritising a product. 

Protection of Intellectual 
Property 

The Group’s success and ability to 
compete effectively are in large part 
dependent upon exploitation of 
proprietary technologies and candidates 
that the Group has developed internally 
or has in-licensed, the Group’s ability to 
protect and enforce its intellectual 
property rights so as to preserve its 
exclusive rights in respect of its 
technologies and candidates, and its 
ability to preserve the confidentiality of 
its know-how. The Group relies primarily 
on exclusivity granted by a combination 
of orphan drug approval, data 
exclusivity, patent laws and trade 
secrets/confidentiality to protect its 
intellectual property rights. There can be 
no assurance that patents pending or 
future patent applications will be issued, 
nor that the lack of any such patents 
will not have a material adverse effect 
on the Group’s ability to develop and 
market its proposed candidates, or that, 
if issued, the Group would have the 
resources to protect any such issued 
patent from infringement. Also, no 
assurance can be given that the Group 
will develop technologies or candidates 
which are patentable or that patents will 
be sufficient in their scope to provide 
protection for the Group’s intellectual 
property rights against third parties. Nor 
can there be any assurance as to the 

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STRATEGIC REPORT

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25

ownership, validity or scope of any 
patents which have been, or may in the 
future be, issued to the Group or that 
claims with respect thereto would not 
be asserted by other parties. 
Furthermore, there are some areas of 
technology that are important for the 
Group’s business which cannot be 
patented due to the existence of prior 
disclosures or rights. In addition, there 
can be no assurance that the Group will 
be able to obtain and/or maintain its 
orphan drug designation or orphan 
drug approval for its product 
candidates. 

To date, the Group has also relied on 
copyright, trademark and trade secret 
laws, as well as confidentiality 
procedures, non-compete and/or work 
for hire invention assignment 
agreements and licensing arrangements 
with its employees, consultants, 
contractors, customers and vendors, to 
establish and protect its rights to its 
technology and other developments 
and, to the best extent possible, control 
the access to and distribution of its 
technology, software, documentation 
and proprietary information. Despite 
these precautions, it may be possible for 
a third party to copy or otherwise obtain 
and use its technology without 
authorisation. Once granted, a patent 
can be challenged both in the patent 
office and in the courts by third parties. 
Third parties can bring material and 
arguments which the patent office 
granting the patent may not have been 
aware of. Therefore, issued patents may 
be found by a court of law or by the 
patent office to be invalid or 
unenforceable or in need of further 
restriction. 

Orphan Drug Designation 

In the European Union, orphan drug 
designation under Regulation (EC) No. 
141/2000 by the EMA’s Committee for 
Orphan Medicinal Products provides 

regulatory and financial incentives for 
companies to develop, promote and 
market products that are intended for 
the diagnosis, prevention, or treatment 
of a life-threatening or chronically 
debilitating condition affecting not more 
than five in 10,000 persons in the 
European Union and for which no 
satisfactory treatment is available or 
where such treatment is already 
available, the new treatment must be of 
significant benefit to those affected by 
the condition. Additionally, designation 
is granted for products intended for the 
diagnosis, prevention or treatment of a 
life-threatening, seriously debilitating or 
serious and chronic condition when, 
without incentives, it is unlikely that 
sales of the drug in the European Union 
would be sufficient to justify the 
necessary investment in developing the 
drug or biological product or where 
there is no satisfactory method of 
diagnosis, prevention or treatment, or, if 
such a method exists, the medicine 
must be of significant benefit to those 
affected by the condition. In Europe, the 
first product candidate to obtain 
approval for a given indication would 
benefit from a 10-year period of market 
exclusivity from the date of approval. 
Subsequent candidates for the same 
condition may also be granted orphan 
drug designation where the underlying 
molecule used in the treatment is 
different, where the method of action is 
different or where the new treatment 
shows clinical superiority over the 
existing treatment. The 10-year 
exclusivity period referred to above may 
be reduced to six years if the orphan 
drug designation criteria are no longer 
met, including where it is shown that 
the product is sufficiently profitable not 
to justify maintenance of market 
exclusivity. 

In the United States, under the Orphan 
Drug Act of 1983, the FDA may 
designate a product as an orphan drug 

if it is intended to treat an orphan 
disease or condition, defined as a 
patient population of fewer than 
200,000 in the United States, or a 
patient population greater than 200,000 
in the United States where there is no 
reasonable expectation that the cost of 
developing the drug will be recovered 
from sales in the United States within 
7 years following FDA approval. 

In the United States, orphan drug 
designation entitles a party to financial 
incentives, such as opportunities for 
grant funding towards clinical trial costs, 
tax advantages and user fee waivers. In 
addition, if a product receives the first 
FDA approval for the indication for 
which it has orphan drug designation, 
the product is entitled to orphan drug 
exclusivity, which means the FDA may 
not approve any other application to 
market the same drug for the same 
indication for a period of seven years, 
except in limited circumstances, such as 
a showing of clinical superiority over the 
product with orphan exclusivity or 
where the manufacturer is unable to 
assure sufficient product quantity. 

However, whilst the Group has obtained 
orphan drug designation for certain of 
its product candidates (and may do so 
for others in the future), there are limits 
on the extent of protection provided. 
For example, in the EU, a new product 
cannot be designated if it is 
undifferentiated from an orphan drug 
which has already been approved. 
Similarity in this context is defined as 
having a similar active substance 
(identical or having an active substance 
with the same or similar principal 
molecular structural features) and which 
acts via the same mechanism. 
Additionally, orphan drug exclusivity will 
not apply if there is a second medicinal 
product that is safer, more effective or 
otherwise clinically superior. 

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26

Exit of UK from the European 
Union 

The UK has voted in an advisory 
referendum to leave the European 
Union (commonly referred to as 
“Brexit”). The impact of the referendum 
and consequent triggering of Article 50 
of the Lisbon Treaty is not yet clear, but 
it may significantly affect the fiscal, 
monetary and regulatory landscape in 
the United Kingdom, and could have a 
material impact on its economy and the 
future growth of its various industries, 
including the pharmaceutical and 
biotechnology industries. Depending on 
the exit terms negotiated between EU 
Member States and the UK following 
Brexit, the UK could lose access to the 
single European Union market and the 
global trade deals negotiated by the 
European Union on behalf of its 
members. Such a change in trade terms 
could affect the attractiveness of the UK 
as an investment centre and, as a result, 
could have a detrimental effect on UK 
companies. This may impact the Group’s 
ability to access funding in the future, 
and its prospects. Although it is not 
possible at this point in time to predict 
fully the effects of an exit of the UK 
from the European Union, it could have 
a material effect on the Group’s 
business, financial condition and results 
of operations.  

STRATEGIC REPORT: 
Risks and Uncertainties continued

Furthermore, it is important to note that 
there can be multiple orphan drug 
designations for each indication and 
more than one entity can receive orphan 
drug designation for the same product 
candidate for the same use. However, 
the exclusivity period is granted to the 
first entity (with orphan drug 
designation for the relevant product 
candidate) who has obtained marketing 
approval. As such, only the first product 
candidate to be approved for a given 
indication will enjoy the exclusivity 
benefits of orphan drug approval. It is 
therefore possible that the Group may 
not obtain market exclusivity because 
another product for the same indication 
was approved earlier, even if the Group 
ultimately obtains marketing approval 
for its product candidates. 

Moreover, orphan drug designation 
rarely shortens the development time 
nor the regulatory review time of a drug 
nor does it give the drug any formal 
advantage in the regulatory review or 
approval process. 

Future Funding Requirements 

The Group will likely need to raise 
additional funding to undertake future 
development work and marketing of 
any successful drug. If additional funds 
are raised through the issuance of new 
equity or equity linked securities of the 
Group other than on a pro rata basis to 
existing Shareholders, the percentage 
ownership of the existing Shareholders 
may be reduced. Shareholders may also 
experience subsequent dilution and/or 
such securities may have preferred 
rights, options and pre-emption rights 
senior to the Ordinary Shares.  

The Company may also issue Ordinary 
Shares as consideration shares on 
acquisitions or investments that would 
also dilute Shareholders’ respective 
shareholdings. 

Amryt Pharma plc

There is also no certainty that any future 
fund raising will be possible at all or on 
acceptable terms. If the Group is unable 
to obtain additional financing as 
required, it may be required to reduce 
the scope of its operations or 
anticipated expansion.  

The Group has a €20 million debt facility 
with the European Investment Bank and 
may seek further debt financing in 
future. Such debt financing may have 
adverse consequences for the Group 
including placing restrictions on the 
Group’s financial and operating activities 
as a consequence of the covenants to 
which the Group is subject and 
requiring it to dedicate a portion of its 
cash flows to repay the debt and to pay 
interest due, which may materially 
reduce funds available for planned 
development activities and will expose 
the Group to interest rate fluctuations 
to the extent that the borrowings are 
subject to variable interest rates. Debt 
financing may also require assets of the 
Group to be secured in favour of the 
lender, which security may be enforced 
if the Group were unable to comply 
with the terms of the relevant debt 
facility agreement. 

Inability to scale up 
manufacturing capability and/or 
outsourcing 

The Group is investing in new 
biopharmaceutical manufacturing 
equipment which will require significant 
investment, installation and calibration 
activities to be undertaken. The 
Directors may underestimate the cost or 
time of installing such manufacturing 
equipment. There is also a risk that the 
new equipment may not function as 
expected once installed. The Group may 
outsource manufacturing but may be 
unable to find sufficient demand for its 
new manufacturing capabilities. Scaling-
up production may be negatively 
impacted as a result of these factors. 

 
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27

CORPORATE GOVERNANCE: 
Board of Directors

Harry Stratford OBE – Non-Executive Chairman 
Skills, Competence and Experience 
Harry Stratford, has over 40 years’ experience in the pharmaceutical industry and 
has built two successful publicly listed pharmaceutical companies. Harry founded 
Shire Plc in 1986 and was CEO for almost a decade. Shire Plc grew from humble 
beginnings to be one of the world’s largest specialty pharmaceutical companies 
and was a constituent of the FTSE100 until its takeover by Takeda Pharmaceuticals 
in 2018. Harry was also founder, CEO and Executive Chairman of Prostrakan Plc, 
another international specialty pharmaceutical company, which was subsequently 
acquired by Kyowa Hakko Kirin of Japan in 2011. 

Harry holds a BSc. in Chemistry from the University of London and was awarded 
an OBE in the 2007 New Year’s Honours list for his contribution to the Scottish Life 
Sciences Industry. 

Harry is responsible for ensuring the quality and sound approach to high standards 
of corporate governance and the effectiveness of the Board as a working group. 

Committee Membership 
Remuneration Committee (Chair) 

Appointment Date 
21 December 2015 

Joe Wiley – Chief Executive Officer 
Skills, Competence and Experience 
Joe Wiley, founded Amryt in 2016. Joe has over 20 years of experience in the 
pharmaceutical, medical and venture capital industries. Joe opened and led 
Sofinnova Ventures’ European office. He was previously a medical director at 
Astellas Pharma. Prior to joining Astellas, he held investment roles at Spirit Capital, 
Inventages Venture Capital and Aberdeen Asset Managers (UK).  

Joe trained in general medicine at Trinity College Dublin, specialising in neurology. 
He is also a Member of the Royal College of Physicians in Ireland and also has an 
MBA from INSEAD. 

Appointment Date 
19 April 2016 

Rory Nealon – Chief Financial Officer/ Chief Operations Officer 
Skills, Competence and Experience 
Rory Nealon, was previously a Board member of Trinity Biotech plc joining as Chief 
Financial Officer in January 2003. He was subsequently appointed Chief 
Operations Officer in November 2007. Rory left Trinity Biotech plc in 2014. Prior to 
joining Trinity Biotech plc, he was Chief Financial Officer of Conduit plc, an Irish 
directory services provider with operations in Ireland, the UK, Austria and 
Switzerland. Prior to joining Conduit plc he was an Associate Director in AIB 
Capital Markets, a subsidiary of AIB Group plc, the Irish banking group.  

Rory holds a Bachelor of Commerce degree from University College Dublin, is a 
Fellow of the Institute of Chartered Accountants in Ireland, a member of the 
Institute of Taxation in Ireland and a member of the Institute of Corporate 
Treasurers in the UK. 

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28

CORPORATE GOVERNANCE: 
Board of Directors continued

James Culverwell – Senior Independent Non-Executive Director 
Skills, Competence and Experience 
James Culverwell, has over 30 years’ experience in analysing and valuing 
pharmaceutical companies. James joined Hoare Govett in 1982, and then moved 
to Merrill Lynch in 1995, where he became global head of pharmaceutical equity 
research. In 2004, James set up Sudbrook Associates, a healthcare corporate 
adviser. James currently sits on the Board of two other companies in the drug 
development and diagnostic fields, including HOX Therapeutics where he is 
the Chairman. 

James has an MSc from the University of Aberdeen. 

Committee Membership 
Remuneration Committee (Member) 
Audit Committee (Chair) 

Appointment Date 
19 April 2016 

Ray Stafford – Non-Executive Director 
Skills, Competence and Experience 
Ray Stafford, has worked in the pharmaceutical industry for thirty years. Ray was 
Chairman, CEO and majority shareholder of the Tosara Group who owned, 
manufactured and marketed the successful international brand Sudocrem. 
Following the integration of Tosara Group into the U.S. based NYSE listed 
company Forest Laboratories in 1988, Ray held numerous senior positions within 
that corporation including CEO Forest UK & Ireland, CEO Forest Europe and since 
1999 through his retiring from the business in 2014, Ray was Executive Vice 
President Global Marketing. Separately Ray was founder of what is today one of 
Ireland’s leading multi-channel sales, marketing and distribution service providers 
approved by the Irish Medicines Board to service the wholesale and retail trade. 

Committee Membership 
Remuneration Committee (Member) 
Audit Committee (Member) 

Appointment Date 
19 April 2016 

Markus Ziener – Non-Executive Director 
Skills, Competence and Experience 
Markus Ziener joined Software AG Stiftung in 2013 as a Director of Asset 
Management before becoming Chief Financial Officer in August 2014. Prior to 
joining Software AG Stiftung, a 22.3% shareholder in Amryt at 31 December 
2017, Markus worked in a number of senior roles across a broad range of 
industries including as Managing Director of Handelskontor Willmann für 
Naturprodukte. Markus was previously a supervisory Board member of Birken AG 
before it was acquired by Amryt and is also a supervisory Board member of 
Software AG Stiftung. 

Appointment Date 
27 June 2016

Amryt Pharma plc

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FINANCIAL STATEMENTS

29

CORPORATE GOVERNANCE: 
Chairman’s Introduction to Governance

I am delighted to present this Corporate Governance Report which reinforces the Board’s continued commitment to strong 
corporate governance and the highest ethical standards. 

The Board of Amryt Pharma remains committed to high standards of governance across the Group, in line with our core values 
of excellence and integrity. As of 28 September 2018, companies quoted on AIM are required to formally adopt a corporate 
governance code as well as disclose details of their compliance with that code and, where they depart from the code, provide an 
explanation of the reasons for doing so. The Board adopted the Quoted Companies Alliance Code (“the QCA Code”) on 
25 September 2018. The Board of Directors, including myself as Non-Executive Chairman, acknowledges the importance of the 
ten principles set out in the QCA Code and details of our compliance with the code can be found in the Corporate Governance 
section of this Annual Report as well as on our website www.amrytpharma.com. 

QCA Code 

I am pleased to report that the process of implementing the QCA Code has not proven to be a radical change to our existing 
practices. Rather, it has proven to be more a case of organising and further articulating our existing practices. We are in total 
agreement with the underlying philosophy and objectives of the QCA Code as we believe that we are developing a collaborative 
culture amongst the personnel within Amryt and with our critical stakeholders (i.e. shareholders, physicians, patients, service 
providers, employees, regulatory authorities and payors) which makes very much aligned to this central core principle of the 
QCA Code.  

The QCA Code charges me, as Non-Executive Chairman, with the responsibilities of:  

• articulating my role and demonstrating my responsibility for corporate governance;  

• explaining how the QCA Code is applied to Amryt and how that application supports the medium to long term success of our 

Group;  

• explaining any areas in which Amryt departs from the expectations of the QCA Code; and 

• identifying any key governance related matters that have occurred during the period under review.  

I accept these responsibilities and aim to discharge them in this first full report on Corporate Governance under the QCA Code 
and on a continuous basis going forward.  

Strategy 

I am committed to fostering a well governed and effective Board to support the delivery of the Group’s strategic priorities. The 
Board is very clear on our responsibility to ensure the Group is capable of delivering on its strategic objectives. We operate with 
due regard to the interests of all our stakeholders and are aware of the potential impact of our decisions upon them. Having a 
clearly defined strategy, a robust governance structure and a culture to guide our values and behaviours remains a priority for the 
Board and in the following pages we explain our approach to governance and how we fulfil our responsibility to ensure that 
robust governance practices are embedded across the Group. 

Shareholder Engagement 

The Board welcomes continuous, open and meaningful discussion with all of our shareholder’s and I look forward to meeting 
shareholders at our 2019 Annual General Meeting (“AGM”), which will be held on 10 June 2019 at 11.00 am in the Holiday Inn, 
Mayfair, London UK. I also welcome direct contact and questions from shareholders via our website.  

Finally, I would like to thank my colleagues on the Board and all the Amryt team for their continued support, commitment, 
challenge and passion for our business. 

Harry Stratford 
Non-Executive Chairman 

10 June 2019 

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30

CORPORATE GOVERNANCE: 
Chairman’s Governance Overview

The Board  

The Board is responsible for the overall governance of the Group. The Board comprises of two executive directors and four 
non-executive directors, including the Non-Executive Chairman, as detailed on pages 27 - 28. The Board believe the current split 
of Non-Executive and Executive Directors is appropriate for the requirements of the Group. The Board considers that Harry 
Stratford, James Culverwell and Ray Stafford are independent in character and judgement. James Culverwell was appointed as 
the Senior Non-Executive director on 29 March 2017.  

As the business develops, the composition of the Board will remain under review to ensure that it remains appropriate to the 
managerial requirements of the Group. All new Directors appointed since the previous AGM are required to seek election at the 
next AGM and one third of the other Directors retire annually in rotation in accordance with the Amryt’s articles of association. 
This enables the shareholders to decide on the election of the Group’s Board. The Directors required to seek re-election at the 
next AGM are Harry Stratford and Ray Stafford by rotation.  

The Board has a formal schedule of matters reserved for its consideration. It is responsible for:  

• setting the overall Group strategy and providing leadership to implement the strategy and supervising the management of the 

business;  

• the acquisition or disposal of material corporate entities or assets;  

• public announcements (including statutory financial statements); approving or making significant changes in accounting 

policy, the capital structure and dividend policy of the Group; Group remuneration policy; and  

• Board structure, composition and succession.  

The Board delegates to management, through the executive directors, the overall performance of the Group, which is conducted 
principally through the setting of clear objectives and monitoring of performance against those objectives. The Board is 
structured so that no one individual or group dominates the decision-making process.  

Board Responsibilities 

To ensure that the Board operates efficiently and effectively, the Directors and Group Secretary have certain responsibilities in line 
with their roles which are set out in more detail in the table below: 

Harry Stratford, Non-Executive Chairman 

• Leads the Board and promotes a culture of open discussion between Executive and Non-Executive Directors 

• Sets the highest standards of corporate governance 

• Ensures effective communications with all our stakeholders 

James Culverwell, Senior Independent Director 

• Provides a sounding board to the Non-Executive Chairman 

• Internal performance appraisal of the Non-Executive Chairman  

• Acts as an intermediary for other Directors, if needed 

Executive Directors 

• Develop and execute the Group’s strategy in line with the policies and objectives agreed by the Board 

• Manage operational effectiveness and profitability of the Group 

• Promotes the purpose, vision and values of the organisation, both internally and externally 

• Monitor compliance with the Group’s legal, regulatory, corporate governance, social and ethical responsibilities 

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31

Non-Executive Directors 

• Provide independent insight based on relevant experience 

• Contribute to the overall development of the Group’s strategy 

• Monitor and challenge the business performance and the execution of strategy 

Rory Nealon, Company Secretary 

• Ensures that the correct Board procedures are followed 

• Ensures that Directors receive timely and clear information so that Directors are equipped for informed decision making and 

open debates 

• Advises the Board on policy, procedure, governance and ethics 

• If necessary, coordinates access to independent professional advice for Directors 

Meetings and Attendance 

Board meetings are scheduled and held at least four times a year and at other times as required to address requirements arising 
between these scheduled meetings. During the year, eight Board meetings were held. The directors attended as follows: 

Meetings held during the year

Directors’ Attendance: 
Harry Stratford
Joe Wiley
Rory Nealon
James Culverwell
Ray Stafford
Markus Ziener

Board Committees 

Full Board

Audit
Committee

Remuneration  
Committee 

8

8/8
8/8
8/8
8/8
7/8
7/8

2

–
–
–
2/2
2/2
–

2 

2/2 
– 
– 
2/2 
2/2 
– 

The Company has an Audit Committee and a Remuneration Committee with formally delegated duties and responsibilities. The 
composition of these committees may change over time as the composition of the Board changes.  

• Remuneration Committee – Chairman, Harry Stratford 

• Audit Committee – Chairman, James Culverwell  

The Board has not established a Nominations Committee, instead the whole Board considers matters of nomination and 
succession. The Board follows a robust process for the appointment of new Board members to identify the skills, experience, 
personal qualities and capabilities required for the next stage of the Company’s development. The Board also monitors succession 
plans and possible internal candidates for future Board roles. 

Remuneration Committee 

The Remuneration Committee has responsibility for the determination of specific remuneration packages for each of the 
executive directors, including pension rights and any compensation payments, and recommending and monitoring the level and 
structure of remuneration for senior management, the implementation of the employee share option plan and other 
performance related schemes. It meets at least twice a year. 

Annual Report for the year ended 31 December 2018

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32

CORPORATE GOVERNANCE: 
Chairman’s Governance Overview continued

The Remuneration Committee comprises three members, who are all Non-Executive directors: Harry Stratford, Ray Stafford and 
James Culverwell. The Remuneration Committee is chaired by Harry Stratford. 

Policy on Executive Directors and Senior Management Remuneration 

When determining the Board policy for remuneration, the Committee considers all factors which it deems necessary including 
relevant legal and regulatory requirements and the provisions and recommendations of relevant guidance. The objective of this 
policy is to help attract, retain and motivate the Executive and Senior Management of the Group without paying more than 
necessary. The remuneration policy bears in mind the Group’s appetite for risk and is aligned to the Group’s long-term strategic 
goals. A significant proportion of remuneration is structured to link rewards to corporate and individual performance and is 
designed to promote the long-term success of the Group. 

Audit Committee 

The Audit Committee has responsibility for, among other things, the monitoring of the financial integrity of the Financial 
Statements of the Group and the involvement of the Group’s auditors in that process. It focuses, in particular, on compliance 
with accounting policies and ensuring that an effective system of internal and external audit and financial control is maintained, 
including considering the scope of the annual audit and the extent of the non-audit work undertaken by external auditors and 
advising on the appointment of external auditors.  

The Audit Committee meets at least twice a year at the appropriate times in the financial reporting and audit cycle. The Audit 
Committee comprises of two members, who are both non-executive Directors: James Culverwell and Ray Stafford. On 28 March 
2017, Cathal Friel resigned as a member of the Board and was replaced as a member of the Audit Committee by Ray Stafford on 
29 March 2017. The Audit Committee is chaired by James Culverwell. 

Internal Controls and Financial Risk Management 

The Directors are responsible for the Group’s system of internal controls, the setting of appropriate policies on these controls, and 
regular assurance that the system is functioning effectively and that it is effective in managing business risk. Principal risk and 
uncertainties are discussed in the Strategic Report and financial risk management objectives and policies are detailed in note 22 
of the Notes to the Financial Statements.  

The Audit Committee monitors the Group’s internal control procedures, reviews the internal control process and risk 
management procedures and reports its conclusions and recommendations to the Board. 

Risk Management and Treasury policy 

The Board considers risk assessment to be important in achieving its strategic objectives, with the Board regularly reviewing its 
projects and activities in this regard. The Group finances its operations through equity, EIB funding and holds its cash as a liquid 
resource to fund the obligations of the Group. Decisions regarding the management of these assets are approved by the Board. 

Securities Trading 

The Board has adopted a Share Dealing Code that applies to Directors, Senior Management and any Employee who is in 
possession of “inside information”. All such persons are prohibited from trading in the Group’s securities if they are in possession 
of “inside information”. Subject to this condition and trading prohibitions applying to certain periods, trading can occur provided 
the relevant individual has received the appropriate prescribed clearance. 

The QCA Corporate Governance Code 2018 - Principles 

The QCA Code sets out 10 broad principles and requires the Company to consider how each should be applied. This Report is a 
summary of the position with the Company’s Corporate Governance processes and practices or otherwise “signposts” where 
other disclosures are made in this document or on the Company’s website www.amrytpharma.com, particularly the Company’s 
Corporate Governance Statement: www.amrytpharma.com.com/corporate-governance. 

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33

The Board address the ten principles underpinning the QCA case as follows: 

Deliver Growth 

1. Establish a strategy and business model which promote long-term value for shareholder 

Our business model and strategy are explained in the Overview section of the Strategic Report on page 16 of this Annual 
Report. 

2. Seek to understand and meet shareholder needs and expectations 

See Corporate Governance Section of our website, www.amrytpharma.com 

3. Take into account wider stakeholder and social responsibilities and their implications for long-term success 

See Corporate Governance Section of our website, www.amrytpharma.com 

4. Embed effective risk management, considering both opportunities and threats, throughout the organisation 

See “Principal Risks and uncertainties” on page 22 

Maintain a dynamic management framework 

5. Maintain the board as a well-functioning, balanced team led by the chair 

See this section 

6. Ensure that between them the directors have the necessary up-to-date experience, skills and capabilities 

See this section and “Board of Directors” on page 27 

7. Evaluate board performance based on clear and relevant objectives, seeking continuous improvement 

See this section 

8. Promote a corporate culture that is based on ethical values and behaviours 

See this section and “Corporate Governance” section on our website, amarytpharma.com 

9. Maintain governance structures and processes that are fit for purpose and support good decision-making by the 

board 

See “Corporate Governance” section on our website, amarytpharma.com 

Build Trust 

10. Communicate how the company is governed and is performing by maintaining a dialogue with shareholders 

and other relevant stakeholders  

See this section and “Corporate Governance” section on our website, amarytpharma.com 

Annual Report for the year ended 31 December 2018

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34

CORPORATE GOVERNANCE: 
Director’s Report For the year ended 31 December 2018

The Directors of Amryt Pharma plc (the “Company”) present their report and the Financial Statements of the Company and its 
subsidiary undertakings (together the “Group” or “Amryt”) for the year to 31 December 2018.  

Directors 

The Directors who served on the Board during the year and to the date of this report are as follows: 
Harry Stratford (Non-Executive Chairman) 
Joe Wiley (Chief Operating Officer) 
James Culverwell (Senior Independent Non-Executive Director) 
Rory Nealon (Chief Financial Officer & Company Secretary) 
Ray Stafford (Non-Executive Director) 
Markus Ziener (Non-Executive Director) 

Base Salaries Review 

In 2018 and 2017, the Remuneration Committee appointed Radford, part of the AON Group, to perform a review of executive 
and non-executive remuneration. Radford have no connection with the Group.  

The Remuneration Committee developed its 2017 and 2018 remuneration proposals based on the recommendations of this 
report and what the Remuneration Committee believe to be appropriate remuneration levels for the Group at its current stage of 
development. The Group has set target remuneration for both executive management and non-executive directors at the 50th 
percentile for European companies as outlined in the report.  

Bonus Payments 

All executive directors and senior management are eligible for a discretionary annual bonus. Annual cash bonuses are paid on 
the achievement of pre-set strategic objectives. The Committee in conjunction with the Board reviews and sets these objectives 
at the start of each calendar year.  

Long-Term Incentives 

The Company has adopted an Employee Share Option Plan (the “Plan”) with all Directors, Senior Management and Consultants 
to the Group eligible to receive awards. Details of share options issued under the plan in 2017 are included in note 4. No new 
share options were granted to Directors in 2018. A total of 2,885,582 share options were issued to executive directors in 2017. 
2,061,130 share options were granted to Joe Wiley on 29th November 2017 at a strike price of 20.12 pence. 824,452 share 
options were granted to Rory Nealon on 29th November 2017 at a strike price of 20.12 pence. All share options granted to 
executive directors in 2017 contain a 3-year vesting period. In accordance with UK best practice on corporate governance, it is 
the Company’s current policy not to award share options to non-executive directors.  

Directors’ Remuneration – Current Year 

The remuneration of Directors for the year ended 31 December 2018 was as follows: 

                                                                                              Pension    Share Based 
                                             Base Salary                                  Contri-         Payment               Other               2018
                                                and Fees         Bonuses           butions          Expense           Benefits                Total
                                                     €’000             €’000              €’000             €’000              €’000              €’000

Harry Stratford                                    80                    –                     –                    –                      –                   80
Joe Wiley                                          355                213                   36                106                   25                 735
Rory Nealon                                      283                142                   28                  42                   16                 511
James Culverwell                                57                    –                     –                    –                      –                   57
Ray Stafford                                        44                    –                     –                    –                      –                   44
Markus Ziener                                     44                    –                     –                    –                      –                   44
Cathal Friel                                           –                    –                     –                    –                      –                     –

2017 
Total 
€’000 

80 
567 
459 
57 
44 
44 
11 

TOTAL                                               863                355                   64                148                   41              1,471

1,262 

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Directors and their Interests 

Interest in ordinary shares of 1p 

The Directors of the Company held the following interest in the ordinary shares of Amryt Pharma plc:  

                                                                                           31 December
                                                                                                        2018
Director                                                                                        Number

31 December
2018
%

31 December
2017
Number

31 December 
2017 
% 

Joe Wiley                                                                                20,994,487
Rory Nealon                                                                              9,664,623
Ray Stafford                                                                              2,296,369
Markus Ziener                                                                              232,955
James Culverwell                                                                         221,592
Harry Stafford                                                                              150,000

a Markus Ziener represents Software AG-Stiftung’s 22.3% shareholding in the Company. 

Share Options and Warrants 

7.64
3.52
0.84
0.08
0.08
0.05

20,994,487
9,664,623
2,296,369
232,955
221,592
150,000

7.64 
3.52 
0.84 
0.08 
0.08 
0.05 

The Directors of the Company held the following warrants of Amryt Pharma plc which were issued to them along with other 
investors in the reverse takeover (“RTO”) on 18 April 2016:  

                                                                  31 December                                            
                                                                               2018         Exercise              Expiry
Director                                                               Number             price                Date

31 December 
2017 
Number

Joe Wiley                                                            165,208               24p         31/12/18
Rory Nealon                                                        656,250               24p         31/12/18
Ray Stafford                                                        826,041               24p         31/12/18

165,208
656,250
826,041

Exercise 
price

24p
24p
24p

Expiry  
Date 

31/12/18 
31/12/18 
31/12/18 

The Directors did not exercise their right to converts these warrants to Ordinary shares in the Company prior to the expiry date. 
These warrants expired on 10 January 2019. 

The Directors of the Company held the following share options of Amryt Pharma plc which were issued to them in November 
2017:  

                                                                  31 December                                            
                                                                               2018         Exercise              Expiry
Director                                                               Number             price                Date

31 December 
2017 
Number

Joe Wiley                                                         2,061,130          20.12p         28/11/24
Rory Nealon                                                        824,452          20.12p         28/11/24

2,061,130
824,452

Exercise 
price

20.12p
20.12p

Expiry  
Date 

28/11/24 
28/11/24 

Dividends 

The Directors do not recommend payment of a dividend (2017: nil). 

Share Capital Structure 

The Company’s ordinary shares of 1p are listed on the AIM Market of the London Stock Exchange (ticker: AMYT.L) and the 
Euronext Market of the Irish Stock Exchange (ticker: AYP). At the date of this report, 274,817,283 ordinary shares of 1p each 
were in issue. Details of share issues and changes to the capital structure during the year are set out in note 17. 

Annual Report for the year ended 31 December 2018

 
 
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36

CORPORATE GOVERNANCE: 
Director’s Report For the year ended 31 December 2018

Substantial Shareholdings 

The Company is aware that the following had an interest of 3% or more in the issued ordinary share capital of the Company: 

                                                                                           31 December
                                                                                                        2018
Rank    Investor                                                                             Number

31 December
2018
%

31 December
2017
Number

31 December 
2017 
% 

1         Software AG-Stiftung A                                               61,272,920
2         Axa SA                                                                        26,940,370
3         Raglan Road Capital B                                                  24,697,347
4         Joe Wiley                                                                     20,994,487
5         Legal & General                                                           14,250,000
6         Amati Global Partners                                                 13,205,882
7         Rory Nealon                                                                  9,664,623
8         Hargreaves Lansdown plc                                              9,260,296
9         Alan Harris                                                                    8,869,090

22.30
 9.80
8.99
7.64
5.19
4.81
3.52
3.37
3.23

61,272,920
20,940,370
33,077,347
20,994,487
14,250,000
8,500,000
9,664,623
8,813,564
8,869,090

22.30 
9.80 
12.04 
7.64 
5.19 
3.09 
3.52 
2.48 
3.23 

A Markus Ziener represents Software AG-Stiftung’s 22.3% shareholding in the Company. 
B Raglan Road Capital Limited is a company owned by Cathal Friel and his wife, Pamela Tyer. Cathal Friel resigned as a Non-Executive Director of Amryt Pharma in 

March 2017. 

There were no notified changes in these holdings in the period after year end to the date of signing the Financial Statements. 

Qualifying Indemnity Provision 

The Group has in place insurance protection, including a Directors and Officers liability policy, to cover the risk of loss when 
management deems it appropriate and cost effective; however in some cases risks cannot be effectively covered by insurance 
and the cover in place may not be sufficient to cover the extent of potential liabilities. 

Going Concern 

The business activities of the Group are outlined on pages 2 - 10 and the factors which may affect the Group future 
development and performance are outlined on pages 22 - 26. The financial review on page 17 discusses the Group’s financial 
and liquidity position and borrowing facilities. In addition, notes 22 to the Consolidated Financial Statements include the Group’s 
objectives, policies and processes for managing its capital; its financial risk management objectives; details of its financial 
instruments and its exposure to credit, currency and liquidity risks. 

After making appropriate enquires, the Directors consider that the Company and the Group has adequate resources to continue 
in business for the foreseeable future. Accordingly, they continue to adopt the going concern basis in preparing the Financial 
Statements. As part of their enquiries the Directors reviewed budgets, projected cash flows, and other relevant information for 
12 months from the date of approval of the Consolidated Financial Statements for the year ended 31 December 2018.  

A key consideration for the Directors is the impact on going concern of the recently announced acquisition with Aegerion. This 
acquisition represents a significant step forward for Amryt and is expected to create value for Amryt with immediate effect post-
deal close through enhanced scale of the combined group which will drive revenues and deliver operational synergies through a 
combination of medical, commercial, clinical, development and regulatory infrastructure. A planned $60 million fundraising as 
part of the acquisition of Aegerion which has been backstopped by the current Aegerion bondholders together with a planned 
listing on NASDAQ will drive liquidity and investor reach.  

The Directors reviewed budgets and projected cashflows of the new combined entities of Amryt and Aegerion and they have 
concluded that the Company and the Group has adequate resources to continue in business for the foreseeable future. 

Amryt Pharma plc

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Events after the Reporting Period 

Events after the reporting period are set out in note 26 to the consolidated financial statements. Likely future developments in 
the business are discussed in the Strategic section. 

Auditors 

In 2018, Amryt changed its auditors, BDO LLP, and replaced them with Grant Thornton. The Board are recommending Grant 
Thornton for re-appointment as auditor of the Group. Grant Thornton have expressed their willingness to accept this 
appointment and a resolution re-appointing them will be submitted to the forthcoming AGM. 

Disclosure of Information to the Auditors 

All of the current Directors have taken all the steps that they ought to have taken to make themselves aware of any information 
needed by the Group’s auditors for the purposes of their audit and to establish that the auditors are aware of that information. 
The Directors are not aware of any relevant audit information of which the auditors are unaware. 

Directors’ Responsibilities 

The Directors are responsible for preparing the Strategic Report, the Directors’ Report and the Financial Statements in accordance 
with applicable law and regulations.  

Company law requires the Directors to prepare Financial Statements for each financial year. Under that law the Directors have 
elected to prepare the Group and Company Financial Statements in accordance with International Financial Reporting Standards 
(IFRSs) as adopted by the European Union. Under company law the Directors must not approve the Financial Statements unless 
they are satisfied that they give a true and fair view of the state of affairs of the Group and Company and of the profit or loss of 
the Group for that period. The Directors are also required to prepare Financial Statements in accordance with the Rules of the 
London Stock Exchange for companies trading securities on the Alternative Investment Market and the Euronext exchange of the 
Irish Stock Exchange.  

In preparing these Financial Statements, the Directors are required to: 

• select suitable accounting policies and then apply them consistently; 

• make judgements and accounting estimates that are reasonable and prudent; 

• state whether they have been prepared in accordance with IFRSs as adopted by the European Union, subject to any material 

departures disclosed and explained in the Financial Statements;  

• prepare the Financial Statements on the going concern basis unless it is inappropriate to presume that the Group will continue 

in business. 

The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Group’s 
transactions and disclose with reasonable accuracy at any time the financial position of the Group and enable them to ensure that 
the Financial Statements comply with the requirements of the Companies Act 2006. They are also responsible for safeguarding the 
assets of the Group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 

Website Publication 

The Directors are responsible for ensuring the Annual Report and the Financial Statements are made available on a website. 
Financial Statements are published on Amryt’s website in accordance with legislation in the United Kingdom governing the 
preparation and dissemination of Financial Statements, which may vary from legislation in other jurisdictions. The maintenance 
and integrity of Amryt’s website is the responsibility of the Directors.  

This report was approved by the Board on 10 June 2019 and signed on its behalf by: 

Rory Nealon 
Chief Financial Officer & Company Secretary 

Annual Report for the year ended 31 December 2018

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38

Independent auditor’s report to the members of 
Amryt Pharma plc 
For the year ended 31 December 2018

Opinion 

We have audited the financial statements of Amryt Pharma plc (the ‘parent company’) and its subsidiaries (the ‘group’) for the 
year ended 31 December 2018, which comprise the Consolidated Statement of Comprehensive Income, the Consolidated 
Statement of Financial Position, the Consolidated Statement of Cash Flows, the Consolidated Statement of Changes in Equity, 
the Company Statement of Financial Position, the Company Statement of Cash Flows, the Company Statement of Changes in 
Equity, and the related notes to the financial statements, including the summary of significant accounting policies. 

The financial reporting framework that has been applied in the preparation of the group and company financial statements is 
International Financial Reporting Standards (IFRS) as adopted by the European Union. 

In our opinion: 

• the group financial statements give a true and fair view in accordance with IFRS as adopted by the European Union of the 

financial position of the group as at 31 December 2018 and of the group’s financial performance and cash flows for the year 
then ended;  

• the parent company financial statements give a true and fair view in accordance with IFRS as adopted by the European Union 

of the financial position of the company as at 31 December 2018 and of its cash flows for the year then ended; and 

• the financial statements have been properly prepared in accordance with the requirements of the Companies Act 2006. 

Basis for opinion 

We conducted our audit in accordance with International Standards on Auditing (UK) (‘ISAs UK’) and applicable law. Our 
responsibilities under those standards are further described in the ‘responsibilities of the auditor for the audit of the financial 
statements’ section of our report. We are independent of the group and company in accordance with the ethical requirements 
that are relevant to our audit of the financial statements in the UK, namely FRC’s Ethical Standard concerning the integrity, 
objectivity and independence of the auditor. We have fulfilled our other ethical responsibilities in accordance with these 
requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our 
opinion.  

Conclusions relating to going concern 

We have nothing to report in respect of the following matters in relation to which the ISAs UK require us to report to you where: 

• the directors’ use of the going concern basis of accounting in the preparation of the financial statements is not appropriate; or 

• the directors have not disclosed in the financial statements any identified material uncertainties that may cast significant 
doubt about the group or the parent company’s ability to continue to adopt the going concern basis of accounting for a 
period of at least twelve months from the date when the financial statements are authorised for issue. 

Other matter 

The consolidated and parent company financial statements for the year ended 31 December 2017 were audited by a predecessor 
auditor who expressed an unmodified opinion on those financial statements on 16 April 2018. 

Key audit matters 

Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the financial 
statements of the current period and include the most significant assessed risks of material misstatement (whether or not due to 
fraud) we identified, including those which had the greatest effect on: the overall audit strategy, the allocation of resources in 
the audit, and the directing of efforts of the engagement team. These matters were addressed in the context of our audit of the 
financial statements as a whole, and in forming our opinion thereon, and therefore we do not provide a separate opinion on 
these matters. 

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39

Overall audit strategy 

We designed our audit by determining materiality and assessing the risks of material misstatement in the financial statements. In 
particular, we looked at where the directors made subjective judgements. We also addressed the risk of management override of 
internal controls, including evaluating whether there was any evidence of potential bias that could result in a risk of material 
misstatement due to fraud. 

How we tailored the audit scope  

We tailored the scope of our audit taking into account the areas where the risk of misstatement was considered material to the 
group, taking into account the nature of the group’s business and the industry in which it operates. 

In establishing the overall approach to our audit, we assessed the risk of material misstatement at a group level, taking into 
account the nature, likelihood and potential magnitude of any misstatement. As part of our risk assessment, we considered the 
control environment in place at Amryt Pharma plc. 

Materiality and audit approach 

The scope of our audit is influenced by our application of materiality. We set certain quantitative thresholds for materiality. These, 
together with qualitative considerations, helped us to determine the scope of our audit and the nature, timing and extent of our 
audit procedures and to evaluate the effect of misstatements, both individually and on the financial statements as a whole. 

Based on our professional judgement, we determined materiality for the group as follows: 5% of loss before taxes for the 
financial year ended 31 December 2018. We have applied this benchmark because the main objective of the company is to 
continue investing in R&D expenditure in order to commercialise its development assets and thus create shareholder value. To 
date none of this R&D expenditure has been capitalised and net losses correlate to R&D expenses incurred. 

We agreed with the board of directors that we would report to them misstatements identified during our audit above 5% of 
materiality as well as misstatements below that amount that, in our view, warranted reporting for qualitative reasons. 

Significant risks identified 

The risks of material misstatement that had the greatest effect on our audit, including the allocation of our resources and effort, 
are set out below as significant risks together with an explanation of how we tailored our audit to address these specific areas in 
order to provide an opinion on the financial statements as a whole. This is not a complete list of all risks identified by our audit. 

Valuation of intangible assets 

As a result of the acquisition of Amryt AG and Som Therapeutics Corp. in 2016, the group recognised in-process research and 
development (IPR&D) costs of €53 million as an intangible asset. The products that the IPR&D relate to are the AP101 and AP102 
development assets, which are not yet ready for use. International Accounting Standard (IAS) 36, Impairment of Assets, requires 
that irrespective of whether there is an indication of impairment, an entity shall test an intangible asset, not yet available for use, 
for impairment annually by comparing its carrying value with its recoverable amount.  

We considered this as a key audit matter because of the significant judgement required by management in assessing the 
recoverable amount of the asset, which is based on forecasting and discounting future cash flows, which are complex and are 
heavily reliant on assumptions which could be affected by future market or economic developments. 

Refer to note 11 of the Consolidated Financial Statements for further details.

Annual Report for the year ended 31 December 2018

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40

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2018

Our response 

To address this risk, our audit procedures included the following: 

• We reviewed the group’s assessment of whether there were any indicators of impairment and ensured this was consistent 

with our understanding of the business and its activities; 

• We evaluated and challenged management’s assumptions and judgements used in the calculation of the future cash flows, 
which include but are not limited to revenue projections, discount rates and probability of clinical development success; 

• We performed integrity checks on the forecasting model used to estimate recoverable amount; 

• We interviewed research and development personnel employed by management in order to obtain a more detailed 

understanding of stage of development of the associated IPR&D and its future opportunities; 

• We performed sensitivity analysis to determine reasonableness of the input and output variables used in the model; and 

• We corroborated results with our understanding of the group’s operations to date. 

Valuation of contingent consideration 

Part of the consideration in relation to the acquisition of Amryt AG and Som Therapeuticas Corp. in 2016 comprised of milestone 
payments and royalties on future Episalvan sales. This contingent consideration is recognised at fair value and is based on the 
same forecasting model used to assess the recoverable amount of the intangible asset noted above thus requires the same 
significant judgements from management. 

At 31 December 2018, the group recorded a contingent consideration liability of €41.3 million (2017: €32.4 million) with the 
change in fair value of €8.9 million recorded in the Statement of Comprehensive Income. We consider there to be a significant 
risk around the completeness, accuracy and valuation of the contingent consideration liability at the balance sheet date. 

Refer to note 5 to the Consolidated Financial Statements for further details. 

Our response 

To address this risk, our audit procedures included the following: 

• We reviewed the underlying purchase agreements of Amryt AG and Som Therapeutics Corp.; 

• We evaluated and challenged management’s assumptions and judgements used in the calculation of the future cash flows, 
which include but are not limited to revenue projections, discount rates and probability of clinical development success; 

• We performed sensitivity analysis to determine reasonableness of the input variables used in the model; 

• We performed integrity checks on the model used to ensure accuracy of the contingent consideration liability recorded at year 

end; and  

• We corroborated results with our understanding of the group’s operations to date. 

Other information 

Other information comprises information included in the annual report, other than the financial statements and our auditor’s 
report thereon, including the Directors’ Report and the Strategic Report. The directors are responsible for the other information. 
Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly 
stated in our report, we do not express any form of assurance conclusion thereon.  

Amryt Pharma plc

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41

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, 
consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the 
audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies in the financial statements, we 
are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the 
other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other 
information, we are required to report that fact. 

We have nothing to report in this regard. 

Opinions on other matters prescribed by the Companies Act 2006 

In our opinion, based on the work undertaken in the course of the audit: 

• the information given in the strategic report and the directors’ report for the financial year for which the financial statements 

are prepared is consistent with the financial statements; and 

• the strategic report and the directors’ report have been prepared in accordance with applicable legal requirements. 

Matters on which we are required to report by exception 

We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in 
our opinion: 

• adequate accounting records have not been kept for our audit; or returns adequate for our audit have not been received from 

branches not visited by us; or 

• the financial statements are not in agreement with the accounting records; or 

• certain disclosures of directors’ remuneration specified by law are not made; or 

• we have not received all the information and explanations we require for our audit. 

Responsibilities of the management and those charged with governance for the financial statements  

Management is responsible for the preparation of the financial statements which give a true and fair view in accordance with 
IFRS as adopted by the European Union, and for such internal control as directors determine necessary to enable the preparation 
of financial statements are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, management is responsible for assessing the group and company’s ability to continue as a 
going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting 
unless management either intends to liquidate the group and company or to cease operations, or has no realistic alternative but 
to do so. 

Those charged with governance are responsible for overseeing the group and company’s financial reporting process. 

Responsibilities of the auditor for the audit of the financial statements 

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material 
misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a 
high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material 
misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the 
aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial 
statements. 

Annual Report for the year ended 31 December 2018

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42

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2018

As part of an audit in accordance with ISAs (UK), the auditor will exercise professional judgment and maintain professional 
scepticism throughout the audit. They will also: 

• Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and 
perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a 
basis for their opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting 
from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal 
control. 

• Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in 

the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the group and company’s internal 
control. 

• Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related 

disclosures made by management. 

• Conclude on the appropriateness of management’s use of the going concern basis of accounting and, based on the audit 

evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the 
group and company’s ability to continue as a going concern. If they conclude that a material uncertainty exists, they are 
required to draw attention in the auditor’s report to the related disclosures in the financial statements or, if such disclosures 
are inadequate, to modify their opinion. Their conclusions are based on the audit evidence obtained up to the date of the 
auditor’s report. However, future events or conditions may cause the group or company to cease to continue as a going 
concern. 

• Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the 

financial statements represent the underlying transactions and events in a matter that achieves a true and fair view.  

The auditor shall communicate with those charged with governance regarding, among other matters, the planned scope and 
timing of the audit and significant audit findings, including any significant deficiencies in internal control that may be identified 
during the audit. 

Where the auditor is reporting on the audit of a group, the auditor’s responsibilities are to obtain sufficient appropriate audit 
evidence regarding the financial information of the entities or business activities within the group to express an opinion on the 
group financial statements. The auditor is responsible for the direction, supervision and performance of the audit, and the 
auditor remains solely responsible for the auditor’s opinion. 

The auditor also provides those charged with governance with a statement that they have complied with relevant ethical 
requirements regarding independence, and to communicate with them all relationships and other matters that may reasonably 
be thought to bear on their independence, and where applicable, related safeguards. 

From the matters communicated with those charged with governance, the auditor determine those matters that were of most 
significance in the audit of the financial statements of the current period and are therefore the key audit matters. These matters 
are described in the auditor’s report unless law or regulation precludes public disclosure about the matter or when, in extremely 
rare circumstances, the auditor determines that a matter should not be communicated in the report because the adverse 
consequences of doing so would reasonably be expected to outweigh the public interest benefits of such communication. 

Corporate governance statement 

In our opinion, based on the work undertaken in the course of our audit of the financial statements, the description of the main 
features of the internal control and risk management systems in relation to the financial reporting process included in the 
Corporate Governance Statement, is consistent with the financial statements and has been prepared in accordance with 
applicable law. 

Amryt Pharma plc

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FINANCIAL STATEMENTS

43

Based on our knowledge and understanding of the company and its environment obtained in the course of our audit of the 
financial statements, we have not identified material misstatements in the description of the main features of the internal control 
and risk management systems in relation to the financial reporting process included in the Corporate Governance Statement. 

In our opinion, based on the work undertaken during the course of our audit of the financial statements, the information 
prepared in accordance with applicable legal requirements and rules 7.2.2, 7.2.3 and 7.2.7 in the Disclosure Rules and 
Transparency Rules sourcebook made by the Financial Conduct Authority is contained in the Corporate Governance Statement. 

We have nothing to report having performed our review. 

The purpose of our audit work and to whom we owe our responsibilities 

This report is made solely to the company’s members, as a body, in accordance with chapter 3 of Part 16 of the Companies Act 
2006. Our audit work has been undertaken so that we might state to the company’s members those matters we are required to 
state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume 
responsibility to anyone other than the company and the company’s members as a body, for our audit work, for this report, or 
for the opinions we have formed. 

Stephen Murray  
(Senior Statutory Auditor) 
For and on behalf of 
Grant Thornton 
Chartered Accountants & Statutory Auditor 
Dublin 2 
10 June 2019 

Annual Report for the year ended 31 December 2018

 
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44

Consolidated Statement of Comprehensive Income 
For the year ended 31 December 2018

Revenue
Cost of sales

Gross profit

Administrative, selling and marketing expenses
Share based payment expenses

Total administrative, selling and marketing expenses
Research and development expenses

Operating loss before finance expense

Non-cash change in fair value of contingent consideration
Finance expense

Loss on ordinary activities before taxation

Tax on loss on ordinary activities

Loss for the year attributable to the equity holders of the Company

Exchange translation differences which may be reclassified through the profit or loss 

Total other comprehensive (loss)/ profit

Total comprehensive loss for the year attributable to the equity holders  
of the Company

Note
3

4

6

5
8

9

31 December
2018

31 December 
2017 

€’000
14,454
(5,298)

9,156

(14,663)
(694)

(15,357)
(9,049)

(15,250)

(8,934)
(1,557)

(25,741)

(36)

(25,777)

(34)

(34)

€’000 
12,778 
(5,373) 

7,405 

(10,483) 
(565) 

(11,048) 
(10,564) 

(14,207) 

(11,104) 
(825) 

(26,136) 

– 

(26,136) 

27 

27 

(25,811)

(26,109) 

Loss per share:  
Loss per share – basic and diluted, attributable to ordinary equity holders  
of the parent (cent)

10

(9.38)

(11.72) 

Amryt Pharma plc

 
 
 
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FINANCIAL STATEMENTS

45

Consolidated Statement of Financial Position 
As at 31 December 2018

Assets 
Non-current assets 
Intangible assets
Property, plant and equipment
Other non-current assets

Total non-current assets

Current assets 
Trade and other receivables
Inventories
Cash and cash equivalents

Total current assets

Total assets

Equity and liabilities 
Equity attributable to owners of the parent 
Share capital
Share premium
Other reserves
Accumulated deficit

Total equity

Non-current liabilities 
Contingent consideration
Deferred tax liability
Long term loan

Total non-current liabilities

Current liabilities 
Trade and other payables

Total current liabilities

Total liabilities

Total equity and liabilities

31 December
2018

31 December 
2017 

Note

€’000

€’000 

11
12

14
15
16

17
17

5
18
19

20

52,695
960
130

53,785

5,179
1,868
9,811

16,858

52,606 
1,160 
– 

53,766 

4,729 
1,083 
20,512 

26,324 

70,643

80,090 

21,173
57,334
(20,858)
(60,880)

(3,231)

41,351
5,384
16,614

63,349

10,525

10,525

73,874

21,173 
57,334 
(21,512) 
(35,109) 

21,886 

32,418 
5,384 
10,603 

48,405 

9,799 

9,799 

58,204 

70,643

80,090 

The Financial Statements set out on pages 44 to 84 were approved and authorised for issue by the Directors on 10 June 2019. 

They are signed on the Board’s behalf by: 

Rory Nealon                                                                                                                                 Company Number 
Director                                                                                                                                       05316808

Annual Report for the year ended 31 December 2018

 
 
 
 
 
 
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46

Consolidated Statement of Cash Flows 
For the year ended 31 December 2018

31 December
2018
€’000

31 December 
2017 
€’000 

(25,777)
1,557
310
694
8,934

(450)
2,580
–
(785)
(130)

(26,136) 
825 
259 
565 
11,104 

(2,189) 
6,022 
(2,000) 
(313) 
– 

(13,067)

(11,863) 

(68)
(131)
–
(18)
5

(212)

–
5,000
(221)
(2,000)
–

2,779

(243) 
(87) 
9 
– 
5 

(316) 

14,393 
10,000 
– 
– 
(47) 

24,346 

(201)

74 

(10,701)
20,512

1,191

8,620

9,811

12,241 
8,271 

537 

19,975 

20,512 

Note

8
11, 12
4
5

14

5
15

12
11
12

17
19

16

16

16

Cash flows from operating activities 
Loss on ordinary activities after taxation
Finance expense
Depreciation and amortisation
Share based payment expenses
Non-cash change in fair value of contingent consideration
Movements in working capital and other adjustments: 
    Change in trade and other receivables
    Change in trade and other payables
    Change in contingent consideration
    Change in inventories
    Change in non-current assets

Net cash flow used in operating activities

Cash flow from investing activities 
Payments for property, plant and equipment
Payments for intangible assets
Cash inflow on sale of property, plant and equipment
Bank interest and fees paid
Deposit interest received

Net cash flow used in investing activities

Cash flow from financing activities 
Proceeds from issue of equity instruments - net of expenses 
Increase in long term debt
Interest paid on long term debt
Payment of deferred consideration
Repayment of short-term loans

Net cash flow from financing activities

Exchange and other movements

Net change in cash and cash equivalents
Cash and cash equivalents at beginning of year

Restricted cash at end of year

Cash at bank available on demand at end of year

Total cash and cash equivalents at end of year

Amryt Pharma plc

 
 
 
 
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FINANCIAL STATEMENTS

47

Consolidated Statement of Changes in Equity 
For the year ended 31 December 2018

                                                                                                           Share based                           Reverse     Exchange 
                                                                               Share           Share      payment        Merger   acquisition   translation     Accumulated 
                                                                             capital      premium         reserve         reserve         reserve         reserve              deficit        Total 
                                                             Note          €’000          €’000          €’000          €’000          €’000          €’000              €’000      €’000 

Balance at  
1 January 2017                                                     20,419        43,695          4,215        35,818       (62,107)               (5)            (8,998)   33,037 
Loss for the year                                                             –                 –                 –                 –                 –                 –           (26,136)  (26,136) 
Foreign exchange  
translation reserve                                                          –                 –                 –                 –                 –               27                      –           27 

Total comprehensive loss                                                 –                 –                 –                 –                 –               27           (26,136)  (26,109) 

Transactions  
with owners                                                   
Issue of placing shares –  
Gross                                                        17             754        14,329                 –                 –                 –                 –                      –    15,083 
Issue of placing shares –  
Expenses                                                   17                 –            (690)                –                 –                 –                 –                      –        (690) 
Share based payment expense                     4                 –                 –             565                 –                 –                 –                      –         565 
Share based payment expense –  
Lapsed                                                                            –                 –              (25)                –                 –                 –                   25             – 

Total transactions  
with owners                                                               754        13,639             540                 –                 –                 –                   25    14,958 

Balance at  
31 December 2017                                               21,173        57,334          4,755        35,818       (62,107)              22           (35,109)   21,886 

Balance at 1 January 2018                                     21,173        57,334          4,755        35,818       (62,107)              22           (35,109)   21,886 
Loss for the year                                                             –                 –                 –                 –                 –                 –           (25,777)  (25,777) 
Foreign exchange  
translation reserve                                                          –                 –                 –                 –                 –              (34)                     –          (34) 

Total comprehensive loss                                                 –                 –                 –                 –                 –              (34)          (25,777)  (25,811) 

Transaction  
with owners 
Share based payments                                 4                 –                 –             694                 –                 –                 –                      –         694 
Share based payments -  
lapsed                                                                            –                 –                (6)                –                 –                 –                     6             – 

Total transaction  
with owners                                                                   –                 –             688                 –                 –                 –                     6         694 

Balance at  
31 December 2018                                               21,173        57,334          5,443        35,818       (62,107)             (12)          (60,880)    (3,231) 

Share capital represents the cumulative par value arising upon issue of ordinary shares of 1p each and deferred shares of 29.4p each.  

Share premium represents the consideration that has been received in excess of the nominal value on issue of share capital. 

Share based payment reserve relates to the charge for share based payments in accordance with International Financial Reporting Standard 2. 

The merger reserve was created on the acquisition of Amryt DAC. Consideration on the acquisition included the issuance of shares. Under 
section 612 of the Companies Act 2006, the premium on these shares has been included in a merger reserve. 

The reverse acquisition reserve arose during the period ended 31 December 2016 in respect of the reverse acquisition of Amryt Pharma plc by 
Amryt Pharmaceuticals DAC (“Amryt DAC”). Since the shareholders of Amryt DAC became the majority shareholders of the enlarged group the 
acquisition is accounted for as though there is a continuation of Amryt DAC’s Financial Statements. The reverse acquisition reserve is created to 
maintain the equity structure of Amryt Pharma plc in compliance with UK company law. 

The exchange translation reserve was created on the retranslation of non-Euro denominated foreign subsidiaries. 
Accumulated deficit represents losses accumulated in previous periods and the current year.

Annual Report for the year ended 31 December 2018

 
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48

Company Statement of Financial Position 
As at 31 December 2018

Assets 
Non-current assets 
Intangible assets
Investment in subsidiaries

Total non-current assets

Current assets 
Trade and other receivables
Cash and cash equivalents

Total current assets

Total assets

Equity and liabilities 
Equity attributable to owners of the company 
Share capital
Share premium
Other reserves
Accumulated deficit

Total equity

Current liabilities 
Trade and other payables

Total current liabilities

Total liabilities

Total equity and liabilities

31 December
2018

31 December 
2017 

Note

€’000

€’000 

13

14
16

17
17

20

58
73,304

73,362

40
79

119

87 
58,832 

58,919 

90 
14,441 

14,531 

73,481

73,450 

21,173
57,334
41,261
(46,646)

73,122

359

359

359

21,173 
57,334 
40,573 
(46,070) 

73,010 

440 

440 

440 

73,481

73,450 

The Financial Statements set out on pages 44 to 84 were approved and authorised for issue by the Directors on 10 June 2019. 

They are signed on the Board’s behalf by: 

Rory Nealon                                                                                                                                 Company Number 
Director                                                                                                                                       05316808 

Amryt Pharma plc

 
 
 
 
 
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FINANCIAL STATEMENTS

49

Company Statement of Cash Flows 
For the year ended 31 December 2018

Cash flows from operating activities 
Loss for the year
Finance Expense
Depreciation and amortisation
Share based payment expense
Movements in working capital and other adjustments: 
    Change in trade and other receivables
    Change in trade and other payables

Net cash flow used in operating activities

Cash flow from investing activities 
Bank interest received
Expenditure on development of website
Funds received from/ (advanced to) subsidiary companies

Net cash flow (used in)/ from investing activities

Cash flow from financing activities 
Proceeds from issue of equity instruments net of expenses 

Net cash flow from financing activities

Exchange and other movements

Net change in cash and cash equivalents
Cash and cash equivalents at beginning of year

Cash and cash equivalents at end of year

31 December
2018
€’000

31 December 
2017 
€’000 

Note

24

4

14
20

11
13

17

16

(582)
(100)
29
694

50
(81)

10

5
–
(14,472)

(14,467)

–

–

95

(14,362)
14,441

79

(1,361) 
(2) 
– 
565 

5 
253 

(540) 

1 
(87) 
622 

536 

14,393 

14,393 

1 

14,390 
51 

14,441 

Annual Report for the year ended 31 December 2018

 
 
 
 
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50

Company Statement of Changes in Equity 
For the year ended 31 December 2018

                                                                                                                                                Share 
                                                                                                                                               based                                                                      
                                                                                                  Share               Share          payment            Merger      Accumulated 
                                                                                                 capital         premium            reserve            reserve                 deficit             Total 
                                                                            Note              €’000              €’000              €’000              €’000                 €’000           €’000 

Balance at 1 January 2017                                                       20,419            43,695              4,215            35,818              (44,734)        59,413 
Total comprehensive loss for the year                       24                     –                     –                     –                     –                (1,361)         (1,361) 

Total comprehensive loss for the year                                                –                     –                     –                     –                (1,361)         (1,361) 

Transactions with owners                                                                                                                                                                                        
Issue of placing shares – Gross                                 17                 754            14,329                     –                     –                        –         15,083 
Issue of placing shares – Expenses                            17                     –                (690)                    –                     –                        –             (690) 
Share based payment expenses                                  4                     –                     –                 565                     –                        –              565 
Share based payment expenses – Lapsed                                           –                     –                  (25)                    –                      25                  – 

Total transactions with owners                                                      754            13,639                 540                     –                      25         14,958 

Balance at 31 December 2017                                                 21,173            57,334              4,755            35,818              (46,070)        73,010 

Balance at 1 January 2018                                                       21,173            57,334              4,755            35,818              (46,070)        73,010 
Total comprehensive loss for the year                       24                     –                     –                     –                     –                   (582)            (582) 

Total comprehensive loss for the year                                                –                     –                     –                     –                   (582)            (582) 

Transaction with owners 
Share based payments                                               4                     –                     –                 694                     –                        –              694 
Share based payments - lapsed                                                         –                     –                    (6)                    –                        6                  – 

Transaction with owners                                                                    –                     –                 688                     –                        6              694 

Balance at 31 December 2018                                                 21,173            57,334              5,443            35,818              (46,646)        73,122 

Share capital represents the cumulative par value arising upon issue of ordinary shares of 1p each and deferred shares of 29.4p each.  

Share premium represents the consideration that has been received in excess of the nominal value on issue of share capital. 

Share based payment reserve relates to the charge for share based payments in accordance with International Financial Reporting Standard 2. 

The merger reserve was created on the acquisition of Amryt DAC. Consideration on the acquisition included the issuance of shares. Under 
section 612 of the Companies Act 2006, the premium on these shares has been included in a merger reserve. 

Accumulated deficit represents losses accumulated in previous periods and the current year. 

Amryt Pharma plc

 
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FINANCIAL STATEMENTS

51

Notes to the Financial Statements 

1. General information 
Amryt Pharma plc (the “Company”) is a company incorporated in England and Wales. Details of the registered office, the officers 
and advisers to the Company are presented on the Company Information page at the end of this report. The Company is listed 
on the AIM market of the London Stock Exchange (ticker: AMYT.L) and the Euronext market of the Irish Stock Exchange 
(ticker: AYP).  

Amryt is a development and commercial stage pharmaceutical Company focused on acquiring, developing and delivering 
innovative new treatments to help improve the lives of patients with rare and orphan diseases.  

Following on from its acquisition by the Group in 2016, Birken AG was renamed Amryt AG in 2017. All references in the notes 
to the accounts to Amryt AG relate to the entity that was formerly called Birken AG.  

2. Accounting policies 

Basis of preparation 

The consolidated financial statements of the Group and the individual Financial Statements of the Company have been prepared 
in accordance with International Financial Reporting Standards (“IFRS”) as adopted by the EU and with those parts of the 
Companies Act 2006 applicable to companies reporting under IFRS. The consolidated financial statements have been prepared 
on a historical cost basis, except for contingent consideration that have been measured at fair value.  

Basis of going concern 

Having considered the Group’s current financial position and cashflow projections, the directors believe that the Group will be 
able to continue in operational existence for at least the next 12 months from the date of approval of these consolidated 
financial statements and that it is appropriate to continue to prepare the consolidated financial statements on a going concern 
basis.  

As part of their enquiries the Directors reviewed budgets, projected cash flows, and other relevant information for 12 months 
from the date of approval of the consolidated financial statements for the year ended 31 December 2018. 

A key consideration for the Directors is the impact on going concern of the recently announced acquisition with Aegerion. This 
acquisition represents a significant step forward for Amryt and is expected to create value for Amryt with immediate effect post 
deal close through enhanced scale of the combined group which will drive revenues and deliver operational synergies through a 
combination of medical, commercial, clinical, development and regulatory infrastructure. A planned $60 million fundraising as 
part of the acquisition of Aegerion which has been backstopped by the current Aegerion bondholders together with a planned 
listing on NASDAQ will drive liquidity and investor reach. 

Basis of consolidation 

The consolidated financial statements comprise the Financial Statements of the Company and its subsidiaries for the year ended 
31 December 2018. Subsidiaries are entities controlled by the Company. Where the Company has control over an investee, it is 
classified as a subsidiary. The Company controls an investee if all three of the following elements are present: power over an 
investee, exposure to variable returns from the investee, and the ability of the investor to use its power to affect those variable 
returns. Control is reassessed whenever facts and circumstances indicate that there may be a change in any of these elements of 
control. Subsidiaries are fully consolidated from the date that control commences until the date that control ceases. Accounting 
policies of subsidiaries have been changed where necessary to ensure consistency with the policies adopted by the Group. 
Intergroup balances and any unrealised gains or losses or income or expenses arising from intergroup transactions are eliminated 
in preparing the consolidated financial statements. 

Merger reserve 

The merger reserve was created on the acquisition of Amryt DAC by Amryt Pharma plc in April 2016. Ordinary shares in Amryt 
Pharma plc were issued to acquire the entire issued share capital of Amryt DAC. Under section 612 of the Companies Act 2006, 
the premium on these shares has been included in a merger reserve. 

Annual Report for the year ended 31 December 2018

 
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52

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

Presentation of Balances 

The Financial Statements are presented in Euro (”€”) which is the functional and presentational currency of the Group. Balances 
in the Financial Statements are rounded to the nearest thousand (€’000) except where otherwise indicated. 

The following table discloses the major exchange rates of those currencies utilised by the Group: 

Foreign currency units to 1 €

Average period to 31 December 2018
At 31 December 2018

Average period to 31 December 2017
At 31 December 2017

US$

1.1827
1.1357

1.1259
1.1901

£

0.8853
0.8896

CHF

1.1544
1.1330

SEK

NOK

DKK 

10.2639
10.3184

9.6141
9.7277

7.4506 
7.4616 

0.8715
0.8813

1.1082
1.1678

9.6085
9.8719

9.2979
9.9537

7.4411 
7.4412 

(US$ = US Dollars; £ = Pounds Sterling, CHF = Swiss Franc, SEK = Swedish Kroner, NOK = Norwegian Kroner, DKK = Danish Kroner) 

Changes in accounting policies and disclosures 

The accounting policies adopted are consistent with those of the previous financial period. New standards and amendments to 
IFRS effective as of 1 January 2018 have been reviewed by the Group. These standards and amendments are described in more 
detail below. 

Adoption of new standards issued and effective as of 1 January 2018 

The following new standards and standard amendments became effective for the Group as of 1 January 2018: 

• IFRS 9 Financial Instruments 

• IFRS 15 Revenue from Contracts with Customers 

• Amendments to IFRS 2 Share-based Payment 

While the new standards, interpretations and standard amendments did not result in a material impact on the Group’s results, 
the nature and effect of changes required by IFRS 9 and IFRS 15 are described below. 

IFRS 9 Financial Instruments 

IFRS 9 replaces IAS 39 Financial Instruments: Recognition and Measurement. It addresses the classification, measurement and 
derecognition of financial assets and financial liabilities, introduces a new impairment model for financial assets and new rules 
for hedge accounting. The Group has applied IFRS 9 retrospectively but elected not to restate comparative information. The 
Group has assessed the business models and contractual cash flows which apply to its financial assets and classified the assets 
into the appropriate IFRS 9 categories accordingly. 

Under IAS 39, financial assets (cash and cash equivalents, trade receivables and other receivables) were classified at fair value 
(initial recognition) followed by amortised cost (subsequent measurement). Under IFRS 9, financial assets are classified at fair 
value (initial recognition) followed by amortised cost net of impairments (subsequent measurement). 

The Group’s financial assets measured at amortised cost, the most significant of which are trade receivables and amounts receivable 
in respect of upfront payments for clinical trial costs, are subject to IFRS 9’s new expected credit loss model. The Group’s impairment 
methodology has been revised in line with the requirements of IFRS 9. The simplified approach to providing for expected credit 
losses has been applied to trade receivables, which requires the use of a lifetime expected loss provision. As part of the IFRS 9 
transition project, the Group assessed its existing trade and other receivables for impairment to determine the credit risk of the 
receivables at the date on which they were initially recognised and compared that to the credit risk as at 1 January 2018. This 
assessment has not resulted in a material adjustment to trade and other receivables. 

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IFRS 15 Revenue from Contracts with Customers 

IFRS 15 replaced IAS 18 Revenue, IAS 11 Construction Contracts and related interpretations. The Group adopted IFRS 15 
following an assessment of our two commercial assets, Lojuxta and Imlan, and whether certain revenue might be more 
appropriately recorded on an agency or net basis, rather than on a gross basis in accordance with the principal of control. There 
was no material impact on the Group’s revenue recognition as a result of transitioning to IFRS 15 and all revenues continue to be 
recognised on a gross basis. 

In accordance with the requirements of IFRS 15, disclosures outlining the disaggregation of revenue by primary geographic 
markets and principal activities and products are included in note 3 to the consolidated financial statements. 

IFRS 2 Classification and Measurement of Share-based Payment Transactions 

The Group has adopted IFRS 2, Share-based Payments for its 2018 financial year. The amended standard had no impact on the 
consolidated financial statements. 

Standards issued but not yet effective 

There were a number of standards and interpretations which were in issue at 31 December 2018 but were not effective at 
31 December 2018 and have not been adopted for these Financial Statements.  

IFRS 16 Leases 

IFRS 16 will replace IAS 17 Leases and related interpretations. The Group will adopt IFRS 16 from 1 January 2019 by applying the 
modified retrospective approach. The Group will apply the recognition exemption for both short-term leases and leases of low 
value assets. 

Under IFRS 16, at the commencement date of a lease, a lessee will recognise a liability to make lease payments (i.e. the lease 
liability) and an asset representing the right to use the underlying asset during the lease term (i.e. the right-of-use asset). Lessees will 
be required to separately recognise the interest expense on the lease liability and the depreciation expense on the right-of-use asset. 
Under IFRS 16 lessees will also be required to remeasure the lease liability upon the occurrence of certain events (e.g. a change in 
lease term or a change in future lease payments resulting from a change in an index or rate used to determine those payments). The 
lessee will generally recognise the amount of the remeasurement of the lease liability as an adjustment to the right-of-use asset. 

The Group has entered into operating leases for a relatively small number of assets, principally relating to two properties in 
Ireland and Germany. The adoption of IFRS16 on the Group’s financial statements is expected to be as follows: 

Income Statement 

Operating expenses (excluding depreciation) will decrease, as the Group currently recognises operating lease expenses in 
operating costs in the income statement. The Group’s operating lease expense for 2018 was €254,000 (2017: €281,000) and is 
disclosed in note 6 to these consolidated financial statements. Payments for leases which meet the recognition exemption criteria 
and certain other lease payments which do not meet the criteria for capitalisation will continue to be recorded as an expense 
within operating expenses (excluding depreciation). Depreciation and finance costs as currently reported in the Group’s 
consolidated income statement will increase, as under the new standard a right-of-use asset will be capitalised and depreciated 
over the term of the lease with an associated finance cost applied annually to the lease liability. 

Balance Sheet 

At transition date, the Group will determine the minimum lease payments outstanding at that date (along with payments for 
renewal options which are reasonably certain to be exercised) and apply the appropriate discount rate to calculate the present 
value of the lease liability and right-of-use asset to be recognised on the Group’s consolidated balance sheet. The discount rates 
applied were arrived at using a methodology to calculate incremental borrowing rates across the Group. The Group’s outstanding 
commitment in respect of all operating leases as at 31 December 2018 is €425,000 (2017: €664,000 (see note 23 to these 
consolidated financial statements). 

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54

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

IAS 19 Employee Benefits  

In February 2018, the IASB issued a narrow scope amendment to IAS 19. The amendment will be applied prospectively for plan 
amendments, curtailments or settlements occurring on or after 1 January 2019. These amendments are not expected to have an 
impact on the Group on the effective date but will impact how the Group determines current service cost and net interest in the 
event of any plan amendments, curtailments or settlements which arise thereafter. 

IFRS 3 Business Combinations  

In October 2018, the IASB issued amendments to IFRS 3, regarding the definition of a business. The amendments clarify that the 
process required to meet the definition of a business (together with inputs to create outputs) must be substantive; and, that the 
inputs and process must together significantly contribute to creating outputs. The definition of outputs has been narrowed to 
focus on goods and services provided to customers and other income from ordinary activities. In addition, the amendments 
indicate that an acquisition of primarily a single asset or group of similar assets is unlikely to meet the definition of a business. 
The amendments will be applied prospectively for acquisitions occurring on or after 1 January 2020. The Group is currently 
evaluating the impact of this amendment on future periods. 

Critical accounting judgements and key sources of estimation uncertainty 

The preparation of financial statements in conformity with IFRS requires management to make judgements, estimates and 
assumptions that affect the application of policies and amounts reported in the Financial Statements and accompanying notes. 
The estimates and associated assumptions are based on historical experience and various other factors that are believed to be 
reasonable under the circumstances, the results of which form the basis of making the judgements about the carrying value of 
assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.  

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in 
the period in which the estimate is revised if the revision affects only that period or in the period of the revision and future 
periods if the revision affects both current and future periods.  

The critical accounting policies which involve significant estimates, assumptions or judgements, the actual outcome of which 
could have a material impact on the Group’s results and financial position outlined below, are as follows:  

Impairment of intangible assets  

The impairment testing process for intangible assets requires management to make significant judgements and estimates to 
determine the fair value of the assets. Management periodically evaluates and updates the estimates based on the conditions 
which influence these variables. A detailed discussion of the impairment methodology applied and key assumptions used by the 
Group in the context of long-lived assets and goodwill is provided in note 11 to the consolidated financial statements. The 
assumptions and conditions for determining impairment of intangible assets reflect management’s best assumptions and 
estimates, but these items involve inherent uncertainties described above, many of which are not under management’s control. 
As a result, the accounting for such items could result in different estimates or amounts if management used different 
assumptions or if different conditions occur in future accounting periods. 

Contingent consideration  

Contingent consideration arising as a result of business combinations is initially recognised at fair value using a probability adjusted 
present value model. The fair value of the contingent consideration is updated at each reporting date. The key judgements and 
estimates applied by management in the determination of the fair value of the contingent consideration relate to the 
determination of an appropriate discount rate, the assessment of market size and opportunity and probability assessments based 
on market data for the chance of success of the commercialisation of an orphan drug. A detailed discussion of the methodology 
applied and key input assumptions used by the Group is provided in note 5 to the consolidated financial statements. The fair value 
of the contingent consideration uses management’s best estimates and judgements and sensitivities have been assessed by 
management by considering movements in the discount rate applied and movements in revenue forecasts. The chance of success 
of product development is based on published market data. See note 22 for quantification of these sensitivities. 

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Research and development expenses 

Development costs are capitalised as an intangible asset if all of the following criteria are met: 

1. The technical feasibility of completing the asset so that it will be available for use or sale; 

2. The intention to complete the asset and use or sell it; 

3. The ability to use or sell the asset; 

4. The asset will generate probable future economic benefits and demonstrate the existence of a market or the usefulness of the 

asset if it is to be used internally; 

5. The availability of adequate technical, financial and other resources to complete the development and to use or sell it; and 

6. The ability to measure reliably the expenditure attributable to the intangible asset.  

In process R&D acquired as part of a business combination is capitalised at the date of acquisition. 

Research costs are expensed when they are incurred.  

Factors which impact our judgement to capitalise certain research and development expenditure include the degree of regulatory 
approval for products and the results of any market research to determine the likely future commercial success of products being 
developed. We review these factors each year to determine whether our previous estimates as to feasibility, viability and recovery 
should be changed.  

The assessment whether development costs can be capitalized requires management to make significant judgements. 
Management has reviewed the facts and circumstances of each project in relation to the above criteria and in management’s 
opinion, the criteria prescribed for capitalising development costs as assets have not yet been met by the Group in relation to 
AP101, AP102 or AP103. Accordingly, all of the Group’s costs related to research and development projects are recognised as 
expenses in the consolidated statement of comprehensive income in the period in which they are incurred. Management expects 
that the above criteria will be met on filing of a submission to the regulatory authority for final drug approval or potentially in 
advance of that on the receipt of information that strongly indicates that the development will be successful.  

Business combination  

The Group acquisition of Amryt AG was completed on 18 April 2016 with Amryt DAC acquiring the entire issued share capital of 
Amryt AG as at this date. In accounting for this transaction, the Directors considered the date of when control of Amryt AG 
passed to the Group, the fair value of the consideration settled and the fair value of the assets and liabilities acquired.  The 
Group engaged third party advisers to assist in the determination of the fair value of the consideration and the fair value of the 
assets and liabilities acquired. See note 5 for further information.  

Recognition of deferred tax assets 

Deferred tax assets are determined using enacted tax rates for the effects of net operating losses and temporary differences 
between the book and tax bases of assets and liabilities.  In assessing the realisability of deferred tax assets, management considers 
whether it is more likely than not that some portion or all of the deferred tax assets will not be realised. The ultimate realisation of 
deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary 
differences become deductible. While management considers the scheduled reversal of deferred tax liabilities, and projected future 
taxable income in making this assessment, there can be no assurance that these deferred tax assets may be realisable. As at 
31 December 2018, the Group did not recognise a deferred tax asset in respect of unused tax losses as described in note 9. 

Principal accounting policies 

The principal accounting policies are summarised below. They have been consistently applied throughout the period covered by 
the Financial Statements. 

Annual Report for the year ended 31 December 2018

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Notes to the Financial Statements continued 
For the year ended 31 December 2018 

Revenue recognition 

Revenue arises from the sale of Lojuxta and Imlan. The Group sells direct to customers and also uses third parties in the 
distribution of the product to customers.  

To determine whether to recognise revenue, the Group follows a 5-step process, as required by IFRS 15: 

1. Identifying the contract with a customer 

2. Identifying the performance obligations 

3. Determining the transaction price 

4. Allocating the transaction price to the performance obligations 

5. Recognising revenue when/as performance obligation(s) are satisfied. 

Revenue from contracts with customers is recognised when control of the goods or services are transferred to the customer at an 
amount that reflects the consideration to which the Group expects to be entitled to in exchange for those goods. The Group 
recognises contract liabilities for consideration received in respect of unsatisfied performance obligations and reports these 
amounts as liabilities in the statement of financial position. Similarly, if the Group satisfies a performance obligation before it 
receives the consideration, the Group recognises either a contract asset or a receivable in its statement of financial position, 
depending on whether something other than the passage of time is required before the consideration is due. 

Revenue from sale of goods  

Imlan revenue is generally recognised at a point in time when control of the inventory is transferred, generally the date of 
shipment, consistent with typical ex-works shipment terms. 

Lojuxta revenue is generally recognised at a point in time when control of the inventory is transferred to the end customer, 
generally on delivery of the goods. 

Principal versus agent considerations 

The Group enters into certain contracts for the sale of its Lojuxta product. This includes agreement with a third party to provide 
logistics, customer and commercial services i.e. supply chain function and agreements with distributors. The Group determined 
that it has control over the goods before they are transferred to the customers and has the ability to direct the use or obtain 
benefits hence is the principal on the contracts due to the following factors: 

• The Group is primarily responsible for fulfilling the promise to provide the promised goods 

• The Group bears the inventory risk before or after the goods have been ordered by the customer, during shipping or on return 

• The Group has the discretion in establishing the selling price of the goods to customers. The distributors consideration in these 

contracts are either the margin fee or commission 

• The Group is exposed to the credit risk for the amounts receivable from the customers. 

Based on the above criteria, the Group recognises revenue on a gross basis. The costs associated with the delivery of such goods 
to customers i.e. the costs associated with the services provided by the distributors to import and deliver the goods are 
recognised in the cost of sales. 

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Financial instruments 

Recognition and derecognition 

Financial instruments are classified on initial recognition as financial assets, financial liabilities or equity instruments in accordance 
with the substance of the contractual arrangement. Financial instruments are initially recognised when the Group becomes party 
to the contractual provisions of the instrument. Financial assets are de-recognised when the contractual rights to the cash flows 
from the financial asset expire or when the contractual rights to those assets are transferred. Financial liabilities are de-recognised 
when the obligation specified in the contract is discharged, cancelled or expired. 

Classification and initial measurement of financial assets 

Except for those trade receivables that do not contain a significant financing component and are measured at the transaction 
price in accordance with IFRS 15, all financial assets are initially measured at fair value adjusted for transaction costs, if any.  

Financial assets, other than those designated and effective as hedging instruments, are classified into the following categories: 

• Amortised cost 

• Fair value through profit or loss (FVTPL) 

• Fair value through other comprehensive income (FVOCI) 

The Group does not have any financial assets categorised as FVTPL and FVOCI as at 31 December 2018 and 2017. 

The classification is determined by both:

• The Group’s business model for managing the financial asset 

• The contractual cash flow characteristic of the financial asset 

Subsequent measurement of financial assets 

Financial assets at amortised cost 

Financial assets are measured at amortised cost if the assets meet the following conditions (and are not designated as FVTPL): 

• they are held within a business model whose objective is to hold the financial assets and collect its contractual cash flows 

• the contractual terms of the financial assets give rise to cash flows that are solely payments of principal and interest on the 

principal amount outstanding 

After initial recognition, these are measured at amortised cost using the effective interest method.  Discounting is omitted where 
the effect of discounting is immaterial. The Group’s cash and cash equivalents and trade receivables fall into this category of 
financial instruments. 

Cash and cash equivalents  

Cash comprises cash on hand and bank balances. Cash equivalents are short-term, highly liquid investments that are readily 
convertible to known amounts of cash, which are subject to an insignificant risk of changes in value and have a maturity of three 
months or less at the date of acquisition. 

Restricted cash 

Restricted cash comprises current cash and cash equivalents that are restricted as to withdrawal or usage. Cash held by the 
Group’s distribution partner for Lojuxta on behalf of the Group is treated as restricted cash in the Financial Statements.  

Annual Report for the year ended 31 December 2018

 
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58

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

Trade and other receivables 

Trade and other receivables represent the Group’s right to an amount of consideration that is unconditional (i.e., only the 
passage of time is required before payment of the consideration is due).  

Impairment of financial assets 

The Group recognises an allowance for expected credit losses (ECLs) for all debt instruments not held at FVTPL. ECLs are based 
on the difference between the contractual cash flows due in accordance with the contract and all the cash flows that the Group 
expects to receive, discounted at an approximation of the original effective interest rate. The expected cash flows will include 
cash flows from the sale of collateral held or other credit enhancements that are integral to the contractual terms.  

For trade receivables, the Group applies a simplified approach in calculating ECLs. Therefore, the Group does not track changes 
in credit risk, but instead recognises a loss allowance based on lifetime ECLs at each reporting date. The Group assesses ECL 
based on its historical credit loss experience, adjusted for forward-looking factors specific to the debtors and the economic 
environment. 

Financial liabilities 

Financial liabilities are categorised as ‘fair value through profit or loss’ or ‘other financial liabilities measured at amortised costs 
using the effective interest method’.  

Trade and other payables 

Trade and other payables are initially measured at their fair value and are subsequently measured at their amortised cost using 
the effective interest rate method except for short-term payables when the recognition of interest would be immaterial.  

Interest bearing loans and borrowings 

Interest-bearing loans and borrowings are recognised initially at fair value less attributable transaction costs. Loans and 
borrowings are subsequently carried at amortised cost using the effective interest method.  

Contingent consideration 

Contingent consideration arising as a result of business combinations is initially recognised at fair value using a probability 
adjusted present value model. Key inputs in the model include the probability of success and the expected timing of potential 
revenues. The fair value of the contingent consideration will be updated at each reporting date. Adjustments to contingent 
consideration are recognised in the consolidated statement of comprehensive income. 

Offsetting financial instruments  

Financial assets and financial liabilities are offset and the net amount is reported in the statement of financial position if there is a 
currently enforceable legal right to offset the recognized amounts and there is an intention to settle on a net basis, or to realize 
the asset and settle the liability simultaneously.  

Inventories 

Inventories are valued at the lower of cost or net realisable value. The costs are calculated according to the first in first out 
method (FIFO). Cost includes materials, direct labour and an attributable proportion of manufacturing overheads based on 
normal levels of activity. Work in progress valuation is based on the stage of quality checks successfully performed during the 
production process. An inventory valuation adjustment is made if the net realisable value is lower than the book value. Net 
realisable value is determined as estimated selling prices less all costs of completion and costs incurred in selling and distribution. 

Inventories held by third party supply chain partners are included in inventory totals when control has deemed to be transferred 
to the Group under the contract terms of the distribution agreement. The cost to acquire the inventory held by the supply chain 
partners is recognised as a liability of the Group. 

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Leases 

The group has a number of operating leases, with the Group as lessee. The ongoing lease payments are stated as expenses when 
incurred. There are no material lease incentives in place. 

Foreign currency translation 

The Group translates foreign currency transactions into its presentational currency, €, at the rate of exchange prevailing at the 
transaction date. Monetary assets and liabilities denominated in foreign currencies are translated into the presentational currency 
at the rate of exchange prevailing at the Statement of Financial Position date. Exchange differences arising are taken to the 
Statement of Comprehensive Income.  

Group entities with a functional currency other than € are translated into € at average exchange rates for income and expenses; 
and reporting date exchange rates for assets and liabilities. Exchange differences arising on consolidation are recognised in other 
comprehensive income.  

Property, plant and equipment 

Property, plant and equipment comprise of property and office equipment. Items of property, plant and equipment are stated at 
cost less any accumulated depreciation and any impairment losses. It is not Group policy to revalue any items of property, plant 
and equipment.  

Depreciation is charged to the Statement of Comprehensive Income on a straight-line basis to write-off the cost of the assets 
over their expected useful lives as follows: 

• Property, plant and machinery 

• Office equipment

Business combinations 

5 to 15 years  

3 to 10 years 

Business combinations are accounted for using the acquisition method. The cost of an acquisition is measured as the aggregate 
of the consideration transferred, measured at acquisition date fair value and the amount of any non-controlling interest in the 
acquiree. Fair values are attributed to the identifiable assets and liabilities unless the fair value cannot be measured reliably, in 
which case the value is subsumed into goodwill. In the consolidated financial statements, acquisition costs incurred are expensed 
and included in general and administrative expenses.  

To the extent that settlement of all or any part of the consideration for a business combination is deferred, the fair value of the 
deferred component is determined through discounting the amounts payable to their present value at the date of the exchange. 
The discount component is unwound as an interest charge in the consolidated statement of comprehensive income over the life 
of the obligation. Any contingent consideration is recognised at fair value at the acquisition date and included in the cost of the 
acquisition. The fair value of contingent consideration at acquisition date is arrived at through discounting the expected payment 
(based on scenario modelling) to present value. In general, in order for contingent consideration to become payable, pre-defined 
revenues and/or milestones dates must be exceeded. Subsequent changes to the fair value of the contingent consideration will 
be recognised in profit or loss unless the contingent consideration is classified as equity, in which case it is not remeasured and 
settlement is accounted for within equity. 

When the initial accounting for a business combination is determined provisionally, any adjustments to the provisional values 
allocated to the consideration, identifiable assets or liabilities (and contingent liabilities, if relevant) are made within the 
measurement period, a period of no more than one year from the acquisition date. 

Frequently, the acquisition of pharmaceutical patents and licences is effected through a non-operating corporate structure. As 
these structures do not represent a business, it is considered that the transactions do not meet the definition of a business 
combination. Accordingly, the transactions are accounted for as the acquisition of an asset. The net assets acquired are 
recognised at cost. 

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Notes to the Financial Statements continued 
For the year ended 31 December 2018 

Acquired intangible assets 

Acquired intangible assets outside business combinations are stated at the lower of cost less provision for amortisation and 
impairment or the recoverable amount. Acquired intangibles assets are amortised over their expected useful economic life on a 
straight-line basis. In determining the useful economic life each acquisition is reviewed separately and consideration given to the 
period over which the Group expects to derive economic benefit.  

The useful life of acquired intangible assets is as follows: 

• Software

• Website Development

5-10 years 

5-10 years 

Intangible assets acquired in 2016 as part of the acquisitions of Amryt AG and SomPharmaceuticals are currently not being 
amortised as the assets are still under development. 

Factors which impact our judgement to capitalise certain research and development expenditure include the degree of regulatory 
approval for products and the results of any market research to determine the likely future commercial success of products being 
developed. We review these factors each year to determine whether our previous estimates as to feasibility, viability and recovery 
should be changed.  

Investment in subsidiaries 

Investments in subsidiaries are stated at cost less impairment. 

Impairment of non-financial assets 

At each reporting date, the Group reviews the carrying amounts of its investments and acquired intangible assets to determine 
whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable 
amount of the asset is estimated in order to determine the extent of the impairment loss. Any impairment loss arising from the 
review is charged to the Statement of Comprehensive Income. 

The Group assesses each asset or cash-generating unit annually to determine whether any indication of impairment exists. Where 
an indicator of impairment exists, a formal estimate of the recoverable amount is made, which is considered to be the higher of 
the carrying value and value in use. These assessments require the use of estimates and assumptions such as discount rates, 
future capital requirements, general risks affecting the pharmaceutical industry and other risks specific to the individual asset. Fair 
value is determined as the amount that would be obtained from the sale of the asset in an arm’s length transaction between 
knowledgeable and willing parties. Fair value is generally determined as the present value of estimated future cash flows arising 
from the continued use of the asset, using assumptions that an independent market participant may take into account. 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. Assets are grouped into the smallest group that generate cash inflows which 
are independent of other assets.  

Taxes 

Tax comprises current and deferred tax. Current tax is the expected tax payable on the taxable income for the year, using tax 
rates enacted or substantively enacted at the reporting date and taking into account any adjustments stemming from prior years. 
Deferred tax assets or liabilities are recognised where the carrying value of an asset or liability in the Statement of Financial 
Position differs to its tax base and is accounted for using the statement of financial position liability method. Recognition of 
deferred tax assets is restricted to those instances where it is probable that taxable profit will be available against which the 
difference can be utilised.   

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Share based payments 

The Group issues share options as an incentive to certain senior management and staff. The fair value of options granted is 
recognised as an expense with a corresponding credit to the share-based payment reserve. The fair value is measured at grant 
date and spread over the period during which the awards vest.  

For equity-settled share-based payment transactions, the goods or services received and the corresponding increase in equity are 
measured directly at the fair value of the goods or services received, unless that fair value cannot be estimated reliably. If it is not 
possible to estimate reliably the fair value of the goods or services received, the fair value of the equity instruments granted as 
calculated using the Black-Scholes model is used as a proxy.   

The Group may issue warrants to key consultants, advisers and suppliers in payment or part payment for services or supplies 
provided to the Group. The fair value of warrants granted is recognised as an expense. The corresponding credits are charged to 
the share-based payment reserve. The fair value is measured at grant date and spread over the period during which the warrants 
vest. The fair value is measured using the Black-Scholes model if the fair value of the services received cannot be measured 
reliably. 

The estimate of the fair value of services received is measured based on Black Scholes model using input assumptions, including 
weighted average share price, expected volatility, weighted average expected life and expected yield. The expected life of the 
options is based on historical data and is not necessarily indicative of exercise patterns that may occur. The expected volatility is 
based on the historic volatility (calculated based on the expected life of the options). The Group has considered how future 
experience may affect historical volatility. 

Employee Benefits 

Defined contribution plans 

The Group operates defined contribution schemes in various locations where employees are based. Contributions to the defined 
contribution schemes are recognised in the Statement of Comprehensive Income in the period in which the related services are 
received from the employee.  Under these schemes, the Group has no obligation, either legal or constructive, to pay further 
contributions in the event that the fund does not hold sufficient assets to meet its benefit commitments. 

3. Segmental information 
The two identified operating segments are as follows: 

1) Commercial - This operating segment includes the financial results of the Group’s two current commercial product lines, Imlan 

and Lojuxta. 

2) Research and Development (”R&D”) - This operating segment includes the financial results of the Group’s research and 

development assets, AP101, AP102 and AP103. 

The analysis by operating segment includes both items directly attributable to a segment and those, including central overheads, 
which are allocated on a reasonable basis when presenting information to the Chief operational decision maker (“CODM”). 
Inter-segmental revenue is not material and thus not subject to separate disclosure. 

The commercial segment derives its revenues primarily from one source, being the pharmaceutical sector with high unmet 
medical need. The R&D segment has no revenue stream and incurs costs relating to R&D in the rare and orphan disease sector. 
Segment performance is predominantly evaluated based on revenue (commercial segment only) and operating profit/loss. Total 
revenues, cost of sales and selling and marketing costs with the exception of some market research costs allocated to AP101 are 
allocated entirely to the commercial operating segment.  Research and development costs are allocated entirely to the R&D 
sector. General and Administration (“G&A”) costs are split 50:50 between the commercial and R&D operating segments. Given 
that financing costs, share based payment expenses, reverse takeover costs and acquisition related costs are managed on a 

Annual Report for the year ended 31 December 2018

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62

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

centralised basis, these items are not allocated between operating segments for the purposes of the information presented to 
the CODM and are accordingly shown as a separate line item in the segmental analysis below. 

The following presents revenue and profit/loss information and certain asset and liability information regarding the Group’s 
commercial and R&D operating segments. 

Revenue by type – Commercial segment 

Lojuxta
Other

Total revenue

31 December 
2018
€’000

31 December 
2017 
€’000 

13,621
833

14,454

11,924 
854 

12,778 

Lojuxta is sold through a third party to a number of different countries in the European Economic Area (“EEA”), the Middle East 
and Central Eastern Europe.  

Revenue geographical information – Commercial segment 

EEA
Other

Total revenue

31 December 
2018
€’000

31 December  
2017 
€’000 

13,579
875

14,454

12,394 
384 

12,778 

For the year ended 31 December 2018, the Group generated over 76% of its Lojuxta revenue in Italy, the Netherlands and 
Greece. In 2017, 77% of Lojuxta revenues was sold in Italy, the Netherlands and Greece. The largest customer in 2018 was a 
hospital in Greece and the largest customer in 2017 was a distributor in Italy. 

Loss for the year by segment  

31 December 2018 

                                                                                            Commercial
                                                                                                       €’000

Revenue                                                                                        14,454
Cost of sales                                                                                   (5,298)

Gross profit                                                                                    9,156

R&D expenses                                                                                         –
Sales and marketing expenses                                                        (7,799)
General and administrative expenses                                              (3,285)
Other expenses                                                                                       –

R&D
€’000 

–
–

–

(9,049)
–
(3,285)
–

Loss for the year                                                                           (1,928)

(12,334)

Centralised 
Costs
€’000

–
–

–

–
–
–
(11,515)

(11,515)

Total 
€’000  

14,454 
(5,298) 

9,156 

(9,049) 
(7,799) 
(6,570) 
(11,515) 

(25,777) 

Included in sales and marketing expenses in 2018 are certain salaries and expenses that relate to work being done in preparation 
for the launch of AP101 if top-line data is positive and following that, approval is received from the EMA and FDA.  

In 2018 and 2017, other expenses include net finance costs, depreciation, foreign exchange gains and losses and share based 
payments and are classified as central office costs. G&A costs are all allocated 50:50 between the commercial and R&D operating 
segments. 

Amryt Pharma plc

                                                                                                                
 
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63

Loss for the year by segment  

                                                                                             Commercial
                                                                                                       €’000

Revenue                                                                                        12,778
Cost of sale                                                                                    (5,373)

Gross Profit                                                                                    7,405

R&D expenses                                                                                         –
Sales and marketing                                                                       (3,527)
General and administrative expenses                                              (3,276)
Other expenses                                                                                       –

Loss for the year                                                                               602

Total assets by segment 

31 December 2017 

R&D
€’000 

–
–

–

(10,564)
(162)
(3,276)
–

(14,002)

Centralised 
Costs
€’000

–
–

–

– 
–
–
(12,736)

(12,736)

Total 
€’000  

12,778 
(5,373) 

7,405 

(10,564) 
(3,689) 
(6,552) 
(12,736) 

(26,136) 

Commercial
R&D
Centralised assets - cash and cash equivalents

Total assets

Total liabilities by segment 

Commercial
R&D
Centralised liabilities – long term loan, contingent consideration and tax

Total liabilities

31 December 
2018
€’000

31 December  
2017 
€’000 

5,150
55,682
9,811

70,643

4,595 
54,983 
20,512 

80,090 

31 December 
2018
€’000

31 December  
2017 
€’000 

7,025
3,500
63,349

73,874

7,650 
2,150 
48,404 

58,204 

4. Share based payments 
Under the terms of the Company’s Employee Share Option Plan, options to purchase 19,505,131 shares were outstanding at 
31 December 2018. Under the terms of this plan, Options were granted to officers, consultants and employees of the Group at 
the discretion of the Remuneration Committee. There were no new share options granted during the year ended 31 December 
2018. 

The Company has issued warrants to key consultants, advisers and suppliers in payment or part payment for services or supplies 
provided to the Group. There were no warrants granted during the year ended 31 December 2018 or the year ended 
31 December 2017.  

Each share option and warrant convert into one ordinary share of Amryt Pharma plc on exercise and are accounted for as equity-
settled share-based payments. The options and warrants may be exercised at any time from the date of vesting to the date of 
their expiry. The equity instruments granted carry neither rights to dividends nor voting rights. 

Annual Report for the year ended 31 December 2018

                                                                                                                
 
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Notes to the Financial Statements continued 
For the year ended 31 December 2018 

The terms and conditions of the grants are as follows, whereby all options are settled by physical delivery of shares: 

Vesting conditions  

The options vest following a period of service by the officer or employee. The required period of service is determined by the 
Remuneration Committee at the date of grant of the options (usually the date of approval by the Remuneration Committee) and 
it is generally over a three to four-year period. There are no market conditions associated with the share option vesting periods.  

Contractual life  

The term of an option is determined by the Remuneration Committee provided that the term may not exceed a period of seven 
to ten years from the date of grant. All options will terminate 90 days after termination of the option holder’s employment, 
service or consultancy with the Group except where a longer period is approved by the Board of Directors. Under certain 
circumstances involving a change in control of the Group, the Remuneration Committee may accelerate the exercisability and 
termination of options. 

The number and weighted average exercise price of share options and warrants per ordinary share is as follows: 

                                                                                                           Share Options                                     Warrants 

                                                                                                        Units

Balance at 1 January 2017                                                      15,795,314 
Granted                                                                                    8,894,460
Lapsed                                                                                     (4,993,188)

Outstanding at 31 December 2017                                     19,696,586

Exercisable at 31 December 2017                                          3,281,961

Balance at 1 January 2018                                                      19,696,586
Granted                                                                                                  –
Lapsed                                                                                        (191,455)

Outstanding at 31 December 2018                                     19,505,131

Exercisable at 31 December 2018                                          7,964,434

Weighted
average 
exercise price

19.80p
20.22p
22.98p

19.16p

20.61p

19.16p
–
23.75p

19.20p

19.47p

Weighted  
average  
exercise price 

25.40p 
– 
88.00p 

24.74p 

24.74p 

24.74p 
– 
112.00p 

24.00p 

24.00p 

Units

23,307,269
–
(203,788)

23,103,481

23,103,481 

23,103,481
–
(193,530)

22,909,951

22,909,951

The fair value is estimated at the date of grant using the Black-Scholes pricing model, taking into account the terms and 
conditions attached to the grant. The following are the inputs to the model for the equity instruments granted during the year: 

Days to Expiry
Volatility
Risk free interest rate
Share price at grant

2018 Options 
Inputs

2018 Warrant 
Inputs

2017 Options 
Inputs

2017 Warrant  
Inputs 

–
–
–
–

–
–
–
–

2,555
44% - 48%
0.42% - 0.77%
18.18p - 25.88p

– 
– 
– 
– 

There were no new share options granted in 2018. In 2017, a total of 8,894,460 share options exercisable at a weighted average 
price of £0.202 were granted. The fair value of share options granted in 2017 was £1,799,000/ €2,038,000.  

The share options outstanding as at 31 December 2018 have a weighted remaining contractual life of 4.94 years with exercise 
prices ranging from £0.155 to £0.48. The share options outstanding as at 31 December 2017 had a weighted remaining 
contractual life of 5.95 years with exercise prices ranging from £0.155 to £0.48. 

Amryt Pharma plc

                                                                                                                
                                                                                                                
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65

22,909,951 warrants were outstanding and exercisable at 31 December 2018, of which, 20,836,696 were due to expire on 
31 December 2018. At the time of the Company's IPO in 2016, investors were granted warrants to subscribe for an aggregate of 
20,836,696 New Ordinary Shares at an exercise price of 24p sterling with an exercise date of 31 December 2018 to enable 
investors to benefit from the results of the EASE study. The Independent Monitoring Committee was scheduled to meeting on 
21 December to review the EASE unblinded interim efficacy analysis results. The Group received the readout from this interim 
efficacy analysis on 4 January 2019. In order to reflect the revised timeline for the interim readout, the Group extended the 
exercise date of warrants issued to 11 January 2019. All other terms and conditions of the warrants, including the exercise price, 
remained unchanged. The total amount of these warrants amounting to 20,836,696 expired unexercised on 11 January 2019. 

The value of share options charged to the Statement of Comprehensive Income during the year is as follows: 

Share option expense

Total

5. Business Combinations and Asset Acquisitions 

Acquisition of Amryt AG (previously “Birken”) 

31 December 
2018
€’000

31 December  
2017 
€’000 

694

694

565 

565 

Amryt DAC signed a conditional share purchase agreement to acquire Amryt AG on 16 October 2015 (“Amryt AG SPA”). 
The Amryt AG SPA was completed on 18 April 2016 with Amryt DAC acquiring the entire issued share capital of Amryt AG. 
The consideration comprises: 

• Initial cash consideration of €1,000,000 (paid by Amryt DAC prior to its acquisition by the Company); 

• Milestone payments of: 

o   €10,000,000 on receipt of first marketing approval by the EMA of Episalvan, paid on the completion date (18 April 2016); 

o   Either (i) €5,000,000 once net ex-factory sales of Episalvan have been at least €100,000 or (ii) if no commercial sales are 

made within 24 months of EMA first marketing approval (being 14 January 2016), €2,000,000 24 months after receipt of 
such approval which was paid in January 2018 and €3,000,000 following the first commercial sale; 

o   €10,000,000 on receipt of marketing approval by the EMA or FDA of a pharmaceutical product containing Betulin as its 

API for the treatment of Epidermolysis Bullosa (EB); 

o   €10,000,000 once net ex-factory sales/net revenue in any calendar year exceed €50,000,000; 

o   €15,000,000 once net ex-factory sales/ net revenue in any calendar year exceed €100,000,000; 

• Cash consideration of €150,000, due and paid on the completion date (18 April 2016); 

• Royalties of 9% on sales of Episalvan products for 10 years from first commercial sale; and 

• Shares in Amryt DAC that equated to a 30% equity shareholding prior to the acquisition of Amryt DAC by the Company. The 
Amryt AG sellers received 37,048,622 in Consideration Shares (valued at €11.2 million) for their shareholding in Amryt DAC.  

Fair Value Measurement of Contingent Consideration  

Contingent consideration comprises the milestone payments and sales royalties, the amounts and timing of these are outlined 
above. As at the acquisition date, the fair value of the contingent consideration was estimated to be €23,314,000. The fair value 
of the royalty payments was determined using probability weighted revenue forecasts and the fair value of the milestones 

Annual Report for the year ended 31 December 2018

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66

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

payments was determined using probability adjusted present values (see note 22 for fair value hierarchy applied and impact of 
key unobservable impact data). The probability adjusted present values took into account published orphan drug research data 
and statistics which were adjusted by management to reflect the specific circumstances applicable to the type of product 
acquired in the Amryt AG transaction. A discount rate of 28.5% was used in the calculation of the fair value of the contingent 
consideration. As noted earlier in the report the size of the market for the products under development provides a real 
opportunity to the Group to meet its forecast revenue targets and therefore the milestone targets which underpin the contingent 
consideration payments. At that time management anticipated that AP101 for EB would be ready to launch in 2019. However, 
management noted that due to issues outside their control (i.e. regulatory requirements and the commercial success of the 
product) the timing of when such revenue targets may occur may change. Such changes may have a material impact on the 
assessment of the fair value of the contingent consideration. 

Amryt reviews the contingent consideration on a regular basis as the probability adjusted fair values are being unwound as 
financing expenses in the Statement of Comprehensive Income over the life of the obligation. Contingent consideration is 
reviewed on a bi-annual basis and is disclosed in the published interim results for the 6-month period to 30 June and the year 
end results to 31 December. The total non-cash finance charge recognised in the Statement of Comprehensive Income Statement 
for the year ended 31 December 2018 is €8,934,000 (2017: €11,104,000).  

The Group is currently in the process of amending the protocol for the EASE study. In January 2019, the Group received the 
results of unblinded interim efficacy analysis. This analysis was conducted by an independent data safety monitoring committee 
and recommended that the trial should continue with an increase of 48 patients in the study to a total of 230 evaluable patients 
in order to be able to achieve 80% statistical power. The increase in the number of patients in the trial will result in a slight delay 
of the readout of top-line date, the Group now expects to complete recruitment for top-line data to be completed in H2 2019. 
Consequently, the launch date for EB has now been delayed to H1 2021. Coupled with this, management has completed its 
annual forecast and revenues and costs have been amended to reflect current expectations. These factors have resulted in a 
change to the probability weighted revenue forecasts and the probability of the adjusted present values which are used in the 
calculation of the contingent consideration balance and impact the amount being unwound to the consolidated statement of 
comprehensive income. 

6. Operating loss for the year 

31 December
2018
€’000

31 December 
2017 
€’000 

90
–
–
1,485
9,049
694
493
268
42
254
190

85 
2 
– 
1,086 
10,564 
565 
331 
257 
2 
281 
(13) 

Operating loss for the year is stated after charging/(crediting):  
Fees payable to the Group’s auditor and its associates: 
    Audit fees
    Tax fees
    Other non audit fees
Changes in inventory expensed
Research and development expenses
Share based payments
Pension costs
Depreciation of property, plant and equipment
Amortisation of intangible assets
Operating lease rentals
Foreign exchange losses/ (gains)

Amryt Pharma plc

 
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FINANCIAL STATEMENTS

67

7. Employees 
Including the Directors, the Group’s average number of employees during the year was 61 (2017: 41).  

Aggregate remuneration comprised: 

Wages and salaries
Social security costs
Pension costs – employees
Directors’ remuneration
Share based payments – directors
Share based payments – employees/consultants

Total employee costs

31 December 
2018
€’000

31 December  
2017 
€’000 

6,129
850
429
1,323
148
546

9,425

3,733 
655 
270 
1,252 
10 
555 

6,475 

The Directors of the Group and Company held the following share options over shares of Amryt Pharma plc which were issued to 
them in November 2017:  

Director

Joe Wiley
Rory Nealon

31 December  
2018  

Number

Exercise price

Expiry Date 

2,061,130
824,452

20.12p
20.12p

28/11/24 
28/11/24 

No share options were granted to any of the Directors in 2018. 

Further information on the compensation of key management personnel is included in note 21 of these financial statements. 

8. Net finance expense 

Interest on loans
Interest and fees paid
Deposit interest received
Foreign exchange losses/ (gains)

Total

31 December 
2018
€’000

31 December  
2017 
€’000 

1,355
17
(5)
190

1,557

830 
13 
(5) 
(13) 

825 

Annual Report for the year ended 31 December 2018

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Notes to the Financial Statements continued 
For the year ended 31 December 2018 

9. Tax on ordinary activities 
A corporation tax charge of €36,000 arises in the year ended 31 December 2018 (31 December 2017: €nil). A reconciliation of 
the expected tax benefit computed by applying the tax rate applicable in the primary jurisdiction, the Republic of Ireland, to the 
loss before tax to the actual tax credit is as follows: 

Loss before tax
Tax credit at Irish corporation tax rate of 12.5%
Effect of: 
Losses unutilised
Other timing differences
Differences in overseas taxation rates

Total tax charge on loss on ordinary activities

31 December
2018
€’000

31 December 
2017 
€’000 

(25,741)
(3,218)

(26,136) 
(3,267) 

3,536
(36)
(318)

(36)

3,659 
– 
(392) 

– 

At 31 December 2018, the Group had unutilised net operating losses in the following jurisdictions as follows: 

Ireland
Germany
UK
ROW

Total

31 December
2018
€’000

31 December 
2017 
€’000 

30,801
23,029
6,605
266

60,701

15,281 
22,418 
6,230 
226 

44,155 

Due to the fundamental change in the Company’s business following the exit of the oil and gas industry in 2016, UK tax losses 
carried forward of €4,454,000 may not be fully available for use against the future profits of the Group. 

The deferred tax asset on tax losses of €12,675,000 (31 December 2017: €5,519,000), which was calculated at corporation tax 
rates ranging from 12.5% to 32%, has not been recognised due to the uncertainty of the recovery. 

All current and deferred tax related charges are recognised in the statement of profit or loss. 

Amryt Pharma plc

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FINANCIAL STATEMENTS

69

10. Loss per share – basic and diluted 
The weighted average number of shares in the Loss Per Share (“LPS”) calculation, reflects the weighted average total actual 
shares of Amryt Pharma plc in issue at 31 December 2018. 

Issued share capital – ordinary shares of £0.01 each 

1 January 2017

Number of
shares

Weighted 
average shares 

208,339,632

163,336,437 

11 October 2017 – Issue of shares by Amryt Pharma plc – share placing

66,477,651 

31 December 2017

31 December 2018

The calculation of loss per share is based on the following: 

Loss after tax attributable to equity holders of the Company (€’000)
Weighted average number of ordinary shares in issue
Fully diluted average number of ordinary shares in issue

Basic and diluted loss per share (cent)

274,817,283

223,075,123 

274,817,283

274,817,283 

31 December
2018

(25,777)
274,817,283
274,817,283

31 December 
2017 

(26,136) 
223,075,123 
223,075,123 

(9.38)

(11.72) 

Where a loss has occurred, basic and diluted LPS are the same because the outstanding share options and warrants are 
anti-dilutive. Accordingly, diluted LPS equals the basic LPS. The share options and warrants outstanding as at 31 December 2018 
totalled 42,415,082 (31 December 2017: 42,800,067) and are potentially dilutive. 

Annual Report for the year ended 31 December 2018

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70

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

11. Intangible Assets 

                                                                                                 In process 
                                                                                                         R&D
                                                                                                       €’000

Website  

Software
€’000

development
€’000

Cost 
At 1 January 2017                                                                         52,515
Additions                                                                                                –

At 31 December 2017                                                                 52,515

At 1 January 2018                                                                         52,515
Additions                                                                                                –
Disposals                                                                                                 –

At 31 December 2018                                                                 52,515

Accumulated amortisation 
At 1 January 2017                                                                                  –
Amortisation charge 2017                                                                      –

At 31 December 2017                                                                           –

At 1 January 2018                                                                                  –
Amortisation charge 2018                                                                      –
Amortisation charge on disposals                                                            –

At 31 December 2018                                                                           –

Net book value 
Net book value at 31 December 2016                                            52,515

Net book value at 31 December 2017                                            52,515

Net book value at 31 December 2018                                       52,515

8
–

8

8
–
(1)

7

2
2

4

4
1
(1)

4

6

4

3

–
87

87

87
131
–

218

–
–

–

–
41
–

41

–

87

177

Total 
€’000 

52,523 
87 

52,610 

52,610 
131 
(1) 

52,740 

2 
2 

4 

4 
42 
(1) 

45 

52,521 

52,606 

52,695 

In process R&D and software intangible assets are part of the R&D operating segment. Website costs can be attributed equally 
across both operating segments, commercial and R&D. 

The Group reviews the carrying amounts of its intangible assets on an annual basis to determine whether there are any 
indications that those assets have suffered an impairment loss. If any such indications exist, the recoverable amount of the asset 
is estimated in order to determine the extent of the impairment loss. Impairment indications include events causing significant 
changes in any of the underlying assumptions used in the income approach utilised in valuing in process R&D. 

These key assumptions are: the probability of success; the discount factor; the timing of future revenue flows; market 
penetration and peak sales assumptions; and expenditures required to complete development. 

These cashflows are projected forward for a further 10 years to 2032 using projected revenue and cost growth to determine the 
basis for an annuity-based terminal values. 10 years is used as it represents the period of exclusivity for Lojuxta in the Group’s 
territories. The terminal values are used in the value in use calculation. The value in use represents the present value of the future 
cash flows, including the terminal value, discounted at a rate appropriate to each cash generating unit (“CGU”). Amryt have 
identified one CGU, being the AP101 development assay which is anticipated to be launched to market in 2020. The key 
assumptions employed in arriving at the estimates of future cash flows are subjective and include projected EBITDA, an orphan 
drug market-based probability chance of success, net cash flows, discount rates and the duration of the discounted cash flow 
model. The assumptions and estimates used were derived from a combination of internal and external factors based on historical 

Amryt Pharma plc

 
 
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71

experience. The pre-tax discount rate used was 28.5% (2017: 28.5%). The market-based probability chance of success is based 
on market benchmarks for orphan drugs (approximately 72%). The probability applied is higher than the prior year of 65% - 
67%. The increased probability of success stems from the nature of our clinical trial which was designed so that the results were 
blinded to the Group until (i) its interim analysis (half way review of the data which will provide limited efficacy data to the 
Group) and (ii) the results of its top-line data. In 2018, the Group completed its unblinded interim efficacy analysis, with the 
results of this unblinded interim efficacy analysis being announced on 4 January 2019. The analysis was conducted by an 
Independent Data Monitoring Committee ("IDMC"). The IDMC recommended that the trial should continue with an increase of 
48 patients in the study to a total of 230 evaluable patients, in order to achieve 80% statistical power. The positive results of the 
interim efficacy analysis prove that our product, AP101 is displaying treatment effect and brings the Group closer to delivering a 
treatment for patients with EB. As a result, The Group have increased the probability for success to 72%. 

The value-in-use calculation is subject to significant estimation, uncertainty and accounting judgements and key sensitivities arise 
in the following areas; 

• In the event that there was a variation of 10% in the assumed level of future growth in revenues, which would, in 

management’s view, represent a reasonably likely range of outcomes, this variation would not result in an impairment loss at 
31 December 2018. 

• In the event there was a 10% increase in the discount rate used in the value in use model which would in management’s view 
represent a reasonably likely range of outcomes, this variation would not result in an impairment loss at 31 December 2018. 

During the year the Group did not identify any potential changes in the assumptions used in the assessment of the carrying value 
of the assets. 

Annual Report for the year ended 31 December 2018

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72

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

12. Property, plant and equipment 

                                                                                                   Property
                                                                                                       €’000

Cost 
At 1 January 2017                                                                              337
Additions                                                                                                –
Disposals                                                                                                 –

At 31 December 2017                                                                        337

At 1 January 2018                                                                              337
Additions                                                                                                –
Disposals                                                                                                 –

At 31 December 2018                                                                      337

Accumulated depreciation 
At 1 January 2017                                                                                61
Depreciation charge                                                                              87
Depreciation charge on disposals                                                            –

At 31 December 2017                                                                        148

At 1 January 2018                                                                              148
Depreciation charge                                                                              87
Depreciation charge on disposals                                                            –

At 31 December 2018                                                                      235

Net book value 
Net book value at 31 December 2016                                                 276

Net book value at 31 December 2017                                                 189

Net book value at 31 December 2018                                            102

Plant and
Machinery
€’000

Office  

Equipment
€’000

801
147
(43)

905

905
9
(6)

908

88
116
(35)

169

169
116
(6)

279

713

736

629

237
96
(6)

327

327
59
(18)

368

43
54
(5)

92

92
65
(18)

139

194

235

229

Total 
€’000 

1,375 
243 
(49) 

1,569 

1,569 
68 
(24) 

1,613 

192 
257 
(40) 

409 

409 
268 
(24) 

653 

1,183 

1,160 

960 

Amryt Pharma plc

                                                                                                                
 
 
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73

13. Investment in subsidiaries – Company 

Cost 
At 1 January 2017                                                                                    
Repayment                                                                                               

At 31 December 2017                                                                              

At 1 January 2018                                                                                    
Advancement of loan                                                                               
Repayment of loan                                                                                   
Interest charged on loan                                                                           

At 31 December 2018                                                                            

Impairment 
At 1 January 2017                                                                                    
Impairment charge                                                                                   

At 31 December 2017 and 31 December 2018                                     

Equity in  
subsidiary
companies
€’000

Subsidiary  

loans
€’000

37,376
–

37,376

37,376
–
–
–

37,376

–
–

–

22,078
(622)

21,456

21,456
13,523
(463)
1,412

35,928

–
–

–

Total 
€’000 

59,454 
(622) 

58,832 

58,832 
13,523 
(463) 
1,412 

73,304 

– 
– 

– 

Net book value 
Net book value at 31 December 2016                                                       

Net book value at 31 December 2017                                                       

Net book value at 31 December 2018                                                  

37,376

37,376

37,376

22,078

21,456

35,928

59,454 

58,832 

73,304 

Equity in subsidiary companies relates to the issue price of ordinary shares on the acquisition of Amryt Pharmaceuticals DAC in 
2016. 

Subsidiary loans relate to day to day funding that Amryt Pharma plc provides to other Group companies. Interest is charged on 
these funds advanced from Amryt Pharma plc to these companies at a rate of 2.65%. The additional loan in 2018 of 
€13,523,000 relates to the advancement of loans to Amryt Pharmaceuticals DAC and its underlying subsidiary companies to 
fund the operations of those companies including the R&D costs of AP101. Under the terms of the agreement in place, the 
parent provides funding to Amryt Pharmaceuticals DAC and its underlying subsidiary companies as required in order to fund the 
development and commercial activities of the Group. The repayment of loan of €463,000 relates to Euro and USD denominated 
invoices paid by Amryt Pharmaceuticals DAC on behalf of Amryt plc. In 2018, interest was charged on these loans amounting to 
€1,412,000. The decrease in funding in 2017 primarily relates to Euro and USD denominated invoices paid by Amryt 
Pharmaceuticals DAC on behalf of Amryt plc. 

Recoverability of the loans and the carrying value of the investments is directly linked to Amryt Pharmaceuticals DAC’s operations 
including the success or failure of the development of AP101, AP102 and AP103. The carrying value of these investments are 
held at cost and will be reviewed at each reporting date for signs of impairment. No impairment was identified by Management. 

Annual Report for the year ended 31 December 2018

                                                                                                                
                                                                                                                
                                                                                                                
                                                                                                                
 
 
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Notes to the Financial Statements continued 
For the year ended 31 December 2018 

List of subsidiary companies: 

                                                                                                                              Company                           2018 % 2017 %  
Subsidiary                                      Ownership    Activities                                          Number   Incorporation   Holding Holding 

Amryt Pharmaceuticals DAC          Direct            Holding company and  
                                                                         management services                       566448              Ireland          100
Amryt Research Limited                 Indirect         Pharmaceuticals R&D                        571411              Ireland          100
Amryt Endocrinology Limited         Indirect         Pharmaceuticals R&D                        572984 
Amryt Lipidology Limited               Indirect         Licensee for Lojuxta                          593833              Ireland          100
Amryt Genetics Limited                  Indirect         Pharmaceutical R&D                         622577              Ireland          100
Amryt Pharma (UK) Limited            Indirect         Management services                   10463152                   UK          100
Amryt Pharma France                    Indirect         Dormant                        824 418 156 00017              France          100
Amryt Pharma Italy SRL                  Indirect         Management services                     2109476                  Italy          100
Amryt Pharma Spain SL                  Indirect         Management services                 B67130567                Spain          100
Amryt AG (previously Birken AG)   Indirect         Product Sales and  
                                                                         Pharmaceuticals R&D                HRB 711487          Germany          100
SomPharmaceuticals SA                 Indirect         Pharmaceuticals R&D  
                                                                         and management  
                                                                         services                             CHE-435.396.568      Switzerland          100
SomTherapeutics, Corp                  Indirect         Licence holder                      P14000071235                 USA          100

100 
100 

100 
100 
100 
100 
100 
100 

100 

100 
100 

List of registered offices: 

Company                                          Registered Office Address 

Amryt Pharmaceuticals DAC              90 Harcourt Street, Dublin 2 
Amryt Research Limited                     90 Harcourt Street, Dublin 2 
Amryt Endocrinology Limited            90 Harcourt Street, Dublin 2 
Amryt Lipidology Limited                   90 Harcourt Street, Dublin 2 
Amryt Genetics Limited                     90 Harcourt Street, Dublin 2 
Amryt Pharma (UK) Limited               3rd Floor 1 Ashley Road, Altrincham, Cheshire, United Kingdom, WA14 2DT 
Amryt Pharma France                        17 Avenue George V, 75008 Paris 
Amryt Pharma Italy SRL                     Milano (MI)-Via Dell'Annunciata 23/4 
Amryt Spain SL                                  Barcelona, calle Diputacio, number 260 
Amryt AG (previously Birken AG)       Streiflingsweg 11, 75223 Niefern-Öschelbronn 
SomPharmaceuticals SA                    Bahnofstrasse 21, 6300 Zug 
SomTherapeutics, Corp                     3795 Coventry Lane, Boca Raton, FL 33496 

Amryt Pharma plc

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75

14. Trade and other receivables 

Group                                            Company 

                                                                                          31 December
                                                                                                        2018
                                                                                                       €’000

31 December
2017
€’000

31 December
2018
€’000

31 December 
2017 
€’000 

Trade receivables                                                                              3,121
Prepayments and accrued income                                                    2,033
VAT recoverable                                                                                    25

Trade and other receivables                                                         5,179

2,929
1,643
157

4,729

–
37
3

40

– 
60 
30 

90 

Trade receivables at 31 December 2018 includes €620,000 (2017: €503,000) which is due greater than 60 days. No impairment 
is considered necessary. 

The 31 December 2018 prepayments and accrued income balance includes €1,351,000 (2017: €1,306,000) in relation to prepaid 
Phase 3 clinical trial costs. 

15. Inventories – Group 

Raw materials
Work in progress
Finished goods

Inventories

31 December
2018
€’000

31 December  
2017 
€’000 

266
683
919

1,868

332 
429 
322 

1,083 

In 2018, a total of €1,485,000 of inventories was included in the profit or loss as an expense. There was no write down of 
inventories during the year. Inventory was reviewed at year end and no impairment was deemed necessary. 

16. Cash and cash equivalents 

                                                                                          31 December
                                                                                                        2018
                                                                                                       €’000

31 December
2017
€’000

31 December
2018
€’000

31 December 
2017 
€’000 

Cash at bank available on demand                                                  8,620
Restricted cash                                                                                 1,191

Total cash and cash equivalents                                                   9,811

19,975
537

20,512

79
–

79

14,441 
– 

14,441 

Group                                            Company 

Cash and cash equivalents include cash at bank available on demand and restricted cash. 

Restricted cash is cash held by a third-party distributor at year end. These funds were transferred to Amryt in January 2019. 

Annual Report for the year ended 31 December 2018

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76

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

17. Share capital and reserves – Company 
Details of ordinary shares of 1p each issued are in the table below: 

                                                                                               Number of
Date                                                                                  ordinary shares

Number of
deferred shares

At 1 January 2017                                                              208,339,632

43,171,134

11 October 2017 – Issue of ordinary shares at £0.20              66,477,651

–

At 31 December 2017                                                        274,817,283

43,171,134

At 31 December 2018                                                        274,817,283

43,171,134

Total Share
Capital
€’000

20,419

754

21,173

21,173

Total Share 
Premium 
€’000 

43,695 

13,639 

57,334 

57,334 

On 11 October 2017, 66,477,651 ordinary shares of with a nominal value of £0.01 each were issued as part of a €15,083,000 
(before expenses) fund raising. Share issue costs amounted to €690,000. Net proceeds amounted to €14,329,000. 

Share Capital 

Share capital represents the cumulative par value arising upon issue of ordinary shares of 1p each and deferred shares of 29.4p 
each. 

The ordinary shares have the right to receive notice of, attend and vote and general meetings and participate in the profits of the 
Company. 

The deferred shares were issued as part of the reverse takeover in 2016 because the nominal value of the existing shares was 
above the trading price. As a result, a resolution was passed by the shareholders to reduce the nominal value of the existing 
ordinary shares substantially below their market value in order to provide the Company with the ability to make future share 
issues. Consequently, a share reorganisation was implemented such that each holding of every 8 or more existing shares were 
consolidated into one new ordinary share and one deferred share. The deferred shares have no right to receive notice of general 
meetings nor any right to attend or vote at general meetings and no right to participate in the profits of the Company. 

Share Premium 

Share premium represents the consideration that has been received in excess of the nominal value on issue of share capital. 

Share based payment reserve 

Share based payment reserve relates to the charge for share based payments in accordance with International Financial Reporting 
Standard 2. 

Merger reserve 

The merger reserve was created on the acquisition of Amryt DAC by Amryt Pharma plc in April 2016. Ordinary shares in Amryt 
Pharma plc were issued to acquire the entire issued share capital of Amryt DAC. Under section 612 of the Companies Act 2006, 
the premium on these shares has been included in a merger reserve. 

18. Deferred tax liability – Group 

At 1 January 2017 and 1 January 2018
Movement during the year

At 31 December 2017 and 31 December 2018

Amryt Pharma plc

Total 
€’000 

5,384 
– 

5,384 

                                                                                                                
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77

The deferred tax liability arose in 2016 on the acquisition of Amryt AG (see note 5). An intangible asset was recognised in 
relation to in process R&D. As the intangible asset only arises on consolidation and there may not be tax deductions available on 
sale, its tax base is nil. 

When the intangible asset is amortised the tax difference will reduce and the movement in the deferred tax liability will be 
recognised in profit or loss. The in-process R&D is currently not being amortised. 

The Company intends to continue to hold the acquired asset but does not expect it to generate taxable profits in the acquired 
subsidiary. The Company expects to incur any taxable benefits in relation to the asset in Ireland. This is the jurisdiction of the 
acquirer of Amryt AG and the location where the majority of future R&D work in relation to the asset will be incurred. Ireland’s 
tax rate of 12.5% has been used in calculation of the deferred tax liability. 

19. Long Term Loan – Group 

Long term loan
Long term loan interest

Long term loan and interest

31 December
2018
€’000

31 December 
2017 
€’000 

15,000
1,614

16,614

10,000 
603 

10,603 

In December 2016, Amryt DAC entered into a €20m facility agreement (“facility”) with the EIB on attractive terms for the Group. 
The facility is significant because it provides non-dilutive funding that secures the Group's near and mid-term funding needs for 
its lead product, AP101. 

The facility is split into three tranches, with €10 million available immediately and two further tranches of €5 million available 
upon the achievement of certain milestones. In April 2017, the Group drew down the first tranche of €10 million. In October 
2017, the terms of the second tranche of €5 million were amended by the EIB resulting in the Group being given option to draw 
this amount down on demand. The Group drew down this second tranche of €5 million in September 2018. In December 2018, 
the terms of the third tranche were amended by the EIB to give the Group the option to draw down this final tranche on 
demand on the condition that the EASE Phase 3 trial interim efficacy results were positive. In January 2019, the Group received 
the results of this unblinded interim efficacy analysis. The Independent Monitoring Committee recommended that the trial 
should continue with a modest increase in patients. Following this positive result, the original conditions of the final tranche were 
waived and the final tranche of €5 million was drawn down in February 2019. The facility is secured over the Intellectual Property 
assets of the Group and there is also a negative pledge whereby Amryt cannot permit any security to be granted over any of its 
assets over the course of the loan period. 

The facility has a five-year term from the date of drawdown for each tranche. The facility has an interest rate of 3% to be paid 
on an annual basis, the first instalment of short-term interest on the €10 million tranche 1 was paid in April 2018. A further 
annual fixed rate of 10% is payable together with the outstanding principal amount on expiry of the facility. At 31 December 
2018, the Group has short term interest payable accrued amounting to €279,000 (2017: €227,000) which is repayable in April 
2019 and long-term interest payable of €1,614,000 (2017: €603,000) which represents the present value of the long-term 
interest accrued but not payable until each tranche matures. Tranche 1 matures in April 2022 and tranche 2 matures in 
September 2023.

Annual Report for the year ended 31 December 2018

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78

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

20. Trade and other payables 

Group                                            Company 

                                                                                          31 December
                                                                                                        2018
                                                                                                       €’000

31 December
2017
€’000

31 December
2018
€’000

31 December  
2017 
€’000 

Trade payables                                                                                 4,666
Accrued expenses                                                                            5,422
Social security costs and other taxes                                                    437

Trade and other payables                                                           10,525

4,698
4,866
235

9,799

187
166
6

359

305 
129 
6 

440 

Trade payables and accruals are consistent with the amounts owing at 31 December 2017 and primarily relates to services 
provided as part of the distribution of Lojuxta and research activities relating to AP101. 

21. Related party transactions 

Compensation of key management personnel of the Group 

At 31 December 2018 and 2017 the key management personnel of the Group were made up of two key personnel. These key 
personnel are the two executive directors, Joe Wiley and Rory Nealon. 

Compensation for the year ended 31 December 2018 of these personnel is detailed below: 

Short-term employee benefits
Performance related bonus
Post-employment benefits
Share-based compensation benefits

31 December
2018
€’000

31 December  
2017 
€’000 

679
355
64
148

620 
310 
61 
10 

1,246

1,001 

Shares purchased by Directors 

The Directors of the Company did not purchase any shares in the Company in 2018. 

As part of an October 2017 share placing (see note 17), the Directors of the Company purchased ordinary shares of £0.01 each 
for a consideration of £0.20 each as follows: 

Director

Joe Wiley
Rory Nealon
Harry Stratford
James Culverwell
Markus Ziener

Total

Markus Ziener also purchased 100,000 shares on the open market in 2017. 

Number 

221,592 
221,592 
150,000 
221,592 
132,955 

947,731 

Amryt Pharma plc

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FINANCIAL STATEMENTS

79

22. Financial risk management 

Categories of Group and Company financial instruments 

                                                                                          31 December
                                                                                                        2018
                                                                                                       €’000

31 December
2017
€’000

31 December
2018
€’000

31 December 
2017 
€’000 

Group                                            Company 

Financial assets (all at amortised cost): 
Cash and cash equivalents                                                               9,811
Trade receivables                                                                              3,121

Total financial assets                                                                      12,932

Financial liabilities: 
At amortised cost 
Trade payables and accrued expenses                                            10,088
Long term loan                                                                              16,614
At fair value 
Contingent consideration                                                              41,351

Total financial liabilities                                                                  68,053

Net                                                                                              (55,121)

20,512
2,929

23,441

9,564
10,603

32,418

52,585

(29,144)

79
–

79

347
–

–

347

(268)

14,441 
– 

14,441 

434 
– 

– 

434 

14,007 

Financial instruments evaluated at fair value can be classified according to the following valuation hierarchy, which reflects the 
extent to which the fair value is observable: 

• Level 1: fair value evaluations using prices listed on active markets (not adjusted) of identical assets or liabilities. 

• Level 2: fair value evaluations using input data for the asset or liability that are either directly observable (as prices) or indirectly 

observable (derived from prices), but which do not constitute listed prices pursuant to Level 1. 

• Level 3: fair value evaluations using input data for the asset or liability that are not based on observable market data 

(unobservable input data). 

The initial contingent consideration has been valued using level 3. The contingent consideration relates to the acquisition of 
Amryt AG (see note 5). The €41,351,000 fair value comprises royalty payments and milestone payments at 31 December 2018. 
The fair value of the royalty payments was determined using probability weighted revenue forecasts and the fair value of the 
milestones payments was determined using probability adjusted present values. It also included a revision to revenue forecasts 
since management initial forecasts completed at the time of the acquisition in 2016. 

Impact of key unobservable input data 

• An increase of 10% in estimated revenue forecasts would result in an increase to the fair value of €2,982,000. A decrease 

would have the opposite effect. 

• A 5% increase in the discount factor used would result in a decrease to the fair value of €8,221,000. A decrease of 5% would 

result in an increase to the fair value of €11,291,000. 

• A 6-month delay in the launch date for EB would result in a decrease to the fair value of €3,346,000. 

Annual Report for the year ended 31 December 2018

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80

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

Policies and Objectives 

The Group’s operations expose it to some financial risks arising from its use of financial instruments, the most significant ones 
being liquidity, market risk and credit risk. The Board of Directors is responsible for the Group and Company’s risk management 
policies and whilst retaining responsibility for them it has delegated the authority for designing and operating processes that 
ensure the effective implementation of the objectives and policies to the Group’s finance function. The main policies for 
managing these risks are as follows: 

Liquidity risk 

The Group is not subject to any externally imposed capital requirement, accordingly the Group’s objectives are to safeguard the 
ability to continue as a going concern in order to provide returns for shareholders and benefits to other stakeholders and to 
maintain an optimal capital structure to reduce the cost of capital. Working capital forecasts are prepared to ensure the Group 
has sufficient funds to complete contracted work commitments. 

The following table shows the maturity profile of current liabilities of the Group: 

31 December 2018                                                               Less than 1
                                                                                                    month
                                                                                                       €’000

Between 1
and 3 months
€’000s

Between 3  

and 6 months
€’000

Current liabilities                                                                              9,094

124

870

31 December 2017                                                               Less than 1
                                                                                                    month
                                                                                                       €’000

Between 1
and 3 months
€’000

Between 3  

and 6 months
€’000

Current liabilities                                                                              8,607

182

775

The following table shows the maturity profile of current liabilities of the Company: 

31 December 2018                                                               Less than 1 
                                                                                                    month
                                                                                                       €’000

Between 1
and 3 months
€’000

Between 3  

and 6 months
€’000

Current liabilities                                                                                 308

36

3

31 December 2017                                                               Less than 1 
                                                                                                    month
                                                                                                       €’000

Between 1
and 3 months
€’000

Between 3  

and 6 months
€’000

Current liabilities                                                                                 348

–

86

The following table shows the maturity profile of long-term loan of the Group: 

31 December 2018                                   Less than 1           Between 1
                                                                            year         and 3 years
                                                                          €’000                   €’000

Between 3
and 5 years
€’000

Long term loan                                                           –                           –

16,917

31 December 2017                                   Less than 1           Between 1
                                                                            year         and 3 years
                                                                          €’000                   €’000

Between 3
and 5 years
€’000

Long term loan                                                           –                           –

10,750

Greater than  

5 years
€’000

–

Greater than  

5 years
€’000

–

Total  
€’000 

10,088 

Total  
€’000 

9,564 

Total  
€’000 

347 

Total  
€’000 

434 

Total  
€’000 

16,917 

Total  
€’000 

10,750 

Amryt Pharma plc

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FINANCIAL STATEMENTS

81

The following table shows the maturity profile of contingent consideration of the Group: 

31 December 2018                                   Less than 1           Between 1
                                                                            year         and 3 years
                                                                          €’000                   €’000

Between 3
and 5 years
€’000

Contingent consideration                                           –                 13,000

25,000

31 December 2017                                   Less than 1           Between 1
                                                                            year         and 3 years
                                                                          €’000                   €’000

Between 3
and 5 years
€’000

Contingent consideration                                           –                 13,000

25,000

Greater than  

5 years
€’000

–

Greater than  

5 years
€’000

–

Total  
€’000 

38,000 

Total  
€’000 

38,000 

Capital management 

The Group considers its capital to be its ordinary share capital, share premium, other reserves and accumulated deficit. The Group 
manages its capital to ensure that entities within the Group will be able to continue individually as going concerns, while 
maximising the return to shareholders through the optimisation of debt and equity balances. The Group manages its capital 
structure and makes adjustments to it, in the light of changes in economic conditions. To maintain or adjust its capital structure, 
the Group may adjust or issue new shares or raise debt. On a regular basis, management receives financial and operational 
performance reports that enable continuous management of assets, liabilities and liquidity. No changes were made in the 
objectives, policies or processes during the year ended 31 December 2018 and 31 December 2017. 

Market risk 

Market risk arises from the use of interest-bearing financial instruments and represents the risk that future cash flows of a 
financial instrument will fluctuate as a result of changes in interest rates. It is the Group’s policy to ensure that significant 
contracts are entered into in its functional currency whenever possible and to maintain the majority of cash balances in the 
functional currency of the Company. The Group considers this policy minimises any unnecessary foreign exchange exposure. In 
order to monitor the continuing effectiveness of this policy the Board reviews the currency profile of cash balances and 
managements accounts. 

During the year, the Group earned interest on its interest-bearing financial assets at rates between 0% and 0.1%. The effect of a 
1% change in interest rates obtainable during the year on cash and on short-term deposits would be to increase or decrease the 
Group loss before tax by €54,000. 

In addition to cash balances maintained in €, the Group had balances in £ and US$ at year-end. A theoretical 10% adverse 
movement in the year end €:£ exchange rate would lead to an increase in the Group loss before tax by €14,000 with a 
corresponding reduction in the Group loss before tax with a 10% favourable movement. A theoretical 10% adverse movement 
in €:US$ exchange rates would lead to an increase in the Group loss before tax by €7,000 with a corresponding reduction in the 
group loss before tax with a 10% favourable movement. 

Credit risk 

The Group and Company has no significant concentrations of credit risk. Exposure to credit risk is monitored on an ongoing 
basis. If necessary, the Group maintains specific provisions for potential credit losses. To date there has been no requirement for 
such provisions. The Group and Company maintains cash and cash equivalents with various financial institutions. The Group and 
Company performs regular and detailed evaluations of these financial institutions to assess their relative credit standing. The 
carrying amount reported in the balance sheet for cash and cash equivalents approximate their fair value. Credit risk is the risk 
that the counterparty will default on its contractual obligations resulting in financial loss. Credit risk arises from cash and cash 
equivalents and from exposure via deposits with the Group and Company’s bankers. For cash and cash equivalents, the Group 
and Company only uses recognised banks with high credit ratings.

Annual Report for the year ended 31 December 2018

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82

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

23. Capital commitments and contingencies – Group 

Contingent liabilities 

Amryt AG Share Purchase Agreement 

See note 5 in relation to contingent consideration as a result of the acquisition of Amryt AG. 

Aegerion Pharmaceuticals Inc. ("Aegerion") Lojuxta Licence Agreement 

Under the terms of the Lojuxta licence agreement Amryt has the exclusive right to sell Lojuxta across the licenced territories. As 
part of the agreement, Amryt will make royalty payments to Aegerion of 20%-22% of net sales and will pay one-off milestones 
payments of US$1,000,000 and US$1,500,000 if calendar year net sales targets of US$20,000,000 and US$30,000,000 
respectively are achieved. The Group expects to reach these net sales targets over the next 5 years. 

Operating lease commitments – Group 

Future minimum obligations under operating lease contracts (in €’000): 

At 31 December 2018                                                          Less than 1 
                                                                                                        year

1 year to
5 years

Greater than  

5 years

Leases for business premises                                                               210
Leases Other                                                                                         35

Total                                                                                                  245

130
32

162

–
18

18

At 31 December 2017                                                          Less than 1 
                                                                                                        year

1 year to
5 years

Greater than  

5 years

Leases for business premises                                                               207
Leases Other                                                                                         15

Total                                                                                                  222

409
33

442

–
–

–

The Group had no finance lease commitments in 2018 and 2017. 

Total 

340 
85 

425 

Total 

616 
48 

664 

24. Statement of Comprehensive Income – Company 
In accordance with the provisions under section 408 of the Companies Act 2006, the Company has not presented a Statement 
of Comprehensive Income. The Company’s loss for the year was €582,000 (2017: €1,361,000). 

25. Notes supporting Statement of Cash Flows 
Reconciliation of net cash flow to movement in net debt: 

Net debt at beginning of year
Cashflows – new debt
Cashflows – repayment of debt
Non-cash flows 
Long term interest repayable with long term debt
Short term interest included in trade creditors and accruals

Net debt at end of year

Amryt Pharma plc

31 December
2018
€’000

31 December  
2017 
€’000 

(10,830)
(5,000)
227

(1,614)
(278)

(17,495)

(47) 
(10,000) 
47 

(603) 
(227) 

(10,830) 

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FINANCIAL STATEMENTS

83

26. Events after the reporting period 

EASE Phase 3 trial interim efficacy results 

In January 2019, Amryt announced the results of an unblinded interim efficacy analysis on its pivotal Phase 3 EASE trial for 
AP101 as a potential treatment for EB. The analysis was conducted by the IDMC. The IDMC recommended that the trial should 
continue with an increase of 48 patients in the study to a total of 230 evaluable patients, in order to achieve 80% statistical 
power. The analysis was conducted using unblinded efficacy data received by the IDMC for the primary endpoint from the first 
half of the study. Amryt will begin the recruitment process for the additional patients required and now expects recruitment of 
patients for top-line data to be completed in H2 2019. 

THE IDMC also recommended that the EASE study can now enrol infants and children with EB between the ages of 21 days to 
4 years of age in to the trial. The IDMC's analysis was conducted using pharmacokinetic ("PK") data received from patients 
already enrolled in the trial (aged four years and older). 

Positive results for novel non-viral gene therapy AP103 

In January 2019, Amryt announced positive results from two pre-clinical studies which support the development of its novel 
non-viral gene therapy, AP103, as a potentially disease-modifying therapy for patients with Recessive Dystrophic Epidermolysis 
Bullosa ("RDEB"), a subset of EB. RDEB is a particularly severe form of EB and is caused by mutations in a single gene, COL7A1, 
which codes for the production of collagen VII, a structural protein vital for the elastic and structural integrity of the skin. Restoring 
production of collagen VII in skin cells could be transformative for these patients, potentially making their skin less fragile and 
more resistant to damage and blistering. As a result, the quality of life for patients with RDEB could be dramatically improved. 

Pre-clinical studies sought to investigate the potential of AP103 as a topical gene therapy intervention to restore expression of 
the COL7A1 gene. 

• In vitro tests on RDEB keratinocytes, the main cell type in the top layer of skin, showed that a single delivery of the human 

collagen VII gene, by AP103, restored collagen VII production to levels exceeding those produced by healthy human 
keratinocytes 

• Topical application of AP103 onto a 3-D matrix of human RDEB skin restored collagen VII along the basement membrane to 

levels similar to those observed post-delivery using a viral vector 

• AP103 exhibited no evidence of cellular toxicity after repeated administration 

AP103 is based on a new gene therapy delivery platform, in-licensed by Amryt in March 2018, that utilises a non-viral delivery 
vector, HPAE (Highly Branched Poly β-Amino Ester), designed to deliver the correct collagen VII gene into skin cells. It is topically 
applied to the skin. 

Planned Acquisition of Aegerion 

On 21 May 2019, Amryt announced the recommended acquisition of Aegerion Pharmaceuticals (“Aegerion”). The acquisition 
will create a leading global rare and orphan disease company with a diversified offering of multiple commercial and development 
stage assets and provides scale to support further growth. The transaction gives Amryt an expanded commercial footprint to 
market two US and EMEA approved products, lomitapide (Juxtapid (US/ROW)/Lojuxta (EU)) and metreleptin (Myalept 
(US/ROW)/Myalepta (EU)). 

The planned acquisition of Aegerion accelerates Amryt’s ambition to become a global leader in treating rare conditions to help 
improve the lives of patients where there is a high unmet medical need. By delivering two substantial revenue-generating 
products and an enhanced pipeline of promising development opportunities, this will significantly strengthen our growth in 
highly attractive markets globally. Amryt has a unique insight into both Aegerion and its products, through our commercial 
success with Lojuxta and given that many of Amryt’s senior management team previously worked at Aegerion. 

Annual Report for the year ended 31 December 2018

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84

Notes to the Financial Statements continued 
For the year ended 31 December 2018 

With this transaction Amryt can continue the strong growth trajectory already underway with Lojuxta in Europe on a global 
scale. It also delivers metreleptin, another highly compelling commercial rare disease product alongside an established 
commercial footprint in the US and internationally. This transformational deal provides Amryt with the financial flexibility to fully 
execute our medium-term growth plans and is expected to deliver significant shareholder returns. The transaction highlights are 
included on page 5 of this annual report. 

Amryt Pharma plc

254852 AMRYT AR 0cover 2018.qxp  10/06/2019  15:47  Page 85

Amryt is a biopharmaceutical company focused 
on developing and delivering innovative new 
treatments to help improve the lives of patients 
with rare or orphan diseases. 

Orphan / Rare Disease focused business with strong and 
experienced management team in place 

Delivering on strategy to acquire, develop and 
commercialise products as evidenced by our recent 
planned acquisition announcement 

The planned acquisition of Aegerion Pharmaceuticals will 
put Amryt on the path of creating a rare and orphan 
disease company with a diversified offering of multiple 
commercial and development stage assets

Robust pipeline of drug candidates with excellent 
progress made on AP101 and AP103 

Pivotal phase 3 trial, “EASE” Study, to examine AP101’s 
efficacy as a new treatment for EB is progressing with 
positive unblinded interim efficacy result received in H1 
2019. Study top line data expected to be available in H1 
2020

Driving growth of our multiple commercial products will 
be a key focus for us in 2019 

Planned NASDAQ listing will drive liquidity and investor 
reach

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

85

Company Information 

Registered Office 

Dept 920A 
196 High Road 
Wood Green 
London N22 8HH 
United Kingdom 

Company Number 

05316808 

Directors 

Harry Stratford – Non-executive Chairman 
Joe Wiley – CEO 
Rory Nealon – CFO/COO 
James Culverwell – Non-executive Director 
Ray Stafford – Non-executive Director 
Markus Ziener – Non-executive Director 

Company Secretary 

Rory Nealon 

Company Website 

www.amrytpharma.com 

AIM Nominated Adviser 

Shore Capital and Corporate Limited 
Bond Street House 
14 Clifford Street 
London, W1S 4JU 
United Kingdom 

Joint Broker 

Shore Capital Stockbrokers Limited 
Bond Street House 
14 Clifford Street 
London, W1S 4JU 
United Kingdom 

Joint Broker 

Stifel Nicolaus Europe Limited 
150 Cheapside 
London, EC2V 6ET 
United Kingdom 

Euronext Growth Adviser and Joint Broker 

J & E Davy 
Davy House 
49 Dawson Street 
Dublin 2 
Ireland 

Auditors 

Grant Thornton 
13-18 City Quay 
Dublin 2 
Ireland 

Registrars 

Link Asset Services 
The Registry 
34 Beckenham Road 
Kent, BR3 4TU 
United Kingdom

Amryt Pharma plc

Annual Report for the year ended 31 December 2018

Perivan Financial Print    254852

 
254852 AMRYT AR 0cover 2018.qxp  10/06/2019  15:47  Page 1

Amryt Pharma plc 
Registered Office: 
Dept 920A 
196 High Road 
Wood Green 
London N22 8HH 
United Kingdom 

Dublin Office: 
90 Harcourt Street 
Dublin 2 
Ireland 

www.amrytpharma.com

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Amryt Pharma plc 
Annual Report 2018

The Rare and 
Orphan Diseases Specialist