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Amryt Pharma plc

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FY2020 Annual Report · Amryt Pharma plc
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Amryt Pharma plc
Annual Report 2020

Contact:

45 Mespil Road, Dublin

D04 W2F1, Ireland

+353 1 518 0200
IR@amrytpharma.com

https://www.amrytpharma.com/
https://www.linkedin.com/company/amryt-pharma-plc/

www.amrytpharma.com

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01

Contents 

STRATEGIC REPORT 
(cid:129)       General Information                                                                   2 

(cid:129)       Our Business                                                                              3 

(cid:129)       Chairman & Chief Executive’s Statement and Business Review      4 

(cid:129)       Performance Highlights                                                              8 

(cid:129)       Our Products & Development Pipeline                                      11 

(cid:129)       Our Vision & Strategy                                                               13 

(cid:129)       Our Strengths                                                                          14 

(cid:129)       Financial Review                                                                       15 

(cid:129)       Key Performance Indicators                                                      21 

(cid:129)       Risks & Uncertainties                                                                22 

CORPORATE GOVERNANCE 
(cid:129)       Board of Directors                                                                    36 

(cid:129)       Chairman’s Introduction to Governance                                   40 

(cid:129)       Chairman’s Governance Overview                                            42 

(cid:129)       Directors’ Remuneration Report                                               47 

(cid:129)       Directors’ Remuneration Policy                                                 48 

(cid:129)       Annual Remuneration Report                                                   53 

(cid:129)       Directors’ Report                                                                      60 

FINANCIAL STATEMENTS 
(cid:129)       Independent Auditor’s Report                                                   65 

(cid:129)       Consolidated Statement of Comprehensive Loss                      75 

(cid:129)       Consolidated Statement of Financial Position                           76 

(cid:129)       Consolidated Statement of Cash Flows                                    77 

(cid:129)       Consolidated Statement of Changes in Equity                          78 

(cid:129)       Company Statement of Comprehensive Loss                            79 

(cid:129)       Company Statement of Financial Position                                 80 

(cid:129)       Company Statement of Cash Flows                                          81 

(cid:129)       Company Statement of Changes in Equity                               82 

(cid:129)       Notes to the Financial Statements                                            83 

(cid:129)       Company Information                                                            137

Annual Report for the 12 months ended 31 December 2020

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STRATEGIC REPORT: 
General Information 

We are pleased to present the annual report and financial statements of Amryt Pharma plc for the 12 months ended 
31 December 2020. 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. 

Amryt Pharma plc (‘’Company’’) is a company incorporated in England and Wales. The Company’s American Depositary Shares 
(“ADSs”) have been listed on the NASDAQ Global Select Market (“NASDAQ”) since 8 July 2020 and its shares are also quoted 
on the Alternative Investment Market (“AIM”), a sub-market of the London Stock Exchange (ticker: AMYT). In September 2020, 
Amryt cancelled the admission of the Company’s Ordinary Shares to trading on the Euronext Growth Market in Dublin. The last 
day of trading in Ordinary Shares on the Euronext Growth Market was 8 September 2020. 

We were incorporated under the Companies Act 2006 (“Companies Act”) on 17 July 2019 as a private company limited by 
shares under the name Amryt Pharma Holdings Limited, with company number 12107859. We were re-registered as a public 
limited company on 13 September 2019 under the name Amryt Pharma Holdings Limited. On 24 September 2019, 
Amryt Pharma Holdings plc became the new parent company of Amryt Pharma plc pursuant to a scheme of arrangement 
between Amryt Pharma plc and its shareholders under Part 26 of the Companies Act. Amryt Pharma Holdings Limited changed 
its name to Amryt Pharma plc. 

The consolidated accounts comprise the financial statements for the Group for the 12 months ended 31 December 2020 and 
2019. The 2019 financial statements incorporate the results of Aegerion Pharmaceuticals, Inc. (“Aegerion”) from the date of 
acquisition, 24 September 2019 to 31 December 2019. The 2019 financial statements for the Company relate to the period from 
the date of incorporation in July 2019 to 31 December 2019, these are not statutory accounts for the Company which have been 
prepared separately for the period ended 31 July 2020. 

Aegerion, a former subsidiary of Novelion Therapeutics Inc., is a rare and orphan disease company with a diversified offering of 
multiple commercial and development stage assets. Following the acquisition of Aegerion by Amryt in September 2019, the 
acquisition gave Amryt an expanded commercial footprint to market two US and EU approved products, lomitapide 
(Juxtapid® (US) / Lojuxta® (EU)) and metreleptin (Myalept® (US) / Myalepta® (EU)). 

The functional currency of the Group and Company is US dollars.

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

03

STRATEGIC REPORT: 
Our Business 

Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercialising novel 
treatments to help improve the lives of patients with rare and orphan diseases. Amryt comprises a strong and growing portfolio 
of commercial and development assets. Amryt’s commercial business comprises two orphan disease products – metreleptin 
(Myalept®/ Myalepta®) and lomitapide (Juxtapid®/ Lojuxta®). 

Myalept®/Myalepta® (metreleptin) is approved in the US (under the trade name Myalept®) as an adjunct to diet as replacement 
therapy to treat the complications of leptin deficiency in patients with congenital or acquired generalised lipodystrophy (“GL”) 
and in the EU (under the trade name Myalepta®) as an adjunct to diet for the treatment of leptin deficiency in patients with 
congenital or acquired GL in adults and children two years of age and above and familial or acquired partial lipodystrophy (“PL”) 
in adults and children 12 years of age and above for whom standard treatments have failed to achieve adequate 
metabolic control. 

Juxtapid®/Lojuxta® (lomitapide) is approved as an adjunct to a low-fat diet and other lipid-lowering medicinal products for 
adults with the rare cholesterol disorder, Homozygous Familial Hypercholesterolaemia (“HoFH”) in the US, Canada, Colombia, 
Argentina and Japan (under the trade name Juxtapid®) and in the EU, Israel and Brazil (under the trade name Lojuxta®). 

Amryt’s lead development candidate, Oleogel-S10 (Filsuvez®) is a potential treatment for the cutaneous manifestations of 
Junctional and Dystrophic (“JEB” and “DEB”) Epidermolysis Bullosa, a rare and distressing genetic skin disorder affecting young 
children and adults for which there is currently no approved treatment. In September 2020, Amryt received positive results from 
its EASE pivotal Phase 3 trial in EB. EASE was the largest ever global Phase 3 study conducted in patients with EB and is the 
first Phase 3 trial ever to demonstrate positive results in this devastating condition. Amryt is currently progressing regulatory 
submissions for Oleogel-S10 with the relevant authorities in both the US and Europe and preparing for launch, if approved. 
Filsuvez® has been selected as the brand name for Oleogel-S10. The product does not currently have regulatory approval 
to treat EB. 

Amryt’s pre-clinical gene therapy platform, AP103, offers a potential treatment for patients with DEB, and is also potentially 
relevant to other genetic disorders. 

We have a proven track record of obtaining rare disease assets, either through acquisition or in-license, and we intend to 
continue building our portfolio of rare disease programs with the goal of delivering effective treatments to patients in need. For 
more information on Amryt, including products, please visit www.amrytpharma.com.

Annual Report for the 12 months ended 31 December 2020

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STRATEGIC REPORT: 
Chairman & Chief Executive’s Statement and 
Business Review

Since Amryt was formed in 2015, we have undergone a transformational period of growth characterised by consistent execution 
as we have successfully grown both our commercial products and development pipeline assets. Having acquired Aegerion in 
September 2019, we are pleased to report that the integration was successfully completed ahead of schedule, with the 
combined business turning EBITDA positive and cash generative in Q1 2020. 

2020 was another year of strong performance and growth for our business. In financial terms, our revenues were $182.6M for 
the 12 months ended 31 December 2020. Both our commercial products (metreleptin and lomitapide) delivered significant 
market expansion in existing and new territories and this positive momentum was complemented by some very significant 
progress for our lead development candidate, Oleogel-S10. 

Our pivotal global Phase 3 study (“EASE”) investigating Oleogel-S10 in EB was the largest ever Phase 3 study in EB and in 
September 2020, became the first ever study to demonstrate positive results in this devastating condition. We are actively 
progressing our submissions to the regulatory authorities in the US and Europe and are preparing for launch of Oleogel-S10, 
if approved. We have the management team, systems and infrastructure in place to continue to grow our existing commercial 
products and we will be able to leverage these capabilities to launch Oleogel-S10, if approved. 

COVID-19 

Despite the challenges presented by COVID-19, our team and our business model proved resilient and capable of overcoming 
these challenges. Our core focus throughout the period has been to ensure the safety and welfare of our people and all the 
stakeholders we engage with. We are very encouraged and humbled by the collective efforts of all our team and partners, that 
have helped us not only operate, but succeed, through such an exceptional period for everyone. To date, the operational and 
financial impact of COVID-19 on our business has not been significant and we are encouraged by the vaccine program roll-out 
across our markets and are optimistic regarding the positive impact this will have on many of our stakeholders and partners in 
the coming year. 

Strategy Update 

During 2020, we continued to execute on our strategy to acquire, develop and commercialise novel treatments for rare and 
orphan diseases. Amryt has a global portfolio of commercial and development-stage rare disease assets, including two high-value 
commercial assets and multiple development opportunities in complementary global markets. We have a demonstrable track 
record of execution, integration, delivering synergies and driving growth from acquired businesses and our global infrastructure is 
primed and ready to acquire more assets. We believe we have the expertise and capacity to help acquired assets reach their full 
potential within the Amryt framework. We are encouraged by our business development pipeline and we believe we will 
continue to find and add complementary products to Amryt’s pipeline that will enable us to grow revenues, EBITDA and cash 
generation into the future. 

Operational Performance 

Our two commercial products, metreleptin and lomitapide, performed strongly in 2020 and delivered growth across a host of 
metrics including revenue and EBITDA growth, cash generation and market expansion. During the year, we continued to advance 
national reimbursement discussions for our commercial products in key markets. In December 2020, we received Ministry of 
Health reimbursement approval for lomitapide in Saudi Arabia and also in December 2020, we received Marketing Authorisation 
Approval for lomitapide in Brazil. 

In October 2020, we signed a distribution agreement for lomitapide with Swixx BioPharma AG (“Swixx”) across seventeen 
jurisdictions in CEE. This follows on from Amryt’s appointment in June 2020 of Swixx as exclusive distributor of metreleptin 
across the CEE territories. 

We have also made significant progress evaluating additional potential development opportunities for both our commercial 
products in 2020, in particular in Familial Chylomicronemia Syndrome (“FCS”) for lomitapide and in a PL indication for 
metreleptin in the US. 

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

05

Oleogel-S10 

A key milestone in Amryt’s history was reached in September 2020, when we received positive results from our EASE pivotal 
Phase 3 trial in EB. EASE was the largest ever global Phase 3 study conducted in patients with EB and is the first Phase 3 trial ever 
to demonstrate positive results in this devastating condition. Below is a summary of the trial results: 

(cid:129) The primary endpoint of the trial was achieved and demonstrated a statistically significant acceleration of target wound 

healing by day 45 in patients treated with Oleogel-S10 versus control gel (p-value = 0.013) representing a 44% increase in 
target wound closure with Oleogel-S10 as compared to the control gel. 

(cid:129) The Recessive Dystrophic EB (“RDEB”) sub-group experienced a greater benefit when treated with Oleogel-S10 than the 

overall population (nominal p-value = 0.008) representing a 72% increase in target wound closure with Oleogel-S10 versus 
the control gel. Favourable trends were evident among secondary endpoints including change in procedural pain, total body 
wound burden based on EBDASI score and affected body surface area percentage. Oleogel-S10 had an acceptable safety 
profile and was well tolerated when compared with the control gel. 

(cid:129) EASE trial data were presented as a late-breaking abstract at the 29th EADV (European Association of Dermatology and 

Venereology) Virtual Congress 2020. 

We are currently progressing regulatory submissions for Oleogel-S10 with the relevant authorities in both the US and Europe and 
are preparing for launch, if approved. 

AP103 

During 2020, we also progressed our pre-clinical gene therapy (“AP103”) which offers a potential treatment for patients with 
DEB and this novel gene therapy delivery platform is also potentially relevant to other genetic disorders. AP103 is currently in 
preclinical development. We intend to initiate clinical development in the second half of 2022. In September 2020, the European 
Medicines Agency (“EMA”) Committee for Orphan Medicinal Products (“COMP”) adopted a positive opinion for orphan 
designation for the use of AP103 in EB. In December 2020, the US Food and Drug Administration (“FDA”) granted Orphan Drug 
Designation for AP103 in the treatment of DEB. 

NASDAQ Listing 

Amryt listed on NASDAQ on 8 July 2020. The NASDAQ listing has given Amryt the opportunity to target a wider investor 
audience and increase our analyst coverage in a core market for Amryt. With nearly 75% of our shareholders based in North 
America, listing on NASDAQ is an important part of our shareholder engagement and development plans. Since listing on 
NASDAQ, there has been a marked increase in US based institutional investor interest in Amryt and this led to a number of new 
institutional shareholders joining our register. We also had a number of US based investment banks initiate research coverage of 
Amryt including SVB Leerink, Canaccord Genuity and Cantor Fitzgerald. This in turn has led to the Amryt investment case 
reaching a wider investor audience in the US. We believe our NASDAQ listing will significantly assist our efforts to drive value for 
all our stakeholders in the future. 

Financial Position 

Cash generated from operating activities in 2020 was $26.9M. In December 2020, Amryt raised gross proceeds of $40M by way 
of a private placement with a mix of new and existing institutional investors. Amryt’s year-end unrestricted cash balance of 
$118.6M compares to $65.2M at 31 December 2019. This represents the strong performance of our business during 2020. 

Amryt’s debt facilities comprise a term loan of $87.3M and a convertible facility of $125.0M. Amryt’s debt maturity profile offers 
significant flexibility. No principal repayments are due on the term loan until September 2024 and on the convertible facility until 
April 2025. 

Annual Report for the 12 months ended 31 December 2020

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

Corporate Governance 

Amryt has a clear corporate governance framework and our goal is to operate with integrity and excellence in all that we do. 
This framework and a summary of the work of the board is contained in the Corporate Governance section of this report on 
pages 36 to 64. As an AIM quoted company, we are required to formally adopt a corporate governance code, as well as disclose 
details of our compliance with that code and where we depart from the code, provide an explanation of the reasons for 
doing so. 

The Amryt Board adopted the Quoted Companies Alliance Code (the “QCA Code”) on 25 September 2018. The Board of 
Directors 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 for the 12 months ended 31 December 2020 as 
well as on our website – www.amrytpharma.com. 

Our People 

We continued to augment the senior management team through 2020 to ensure we are adequately resourced as we grow our 
business both organically and through acquisition and to ensure we have all the resources in place for the launch of Oleogel-S10, 
if approved. We now have in place an exceptionally strong leadership team and also have the necessary commercial, regulatory 
and medical infrastructure in place across the US, EMEA and LATAM to execute our growth plans. 

All of our success to date has been achieved through the collective effort of our team across the US, EMEA and LATAM. We 
would like to, once again, take this opportunity to sincerely thank the wonderful Amryt team for all of their dedication, support 
and efforts during 2020. 

Section 172 Statement 

From the perspective of the Directors, the matters for consideration under Section 172 of the Companies Act (“s172”) have been 
considered to an appropriate extent by the Group. Such consideration is included in the statements set out below, noting the 
Directors’ duty under s172 to act in good faith to promote the success of the Group and Company for the benefit of its 
shareholders but having regard amongst other matters to the following: 

(cid:129) the likely consequences of any decision in the long term; 

(cid:129) the interests of the Group’s and Company’s employees; 

(cid:129) the need to foster the Group’s and Company’s business relationships with customers and other stakeholders; 

(cid:129) the impact of the Group’s and Company’s operations on the community and the environment; 

(cid:129) the desirability of the Group and Company maintaining a reputation for high standards of business and conduct; and 

(cid:129) the need to act fairly as between members of the Group and Company. 

For the Group, compliance is one of the cornerstone values and forms the basis of all decisions and activities. It is the key to 
integrity in conducting business and as a global business. The Directors are committed to ensuring that all business is carried out 
in full accordance with the law as well as internal rules and principles. 

Outlook 

Since 2015, Amryt has pursued a strategy and created a business model that we believe is flexible and adaptable over time. 
We are very positive about the growth prospects for lomitapide and metreleptin and during 2020 have continued to focus on 
ensuring we can expand the reach of both products by market and geography. Our confidence in our development pipeline is 
significantly bolstered by the positive results from the EASE trial and we are preparing for the launch of Oleogel-S10, if approved. 
We also continue to pursue and are encouraged by other potential opportunities within our development pipeline. The strong 
momentum in our business gives us confidence as we continue to seek opportunities where Amryt’s skills and infrastructure can 
be best deployed to bring innovative therapies to patients in need. 

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

07

Post Balance Sheet Events 

Proposed Acquisition of Chiasma, Inc 

On 5 May 2021, we announced that we have signed a definitive agreement to acquire Chiasma, Inc. (NASDAQ: CHMA) in an 
all-stock combination. The combined company will be a global leader in rare and orphan diseases with three on-market 
commercial products, a global commercial and operational footprint and a significant development pipeline of therapies with the 
financial flexibility to execute its growth plans. The transaction is expected to pave a path to a combined potential $1BN peak 
revenue for Amryt and is expected to deliver estimated annual cost synergies of approximately $50M and be revenue and EBITDA 
accretive and cash generative in the first full calendar year of combined operations and substantially accretive thereafter. This 
transaction brings together two teams that have a strong track record of execution and passion for developing therapies that can 
help improve the lives of patients in need. 

The addition of Chiasma’s Mycapssa®, which was recently launched in the US, to Amryt’s commercial product portfolio 
represents a strong strategic, operational and commercial fit given the significant call-point overlap that exists across our 
portfolio. We believe there is significant revenue growth opportunities for Mycapssa® in acromegaly and are also very excited to 
further develop the potential for Mycapssa® in patients with carcinoid symptoms stemming from neuroendocrine tumors 
(“NET”), where we believe the commercial opportunity is significant. With the addition of NET, our combined pipeline will have 
four product candidates in late clinical stages as well as our exciting pre-clinical gene therapy asset, AP103 in DEB. Chiasma 
employs a Transient Permeability Enhancer (“TPE”) technology platform which seeks to develop oral medications that are 
currently only available as injections and we are excited by the potential to leverage TPE for other products. 

With this transaction, we believe that we can continue the strong growth trajectory already underway at Amryt and have the 
financial strength to execute our future growth plans. 

We will be providing you with further updates on Amryt’s progress throughout 2021. 

Oleogel-S10 Update 

On 2 June 2021, the FDA accepted for filing Amryt’s New Drug Application (“NDA”) for Oleogel-S10 for the treatment of EB. 
On 3 June 2021, the FDA granted Priority Review for Amryt’s NDA for Oleogel-S10. Priority Review is granted by the FDA to 
applications for medicines that, if approved, would provide significant improvements in the effectiveness or safety of the 
treatment, diagnosis, or prevention of serious conditions when compared to standard applications. In general, the FDA’s Priority 
Review designation accelerates the review time from ten months to a goal of six months from the date of acceptance of the 
filing. The FDA has set a Prescription Drug User Fee Act (“PDUFA”) target action date for the Oleogel-S10 NDA of 
November 30, 2021. Oleogel-S10 previously received Fast Track Designation and Rare Pediatric Disease Designation from the 
FDA. If the NDA for Oleogel-S10 is approved, the Company will apply for a priority review voucher. 

Lastly, we would like to take this opportunity to thank you, our shareholders, for your support during the past 12 months and we 
look forward to hopefully seeing you in person again as soon as possible. 

Ray Stafford
Non-Executive Chairman

23 June 2021

Dr Joe Wiley 
Chief Executive Officer 

Annual Report for the 12 months ended 31 December 2020

 
 
 
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STRATEGIC REPORT: 
Performance Highlights 

2020 was an exceptional year of performance and record growth for Amryt. Our two commercial products, metreleptin and 
lomitapide continue to deliver growth across a host of metrics including revenue and EBITDA growth, cash generation and 
market expansion. Our EASE study investigating Oleogel-S10 in EB was the first ever Phase 3 study to demonstrate positive 
results in this devastating disease and we are currently progressing regulatory submissions with the relevant authorities in both 
the US and Europe and preparing for launch, if approved. 2020 was a challenging year for us all as a result of the global 
pandemic but our business model proved resilient and capable of overcoming the challenges the pandemic presented. 

With a strong focus on continuous product development, revenue expansion and cash generation, we believe 2021 will be a year 
of continued performance and further growth for the Group. 

Some financial and operational highlights of the Group’s performance in 2020 and 2021 to date are as follows: 

2020 Financial Highlights 

The 2020 audited financial results reflect the first full year of the combined Amryt and Aegerion business. The 2019 audited 
financial results reflect the acquisition of Aegerion from 24 September 2019 and are not reflective of the performance of the 
combined businesses for a full year. Total reported revenues of $58.1M reflect sales of the legacy Amryt business for the full 
financial year, plus sales of the acquired Aegerion business with effect from 24 September 2019. 

To aid comparison, we also report unaudited combined revenues1 that reflect the combined businesses, had they been integrated 
for a full financial year in 2019. 

(cid:129) 2020 Revenues increased by 18.5% for the year ended 31 December 2020 to $182.6M (2019: $154.1M1) 

(cid:129) Metreleptin generated revenues of $106.9M (2019: $85.4M1) representing an increase of 25.2% 

(cid:129) Lomitapide generated revenues of $74.7M (2019: $68.0M1), representing a growth rate of 10.0% 

(cid:129) The significant growth in metreleptin revenues was driven by the ongoing rollout of MYALEPTA® in Europe following the 

approval of the product by the EMA in Q3 2018 

1  Unaudited combined revenues for 2019 represent the combined unaudited revenues of the Company assuming the acquisition by Amryt of Aegerion happened 

on 1 January 2019. It also (i) excludes revenues from sales to end-users in Japan following the out-licencing of Juxtapid to Recordati in February 2019, (ii) excludes 
up-front payments from Recordati in 2019, and (iii) includes a 22.5% royalty on Japanese sales of Juxtapid from 1 January 2019 as if the Recordati agreement was 
in place from that date. 

Amryt Pharma plc

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CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

09

Non-GAAP adjusted 2020 results 

                                                                                                        2019
US$ (Million)                                                                               (restated) *

Revenue                                                                                           58.1
Gross profit                                                                                       19.4
R&D expenses                                                                                   (15.8)
SG&A expenses                                                                                (35.5)
Restructuring & acquisition costs                                                       (13.1)
Share based compensation expenses                                                  (0.8)
Impairment charge                                                                             (4.7)
Operating (loss) / profit before finance expense                         (50.5)
Unrestricted cash & cash equiv.                                                          65.2

* see Note 27 of the financial statements 

Non-cash 
Items3

2020 
 Non-GAAP  
Adjusted2 

–
70.6
–
1.5
–
4.7
–
76.8
–

182.6 
134.2 
(27.6) 
(75.2) 
(1.0) 
– 
– 
30.4 
118.6 

2020

182.6
63.6
(27.6)
(76.7)
(1.0)
(4.7)
–
(46.4)
118.6

The 2020 operating loss of $46.4M includes the impact of non-cash items including amortisation, depreciation and the impact of 
share-based compensation expenses. Adjusting for these non-cash items, the Company delivered $30.4M of EBITDA2 in FY 2020. 

2

EBITDA is earnings before interest, tax, depreciation, amortisation and share based compensation expenses. To supplement Amryt’s financial results presented in 
accordance with IFRS generally accepted accounting principles, the Company uses EBITDA as a key measure of company performance as the Company believes 
that this measure is most reflective of the operational profitability or loss of the Company and provides management and investors with useful supplementary 
information which can enhance their ability to evaluate the operating performance of the business. EBITDA, as measured by the Company, is not meant to be 
considered in isolation or as a substitute to operating profit / loss attributable to Amryt and should be read in conjunction with the Company’s condensed 
consolidated financial statements prepared in accordance with IFRS. 

3 Non-cash items include amortisation of the acquired metreleptin and lomitapide intangible assets ($43.0M), amortisation of the inventory fair value step-up that 

was acquired at the acquisition date ($27.6M), depreciation and amortisation ($1.5M) and share based compensation expenses ($4.7M). 

2020 Business Highlights 

(cid:129) In September 2020, Amryt announced positive results from its pivotal Phase 3 EASE trial in EB. EASE is the largest Phase 3 trial 

ever conducted in EB. 

The primary endpoint of the trial was achieved and demonstrated a statistically significant acceleration of target wound 
healing by day 45 in patients treated with Oleogel-S10 versus control gel (p-value = 0.013) representing a 44% increase in 
target wound closure with Oleogel-S10 versus the control gel. 

The RDEB sub-group experienced a greater benefit when treated with Oleogel-S10 than the overall population (nominal 
p-value = 0.008) representing a 72% increase in target wound closure with Oleogel-S10 vs the control gel. Favourable trends 
were evident among secondary endpoints including change in procedural pain, total body wound burden based on EBDASI 
score and affected body surface area percentage. Oleogel-S10 had an acceptable safety profile and was well tolerated when 
compared with control gel. 

EASE trial data were presented as a late-breaking abstract at the 29th EADV (European Association of Dermatology and 
Venereology) Virtual Congress 2020 

(cid:129) Amryt listed on the NASDAQ in July 2020. 

(cid:129) In September 2020, the EMA COMP adopted a positive opinion for orphan designation for the use of AP103 in EB. In 

December 2020, the FDA granted Orphan Drug Designation for AP103 in the treatment of DEB. 

(cid:129) In October 2020, Amryt signed a distribution agreement for lomitapide with Swixx across 17 jurisdictions in CEE. This follows 

on from Amryt’s appointment in June 2020 of Swixx as exclusive distributor of metreleptin across the CEE territories. 

(cid:129) In December 2020, Amryt received Marketing Authorisation Approval for lomitapide in Brazil. 

(cid:129) In December 2020, Amryt received Ministry of Health reimbursement approval for lomitapide in Saudi Arabia. 

Annual Report for the 12 months ended 31 December 2020

                                                                                                                
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STRATEGIC REPORT: 
Performance Highlights continued

Post-Period End Highlights 

(cid:129) Announced proposed acquisition of Chiasma, Inc. (NASDAQ: CHMA). The transaction has been approved and recommended 

by the Boards of both Amryt and Chiasma. 

(cid:129) Q1 2021 revenues (unaudited) of $48.4M representing an 8.7% increase on Q1 2020 revenues of $44.6 million. EBITDA 

(unaudited) of $9.9M was delivered in Q1 2021. 16.5% YoY underlying revenue growth excluding the impact of a LATAM 
periodic order in Q1 2020. 

(cid:129) Submitted a New Drug Application to the FDA for Oleogel S-10 and on 3 June 2021, the FDA granted Priority Review for 

Amryt’s NDA with a PDUFA date of 30 November 2021. 

(cid:129) Marketing Authorisation Application accepted by the EMA for Oleogel S-10. 

(cid:129) Reimbursement approval from for metreleptin in England, Wales and France. 

(cid:129) Positive feedback from the FDA on the path forward for a metreleptin indication in PL – Phase 3 planned for Q4 2021. 

(cid:129) Positive results reported from an investigator sponsored study of lomitapide in FCS. 

(cid:129) Multi-regional distribution and product agreements signed with Medison Pharma in Canada and Israel. 

(cid:129) Legacy US Department of Justice (“DoJ”) fines levied on Aegerion were fully discharged in Q1 2021. 

COVID-19 Update 

The primary concern of all the Amryt team is to ensure the safety of our colleagues, their families and our patients and partners 
at this time. Global healthcare systems are operating at, or close to, full capacity and the focus within systems now is to treat 
those patients in need of acute care. Amryt’s business lends itself to remote working and we have successfully transitioned 
appropriate functions to remote platforms exclusively without incident. The impact of COVID-19 to date on Amryt’s business has 
been minimised and this is a result of deploying contingency plans already in place for a variety of scenarios and challenges 
which may occur. 

Amryt provides therapeutic products to HoFH and lipodystrophy patients globally on a recurring basis. Once lomitapide (for the 
treatment of HoFH) or metreleptin (for the treatment of lipodystrophy) are prescribed by physicians, patients are typically on 
treatment over a long period of time with repeat prescriptions for each patient. As such, the majority of our revenues are 
recurring in nature. During the pandemic our sales teams’ deployment in the field is restricted but we continue through remote 
and virtual physician access as a means to identify new patients that may be suitable for treatment with our products. 

Our supply chain is robust and we are confident that we can continue to supply patients for the foreseeable future. We are 
taking additional steps to further strengthen our inventory levels of both metreleptin and lomitapide. To date, we have not 
experienced any significant logistical difficulties in delivering product to patients. In major markets such as the US, the UK and 
Germany, product has historically been delivered direct to patients’ homes. In other markets, product has typically been delivered 
to local hospitals/distributors. 

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CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

11

STRATEGIC REPORT: 
Our Products and Development Pipeline

Commercial Assets 

Metreleptin 

Metreleptin is a recombinant analog of human leptin. It is marketed as Myalept® in the US as an adjunct to diet as a 
replacement therapy to treat the complications of leptin deficiency in patients with congenital or acquired GL. It is marketed as 
Myalepta® in the EU as an adjunct to diet as a replacement therapy to treat the complications of leptin deficiency in adults and 
children two years of age and above with congenital or acquired GL. Myalepta® is also approved in the EU for adults and 
children 12 years of age and above with familial or acquired PL for whom standard treatments have failed to achieve adequate 
metabolic control with congenital or acquired GL and also congenital or acquired PL. Leptin, which is deficient in patients with 
GL, is the key hormone responsible for regulating appetite and also has an important regulatory effect on energy expenditure. 
Leptin is a naturally occurring hormone derived from fat cells and an important regulator of energy, fat and glucose metabolism, 
reproductive capacity and other physiological functions. The predominant cause of metabolic complications in GL is excess 
triglyceride accumulation in the liver and skeletal muscle due to the inability to store triglycerides in fat cells. As a result of the 
deficiency of leptin associated with GL, patients experience significant fatigue as well as hyperphagia, or unregulated appetite. 
The loss of fat tissue caused by this disease often leads to severe metabolic abnormalities that contribute to increased morbidity 
and mortality. 

Lomitapide 

Lomitapide, which is marketed as Juxtapid® in the US and as Lojuxta® in EMEA, is an oral, once-a-day treatment for adult 
patients with HoFH, as an adjunct to a low-fat diet and other lipid-lowering medicinal products, with or without LDL apheresis. 
HoFH is a rare genetic disease, which impairs the body’s ability to remove LDL cholesterol, or “bad” cholesterol, typically leading 
to abnormally high LDL cholesterol levels in the blood. HoFH patients are at a high risk of experiencing life-threatening 
cardiovascular events at an early age as a result of extremely elevated cholesterol levels in the blood and have a substantially 
reduced life expectancy relative to unaffected individuals. According to a 2013 European Health Journal article, the prevalence of 
HoFH is one person per million. Aggressive treatment, including dietary modifications plus combination therapy with currently 
approved lipid lowering drugs at maximum tolerated doses, often fails to reduce LDL cholesterol levels to their recommended 
targets in these patients. Lomitapide is a small molecule MTP inhibitor with the potential to provide significant reductions in LDL 
cholesterol levels in this high-risk patient population. 

Development Pipeline 

Oleogel S-10 

Our lead development candidate, Oleogel-S10, is being developed as a potential treatment for the cutaneous manifestations of 
severe EB, a rare and devastating genetic skin disease affecting young children and adults for which there is currently no 
approved treatment. EB is a group of diseases of the skin, mucous membranes and internal epithelial linings characterised by 
extreme skin fragility that blisters and tears from minor friction or trauma. Patients with severe forms of EB, including DEB and 
JEB, suffer from severe and chronic blistering, ulceration, scarring, mutilating scarring of the hands and feet, joint contractures, 
strictures of the esophagus and mucous membranes, a high risk of developing aggressive squamous cell carcinomas, infections 
and risk of premature death. Market research indicates an incidence among live births of one in 20,000, and, when accounting 
for life expectancy per EB sub-type, there are an estimated 30 patients per million (total EB prevalence in the general population), 
of which approximately 31% are DEB & JEB patients. 

In September 2020, Amryt announced positive results from its pivotal Phase 3 EASE trial in EB. EASE is the largest Phase 3 trial 
ever conducted in EB. 

The primary endpoint of the trial was achieved and demonstrated a statistically significant acceleration of target wound healing 
by day 45 in patients treated with Oleogel-S10 versus control gel (p-value = 0.013) representing a 44% increase in target wound 
closure with Oleogel-S10 versus the control gel. 

Annual Report for the 12 months ended 31 December 2020

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STRATEGIC REPORT: 
Our Products and Development Pipeline continued

The RDEB sub-group experienced a greater benefit when treated with Oleogel-S10 than the overall population (nominal p-value 
= 0.008) representing a 72% increase in target wound closure with Oleogel-S10 vs the control gel. Favourable trends were 
evident among secondary endpoints including change in procedural pain, total body wound burden based on EBDASI score and 
affected body surface area percentage. Oleogel-S10 had an acceptable safety profile and was well tolerated when compared 
with control gel. 

Oleogel-S10 has been granted Pediatric Rare Disease Designation by the FDA. If the NDA is granted a priority review and 
subsequently results in an approval from the FDA, we are eligible to apply for a Priority Review Voucher (“PRV”) that we can use, 
sell or transfer. Amryt is currently progressing regulatory submissions for Oleogel-S10 with the relevant authorities in both the 
US and Europe, alongside preparing for launch, if approved. 

Additional Opportunity for Oleogel-S10 

We are also supporting an investigator-led Phase 2 study of Oleogel-S10 for the treatment of severe radiation-induced dermatitis. 
This trial is expected to commence in July 2021, with data expected in 2022. 

AP103 for the treatment of DEB 

In March 2018, we acquired the rights to a novel polymer-based topical gene therapy delivery platform for potential use in the 
treatment of rare genetic diseases. The technology involves the use of highly branched poly β-amino ester (“HPAE”) polymers as 
the topical delivery vehicle for gene therapy. Our first product candidate utilising this platform, AP103, is currently in preclinical 
development for the treatment of patients with DEB. Patients with DEB have a defect in the COL7A1 gene resulting in the 
inability to produce collagen VII, which plays an important role in anchoring the dermal and epidermal layers of the skin. AP103 
is the combination of this polymer technology and the COL7A1 gene. If successful, we believe this could eliminate the 
requirement for viruses as topical delivery vectors. 

In preclinical studies in a human mouse xenograph model of EB, we observed that topical application of AP103 restored 
production of collagen VII. In separate preclinical studies, AP103 was observed to restore collagen VII to levels exceeding those 
produced by healthy human keratinocytes (cells that regenerate the outer layer of the skin). In addition, we did not observe 
evidence of cellular toxicity after repeated administration in these studies. Our preclinical development of AP103 is ongoing. 
We intend to initiate clinical development of AP103 in 2022. In September 2020, the EMA’s COMP adopted a positive opinion 
for orphan designation for the use of AP103 in EB and in December 2020, the FDA granted orphan designation for AP103 in the 
treatment of DEB. 

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CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

13

STRATEGIC REPORT: 
Our Vision and Strategy

Our vision is to become a leading global rare disease company by acquiring, developing and commercialising medicines that 
transform the lives of patients & their families around the world. To achieve this vision, we are pursuing the following strategies: 

(cid:129) Drive revenue growth for our existing commercial products. We intend to continue to focus on growing the sales of 

lomitapide and metreleptin in the markets and indications we currently sell them. We also intend to expand the market 
opportunity by seeking approval for the use of lomitapide to treat pediatric HoFH and for the use of metreleptin to treat a 
PL indication in the US. 

(cid:129) Complete regulatory filings with the FDA and EMA and commercialise our lead development candidate, Oleogel-S10, for the 

treatment of severe EB. The pivotal EASE Phase 3 trial for Oleogel-S10 for the treatment of cutaneous manifestations of severe 
EB, is now complete and we have made submissions for marketing authorisation with the FDA and EMA. If approved, we 
intend to commercialise Oleogel-S10 in the US and the EU and evaluate go-to-market strategies for other key markets 
globally. Amryt will seek a PRV as part of the Oleogel-S10 NDA submission which if granted, we can sell, transfer or use to 
accelerate the approval of a future Amryt NDA. However, to be eligible for a PRV, Oleogel-S10 must have a Pediatric Rare 
Disease Designation from the FDA, be granted a priority review by FDA, and ultimately the NDA must be approved by the 
FDA. Amryt was granted a Pediatric Rare Disease Designation by the FDA in August 2018. On 2 June 2021, the NDA was 
accepted by the FDA and on 3 June 2021, a priority review for the NDA was granted by the FDA. 

(cid:129) Leverage our global commercial, medical affairs, market access and patient advocacy infrastructure. We intend to leverage this 
infrastructure and expertise to commercialise our development-stage pipeline, including our lead development candidate, 
Oleogel-S10, if approved, and any rare disease assets we may acquire or in-license in the future. We also intend to evaluate 
life-cycle opportunities for Oleogel-S10 in other severe, orphan dermatology conditions where there is high unmet medical 
need to seek to maximise its value over its period of exclusivity. 

(cid:129) Continue to develop our gene therapy platform with an initial focus on AP103, the first product candidate derived from the 

platform technology, for the treatment of DEB. AP103 is currently in preclinical development for the treatment of DEB. 
We intend to initiate clinical development in the second half of 2022. 

(cid:129) Continue to evaluate opportunities to expand our rare disease product portfolio and pipeline. We believe we are well 

positioned to continue to acquire or in-license rare disease assets that we believe we can efficiently develop and commercialise 
through our global infrastructure. 

Annual Report for the 12 months ended 31 December 2020

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STRATEGIC REPORT: 
Our Strengths

We believe our key competitive strengths include the following: 

Revenue-generating commercial products. We currently generate revenue, including royalties, from global sales of lomitapide 
and metreleptin. This revenue stream provides us with financial flexibility to fund the continued development and potential 
commercialisation of our existing development candidates as well as the potential acquisition or in-license of additional rare 
disease products and late-stage product candidates. 

Oleogel-S10 as a potential treatment for EB. We have completed the largest ever pivotal Phase 3 trial of Oleogel-S10 for the 
treatment of cutaneous manifestations of severe EB and the primary end point read out positive. We have made submissions for 
marketing authorisation to the FDA and EMA and are advancing our launch plans for Oleogel-S10, if approved. 

Existing, scalable global commercial and medical infrastructure. We sell lomitapide and metreleptin in the Americas, 
Europe and the Middle East through our existing rare disease commercial infrastructure. Our commercial expertise includes 
market access, marketing, sales managers and sales representatives and is supported by our experienced medical affairs team 
with medical science liaisons, patient advocacy and dieticians in the field. We also leverage our network of third-party distributors 
in other key markets throughout the world. We believe we will be able to leverage our existing global infrastructure and 
expertise to efficiently and expeditiously commercialise additional products we may acquire or develop, including our lead 
product candidate, Oleogel-S10, if approved. 

Proven track record of building a diversified rare disease product portfolio. We acquired Oleogel-S10 through the 
acquisition of Birken AG in 2016, in-licensed lomitapide in December 2016, in-licensed our gene therapy platform, including 
AP103, in March 2018 and acquired metreleptin and the remaining rights to lomitapide through the Acquisition of Aegerion Inc. 
in September 2019. 

Strong patent protection and regulatory exclusivity. We believe our intellectual property portfolio as well as protection 
afforded by regulatory exclusivity provide us with a substantial competitive advantage in marketing our current products and also 
protects our development programs. Our lomitapide patent portfolio includes patents that provide protection into 2027 in the 
US and into 2025 in the EU, with supplementary protection granted to extend patent protection in major EU countries into 2028. 
The metreleptin patent portfolio includes patents that provide protection into 2027 in the US and into 2022 in the EU and 
orphan exclusivity in the EU into 2028 with an additional 2 years of exclusivity to 2030 for completion of a paediatric 
investigation plan (“PIP”). The Oleogel-S10 patent portfolio includes patents that provide protection in both the US and the 
EU into 2030 and a non-provisional application covering future Oleogel-S10 indications which, if granted, would provide 
worldwide protection into 2039. We have also submitted additional patent applications to further strengthen our intellectual 
property portfolio. 

Experienced management team comprised of industry leaders in rare diseases. Our management team has extensive 
expertise in the acquisition, development and commercialisation of rare disease assets. We believe that the breadth of experience 
and successful track record of our management team and our Board, combined with our broad network of established 
relationships with leaders in the industry and medical community, provide us with strong drug development and 
commercialisation capabilities.

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FINANCIAL STATEMENTS

15

STRATEGIC REPORT: 
Financial Review

Revenues 

The revenues for each of our significant products were as follows: 

                                                                                                      Year ended 31 December 
2019 
$’000

2020
$’000

Metreleptin
Lomitapide
Other

Total revenues

106,872
74,750
985

182,607

25,088
32,260
776

58,124

Increase / (Decrease) 

$’000

81,784
42,490
209

124,483

% 

326.0% 
131.7% 
26.9% 

214.2% 

Total product sales were $182.6 million for the year ended 31 December 2020, compared to $58.1 million for the year ended 
31 December 2019. The increase in revenues was due to our acquisition of Aegerion in September 2019. Sales of metreleptin 
and lomitapide comprise product sales and royalties on sales, respectively, made by our licensees. 

Metreleptin 

We generated revenues from product sales of metreleptin of $106.9 million for the year ended 31 December 2020 compared to 
$25.1 million for the year ended 31 December 2019. The increase of $81.8m is primarily due to the effect of full year revenues 
from global product sales and royalties of metreleptin following the Acquisition that closed on 24 September 2019. 56.7% of 
product sales for metreleptin were in the US, with the remaining 43.3% in the EU and other international markets. 

Lomitapide 

We generated revenues from product sales of lomitapide of $71.8 million and royalties of $3.0 million from Recordati for the 
year ended 31 December 2020 compared to $31.6 million and $0.7 million for the year ended 31 December 2019, respectively. 
The increase is primarily due to the effect of full year revenues from product sales and royalties of Juxtapid following the 
Acquisition that closed on 24 September 2019. In 2019, revenues were generated from product sales of Lojuxta in the EMEA 
region for the full year together with revenues from product sales and royalties of Juxtapid in other jurisdictions from the date of 
Acquisition on 24 September 2019. 

Other 

Other revenues relate to sales from our in-house derma-cosmetic range of products, Imlan, and our early access program for 
Oleogel-S10. Imlan is marketed solely in Germany as a treatment for sensitive, allergy-prone skin. The increase in revenues in the 
year ended 31 December 2020 was mainly due to higher sales from our early access program product, Oleogel-S10. We intend 
to market Oleogel-S10 under the brand name of Filsuvez if it is approved for the treatment of EB. 

Cost of Sales 

                                                                                                       Year ended 31 December 
2019 
$’000

2020
$’000

Cost of product sales
Amortisation of acquired intangibles
Amortisation of inventory fair value step-up
Royalty expenses

Total cost of sales

25,854
42,966
27,617
22,592

119,029

11,384
11,457
7,473
8,419

38,733

Increase / (Decrease) 

$’000

14,470
31,509
20,144
14,173

80,296

% 

127.1% 
275.0% 
269.6% 
168.4% 

207.3% 

Annual Report for the 12 months ended 31 December 2020

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STRATEGIC REPORT: 
Financial Review continued

Total cost of sales was $119.0 million for the year ended 31 December 2020, representing the cost, including royalties, of selling 
metreleptin and lomitapide, the cost of delivery of goods sold to customers, including the costs associated with the services 
provided by the distributors to import and deliver the goods, the non-cash intangible amortisation and the non-cash inventory 
fair value step-up expenses. Total cost of sales was $38.7 million for the year ended 31 December 2019. The increase is driven by 
additional costs related to the cost, including royalties, of selling metreleptin and lomitapide, non-cash intangible amortisation 
and non-cash inventory fair value step-up expenses following the Acquisition date in addition to the pre-Acquisition period 
activity which represented the cost, including royalties, from sales of Lojuxta, Imlan and our Early Access Program for 
Oleogel-S10. 

The cost of product sales in the year ended 31 December 2020 increased by $14.5 million, and royalty expenses increased by 
$14.2 million in 2020 compared to the year ended 31 December 2019. The acquisition of lomitapide for markets outside the 
EMEA and metreleptin for all markets largely drove this increase in costs. Following the Acquisition, we are now selling two 
commercial products on a global basis, which results in a higher cost of producing our commercial products, higher royalties on 
sales, and higher costs of delivery of goods sold to customers, including the costs associated with the services provided by our 
distributors to import and deliver the goods. 

Amortisation of acquired intangible assets was $43.0 million in 2020 compared to $11.5 million in 2019. This relates to the 
amortisation charge, for the post-Acquisition period, on the two commercial assets purchased as part of the Acquisition. The 
increase is driven by the full year’s amortisation included in 2020 compared to amortisation in 2019 that related to the period 
from the date of Acquisition on 24 September 2019 to 31 December 2019. 

The non-cash inventory step-up expense was $27.6 million in 2019, compared to $7.5 million in 2019. This relates to the 
difference between the estimated fair value and the book value of inventory acquired from Aegerion which is being amortised 
over the estimated period that we expect to sell this inventory. The increase is driven by the post-Acquisition period activity. 

Research and Development Expenses 

Research and development expenses consist primarily of costs related to clinical studies and outside services, post-approval 
commitment studies, personnel expenses and other research and development costs. Study costs and outside services costs relate 
primarily to services performed by clinical research organisations, materials and supplies, and other third-party fees. Research and 
development expenses for the year ended 31 December 2020 were $27.6 million, representing 25.1% of our total operating 
expenses, compared to $15.8 million, or 22.7% of total operating expenses, for the year ended 31 December 2019. Research 
and development expenses in both years were primarily driven by the clinical advancement of Oleogel-S10 as we continued our 
global clinical trial sites. Research expenses in 2020 comprised $11.7 million in employee compensation, $11.3 million of 
amounts paid to clinical research organisations, and $4.6 million of other outsourced services. Research expenses in 2019 
comprised $4.8 million in employee compensation, $7.7 million of amounts paid to clinical research organisations, and 
$3.3 million of other outsourced services. 

Selling, General and Administrative Expenses 

Selling, general and administrative expenses were $76.7 million for the year ended 31 December 2020, representing 69.7% of 
our total operating expenses, compared to $35.5 million for the year ended 31 December 2019, representing 50.8% of our total 
operating expenses. The increase in selling, general and administrative expenses was primarily due to an increase in 
compensation-related expenses, primarily driven by higher headcount following the Acquisition, and an increase in other 
expenses related to the expansion and support of our business. 

Restructuring and Acquisition Costs 

Restructuring and acquisition costs for the year ended 31 December 2020 were $1.0 million compared to $13.0 million for the 
year ended 31 December 2019. These costs primarily relate to professional fees associated with the Acquisition, which was 
predominantly completed during 2019. The expenses also include severance costs associated with the relocation of a number of 
roles from the Boston office of Aegerion to our head office in Dublin, Ireland following the completion of the Acquisition. 

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FINANCIAL STATEMENTS

17

Share-Based Payment Expenses 

Non-cash share-based payment expenses for the year ended 31 December 2020 were $4.7 million, compared to $0.8 million in 
the year ended 31 December 2019. We issue share options and restricted share units as an incentive to senior management and 
employees. The fair value is measured at the grant date using the Black-Scholes model and amortised over the period during 
which the awards vest. 

Impairment charge 

In 2019, an impairment charge of $4.7 million was recorded to write off the remaining carrying value of an in process intangible 
asset, AP102, an early-stage drug asset which represents a novel, next generation somatostatin analogue (“SSA”) peptide 
medicine for patients with rare neuroendocrine diseases, where there is a high unmet medical need, including acromegaly. 
Acromegaly is a rare endocrine disorder in which the body produces excessive growth hormone, leading to abnormal growth 
throughout the body over time. Following the Acquisition, we made the decision to concentrate resources on those development 
pipeline activities that will better complement our existing commercial assets, lomitapide and metreleptin. In 2020 there was no 
impairment charge recorded. 

Non-Cash Change in Fair Value of Contingent Consideration 

We compute the fair value of the contingent consideration arising from the acquisition of Birken AG (now Amryt GmbH). The 
Amryt GmbH consideration relates to milestone payments of up to $35 million and royalty payments that are payable to the 
previous owners of Amryt GmbH, which are triggered by future regulatory approvals of Oleogel-S10 for the treatment of EB from 
both the FDA and EMA, as well as future sales-driven milestones. The finance expense for the year ended 31 December 2020 
was $27.8 million compared to $6.7 million for the year ended 31 December 2019. The increase in 2020 is driven by an increase 
in the probabilities and discount rates used in calculating the fair value of the contingent consideration. The market-based 
probability chance of success, based on market benchmarks for orphan drugs, was increased in 2020 following the positive 
results from our Phase 3 EASE trial of Oleogel-S10 earlier in the year. Additionally, the discount rate used in the calculation of the 
fair value of the contingent consideration was decreased, which was due to the significant change in the Group over the last 
12 months where the Group has significantly de-risked with growth in commercial revenues, positive top-line data on the Phase 
3 EASE trial of Oleogel-S10, increasing cash balances during the year, increasing share price and an additional equity fund raise 
during the year. 

Non-Cash Contingent Value Rights Finance Expense 

The $12.0 million non-cash CVR finance expense for the year ended 31 December 2020 represents the effective interest rate 
unwind on amortised cost between the carrying value of the CVRs from the initial recognition date to the reporting date of 
31 December 2019. The non-cash CVR finance expense for the year ended 31 December 2019 was $1.5 million. The increase in 
the 2020 finance expense is mainly driven by the market-based probability chance of success, based on market benchmarks for 
orphan drugs, which was increased in 2020 following the positive results from our Phase 3 EASE trial of Oleogel-S10 earlier in 
the year. 

We issued CVRs pursuant to which up to $85 million may become payable to Amryt shareholders and option holders who were 
shareholders prior to completion of the Acquisition, if certain regulatory approval and revenue milestones are met in relation to 
Oleogel-S10. 

Net Finance Expense - Other 

Other net finance expense was $19.6 million for the year ended 31 December 2020 compared to $4.8 million for the year ended 
31 December 2019. Other net finance expense mainly relates to interest on loans that is partially offset by foreign exchange 
gains, which amounted to $22.0 million and $2.7 million, respectively, for the year ended 31 December 2020. Interest on loans 
was $8.5 million for the year ended 31 December 2019. The increase in 2020 is due to a full year of interest in 2020 incurred on 
the Convertible Notes and Secured Credit Facility following the Acquisition. In 2019, the foreign exchange gain amounted to 
$3.8 million and in both years the foreign exchange gain primarily relates to the translation of euro and sterling-denominated net 
monetary amounts held by subsidiaries with a non-US dollar functional currency. 

Annual Report for the 12 months ended 31 December 2020

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18

STRATEGIC REPORT: 
Financial Review continued

Operating Loss and Total Comprehensive Loss 

The operating loss before finance expense for the year ended 31 December 2020 amounted to $46.5 million (2019: 
$50.5 million). 

In addition to analysing our operating results on an IFRS basis, management also reviews our results on an ‘’Adjusted EBITDA’’ 
basis. Adjusted EBITDA is defined as net loss before income taxes, non-cash change in fair value of contingent consideration, 
non-cash contingent value rights finance expense, net finance expense – other, amortisation expense, depreciation expense, 
share-based payments, and impairment charges. 

The following table reconciles adjusted EBITDA to total comprehensive loss for the period attributable to the equity holders of 
the Company: 

Loss for the year attributable to equity holders of the Company
Income taxes
Non-cash change in fair value of contingent consideration
Non-cash contingent value rights finance expense
Net finance expense – other
Amortisation of inventory fair value step-up
Amortisation expense - other
Depreciation expense
Share-based payments
Impairment charge

Adjusted EBITDA

Liquidity and Capital Resources 

Year ended 31 December  
2019 
$’000 

2020
$’000

(104,527)
(1,332)
27,827
12,004
19,569
27,617
43,168
1,297
4,729
–

30,352

(62,998) 
(495) 
6,740 
1,511 
4,759 
7,473 
11,583 
698 
841 
4,670 

(25,218) 

We had unrestricted cash and cash equivalents of $118.6 million and $65.2 million as at 31 December 2020 and 
31 December 2019, respectively. We have financed our operations primarily through sales of our commercial products, sales of 
our ordinary shares and debt financing. We expect to incur significant expenses for the foreseeable future as we continue 
commercialising our approved products and advancing the clinical development of our product candidates. We expect that our 
R&D and SG&A costs will increase in connection with conducting clinical trials for our product candidates and any new product 
candidates we acquire or develop and due to the costs of seeking marketing approval for our product candidates in Europe, the 
US and other jurisdictions. 

Cash Flows 

The table below provides selected cash flow information for the periods indicated (in thousands): 

Net cash flow from / (used in) operating activities
Net cash flow from / (used in) investing activities
Net cash flow from financing activities
Exchange and other movements

Net change in cash and cash equivalents

Amryt Pharma plc

Year ended 31 December  
2019 
$’000 

2020
$’000

26,891
(2,379)
26,028
1,029

51,569

(37,472) 
24,425 
65,942 
3,108 

56,003

 
 
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FINANCIAL STATEMENTS

19

Net Cash Flow From / (Used in) Operating Activities 

Net cash from operating activities was $26.9 million for the year ended 31 December 2020, compared to net cash used in 
operating activities of $37.5 million for the year ended 31 December 2019. The increase of $64.4 million was primarily driven by 
the increased scale of our business and working capital fluctuations. 

Net Cash Flow From / (Used in) Investing Activities 

Net cash used in investing activities was $2.4 million for the year ended 31 December 2020 and primarily related to payments for 
property, plant and equipment and payments for intangible assets. 

Net cash from investing activities was $24.4 million for the year ended 31 December 2019 and primarily related to the Aegerion 
cash balance of $25.0 million, which we acquired in the Acquisition. A significant proportion of this cash balance was restricted 
and held in escrow to meet costs associated with the Aegerion bankruptcy process. 

Net Cash Flow From Financing Activities 

Net cash flow from financing activities was $26.0 million for the year ended 31 December 2020. On 8 December 2020, we 
entered into a securities purchase agreement with several institutional accredited investors for the private placement of 
3,200,000 ADSs, at a purchase price of $12.50 per ADS, yielding gross proceeds of $40 million and net proceeds of 
$37.9 million. The private placement included new and existing investors including Stonepine Capital, LP, Aquilo Capital 
Management, LLC, Amati Global Investors, Athyrium Capital Management, LP and Highbridge Capital Management, among 
others. These cash inflows were partially offset by interest paid on our Secured Credit Facility of $4.1 million and on the 
Convertible Notes of $6.4 million. 

Net cash flow from financing activities was $65.9 million for the year ended 31 December 2019 and primarily related to net 
proceeds from the issuance of shares of $63.0 million and the issuance of new debt of $31.2 million. These cash inflows were 
partially offset by the repayment of our EIB Facility of $22.0 million and interest paid to the EIB and on our Secured Credit Facility 
of $6.3 million. 

Debt Financing 
In December 2016, we entered into the EIB Facility, a €20 million credit facility split into three tranches: €10 million available 
immediately, and two further tranches of €5 million available upon the achievement of certain milestones. In April 2017, 
we drew down the first tranche of €10 million. In September 2018, we drew down the second tranche of €5 million. In 
December 2018 the terms of the third tranche were amended to give us the option to draw down this final tranche on the 
condition that the EASE Phase 3 trial interim efficacy results were positive. In February 2019, after we reported the outcome of 
an unblinded interim efficacy analysis of the EASE trial, we drew down the final tranche of €5 million. The EIB Facility was 
secured by our intellectual property assets. It also contained a negative covenant restricting our ability to grant security interests 
over any of our assets over the course of the loan period. 

The EIB Facility was repaid in full on 24 September 2019 in connection with the closing of the Acquisition. In connection with the 
Acquisition we entered into the $81 million Secured Credit Facility and issued $125 million of Convertible Notes. 

Annual Report for the 12 months ended 31 December 2020

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20

STRATEGIC REPORT: 
Financial Review continued

Contractual Obligations 

The following summarises our contractual obligations as of 31 December 2020: 

                                                                                                                  Payments Due by Period 
                                                                            Less than 
                                                                                1 year

1 to 3 
years

3 to 5 
years

More than 
5 years

Principal debt obligations                                         12,197
Operating leases obligations                                      1,050
Contingent consideration and  
contingent value rights                                            62,283
Other liabilities                                                           3,993

Total                                                                       79,523

25,627
2,046

35,000
21,382

84,055

252,024
1,726

30,708
–

284,458

–
3,998

–
–

3,998

Total 

289,848 
8,820 

127,991 
25,375 

452,034 

The principal debt obligations relate to our $81 million Secured Credit Facility and our Convertible Notes with an aggregate 
principal amount of $125 million and the interest associated with these facilities. The Secured Credit Facility has a five-year term 
from date of draw down and matures in 2024. Interest will be payable at our option at the rate of 11% per annum paid in cash 
on a quarterly basis or at a rate of 6.5% paid in cash plus 6.5% paid in kind that will be paid when the principal is repaid, which 
rolls up and is included in the principal balance outstanding, on a quarterly basis. For the purposes of the contractual obligations 
table above, we assume that we choose to pay interest at a rate of 6.5% paid in cash plus 6.5% paid in kind that will be paid 
when the principal is repaid. The Convertible Notes bear interest at a rate of 5.0% per year, payable semi-annually in arrears on 
1 April and 1 October of each year, beginning on 1 April 2020. The Convertible Notes will mature on 1 April 2025, unless earlier 
repurchased or converted. For the purposes of the contractual obligations table above, we assume that there is no conversion 
and that the Convertible Notes are repaid in full on 1 April 2025. 

We have operating leases commitments for offices in the US, EU and Latin America, a production facility in Germany and office 
equipment leases. 

Contingent consideration and contingent value rights arose as part of (i) the acquisition of Amryt GmbH in 2016, through which 
we acquired Oleogel-S10, and (ii) the issuance of CVRs to Amryt shareholders and option holders prior to the Acquisition of 
Aegerion. The contingent consideration and contingent value rights arising on these transactions are payable on achieving 
various milestones and sales royalties. 

Other liabilities relate to our obligations, inclusive of interest, under Aegerion’s settlement agreements with the SEC and DOJ.

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

21

STRATEGIC REPORT: 
Key Performance Indicators 

Revenue growth is a key measure for the Group. We currently generate revenue, both product and royalty revenues, from global 
sales of lomitapide and metreleptin. A key focus for us is to drive revenue growth in the markets and indications that we 
currently sell them. We also intend to expand the market opportunity for both these products – seeking approval for the use of 
lomitapide to treat pediatric HoFH patients and for the use of metreleptin to treat PL in the US. 

Adjusted EBITDA growth is an important financial performance indicator for the Group. The positive momentum we experienced 
during 2019 has continued through 2020. Most importantly, we have experienced strong revenue growth and the business 
significantly, turned adjusted EBITDA positive a quarter ahead of schedule in Q1 2020. 

Our ability to leverage our global commercial and medical infrastructure is a key performance indicator to ensure we achieve 
significant synergies arising from acquisitions. This has been a key focus for the Group. 

As we are currently in the pre-revenue stage for our lead development asset, Oleogel-S10, a core focus of our business is on 
progression of this drug candidate through the clinic and regulatory approval into an approved product for the treatment of EB. 
Following the positive date readout from our EASE trial, we are currently progressing regulatory submissions for Oleogel-S10 with 
the relevant authorities in both the US and Europe and preparing for launch, if approved. 

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 University College Dublin (“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. In 2019, the Group completed the acquisition of Aegerion which 
was a transformational deal for Amryt. We now have a diversified portfolio comprised of two commercial rare disease products 
as well as a development-stage pipeline focused on rare diseases. We continue to evaluate opportunities to expand our rare 
disease portfolio and pipeline. 

Annual Report for the 12 months ended 31 December 2020

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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: 

(cid:129) The Board of Directors meets 

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

(cid:129) The senior management meets at 

least three times 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; and 

(cid:129) Commercial, clinical and other 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 the 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 however further risk factors 
affecting the Group can be found in the 
Risk Factors section of our 20-F at 

Amryt Pharma plc

https://www.amrytpharma.com/investors/
reports/: 

We have incurred operating losses 
since our inception and we may not 
achieve or maintain profitability in 
the future. 

To date, we have financed our 
operations primarily through a 
combination of revenues from sales of 
our commercialised products, term loans 
and the sale of our equity securities and 
convertible bonds. We have incurred net 
losses since our inception, including net 
losses of $30.6 million, $62.2 million 
and $106.7 million for the years ended 
31 December 2018, 2019 and 2020, 
respectively. We have devoted most of 
our financial resources to the acquisition 
of attractive commercial and 
near-commercial rare disease assets and 
research and development. We 
anticipate that we will continue to incur 
significant costs associated with the 
continued commercialisation of 
lomitapide and metreleptin, and in 
connection with ongoing clinical 
development efforts and post-marketing 
commitments for these products as well 
as the continued development of our 
product candidates. The amount of our 
future net losses will depend, in part, on 
the rate of our future expenditures, our 
ability to continue generating adequate 
revenues from sales of lomitapide and 
metreleptin and from sales of 
Oleogel-S10 if approved, and our ability 
to obtain funding through equity or 
debt offerings, grant funding, 
collaborations, strategic partnerships 
and/or licensing arrangements. If we do 
become profitable, we may not be able 
to sustain or increase our profitability on 
a quarterly or annual basis. 

Our future performance depends, in 
part, on our ability to successfully 
implement our strategy. 

Our future success will depend on our 
ability to implement our strategy to 
develop and expand our existing 
portfolio of drugs to treat patients with 
rare diseases and to create a rare 
disease company with a diversified 
offering of multiple development stage 
and commercial assets that can provide 
us with scale to support future growth. 
Implementing our strategy requires 
substantial time and resources from our 
management team. Our Board and 
management may not be able to 
successfully implement our strategy or 
other strategies to be developed by 
management, and implementing these 
strategies may not sustain or improve, 
and could even harm, our business, 
financial condition, results of operations 
and prospects. 

We are dependent primarily on two 
products, lomitapide and 
metreleptin, to generate revenue 
and these products may not be 
successful and may not generate 
sales at anticipated levels. 

Our ability to meet expectations with 
respect to sales of lomitapide and 
metreleptin, and to generate revenues 
from such sales, and attain and maintain 
positive cash flow from operations, in 
the time periods anticipated, or at all, 
will depend on a number of factors, 
including, among others: 

(cid:129) the ability to continue to maintain 
and grow market acceptance for 
lomitapide and metreleptin among 
healthcare professionals and patients 
in the US, EU and other key markets 
for the treatment of approved 
indications; 

(cid:129) continuing market demand and 
medical need for these products; 

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STRATEGIC REPORT

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FINANCIAL STATEMENTS

23

We may not be successful in our 
efforts to build a pipeline of product 
candidates and develop additional 
marketable products. 

We operate in the biopharmaceutical 
sector and have product candidates in 
various stages of clinical and preclinical 
development. In addition, we may 
continue to explore other opportunities 
within the sector in order to expand our 
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 our present development 
pipeline. In addition, disruptions caused 
by the COVID-19 pandemic may 
increase the likelihood that we 
encounter such difficulties or delays in 
initiating, enrolling, conducting or 
completing our planned and ongoing 
clinical trials. We may not be successful 
in developing new products based on 
our scientific discoveries. We will also 
face the risk that in developing new 
products we may spend substantial 
sums of money and the new products 
developed may not effectively meet the 
perceived need or may not be 
successfully commercialised. Our ability 
to develop new products relies on, 
among other things, the recruitment of 
sufficiently qualified research and 
development partners with expertise in 
the biopharmaceutical sector. We may 
not be able to develop relationships or 
recruit research partners of a sufficient 
calibre to satisfy the rate of growth and 
develop our future pipeline. 

Adverse events involving any of our 
products and product candidates 
may lead the US Food & Drug 
Administration (“FDA”), the 
European Medicines Agency 
(“EMA”) or other regulatory 
authorities to delay or deny 
clearance for our products or result 
in product recalls that could harm 
our reputation, business and 
financial results. 

The FDA and the EMA, as well as similar 
governmental authorities in other 
jurisdictions, have the authority to 
require the recall of certain 
commercialised products in the event of 
adverse side effects, material 
deficiencies or defects in design or 
manufacture. Manufacturers may, under 
their own initiative, recall a product if 
any material deficiency in a product is 
found. A government-mandated recall 
or voluntary recall by us or one of our 
distributors could occur as a result of 
adverse side effects, impurities or other 
product contamination, manufacturing 
errors, design or labelling defects or 
other deficiencies and issues. Recalls of 
any of our products or product 
candidates would divert managerial and 
financial resources and have an adverse 
effect on our financial condition and 
results of operations. A recall 
announcement could harm our 
reputation with customers and 
negatively affect our sales, if any. 

(cid:129) the development, acquisition, licensing 

or introduction of competitive 
products that are more effective, have 
a more favorable safety profile or are 
less costly than our products; 

(cid:129) maintaining regulatory approvals 
without onerous restrictions or 
limitations in key markets and 
securing regulatory approvals in 
additional markets on a timely basis 
and with commercially feasible labels, 
and pricing and reimbursement 
approvals at adequate levels, where 
required, on a timely basis; 

(cid:129) side effects or other safety issues 

associated with the use of lomitapide 
and metreleptin could require us or 
our collaborators to modify or halt 
commercialisation of these products 
or expose us to product liability 
lawsuits which will harm our business; 

(cid:129) we may be required by regulatory 
agencies to conduct additional 
studies regarding the safety and 
efficacy of lomitapide and 
metreleptin, which we have not 
planned or anticipated; 

(cid:129) generating revenues in markets that 
allow for supply of pharmaceutical 
products without regulatory approval 
based solely on the approvals of such 
products in the US or EU, and in 
which no promotion or 
commercialisation activities are 
permitted; and 

(cid:129) adequately investing in the 

manufacturing, sales, marketing, 
market access, medical affairs and 
other functions that are supportive of 
our commercialisation efforts. 

If we are unable to continue to generate 
revenue from our current commercial 
products, our business, financial 
condition, results of operations and 
prospects will be adversely affected. 

Annual Report for the 12 months ended 31 December 2020

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24

STRATEGIC REPORT: 
Risks and Uncertainties continued

Our future success depends on our 
ability to hire and retain key 
executives and to attract, retain and 
motivate qualified personnel. 

Our future success depends on our 
ability to attract and retain key 
management personnel, scientific and 
technical personnel, particularly in the 
biopharmaceutical industry. Our ability 
to continue our operations and 
implement our strategy depends upon 
retaining, recruiting and motivating 
employees, especially with respect to 
our management team and research 
personnel. Experienced employees in 
the biopharmaceutical and 
biotechnology industries are in high 
demand and competition for their 
talents can be intense, especially in 
Ireland and Boston, Massachusetts, 
where we maintain our principal 
operations. We have entered into 
employment agreements with executive 
officers and other key employees, but 
any employee may terminate his or her 
employment at any time or may be 
unable to continue in his or her role. 
The loss of any executive or key 
employee, or an inability to recruit 
desirable candidates or find adequate 
third parties to perform such services on 
reasonable terms and on a timely basis, 
could have a material adverse effect on 
our business, financial condition, results 
of operations and prospects. If we are 
not able to attract, retain and motivate 
necessary personnel to accomplish our 
business objectives, we may experience 
constraints that could significantly 
impede our ability to achieve our 
development and commercial objectives, 
our ability to raise additional capital and 
our ability to implement our business 
strategy. 

Amryt Pharma plc

For U.S. federal income tax 
purposes, Amryt is treated as a 
surrogate foreign corporation, and 
there is a risk that Amryt may be 
treated as a U.S. corporation under 
certain circumstances, including as a 
result of proposed U.S. federal tax 
legislation. 

Section 7874 of the Code and the 
Treasury regulations promulgated 
thereunder contain two alternative sets 
of rules under which a U.S. target 
corporation may be subjected to certain 
additional U.S. federal income taxes or a 
non-U.S. acquiring corporation (such as 
Amryt) may be treated as a 
U.S. corporation for U.S. federal income 
tax purposes as a result of the 
acquisition. Which set of rules applies 
depends on what percentage of the 
non-U.S. acquiring corporation’s stock 
the historic stockholders of the 
U.S. target corporation own or are 
treated as owning, under certain 
counting conventions, by reason of 
holding shares of the U.S. target 
corporation following the transaction 
(which we refer to as the “Section 7874 
Percentage”). One set of rules imposes a 
tax on certain gain and income of the 
U.S. target corporation, and potentially 
certain other taxes, if (in addition to 
other requirements) the Section 7874 
Percentage is at least 60 percent 
(by vote or value). The other set of rules 
under Section 7874 of the Code treats 
the non-U.S. acquiring corporation as a 
U.S. corporation for U.S. federal income 
tax purposes if (in addition to other 
requirements) the Section 7874 
Percentage is at least 80 percent (by 
vote or value). If the Section 7874 
Percentage is at least 60 percent (by 
vote or value), the non-U.S. acquiring 
corporation is considered a “surrogate 
foreign corporation,” and the 
U.S. target corporation is considered an 
“expatriated entity” with respect to the 
non-U.S. acquiring corporation. 

Amryt believes that, as a result of 
Amryt’s acquisition of Aegerion in 2019 
(which we refer to as the “Prior 
Acquisition”), Amryt is treated as a 
surrogate foreign corporation (the 
60 percent test), but not as a 
U.S. corporation (the 80 percent test). 
Please see the discussion under the 
heading “Risk Factors—Risks Related to 
our Business, Financial Condition and 
Capital Requirements—We expect that 
certain U.S. federal income tax rules 
regarding “inversion transactions” will 
apply to us, which could result in 
adverse U.S. federal income tax 
consequences” in Amryt’s registration 
statement on Form F-1 originally filed 
with the SEC on January 8, 2021. As a 
result of Amryt’s status as a surrogate 
foreign corporation, dividends paid in 
respect of the Amryt ADSs are not 
expected to be eligible to be taxed at 
favourable rates that otherwise are 
applicable to “qualified dividend 
income” received by non-corporate 
U.S. holders if certain additional 
conditions are satisfied. 

It is possible that a future change in law 
could expand the scope of Section 7874 
of the Code on a retroactive basis. In 
this regard, on April 29, 2021, a bill 
(entitled the “Stop Corporate Inversions 
Act of 2021”) was introduced in 
Congress which proposes, among other 
things, to change Section 7874 of the 
Code in such a way so as to treat as a 
U.S. corporation for U.S. federal income 
tax purposes a non-U.S. acquiring 
corporation that acquires a U.S. target 
corporation on or after May 8, 2014 in 
a transaction in which the Section 7874 
Percentage is at least 50 percent 
(if certain other requirements are met). 
This proposed change in law is similar to 
legislative changes previously introduced 
in both houses of Congress by certain 
Democratic members. In addition, on 
May 28, 2021, the U.S. Treasury 
Department released the “General 

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STRATEGIC REPORT

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FINANCIAL STATEMENTS

25

Explanations of the Administration’s 
Fiscal Year 2022 Revenue Proposals,” 
which announced President Biden’s 
proposal to similar effect, but proposed 
that the changes would be effective for 
transactions that are completed after 
the date of enactment. President Biden’s 
proposal does not specify whether 
transactions, such as the merger, that 
are subject to a written binding 
agreement in effect prior to the date of 
enactment would be exempted from the 
proposed changes. Under the counting 
conventions referred to above, it is 
possible that the Section 7874 
Percentage resulting from the merger 
could be at least 50 percent. The merger 
agreement contains a provision in 
Section 7.05(e) thereof that requires the 
parties to undertake their respective 
reasonable best efforts to restructure 
the transactions governed by the 
merger agreement to prevent Amryt 
from being treated as a U.S. corporation 
in certain circumstances. 

If Amryt were treated as a US 
corporation, its entire net income would 
be subject to US federal income tax on a 
net income basis and would be 
determined under US federal income tax 
principles. Further, Amryt’s treatment as 
a U.S. corporation may have material 
adverse effects on the business, financial 
condition, results of operations and 
prospects of the Amryt and its 
subsidiaries. 

We expect that, as a result of Amryts 
merger with Chiasma, Inc. Amryt will be 
a surrogate foreign corporation with 
respect to Chiasma, because Chiasma 
will be “related” to Aegerion under 
Section 7874 of the Code. Assuming 
that Chiasma will be treated as an 
expatriated entity, several limitations will 
apply to Chiasma, including, but not 
limited to, the prohibition, for a period 
of ten years from the closing date of the 
Prior Acquisition, of the use of net 

operating losses, foreign tax credits and 
other tax attributes to offset the income 
or gain recognized by reason of transfer 
of any property to a foreign related 
person or to offset any income received 
or accrued during such period by reason 
of Amryt’s license of any property to a 
foreign related person. Moreover, in 
such case, an additional minimum tax 
under Section 59A of the Code on 
certain “base eroding” payments to 
certain affiliates that are foreign 
corporations may be imposed on 
Chiasma as a result of its status as an 
expatriated entity. 

The application of Section 7874 of the 
Code is complex, subject to detailed 
regulations (the application of which is 
uncertain in various respects and could 
be impacted by changes in US Treasury 
regulations with possible retroactive 
effect) and subject to certain factual 
uncertainties, some of which must be 
finally determined after the completion 
of the merger. Furthermore, it is possible 
that a future change in law could 
expand the scope of Section 7874 of 
the Code on a retroactive basis. 
Accordingly, there can be no assurance 
that the IRS will not challenge the status 
of Amryt as a non-US corporation for 
U.S. federal income tax purposes under 
Section 7874 of the Code or that such 
challenge would not be sustained by a 
court. If the IRS were to successfully 
challenge Amryt’s status as a non-US 
corporation for US federal income tax 
purposes under Section 7874 of the 
Code. Amryt and certain Amryt 
shareholders may be subject to 
significant adverse tax consequences, 
including a higher effective corporate 
income tax rate on Amryt and future 
withholding taxes on certain Amryt 
shareholders, depending on the 
application of any applicable income tax 
treaty that may apply to reduce such 
withholding taxes. 

Our global operations subject us to 
significant tax risks. 

We are subject to tax rules in the 
jurisdictions in which we operate. 
Changes in tax rates, tax relief and tax 
laws, changes in practice or 
interpretation of the law by the relevant 
tax authorities, increasing challenges by 
relevant tax authorities or any failure to 
manage tax risks adequately could result 
in increased charges, financial loss, 
penalties and reputational damage. Tax 
authorities may actively pursue 
additional taxes based on retroactive 
changes to tax laws which could result 
in a material restatement to our tax 
position. Any of these factors could 
have a negative impact on our business, 
financial condition, results of operations 
and prospects. 

The outbreak of COVID-19 could 
adversely impact our business, 
including our preclinical studies and 
clinical trials. 

Since a novel strain of coronavirus, 
SARS-CoV-2, causing a disease referred 
to as COVID-19, was first reported in 
December 2019, the disease has spread 
across the world, including countries in 
which we have planned or active clinical 
trial sites. The outbreak and government 
measures taken in response have also 
had a significant impact, both direct and 
indirect, on businesses and commerce, 
as worker shortages have occurred; 
supply chains have been disrupted; 
facilities and production have been 
suspended; and demand for certain 
goods and services, such as medical 
services and supplies, has spiked, while 
demand for other goods and services, 
such as travel, has fallen. In response to 
the spread of COVID-19, we have closed 
our executive offices with our 
administrative employees continuing 
their work outside of our offices and 
limited the number of staff in any given 
manufacturing facility. As COVID-19 

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26

STRATEGIC REPORT: 
Risks and Uncertainties continued

continues to spread around the globe, 
we may experience disruptions that 
could affect our business, preclinical 
studies and clinical trials, including: 

(cid:129) healthcare budgets may be adversely 
affected and as a result, funding may 
not be available to pay for our 
products; 

(cid:129) interruption or delays in the 

operations of the FDA, EMA or other 
regulatory authorities, which may 
impact review and approval timelines 
of our products, including review and 
approval timelines for Oleogel-S10 
which may be impacted by the need 
to undertake pre-approval 
inspections of our facilities before 
approval is granted; 

(cid:129) delays in necessary interactions with 
local regulators, ethics committees 
and other important agencies and 
contractors due to limitations in 
employee resources or forced 
furlough of government employees; 

(cid:129) impairment of our operations, 

including among others, employee 
mobility and productivity, availability 
of facilities, conduct of clinical trials, 
manufacturing and supply capacity, 
disruption of our supply chain, 
availability of shipping and 
distribution channels, restrictions on 
import and export regulations and 
the availability and productivity of 
third party service suppliers; 

(cid:129) incurrence of delays in the delivery of 

our products, or our inability to 
deliver products to our patients, or 
our sales representatives may 
continue to be unable to meet in 
person with physicians and hospitals 
to identify new patients for our 
products; 

Amryt Pharma plc

(cid:129) disruptions that could affect our 

o   interruption of key clinical trial 

business, specifically the 
development, manufacture and 
labelling of our products; 

(cid:129) unsuccessful and/or untimely 

completion of preclinical and clinical 
development of our product 
candidates and any other future 
candidates, as well as the associated 
costs, including 

o   delays or difficulties in initiating, 

enrolling, conducting or 
completing our planned and 
ongoing clinical trials; 

o   risk that participants enrolled in 
our clinical trials will acquire 
COVID-19 while the clinical trial is 
ongoing, which could result in 
patients dropping out of the 
clinical trial or impact the results 
of the clinical trial, including by 
increasing the number of 
observed adverse events; 

o   existing patients with serious 

diseases included in our clinical 
trials may die as a result of 
contracting COVID-19 or suffer 
other adverse medical events for 
reasons that may not be related to 
our products or candidates; 

o   diversion of healthcare resources 
away from the conduct of clinical 
trials, including the diversion of 
hospitals serving as our clinical 
trial sites and hospital staff 
supporting the conduct of our 
clinical trials; 

o   delays in clinical sites receiving the 
supplies and materials needed to 
conduct our clinical trials due to 
staffing shortages, production 
slowdowns or stoppages and 
disruptions in delivery systems;

activities, such as clinical trial site 
monitoring, due to limitations on 
travel imposed or recommended 
by federal, state or local 
governments, employers and 
others or interruption of clinical 
trial subject visits and study 
procedures (such as pre-planned 
clinical trial assessments), which 
may impact the integrity of 
subject data and clinical study 
endpoints; 

o   refusal of the FDA to accept data 
from clinical trials in affected 
geographies outside the US; 

o   changes in local regulations as 

part of a response to the 
COVID-19 pandemic which may 
require us to change the ways in 
which our clinical trials are 
conducted, which may result in 
unexpected costs, or to 
discontinue the clinical trials 
altogether; 

o   suspension or termination of a 

clinical trial by us, by the 
Institutional Review Boards 
(“IRBs”) of the institutions in 
which such trial is being 
conducted, by a Data and Safety 
Monitoring Board (“DSMB”) for 
such trial or by the FDA, the EMA 
or comparable foreign regulatory 
authorities due to a number of 
factors, including failure to 
conduct the clinical trial in 
accordance with regulatory 
requirements or our clinical 
protocols, inspection of the clinical 
trial operations or trial site by the 
FDA, the EMA or comparable 
foreign regulatory authorities 
resulting in the imposition of a 
clinical hold, unforeseen safety 
issues or adverse side effects; and 

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27

(cid:129) disruption and volatility in the global 
capital markets, which increases the 
cost of capital and adversely impacts 
access to capital should we have 
specific strategic considerations 
which require it. 

The global pandemic of COVID-19 
continues to evolve rapidly. The ultimate 
impact of the COVID-19 pandemic or a 
similar health epidemic is highly 
uncertain and subject to change. We do 
not yet know the full extent of potential 
delays or impacts on our business, 
preclinical studies, clinical trials, 
healthcare systems or the global 
economy as a whole. However, these 
effects could have a material impact on 
our operations, and we will continue to 
monitor the COVID-19 situation closely. 

Any future acquisitions we make 
may expose us, to risks that could 
adversely affect our business, and 
we may not achieve the anticipated 
benefits of acquisitions of 
businesses or technologies. 

As a part of our growth strategy, we 
may make additional acquisitions of 
complementary businesses. Any future 
acquisition will involve numerous risks 
and operational, financial and 
managerial challenges, any of which 
could adversely affect our business, 
financial condition or results of 
operations. There can be no assurance 
that any of the acquisitions we may 
make will be successful or will be, or will 
remain, profitable. Our failure to 
successfully address the foregoing risks 
may prevent us from achieving the 
anticipated benefits from any acquisition 
in a reasonable time frame, or at all. 

Our products may not gain market 
acceptance, in which case we may 
not be able to generate product 
revenues. 

Physicians, healthcare providers, 
patients, payers or the medical 
community may not accept or use our 
approved products. Efforts to educate 
the medical community and third-party 
payers on the benefits of the products 
may require significant resources and 
may not be successful. Notwithstanding 
the level of revenues historically 
generated from the sale of lomitapide 
and metreleptin, if any of our existing 
marketed products or product 
candidates do not achieve an adequate 
level of acceptance, we may struggle to 
continue to generate significant product 
revenues and may not in the future 
generate any profits from operations. 

We face significant competition 
from other biotechnology and 
pharmaceutical companies. 

The specific markets in which we 
operate are highly competitive and this 
competition could harm our results of 
operations, cash flows and financial 
condition. Our competitors include 
major international pharmaceutical 
companies as well as smaller or regional 
specialty pharmaceutical and 
biotechnology companies. We may be 
forced to either lower the selling prices 
of our products in response to 
competitor pricing or lose patients who 
choose lower-priced products. Many of 
our competitors are larger, have greater 
financial resources and a lower cost 
structure. As a result, our competitors 
may be better equipped to withstand 
changes in economic and industry 
conditions. These competitors currently 
engage in, have engaged in or may in 
the future engage in the development, 
manufacturing, marketing and 
commercialisation of new 
pharmaceuticals, some of which may 

compete with our products. 
Competition may also arise from, 
among other things, other drug 
development technologies, methods of 
preventing or reducing the incidence of 
disease, including vaccines and new 
small molecule or other classes of 
therapeutic agents. Smaller or early 
stage companies may also be significant 
competitors, particularly through 
collaborative arrangements with large, 
established companies. Key competitive 
factors affecting the commercial success 
of our products and any other products 
that we develop or acquire are likely to 
be safety, efficacy, tolerability profile, 
reliability, convenience of dosing, price 
and reimbursement. We may also face 
future competition from companies 
selling generic alternatives to our 
products in countries where we do not 
have patent coverage, Orphan Drug 
status or another form of data or 
marketing exclusivity or where patent 
coverage or data or marketing 
exclusivity has expired, is not enforced, 
or may, in the future, be challenged. 

A significant competitor to our 
lomitapide product is a class of drugs 
known as PCSK9 inhibitors. Two main 
brands dominate the marketplace – 
Praluent and Repatha which are both 
approved in the EU and the US. Sales of 
PCSK9 inhibitors compete with sales of 
lomitapide and we expect that this 
product will continue to compete with 
lomitapide. In addition, one of our 
competitors, Regeneron Pharmaceuticals 
Inc., is developing evinacumab, a 
human monoclonal antibody directed 
against the activity of angiopoietin-like 
3 (“ANGPTL3”) for the treatment of 
HoFH. In August 2019, Regeneron 
announced positive topline data from its 
ongoing Phase 3 trial in HoFH; the FDA 
approved evinacumab on 11 February 
2021 for adults and pediatric patients 
12 years and older for treatment of 
HoFH. In June 2020, Regeneron stated 

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STRATEGIC REPORT: 
Risks and Uncertainties continued

that the EMA recommended an 
accelerated assessment for 
evinacumab’s review. Regeneron 
launched evinacumab in the US in 
March 2021. The EU is expected to 
grant marketing authorization by 
Q3 2021. Although administered 
through intravenous infusion, physicians 
may now consider this product for HoFH 
patients as an alternative to lomitapide. 
Other competitors may succeed in 
developing, acquiring or licensing 
additional pharmaceutical products that 
are introduced into the market and that 
are more effective, have a more 
favorable safety profile or are less costly 
than our products. 

Other competitors may succeed in 
developing, acquiring or licensing 
additional pharmaceutical products that 
are introduced into the market and that 
are more effective, have a more 
favorable safety profile, or are less costly 
than our products. If we do not 
compete successfully, our operating 
margins, financial condition and cash 
flows could be adversely affected. 

The successful commercialisation of 
our product candidates will depend 
in part on the extent to which 
governmental authorities and health 
insurers establish adequate 
coverage, reimbursement levels and 
pricing policies. Failure to obtain or 
maintain coverage and adequate 
reimbursement for our product 
candidates, if approved, could limit 
our ability to market those products 
and decrease revenue generating 
ability. 

The availability and adequacy of 
coverage and reimbursement by 
governmental healthcare programs such 
as Medicare and Medicaid, private 
health insurers and other third-party 
payers is essential for many patients to 
be able to afford prescription 

Amryt Pharma plc

medications such as our products and 
potential product candidates, assuming 
regulatory approval is obtained. Our 
ability to achieve acceptable levels of 
coverage and reimbursement for 
products by governmental authorities, 
private health insurers and other 
organisations will affect the success of 
our approved products and product 
candidates. Assuming we obtain 
coverage for our product candidates by 
third-party payers, the resulting 
reimbursement payment rates may not 
be adequate or may require 
co-payments that patients find 
unacceptably high. We cannot be sure 
that coverage and reimbursement in the 
US, the EU Member States, or elsewhere 
will be available for the product 
candidates or any product that we may 
develop, and any reimbursement that 
may become available may be decreased 
or eliminated in the future. 

Further, it is possible that a third-party 
payer may consider our product 
candidates as substitutes and only offer 
to reimburse patients for a less 
expensive product. Even if we show 
improved efficiency or convenience of 
administration with our product 
candidates compared to products 
marketed by our competitors and the 
prevailing standard of care (“SOC”), the 
pricing of existing therapies may still 
limit the amount we could charge. 
Third-party payers may deny or revoke 
the reimbursement status of any given 
product or establish new prices for 
existing marketed products that inhibit 
us from realising an appropriate return 
on our investment in the product 
candidates. If reimbursement is not 
available or is available only at limited 
levels, we may not be able to 
successfully commercialise our product 
candidates, and may not be able to 
obtain a satisfactory financial return on 
them. 

Outside the US, the success of our 
products and operations is subject 
to extensive governmental price 
controls and other market 
regulations which may materially 
and adversely affect our ability to 
generate commercially reasonable 
revenue and profits. 

Our operations are subject to extensive 
governmental price controls and other 
market regulations in the UK and other 
countries outside of the US. The 
increasing emphasis on cost-containment 
initiatives in the various EU Member 
States and other countries can put 
pressure on the pricing and usage of 
currently marketed products and product 
candidates in the future. In many 
countries, the prices of medical products 
are subject to varying price control 
mechanisms as part of national health 
systems. Some EU Member States have 
established free-pricing systems, but 
regulate the pricing for drugs, inter alia, 
through profit control schemes. However, 
the UK, which has implemented the 
most vigorous scheme, has officially left 
the EU on 31 January 2020. Additional 
foreign price controls or other changes in 
pricing regulation could restrict the 
amount that we are able to charge for 
our product candidates. Accordingly, in 
markets outside the US, the 
reimbursement for our currently 
marketed products and our product 
candidates in the future may be reduced 
and may be insufficient to generate 
sufficient revenues and profits. Moreover, 
increasing efforts by governmental and 
third-party payers in the US and abroad 
to control healthcare costs may cause 
such organisations to limit both coverage 
and the level of reimbursement for newly 
approved products and, as a result, they 
may not cover or provide adequate 
payment for our products, or any other 
product candidates we may develop in 
the future. 

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29

We depend on third-party 
manufacturers to produce the drug 
substance and the drug product for 
lomitapide and metreleptin sold 
globally, as well as the drug product 
for commercial supply and clinical 
trials. We also depend on third-party 
manufacturers to produce the drug 
product for Oleogel-S10. Even 
though we have reserve stock, 
interruption in supply could 
materially and adversely affect sales. 

We have limited internal manufacturing 
facilities for the production of the active 
pharmaceutical ingredient in 
Oleogel-S10. We employ a small number 
of personnel with manufacturing 
experience and we are currently 
dependent upon contract manufacturers 
to produce metreleptin and lomitapide 
and the drug product for commercial 
supplies and clinical trials, including for 
Oleogel-S10, if it is approved. 

If we are unable to maintain 
arrangements for third-party 
manufacturing, are unable to do so on 
commercially reasonable terms, or are 
unable to obtain timely regulatory 
approvals in connection with contract 
manufacturers, we may not be able to 
complete development of our product 
candidates or successfully commercialise 
our products. We may also incur 
significant added costs and substantial 
delays in identifying and qualifying any 
replacement manufacturers, and in 
obtaining regulatory approval to use 
such replacement manufacturer in the 
manufacture of the products. 

Enacted and future legislation and 
related regulations may increase the 
difficulty and cost for us to 
commercialise metreleptin, 
lomitapide or Oleogel-S10 and 
other development candidates and 
may affect the prices we are able to 
obtain for our products, if and 
where approved. 

In the US, there have been a number of 
legislative and regulatory changes and 
proposed changes regarding the 
healthcare system that restrict or 
regulate post-approval activities, which 
may affect our ability to profitably sell 
our products. Legislative and regulatory 
proposals have been made to expand 
post-approval requirements and restrict 
sales and promotional activities for 
pharmaceutical products. We cannot 
predict whether additional legislative 
changes will be enacted, or whether the 
FDA regulations, guidance or 
interpretations will be changed, or what 
the impact of such changes for the 
products may be. In addition, increased 
scrutiny by Congress of the FDA’s 
approval process may subject us to more 
stringent product labelling, 
post-marketing testing and other 
requirements. Any significant spending 
reductions affecting Medicare, Medicaid 
or other publicly funded or subsidised 
health programs that may be 
implemented and/or any significant 
taxes or fees that may be imposed, as 
part of any broader deficit reduction 
effort or legislative replacement to 
current laws or regulations, could have 
an adverse impact on our results of 
operations. In addition, countries 
outside the US may make changes to 
their healthcare systems, which may in 
the future affect the revenue generated 
from sales of lomitapide, metreleptin 
and Oleogel-S10, if approved, or any of 
our future commercial products. 

Recent legislation and proposed 
federal regulations and guidance 
may permit reimportation of drugs 
from foreign countries into the US 
where the drugs are sold at lower 
prices and this may adversely affect 
our operating results and overall 
financial condition. 

The US Medicare Prescription Drug, 
Improvement, and Modernisation Act of 
2003 (“MMA”) contains provisions that 
may change importation laws and 
expand pharmacists’ and wholesalers’ 
abilities to import lower-priced versions 
of an approved drug and competing 
products from Canada, where there are 
government price controls. These 
changes to US importation laws will only 
take effect if the Secretary of Health and 
Human Services certifies that the 
changes will pose no additional risk to 
the public’s health and safety. We do not 
know the timing and likelihood of this 
certification. In October 2020, the 
US Department of Health and Human 
Services and the FDA issued a final rule 
and guidance concerning two new 
pathways for importing lower-cost drugs 
into the US. The final rule allows certain 
prescription drugs to be imported from 
Canada, but would not permit the 
import of biologics. The FDA guidance 
describes procedures for drug 
manufacturers to facilitate the 
importation of FDA approved drugs and 
biologics manufactured abroad and 
originally intended for sale in a foreign 
country in the US. If distributors or other 
purchasers of Myalept or Juxtapid in the 
US are able to import lower-priced 
products from countries outside the US 
that place price controls on 
pharmaceutical products, this may result 
in a negative impact on the revenues of 
our products. In addition, some state 
governments have implemented 
importation schemes for their citizens 
and, in the absence of federal action to 
curtail such activities, other state 

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30

show the desired safety and efficacy 
outcomes despite having progressed 
through preclinical studies and initial 
clinical trials. We may suffer setbacks in 
advanced clinical trials due to lack of 
efficacy or adverse safety profiles, 
notwithstanding any promising results in 
earlier clinical trials. As product 
candidates are developed from 
preclinical through early to late stage 
clinical trials towards approval and 
commercialisation, it is customary that 
various aspects of the development 
program, such as manufacturing and 
methods of administration, are altered 
along the way in an effort to optimise 
processes and results. While these types 
of changes are common and are 
intended to optimise the product 
candidates for late stage clinical trials, 
approval and commercialisation, such 
changes carry the risk that they will not 
achieve these intended objectives. In 
addition, we may experience delays in 
ongoing or future preclinical studies or 
clinical trials and we have no certainty 
as to whether future preclinical studies 
or clinical trials will begin on time, will 
need to be redesigned, will enroll an 
adequate number of subjects or patients 
on time, if at all, or will be completed 
on schedule, if at all. Such factors may 
have a material adverse effect on our 
business, financial condition, results of 
operations and prospects. 

STRATEGIC REPORT: 
Risks and Uncertainties continued

governments may launch importation 
efforts. The reimportation of metreleptin 
or lomitapide into the US market from a 
foreign market may negatively impact 
our revenues and anticipated financial 
results. Although the EU does not permit 
the re-importation of medicinal products 
from outside the EU, parallel trade 
between EU Member States is possible 
and can result in third party imports 
from EU Member States offering lower 
prices for a product into those 
reimbursing products at higher costs. 

If we are unable to commercialise or 
receive regulatory approval for 
Oleogel-S10, or experience 
significant delays in doing so, or are 
not granted a Priority Review 
Voucher, our business could be 
materially harmed. 

Our Phase 3 EASE randomised 
double-blind placebo control study 
achieved its primary endpoint and forms 
the basis of application for regulatory 
approval. However, this positive data for 
Oleogel-S10 does not guarantee that 
we will successfully receive regulatory 
approval for Oleogel-S10. An NDA was 
submitted to FDA on 30 March 2021 
and a Marketing Authorisation 
Application was submitted to the EMA 
on 8 March 2021 with a procedure start 
date of 25 March 2021. Our inability to 
obtain approval for and commercialise 
Oleogel-S10 would materially adversely 
affect our business, results of operations 
and prospects. 

Amryt will seek a PRV as part of the 
Oleogel-S10 NDA submission which if 
granted, we can sell, transfer or use to 
accelerate the approval of a future 
Amryt NDA. However, to be eligible for 
a PRV, Oleogel-S10 must have a 
Pediatric Rare Disease Designation from 
the FDA, be granted a priority review by 

FDA, and ultimately the NDA must be 
approved by the FDA. Amryt was 
granted a Pediatric Rare Disease 
Designation by the FDA in August 2018. 
On 2 June 2021, the NDA was accepted 
by the FDA and on 3 June 2021, a 
priority review for the NDA was granted 
by the FDA. 

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

To obtain the requisite regulatory 
approvals to market and sell any of our 
product candidates, or to obtain 
regulatory approvals to market and sell 
any of our commercial products for new 
indications, we must demonstrate, 
through extensive preclinical studies and 
clinical trials, that our product 
candidates are safe and effective in 
humans. Clinical testing is expensive 
and can take many years to complete 
and has inherently uncertain outcomes. 
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 may 
not agree on the same trial design for 
pivotal studies. The results of preclinical 
studies and earlier clinical trials, or the 
results from earlier stages of preclinical 
studies or clinical trials, may not be 
predictive of the results of later-stage 
clinical trials. For example, the results 
generated to date in preclinical studies 
or Phase 1 or Phase 2 clinical trials for 
product candidates do not ensure that 
later clinical trials will demonstrate 
similar results. Product candidates in 
later stages of clinical trials may fail to 

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31

trials could reveal a high and 
unacceptable severity and prevalence of 
side effects. 

If unacceptable side effects arise in the 
development of our product candidates, 
we, the FDA, competent authorities of 
EU Member States, ethics committees, 
the IRBs, the institutions in which our 
studies are conducted, or the DSMB 
could suspend or terminate our clinical 
trials. The FDA or comparable regulatory 
authorities could also order us to cease 
clinical trials or deny approval of our 
product candidates for any or all 
targeted indications. Treatment-related 
side effects could also affect patient 
recruitment or the ability of enrolled 
patients to complete any of our clinical 
trials or result in potential product 
liability claims. In addition, these side 
effects may not be appropriately 
recognised or managed by the treating 
medical staff. We expect to have to train 
medical personnel using our product 
candidates to understand the side effect 
profiles of our product candidates in our 
clinical trials and upon any 
commercialisation of any of our product 
candidates. Inadequate training in 
recognising or managing the potential 
side effects of our product candidates 
could result in patient injury or death. 
Any of these occurrences may harm our 
business, financial condition, results of 
operations and prospects significantly. 

We rely on third parties to conduct 
clinical trials and registry studies and 
perform related services, and those 
third parties may not perform 
satisfactorily, including by failing to 
meet established deadlines for the 
completion of such clinical trials and 
compliance with post-marketing 
requirements. 

We do not have the resources to 
independently conduct clinical trials or 
registry studies or perform 
pharmacovigilance and Risk Evaluation 
and Mitigation Strategy (“REMS”) 
program and other risk management 
plan monitoring and reporting, and we 
rely on third parties, such as contract 
research organisations, medical 
institutions, academic institutions, 
clinical investigators, specialty 
pharmacies and other third-party service 
providers, to perform these functions. 
Reliance on third parties for these 
functions reduces our control over such 
functions. However, if we sponsor 
clinical trials, we are responsible for 
ensuring that each of the sponsored 
clinical trials is conducted in accordance 
with the general investigational plan 
and protocols for the trial. Our reliance 
on third parties does not relieve us of 
these responsibilities and requirements. 
Furthermore, these third parties may 
have relationships with other entities, 
some of which may be our competitors. 

If the third parties we rely upon fail to 
successfully carry out their contractual 
duties or meet expected deadlines, if 
they need to be replaced or if the 
quality or accuracy of the data they 
provide is compromised or delayed due 
to the failure to adhere to regulatory 
requirements or clinical trial protocols, 
or for other reasons, our current 
marketing authorisations may be 
revoked, suspended, or revised to be 
more stringent. Further, our 
development programs, including any 

potential clinical studies, may be 
extended, delayed or terminated. If we 
were to experience an unexpected loss 
of supply of any of our product 
candidates or any of our future product 
candidates for any reason, whether as a 
result of manufacturing, supply or 
storage issues or otherwise, we could 
experience delays, disruptions, 
suspensions or terminations of, or be 
required to restart or repeat, any 
pending or ongoing clinical trials. 
Additional marketing approvals for 
metreleptin or lomitapide may be 
delayed or denied in the targeted 
indication or jurisdiction, and efforts to 
successfully commercialise Oleogel-S10 
if approved, metreleptin, lomitapide, or 
any other product for targeted 
indications or in the targeted jurisdiction 
may be delayed or unsuccessful. Should 
this occur, any existing approvals could 
be negatively impacted, which could 
materially and adversely affect our 
commercialisation efforts. 

Our product candidates may not 
work as intended, may cause 
undesirable side effects or may have 
other properties that could delay or 
prevent their regulatory approval, 
limit the commercial profile of an 
approved label, or result in 
significant negative consequences 
following marketing approval, if any. 

Use of our product candidates could be 
associated with side effects or adverse 
events which can vary in severity from 
minor reactions to serious and/or severe 
adverse events, and in frequency from 
infrequent to prevalent. Undesirable side 
effects or unacceptable toxicities caused 
by our product candidates could cause 
us or regulatory authorities to interrupt, 
delay or halt clinical trials and could 
result in a more restrictive label or the 
delay or denial of regulatory approval by 
the FDA, the EMA or comparable 
regulatory authorities. Results of our 

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STRATEGIC REPORT: 
Risks and Uncertainties continued

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

Our future success is partly dependent 
upon our ability to successfully develop, 
obtain regulatory approval for, and 
commercialise one or more of our 
product candidates. There can be no 
assurance that any development 
product candidates will be successful in 
clinical trials or receive regulatory 
approval. We cannot predict with 
certainty if or when we might submit 
for regulatory approval of any of our 
product candidates currently under 
development. Any approvals we may 
obtain may not cover all of the clinical 
indications for which we are seeking 
approval. Also, an approval might 
contain significant limitations in the 
form of narrow indications, warnings, 
precautions, or contra-indications with 
respect to conditions of use. 

We are subject to extensive legal 
and compliance obligations as a 
pharmaceutical company that 
commercialises products, as well as 
under Aegerion’s settlements with 
the DOJ, OIG, FDA, SEC and other 
federal and state government 
agencies. 

As a pharmaceutical company that 
develops and commercialises 
pharmaceutical products, we are subject 
to an extensive array of broad and 
complex laws and regulations. These 
include, without limitation, regulations 
and laws in the US and outside the US 
related to manufacturing, clinical, quality, 
drug safety, commercialisation, payments 
to and interactions with healthcare 
professionals and healthcare 
organisations, anti-kickbacks, fraud and 
abuse, the requirement to report 
payments and other transfers of value to 

Amryt Pharma plc

healthcare professionals and healthcare 
organisations, data protection and 
privacy, pricing, reimbursement, price 
reporting, anti-corruption and 
anti-bribery, and a myriad of other areas 
and levels of regulation. Any failure by us 
or our key vendors, contractors, 
distributors, licensors or other key 
third-party vendors or service providers to 
comply with such laws and regulations 
could have a material adverse effect on 
our results of operations and financial 
condition, could result in product 
approvals being suspended, withdrawn, 
delayed or denied, could result in 
litigation or investigations which could be 
costly and be a significant distraction to 
executive management and other 
employees, and could result in damages 
or prosecution. 

For example, compliance failures by 
Aegerion led to a DOJ investigation and 
ultimately resulted in three separate 
settlements (Corporate Integrity 
Agreement, Consent Decree and 
Deferred Prosecution Agreement) with 
multiple government agencies (Office of 
Inspector General (“OIG”), the FDA and 
DOJ) and aggregate penalties of 
approximately $40.1 million which have 
been fully satisfied in the first quarter of 
2021. Pursuant to the settlement, we 
are also required to maintain various 
remedial and compliance measures, 
which were implemented as required by 
the settlement. We may be unsuccessful 
in implementing and complying with all 
of the elements of the settlement in a 
timely or satisfactory manner, or at all. 
Failure to comply with any provisions of 
these settlements, or if we became 
subject to new allegations or 
whistleblower complaints, could result 
in the imposition of additional fines, 
penalties and obligations by the 
applicable government agency, and 
could subject us to prosecution. 

Furthermore, investigations by Brazilian 
authorities of Aegerion’s activities could 
result in the commencement of formal 
proceedings, and if the investigation 
finds any violation of any laws or 
governmental regulations, then our 
Brazilian subsidiary may be subject to 
civil lawsuits and administrative 
penalties and other potential damages 
and fines. Under certain circumstances, 
the Brazilian subsidiary and our 
company could be barred from further 
sales to federal or state governments in 
Brazil, including sales of Juxtapid or 
Myalepta, due to penalties imposed by 
Brazilian regulatory authorities or 
through civil actions initiated by federal 
or state public prosecutors. 

If we fail to comply with UK, EU or 
US privacy and data security laws 
and regulations, we may be subject 
to civil and criminal penalties and 
other liability. 

We are subject to laws and regulations 
covering data privacy and the protection 
of health-related and other personal 
information. The legislative and 
regulatory landscape for privacy and data 
protection continues to evolve, and there 
has been an increasing focus on privacy 
and data protection issues which may 
affect our business, including recently 
enacted laws in many jurisdictions where 
we operate. The collection and use of 
personal health data in the EU and UK is 
governed by the provisions of the 
General Data Protection Regulation (EU) 
2016/679 (“GDPR”), the Data Protection 
Act 2018 in the UK and the Health 
Insurance Portability and Accountability 
Act of 1996 (“HIPAA”) in the US. Failure 
to comply with healthcare laws and laws 
and regulations covering data privacy 
and the protection of health-related and 
other personal information could result in 
government enforcement actions, which 
could include civil or criminal penalties, 
private litigation and adverse publicity 

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33

We are also subject to other laws and 
regulations governing our international 
operations, including regulations 
administered by the governments of the 
UK and the US, and authorities in the 
EU, including applicable export control 
regulations, economic sanctions and 
embargoes on certain countries and 
persons, anti-money laundering laws, 
import and customs requirements and 
currency exchange regulations 
(collectively, “Trade Control Laws”). 

There is no assurance that we will be 
completely effective in ensuring 
compliance with all applicable 
anti-corruption laws, including the UK 
Bribery Act and the FCPA, or other legal 
requirements, including Trade Control 
Laws. If we are not in compliance with 
the UK Bribery Act, the FCPA and other 
anti-corruption laws or Trade Control 
Laws, we may be subject to criminal and 
civil penalties, disgorgement and other 
sanctions and remedial measures, and 
legal expenses, which could have an 
adverse effect on our business, financial 
condition, results of operations and 
liquidity. Likewise, any investigation of 
any potential violations of the 
UK Bribery Act, the FCPA, other 
anti-corruption laws or Trade Control 
Laws by the UK, US, or other authorities 
could also have an adverse impact on 
our reputation, business, financial 
condition, results of operations and 
prospects. 

and could negatively affect our business, 
financial condition, results of operations 
and prospects. 

rules in many jurisdictions also prohibit 
the offer of kick-backs and other 
inappropriate inducements to prescribe. 

Our relationships with customers 
and payers in the US are subject to 
applicable anti-kickback, fraud and 
abuse and other healthcare laws 
and regulations, any breaches of 
which could expose us to criminal 
sanctions, civil penalties, contractual 
damages and reputational harm, 
could diminish future earnings and 
could prevent us from achieving our 
expected financial results. 

Our arrangements with third-party payers 
and customers in the US expose us to 
broadly applicable fraud and abuse and 
other healthcare laws and regulations, 
including the federal healthcare 
Anti-Kickback Statute, the False Claims 
Act, HIPAA and the Physician Payment 
Sunshine Act, and similar state and 
foreign laws and regulations that may 
regulate the business or financial 
arrangements and relationships through 
which we market, sell and distribute our 
products. The number and complexity of 
both federal and state laws continue to 
increase, and additional governmental 
resources are being used to enforce these 
laws and to prosecute companies and 
individuals who are believed to be 
violating them. While the evolving nature 
of the regulatory framework makes it 
difficult to predict what effect the 
framework and any recent or future 
changes will have on our business, we 
anticipate that government scrutiny of 
pharmaceutical sales and marketing 
practices will continue for the foreseeable 
future, and the risk of government 
investigations and enforcement actions 
will continue. Responding to a 
government investigation or enforcement 
action would be expensive and 
time-consuming and could have a 
material adverse effect on our reputation, 
business, financial condition, results of 
operations and prospects. Anti-bribery 

We are subject to the UK Bribery 
Act, the US Foreign Corrupt 
Practices Act, and other anti-
corruption laws, export control 
laws, import and customs laws, 
trade and economic sanctions laws 
and other laws which govern our 
operations. 

Our operations are subject to 
anti-corruption laws, including the 
UK Bribery Act, the US Foreign Corrupt 
Practices Act of 1977 (“FCPA”), the 
US domestic bribery statute, the US 
Travel Act, and other anti-corruption 
laws that apply in countries where we 
conduct business. The UK Bribery Act, 
the FCPA and other anti-corruption laws 
generally prohibit us and our employees 
and intermediaries from authorising, 
promising, offering or providing, directly 
or indirectly, improper or prohibited 
payments, or anything else of value, to 
government officials or other persons to 
obtain or retain business or gain some 
other business advantage. Under the 
UK Bribery Act, we may also be liable 
for failing to prevent a person 
associated with us from committing a 
bribery offense. We and our commercial 
partners operate in a number of 
jurisdictions that pose a high risk of 
potential UK Bribery Act or FCPA 
violations, and we also participate in 
collaborations and relationships with 
third parties whose corrupt or illegal 
activities could potentially subject us to 
liability under the UK Bribery Act, FCPA 
or local anti-corruption laws, even if we 
did not explicitly authorise or have 
actual knowledge of such activities. 
In addition, we cannot predict the 
nature, scope or effect of future 
regulatory requirements on our 
international operations or the manner 
in which existing laws might be 
administered or interpreted. 

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STRATEGIC REPORT: 
Risks and Uncertainties continued

It may be challenging or costly for 
us to obtain, maintain, enforce and 
defend our intellectual property 
rights. Failure to obtain or protect 
these rights could adversely affect 
our business and our ability to 
compete. 

Our success and ability to compete 
effectively are in large part dependent 
upon exploitation of proprietary 
technologies and product candidates 
that have been developed internally or 
have been acquired or in-licensed, our 
ability to protect and enforce our 
intellectual property rights so as to 
preserve our exclusive rights in respect 
of our technologies and product 
candidates, and our ability to preserve 
the confidentiality of our know-how. 

The patent positions of biotechnology 
and pharmaceutical companies involve 
complex legal and factual questions 
and, therefore, validity and 
enforceability cannot be predicted with 
certainty. Patents granted in certain 
countries may be subjected to 
opposition, revocation, or the like 
before various authorities. These 
proceedings could result in either loss of 
a patent or denial of the patent 
application or loss or reduction in the 
scope of one or more of the claims of 
the patent or patent application. In 
addition, such interference, derivation, 
re-examination, post-grant review, IPR, 
supplemental examination, opposition 
or revocation proceedings may be costly. 
We will be able to protect our 
proprietary rights against third parties 
only to the extent that our proprietary 
technologies are protected by valid and 
enforceable patents or are effectively 
maintained as trade secrets. 

We rely primarily on exclusivity provided 
by a combination of Orphan Drug 
approval, data exclusivity, patent rights, 
trade secrets and confidentiality to 
protect our intellectual property rights. 
There can be no assurance that patents 
pending or future patent applications 
will be issued, or that the lack of any 
such patents will not have a material 
adverse effect on our ability to develop 
and market our proposed candidates, or 
that, if issued, we would have the 
resources to protect or enforce any such 
issued patent. Also, no assurance can be 
given that we will develop technologies 
or candidates that are patentable or that 
patents will be sufficient in their scope 
to provide protection for our products 
or intellectual property rights against 
third parties. Nor can there be any 
assurance as to the ownership, validity, 
patentability, enforceability or scope of 
any patents that have been, or may in 
the future be, issued to us or that claims 
with respect thereto will not be asserted 
by third parties. Furthermore, we may 
develop technology important to our 
businesses that we cannot successfully 
patent due to the existence of prior art. 

If we lose the competitive advantage 
provided by these intellectual property 
and other protections, we will not be 
able to generate sustainable revenues or 
profits from our product portfolio. If we 
do not adequately protect and enforce 
our intellectual property, competitors 
may erode or negate any competitive 
advantage we may have, which could 
materially harm our business and ability 
to achieve expected financial results. 

We may infringe or be alleged to 
infringe the intellectual property 
rights of others, which may prevent 
or delay product development and 
commercialisation efforts, requiring 
us to expend resources on litigation 
or other resolutions, which may 
materially and adversely affect our 
business. 

Our success will depend in part on our 
ability to operate without infringing the 
intellectual property and other 
proprietary rights of third parties. 
Identification of third-party patent rights 
that may be relevant to our products 
and proprietary technology is difficult 
due to differences in terminology 
among patents, incomplete databases 
and the difficulty and uncertainty in 
assessing the meaning of patent claims. 
There could be issued patents of which 
we are or were not aware that our 
products infringe. There also could be 
patents that we believe our products do 
not infringe, but that our products may 
ultimately be found to infringe. 
Moreover, a patent application may be 
maintained in secrecy until a patent on 
the application is issued. The publication 
of discoveries in the scientific or patent 
literature frequently occurs later, often 
substantially later, than the date on 
which the underlying discoveries were 
made and patent applications were 
filed. Because patents can take many 
years to issue, there may be currently 
pending applications of which we are 
unaware that may later result in issued 
patents that our products will be found 
to infringe. For example, there may exist 
pending applications that provide 
support or can be amended to recite a 
claim that is granted and which our 
products are later found to infringe. 

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35

continued market volatility as a result of 
Brexit and other factors, including those 
relating to the COVID-19 pandemic. 

The ultimate impact of Brexit on our 
business operations could vary 
depending on the details of further 
agreement(s) and Brexit could 
significantly affect the financial, trade, 
regulatory and legal 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. Further, Brexit 
could lead to legal uncertainty and 
regulatory divergence between the 
United Kingdom and the European 
Union. Given the lack of comparable 
precedent, it is unclear what financial, 
trade, regulatory and legal implications 
the withdrawal of the United Kingdom 
from the European Union will have and 
how such withdrawal will affect us. Any 
of the foregoing could have a material 
adverse effect on our business, financial 
condition, results of operations and 
prospects.

Legal, political and economic 
uncertainty surrounding the exit of 
the United Kingdom from the 
European Union may be a 
continued source of instability in 
international markets and currency 
exchange rate volatility, and could 
materially and adversely affect our 
business, financial condition, results 
of operations and prospects. 

Since the United Kingdom (“UK”) has 
formally left the European Union on 
31 January 2020 (“Brexit”) and the 
transition period, during which EU laws 
continued to apply to the United 
Kingdom, has expired on 31 December 
2020, EU laws now only apply to the 
United Kingdom in respect of Northern 
Ireland as laid out in the Northern Ireland 
Protocol. The European Union and the 
United Kingdom concluded a trade and 
cooperation agreement (“TCA”), which 
was ratified by the UK Parliament on 
30 December 2020. The TCA was 
approved by the European Parliament 
and took effect from 1 May 2021. 

The TCA includes provisions affecting the 
life sciences sector (including on customs 
and tariffs) but areas for further 
discussion between the European Union 
and UK remain. In addition, there are 
some specific provisions concerning 
pharmaceuticals. These include the 
mutual recognition of Good 
Manufacturing Practice (“GMP”), 
inspections of manufacturing facilities for 
medicinal products and GMP documents 
issued. The TCA does not, however, 
contain wholesale mutual recognition of 
UK and EU pharmaceutical regulations 
and product standards. 

Since 1 January 2021, the EU laws 
which have been transposed into 
UK law through secondary legislation 
continue to be applicable as “retained 
EU law”. As there is no general power 
to amend these regulations, the 

UK government has adopted the 
Medicines and Medical Devices Act 
2021 which seeks to address this 
regulatory gap through introducing 
regulation-making, delegated powers 
covering the fields of human medicines, 
clinical trials of human medicines, 
veterinary medicines and medical 
devices. The purpose of the act is to 
enable the existing regulatory 
frameworks to be updated, with the 
powers granted under it only exercisable 
in relation to four pieces of legislation: 
The Human Medicines Regulations 
2012, the Medicines for Human Use 
(Clinical Trials) Regulations 2004, the 
Medicines (Products for Human Use) 
Regulations 2016 and limited parts of 
the Medicines Act 1968 (specifically 
those parts which make provision 
related to pharmacies). It is then further 
restricted to amending or updating only 
those provisions stated in the act, which 
include clinical trials. 

Specified provisions of the Medicines 
and Medical Devices Act 2021 entered 
into force on 11 February 2021 when 
the legislation formally became law. The 
remaining provisions came into effect 
within two months of 11 February 2021 
or will come into effect otherwise as 
stipulated in subsequent statutory 
instruments. 

These developments may have a 
significant adverse effect on global 
economic conditions and continue to be 
a source of instability in the global 
financial markets, and could significantly 
reduce global market liquidity and limit 
the ability of key market participants to 
operate in certain financial markets. In 
particular, it could also lead to a period 
of considerable uncertainty in relation to 
the United Kingdom financial and 
banking markets, as well as on the 
regulatory process in the United 
Kingdom. Asset valuations and currency 
exchange rates may also be subject to 

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CORPORATE GOVERNANCE: 
Board of Directors

Ray Stafford – Non-Executive Chairman 
Skills, Competence and Experience 
Mr. Stafford has been a director of Amryt since 2016. He has worked in the pharmaceutical industry for more than 30 years. He 
has served as Chairman, Chief Executive Officer and majority shareholder of the Tosara Group which owned, manufactured and 
marketed the successful international brand Sudocrem and was ultimately integrated into the US based, NYSE listed company -
Forest Laboratories, Inc. in 1988. Mr. Stafford held numerous senior positions within such corporations, including Chief Executive 
Officer of Forest UK and Ireland as well as Chief Executive Officer of Forest Laboratories Europe since 1999. Mr. Stafford retired in 
2014 following the sale of Forest Laboratories, Inc. to Actavis plc (now Allergan plc) in a US$28 billion transaction where 
Mr. Stafford was Executive Vice President of Global Marketing. Separately, Mr. Stafford also founded one of Ireland’s leading 
multi-channel sales, marketing and distribution service providers approved by the Irish Medicines Board (now the Health Products 
Regulatory Authority) to service the wholesale and retail trade. 

Committee Membership 
Audit Committee (Member) 

Appointment Date 
Appointed as Non-Executive Chairman on 24 September 2019 

Dr. Joe Wiley – Chief Executive Officer 
Skills, Competence and Experience 
Joe Wiley founded Amryt and has served as Chief Executive Officer since 2015. He has over 20 years of experience in the 
pharmaceutical, medical and venture capital industries. Prior to Amryt, Dr. Wiley opened and led the European office of 
Sofinnova Ventures Inc. He was previously a medical director at Astellas Pharma Limited. Prior to joining Astellas, he held 
investment roles at Spirit Capital SA, Inventages Venture Capital Investment Inc. and Aberdeen Asset Managers Private 
Equity Limited. Dr. Wiley trained in general medicine at Trinity College Dublin, specialising in neurology. He holds a Masters of 
Business Administration from INSEAD and is also a Member of the Royal College of Physicians in Ireland. 

Appointment Date 
24 September 2019 

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George P. Hampton Jr – Non-Executive Director 
Skills, Competence and Experience 
Mr. Hampton joined Currax Pharmaceuticals in April of 2019 as Chief Executive Officer and serves on its board of directors. Prior 
to joining Currax, Mr. Hampton served as Executive Vice President, in the primary care business unit of Horizon Pharmaceuticals 
(HZNP), a publicly listed biopharmaceutical company. In this role, he was tasked with leading the company’s forward-looking 
strategy, as well as establishing operational goals for the business. Previously, Mr. Hampton served as Executive Vice President, 
global orphan business unit and international operations for Horizon Pharmaceuticals. He has more than 25 years of experience 
as a successful executive in the pharmaceutical and biotechnology field on both a national and international scale including 
specific expertise in rare disease (ACTIMMUNE, RAVICTI, PROCYSBI), autoimmune (HUMIRA), primary care, orthopaedic 
(CELEBREX), diabetes (BYETTA), anti-infectives and cardiovascular spaces. This includes roles of increasing responsibility in sales, 
marketing and operations at G.D. Searle, Abbott (now AbbVie), Amylin and Horizon Pharmaceuticals. Mr. Hampton earned his 
Bachelor of Science from Miami University in Oxford, Ohio. He serves on the board of IMAC (NASDAQ: IMAC) regeneration 
medical centers. 

Committee Membership 
Remuneration Committee (Chairman) 

Appointment Date 
24 September 2019 

Dr. Alain H. Munoz – Non-Executive Director 
Skills, Competence and Experience 
Dr. Munoz is an entrepreneur and independent management consultant in the pharmaceutical and biotechnology industry and 
has over 30 years of experience in the industry at the executive level. Dr. Munoz worked with the Fournier Group as Research 
and Development Director and thereafter as Senior Vice President of the Pharmaceutical Division. Prior to serving at Fournier, he 
served at Sanofi Group, first as Director in the cardiovascular and anti-thrombotic products department, and thereafter as Vice 
President of international development. Dr. Munoz qualified in cardiology and anesthesiology from the University Hospital of 
Montpellier, France where he was head of the clinical cardiology department. He has been a member of the Scientific Committee 
of the French Drug Agency, is advisor to Kurma Partners, and serves on the scientific advisory board of Valneva SA. In addition, 
he is an independent board member of Oxthera AB, Auris Medical Holding AG (NASDAQ: EARS) and Zealand Pharma A/S 
(NASDAQ: ZEAL). Mr. Munoz received an undergraduate degree from the International Institute for Management Development, 
a doctorate from the University of Montpellier and a graduate degree from the Centre Hospitalier Universitaire Pitie-Salpetriere. 

Committee Membership 
Remuneration Committee (Member) 

Appointment Date 
24 September 2019

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CORPORATE GOVERNANCE: 
Board of Directors continued

Donald K. Stern – Non-Executive Director 
Skills, Competence and Experience 
Mr. Stern was previously a director of Novelion, Aegerion’s former parent company, and was a member of Aegerion’s board of 
directors from September 2015 to October 2016. Mr. Stern serves as Managing Director of Corporate Monitoring & Consulting 
Services at Affiliated Monitors, Inc., a consulting firm providing independent integrity monitoring services and compliance 
services across a wide range of regulated industries and professions. He is also Counsel to the Boston law firm of Yurko, Salvesen 
& Remz. He has had a diverse and distinguished legal career, evenly split between private practice and public service. Prior to 
joining Affiliated Monitors, Inc., Mr. Stern was a partner at three major law firms: Cooley LLP, Bingham McCutchen LLP and Hale 
& Dorr LLP (now Wilmer Cutler Pickering Hale and Dorr LLP). Mr. Stern also served as the United States Attorney for the District 
of Massachusetts, the Chief Legal Counsel to Governor Michael S. Dukakis and the Chief of the Government Bureau in the 
Massachusetts Attorney General’s office. Mr. Stern holds a Masters in Laws from University of Pennsylvania Law School, a 
Juris Doctor degree from Georgetown University Law Center and a Bachelor of Arts from Hobart College. 

Committee Membership 
Compliance Committee (Chair) 
Audit Committee (Member) 

Appointment Date 
24 September 2019 

Dr. Patrick V.J.J. Vink – Non-Executive Director 
Skills, Competence and Experience 
Dr. Vink has significant experience as a senior executive, having worked in the pharmaceutical industry for more than 30 years. Dr. 
Vink serves as Chairman at Acacia Pharma Group plc and Targovax ASA, both publicly listed biopharma companies based in the 
UK and Norway. Dr. Vink also serves as Chairman of venture capital-backed NMD Pharma, a neurology biopharmaceutical 
company in Denmark and F2G Ltd, a rare fungal disease UK and Austria based company. In addition, Dr. Vink is a board member 
at Santhera AG and Spero Therapeutics, Inc. and in 2019 began working with Athyrium as a Senior Advisor. While serving in these 
capacities, Dr. Vink has been involved in initial public offerings and geographic expansions and has contributed to the achievement 
of significant development and commercial milestones. Earlier in his career he held several leadership positions across the industry, 
including Head of Global Biopharmaceuticals for the Sandoz division of the Novartis Group, Vice President International Business 
for Biogen Inc., and Head of Worldwide Marketing, Cardiovascular and Thrombosis at Sanofi-Synthelabo Ltd. Dr. Vink also served 
as a member of the Executive Committee of the European Federation of Pharmaceutical Industries and Associations from 2013 to 
2015. Dr. Vink graduated as a medical doctor from the University of Leiden, Netherlands in 1988 and obtained his Master of 
Business Administration in 1992 from the University of Rochester. 

Committee Membership 
Compliance Committee (Member) 

Appointment Date 
24 September 2019

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Stephen T. Wills – Non-Executive Director 
Skills, Competence and Experience 
Mr. Wills currently serves as the Chief Financial Officer (since 1997), and Chief Operating Officer (since 2011) of Palatin 
Technologies, Inc. (NYSE: PTN), a biopharmaceutical company developing targeted, receptor-specific peptide therapeutics for the 
treatment of diseases with significant unmet medical need and commercial potential. Mr. Wills serves on the boards of directors of 
MediWound Ltd. (NASDAQ: MDWD), a biopharmaceutical company focused on treatment in the fields of severe burns, chronic 
and other hard to heal wounds, since April 2017, and as Chairman since January 2018, and of Gamida Cell Ltd. (NASDAQ: 
GMDA), a leading cellular and immune therapeutics company, since March 2019 (audit and finance committee member). Mr. Wills 
also has served on the board of trustees and executive committee of The Hun School of Princeton, a college preparatory day and 
boarding school, since 2013, and its Chairman since June 2018. Mr. Wills served on the board of directors of Caliper Corporation, 
a psychological assessment and talent development company, since March 2016, and as Chairman from December 2016 to 
December 2019, when Caliper was acquired by PSI. Mr. Wills served as Executive Chairman and Interim Principal Executive Officer 
of Derma Sciences, Inc., a provider of advanced wound care products, from December 2015 to February 2017, when Derma 
Sciences was acquired by Integra Lifesciences (NASDAQ: IART). Previously, Mr. Wills served on the board of directors of Derma 
Sciences as the lead director and chairman of the audit committee from June 2000 to December 2015. Mr. Wills served as the 
Chief Financial Officer of Derma Sciences from 1997 to 2000. Mr. Wills served as the President and Chief Operating Officer of 
Wills, Owens & Baker, P.C., a public accounting firm, from 1991 to 2000. Mr. Wills, a certified public accountant, earned his 
Bachelor of Science in accounting from West Chester University, and a Master of Science in taxation from Temple University. 

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

Appointment Date 
24 September 2019 

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CORPORATE GOVERNANCE: 
Chairman’s Introduction to Governance

Dear Shareholder, 

I am pleased to present the Amryt Pharma plc Corporate Governance Report for the year ended 31 December 2020.  

The Corporate Governance report contains details of Amryt’s governance structures and highlights areas of focus for the Board 
and its Committees during 2020. Your Board remains committed to high standards of governance across the Group, in line with 
our core values of excellence and integrity in all that we do. 

The Board adopted 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 for the 12 months ended 31 December 2020 as well as on our 
website, www.amrytpharma.com. 

This is my second year as Non-Executive Chairman of Amryt and I am aware that the QCA Code charges me with the 
responsibilities of:  

(cid:129) articulating my role and demonstrating my responsibility for corporate governance;  

(cid:129) explaining how the QCA Code is applied to Amryt and how that application supports the medium to long term success of our 

Group;  

(cid:129) explaining any areas in which Amryt departs from the expectations of the QCA Code; and 

(cid:129) identifying any key governance related matters that have occurred during the period under review.  

I accept these responsibilities and aim to discharge them diligently.  

Culture & Strategy 

The Board sets the tone and shared values for the way in which the Group operates. Our culture is underpinned by a robust risk 
management framework consisting of policies, procedures and tasks, including a Code of Conduct which defines business 
conduct standards for anyone working for, or on behalf of, the Group. Given the importance of culture to the success of our 
business model, the Board will continue to assess and monitor the Group’s culture to ensure that it is aligned with our strategy 
and values and is adequately embedded across Amryt’s global team. 

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 its 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 in every aspect of our business. 

Board Composition 

On an ongoing basis, I seek to ensure we have the right balance of skills, knowledge and experience on the Board, taking into 
account our business model, the specific sector in which we operate, the growth in scale of the Group and our geographic 
expansion. 

Our CEO, Dr. Joe Wiley, is the only executive director on the Board. The biographies of all the directors are outlined in 
pages 36-39 of this annual report for the 12 months ended 31 December 2020. The Board consists of seven members and is 
weighted towards non-executive representation to ensure the appropriate level of independent review, scrutiny and challenge of 
the management and the executive function. 

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I am confident that we have the appropriate balance of sector, financial and public market skills and experience and the 
appropriate balance of personal qualities and capabilities to execute our duties as a board effectively. I recognise the need for 
continuous improvement in order to best serve our stakeholders and intend to constantly review the mix of skills and experience 
we possess in order to deliver the Company’s strategic goals. 

Board Committees 

In 2019, we established a Compliance Committee which has responsibility for overseeing the Group’s compliance with laws, 
regulations, internal procedures, and industry standards. Our other existing Board Committees have continued to perform 
effectively throughout 2020. You will find, on pages 42 to 45, individual reports giving details of their activities during the year.  

ESG Responsibility 

The Board recognises the importance of environmental, social and governance matters and aims to consider the differing 
interests of the Group’s stakeholders, including its investors, employees, suppliers and business partners, when operating its 
business. 

Stakeholder Engagement 

In order to operate effectively companies must understand those resources and relationships that matter most to their success. 
The Group’s stakeholders include shareholders, employees, customers, healthcare providers, clinicians, patients, suppliers and the 
community in which it operates. In line with the requirements of the QCA Code, the Board will seek to ensure effective 
engagement with all stakeholders.  

The Board welcomes continuous, open and meaningful discussion with our shareholders and I welcome direct contact and 
questions from shareholders either in writing or via our website. This year, due to the COVID 19 pandemic, the format of our 
shareholders general meeting will be different given we will not all be together in person due to the requirement to follow social-
distancing guidelines. In these unprecedented times, we will hold a virtual shareholders general meeting in the interests of the 
health and safety of our shareholders. However, I look forward to brighter times ahead and seeing you all in person as soon as 
possible.  

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. 

Ray Stafford 
Non-Executive Chairman 

23 June 2021 

Annual Report for the 12 months ended 31 December 2020

 
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CORPORATE GOVERNANCE: 
Chairman’s Governance Overview

The Board  

The Board is responsible for the overall governance of the Group. The Board comprises of one executive director and six non-
executive directors, including the Chairman, as detailed on pages 36 - 39. The Board believe the current split of Non-Executive 
and Executive Directors is appropriate for the requirements of the Group. The Company acknowledges that the Board is 
weighted towards independent Non-Executive representation. This is to ensure that there is appropriate independent review, 
scrutiny, and challenge of the management of the Company and the executive function.  

As the business develops, the composition of the Board will remain under review to ensure that it remains appropriate to the 
requirements of the Group. The current Board is subject to compulsory retirement and will be put up for re-election by rotation 
at our first annual general meeting to be held at least 24 months after the closing of the acquisition of Aegerion in September 
2019. For so long as each of the Athyrium Parties or the Highbridge Parties (or their respective affiliates) respectively hold at least 
10% of our issued share capital, the Athyrium Parties and the Highbridge Parties (as applicable) are each entitled to nominate a 
replacement of the non-independent director (as applicable) selected by them on his or her resignation or retirement. Any such 
director shall serve on the Board until our next annual general meeting, where such director’s appointment will be subject to 
approval by an ordinary resolution of our shareholders. No director has been nominated by Highbridge since the acquisition of 
Aegerion in September 2019. 

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

(cid:129) setting the overall Group strategy and providing leadership to implement the strategy and supervising the management of the 

business;  

(cid:129) the acquisition or disposal of material corporate entities or assets;  

(cid:129) public announcements (including financial statements); approving or making significant changes in accounting policy, the 

capital structure and dividend policy of the Group; 

(cid:129) Group remuneration policy; and  

(cid:129) Board structure, composition and succession.  

The Board delegates to management, through the executive director, 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: 

Non-Executive Chairman 

(cid:129) Leads the Board and promotes a culture of open discussion between Executive and Non-Executive Directors; 

(cid:129) Sets the highest standards of corporate governance; and 

(cid:129) Ensures effective communications with all our stakeholders. 

Executive Director 

(cid:129) Develop and execute the Group’s strategy in line with the policies and objectives agreed by the Board; 

(cid:129) Manage operational effectiveness and profitability of the Group; 

(cid:129) Promotes the purpose, vision and values of the organisation, both internally and externally; and 

(cid:129) Monitor compliance with the Group’s legal, regulatory, corporate governance, social and ethical responsibilities. 

Amryt Pharma plc

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Non-Executive Directors 

(cid:129) Contribute to the overall development of Amryt’s strategy; 

(cid:129) Provide independent insight based on relevant experience; and 

(cid:129) Monitor and challenge the business performance and the execution of strategy. 

Company Secretary 

(cid:129) Ensures correct Board procedures are followed; 

(cid:129) Ensures Directors receive timely and clear information so that Directors are equipped for informed decision making and open 

debate; 

(cid:129) Advises the Board on policy, procedure and governance; and, 

(cid:129) If necessary, coordinates access to independent professional advice for Directors. 

Performance Evaluation 

The Board recognises the need to regularly review the effectiveness of its performance as well as that of its committees and 
individual directors. The Board continues to monitor the skills and experience of each Director as well as the overall performance 
of the Board. 

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, fourteen Board meetings were held. The directors attended as follows: 

                                                                                                                                    Audit          Compliance
                                                                                                 Full Board           Committee           Committee

Remuneration  
Committee 

Total Meetings held during the year                                                      14                          8                          3

Directors’ Attendance: 
Ray Stafford                                                                                     14/14                       7/8                           – 
Joe Wiley                                                                                         13/14                           –                           – 
George Hampton                                                                             13/14                           –                           – 
Alain Munoz                                                                                    13/14                           –                           – 
Don Stern                                                                                        11/14                       8/8                       3/3
Patrick Vink                                                                                     14/14                           –                       3/3
Stephen Wills                                                                                  14/14                       8/8                       3/3

2 

 –  
 –  
2/2 
2/2 
 –  
 –  
2/2 

Board Committees 

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

(cid:129) Remuneration Committee: Chairman – George Hampton 

(cid:129) Audit Committee: Chairman – Steven Wills 

(cid:129) Compliance Committee: Chairman – Donald Stern 

Given the significant number of non-executive directors on the Board with only a single executive director, 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.

Annual Report for the 12 months ended 31 December 2020

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CORPORATE GOVERNANCE: 
Chairman’s Governance Overview continued

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. 

The responsibilities of the remuneration committee covered in its terms of reference include the following: determining and 
monitoring policy on and setting levels of remuneration, termination, performance related pay, pension arrangements, reporting 
and disclosure, share incentive plans and appointing remuneration consultants. The terms of reference also set out the reporting 
responsibilities and the authority of the committee to carry out its responsibilities. 

The Remuneration Committee comprises three members, who are all Non-Executive directors: George Hampton, Dr. Alain 
Munoz and Stephen Wills. The Remuneration Committee is chaired by George Hampton. 

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 of the Company has responsibility for, among other things, the monitoring of the financial integrity of the 
financial statements of the Amryt Group and the involvement of the Amryt Group’s auditors in that process. It focuses in 
particular on compliance with accounting policies and ensuring that an effective system of internal audit, 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 will meet at least 
four times a year at the appropriate times in the financial reporting and audit cycle. 

The terms of reference of the audit committee cover such issues as membership and the frequency of meetings, as mentioned 
above, together with requirements of any quorum for and the right to attend meetings. The responsibilities of the audit 
committee covered in its terms of reference include the following: external audit, financial reporting, internal controls and risk 
management. The terms of reference also set out the authority of the committee to carry out its responsibilities. 

The Audit Committee comprises of three members, who are all non-executive Directors: Stephen Wills, Donald Stern and Ray 
Stafford. The Audit Committee is chaired by Stephen Wills. 

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 
24 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. 

Compliance Committee 

Amryt Established a Compliance Committee in 2019. This Committee has responsibility for overseeing the Group’s compliance 
with laws, regulations, internal procedures and industry standards that may cause significant business, regulatory, or reputational 

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damage to the Group, as well as legal and business trends and public policy issues. The primary function of the Compliance 
Committee is to oversee the development and implementation of compliance and ethics policies and practices at the Group. The 
Compliance Committee comprises three members, Donald Stern, Patrick Vink and Stephen Wills, all of whom are Non-Executive 
Directors and the committee is chaired by Donald Stern. 

Employees 

The Group’s future success depends on the ability to recruit and retain key employees. Our employee base includes key people in 
strategic areas including in commercial and medical affairs as we continue to grow our commercial business as well as in clinical 
and regulatory as we move our development candidates forward. 

To date, we have been fortunate to attract and retain highly experienced individuals in sales and marketing, medical affairs, 
clinical development, clinical operations, regulatory, finance, legal, supply chain, pharmacovigilance and quality assurance, 
supporting them with exceptional leadership at the executive and Board level. 

At 31 December 2020, we had 180 full time employees, 1 Executive Director and 6 Non-Executive Directors, spread across 
Ireland, US and multiple locations in EMEA and LATAM.  

The Board recognises its legal responsibility to ensure the well-being, safety and welfare of the Group’s employees and maintain 
a safe and healthy working environment for them and for our visitors. The Group is fully committed to ensuring that there is no 
unfair discrimination and stresses the importance in the value that a diverse workforce brings to the organisation. The Group 
aims not to discriminate because of age, disability, sex or sexual orientation, race, religion or belief. This is captured in our 
Employee Handbook, which all employees are encouraged to read on an annual basis. All employees also have access to a 
dedicated whistleblowing hotline. The Group continues to monitor policies to ensure that they promote a healthy corporate 
culture. 

A breakdown of employees by gender as at 31 December 2020 is as follows: 

                                                                                                                                                             Gender
Position                                                                                          Female                     Male                 Neutral

Director and Non-Executive Directors                                                      –                          7                           –
Executive leadership/ Senior leadership                                                 15                        10                           –
Employees                                                                                            91                        61                          3
Total                                                                                                   106                        78                          3

Total 

7 
25 
155 
187 

The executive leadership/ senior leadership management consist of those in senior leadership roles with responsibility for the 
strategic planning, direction and management of the day to day activities of the Group. 

Risk Management & 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, debt funding and holds its cash as a liquid 
resource to fund the obligations of the Group. Decisions regarding the management of these assets are considered and approved 
by the Board. 

Annual Report for the 12 months ended 31 December 2020

  
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CORPORATE GOVERNANCE: 
Chairman’s Governance Overview continued

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: https://www.amrytpharma.com/investors/corporate-governance/. 

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 shareholders 

Our business model and strategy are explained in the Overview section of the Strategic Report on page 3 and page 13 of 
this Annual Report for the 12 months ended 31 December 2020. 

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 “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 36 

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, www.amarytpharma.com 

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

board 

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

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CORPORATE GOVERNANCE: 
Directors’ Remuneration Report

Dear Shareholders,  

On behalf of the Remuneration Committee, I am pleased to present our Directors’ Remuneration Report for the year ended 31 
December 2020. We are required to prepare a Directors’ Remuneration Report following the Company’s listing on the NASDAQ 
Global Market in 2020 and given our UK incorporation. The Directors Remuneration Report included in this Annual Report on 
page 53 is outside the scope of the audit report. 

The Committee always seeks to ensure that the remuneration of our Executive Director reflects the underlying performance of 
the business. When approving outcomes, we therefore considered performance against our financial and strategic targets along 
with wider business and individual performance.  

Remuneration Review for the year ended 31 December 2020 

Our Executive Director, Joe Wiley, received an increase in base salary of 3% to $710,185 on 1 January 2020.  

Details of the fees paid to members of the Non-Executive Board are set out on page 53.  

Annual Bonus Plan 

The amount of annual bonus paid to the Executive Director was considered in the context of financial, strategic and personal 
performance for the year ended 31 December 2020. The Committee recommended to the Board the level of bonuses to be paid 
to the Executive Director and employees, following a review of performance against bonus objectives. This included a stretch 
bonus as the Company’s performance exceeded certain pre-established corporate targets. The level of pay out achieved is the 
result of strong performance against the short-term objectives, which were considered, reviewed and approved by the 
Committee. The Board accepted this recommendation and such amounts have been included within this annual report for the 
12 months ended 31 December 2020. 

Long Term Incentive Plan (LTIP) 

The Committee want to ensure that all LTIP metrics and targets remain suitable and aligned with our growth strategy and 
appropriately incentivise participants. The Committee has been working with its external compensation consultant, Radford (part 
of Aon plc) over the course of 2020 to prepare an equity strategy which is deemed suitable for the NASDAQ listed company. 
Radford has recommended participation rates for Amryt based on market data and observed international practices. It was 
agreed that participation levels would vary by employee location and level within the Company. In 2020, the Committee based 
its decisions on the Radford’s equity strategy advice for all equity grants in 2020. Radford, a highly reputable external third-party 
advisor, was appointed by the Remuneration Committee to ensure that any advice received in terms of remuneration was 
objective and independent. 

Conclusion 

The Committee remains committed to a responsible approach to Executive remuneration, as I trust this Directors’ Remuneration 
Report demonstrates. We continue to believe that the Policy provides a remuneration philosophy that encourages both Executive 
and Non-Executive Directors to serve in the best interests of the Company and to support the delivery of value to shareholders in 
the future. 

As always, I am happy to meet or speak with shareholders if there are any questions or feedback on our approach to executive 
remuneration. 

Yours sincerely, 

George Hampton 
Chair of the Remuneration Committee 

Annual Report for the 12 months ended 31 December 2020

 
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CORPORATE GOVERNANCE: 
Directors’ Remuneration Policy 

This part of the Directors’ Remuneration Report sets out the Directors’ Remuneration Policy for the Company.  

The Directors’ Remuneration Policy applies to the Executive Director and the Non-Executive Directors appointed to the Board of 
Directors. Currently, our Chief Executive Officer, Joe Wiley, is the only Executive Director on the Board. All other Board Directors 
are Non-Executive Directors. 

Considerations when determining remuneration policy 

The Remuneration Committee has put a Remuneration policy in place with the aim of ensuring that the policy primarily: 

(cid:129) Supports the long-term development, growth and success of the Company; 

(cid:129) Aligns executive remuneration with company’s purpose, culture, values and long-term strategy; 

(cid:129) Provides competitive (but not excessive) packages when compared with other companies of a similar size and complexity, in 
order to attract, retain and motivate high calibre individuals who have the expertise and drive to support the growth of the 
Company and who can substantially contribute to our success; 

(cid:129) Balances both short-term and long-term incentives to motivate these individuals to achieve our corporate objectives; 

(cid:129) Respects the expectations of shareholders and other stakeholders and conforms to our high standards of corporate 

governance. 

Remuneration Policy – Executive Director  

The following section of this report describes the formal remuneration policy applying to the Company’s Executive Director. The 
total remuneration package for the executive Director is made up of the following elements: 

(cid:129) Base salary 

(cid:129) Annual bonus (short term incentive) 

(cid:129) Pension 

(cid:129) Benefits 

(cid:129) Equity incentives (long term incentive) 

Base Salary 

The Remuneration Committee strives to set this base salary at a level which will attract and retain executive leaders with the 
relevant qualifications, skills and expertise to drive the Company’s growth and development, with the ultimate aim of becoming a 
world leader in rare and orphan diseases. The Committee has set no maximum salary limit for this position. The Committee 
works with external compensation consultants (Radford) to determine the appropriate level of salary, in line with other 
companies of our size and complexity. Radford reviews levels of pay in peer groups on an annual basis and it has been agreed by 
the Board to use Radford’s proposal of the 50th percentile for Executive salary. The level of salary is typically reviewed on an 
annual basis, with increases normally taking effect from 1 January. The Committee retain discretion to retrospectively increase 
salaries. When determining the level of increase each year, an assessment of the Executive Directors performance against the 
corporate objectives is considered as part of the annual review.

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Annual Bonus  

The annual bonus is included in the compensation package for the Executive Director to encourage the achievement of the 
Company’s short term corporate objectives and strategic goals. The annual bonus for the current Executive Director is set at 65% 
of base salary. Following advice from our external compensation consultants, there is also a stretch bonus element to the annual 
bonus. The Committee determines an appropriate stretch bonus percentage each year. Both the base bonus and stretch bonus 
(if performance exceeds certain targets) are normally paid out in the first Quarter following the end of the financial year and is 
based on annual performance against targets and objectives set by the Committee. Short-term corporate objectives and targets 
are set annually and approved by the Committee. In any given year they typically include targets relating to financial milestones, 
commercial, clinical and corporate development. These various financial and business development targets are chosen each year 
to ensure they align with the short term corporate objectives of the Company each year. These annual corporate objectives can 
be revised during the performance period but this requires approval by the Committee. In accordance with the regulations, any 
changes would be disclosed in the relevant year’s report and accounts. At the end of each financial year, the corporate objectives 
approved at the start of the year are reviewed and their achievement is evaluated by the Committee. Once the evaluation is 
complete, an overall proposal of bonus is approved by the Committee. The minimum potential level of bonus paid in any year is 
nil with the maximum being the annual bonus of 65% of base salary plus the stretch bonus percentage which has been 
approved for that year. 

Pension 

The Company operates a defined contribution pension plan. The Executive Director is eligible to receive employer payments of 
10% of basic salary each month on the condition that the employee also contributes an additional 5% of basic salary each 
month. Only base salary is pensionable. 

Benefits 

There is no formal maximum limit on contributions made by the company relating to other benefits in favour of the Executive 
Director. Other employment benefits may be provided from time to time. 

Equity Incentives 

The Company grants equity awards to the Executive Director under the terms of the Company’s share option plan. The plan 
allows for the grant of non-qualified stock options, restricted stock units or incentive stock options. By granting equity awards to 
the Executive Director, the Company aims to align the interests of the participant with those of the Company and encourages 
employee retention as the options normally vest over a 3-year period and have a seven-year term.  

The Committee generally offers equity awards in line with advice given by the external compensation consultants. Stock awards 
granted under the Stock Option Plan are granted as A ordinary shares and there is a facility in place for participants to convert 
their A ordinary shares to ADSs on exercise of any equity awards that have vested if they wish to do so. Awards vest in 
accordance with the vesting schedule which is determined by the Remuneration Committee at the time of the equity award 
grant.  

All equity awards granted to the Executive Director accelerate in a change of control scenario. 

Remuneration Policy – Non- Executive Directors  

The following section of this report describes the formal remuneration policy applying to the Company’s Non-Executive Directors. 

The total remuneration for the Non-Executive Directors is made up of the following elements: 

(cid:129) Fees 

(cid:129) Equity incentives

Annual Report for the 12 months ended 31 December 2020

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CORPORATE GOVERNANCE: 
Directors’ Remuneration Policy continued 

Fees  

The Non-Executive Directors receive a base fee, paid monthly, for the performance of their duties. Fees may be higher for some 
Non-Executives if they have additional responsibilities. Fees are subject to periodic review at Board level. All reasonable business 
expenses incurred as part of their role in the Company are reimbursed.  

Equity Incentives 

The Company grants equity awards to the Non-Executive Directors under the terms of the Company’s share option plan. The 
plan allows for the grant of non-qualified stock options, restricted stock units or incentive stock options. By granting equity 
awards to the Non-Executive Directors, the Company aims to align the interests of the Non-Executive Directors with those of the 
Company and encourages retention as the options normally vest over a 3-year period and a seven-year term.  

The Committee generally offers equity awards in line with advice given by the external compensation consultants. Awards vest in 
accordance with the vesting schedule which is determined by the Remuneration Committee at the time of the equity award 
grant.  

All equity awards are granted at the share price at the time of grant. All equity awards granted to the Non-Executive Directors 
accelerate in a change of control scenario. 

Service Agreements  

The Executive Director has a rolling service contract with a notice period of 12 months. A copy of the Executive Directors contract 
can be viewed at the company’s head office or requested from the Company Secretary.  

The Non-Executive Directors are employed by way of a letter of appointment. The letters of appointments can be viewed at the 
company’s head office or requested from the Company Secretary. 

Consideration of shareholder views 

The Committee welcomes the views of shareholders and will consider shareholder feedback received as it develops the 
Company’s remuneration policy going forward. 

Consideration of employment conditions elsewhere in the Company 

The Committee is aware of the remuneration packages by level/ title across the organisation and ensure that the remuneration 
policy for the Directors has been prepared with this in mind. 

Policy on payment for loss of office 

The Company is entitled lawfully to terminate the employment of the current Executive Director at any time and with immediate 
effect by written notification and pay a payment in lieu of notice. In the event of a breach of service agreement, no such 
payments will be made. Generally, in the event of termination, the service contract may provide for payment of basic salary and 
contractual benefits over the notice period. The Company may elect to make a payment in lieu of notice equivalent in value to 
basic salary and contractual benefits for the period of notice period. The Committee’s approach to payments in the event that 
employment is terminated is to take account of the individual circumstances, including the reason for termination, individual 
performance, contractual obligations and the terms of any remaining or outstanding equity awards. The treatment of 
outstanding incentive awards on termination of employment is described in the Company’s share option plan rules, but the 
Committee retains the discretion to adopt any treatment that it determines fair and appropriate given the circumstances 
applicable to individual leavers. 

In a change of control scenario, if the Executive Director is terminated other than for cause or if the Executive Director resigns in 
certain circumstances, e.g. diminution of duties, the Executive Director will be entitled to 24 months’ salary, his target bonus of 
65% of salary and any unpaid benefits, vacation expenses and expense reimbursements.

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New Executive Director/ Non- Executive Director – remuneration 

The remuneration package for a new Executive Director will be determined by the Remuneration Committee in accordance with 
the terms of the policy at the time of his/her appointment. The remuneration package includes salary, bonus, pension, benefits 
and equity awards. The Committee recognises the need to recruit experienced, talented, highly motivated individuals to this 
position and as a result, the policy needs to be flexible in relation to recruitment of new personnel to this position in the 
company. When finalising the remuneration package for a new Executive Director, the Committee will consider the calibre, 
industry experience and the market rates at the time of the appointment. The need for benefits to be flexible is important. For 
example, it may be necessary to offer relocation expenses if the candidate is coming from overseas. 

The fees for a new Non-Executive Director will be set by reviewing the experience and calibre of the individual and the expected 
responsibilities that this candidate will take on in the business. 

Policy on external appointments 

The Executive Director and the Non-Executive Directors may accept external Non-Executive Director positions as long as this 
additional work does not interfere with the individual’s ability to carry out their duties in the Company.  

Illustration of application of the policy 

The chart below shows, for illustrative purposes only, what the annual remuneration the Executive Director can expect to receive 
in 2021 in the event that (1) performance is below expectation (minimum), (2) performance is in line with expectation (target) 
and (3) exceed targets (maximum) for 2021. 

The assumptions used in the calculation are as follows: 

(cid:129) Minimum remuneration comprises annual salary for 2021, employer pension contributions of 10% of base salary and an 

estimate for taxable benefits for the year ended 31 December 2021; 

(cid:129) Target remuneration reflects minimum remuneration above plus annual bonus at target level (65% of annual base salary); 

(cid:129) Maximum reflects minimum remuneration plus annual bonus plus additional stretch bonus for exceeding targets. For 

illustrative purposes, we have included the stretch bonus approved by the Committee for 2021 of 175%; 

(cid:129) Maximum Plus as outlined above plus 50% share price growth scenario. There is no minimum or maximum level of equity 

incentive awards issuable to the Executive officer in any year as per the remuneration policy. No equity awards were granted 
to the Executive Director in 2020. For the purpose of this illustration, the equity awards granted in 2021 at the date of this 
annual report have been included. The options vest over 4 years – 25% after 12 months, 25% after 24 months and 50% 
after 36 months, subject to continued services. Assuming a 50% share price growth scenario, the value of the equity awards 
in the table below represents the value to the Executive Director that would materialise over the 3 vesting periods from 2022 
to 2024.  

Annual Report for the 12 months ended 31 December 2020

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Directors’ Remuneration Policy continued 

The minimum, target and maximum scenarios in the chart do not include any values for equity-based award remuneration. We 
do not believe it is possible to reasonably quantify the value that might result from awards of market value options in these 
scenarios.  

Amryt Pharma plc

 
 
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CORPORATE GOVERNANCE: 
Annual Remuneration Report

Directors’ Remuneration  

The Directors received the following remuneration for the years ended 31 December 2020: 

                              Salary/                             Employer             Equity             Other               2020               Fixed
Variable 
                                  Fees            Bonus          Pension           awards3          Benefits                Total  remuneration remuneration 
$’000 
                               $’000             $’000             $’000              $’000             $’000              $’000              $’000

Ray Stafford                  88                    –                    –                 110                    –                 198                   88
Joe Wiley                    727                739                  71                     –                182              1,719                 798
George Hampton          65                    –                    –                 110                    –                 175                   65
Alain Munoz                 58                    –                    –                 110                    –                 168                   58
Donald Stern                 80                    –                    –                 110                    –                 190                   80
Patrick Vink                   60                    –                    –                 110                    –                 170                   60
Stephen Wills                88                    –                    –                 110                    –                 198                   88

110 
921 
110 
110 
110 
110 
110 

TOTAL                      1,166                739                  71                 660                182              2,818              1,652

1,581 

Fixed remuneration consists of salary/ fees and employer pension. Variable remuneration consists of bonus, equity awards and 
other benefits. 

The remuneration of Directors for the year ended 31 December 2019 was as follows: 

                              Salary/                             Employer             Equity             Other               2019               Fixed
Variable 
                                  Fees            Bonus          Pension           awards3          Benefits                Total  remuneration remuneration 
$’000 
                               $’000             $’000             $’000              $’000             $’000              $’000              $’000

Ray Stafford                  61                    –                    –                     –                    –                   61                   61
Joe Wiley                    588                703                  50              3,412                  31              4,784                 638
George Hampton1         17                    –                    –                     –                    –                   17                   17
Alain Munoz1                15                    –                    –                     –                    –                   15                   15
Donald Stern1                21                    –                    –                     –                    –                   21                   21
Patrick Vink1                  16                    –                    –                     –                    –                   16                   16
Stephen Wills1               23                    –                    –                     –                    –                   23                   23
Rory Nealon2               288                515                  27                   70                  13                 913                 315
Harry Stratford2             82                    –                    –                     –                    –                   82                   82
James Culverwell2          58                    –                    –                     –                    –                   58                   58
Markus Ziener2              47                    –                    –                     –                    –                   47                   47

TOTAL                      1,216             1,218                  77              3,482                  44              6,037              1,293

 –  
4,146 
 –  
 –  
 –  
 –  
 –  
598 
 –  
 –  
 –  

4,744 

Fixed remuneration consists of salary/ fees and employer pension. Variable remuneration consists of bonus, equity awards and 
other benefits. 

1 George Hampton, Alain Munoz, Donald Stern, Patrick Vink and Stephen Wills were all appointed to the Board on 24 September 2019 and their salaries reflect the 

period from the appointment date to 31 December 2019. 

2 Rory Nealon, Harry Stratford, James Culverwell and Markus Ziener resigned from the Board on 24 September 2019 and their salaries reflect their salaries from 

1 January 2019 to 24 September 2019. 

3 The equity awards granted to the Executive Directors in 2019 and Non-Executive Directors in 2020 is the grant date fair value as computed in accordance with 
IFRS 2 (Share Based Payments) using a Black-Scholes option pricing model. No equity awards were granted to the Executive Director in 2020. No equity awards 
were granted to the Non- Executive Directors in 2019.

Annual Report for the 12 months ended 31 December 2020

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CORPORATE GOVERNANCE: 
Annual Remuneration Report continued 

Annual performance bonus 

The Company has a bonus plan in place for the Executive Director and all employees. Bonus amounts are set as a percentage of 
base salary based on performance-based measures against personal and Company-wide target objectives. Bonus payments for 
the Executive Director are a percentage of base salary, based on performance-based measures against Company-wide target 
objectives. Following advice from external remuneration consultants, Radford, the Committee introduced a stretch bonus in 2020 
which is an additional bonus on top of each individuals agreed percentage of base salary bonus target. The stretch bonus is only 
paid if the Company exceeded the Company wide target objectives for the year.  

For the 2020 performance period the agreed Company-wide target objectives were exceeded, meaning the bonus pay-out for 
the 2020 performance period is 130% of the base salary for the Executive Director. 

Specific details of the actual Company-wide target objectives are considered commercially sensitive and therefore not disclosed in 
detail. However, the principal factors leading to the payment of the stretch bonus included the following: 

(cid:129) 18.5% growth in revenues for the year ended 31 December 2020 of $182.6M 

(cid:129) Adjusted EBITDA of $30.4M for the year 

(cid:129) Strong cash generation during 2020 with $26.9M of cash generated from operating activities and cash balance at 31 

December 2020 of $118.8M 

(cid:129) Positive results from EASE pivotal Phase 3 trial in epidermolysis bullosa ("EB") 

(cid:129) Successful fundraise of $40M 

(cid:129) Completion of Aegerion integration ahead of schedule 

In addition, the Committee took into consideration the following achievements which were not incorporated into the Corporate 
objectives: 

(cid:129) Successful listing on NASDAQ Global Select Market 

(cid:129) Reimbursement approval for Lojuxta in Saudi Arabia 

(cid:129) Marketing Authorisation Approval for Lojuxta in Brazil 

(cid:129) Orphan designation for the use of AP103 in EB from both EMA and FDA 

(cid:129) Appointment of new senior management team members 

Long term incentive awards during the financial year 

Directors may be granted long-term incentive awards at the discretion of the Committee. In accordance with the Remuneration 
Policy, the vesting of awards was set by the Remuneration Committee with the objective of aligning long-term employee 
interests with those of shareholders and providing a competitive remuneration structure that attracts, incentivises and retains all 
employees in the key markets in which the Company operates.  

During the year ended 31 December 2020: 

(cid:129) Having received an equity grant in 2019, the Committee decided that it was not necessary to grant any additional equity 

awards in 2020 and therefore, the Executive Director was not awarded any equity awards under the Company’s 2020 Equity 
Incentive Plan 

(cid:129) Upon listing on NASDAQ, all Non-Executive Directors were awarded options under the Company’s 2020 Equity Incentive Plan 

over a three-year vesting period. The awards vest 25% after 12 months, 25% after 24 months and the remaining 50% 
vesting after 36 months, subject to continued service. The options awarded under the Company Equity Incentive Plan were in 
respect of these Ordinary Shares and do not have performance conditions. 

Amryt Pharma plc

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55

All awards granted under the Equity Incentive Plan during the year ended 31 December 2020 are subject to a service condition 
and may be exercised at any time between the relevant vesting date and the seventh anniversary of the date of grant. Awards 
which are not exercised by the end of the seven-year anniversary from the grant date will lapse permanently. The exercise price of 
all options granted during the year was the market value of the shares upon closing on the day before the grant. Neither the 
Executive Director or any of the Non- Executive Directors exercised any options in 2020 and no awards lapsed during the year to 
31 December 2020. 

The options granted to the Non-Executive Directors in 2020 were as follows: 

                                                                                                                      Number 
                                                                                                                  of Options 
Director                                                                               Grant Date       (A Shares)1

Ray Stafford                                                                        9 July 2020          220,000
George Hampton                                                                9 July 2020          220,000
Alain Munoz                                                                       9 July 2020          220,000
Donald Stern                                                                      9 July 2020          220,000
Patrick Vink                                                                         9 July 2020          220,000
Stephen Wills                                                                      9 July 2020          220,000

Exercise 
Price

(A Shares)1 Face Value
$

$

Expiration  
Date 

2.25
2.25
2.25
2.25
2.25
2.25

495,000 9 July 2027 
495,000 9 July 2027 
495,000 9 July 2027 
495,000 9 July 2027 
495,000 9 July 2027 
495,000 9 July 2027 

1  All options in the table are granted as options over “A” Ordinary shares which are listed on AIM. The strike price is the market price of the shares listed on AIM 

upon closing on the day before the grant, translated to US$ on the same date. Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary 
shares. Similarly, the ADS strike price is five times the A Ordinary strike price. 

Payments to past Directors 

There were no payments made to past Directors during the year ended 31 December 2020. 

Payments for loss of office 

There were no payments made to Directors for loss of office during the year ended 31 December 2020. 

Directors’ service contracts and letters of appointment 

The dates of appointment of each of the Non-Executive Directors serving at 31 December 2020, are summarised in the table 
below: 

Non- Executive Director

Ray Stafford1
George Hampton
Alain Munoz
Donald Stern
Patrick Vink
Stephen Wills

Date of 
 appointment 

24 September 2019 
24 September 2019 
24 September 2019 
24 September 2019 
24 September 2019 
24 September 2019 

1 Ray Stafford was appointed Non-Executive Chairman of Amryt Pharma plc (Company number: 12107859) on 24 September 2019. Prior to this date, Ray was a 

Non-Executive Director of Amryt Pharma Holdings Limited (Company numbers: 05316808 and previously named Amryt Pharma plc until 24 September 2019) since 
April 2016. 

Annual Report for the 12 months ended 31 December 2020

 
                                                                                                                                  
 
 
           
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CORPORATE GOVERNANCE: 
Annual Remuneration Report continued 

Statement of directors’ shareholdings and share interests 

The table below sets out, as at 31 December 2020, the beneficial interest in the Company’s shares of the Directors (together with 
interests held by his or her connected persons). In addition, the table below also sets out the total number of options held by 
Directors which are vested but not yet exercised and the total number of options held by Directors which are unvested. 

                                                                                                                                                            Number 
Number 
                                                                                                                                                         of options
of options  
                                                                                                                           Beneficially       vested not yet 
                                                                                                                              owned A               exercised
unvested  
Director                                                                                                         ordinary shares            (A Shares)1            (A shares)1  

Executive                                                                                                                                                            
Joe Wiley                                                                                                              3,507,080            1,867,006
Non-Executive 
Ray Stafford                                                                                                          1,363,501                           – 
George Hampton                                                                                                                –                           – 
Alain Munoz                                                                                                                       –                           – 
Donald Stern                                                                                                                       –                           – 
Patrick Vink                                                                                                                         –                           – 
Stephen Wills                                                                                                                      –                           – 

4,570,454 

220,000 
220,000 
220,000 
220,000 
220,000 
220,000 

1 All options in the table are granted as options over “A” Ordinary shares which are listed on AIM. The strike price is the market price of the shares listed on AIM 

upon closing on the day before the grant, translated to US$ on the same date. Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary 
shares. Similarly, the ADS strike price is five times the A ordinary share strike price. 

The Company does not have a formal policy on Executive or Non-Executive Director shareholdings. 

As at 31 December 2020, no unvested equity incentive awards are subject to performance conditions. The table below shows 
the interests of the Directors in the Company’s share options as at 31 December 2020: 

                                                                                          Number of                                                           
                                                                                  options granted             Exercise                                 
Director                                                                                 (A Shares)1               Price1                Grant Date

Expiry Date  

Joe Wiley                                                                                343,521                £1.21   28 November 2017 28 November 2024 
21 May 2026 
Joe Wiley                                                                                316,039                £0.76            21 May 2019
5 November 2026 
Joe Wiley                                                                             5,777,900                £1.22     5 November 2019
 9 July 2027 
Ray Stafford                                                                           220,000            US$2.25               9 July 2020
 9 July 2027 
George Hampton                                                                   220,000            US$2.25               9 July 2020
9 July 2027 
Alain Munoz                                                                          220,000            US$2.25               9 July 2020
9 July 2027 
Donald Stern                                                                          220,000            US$2.25               9 July 2020
9 July 2027 
Patrick Vink                                                                            220,000            US$2.25               9 July 2020
9 July 2027 
Stephen Wills                                                                         220,000            US$2.25               9 July 2020

1 All options in the table are granted as options over “A” Ordinary shares which are listed on AIM. The strike price is the market price of the shares listed on AIM 

upon closing on the day before the grant, translated to US$ on the same date. Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary 
shares. Similarly, the ADS strike price is five times the A ordinary share strike price.

Amryt Pharma plc

  
  
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57

Under the terms of the Company’s Equity Incentive Plan, we have granted market value options to our Executive Director and 
Non-Executive Directors. Options were granted to the Executive Director in 2017 and 2019. Options were granted to the Non-
Executive directors in 2020. These market value options vest over 3 years with 25% vesting 12 months after the grant date, a 
further 25% vesting 24 months after the grant date and the final 50% vesting 36 months after the grant date. There are no 
performance conditions attached to these share options.  

No options were exercised by the Executive Director or the Non-Executives Directors in 2020 or 2019. 

Performance graph  

The graph below shows the Company’s performance, measured by total shareholder return, relative to the NASDAQ 
Biotechnology Index. The NASDAQ Biotechnology Index has been selected for this comparison because the Company has been 
trading on this exchange since July 2020 and is therefore considered to be the most suitable comparator index. 

The graph shows the value, by 31 December 2020, of $100 invested in the Company on 8 July 2020, compared with the value 
of $100 invested in the NASDAQ Biotechnology Index on the same date.  

Executive Directors total remuneration history 

The Executive Directors remuneration for 2020 is set out below. This will eventually build up to cover a rolling ten-year 
remuneration history. 

Total Executive Director remuneration1
Executive Director bonus (as a % of base salary)
Executive Director LTIP vesting (as a % of maximum available)2

2020 
 $ 

1,719,000 
130% 
100% 

1 Total remuneration above consists of base salary, bonus, employer pension contribution and other benefits for 2020 

2 No share options were granted to the Executive Director in 2020. Options previously granted in 2017 and 2019 vested in 2020. As these options are not subject to 

performance conditions, the vesting percentage has been recorded at 100%

Annual Report for the 12 months ended 31 December 2020

 
           
           
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CORPORATE GOVERNANCE: 
Annual Remuneration Report continued 

Percentage change of Executive Directors total remuneration 

The table below shows the percentage change in remuneration of the Executive Director and the Group’s employees as a whole 
as set out below between the year ended 31 December 2019 and the year ended 31 December 2020: 

Base Salary                                                                                               
Annual Bonus                                                                                           
Taxable Benefits                                                                                        

Executive 
Director

Average 
Employee 

23%
5%
487%

(6%) 
79% 
(23%) 

Following the acquisition of Aegerion in September 2019, based on the advice of Radford, the Executive Director received a pay 
increase given the significant increase in the size of the combined company. As part of the Aegerion integration process, a 
number of roles were moved from Boston, US to Dublin, in late 2019 and early 2020, resulting in a lower average base salary 
and associated taxable benefits per role. 

Relative importance of spend on pay 

The Remuneration Committee considers the Company’s total revenues relative to salary expenditure for all employees, to be the 
most appropriate metric for assessing overall spend on pay due to the nature and stage of the Company’s business. Dividend 
distribution and share buy-back comparators have not been included because the Company has no history of such transactions. 
The table below illustrates the gross pay to all employees for 2020 as compared to total operating expenditure and illustrates the 
year-on-year change. 

Gross Pay to all employees                                                                        
Total Revenues                                                                                          

Membership of the remuneration committee and its advisors 

2020 
($’000)

44,219
182,607

2019
 ($’000)

23,470
58,124

% Change 

188.4% 
214.2% 

The Remuneration Committee comprises three members, who are all Non-Executive Directors: George Hampton, Dr. Alain 
Munoz and Stephen Wills. The Remuneration Committee is chaired by George Hampton. The Executive Director and Head of HR, 
as well as others, are invited to attend Remuneration Committee meetings as required to provide advice and assistance. 

During the year, the Committee was assisted in its work by Radford. Radford was appointed to provide advice in relation to 
Directors’ remuneration policy and general remuneration matters. Fees paid to Radford in relation to advice provided to the 
Committee during the year to 31 December 2020 were $172,000, charged on a time/cost basis. The Committee is satisfied that 
the advice they received from Radford was objective and independent.  

The Committee met 2 times during the year and addressed the following main topics: 

(cid:129) Review of annual bonus payments to the Executive Director, the annual bonus plan for all other employees for 2020 and 

implementing a stretch bonus target for 2020 

(cid:129) Review of equity incentive awards in light of the Company’s NASDAQ listing in July 2020 

(cid:129) Implementation of a peer Group for use as public named peers based on industry focus and financial profile 

Amryt Pharma plc

                                                                                                                
                                                                                                                
                                                                                                                
 
                                                                                                                
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59

Statement of implementation of remuneration policy for the 12 months ended 31 December 2021 

Annual salary 

In January 2020 the Executive Director received a 3% increase in annual salary in-line with the other employees. The Executive 
Director’s annual salary increased by 3% on 1 January 2021, in line with the other employees. 

Bonus 

In line with our Policy, the Executive Director will be eligible for an annual bonus of 65% of basic salary for achievement of target 
level or 130% of basic salary for achievement of stretch goals for the 2021 financial year. The bonus will be subject to the 
achievement of short-term corporate objectives which have been set by the Committee with respect to the FY2021 performance 
period. The short-term objectives cover key objectives that relate to the achievement of the Group’s wider strategic goals 
including, for 2021, measures relating to financial milestones, clinical and corporate development. The amount of bonus payable 
is at the discretion of the Committee subject to review of performance against the short-term corporate objectives at the end of 
the financial year. The Committee has chosen not to disclose, in advance, the detailed performance targets for the forthcoming 
year as these include matters which the Committee considers commercially sensitive. Retrospective disclosure of the performance 
against the corporate objectives will be made in next year’s Annual Report on Remuneration to the extent any such disclosure is 
considered not to be commercially sensitive at that time. 

Benefits and pension 

The Executive Director will continue to be eligible to receive pension contributions from the Company to the value of 10% of 
basic salary. No significant changes are expected to the provision of other benefits. 

Long-term incentive plan 

In line with the Policy, the Committee has issued market value options to the Executive Director during 2021. 

On March 8, 2021, equity incentive awards were granted to the Executive Director under the 2020 Equity Incentive Plan. These 
equity incentive awards were market value options over A Ordinary shares and the vesting period is three years; 25% of the 
award vesting 12 months after the grant date, 25% of the award after 24 months from the date of grant and the balance of 
50% of the award vesting 36 months after the date of grant. No performance conditions were attached to the awards. 

                                                                                               Number of 
                                                                                       options granted 
Director                                                                                      (A Shares)1

Exercise

Price1           Grant Date

Expiry Date 

Joe Wiley                                                                                  2,031,350

$2.80

8 March 2021

8 March 2028 

1 All options in the table are granted as options over “A” Ordinary shares which are listed on AIM. The strike price is the market price of the shares listed on AIM 

upon closing on the day before the grant, translated to US$ on the same date. Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary 
shares. Similarly, the ADS strike price is five times the A ordinary share strike price. 

Non- Executive Directors’ fees 

The Committee did increase Non-Executive Directors fees in 2021 to date. No new equity awards were granted to the Non-
Executive Directors in 2021 to date. 

This directors’ remuneration report has been approved by the Board and signed on behalf of the Board. 

Joe Wiley 
Director 
23 June 2021 

Annual Report for the 12 months ended 31 December 2020

 
 
 
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CORPORATE GOVERNANCE: 
Directors’ Report 

The Directors of the Company present their report and the Financial Statements of the Company and its subsidiary undertakings 
(together the “Group” or “Amryt”) for the 12 months ended 31 December 2020.  

Amryt Pharma plc was incorporated under the UK Companies Act 2006 on 17 July 2019 as a private company limited by shares 
under the name Amryt Pharma Holdings Limited. Following a re-registration as a public company in September 2019 in 
connection with the scheme of arrangement under which we acquired Aegerion, we became the parent company of our legacy 
businesses and changed our name to Amryt Pharma plc. 

Directors 

The Directors who served on the Board of Amryt Pharma plc during the period to the date of this report are as follows: 

Ray Stafford (Non-Executive Chairman)  
Dr. Joe A. Wiley (Chief Executive Officer)  
George P. Hampton Jr. (Non-Executive Director) 
Dr. Alain H. Munoz (Non-Executive Director)  
Donald K. Stern (Non-Executive Director)  
Dr. Patrick V.J.J. Vink (Non-Executive Director)  
Stephen T. Wills (Non-Executive Director)  

Principal activities 

The Strategic Report on pages 2 to 35 describes the Group’s principal development activities, strategy and future developments.  

Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercialising novel 
treatments to help improve the lives of patients with rare and orphan diseases.  

Results and Dividends 

The Group recorded a total loss for the 12 months attributable to equity holders of the parent of $104.5 million 
(2019: $63.0 million). The Directors do not recommend payment of a dividend (2019: nil). 

Research and Development  

For the 12 months ended 31 December 2020, we spent $27.6 million (2019: $15.8 million) on research and development 
activity. Research and development spend primarily reflects the underlying activity on clinical trials for our products as well as the 
manufacturing of drug product together with the internal costs, including payroll directly attributable to these activities. Further 
details of our product programs and research and development spend can be found within the Strategic Report. 

Share Capital Structure 

The Company’s ordinary shares of £0.01 are listed on the NASDAQ (AMYT) and the AIM Market of the London Stock Exchange 
(AMYT). At the date of this report, 183,593,296 ordinary shares of £0.01 each were in issue of which 4,208,314 are treasury 
shares. Details of share issues and changes to the capital structure during the 12 months ended 31 December 2020 are set out in 
note 17 of the Notes to the Financial Statements. 

Amryt Pharma plc

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61

Substantial Shareholdings 

To the Company’s knowledge, the following shareholders had an interest of 3% or more in the issued ordinary share capital of 
the Company: 

                                                                                           31 December
                                                                                                        2020
Rank    Investor                                                                             Number

31 December
2020
%

31 December
2019
Number

31 December 
2019 
% 

1         Athyrium Capital Mgt                                                  44,286,346
2         Highbridge Capital Mgt.                                              15,732,313
3         Novelion Therapeutics Inc                                            12,490,250
4         Edgepoint Investment Mgt                                          12,126,650
5         Stonepine                                                                    11,082,415
6         Software AG-Stiftung                                                  10,212,153
7         UBS Group AG                                                              9,950,000
8         Amati                                                                            6,860,513
9         Axa SA                                                                          6,494,164

Qualifying Indemnity Provision 

24.8%
8.8%
7.0%
6.8%
6.2%
5.7%
5.6%
3.8%
3.6%

42,883,097
11,073,825
14,040,250
12,126,650
1,465,000
10,212,153
8,816,367
2,439,513
6,494,164

27.8% 
7.2% 
8.1% 
7.8% 
0.0% 
6.6% 
5.7% 
1.6% 
4.2% 

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. 

Financial Risk Management Objectives and Policies 

Refer to Note 24 of the financial statements for further details on our financial risk management objectives and policies, 
including information on exposure to price risk, credit risk, liquidity risk and cash flow risk. 

Information on Environmental Matters 

The Company is required to measure and report greenhouse gas emissions. 2020 is reported as the baseline year against which 
future performance will be measured. 

Energy and Carbon Reporting 

Quantification and reporting methodology 

This report was compiled by Management. The 2019 UK Government Environmental Reporting Guidelines and the GHG Protocol 
Corporate Accounting and Reporting Standard (revised edition) were followed to ensure the Streamlined Energy and Carbon 
Reporting (“SECR”) requirements were met. 

The energy data was collated using existing reporting mechanisms. These methodologies provided continuous record of 
electricity use. The energy data was converted to carbon emissions using the 2020 UK Government GHG Conversion Factors for 
Company Reporting. The associated emissions are divided into the combustion of fuels and the operation of facilities (scope 1), 
purchased electricity, heating and cooling (scope 2) and in-direct emissions that occur as a consequence of company activities 
(scope 3). During the 12 months ended 31 December 2020, the Group only had emissions relating to Scope 1 and Scope 2. 

Annual Report for the 12 months ended 31 December 2020

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CORPORATE GOVERNANCE: 
Directors’ Report continued 

Estimations 

The total consumption for energy supplies are as follows: 

Consumption by the company (in KWH)
Emissions associated with the reported energy use (tCO2E)

Intensity Ratio 

The chosen intensity ratio is the total gross emissions in metric tonnes CO2e (mandatory emissions) per employee. 

Tonnes of CO2e per employee

 2020 

1,639,966 
441.38 

 2020 

2.71 

Energy Efficiency Action for the 12 months ended 31 December 2020 

Energy efficiency is an important issue for the Group and the following actions related to reducing energy use were implemented 
with the current reporting period.  

The Group has three principal office locations – the Group HQ in Dublin, Ireland, the US HQ in Boston, USA and a manufacturing 
facility in Niefern, Germany. The Group significantly reduced its energy consumption in the Irish and US offices as both locations 
temporarily shut down their offices in March 2021 as a result of the COVID-19 pandemic. Going forward, the Group intends to 
operate a hybrid model, reducing the number of employees in the office and therefore reducing energy consumption.  

As a result of the COVID-19 restrictions, we have significantly reduced travel and pivoted to increased use of video conferencing 
for external and board meetings. While we expect the level of travel to increase post pandemic, we do not expect to revert back 
to levels of travel pre-pandemic as we continue to make use of video conferences as a means of communication. 

Going Concern 

The business activities of the Group are outlined on page 3 and the factors which may affect the Group future development and 
performance are outlined on pages 22 – 35. The financial review on page 15 discusses the Group’s financial and liquidity position 
and borrowing facilities. In addition, note 24 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.  

Events after the Reporting Period 

Events after the reporting period are set out in note 28 to the consolidated financial statements. Likely future developments in 
the business are discussed in the Strategic Report section. 

Auditors 

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 shareholders 
general meeting.

Amryt Pharma plc

           
           
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63

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 annual reports and the financial statements in accordance with the Rules of the 
London Stock Exchange for companies trading securities on the Alternative Investment Market.  

As required by the AIM Rules of the London Stock Exchange we are required to prepare the Group financial statements in 
accordance with IFRSs as adopted by the EU and have elected to prepare the Company financial statements on the same basis 
for the 12 months ended 31 December 2020. 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 and 
Company for that period.  

In preparing these financial statements, the Directors are required to: 

(cid:129) select suitable accounting policies and then apply them consistently; 

(cid:129) make judgements and accounting estimates that are reasonable and prudent; 

(cid:129) state whether they have been prepared in accordance with IFRSs as adopted by the EU, subject to any material departures 

disclosed and explained in the financial statements;  

(cid:129) prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Group and 

Company will continue in business. 

The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the Group’s and 
Company transactions and disclose with reasonable accuracy at any time the financial position of the Group and Company. 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. 

AIM Rule Compliance Report 

Amryt Pharma plc is traded on AIM and as a result the Group and Company has complied with AIM Rule 31 which requires the 
following: 

(cid:129) sufficient procedures, resources and controls to enable its compliance with the AIM Rules;  

(cid:129) the Company to seek advice from Nominated Adviser (“Nomad”) regarding its compliance with the Rules whenever 

appropriate and take that advice into account;  

(cid:129) the Company to provide the Nomad with any information it reasonably requests in order for the Nomad to carry out its 

responsibilities under the AIM Rules and the AIM Rules for Nominated Advisers, including any proposed changes to the Board 
and provision of draft notifications in advance;  

(cid:129) the Company to ensure that each of the directors accepts full responsibility, collectively and individually, for compliance with 

the AIM Rules; and  

(cid:129) the Company to ensure that each director discloses without delay all information which the Group needs in order to comply 
with AIM Rule 17 (Disclosure of Miscellaneous Information) insofar as that information is known to the director or could with 
reasonable diligence be ascertained by the director. 

Annual Report for the 12 months ended 31 December 2020

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64

CORPORATE GOVERNANCE: 
Directors’ Report continued 

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 UK 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 23 June 2021 and signed on its behalf by: 

Joe Wiley 
Director 

Amryt Pharma plc

 
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Independent auditor’s report to the members of 
Amryt Pharma plc 
For the year ended 31 December 2020

Opinion 

We have audited the financial statements of Amryt Pharma plc (the ‘Company’) and its subsidiaries (together the ‘Group’), which 
comprise the Consolidated statement of comprehensive loss, the Consolidated statement of financial position, and the 
Consolidated statement of cash flows, the Consolidated statement of changes in equity, the Company statement of financial 
position, the Company statement of comprehensive loss, the Company statement of cash flows, the Company statement of 
changes in equity for the year ended 31 December 2020, 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 financial statements is International Financial 
Reporting Standards (IFRS) as adopted by the European Union. 

In our opinion, Amryt Pharma Plc’s financial statements: 

(cid:129) give a true and fair view in accordance with IFRS as adopted by the European Union of the financial position of the Group and 
Company as at 31 December 2020 and of the Group’s and Company’s financial performance and cash flows for the year then 
ended; and 

(cid:129) have been properly prepared in accordance with the terms as set out in the basis of preparation note disclosed in Note 2. 

Basis for opinion 

We conducted our audit in accordance with International Standards on Auditing (UK) (‘ISAs UK’). 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 United Kingdom, namely FRC’s Ethical Standard and the ethical pronouncements 
established by Chartered Accountants Ireland, applied as determined to be appropriate in the circumstances for the Group and 
Company. 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 

In auditing the financial statements, we have concluded that the directors’ use of going concern basis of accounting in the 
preparation of the financial statements is appropriate. Our evaluation of the directors’ assessment of the Group and Company’s 
ability to continue as a going concern basis of accounting included: 

(cid:129) Evaluating management’s future cash flow forecasts, the process by which they were prepared, and assessed the calculations 

are mathematically accurate;  

(cid:129) Challenging the underlying key assumptions incorporated into the Group and Company’s cash flow forecasts; 

(cid:129) Regarding revenue projections, challenging the estimates made by management by assessing whether the estimates regarding 

sales forecasts and sales prices are in line with historical revenues to date and current contracts in place; 

(cid:129) Challenging the sensitivities and stress testing that management performed on the cash flow forecasts; and  

(cid:129) Assessing the adequacy of the disclosures with respect to the going concern assertion. 

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, 
individually or collectively, may cast significant doubt on the Group and Company’s ability to continue as a going concern for a 
period of at least twelve months from the date when the financial statements are authorised for issue. 

Our responsibilities and the responsibilities of the directors with respect to going concern are described in the relevant sections of 
this report. 

Annual Report for the 12 months ended 31 December 2020

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66

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2020

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) that 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. 

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.  

Based on our considerations as set out below, our areas of focus included: 

(cid:129) Impairment of goodwill and intangible assets (Group) 

(cid:129) Accounting for Contingent Value Rights (CVRs) (Group and Company) 

(cid:129) Valuation of in-process research and development (IPR&D) and contingent consideration (Group) 

(cid:129) Revenue recognition – U.S. pharmaceutical rebate reserves (Group) 

How we tailored the audit scope 

The Group is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercialising 
innovative treatments to help improve the lives of patients with rare and orphan diseases. The Company is incorporated in 
England and Wales and is listed on National Association of Securities Dealers Automated Quotations (NASDAQ) Global Select 
Market under the symbol AMYT and is also trading on the Alternative Investment Market (AIM) of the London Stock Exchange.  

We tailored the scope of our audit taking into account the areas where the risk of misstatement was considered material to the 
Group and Company, the nature and structure of the Group and Company’s business and the industry in which they operate. 

In establishing the overall approach to our audit, we assessed the risk of material misstatement at Group and Company 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. 

In assessing the risk of material misstatement to the Group financial statements, and to ensure we had adequate quantitative 
coverage of significant accounts in the financial statements, we selected seven components out of the 31 reporting components 
of the Group. The seven components cover entities across Europe and the Americas, which represent the principal business units 
with the Group. 

Amryt Pharma plc

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Of the seven components selected, we performed an audit of the complete financial information of the four components (“full 
scope components”) which were selected based on their size or risk characteristics. For the remaining three components, we 
performed audit procedures on specific accounts within that component that we considered had the potential for the greatest 
impact on the significant accounts in the financial statements either because of the size of these accounts or their risk profile. 

The components where we performed full or specific audit procedures approximately accounted for 98% of the Group’s total 
assets, 99% of the total revenue and 94% of the total loss before taxes. We performed an audit of the complete financial 
information of the Company.  

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, such as our understanding of the Group and Company and their environment, the 
history of misstatements, the complexity of the Group and Company and the reliability of the control environment, 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: 

(cid:129) Group: 1.5% of total revenue for the year ended 31 December 2020. Revenue was chosen as benchmark because revenue 

growth is the focus of the users of the financial statements and one of the key financial metrics of the Group. Further, 2020 is 
the first full year where revenue for the revenue generating assets, Metreleptin and Lomitapide has been reported since 
Aegerion acquisition in 2019.  

(cid:129) Company: 1% of total equity/net assets. The Company holds the Group’s investments and is not in itself profit-oriented. The 

strength of the statement of financial position is the key measure of financial health that is important to shareholders.  

We set performance materiality at a lower level than materiality to reduce the probability that, in aggregate, uncorrected and 
undetected misstatements exceed the materiality for the financial statements. Performance materiality was set at 65% of each of 
the Group and Company materiality for the 2020 audit.  

In determining performance materiality, we have considered our risk assessment, including our assessment of the Group’s overall 
control environment. 

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

Annual Report for the 12 months ended 31 December 2020

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68

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2020

Significant matters 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 matters 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.

Key observations communicated to the 
Audit Committee

We completed our planned audit 
procedures with no exceptions.

Description of significant matters

Our responses to significant matters

We reviewed the Group’s assessment of 
whether there were any indicators of 
impairment for goodwill and purchased 
intangible assets. Where a full 
impairment assessment had been carried 
out, 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 
and discount rates.  

We performed integrity and 
mathematical accuracy checks on the 
forecasting model used to estimate 
recoverable amounts. We performed 
sensitivity analysis to determine the 
reasonableness of the input and output 
variables used in the model. 

We assessed the adequacy of the 
financial statements disclosures in 
respect of these transactions.

Impairment of goodwill and intangible 
assets (Group) 
As at 31 December 2020, the Group’s 
intangible assets had net book value of 
$305 million and goodwill of 
$19 million. The intangible assets include 
the net book value of acquired 
developed technology from Aegerion 
acquisition in 2019, namely, Metreletin 
and Lomitapide.  

We have determined the valuation of 
these intangible assets and goodwill to 
be a key audit matter due to the size of 
the purchased intangible assets, and also 
because the valuation of the intangible 
assets and goodwill involve significant 
judgement. 

The following significant judgements and 
estimates used in the management’s 
impairment assessment could be selected 
inappropriately resulting in material 
misstatement: 

– Selection of appropriate discount 

rates 

– Revenue growth and cash flow 

forecasts 

As a consequence, there is greater risk of 
fraud or error due to management 
override of controls.  

Refer to note 12 of the financial 
statements for further details.

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Key observations communicated to the 
Audit Committee

We completed our planned audit 
procedures with no exceptions.

Description of significant matters

Our responses to significant matters

We have obtained an understanding on 
management’s accounting process and 
controls on the valuation of CVRs. 

We reviewed and analysed the CVR 
related agreements and verified whether 
the conditions are correctly reflected in 
the valuation of CVR. 

We evaluated the Group’s and 
Company’s assumptions and judgements 
applied in the assessment of the 
valuation of the CVRs through review of 
the reasonableness of the inputs and 
assumptions used in the model which 
included but not limited to cash flows, 
budgeted revenue growth, discount rates 
and probability factors. We involved our 
valuation specialists within the 
engagement team to assist in the review 
of the appropriateness of the discount 
rates applied in the valuation model. 

We performed integrity and 
mathematical accuracy checks on the 
model as well as performing sensitivity 
analysis to determine the reasonableness 
of the input and output variables in the 
model. 

We assessed the adequacy of the 
financial statements disclosures in 
respect of this transaction.

Accounting for CVRs (Group and 
Company) 
On 23 September 2019 (prior to, but in 
conjunction with, the acquisition of 
Aegerion on 24 September 2019), Amryt 
issued CVRs amounting to $85 million to 
existing shareholders and option holders 
of Amryt. The contingent value rights 
arising on these transactions are payable 
on achieving certain regulatory and 
revenue milestones. As at 31 December 
2020, the CVR liability in the 
Consolidated and Company Statement of 
Financial Position was valued at 
$61 million and the $12 million non-cash 
finance charge included the Consolidated 
and Company Statement of 
Comprehensive Loss, to reflect the 
amortised cost of CVR liability as at 
31 December 2020. The amortised cost 
of CVR liability represents the present 
value of the re-estimated future 
contractual cash flows as at 
31 December 2020. 

Amryt’s management engaged an 
external valuation specialist to estimate 
the expected cash flows to arise based on 
certain assumptions. The key 
assumptions include payment amounts, 
expected timing of achievement of the 
regulatory approvals, probability of 
payments, forecasted revenue and 
applicable discount rates. 

The valuation method and the 
assumptions used involved a degree of 
complexity and further involved 
significant judgement and estimates. The 
existence of significant estimation 
uncertainty warrants significant audit 
attention.  

Refer to note 6 of the financial 
statements for further details.

Annual Report for the 12 months ended 31 December 2020

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70

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2020

Key observations communicated to the 
Audit Committee

We completed our planned audit 
procedures with no exceptions.

Description of significant matters

Our responses to significant matters

We have obtained an understanding on 
management’s accounting process and 
controls on the valuation of IPR&D and 
contingent consideration. 

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 interviewed research and 
development personnel employed by the 
Group in order to obtain a more detailed 
understanding of the stage of 
development of the associated IPR&D 
assets and their future opportunities. 

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

We performed integrity and 
mathematical accuracy checks on the 
forecasting model used to estimate 
recoverable/fair value amount. 

We obtained and tested management’s 
sensitivity analysis around the key 
assumptions, to ascertain that selected 
adverse changes to key assumptions, 
both individually and in aggregate, 
would not cause the carrying amount of 
IPR&D and contingent consideration to 
be materially misstated.

Valuation of IPR&D and contingent 
consideration (Group) 
As a result of the acquisition of Amryt AG 
and Som Therapeutics Corp. in 2016, the 
Group recognised IPR&D costs as 
intangible assets with corresponding credit 
to contingent consideration liability. The 
carrying value of IPR&D as at 31 December 
2020 was $60 million. The contingent 
consideration is recognised at fair value 
and is based on the same forecasting 
model used to assess the recoverable 
amount of IPR&D intangible assets. At 
31 December 2020, the Group recorded a 
contingent consideration liability of 
$87 million with the change in fair value of 
$28 million (recorded in the Consolidated 
Statement of Comprehensive Income).  

The products that the IPR&D relate to are 
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 the valuation of IPR&D 
and contingent considerations as a key 
audit matter because of the significant 
judgement required by management in 
assessing the recoverable amount of the 
asset and fair value of the contingent 
consideration liability at year-end.  

The valuation of both IPR&D and fair 
value determination of the contingent 
consideration involve forecasting and 
discounting of 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 12 of the financial 
statements for further details.

Amryt Pharma plc

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Key observations communicated to the 
Audit Committee

We completed our planned audit 
procedures with no exceptions.

Description of significant matters

Our responses to significant matters

We have obtained an understanding on 
management’s rebates recognition and 
calculation process. 

We reviewed the basis of rebate accrual 
calculation and recalculated the expected 
amount of rebates by utilising third party 
information and market conditions in the 
U.S. We compared our recalculation to 
management’s estimate and assessed its 
reasonableness.  

We performed a review of the historical 
trend of actual rebate claims paid against 
the estimated accruals. 

We selected samples to test rebate 
claims processed, including evaluating 
those claims for consistency with the 
contractual and mandated terms of the 
rebate arrangements and traced 
payments made to different 
U.S. government states to the bank 
statements.

Revenue recognition – U.S. 
pharmaceutical rebate reserves (Group) 
As described in note 2, the Group 
recognises revenue when the control of 
the goods or services were transferred to 
the customer at an amount that reflects 
the consideration to which the Group 
expects to be entitled in exchange for 
those goods. Rebates are accounted for 
as a variable consideration and recorded 
as reduction in sales. The liability for such 
rebates is recognised within accrued 
rebates on the Consolidated Statement 
of Financial Position. Majority of the 
Group rebates relate to sale of 
pharmaceutical goods of the group 
within the U.S. (i.e. Medicaid programs).  

The Group is required to pay rebate for 
each unit of product sold to customers 
covered by the program. As of 
31 December 2020, Medicaid rebate 
expense deducted against sales 
amounted to $34 million and remaining 
accrual of $19 million. 

We considered this as a key audit matter 
because management applied significant 
judgement which involve significant 
measurement uncertainty in developing 
these reserves. This in turn led to a high 
degree of auditor judgement and 
subjectivity and audit effort in applying 
procedures for the assumptions related to 
contractual terms with customers, 
historical experience and projected 
market conditions in the 
U.S. pharmaceutical market.

Annual Report for the 12 months ended 31 December 2020

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72

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2020

Other information 

Other information comprises information included in the annual report, other than the financial statements and our auditor’s 
report thereon. 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.  

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.  

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

As explained more fully in the Directors’ responsibilities section of the Directors’ report, 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 

The objectives of an auditor 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 their 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. 

A further description of an auditor’s responsibilities for the audit of the financial statements is located on the Financial Reporting 
Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report. 

Explanation as to what extent the audit was considered capable of detecting irregularities, including fraud 

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our 
responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. Owing to the 
inherent limitations of an audit, there is an unavoidable risk that material misstatement in the financial statements may not be 
detected, even though the audit is properly planned and performed in accordance with the ISAs (UK). The extent to which our 
procedures are capable of detecting irregularities, including fraud is detailed below. 

Based on our understanding of the Group and the Company’s industry, we identified that the principal risks of non-compliance 
with laws and regulations related to compliance with NASDAQ and AIM Rules, Data Privacy law, Employment Law, 
Environmental Regulations, Health & Safety, Sales and Marketing of Pharmaceutical Products and Other Laws affecting the 
Group and the Company in the United States, and we considered the extent to which non-compliance might have a material 

Amryt Pharma plc

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73

effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of 
the financial statements such as applicable tax legislation. 

We evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the 
risk of override of controls), and determined that the principal risks were related to posting inappropriate journal entries to 
manipulate financial performance and management bias through judgements and assumptions in significant accounting 
estimates, in particular in relation to significant one-off or unusual transactions. We apply professional scepticism through the 
audit to consider potential deliberate omission or concealment of significant transactions, or incomplete/inaccurate disclosures in 
the financial statements.  

In response to these principal risks, our audit procedures included but were not limited to: 

(cid:129) enquiries of board, internal audit, risk and compliance and legal functions and audit committee on the policies and procedures 
in place regarding compliance with laws and regulations, including consideration of known or suspected instances of non-
compliance and whether they have knowledge of any actual, suspected or alleged fraud; 

(cid:129) inspection of the Group’s and Company’s regulatory and legal correspondence and review of minutes of board of directors’ 

meetings during the year to corroborate inquiries made; 

(cid:129) gaining an understanding of the internal controls established to mitigate risk related to fraud; 

(cid:129) discussion amongst the engagement team in relation to the identified laws and regulations and regarding the risk of fraud, 

and remaining alert to any indications of non-compliance or opportunities for fraudulent manipulation of financial statements 
throughout the audit; 

(cid:129) identifying and testing journal entries to address the risk of inappropriate journals and management override of controls; 

(cid:129) designing audit procedures to incorporate unpredictability around the nature, timing or extent of our testing; 

(cid:129) challenging assumptions and judgements made by management in their significant accounting estimates, including 

impairment assessment of intangible assets and goodwill, valuation of contingent considerations and contingent value rights; 

(cid:129) review of the financial statements disclosures to underlying supporting documentation and inquiries of management; 

(cid:129) we assessed the appropriateness of the collective competence and capabilities of the engagement team included 

consideration of the engagement team’s: (i) understanding of, and practical experience with audit engagements of a similar 
nature and complexity through appropriate training and participation (ii) knowledge of the industry in which the client 
operates (iii) understanding of the legal and regulatory requirements specific to the Group and Company. 

The primary responsibility for the prevention and detection of irregularities including fraud rests with those charged with 
governance and management. As with any audit, there remains a risk of non-detection or irregularities, as these may involve 
collusion, forgery, intentional omissions, misrepresentations or override of internal controls. 

Annual Report for the 12 months ended 31 December 2020

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74

Independent auditor’s report to the members of 
Amryt Pharma plc continued 
For the year ended 31 December 2020

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 the agreed scope of our engagement. 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 parent 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 & Registered Auditors  
Dublin 2 
Ireland 
Date: 23 June 2021

Amryt Pharma plc

 
 
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75

Consolidated Statement of Comprehensive Loss 
Year ended 31 December 2020

Revenue
Cost of sales

Gross profit
Research and development expenses
Selling, general and administrative expenses
Restructuring and acquisition costs
Share based payment expenses
Impairment charge

Operating loss before finance expense

Non-cash change in fair value of contingent consideration
Non-cash contingent value rights finance expense
Net finance expense – other

Loss on ordinary activities before taxation

Tax credit 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 profit or loss
Total other comprehensive (loss)/income

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

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

* see Note 27

Note
3
4

6
5
12

7

6
6
9

10

Year ended
31 December
2020

Year ended 
31 December 
2019 
restated* 

US$’000
182,607
(119,029)

63,578
(27,618)
(76,673)
(1,017)
(4,729)
–

(46,459)

(27,827)
(12,004)
(19,569)

(105,859)

1,332

(104,527)

(2,164)
(2,164)

US$’000 
58,124 
(38,733) 

19,391 
(15,827) 
(35,498) 
(13,038) 
(841) 
(4,670) 

(50,483) 

(6,740) 
(1,511) 
(4,759) 

(63,493) 

495 

(62,998) 

755 
755 

(106,691)

(62,243) 

11

(0.66)

(0.83) 

Annual Report for the 12 months ended 31 December 2020

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76

Consolidated Statement of Financial Position 
Year ended 31 December 2020

Assets 
Non-current assets 
Goodwill
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, including restricted cash

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 and contingent value rights
Deferred tax liability
Long term loan
Convertible notes
Provisions and other liabilities

Total non-current liabilities

Current liabilities 
Trade and other payables
Provisions and other liabilities

Total current liabilities

Total liabilities

Total equity and liabilities

* see Note 27 

As at
31 December
2020

As at 
31 December 
2019 
restated* 

Note

US$’000

US$’000 

12
12
13

14
15
16

17
17
17

6
18
19
20
22

21
22

19,131
305,369
7,574
1,542

333,616

43,185
40,992
118,798

202,975

536,591

13,851
51,408
236,488
(235,605)

66,142

148,323
6,612
87,302
101,086
25,951

369,274

90,236
10,939

101,175

470,449

536,591

19,131 
342,327 
3,036 
1,873 

366,367 

35,500 
58,000 
67,229 

160,729 

527,096 

11,918 
2,422 
248,630 
(131,137) 

131,833 

102,461 
7,147 
81,610 
96,856 
4,963 

293,037 

78,351 
23,875 

102,226 

395,263 

527,096 

The Financial Statements set out on pages 75 to 136 were approved and authorised for issue by the Directors on 23 June 2021. 

They are signed on the Board’s behalf by: 

Joe Wiley                                                                                                                                     Company Number: 
Director                                                                                                                                       12107859

Amryt Pharma plc

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FINANCIAL STATEMENTS

77

Consolidated Statement of Cash Flows 
Year ended 31 December 2020

Cash flows from operating activities 
Loss on ordinary activities after taxation
Net finance expense – other
Depreciation and amortisation
Amortisation of inventory fair value step-up
Loss on disposal of fixed assets
Share based payment expenses
Non-cash change in fair value of contingent consideration
Non-cash contingent value rights finance expense
Impairment of intangible asset
Deferred taxation credit
Movements in working capital and other adjustments: 
  Change in trade and other receivables
  Change in trade and other payables
  Change in provision and other liabilities
  Change in inventories
  Change in non-current assets

Net cash flow from (used in) operating activities

Cash flow from investing activities 
Net cash received on acquisition of subsidiary
Payments for property, plant and equipment
Payments for intangible assets
Deposit interest received

Net cash flow (used in) from investing activities

Cash flow from financing activities 
Proceeds from issue of equity instruments, net of expenses
Proceeds from long term debt borrowings, net of debt issue costs
Repayment of long term debt
Interest paid
Payment of leases

Net cash flow from financing activities

Exchange and other movements

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

Restricted cash at end of the year

Cash at bank available on demand at end of the year

Total cash and cash equivalents at end of the year

* see Note 27

Year ended
31 December
2020

Year ended 
31 December 
2019 
restated* 

Note

US$’000

US$’000 

9
12,13
4,7

5
6
6
12

14
21
22
15

6
13
12

17
19
19
19
22

16

16

16

(104,527)
19,569
44,465
27,617
133
4,729
27,827
12,004
–
(535)

(7,685)
8,909
4,663
(10,609)
331

26,891

–
(1,503)
(963)
87

(2,379)

37,927
–
–
(10,780)
(1,119)

26,028

1,029

51,569
67,229

223

118,575

118,798

(62,998) 
4,759 
12,281 
7,473 
43 
841 
6,740 
1,511 
4,670 
(934) 

(4,732) 
(6,337) 
4,928 
(5,894) 
177 

(37,472) 

24,985 
(578) 
(74) 
92 

24,425 

63,009 
31,176 
(21,990) 
(6,253) 
– 

65,942 

3,108 

56,003 
11,226 

2,032 

65,197 

67,229 

Annual Report for the 12 months ended 31 December 2020

261072 4 Amyrt 065pp-082pp.qxp  25/06/2021  14:20  Page 78

78

Consolidated Statement of Changes in Equity 
For the year ended 31 December 2020

                                                                                                                                                                                                                Equity 

                                                                                                                                                      Share                                         component 

                                                                                                                                                     based                            Reverse                of           Other      Currency 

                                                                        Share           Share       Warrant       Treasury      payment        Merger   acquisition   convertible distributable   translation Accumulated 

                                                                      capital      premium         reserve          shares         reserve         reserve         reserve           notes        reserves         reserve          deficit            Total 

                                                     Note      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000      US$’000 

Balance at 1 January 2019                             25,198         68,233                  –                  –           6,473         42,627        (73,914)                 –                  –               (51)       (72,263)         (3,697) 

Loss for the year, as restated*                                  –                  –                  –                  –                  –                  –                  –                  –                  –                  –        (62,998)       (62,998) 

Foreign exchange translation  

reserve, as restated*                                                –                  –                  –                  –                  –                  –                  –                  –                  –              755                  –              755 

Total comprehensive loss, as restated*                     –                  –                  –                  –                  –                  –                  –                  –                  –              755        (62,998)       (62,243) 

Transactions with owners 

Share consolidation                           17        (21,262)        21,262                  –                  –                  –                  –                  –                  –                  –                  –                  –                  – 

Issue of shares in equity  

fund raise                                          17              533           7,467                  –                  –                  –                  –                  –                  –                  –                  –                  –           8,000 

Issue costs associated  

with equity fund raise                        17                  –          (1,886)                 –                  –                  –                  –                  –                  –                  –                  –                  –          (1,886) 

Acquisition of subsidiary  

without a change of control              17             (495)         (3,726)                 –                  –                  –                  –                  –                  –          (2,969)          7,190                  –                  – 

Issue of shares and warrants  

in consideration of Aegerion  

Acquisition                                        17           5,759       132,392         14,464                  –                  –                  –                  –                  –                  –                  –                  –       152,615 

Issue of shares and  

warrants in equity fund raise              17           2,059         47,338         10,603                  –                  –                  –                  –                  –                  –                  –                  –         60,000 

Issue costs associated with  

equity fund raise                                17                  –          (2,575)            (530)                 –                  –                  –                  –                  –                  –                  –                  –          (3,105) 

Issue of convertible notes                   20                  –                  –                  –                  –                  –                  –                  –         29,210                  –                  –                  –         29,210 

Issue of contingent value rights            6                  –                  –                  –                  –                  –                  –                  –                  –        (47,902)                 –                  –        (47,902) 

Transfer to distributable reserves        17                  –      (268,505)                 –                  –                  –                  –                  –                  –       268,505                  –                  –                  – 

Treasury shares acquired in  

consideration for additional  

warrants                                            17                  –                  –           7,534          (7,534)                 –                  –                  –                  –                  –                  –                  –                  – 

Issue of shares in exchange  

for warrants                                       17              126           2,422          (2,548)                 –                  –                  –                  –                  –                  –                  –                  –                  – 

Share based payment expense             5                  –                  –                  –                  –              841                  –                  –                  –                  –                  –                  –              841 

Share based payment expense  

– lapsed                                                                  –                  –                  –                  –          (4,124)                 –                  –                  –                  –                  –           4,124                  – 

Total transactions with owners                      (13,280)       (65,811)        29,523          (7,534)         (3,283)                 –                  –         29,210       217,634           7,190           4,124       197,773 

Balance at 31 December 2019,  

as restated*                                                   11,918           2,422         29,523          (7,534)          3,190         42,627        (73,914)        29,210       217,634           7,894      (131,137)      131,833 

Balance at 1 January 2020                             11,918           2,422         29,523          (7,534)          3,190         42,627        (73,914)        29,210       217,634           7,894      (131,137)      131,833 

Loss for the year                                                      –                  –                  –                  –                  –                  –                  –                  –                  –                  –      (104,527)     (104,527) 

Foreign exchange translation reserve                       –                  –                  –                  –                  –                  –                  –                  –                  –          (2,164)                 –          (2,164) 

Total comprehensive loss                                         –                  –                  –                  –                  –                  –                  –                  –                  –          (2,164)     (104,527)     (106,691) 

Transactions with owners                                                                                                                                                                                                                                                                  

Issue of shares in exchange  

for warrants                                       17              630         14,131        (14,761)                 –                  –                  –                  –                  –                  –                  –                  –                  –  

Issue of shares in equity  

fund raise                                          17           1,303         38,697                  –                  –                  –                  –                  –                  –                  –                  –                  –         40,000 

Issue costs associated with  

equity fund raise                                17                  –          (3,848)                 –                  –                  –                  –                  –                  –                  –                  –                  –          (3,848) 

Issue of treasury shares for  

share options exercised                      17                  –                  6                  –              113                  –                  –                  –                  –                  –                  –                  –              119 

Share based payment  

expense                                               5                  –                  –                  –                  –           4,729                  –                  –                  –                  –                  –                  –           4,729 

Share based payment  

expense – lapsed                                                     –                  –                  –                  –               (59)                 –                  –                  –                  –                  –                59                  –  

Total transactions with  

owners                                                             1,933         48,986        (14,761)             113           4,670                  –                  –                  –                  –                  –                59         41,000 

Balance at 31 December 2020                       13,851         51,408         14,762          (7,421)          7,860         42,627        (73,914)        29,210       217,634           5,730      (235,605)        66,142 

* see Note 27

Amryt Pharma plc

261072 4 Amyrt 065pp-082pp.qxp  25/06/2021  14:20  Page 79

STRATEGIC REPORT

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FINANCIAL STATEMENTS

79

Company Statement of Comprehensive Loss 
For the year ended 31 December 2020

Revenue

Selling, general and administrative expenses
Restructuring and acquisition costs
Share based payment expenses

Operating loss before finance expense

Non-cash contingent value rights finance expense

Loss on ordinary activities before taxation

Tax charge on loss on ordinary activities

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

Total other comprehensive income

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

Note
3

6
5

7

6

10

Year ended
31 December
2020

Period ended 
31 December 
2019 

US$’000
3,046

(8,850)
(34)
245

(5,593)

(12,004)

(17,597)

–

(17,597)

–

US$’000 
9,911  

(1,426) 
(7,778) 
(428) 

279  

(1,511) 

(1,232) 

–  

(1,232) 

– 

(17,597)

(1,232) 

Annual Report for the 12 months ended 31 December 2020

261072 4 Amyrt 065pp-082pp.qxp  25/06/2021  14:20  Page 80

80

Company Statement of Financial Position 
Year ended 31 December 2020

Assets 
Non-current assets 
Investment in subsidiaries

Total non-current assets

Current assets 
Other receivables
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 value rights

Total non-current liabilities

Current liabilities 
Trade and other payables

Total current liabilities

Total liabilities

Total equity and liabilities

As at
31 December
2020

As at 
31 December 
2019 

Note

US$’000

US$’000 

26

14
16

17
17
17

6

21

341,935

341,935

11,135
38,364

49,499

280,962 

280,962 

58,613 
– 

58,613 

391,434

339,575 

13,851
51,408
265,014
(18,829)

311,444

61,417

61,417

18,573

18,573

79,990

391,434

11,918 
2,422 
274,992 
(1,231) 

288,101 

49,413 

49,413 

2,061 

2,061 

51,474 

339,575 

The Financial Statements set out on pages 75 to 136 were approved and authorised for issue by the Directors on 23 June 2021. 

They are signed on the Board’s behalf by: 

Joe Wiley                                                                                                                                     Company Number: 
Director                                                                                                                                       12107859

Amryt Pharma plc

 
261072 4 Amyrt 065pp-082pp.qxp  25/06/2021  14:20  Page 81

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FINANCIAL STATEMENTS

81

Company Statement of Cash Flows  
Year ended 31 December 2020

Cash flows from operating activities 
Loss on ordinary activities after taxation
Share based payment expenses
Non-cash contingent value rights finance expense
Movements in working capital and other adjustments:
  Change in other receivables
  Change in trade and other payables

Net cash flow from (used in) operating activities

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

Net cash flow from financing activities

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

Restricted cash at end of the year

Cash at bank available on demand at end of the year

Total cash and cash equivalents at end of the year

Year ended
31 December
2020

Period ended 
31 December 
2019 

Note

US$’000

US$’000 

5
6

14
21

17

16

16

16

(17,597)
245
12,004

(8,581)
14,856

437

37,927

37,927

38,364
–

–

38,364

38,364

(1,232) 
428 
1,511 

(59,663) 
(2,061) 

(56,895) 

56,895 

56,895 

– 
– 

– 

– 

– 

Annual Report for the 12 months ended 31 December 2020

 
261072 4 Amyrt 065pp-082pp.qxp  25/06/2021  14:20  Page 82

82

Company Statement of Changes in Equity 
For the year ended 31 December 2020 

                                                                                                                                                                                         Equity 
                                                                                                                                                                                component 
                                                                                                                                                            Share based                 of           Other 
                                                                                       Share           Share       Warrant       Treasury      payment   convertible  distributable Accumulated 
                                                                                      capital      premium         reserve          shares         reserve           notes        reserves          deficit             Total 
                                                                     Note       US$’000       US$’000       US$’000       US$’000       US$’000       US$’000       US$’000       US$’000       US$’000 

Balance at date of incorporation                                 –                –                –                –                –                –                –                –                – 
Loss for the period                                                      –                –                –                –                –                –                –       (1,232)      (1,232) 

Total comprehensive loss                                             –                –                –                –                –                –                –       (1,232)      (1,232) 

Transactions with owners 
Issue of shares in consideration of  
acquisition of Amryt Pharma  
Holdings Limited                                     17        3,974      91,350                –                –                –                –                –                –      95,324 
Issue of shares and warrants in  
consideration of Aegerion Acquisition     17        5,759    132,392      14,464                –                –                –                –                –    152,615 
Issue of shares and warrants in  
equity fund raise                                     17        2,059      47,338      10,603                –                –                –                –                –      60,000 
Issue costs associated with equity  
fund raise                                                17                –       (2,575)         (530)               –                –                –                –                –       (3,105) 
Issue of convertible notes                        20                –                –                –                –                –      29,210                –                –      29,210 
Issue of contingent value rights                 6                –                –                –                –                –                –     (47,902)               –     (47,902) 
Transfer to distributable reserves              17                –   (268,505)               –                –                –                –    268,505                –                – 
Treasury shares acquired in  
consideration for additional warrants      17                –                –        7,534       (7,534)               –                –                –                –                – 
Issue of shares in exchange for warrants  17           126        2,422       (2,548)               –                –                –                –                –                – 
Share based payment reserve  
acquired pursuant to scheme  
of arrangement                                         5                –                –                –                –        2,763                –                –                –        2,763 
Share based payment                                5                –                –                –                –           428                –                –                –           841 
Share based payment – lapsed                                    –                –                –                –              (1)               –                –               1                – 

Total transactions with owners                           11,918        2,422      29,523       (7,534)       3,190      29,210    220,603               1    289,333 

Balance at 31 December 2019                           11,918        2,422      29,523       (7,534)       3,190      29,210    220,603       (1,231)   288,101 

Balance at 1 January 2020                                 11,918        2,422      29,523       (7,534)       3,190      29,210    220,603       (1,231)   288,101 
Loss for the year                                                         –                –                –                –                –                –                –     (17,597)    (17,597) 

Total comprehensive loss                                             –                –                –                –                –                –                –     (17,597)    (17,597) 

Transactions with owners                                                                                                                                                                                        
Issue of shares in exchange for  
warrants                                                  17           630      14,131     (14,761)               –                –                –                –                –                – 
Issue of shares in equity fund raise           17        1,303      38,697                –                –                –                –                –                –      40,000 
Issue costs associated with equity  
fund raise                                                17                –       (3,848)               –                –                –                –                –                –       (3,848) 
Issue of treasury shares for share  
options exercised                                     17                –               6                –           113                –                –                –                –           119 
Share based payment                                5                –                –                –                –        4,729                –                –                –        4,729 
Share based payment – lapsed                                    –                –                –                –            (59)               –                –              (1)           (60) 

Total transactions with owners                             1,933      48,986     (14,761)          113        4,670                –                –                –      40,940 

Balance at 31 December 2020                           13,851      51,408      14,762       (7,421)       7,860      29,210    220,603     (18,829)   311,444 

Amryt Pharma plc

261072 5 Amyrt 083pp-109pp.qxp  25/06/2021  14:24  Page 83

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FINANCIAL STATEMENTS

83

Notes to the Financial Statements 
For the year ended 31 December 2020 

1. General information 
Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercialising 
innovative treatments to help improve the lives of patients with rare and orphan diseases. Amryt comprises a strong and growing 
portfolio of commercial and development assets.  

As used herein, references to “we,” “us,” “Amryt” or the “Group” in these financial statements shall mean Amryt Pharma plc 
and its global subsidiaries, collectively. References to the “Company” in these financial statements shall mean Amryt Pharma plc. 

Amryt Pharma plc (formerly named Amryt Pharma Holdings Limited) was incorporated, under the Companies Act 2006, on 
17 July 2019 and is a public company limited by shares with company number 12107859. The Company is listed on National 
Association of Securities Dealers Automated Quotations (“NASDAQ”) (ticker: AMYT) and the Alternative Investment Market 
(“AIM”) market of the London Stock Exchange (ticker: AMYT). 

Aegerion Pharmaceuticals, Inc. (“Aegerion”), a former subsidiary of Novelion Therapeutics Inc., is a rare and orphan disease 
company with a diversified offering of multiple commercial and development stage assets. The acquisition of Aegerion by 
Amryt in September 2019 has given Amryt an expanded commercial footprint to market two U.S. and EU approved products, 
lomitapide (Juxtapid (U.S.) / Lojuxta (EU)) and metreleptin (Myalept (U.S.) / Myalepta (EU)). 

Amryt's lead development asset, Filsuvez®/Oleogel-S10, is a potential treatment for Epidermolysis Bullosa ("EB"), a rare and 
distressing genetic skin disorder for which there is currently no treatment. Oleogel-S10 is currently an investigational product 
and has not received regulatory approval by the FDA or EMA. Filsuvez® has been selected as the brand name for the product. 
On 20 September 2019, Amryt registered Filsuvez® as the trademark name for Oleogel-S10 in the European Union. On 
18 February 2020, Amryt also registered this trademark name in the United States and is in the process of registering the 
Oleogel-S10 trademark in other key jurisdictions. 

On 8 July 2020, Amryt listed on the NASDAQ Global Select Market under the symbol AMYT. The Company has not issued any 
new securities in connection with this filing. The Ordinary Shares will continue to trade on the AIM market of the London Stock 
Exchange. 

On 11 August 2020, Amryt announced that the Company gave Euronext Dublin (“Euronext”) notice of its intention to cancel the 
admission of the Company’s Ordinary Shares (‘Ordinary Shares”) to trading on the Euronext Growth Market ("Cancellation"). 
The last day of trading in Ordinary Shares on the Euronext Growth Market was 8 September 2020. The Cancellation applies only 
to the Euronext Growth Market and will have no effect on the Company’s American Depositary Shares (“ADSs”) which trade on 
the NASDAQ Global Select Market under the symbol AMYT or on Amryt’s Ordinary Shares trading on the AIM market of the 
London Stock Exchange. 

The financial statements were authorised for issue by the Company’s Board of Directors on 23 June 2021. 

2. Accounting policies 

Basis of preparation 

(i) Compliance with International Financial Reporting Standards ("IFRS") 

The consolidated financial statements of the Company and its subsidiaries (“Group”) and the individual financial statements of 
the Company have been prepared in accordance with IFRS and interpretations issued by the IFRS Interpretations Committee 
(“IFRS IC”) applicable to companies reporting under IFRS. The financial statements comply with IFRS as adopted by the European 
Union and are for the years ended 31 December 2020 and 31 December 2019, these are not the statutory accounts for the 
Company which have been prepared separately for the period ended 31 July 2020.

Annual Report for the 12 months ended 31 December 2020

261072 5 Amyrt 083pp-109pp.qxp  25/06/2021  14:24  Page 84

84

Notes to the Financial Statements continued 
For the year ended 31 December 2020

(ii) Historical cost convention 

The financial statements have been prepared on a historical cost basis, except for certain financial instruments that are measured 
at fair values at the end of each reporting period, as explained in the accounting policies below. 

(iii) New and amended standards adopted by the Group and Company 

In the current year, a number of amendments to IFRS and Interpretations issued that are effective for annual period beginning on 
or after 1 January 2020 have been applied. These amendments and interpretations do not have significant impact on the 
disclosures or the amounts reported in these financial statements. 

(cid:129) Definition of Business (Amendment to IFRS 3 Business Combination) 

(cid:129) Definition of Material (Amendments to IAS 1 and 8) 

(cid:129) Revised Conceptual Framework for Financial Reporting 

(cid:129) Amendments to IFRS 9, IAS 39 and IFRS 7: Interest Rate Benchmark Reform 

(cid:129) COVID-19-Related Rent Concessions (Amendment to IFRS 16), effective 1 June 2020 

(iv) New standards and interpretations not yet adopted 

There were a number of standards and interpretations which were in issue but were not effective at 1 January 2020 and have 
not been adopted for these financial statements. 

(cid:129) Interest Rate Benchmark Reform – Phase 2 (Amendments to IFRS 9, IAS 39, IFRS 7, IFRS 4 and IFRS16), effective 

1 January 20210 

(cid:129) Onerous contracts – cost of fulfilling a contract (Amendments to IAS 37), effective 1 January 2022* 

(cid:129) Property, Plant and Equipment: Proceeds before Intended Use (Amendments to IAS 16), effective 1 January 2022* 

(cid:129) Reference to Conceptual Framework (Amendments to IFRS 3), effective 1 January 2022* 

(cid:129) Annual Improvements to IFRS Standards 2018–2020, effective 1 January 2022* 

(cid:129) Classification of Liabilities as Current or Non-current (Amendments to IAS 1), effective 1 January 2023* 

(cid:129) IFRS 17 Insurance Contracts and amendments to IFRS 17 Insurance Contracts, effective 1 January 2023* 

* these standards and interpretations are not yet endorsed by the European Union 

These amendments are not expected to have significant impact on disclosures or amounts reported in the financial statements in 
the period of initial application. 

Basis of going concern 

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

As part of their inquiries, the Board of Directors reviewed budgets, projected cash flows, and other relevant information for a 
period not less than 12 months from the date of approval of the financial statements for the year ended 31 December 2020. 

Amryt Pharma plc

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FINANCIAL STATEMENTS

85

A key consideration for the Directors in assessing the going concern assumption is the continuing impact of the acquisition of 
Aegerion, which was completed in September 2019. This acquisition represents a significant step forward for Amryt and has 
created value for Amryt with immediate effect post-deal close through enhanced scale of the combined Group and Company. 
The integration of Aegerion into the Amryt Group has been successful as demonstrated by growth in revenues and cost 
reductions. This success demonstrates the potential to continue to drive revenues and deliver operational synergies through a 
combination of medical, commercial, clinical, development and regulatory infrastructure. Additionally, Amryt completed a private 
placement of 3,200,000 American Depositary Shares (“ADSs”) yielding gross proceeds of US$40,000,000. In the prior year 
Amryt also completed a US$60,000,000 fundraising as part of the acquisition of Aegerion. 

Basis of consolidation 

The financial statements comprise the financial statements of the Group for the years ended 31 December 2020 and 2019. 
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 or rights to variable returns from its involvement with the investee and the ability 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, income or expenses arising from intergroup transactions are eliminated in preparing 
the consolidated financial statements. 

Presentation of balances 

The financial statements are presented in U.S. dollars (“US$”), rounded to the nearest thousand, which is the functional currency 
of the Company and presentation currency of the Group. Any differences which arose due to the change in reporting currency 
have been posted to the currency translation reserve. 

The following table discloses the major exchange rates of those currencies other than the functional currency of US$ that are 
utilised by the Group: 

Foreign currency units to 1 US$

Average period to 31 December 2020
At 31 December 2020

Foreign currency units to 1 US$

Average period to 31 December 2019
At 31 December 2019

€

0.8777
0.8141

€

0.8932
0.8929

£

0.7799
0.7365

£

0.7836
0.7624

CHF

0.9391
0.8829

CHF

0.9938
0.971

SEK

NOK

DKK 

9.2135
8.1885

9.4206
8.5671

6.5432 
6.0570 

SEK

NOK

DKK 

9.4533
9.3282

8.7976
8.8046

6.6690 
6.6698 

(€ = Euro; £ = Pounds Sterling, CHF = Swiss Franc, SEK = Swedish Kroner, NOK = Norwegian Kroner, DKK = Danish Kroner) 

Critical accounting judgements and key sources of estimation uncertainty 

In preparing these financial statements in conformity with IFRS, management is required 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. 

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Notes to the Financial Statements continued 
For the year ended 31 December 2020

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

Valuation of convertible notes 

In conjunction with the accounting for financial instruments, the Group recorded compound financial instruments related to the 
convertible notes that were issued on 24 September 2019. In determining the classification of the convertible notes, the Group 
assessed the fixed-for-fixed criteria and considered that this was met and the number of shares that can be converted by holders 
of the notes is fixed. The compound financial instrument consists of a liability component and an equity component. The liability 
component is valued using an estimated discounted cash flow calculation based on the future contractual cash flows in the 
contract which are discounted at a rate of interest an identical financial instrument without a conversion feature would be 
subject to. Factors that are considered in estimating the prevailing market rate of interest include or are not limited to: 

(cid:129) loan term and maturity; 

(cid:129) repayment profile during the loan term other than interest; 

(cid:129) level of loan security; and 

(cid:129) principal amount of the loan. 

Refer to Note 20, Convertible notes, for further details. 

Valuation of acquired assets 

In conjunction with the accounting for business combinations, the Group recorded intangible assets such as in connection with 
the Aegerion acquisition, primarily related to developed technology on the commercially marketed products, and inventories 
which include raw materials and finished goods. The identifiable intangible assets and inventories are measured at their 
respective fair values as of the acquisition date. When significant identifiable intangible assets and inventories are acquired, the 
Group determines the fair values of these assets as of the acquisition date. The models used in valuing these intangible assets 
and inventories require the use of significant estimates and assumptions including but not limited to: 

Intangible assets 

(cid:129) estimates of revenues and operating profits related to the products or product candidates;  

(cid:129) the probability of success for unapproved product candidates considering their stages of development;  

(cid:129) the time and resources needed to complete the development and approval of product candidates;  

(cid:129) projecting regulatory approvals; 

(cid:129) developing appropriate discount rates and probability rates by project; and 

(cid:129) tax implications, including the forecasted effective tax rate. 

Inventories 

(cid:129) estimates of saleable inventory and non-saleable inventory, which was determined by a sales forecast and production timeline; 

and 

(cid:129) expected selling price and estimated costs of disposal. 

During 2020, the Group finalised the fair values used to record intangible assets and inventories acquired in connection with a 
business combination in 2019. Refer to Note 15, Inventories, for further details.

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Valuation of contingent value rights (“CVRs”) 

The Company issued CVRs for payments to its shareholders based on the occurrence of two milestones related to Oleogel-S10, 
its pipeline product. The CVRs have pre-determined payouts, based on the occurrence of a future event. If the event does not 
occur, the CVR expires as worthless. The fair value of the CVRs is estimated based on the following key assumptions: 

(cid:129) expected timing of achievement of the two milestones (U.S. Food and Drug Administration (“FDA”) approval and European 

Medicines Agency approval) related to Oleogel-S10; 

(cid:129) probabilities of successful launch of Oleogel-S10; 

(cid:129) revenue forecast related to Oleogel-S10; and 

(cid:129) the appropriate discount rate selected to measure the risks inherent in the future cash flows. 

The Company believes the fair value of the CVRs is based upon reasonable estimates and assumptions given the facts and 
circumstances as of the valuation date. A detailed discussion of the methodology applied and key input assumptions used by the 
Company is provided in Note 6, Business combinations and asset acquisitions, to the financial statements. 

Impairment of intangible assets and goodwill 

The impairment assessment 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 is provided in Note 12, Intangible assets and goodwill, to the 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. 

Goodwill represents the difference between the purchase price and the fair value of the identifiable tangible and intangible net 
assets acquired in a business combination. Goodwill is not amortised, but instead is reviewed for impairment on an annual basis 
or when an event becomes known that could trigger an impairment. To perform the annual impairment test of goodwill, the 
Group has identified the Group as a whole as a single cash generating unit (“CGU”). CGUs reflect the lowest level at which 
goodwill is monitored for internal management purposes. At least once a year, the Group compares the recoverable amount of 
the Group’s CGU to the CGU’s carrying amount. The recoverable amount (value in use) of a CGU is determined using a 
discounted cash flow approach based upon the cash flow expected to be generated by the CGU. In case that the value in use of 
the CGU is less than its carrying amount, the difference is at first recorded as an impairment of the carrying amount of the 
goodwill. The assumptions utilised in the impairment test are dependent on management’s estimates, in particular in relation to 
the forecasting of future cash flows, the discount rates applied to those cash flows, the expected long-term growth rate of the 
applicable businesses and terminal values. 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. 

Valuation of 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 6, Business combinations and asset 
acquisitions, to the financial statements. The fair value of the contingent consideration uses management’s best estimates and 

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Notes to the Financial Statements continued 
For the year ended 31 December 2020

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 24, Fair value measurement and financial risk management, for quantification of these sensitivities. 

Research and development (“R&D”) expenses 

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

(cid:129) completing the asset is technically feasible so that the asset will be available for use or sale; 

(cid:129) there is an intention to complete the asset and use or sell it; 

(cid:129) there is an ability to use or sell the asset; 

(cid:129) 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; 

(cid:129) adequate technical, financial and other resources are available to complete the development of the asset and to use or sell it; 

and 

(cid:129) there is an 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 expenditures 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. Management reviews these factors each year to determine whether previous estimates as to 
feasibility, viability and recovery should be changed. 

The assessment whether development costs can be capitalised 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 
Oleogel-S10 or AP103. Refer to Note 12, Intangible assets and goodwill, for further discussion on the impairment of AP102. 
Accordingly, all of the Group’s costs related to research and development projects are recognised as expenses in the Consolidated 
Statement of Comprehensive Loss 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 

On 24 September 2019, the Group acquired Aegerion. In accounting for this transaction, the Board of Directors considered the 
date of when control of Aegerion passed to the Group, the fair value of the consideration settled and the fair value of the assets 
and liabilities acquired. See Note 6, Business combinations and asset acquisitions, for further information on the determination of 
the fair value of the assets acquired. 

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 

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realisable. As at 31 December 2020, the Group did not recognise a deferred tax asset in respect of unused tax losses as described 
in Note 10, Tax credit on loss on ordinary activities. 

Impairment of investments in subsidiaries 

At each reporting date, the Company reviews the carrying amounts of its investment in subsidiaries. If any such indication exists, 
the recoverable amount of the asset, being the higher of the asset’s fair value less costs to sell and value in use, is compared to 
the asset’s carrying value. Any excess of the asset’s carrying value over its recoverable amount is expensed. The assessment 
involves a number of estimates and assumptions such as discount rates and risks affecting the pharmaceutical industry and other 
risks specific to the Company and subsidiaries. Refer to Note 26, Investments in subsidiaries, for further details. 

Principal accounting policies 

Principal accounting policies are summarised below. They have been consistently applied throughout the period covered by the 
financial statements. 

Revenue recognition 

Revenue arises from the sale of metreleptin, lomitapide and Imlan. The Group sells directly to customers and also uses third 
parties in the distribution of products to customers. 

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

(cid:129) identifying the contract with a customer; 

(cid:129) identifying the performance obligations; 

(cid:129) determining the transaction price; 

(cid:129) allocating the transaction price to the performance obligations; and 

(cid:129) 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 Consolidated 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 Consolidated 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 - Group 

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. 

Other 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. 

Revenue from provision of services - Company 

The Company provides management services to group subsidiaries, revenue is recognised at a point in time when the Company 
satisfies performance obligations by providing services to group subsidiaries.

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Notes to the Financial Statements continued 
For the year ended 31 December 2020

Principal versus agent considerations 

The Group enters into certain contracts for the sale of its products. This includes agreements with third parties 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 the Group is the principal on the contracts due to the following factors: 

(cid:129) the Group is primarily responsible for fulfilling the promise to provide the promised goods; 

(cid:129) the Group bears the inventory risk before or after the goods have been ordered by the customer, during shipping or on return; 

(cid:129) the Group has the discretion in establishing the selling price of the goods to customers. The distributors’ consideration in 

these contracts is either the margin fee or commission; and 

(cid:129) the Group is exposed to the credit risk for the amounts receivable from the customers. 

Where the above criteria are met, 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. 

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 or Company 
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 

Trade receivables 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: 

(cid:129) amortised cost; 

(cid:129) fair value through profit or loss (“FVTPL”); and 

(cid:129) fair value through other comprehensive income (“FVOCI”). 

The Group and Company did not have any financial assets categorised as FVTPL or FVOCI as at 31 December 2020 and 2019. 
The classification is determined by both: 

(cid:129) the Group and Company’s business model for managing the financial asset; and 

(cid:129) 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): 

(cid:129) they are held within a business model whose objective is to hold the financial assets and collect its contractual cash flows; and 

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(cid:129) 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 and Company’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. The Group 
also has restricted cash in relation to a deposit on a company credit card facility. 

Trade and other receivables 

Trade and other receivables represent the Group and Company’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 and Company 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 and other receivables, the Group and Company applies a simplified approach in calculating ECLs. Therefore, the Group 
and Company do not track changes in credit risk, but instead recognises a loss allowance based on lifetime ECLs at each 
reporting date when applicable. The Group and Company assess 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 cost 
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. 

Provisions 

Provisions are recognised when the Group has a present legal or constructive obligation as a result of past events, it is probable 
that an outflow of resources will be required to settle the obligation and the amount can be reliably estimated. 

The amount recognised as a provision is the best estimate of the consideration required to settle the present obligation at the 
reporting date, taking into account the risks and uncertainties surrounding the obligation. Where a provision is measured using 
the cash flows estimated to settle the present obligation, its carrying amount is the present value of those cash flows (when the 
effect of the time value of money is material). 

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Notes to the Financial Statements continued 
For the year ended 31 December 2020

When some or all of the economic benefits required to settle a provision are expected to be recovered from a third party, a 
receivable is recognised as an asset if it is virtually certain that reimbursement will be received and the amount of the receivable 
can be measured reliably. 

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. Interest is charged to the 
Consolidated Statement of Comprehensive Loss. 

Convertible notes 

Convertible notes are first assessed to determine classification as a financial liability or equity instrument for the financial 
instrument as a whole and components thereof. The initial carrying amount of a compound financial instrument is allocated to 
its equity and liability components. 

The two components are evaluated first by measuring the fair value of the liability component. The fair value of the liability 
component is assessed using a discounted cash flow calculation based on the future contractual cash flows in the contract which 
are discounted at an estimated market prevailing rate of interest an identical financial instrument without a conversion feature 
would be subject to. The equity component is measured by determining the residual of the fair value of the instrument less the 
estimated fair value of the liability component. 

The liability component is carried at amortised cost. Interest is calculated by applying the estimated prevailing market interest rate 
at the time of issue. The equity component is recognised in equity and is not subsequently remeasured. 

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 a successful launch of Oleogel-S10 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 Loss. 

Offsetting financial instruments 

Financial assets and financial liabilities are offset and the net amount is reported in the Consolidated and Company Statement of 
Financial Position if there is a currently enforceable legal right to offset the recognised amounts and there is an intention to settle 
on a net basis, or to realise the asset and settle the liability simultaneously. 

Inventories 

Inventories are valued at the lower of cost or net realisable value. Amryt uses standard cost to value its inventory which is made 
up of raw materials, work in progress (‘WIP’) and finished goods. It accounts for the inventory using the first-in, first-out (“FIFO”) 
method. Standard costs take into account normal levels of materials and supplies, labour, efficiency and capacity utilisation with 
our vendors. 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 

A lease is defined as a contract that conveys the right to use an underlying asset for a period of time in exchange for 
consideration. A contract is or contains a lease if: 

(cid:129) the underlying asset is identified in the contract; and 

(cid:129) the customer has both the right to direct the identified asset’s use and to obtain substantially all the economic benefits from 

that use. 

Under IFRS 16, the Group is required to recognise a right-of-use asset representing its right to use the underlying asset and a 
lease liability representing its obligation to make lease payments for almost all leases. 

Lease liabilities 

Lease liabilities are initially recognised at the present value of the following payments, when applicable: 

(cid:129) fixed lease payments (including in-substance fixed payments), less any lease incentives receivable; 

(cid:129) variable lease payments (linked to an index or interest rate); 

(cid:129) expected payments under residual value guarantees; 

(cid:129) the exercise price of purchase options, where exercise is reasonably certain; 

(cid:129) lease payments in optional renewal periods, where exercise of extension options is reasonably certain; and 

(cid:129) penalty payments for the termination of a lease, if the lease term reflects the exercise of the respective termination option. 

Lease payments are discounted using the implicit interest rate underlying the lease if this rate can be readily determined. 
Otherwise, the incremental borrowing rate is used as the discount rate. 

Lease liabilities are subsequently measured at amortised cost using the effective interest method. Furthermore, lease liabilities 
may be remeasured due to lease modifications or reassessments of the lease. A lease modification is any change in lease terms 
that was not part of the initial terms and conditions of the lease, including increases of the scope of the lease by adding the right 
to use one or more underlying assets or extending the contractual lease term, decreases of the scope of the lease by removing 
the right to use one or more underlying assets or shortening the contractual lease term or changes in the consideration. 
Reassessments are changes in estimates or changes triggered by a clause that was part of the initial lease contract, including 
changes in future lease payments arising from a change in an index or rate, change in the Group’s estimate of the amount 
expected to be payable under residual value guarantees or change in the Group’s assessment of whether it will exercise purchase, 
extension or termination options. 

Right-of-use assets 

The Group recognises right-of-use assets at the commencement date of the respective lease. Right-of-use assets are stated at 
cost less accumulated depreciation. Upon initial recognition, cost comprises: 

(cid:129) the initial lease liability amount; 

(cid:129) initial direct costs incurred when entering into the lease; 

(cid:129) (lease) payments before commencement date of the respective lease; 

(cid:129) an estimate of costs to dismantle and remove the underlying asset; and  

(cid:129) less any lease incentives received. 

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Notes to the Financial Statements continued 
For the year ended 31 December 2020

Right-of-use assets are depreciated over the shorter of the lease term or the useful life of the underlying asset using the 
straight-line method. In addition, right-of-use assets are reduced by impairment losses, if any, and adjusted for certain 
remeasurements. 

Foreign currency translation 

Presentation currency 

The Group translates foreign currency transactions into its presentational currency, US$, as described in “Presentation of 
balances” above. 

Functional currency 

The Company’s functional currency is US$. 

Transactions in currencies other than the functional currency of the Group entities are recorded at the exchange rates prevailing 
at the dates of the related transactions. Foreign exchange gains and losses resulting from the settlement of such transactions, as 
well as from the translation at year-end exchange rates of monetary assets and liabilities denominated in foreign currencies, are 
recognised in the Consolidated Statement of Comprehensive Loss. At each balance sheet date, monetary assets and liabilities 
that are denominated in foreign currencies are translated to the respective functional currencies of the Group’s entities at the 
rates prevailing on the relevant balance sheet date. Non-monetary items that are measured in terms of historical cost in a foreign 
currency are translated using exchange rates at the dates of the initial transactions. 

The financial statements of the Group’s foreign subsidiaries, where the local currency is the functional currency, are translated 
using exchange rates in effect at the end of the year for assets and liabilities and average exchange rates during the year for 
results of operations. The resulting foreign currency translation adjustment is recognised in other comprehensive income. 

Property, plant and equipment 

Property, plant and equipment is comprised 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 Consolidated Statement of Comprehensive Loss on a straight-line basis to write-off the cost of the 
assets over their expected useful lives as follows: 

(cid:129) Property, plant and machinery                  5 to 15 years 

(cid:129) Office equipment                                     3 to 10 years 

Government grants 

Grants are recognised when there is reasonable assurance that the Group will comply with the relevant conditions and the grant 
will be received. Grants that compensate the Group for expenses incurred such as research and development, employment and 
training are offset against the related expenditure in the Consolidated Statement of Comprehensive Loss on a systematic basis as 
the Group recognises as expenses the costs that the grants are intended to compensate. Grants that compensate the Group for 
the cost of an asset are deducted from the cost of the asset. 

Business combinations 

Business combinations, including the Aegerion acquisition, 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. 

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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 Loss 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 milestone 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 licenses 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. 

Intangible assets 

Acquired intangible assets 

Intangible assets primarily relate to developed technology on the Group’s commercially marketed products and IPR&D. Intangible 
assets are recorded at fair value at the time of their acquisition and are stated in the Consolidated Statement of Financial 
Position, net of accumulated amortisation and impairments, if applicable. 

In connection with the acquisition of Aegerion, the Group acquired developed technology on metreleptin and lomitapide, which 
are amortised over the remaining patent lives through February 2026 and August 2027, respectively. 

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

Acquired intangible assets outside business combinations are stated at the lower of cost less provision for amortisation and 
impairment or the recoverable amount. Acquired intangible 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 is given to 
the period over which the Group expects to derive economic benefit.  

The useful life of other acquired intangible assets is as follows: 

(cid:129) Software and hardware                            3 to 10 years 

(cid:129) Website development                              5 to 10 years 

Factors which impact our judgement to capitalise certain research and development expenditures 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. Management reviews these factors each year to determine whether previous estimates as to 
feasibility, viability and recovery should be changed. 

Goodwill 

Goodwill represents the difference between the purchase price and the fair value of the identifiable tangible and intangible net 
assets acquired in a business combination. Goodwill is not amortised, but instead is reviewed for impairment on an annual basis 
or when an event becomes known that could trigger an impairment.

Annual Report for the 12 months ended 31 December 2020

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96

Notes to the Financial Statements continued 
For the year ended 31 December 2020

Investments in subsidiaries 

Investments in subsidiaries are stated at cost less impairment. 

Impairment of non-financial assets 

At each reporting date, the Group and Company reviews the carrying amounts of its non-financial 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 Consolidated and Company Statement of Comprehensive Loss. 

The Group and Company 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 generates 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 Consolidated 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. 

In connection with business combinations, deferred tax balances are recognised if related to temporary differences and loss 
carry-forwards at the acquisition date or if they arise as a result of the acquisition and are measured in accordance with 
IAS 12 Income Taxes. 

Share-based payments 

The Company issues equity-settled awards as an incentive to certain senior management, employees and consultants. These 
equity-settled awards include employee share options and restricted share units (“RSUs”). 

In the consolidated financial statements, the fair value of equity-settled awards granted is recognised as an expense with a 
corresponding credit to the share-based payment reserve. In the Company financial statements, the fair value of the equity-
settled awards granted by the Company is recognised as an expense, for those that relate to awards granted to employees of the 
Company, and as an investment in subsidiary, for those awards granted that relate to employees of the Company’s subsidiaries. 
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. Share-based compensation for RSUs awarded to employees and 
directors is calculated based on the market value of the Company's shares on the date of award of the RSUs and the value of 
awards expected to vest is recognised as an expense over the requisite service periods. Forfeitures are estimated on the date of 
grant and revised if actual or expected forfeiture activity differs materially from original estimates. 

Amryt Pharma plc

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FINANCIAL STATEMENTS

97

The Company may issue warrants to key consultants, advisers and suppliers in payment or part payment for services or supplies 
provided to the Group and Company. 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 the 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 historical 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 Consolidated Statement of Comprehensive Loss 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. 

Loss per share 

Basic earnings per share 

Basic earnings per share is calculated by dividing: 

(cid:129) the profit attributable to owners of the company, excluding any costs of servicing equity other than ordinary shares 

(cid:129) by the weighted average number of ordinary shares outstanding during the financial year, adjusted for bonus elements in 

ordinary shares issued during the year and excluding treasury shares. 

Diluted earnings per share 

Diluted earnings per share adjusts the figures used in the determination of basic earnings per share to take into account: 

(cid:129) the after-income tax effect of interest and other financing costs associated with dilutive potential ordinary shares, and 

(cid:129) the weighted average number of additional ordinary shares that would have been outstanding assuming the conversion of all 

dilutive potential ordinary shares.

Annual Report for the 12 months ended 31 December 2020

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98

Notes to the Financial Statements continued 
For the year ended 31 December 2020

3. Segment information 
The Group is a global, commercial-stage biopharmaceutical company dedicated to commercialising and developing novel 
therapeutics to treat patients suffering from serious and life-threatening rare diseases. 

The Group currently operates as one business segment, pharmaceuticals, and is focused on the development and 
commercialisation of two commercial products and two development products. The Group derives its revenues primarily from 
one source, being the pharmaceutical sector with high unmet medical need. 

The Group’s Chief Executive Officer, Joseph Wiley, is currently the Company’s chief operating decision maker (“CODM”). The 
Group does not operate any separate lines of business or separate business entities with respect to its products. Accordingly, the 
Group does not accumulate discrete financial information with respect to separate service lines and does not have separate 
reportable segments. 

The following table summarises total revenues from external customers by product and by geographic region, based on the 
location of the customer. Revenues represent the revenue from the Group for the full year (the prior year revenues include 
revenue from Aegerion, with acquired products and additional regions, from 24 September 2019 onward). 

                                                                                                         U.S.
                                                                                                   US$’000

Metreleptin                                                                                    60,568
Lomitapide                                                                                    37,317
Other                                                                                                      –

Total revenue                                                                              97,885

                                                                                                         U.S.
                                                                                                  US$’000

Metreleptin                                                                                    14,944
Lomitapide                                                                                    10,616
Other                                                                                                      –

Total revenue                                                                                 25,560

31 December 2020 

EMEA
US$’000

32,494
26,144
763

59,401

Other
US$’000

13,810
11,289
222

25,321

31 December 2019 

EMEA
US$’000

8,048
18,985
671

27,704

Other
US$’000

2,096
2,659
105

4,860

Total 
US$’000 

106,872 
74,750 
985 

182,607 

Total 
US$’000 

25,088 
32,260 
776 

58,124 

Major Customers 

For the year ended 31 December 2020, one customer accounted for 54% of the Group’s net revenues (2019: 44%) and 
accounted for 42% of the Group’s 31 December 2020 trade receivable balance (2019: 44%). 

Company 

The Company provides management services to group companies which are charged on an arms’ length basis based on costs 
incurred by the Company with a mark-up applied of 5%. 

Revenue

Total revenue

Amryt Pharma plc

31 December 
2020
US$’000

31 December  
2019 
US$’000 

3,046

3,046

9,911 

9,911 

 
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FINANCIAL STATEMENTS

99

The Company’s revenue disaggregated by geographical regions is as follows: 

U.S.
EMEA

Total revenue

4. Cost of sales 

Cost of product sales
Amortisation of acquired intangibles (see Note 12)
Amortisation of inventory fair value step-up (see Note 15)
Royalty expenses

Total cost of sales

* see note 27 

31 December 
2020
US$’000

31 December  
2019 
US$’000 

1,371
1,675

3,046

6,660 
3,251 

9,911 

31 December 
2020
US$’000

31 December  
2019 restated* 
US$’000 

25,854
42,966
27,617
22,592

119,029

11,384 
11,457 
7,473 
8,419 

38,733 

As a result of the acquisition of Aegerion in September 2019, the Group acquired certain inventory, which were measured at fair 
value on the acquisition date. Refer to Note 2, Accounting policies, for further discussion on the key assumptions utilised to 
estimate the fair value. The difference between the estimated fair value and the book value of the acquired inventory was 
amortised, using the straight-line method, over the estimated period that the Group intends to sell this inventory. 

5. Share based payments 
On 10 July 2019, the shareholders of the Company approved a resolution to give authority to the Company to undertake a 
consolidation of the existing ordinary shares in the capital of the Company under which every six existing ordinary shares were 
consolidated into one ordinary share. 

In the table below, for presentational purposes, the number of share options and warrants outstanding at 1 January 2019 and 
the share options and warrants granted and lapsing during the years ended 31 December 2019 have been restated to reflect the 
2019 6-for-1 share consolidation. 

Under the terms of the Company’s Employee Share Option Plan, options to purchase 18,753,648 shares were outstanding at 
31 December 2020. Under the terms of this plan, options are granted to officers, consultants and employees of the Group at the 
discretion of the Remuneration Committee. A total of 4,432,000 share options were granted to non-executive directors and 
employees in the year ended 31 December 2020. For the year ended 31 December 2019, a total of 11,330,641 share options 
were granted to directors and employees. 

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

Vesting conditions 

The employee share 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-year period. There are no market conditions associated with the share 
option vesting periods. 

Annual Report for the 12 months ended 31 December 2020

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100

Notes to the Financial Statements continued 
For the year ended 31 December 2020

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, each option will automatically accelerate and become exercisable in 
full as of a date specified by the Board of Directors. 

Outstanding warrants at 31 December 2020 consisted of 8,966,520 zero cost warrants (31 December 2019: 17,196,273) with 
no expiration date that were issued to Aegerion creditors in connection with the acquisition of Aegerion. The remaining warrants 
consisting of 345,542 warrants (31 December 2019: 345,542) were issued in connection with the admission to the AIM in 2016 
(“the 2016 Warrants”). 

The number and weighted average exercise price (in Sterling pence) of share options and warrants per ordinary share is as follows: 

                                                                                                           Share Options                                     Warrants 

                                                                                                        Units

Balance at 1 January 2019 (pre share consolidation)               19,505,130
Balance at 1 January 2019 (restated for 6:1 share  
consolidation)                                                                           3,250,855
Granted                                                                                  11,330,641
Lapsed                                                                                          (99,776)
Exercised                                                                                                 –

Outstanding at 31 December 2019                                     14,481,720

Exercisable at 31 December 2019                                          2,468,310

Balance at 1 January 2020                                                      14,481,720
Granted                                                                                    4,432,000
Lapsed                                                                                          (87,119)
Exercised                                                                                      (72,953)

Outstanding at 31 December 2020                                     18,753,648

Exercisable at 31 December 2020                                          5,866,152

Weighted
average
exercise price 
(Sterling pence)

Weighted 
average  
exercise price  
(Sterling pence) 

Units

19.20p

22,909,950

24.00p 

115.20p
117.01p
197.66p
–

116.00p

109.08p

116.00p
144.76p
113.42p
120.72p

122.79p

114.24p

3,818,325
18,841,378
(3,472,783)
(1,645,105)

17,541,815

17,541,815

17,541,815
–
–
(8,229,753)

9,312,062

9,312,062

144.00p 
– 
144.00p 
– 

0.03p 

0.03p 

0.03p 
– 
– 
– 

0.05p 

0.05p 

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: 

31 December 
2020 Options 
Inputs

31 December 
2020 Warrant 
Inputs

31 December 
2019 Options 
Inputs

31 December  
2019 Warrant  
Inputs 

2,555
33% – 37%
0.39% – 0.46%
123.5p – 178.9p

–
–
–
–

2,555
27% – 48%
0.38% – 0.83%
75.84p – 121.5p

– 
– 
– 
– 

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

Amryt Pharma plc

                                                                                                                
                                                                                                                
                                                                                                                
 
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FINANCIAL STATEMENTS

101

In the year ended 31 December 2020, a total of 4,432,000 share options exercisable at a weighted average price of £1.4476 
were granted. The fair value of share options granted in the year ended 31 December 2020 was £6,416,000/US$8,230,000. In 
2019, a total of 11,330,641 share options exercisable at a weighted average price of £1.17 were granted. The fair value of share 
options granted in 2019 were £13,258,000/US$16,919,000. 

The share options outstanding as at December 2020 have a weighted remaining contractual life of 5.45 years with exercise 
prices ranging from £0.76 to £1.79. The share options outstanding as at 31 December 2019 had a weighted remaining 
contractual life of 6.19 years with exercise prices ranging from £0.76 to £1.50. 

The 2016 Warrants outstanding as at 31 December 2020 have a weighted remaining contractual life of 0.3 years with an 
exercise price of £1.44. The 2016 Warrants outstanding as at 31 December 2019 had a weighted remaining contractual life of 
1.3 years with an exercise price of £1.44.  

Restricted Share Units 

Under the terms of the Company’s Employee Share Option Plan, restricted share units (“RSUs”) to purchase 1,556,960 shares 
were outstanding at 31 December 2020. Under the terms of this plan, RSUs are granted to officers, consultants and employees 
of the Group at the discretion of the Remuneration Committee. For the year ended 31 December 2020, a total of 
1,556,960 RSUs were granted to employees of the company. For the years ended 31 December 2019, no RSUs were granted to 
employees. The fair value of the RSUs is based on the share price at the date of grant, with the expense spread over the vesting 
period. The fair value of RSUs granted in the year ended 31 December 2020 was US$2,609,000 and have a weighted remaining 
contractual life of 2.59 years. The following table summarises the RSU activity for the year: 

Balance at 1 January 2020
Granted
Lapsed
Exercised

Outstanding at 31 December 2020 

                            RSUs 

Weighted  
average  
fair value (US$) 

– 
$2.34 
$2.32  
– 

$2.34 

Unit

–
1,556,960
(7,050)
–

1,549,910

The Company grants rights to its shares under the share-based payment arrangements with directors of the Company and 
employees of the Group. For the share options of the directors of the Company the share-based payment is recognised in equity 
with a corresponding expense recognised in the Company Statement of Comprehensive loss. For the share options and RSUs of 
employees that are not employed by the Company, the Company recognises the share-based payment in equity with a 
corresponding increase in the investment in subsidiary in the Company Statement of Financial Position. The Company Statement 
of Comprehensive Loss for the year ended 31 December 2020 includes a re-allocation to the subsidiaries of the Group of the 
2019 expense.

Annual Report for the 12 months ended 31 December 2020

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102

Notes to the Financial Statements continued 
For the year ended 31 December 2020

The value of share options and RSU’s charged to the Consolidated and Company Statement of Comprehensive Loss during the 
year is detailed below. 

                                                                                                                 Group                                            Company 
                                                                                                           31 December                                   31 December 
                                                                                                        2020
                                                                                                  US$’000

2020
US$’000

2019
US$’000

2019 
US$’000 

Share option expense                                                                      4,134
RSU expense                                                                                       595

Total share option expense                                                          4,729

841
–

841

(245)
–

(245)

428 
– 

428 

6. Business combinations and asset acquisitions 

Acquisition of Aegerion Pharmaceuticals 

On 20 May 2019, Amryt entered into a Restructuring Support Agreement (as subsequently amended on 12 June 2019) and Plan 
Funding Agreement pursuant to which, among other matters, Amryt agreed to the acquisition of Aegerion Pharmaceuticals, Inc. 
(“Aegerion”), a former wholly-owned subsidiary of Novelion Therapeutics Inc. (“Novelion”). On 20 May 2019, Aegerion and its 
U.S. subsidiary, Aegerion Pharmaceuticals Holdings, Inc., filed voluntary petitions under Chapter 11 of Title 11 of the U.S. Code 
in the Bankruptcy Court. On 24 September 2019, Amryt completed the acquisition of Aegerion. Amryt acquired Aegerion upon 
its emergence from bankruptcy in an exchange for ordinary shares and zero cost warrants in Amryt. Amryt issued 
85,092,423 effective shares at US$1.793 per share, which is made up of 77,027,423 ordinary shares and 8,065,000 zero cost 
warrants, to acquire Aegerion for a value of US$152,615,000. 

The Company believes that the acquisition of Aegerion will enable the Group to advance the Group’s ambition to create a global 
leader in rare and orphan diseases with a diversified offering of multiple development-stage and commercial assets and provides 
it with scale to support further growth. 

As part of the acquisition of Aegerion, it was agreed, for certain Aegerion creditors who wished to restrict their percentage share 
interest in Amryt’s issued share capital, to issue to the relevant Aegerion creditor, as an alternative to Amryt’s ordinary shares, an 
equivalent number of new zero cost warrants to subscribe for Amryt’s ordinary shares to be constituted on the terms of the zero 
cost warrant. Refer to Note 23, Related party transactions, for further discussion. 

Relevant Aegerion creditors are entitled at any time to exercise the zero cost warrants, at which point in time, the Company 
would issue to that Aegerion creditor the relevant number of fully paid ordinary shares in return for the exercise of the zero cost 
warrants. Each zero cost warrant entitles the holder thereof to subscribe for one ordinary share. The zero cost warrants 
constitute the Company’s direct and unsecured obligations and rank pari passu and without any preference among themselves 
(save for any obligations to be preferred by law) at least equally with the Company’s other present and future unsecured and 
unsubordinated obligations. The zero cost warrants are not transferable except with the Company’s prior written consent. 

On 14 November 2019, the Company repurchased a combined 4,864,656 ordinary shares from Highbridge Tactical Master Fund 
L.P., Highbridge SCF Special Situations SPV, L.P. and Nineteen77 Global Multi Strategy Alpha Master Limited. In exchange for the 
ordinary shares, these institutions were issued an equivalent number of zero cost warrants.  

During the year, the Group incurred acquisition and restructuring related costs of US$1,017,000 (2019: US$13,038,000) relating 
to external legal fees, advisory fees, due diligence costs and severance costs. These costs have been included in operating costs in 
the Consolidated Statement of Comprehensive loss. 

IFRS 3 Business combinations requires the assignment of fair values to identifiable assets and liabilities acquired to be completed 
within 12 months of the acquisition date. The initial assignment of fair values was performed on a provisional basis and included 
in the consolidated financial statement for the year ended 31 December 2019 and subsequent consolidated interim financial 
statements due to the relative size of the acquisition and the timing of the transaction. The Group finalised the fair values of the 
assets and liabilities of Aegerion in 2020. The adjustments made in finalising fair values primarily relate to the measurement of 

Amryt Pharma plc

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FINANCIAL STATEMENTS

103

intangible assets separately from goodwill, valuation of inventory and associated deferred tax liabilities. The acquired goodwill is 
attributable principally to the profit generating potential of the businesses, the assembled workforce and benefits arising from 
embedded infrastructure that are expected to be achieved from integrating the acquired businesses into the Group’s existing 
business. No amount of goodwill is expected to be deductible for tax purposes. 

                                                                                                                                       As at 24 September 2019 

As previously reported in 
31 December 2019 
financial statements
US$’000

Adjustments*
US$’000

Fair value,  
as restated 
US$’000 

Assets 
Non-current assets 
Property, plant and equipment
Right of use assets
Intangible Assets
Other assets

Total non-current assets

Current assets 
Cash and cash equivalents
Trade and other receivables
Inventory
Prepaid expenses and other assets

Total current assets

Total assets

Current liabilities 
Accounts payable
Accrued liabilities
Lease liabilities – current
Provision for legal settlements – current

Total current liabilities

Non-current liabilities 
Lease liabilities - long term
Long term debt
Convertible notes debt and equity components - long term
Provision for legal settlements - long term
Deferred tax liability

Total non-current liabilities

Total liabilities

Total identifiable net assets at fair value

Goodwill arising on acquisition

Consideration

Consideration 
Issue of fully paid up ordinary shares and zero cost warrants

Total consideration

276
924
308,374
2,334

311,908

24,985
23,259
45,959
2,469

96,672

408,580

5,137
64,088
384
14,916

84,525

538
54,469
125,000
7,821
14,425

202,253

286,778

121,802

30,813

152,615

152,615

152,615

–
–
(9,000)
(433)

(9,433)

–
–
11,482
(881)

10,601

1,168

(1,186)
2,922
–
257

1,993

–
–
–
–
(12,507)

(12,507)

(10,514)

11,682

(11,682)

–

–

–

276 
924 
299,374 
1,901 

302,475 

24,985 
23,259 
57,441 
1,588 

107,273 

409,748 

3,951 
67,010 
384 
15,173 

86,518 

538 
54,469 
125,000 
7,821 
1,918 

189,746 

276,264 

133,484 

19,131 

152,615 

152,615 

152,615 

* Adjustments relate to finalisation of fair values following completion of the fair value assignment to identifiable assets and liabilities acquired. See Note 27, 

Restatement of prior year comparatives, for more details on the adjustments. 

Annual Report for the 12 months ended 31 December 2020

 
261072 5 Amyrt 083pp-109pp.qxp  25/06/2021  14:24  Page 104

104

Notes to the Financial Statements continued 
For the year ended 31 December 2020

Contingent Value Rights 

Related to the transaction, Amryt issued Contingent Value Rights (“CVRs”) pursuant to which up to US$85,000,000 may 
become payable to Amryt’s shareholders and optionholders, who were on the register prior to the completion of the acquisition 
on 20 September 2019, if certain approval and revenue milestones are met in relation Oleogel-S10, Amryt’s lead product 
candidate. If any such milestone is achieved, Amryt may elect to pay the holders of CVRs by the issue of Amryt shares or loan 
notes. If Amryt elects to issue Loan Notes to holders of CVRs, it will settle such loan notes in cash 120 days after their issue. If 
none of the milestones are achieved, scheme shareholders and optionholders will not receive any additional consideration under 
the terms of the CVRs. In these circumstances, the value of each CVR would be zero. 

The terms of the CVRs are as follows: 

(cid:129) The total CVR payable is up to US$85,000,000 

(cid:129) This is divided into three milestones which are related to the success of Oleogel-S10 (the Group’s lead development asset) 

(cid:129) FDA approval 

o   US$35,000,000 upon FDA approval 

o   100% of the amount due if approval is obtained before 31 December 2021, with a sliding scale on a linear basis to zero if 

before 1 July 2022 

(cid:129) EMA approval 

o   US$15,000,000 upon EMA approval 

o   100% of the amount due if approval is obtained before 31 December 2021, with a sliding scale on a linear basis to zero if 

before 1 July 2022 

(cid:129) Revenue targets 

o   US$35,000,000 upon Oleogel-S10 revenues exceeding US$75,000,000 in any 12-month period prior to 30 June 2024 

(cid:129) Payment can at the Board’s discretion be in the form of either: 

o   120-day loan notes (effectively cash), or 

o   Shares valued using the 30 day / 45-day VWAP. 

The CVRs were contingent on the successful completion of the acquisition and, accordingly, have been based on fair value as at 
24 September 2019. The CVRs have been classified as a financial liability in the Consolidated Statement of Financial Position. 
Given that CVRs were issued to legacy Amryt shareholders in their capacity as owners of the identified acquirer as opposed to 
the seller in the transaction, management concluded that the most appropriate classification would be to recognise the CVR as a 
distribution on consolidation instead of goodwill. In the Company-only accounts, the CVRs have been classified as a financial 
liability and debited to cost of investment in subsidiary. 

Measurement of CVRs 

As at 31 December 2020, the carrying value of the CVRs was US$61,417,000 (2019: US$49,413,000). The value of the potential 
payout was calculated using the probability-weighted expected returns method. Using this method, the potential payment 
amounts were multiplied by the probability of achievement and discounted to present value. 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 GmbH transaction. The market-based probability 

Amryt Pharma plc

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105

chance of success is based on market benchmarks for orphan drugs, was increased to 89% in 2020 (2019: 72%) following the 
positive results from our Phase 3 EASE trial of Oleogel-S10 earlier in the year. Discount rates of 10% and 16.5%, as applicable, 
were used in the calculation of the present value of the estimated contractual cash flows for the year ended 31 December 2020 
(2019: 10% and 16.5%). Management was required to make certain estimates and assumptions in relation to revenue forecasts, 
timing of revenues and probability of achievement of commercialisation of Oleogel-S10. However, management notes 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 expected cash flows 
of the CVRs. 

Amryt reviews the expected cash flows on a regular basis as the discount on initial recognition is being unwound as financing 
expenses in the Consolidated Statement of Comprehensive Loss over the life of the obligation. It is reviewed on a quarterly basis 
and the appropriate finance charge is booked in the Consolidated Statement of Comprehensive Loss on a quarterly basis. The 
Group received positive top-line data from the Phase 3 EASE trial of Oleogel-S10 in September 2020. The Group expects this to 
be followed by applications for approval from the FDA and the EMA. 

The total non-cash finance charge recognised in the Consolidated Statement of Comprehensive Loss for the year ended 31 
December 2020 is US$12,004,000 (2019: US$1,511,000). 

Acquisition of Amryt GmbH (previously “Birken”) 

Amryt DAC signed a conditional share purchase agreement to acquire Amryt GmbH on 16 October 2015 (“Amryt GmbH SPA”). 
The Amryt GmbH SPA was completed on 18 April 2016 with Amryt DAC acquiring the entire issued share capital of Amryt 
GmbH. The consideration included contingent consideration comprising milestone payments and sales royalties as follows: 

(cid:129) 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 of Episalvan; 

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 EB; 

o   €10,000,000 once net ex-factory sales/net revenue of Oleogel-S10 first exceed €50,000,000 in any calendar year; 

o   €15,000,000 once net ex-factory sales/net revenue of Oleogel-S10 first exceed €100,000,000 in any calendar year; 

(cid:129) Cash consideration of €150,000, due and paid on the completion date (18 April 2016); and 

(cid:129) Royalties of 9% on sales of Oleogel-S10 products for 10 years from first commercial sale.  

Fair Value Measurement of Contingent Consideration 

As at 31 December 2020, the fair value of the contingent consideration was estimated to be US$86,906,000 (2019: 
US$53,048,000). The fair value of the royalty payments was determined using probability weighted revenue forecasts and the 
fair value of the milestone payments was determined using probability adjusted present values (see Note 24, Fair value 
measurement and financial risk management, 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 GmbH transaction. The 
market-based probability chance of success is based on market benchmarks for orphan drugs, was increased to 89% in 2020 
(2019: 72%) following the positive results from our Phase 3 EASE trial of Oleogel-S10 earlier in the year. A discount rate of 

Annual Report for the 12 months ended 31 December 2020

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106

Notes to the Financial Statements continued 
For the year ended 31 December 2020

14.4% (2019: 24.4%) was used in the calculation of the fair value of the contingent consideration for the year ended 
31 December 2020. The decrease in the discount rate is mainly driven by the significant change in Group over the last 12 months 
where the Group has significantly de-risked with growth in commercial revenues, positive top-line data on the Phase 3 EASE trial 
of Oleogel-S10, increasing cash balances during the year, increasing share price and additional equity fund raises during the year.  

The Group received positive top line results from the Phase 3 EASE trial of Oleogel-S10 in September 2020, and the Group 
expects this to be followed by applications for approval from the FDA and the EMA. 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 
Loss. 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 Consolidated Statement of Comprehensive Loss over the life of the obligation. The finance charge is 
being unwound as a financing expense in the Consolidated Statement of Comprehensive Loss on a quarterly basis. 

The total non-cash finance charge recognised in the Consolidated Statement of Comprehensive Loss for the year ended 
31 December 2020 is US$27,827,000 (2019: US$6,740,000). 

7. Operating loss for the year 
Operating loss for the year is stated after charging (crediting): 

                                                                                                                 Group                                            Company 
                                                                                                           31 December                                   31 December 
                                                                                                        2020
                                                                                                  US$’000

2020
US$’000

2019
US$’000

2019 
US$’000 

Fees payable to the Group’s auditor and their associates for 
the audit of parent and consolidated financial statements                   814
Fees payable to the Group’s auditor and their associates for 
audit related services                                                                            44
Changes in inventory expensed (excluding fair value step-up) 
(see Note 15)                                                                                 25,854
Amortisation of inventory fair value step-up, as restated* 
(see Note 15)                                                                                 27,617
Research and development expenses                                             27,618
Share based payments (see Note 5)                                                  4,729
Pension costs                                                                                   1,284
Depreciation of property, plant and equipment (see Note 13)           1,297
Amortisation of intangible assets, as restated* (see Note 12)         43,168
Operating lease rentals                                                                       623
Foreign exchange gains (see Note 9)                                               (2,699)

* see note 27 

443

168

11,384

7,473
15,827
841
769
698
11,583
170
(3,750)

814

44

–

–
–
(245)
–
–
–
–
145

443 

168 

– 

– 
– 
428 
– 
– 
– 
– 
45 

Amryt Pharma plc

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FINANCIAL STATEMENTS

107

8. Employees 
Including the directors, the Group and Company’s average number of employees during the year was 174 (2019: 99) and 
6 (2019: 5), respectively. Further details on remuneration of the Group’s directors and Company’s employees are included in the 
Annual Remuneration Report on page 53. 

The directors consider the workforce as a whole and therefore the average number of employees by different categories is not 
considered relevant the Group or Company.  

Aggregate remuneration comprised: 

Wages and salaries
Social security costs
Pension costs – employees
Directors' remuneration
Shared based payments (see note 5)

Total employee costs

31 December 
2020
US$’000

31 December  
2019 
US$’000 

32,688
3,431
1,213
2,158
4,729

44,219

17,268 
2,037 
769 
2,555 
841 

23,470 

Aggregate remuneration attributable to the highest-paid director amounted to US$1,719,000 (2019: US$1,372,000). The 
directors of the Company held the following share options over shares of Amryt Pharma plc at 31 December 2020: 

                                                                                                                            31 December 2020 
Director

Exercise price

Number

Joseph Wiley

6,437,460

£0.76 – £121.50p

Raymond T. Stafford

George P. Hampton, Jr.

Dr. Alain H. Munoz

Donald K. Stern

Dr. Patrick V.J.J. Vink

Stephen T. Wills

220,000

220,000

220,000

220,000

220,000

220,000

$2.25

$2.25

$2.25

$2.25

$2.25

$2.25

                                                                                                                            31 December 2019 
Director

Exercise price

Number

Joseph Wiley

6,437,460

£0.76 – £121.50p

Expiration Date 

28 November 2024 – 
4 November 2026 

9 July 2027 

9 July 2027 

9 July 2027 

9 July 2027 

9 July 2027 

9 July 2027 

Expiration Date 

28 November 2024 – 
4 November 2026 

During the year ended 31 December 2020, a total of 1,320,000 share options were granted to directors of the Company. 
A total of 220,000 share options were granted to each of Raymond T. Stafford, George P. Hampton, Jr., Dr. Alain H. Munoz, 
Donald K. Stern, Dr. Patrick V.J.J. Vink and Stephen T. Wills.  

Further information on the compensation of key management personnel is included in Note 23, Related party transactions, of 
these financial statements.

Annual Report for the 12 months ended 31 December 2020

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108

Notes to the Financial Statements continued 
For the year ended 31 December 2020

9. Net finance expense – other 

Interest on loans
Interest on lease liabilities
Charges and fees paid
Interest received
Foreign exchange gains

Total

31 December 
2020
US$’000

31 December  
2019 
US$’000 

22,003
335
17
(87)
(2,699)

19,569

8,464 
17 
120 
(92) 
(3,750) 

4,759 

10. Tax credit on loss on ordinary activities 

Group 

A corporation tax credit of US$1,332,000 arises in the year ended 31 December 2020 (2019: credit of US$495,000, as 
restated*). 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: 
Movement in unrecognised deferred tax assets
Permanent differences
Differences in overseas taxation rates

Total tax (credit)/charge on loss on ordinary activities

* see note 27 

31 December
2020
US$’000

31 December 
2019 restated* 
US$’000 

(105,859)
(13,232)

(63,493) 
(7,937) 

3,624
11,260
(2,984)

(1,332)

3,831 
6,474 
(2,863) 

(495) 

At 31 December 2020, the Group had unutilised net operating losses in the following jurisdictions as follows: 

Ireland
United States
Germany
United Kingdom

Total

31 December
2020
US$’000

31 December 
2019 
US$’000 

108,677
35,043
28,288
42,893

214,901

53,266 
36,334 
26,228 
16,828 

132,656 

The deferred tax asset on tax losses of US$38,244,152 (2019: US$25,858,892), which was calculated at corporation tax rates 
ranging from 12.5% to 32%, has not been recognised due to the uncertainty of the recovery. Tax losses in Ireland, Germany and 
the UK can be carried forward indefinitely.  

Amryt Pharma plc

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FINANCIAL STATEMENTS

109

Due to historical changes in ownership of the U.S. business, the U.S. tax losses carried forward are restricted in how they can be 
used against future profits of the Group. U.S. losses related to tax periods prior to 2018 can be carried forward for 20 years while 
losses from 2018 onwards can be carried forward indefinitely. 

All current and deferred tax related charges are recognised in the Consolidated Statement of Comprehensive Loss. 

Company  

No tax charge has been included for the financial period as no taxable profits arise. A reconciliation of the loss before tax 
multiplied by the standard rate of corporation tax in the UK of 19% is provided below: 

Loss before tax
Tax corporation tax rate of 19%
Effect of:
Losses unutilised 

Total tax charge on loss on ordinary activities

31 July 
2020
US$’000

(17,597)
(3,343)

3,343

–

31 July  
2019 
US$’000 

(1,232) 
(234) 

234 

– 

11. 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 2020. 

Issued share capital – ordinary shares of £0.06 each 

31 December 2020

31 December 2019

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

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

Basic and diluted loss per share (US$)

* see note 27 

Number of
shares

Weighted 
average shares 

178,801,593

158,591,356 

154,498,887

75,871,562 

31 December
2020

31 December 
2019 restated* 

 (104,527)
158,591,356 
158,591,356 

 (62,998) 
75,871,562  
75,871,562  

 (0.66)

 (0.83) 

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 2020 
totalled 28,065,710 (2019: 32,023,535) and are potentially dilutive.

Annual Report for the 12 months ended 31 December 2020

 
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110

Notes to the Financial Statements continued 
For the year ended 31 December 2020

12. Intangible assets and goodwill 
The following table summarises the Group’s intangible assets and goodwill: 

                                                         Developed
                                                      technology -
                                                       metreleptin
                                                            US$’000

Developed
technology -
lomitapide
US$’000

In-process 
R&D
US$’000

Other
intangible
assets
US$’000

Total 

intangible   
assets
US$’000

Cost 
At 1 January 2019                                            –
Additions                                                         –
Acquired assets, as restated*                176,000
Impairment charge                                           –
Foreign exchange movement                            –

At 31 December 2019, as restated*  176,000

Additions                                                         –
Acquired assets                                                –
Disposals                                                          –
Foreign exchange movement                            –

–
–
123,000
–
–

123,000

–
–
–
–

60,091
–
–
(4,670)
(1,160)

54,261

–
591
–
5,276

At 31 December 2020                         176,000

123,000

60,128

Accumulated amortisation 
At 1 January 2019                                            –
Amortisation charge, as restated*             7,314

At 31 December 2019, as restated*          7,314
Amortisation charge                               27,429
Accumulated amortisation on disposals              –
Foreign exchange movement                            –

At 31 December 2020                           34,743

Net book value 
At 31 December 2019, as restated*      168,686

At 31 December 2020                         141,257

* see note 27 

–
4,143

4,143
15,537
–
–

19,680

–
–

–
–
–
–

–

Goodwill 
US$’000 

– 
– 
19,131 
– 
– 

19,131 

– 
– 
– 
– 

60,349
74
299,374
(4,670)
(1,165)

353,962

372
591
(246)
5,315

359,994

19,131 

52
11,583

11,635
43,168
(246)
68

54,625

– 
– 

– 
– 
– 
– 

– 

258
74
374
–
(5)

701

372
–
(246)
39

866

52
126

178
202
(246)
68

202

118,857

103,320

54,261

60,128

523

664

342,327

305,369

19,131 

19,131 

Developed technology on commercially marketed products 

In connection with the acquisition of Aegerion in September 2019, the Group acquired developed technology, metreleptin and 
lomitapide. Refer to Note 2, Accounting policies - critical accounting judgements and key sources of estimation uncertainty, for 
further discussion on the valuation related to the developed technology, including the key assumptions utilised. These intangible 
assets are amortised over their estimated useful lives and the remaining useful lives for metreleptin and lomitapide are 
approximately 5.2 and 6.7 years, respectively, as of 31 December 2020 (2019: 6.2 and 7.7 years, respectively). 

Amryt Pharma plc

 
 
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111

The amortisation associated with metreleptin and lomitapide is recorded as part of cost of sales. As of 31 December 2020, the 
estimated amortisation expense related to these intangibles for future periods is as follows: 

Years Ending 31 December

2021
2022
2023
2024
2025
Thereafter

In-process R&D 

Metreleptin
US$’000

Lomitapide 
US$’000 

 27,429 
 27,429 
 27,429 
 27,429 
27,429 
 4,112 

 15,537  
 15,537  
 15,537  
 15,537  
 15,537  
 25,635  

141,257

103,320 

On 12 October 2020, Amryt acquired Cala Medical Limited (“Cala Medical”) for a consideration of US$723,000. As a result of 
the acquisition of Cala Medical the Group recognised in-process R&D costs of US$591,000 as an intangible asset. This is related 
to the Group’s development project AP104, which is an early-stage drug asset. Cala Medical is focused on the development of a 
therapeutic enzyme (ScpA) targeting a molecule in the complement pathway, C5a, that mediates immune responses and 
inflammation. Initial research efforts focused on the use of a modified form of ScpA as part of a medical device used to remove 
C5a from the circulation of patients suffering from sepsis. Amryt has redirected efforts towards the development of a 
pharmaceutical agent that may be administered locally or systemically to address multiple other disease areas of interest that may 
be favourably impacted by inhibition of C5a activity. 

As a result of the acquisition of Amryt GmbH, in 2016, the Group recognised in-process R&D costs of US$54,268,000 which is 
related to the Group’s lead development asset, Oleogel-S10.  

As a result of the acquisition of Som Therapeutics Corp., in 2016, the Group recognised in-process R&D costs of US$4,522,000 
as an intangible. This is related to the Group’s development project AP102, which is an early-stage drug asset. AP102 may 
represent a novel, next generation somatostatin analogue (“SSA”) peptide medicine for patients with rare neuroendocrine 
diseases, where there is a high unmet medical need, including acromegaly. Acromegaly is a rare endocrine disorder in which the 
body produces excessive growth hormone, leading to abnormal growth throughout the body over time.  

In 2019, following the acquisition of Aegerion by the Group, a decision was made not to pursue the development of AP102 and 
therefore, the Group wrote off this asset, resulting in an impairment charge of US$4,670,000 recognised as other expense 
during the year ended 31 December 2019. The decision to impair this intangible asset is primarily based on the grounds that the 
acquisition of Aegerion has been transformational for the Group, as it has now become a global, commercial-stage 
biopharmaceutical company dedicated to commercialising and developing novel therapeutics to treat patients suffering from 
serious and life-threatening rare diseases. The Group’s diversified portfolio is comprised of two commercial rare disease products, 
as well as a development-stage pipeline focused on rare skin diseases. Since the commercial products, lomitapide for the 
treatment of homozygous familial hypercholesterolemia (“HoFH”), and metreleptin for the treatment of generalised 
lipodystrophy (“GL”) and partial lipodystrophy (“PL”), have each been sold globally through the Group’s commercial 
infrastructure for over six years, management believes it is in the best interest of the Group to concentrate resources on these 
new development pipeline activities which will better complement the existing commercial products. The Group may look to 
partner AP102 in the long-term future but in the short and medium term, the Group will continue to concentrate on Oleogel-
S10, AP103 and expansion opportunities for the existing commercial products. 

Other intangible assets 

Other intangible assets include website costs and the Group’s computer software and hardware. The amortisation associated 
with computer software, hardware and website costs is recorded in both SG&A and R&D expenses. These assets are stated at 
cost and amortised using the straight-line method based on the estimated economic lives, ranging from 3 - 10 years. 

Annual Report for the 12 months ended 31 December 2020

 
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112

Notes to the Financial Statements continued 
For the year ended 31 December 2020

Goodwill 

During 2019, the Group completed the acquisition of Aegerion, which resulted in aggregate goodwill of US$19,131,000, as 
restated (See Note 27, Restatement of prior year comparatives). Refer to Note 6, Business combinations and asset acquisitions, for 
further details. The Group believes that the business, as a whole, represents a single CGU, as it is the smallest identifiable group of 
assets that generates cash inflows that are largely independent of the cash inflows from other assets or groups of assets. 
Additionally, the Group only operates in one business segment and does not operate any separate lines of business or separate 
business entities with respect to its products. Accordingly, the Group does not accumulate discrete financial information with 
respect to separate service lines and does not have separate reportable segments. 

Impairment  

The Group reviews the carrying amount of intangible assets on an annual basis or when there is a triggering event that may be 
an indication of possible impairment. The Group conducts an impairment review by determining recoverable amounts from value 
in use calculations. 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 intangible assets. The 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 cash flows are projected forward to the year 2032 using projected revenue and cost growth to determine the basis for an 
annuity-based terminal values. 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 that is considered appropriate for the 
Group’s size and structure. 

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 experience. The pre-tax discount rate used in 2020 and 2019 was 14.4% and 16.5%, respectively.  

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

(cid:129) 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 2020. 

(cid:129) In the event there was a 5% 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 2020. 

Goodwill is subject to impairment testing on an annual basis. The recoverable amount of the Group’s CGU is determined based 
on a value-in-use computation. The Group’s value-in-use calculations included the cash flow projections based on the 2021 
budget which has been approved by the Board of Directors and the Group’s strategic plan for a further three years using 
projected revenue growth rates of between 10% - 33% and cost growth rates of between -4% and 38%. At the end of the 
four-year forecast period, the terminal value, based on a long-term growth rate of 2%, was used in the value-in-use calculations. 
The value-in-use represents the present value of the future cash flows, including the terminal value, discounted at a rate 
appropriate to the Group. The key assumptions employed in arriving at the estimates of future cash flows are subjective and 
include projected EBITDA, net cash flows, discount rates and the duration of the discounted cash flow model. The Group have 
used a discount rate of 14.4% (2019: 16.5%) which we believe is a realistic estimate for the Group as well as the Group’s risk 
profile. 

The 2020 annual impairment testing process resulted in no impairment for the year ended 31 December 2020 (2019: nil).

Amryt Pharma plc

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FINANCIAL STATEMENTS

113

13. Property, plant and equipment 
The following table summarises the Group’s property, plant and equipment: 

                                                                                                 Plant and
                                                                       Property            Machinery
                                                                      US$’000               US$’000

Office 
Equipment
 US$’000

Right-of-use  

assets
 US$’000

Total 
 US$’000 

Cost 
At 1 January 2019                                                  386                   1,039
Additions                                                                   6                      253
Impact of IFRS 16                                                       –                           – 
Acquired assets                                                          –                      276
Disposals                                                                    –                     (114)
Foreign exchange movement                                     (9)                      (22)

At 31 December 2019                                          383                   1,432

Additions                                                                 38                      527
Disposals                                                                    –                           – 
Foreign exchange movement                                    38                        93

421
167
 – 
 – 
(32)
(9)

547

938
(372)
165

At 31 December 2020                                          459                   2,052

1,278

Accumulated amortisation 
At 1 January 2019                                                  269                      319
Depreciation charge                                                 90                      162
Depreciation charge on disposals                                –                       (71)
Foreign exchange movement                                     (6)                        (6)

At 31 December 2019                                          353                      404

Depreciation charge                                                 15                      134
Depreciation charge on disposals                                –                           – 
Foreign exchange movement                                    35                        37

At 31 December 2020                                          403                      575

Net book value 
At 31 December 2019                                            30                   1,028

At 31 December 2020                                            56                   1,477

160
64
(32)
(5)

187

209
(239)
11

168

360

1,110

 – 
152
874
924
 – 
50

2,000

4,420
(378)
140

6,182

 – 
382
 – 
 – 

382

939
(129)
59

1,251

1,618

4,931

1,846 
578 
874 
1,200 
(146) 
10 

4,362 

5,923 
(750) 
436 

9,971 

748 
698 
(103) 
(17) 

1,326 

1,297 
(368) 
142 

2,397 

3,036 

7,574 

Annual Report for the 12 months ended 31 December 2020

 
 
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114

Notes to the Financial Statements continued 
For the year ended 31 December 2020

14. Trade and other receivables 

                                                                                          31 December
                                                                                                        2020
                                                                                                  US$’000

Trade receivables                                                                            33,057
Accrued income and other debtors                                                  8,423
VAT recoverable                                                                               1,705
Intercompany receivables                                                                        – 

Group                                        Company 

31 December                            
2019      31 December
restated*                    2020
US$’000               US$’000

31 December 
2019 
US$’000 

28,607                          – 
5,493                   2,289
1,400                        75
 –                   8,771

 –  
221 
171 
58,221 

58,613 

Trade and other receivables                                                       43,185

35,500                 11,135

* see note 27 

The amount of ECL to recognised against trade and other receivables is based on historical credit loss experience, adjusted for 
forward-looking factors specific to the debtors and the economic environment. For the year ended 31 December 2020 the ECL 
was calculated as nil and therefore no impairment is considered necessary. 

The 31 December 2020 accrued income and other debtors balance for the Group includes US$287,000 (2019: US$857,000) in 
relation to prepaid Phase 3 clinical trial costs. 

Intercompany receivables mainly relate to recharges of expenses incurred by the Company in providing management services to 
the wider Group. These intercompany receivables are interest free basis and repayable on demand. During the year ended 31 
December 2020, no impairment charge was recognised (2019: nil). 

15. Inventories 

Raw materials
Work in progress
Finished goods

Inventories

* see note 27 

31 December
2020
US$’000

25,462
3,903
11,627

40,992

31 December  
2019 
restated* 
US$’000 

20,043 
2,489 
35,468 

58,000 

In 2020, a total of US$25,854,000 (2019: US$11,384,000) of inventories was included in the consolidated statement of 
comprehensive loss as an expense (excluding the fair value step-up). 

The fair value of net inventory acquired as part of the acquisition of Aegerion on 24 September 2019 amounted to US$57,441,000, 
as restated (See Note 27, Restatement of prior year comparatives). This is net of non-saleable inventory acquired in connection with 
the acquisition of Aegerion which amounted to US$53,440,000, as restated (See Note 27, Restatement of prior year comparatives). 
The non-saleable inventories were determined based on the expiration dates and future manufacturing commitments which could 
result in inventory levels in excess of forecast demand. Under IFRS 3, the finished goods inventory on hand at the date of acquisition 
was valued at the expected selling price less the sum of (a) remaining costs of disposal and (b) a reasonable profit margin for the 
selling effort of the acquiring entity based on the EBITDA margin as a percentage of sales. The costs to dispose were calculated 
based on the average costs as a percentage of revenue through the period in which the current finished goods inventory is expected 
to be sold. This resulted in a non-cash step up at the valuation of finished goods inventory at 24 September 2019 of 

Amryt Pharma plc

                                                                                                                
 
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115

US$36,294,000, as restated (See Note 27, Restatement of prior year comparatives). The non-cash step up in inventory is being 
unwound to the Consolidated Statement of Comprehensive Loss over the period in which this saleable inventory is expected to be 
sold which is less than one year as of 31 December 2020. At 31 December 2020, US$1,204,000 (2019: US$28,821,000, as 
restated, see Note 27, Restatement of prior year comparatives) of this non-cash inventory step up is included in finished good 
inventory. 

All inventory was reviewed at year end and no impairment was deemed necessary. 

16. Cash and cash equivalents 

                                                                                          31 December
                                                                                                        2020
                                                                                                  US$’000

31 December      31 December
2019                    2020
US$’000               US$’000

31 December 
2019 
US$’000 

Cash at bank available on demand                                              118,575
Restricted cash                                                                                    223

65,197                 38,364
2,032                          – 

Total cash and cash equivalents                                               118,798

67,229                 38,364

 –  
 –  

 –  

Group                                        Company 

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

At 31 December 2020 and 31 December 2019, there was US$223,000 and US$2,032,000 of restricted cash, respectively. The 
balance at 31 December 2020 includes a deposit on a company credit card facility for an amount of US$150,000 
(31 December 2019: US$150,000). Of the US$2,032,000 held in restricted cash at 31 December 2019, $1,069,000 was in an 
escrow account, which was set-up in accordance with Aegerion’s bankruptcy plan as approved by the U.S. Bankruptcy Court, 
and it was fully utilised to pay the costs associated with the bankruptcy process. Additionally, there was US$73,000 held by a 
third-party distributor at 31 December 2020 (31 December 2019: US$813,000). 

17. Share capital and reserves 
Details of the number of issued ordinary shares with a nominal value of Sterling 6 pence (2019: 6 pence) each are in the table 
below.  

                                                                         Ordinary shares                            Treasury shares                     Deferred shares 
2019
                                                                   2020

2020

2019

2020

2019 

At 1 January                                  154,498,887
Share consolidation in 2019                               – 
Issue of shares in exchange 
for warrants                                         8,229,753
Issue of shares in equity  
fund raises                                         16,000,000
Issue of shares in  
consideration 
of Aegerion Acquisition                                     – 
Issue of treasury shares for  
share options exercised                             72,953
Treasury shares acquired in  
consideration for additional  
warrants                                                            – 

274,817,283
(229,014,401)

4,864,656
 – 

1,645,105

34,888,133

77,027,423

 – 

 – 

 – 

 – 

(72,953)

 – 
 – 

 – 

 – 

 – 

 – 

(4,864,656)

 – 

4,864,656

At December 31                            178,801,593

154,498,887

4,791,703

4,864,656

 – 
 – 

 – 

 – 

 – 

 – 

 – 

 – 

43,171,134 
(43,171,134) 

 –  

 –  

 –  

 –  

 –  

 – 

Annual Report for the 12 months ended 31 December 2020

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116

Notes to the Financial Statements continued 
For the year ended 31 December 2020

The components of equity are detailed in the Consolidated and Company Statement of Changes in Equity and described in more 
detail below. 

The total number of ordinary shares issued at 31 December 2020 of 183,593,296 (2019: 159,363,543), includes treasury shares 
of 4,791,703 (2019: 4,864,656). 

In December 2020, the Company issued 3,200,000 American Deposit Shares (“ADSs”), each representing five ordinary shares, as 
part of a US$40,000,000 private placement equity raise to existing and new shareholders. 

The Company issued 4,000,000 and 4,229,753 ordinary shares on 15 July 2020 and 22 September 2020, respectively, in 
exchange for certain warrants.  

On 27 December 2019, the Company issued 1,645,105 shares to certain shareholders in consideration of warrants. 

On 24 September 2019, the following equity issuances were conducted: 

(cid:129) 77,027,423 ordinary shares and 8,065,000 warrants for a consideration of US$152,615,000 were issued as part of the 

Aegerion acquisition whereby the company acquired the entire share capital of Aegerion. 

(cid:129) 27,541,944 ordinary shares and 5,911,722 warrants were issued as part of a US$60,000,000 fund raising.  

In an US$8,000,000 equity raise, the Company issued 7,346,189 ordinary shares, 4,580,288 shares in August 2019 and 
2,765,901 shares in September 2019. 

In July 2019, the Company repurchased all of the 43,171,134 Deferred Ordinary Shares for an aggregate consideration of £0.01 
and the Deferred Shares were immediately cancelled. Simultaneously the Company allotted four additional ordinary shares of par 
value £0.01 each in the capital of the Company, in connection with a 6 to 1 consolidation of the Company’s share capital. 

Share Capital 

Share capital represents the cumulative par value arising upon issue of ordinary shares of Sterling 6 pence each. 

The ordinary shares have the right to receive notice of, attend and vote at general meetings and 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 net of 
issue costs and transfers to distributable reserves.  

Warrant reserve 

The warrant reserve represents zero cost warrants issued as part of the equity raise on 24 September 2019 net of issue costs 
apportioned to warrants issued and additional warrants issued to certain shareholders on 14 November 2019. Each warrant 
entitles the holder to subscribe for one ordinary share at zero cost. The Company issued 4,000,000 and 4,229,753 ordinary 
shares on 15 July 2020 and 22 September 2020, respectively, in exchange for certain warrants. On 27 December 2019, the 
company issued 1,645,105 ordinary shares in consideration for certain warrants. 

Treasury Shares 

On 14 November 2019, the Company repurchased a combined 4,864,656 ordinary shares from certain shareholders. In 
exchange for the ordinary shares, these shareholders were issued an equivalent number of zero cost warrants. These ordinary 
shares are now held as treasury shares. In October 2020, the Company issued 72,953 ordinary shares from treasury shares 
following the exercise of share options. 

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117

Share based payment reserve 

Share based payment reserve relates to the charge for share based payments in accordance with IFRS 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. The premium on these shares has been included 
in a merger reserve. 

Reverse acquisition 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 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. 

Equity component of convertible notes 

The equity component of convertible notes represents the equity component of the US$125,000,000 convertible debt and is 
measured by determining the residual of the fair value of the instrument less the estimated fair value of the liability component. 
The equity component is recognised in equity and is not subsequently remeasured. 

Other distributable reserves 

Other distributable reserves comprise the following: 

(cid:129) Distribution of the share premium amount on 6 November 2019 of US$268,505,000. By special resolution of the Company 
duly passed on 23 September 2019, it was resolved that the entire amount outstanding to the credit of the share premium 
account and capital redemption reserve of the Company be cancelled. The reduction in capital, amounting to 
US$268,505,000, representing the entire amount of share premium at that time, was approved by the High Court of Justice 
of England and Wales on 5 November 2019. 

(cid:129) A deemed distribution of US$47,902,000 arising from the issuance of CVRs.  

(cid:129) A deemed distribution of US$2,969,000 arising from the scheme of arrangement in September 2019 whereby Amryt Pharma 
plc, which was incorporated in July 2019, became a 100% shareholder of Amryt Pharma Holdings Limited (formerly named 
Amryt Pharma plc) (the “Acquisition of subsidiary without a change of control”). 

Currency translation reserve 

The currency translation reserve arises on the retranslation of non-U.S. dollar denominated foreign subsidiaries. 

Accumulated deficit 

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

Annual Report for the 12 months ended 31 December 2020

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118

Notes to the Financial Statements continued 
For the year ended 31 December 2020

18. Deferred tax liability  

At 1 January 2019
Net movement during the year, as restated*

At 31 December 2019, as restated*
Net movement during the year

At 31 December 2020

* see note 27 

Total 
US$’000 

6,161 
986 

7,147 
(535) 

6,612 

A deferred tax liability arose in 2016 on the acquisition of Amryt GmbH. 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 be reduced 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 and as a result the deferred tax liability in relation 
to the Birken acquisition continues to be in place. As a Euro denominated liability, FX movements resulted in the deferred tax 
liability increasing by US$583,000 in the year. 

Separately, a deferred tax liability was recognised in 2019 in connection with the acquisition of Aegerion Pharmaceuticals, Inc. 
(see Note 6, Business combinations and asset acquisitions). The intangible assets have been recognised at their fair value. As the 
transaction was completed as a share acquisition, the intangible assets were not re-based to fair value from a tax perspective 
with a deferred tax liability being recognised on acquisition. These intangibles are being amortised and the resulting reduction in 
the deferred tax liability will be recognised in profit or loss. There was a reduction in the liability of US$1,118,000 during the year. 

19. Long term loan  

Long term loan principal
Unamortised debt issuance costs

Long term loan 

31 December
2020
US$’000

31 December 
2019 
US$’000 

88,037
(735)

87,302

82,456 
(846) 

81,610 

As part of the acquisition of Aegerion on 24 September 2019, Aegerion entered into a new U.S. dollar denominated 
US$81,021,000 secured term loan debt facility (“Term Loan”) with various lenders. The Term Loan is made up of a 
US$54,469,000 loan that was in place prior to the acquisition which was refinanced as part of the acquisition and a 
US$26,552,000 additional loan that was drawn down on 24 September 2019. The Term Loan has a five-year term from the date 
of the draw down, 24 September 2019 and matures on 24 September 2024. Under the Term Loan, interest will be payable at 
the option of the Group at the rate of 11% per annum paid in cash on a quarterly basis or at a rate of 6.5% paid in cash plus 
6.5% paid in kind that will be paid when the principal is repaid, which rolls up and is included in the principal balance 
outstanding, on a quarterly basis. Unpaid accrued interest of US$1,439,000 as at 31 December 2020 is recognised in current 
liabilities with trade and other payables (2019: US$nil). The Term Loan may be prepaid, in whole or in part, by Aegerion at any 
time subject to payment of an exit fee, which depending on the stage of the loan term, ranges from 5.00% to 0.00% of the 
principal then outstanding on the Term Loan. 

In connection with the Term Loan, the Group incurred approximately US$870,000 of debt issuance costs, which primarily 
consisted of underwriting, legal and other professional fees. These costs are being amortised over the expected life of the loan 
using the effective interest method. 

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119

The Term Loan is guaranteed by Amryt and certain subsidiaries of the Group. In connection with the loan agreement, fixed and 
floating charges have been placed on property and undertakings of Amryt and certain subsidiaries of the Group. 

The Term Loan agreement includes affirmative and negative covenants, including prohibitions on the incurrence of additional 
indebtedness, granting of liens, certain asset dispositions, investments, and restricted payments, in each case, subject to certain 
exceptions set forth in the Loan Agreement. The Term Loan agreement also includes customary events of default for a 
transaction of this type and includes (i) a cross-default to the occurrence of any event of default under material indebtedness of 
Aegerion and certain subsidiaries of the Group and Amryt, including the convertible notes, and (ii) Amryt or any of its subsidiaries 
being subject to bankruptcy or other insolvency proceedings. Upon the occurrence of an event of default, the lenders may 
declare all of the outstanding Term Loan and other obligations under the Term Loan agreement to be immediately due and 
payable and exercise all rights and remedies available to the lenders under the Term Loan agreement and related documentation. 
There have been no events of default or breaches of the covenants occurring for the year ended 31 December 2020 (2019: no 
events). 

Changes in long term loans from financing activities:

At January 1
Cash-flows
Proceeds from loans and borrowings
Repayment of loans and borrowings
Liability related
Paid in kind interest 
Amortisation of debt costs
Accrued interest 

At December 31

20. Convertible notes 

At 1 January 2019
Issuance of convertible notes
Amount classified as equity
Accreted interest

At 31 December 2019

Accreted interest

At 31 December 2020

2020
US$’000

81,610

 – 
 – 

5,585
107
1,439

88,741

2019 
US$’000 

19,011 

31,176 
(21,990) 

797 
54,469 
(1,853) 

81,610 

Total 
US$’000 

 –  
125,000 
(29,210) 
1,066 

96,856 

4,230 

101,086 

As part of the acquisition, Aegerion issued convertible notes with an aggregate principal amount of US$125,000,000 to 
Aegerion creditors. Refer to Note 23, Related party transactions, for further details. 

The convertible notes are senior unsecured obligations and bear interest at a rate of 5.0% per year, payable semi-annually in 
arrears on 1 April and 1 October of each year, beginning on 1 April 2020. The convertible notes will mature on 1 April 2025, 
unless earlier repurchased or converted.

Annual Report for the 12 months ended 31 December 2020

 
 
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120

Notes to the Financial Statements continued 
For the year ended 31 December 2020

The convertible notes are convertible into Amryt’s ordinary shares at a conversion rate of 386.75 ordinary shares per US$1,000 
principal amount of the convertible notes. If the holders elect to convert the convertible notes, Aegerion can settle the 
conversion of the convertible notes through payment or delivery of cash, common shares, or a combination of cash and common 
shares, at its discretion. As a result of the conversion feature in the convertible notes, the convertible notes were assessed to have 
both a debt and an equity component. The two components were assessed separately and classified as a financial liability and 
equity instrument. The financial liability component was measured at fair value based on the discounted cash flows expected 
over the expected term of the notes using a discount rate based on a market interest rate that a similar debt instrument without 
a conversion feature would be subject to. Refer to Note 17, Share capital and reserves, for further details on the equity 
component of the convertible notes.  

From 24 September 2019 until the close of business on the second scheduled trading day immediately preceding the maturity 
date, holders may convert all or any portion of their convertible notes, in multiples of US$1,000 principal amount, at the option 
of the holder. 

The indenture does not contain any financial covenants or restrict the Group’s ability to repurchase securities, pay dividends or 
make restricted payments in the event of a transaction that substantially increases the Group’s level of indebtedness in certain 
circumstances. 

The indenture contains customary terms and covenants and events of default. If an event of default (other than certain events of 
bankruptcy, insolvency or reorganisation involving Aegerion, Amryt and certain subsidiaries of the Group) occurs and is 
continuing, the trustee by notice to Aegerion, or the holders of at least 25% in principal amount of the outstanding convertible 
notes by written notice to Aegerion and the trustee, may declare 100% of the principal of and accrued and unpaid interest, if 
any, on all of the convertible notes to be due and payable. Upon such a declaration of acceleration, such principal and accrued 
and unpaid interest, if any, will be due and payable immediately. Upon the occurrence of certain events of bankruptcy, insolvency 
or reorganisation involving Aegerion, 100% of the principal and accrued and unpaid interest, if any, on the convertible notes will 
become due and payable automatically. Notwithstanding the foregoing, the indenture provides that, upon Aegerion’s election, 
and for up to 180 days, the sole remedy for an event of default relating to certain failures by Aegerion to comply with certain 
reporting covenants in the indenture consists exclusively of the right to receive additional interest on the convertible notes. There 
have been no events of default or breaches of the covenants occurring for the year ended 31 December 2020 (2019: no events). 

21. Trade and other payables 

                                                                                          31 December
                                                                                                        2020
                                                                                                  US$’000

Trade payables                                                                               23,595
Accrued expenses                                                                          65,705
Social security costs and other taxes                                                    936
Intercompany payables                                                                           – 

Group                                           Company 

31 December                           
2019    31 December
restated*                  2020
US$’000             US$’000

31 December 
2019 
US$’000 

22,489                    528
55,066                 3,108
796                         – 
 –               14,937

789                   
592 
 –  
680 

Trade and other payables                                                           90,236

78,351               18,573

2,061 

* see note 27 

The accruals for the Group mainly consist of costs related to government revenue rebates due within one year, convertible note 
interest, term loan interest, royalty expenses, restructuring costs, clinical and R&D activities. The accruals for the Company mainly 
relate to equity raising costs and fees on investor relations, audit, tax and other professional services. Intercompany payables 
relate to advances from subsidiaries to fund operations of the Company due to be settled in 2021.

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121

22. Provisions and other liabilities 

Non-current liabilities 
Provisions and other liabilities
Leases due greater than 1 year

Current liabilities 
Provisions and other liabilities
Leases due less than 1 year

Total provisions and other liabilities

* see note 27 

31 December
2020

US$’000

31 December 
2019 
restated* 
US$’000 

21,382
4,569

25,951

9,976
963

10,939

36,890

3,910 
1,053 

4,963 

23,304 
571 

23,875 

28,838 

Refer to Note 25, Commitments and contingencies for further details on provisions. 

The Group leases various offices, equipment, vehicles and a production facility.  

During the year ended 31 December 2020 there were two new office leases entered into in the Group, the details of which are 
outlined below.  

In February 2020, the Group entered an 8-year term lease for its U.S. operational office, located in Boston, Massachusetts (the 
“Boston lease”). The lease commenced in June 2020 and the aggregate lease payment over the lease term is approximately 
US$2,100,000. On initial recognition, the right-of-use asset associated with the Boston lease was US$1,381,000, which was 
recorded in property, plant and equipment and the corresponding lease liabilities of the same amount were recorded in current 
provisions and other liabilities and non-current provisions and other liabilities, being US$148,000 and US$1,233,000, respectively.  

In June 2020, the Group entered a 20-year term lease for its headquarters, located in Dublin, Ireland (the “Dublin lease”). The 
lease commenced in June 2020 and the aggregate lease payments over the non-cancellable lease term is approximately 
US$5,420,000. On initial recognition, the right-of-use asset associated with the Dublin lease was US$2,965,000, which was 
recorded in property, plant and equipment and the corresponding lease liabilities of the same amount were recorded in current 
provisions and other liabilities and non-current provisions and other liabilities, being US$110,000 and US$2,855,000, respectively.  

The right-of-use assets associated with the Dublin and Boston leases represent the Group’s right to use the underlying assets 
during the respective lease term and the related lease liabilities represent the Group’s obligation to make lease payments arising 
from the leases. Both the right-of-use assets and the corresponding liabilities are recognised at the commencement date of the 
leases based upon the present value of lease payments over the lease term. As the Group’s leases do not provide an implicit rate, 
when determining the lease liabilities, the Group estimated the incremental borrowing rate with reference to the interest rate 
from the Term Loan entered in September 2019.  

The Dublin and Boston leases do not contain purchase options. The Boston lease contains renewal options that can be exercised 
at the discretion of the Group, and the Group only includes renewal option in the lease term when it is reasonably certain to 
exercise such option. The Dublin lease includes a termination option that can be exercised at the discretion of the Group on the 
12th anniversary of the lease commencement date. The lease term includes the period up to the termination option date where 
it is reasonably certain that the option will not be taken. 

Annual Report for the 12 months ended 31 December 2020

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122

Notes to the Financial Statements continued 
For the year ended 31 December 2020

Changes in lease liabilities from financing activities: 
At January 1
Adoption of IFRS 16
Cash-flows 
Payment of leases
Non-cash 
Acquired lease assets
New leases
Interest expense
Foreign exchange movement

At December 31

23. Related party transactions 

Compensation of key management personnel  

2020
US$’000

2019 
US$’000 

                   1,624                           – 
                          –                      874 

                  (1,119)                    (393) 

                          –                      924 
                   4,420                      152 
                      335                        17 
                      272                        50 

                   5,532                   1,624 

At 31 December 2020 the key management personnel of the Group and Company were made up of two key personnel, the 
executive director, Joe Wiley and the Chief Financial Officer and Chief Operating Officer, Rory Nealon. Rory Nealon was an 
executive director of the Company in 2018 and resigned from this position on 24 September 2019, he was appointed as 
company secretary on 24 September 2019. 

Compensation for the years ended 31 December 2020 and 31 December 2019 of these personnel is detailed below: 

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

Total compensation

31 December
2020
US$’000

31 December  
2019 
US$’000 

1,409
1,122
119
2,895

5,545

1,049 
1,286 
86 
510 

2,931 

Shares purchased by directors of the Company 

The Chairman, Ray Stafford, purchased 918,273 and 300,100 Amryt ordinary shares as part of the interim fundraise in August 
2019 and in March 2021, respectively. The executive director, Joe Wiley purchased 7,999 shares on the open market in January 
2020. 

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123

Agreements with principal shareholders 

Long term loan 

On 24 September 2019, the Group entered into a long term loan. Proceeds from the long term loan were used to refinance 
Aegerion’s existing secured bridge loan in the principal amount of approximately US$50,000,000 (in principal) held by certain 
funds managed by Athyrium Capital Management, LP and Highbridge Capital Management, LLC, respectively. Further 
information on the terms of the long term loan is included in Note 19, Long term loan, of these financial statements. 

Convertible notes 

On 24 September 2019, the Company issued US$125,000,000 aggregate principal amount of convertible notes due 2025 to 
certain creditors of Aegerion. The convertible notes bear interest at a rate of 5% per annum, payable in cash semi-annually. The 
convertible notes will mature approximately five and a half years after issuance, unless earlier repurchased, redeemed or 
converted. Further information on the terms of the convertible notes is included in Note 20, Convertible notes, of these financial 
statements. 

Zero Cost Warrants 

The Company agreed, for certain Aegerion creditors who wished to restrict their percentage share interest in Amryt’s issued share 
capital, to issue to the relevant Aegerion creditor, as an alternative to Amryt ordinary shares, an equivalent number of new zero 
cost warrants to subscribe for Amryt ordinary shares to be constituted on the terms of the zero cost warrant. The relevant 
Aegerion creditors are entitled at any time to exercise the zero cost warrants, at which point in time the Company would issue to 
that Aegerion creditor the relevant number of fully paid ordinary shares in return for the exercise of the zero cost warrants. 

On 24 September 2019, certain of Aegerion’s creditors elected to receive 8,065,000 zero cost warrants to subscribe for Amryt 
ordinary shares as consideration for the acquisition. Separately 5,911,722 warrants were issued to investors in connection with 
the US$60,000,000 equity raise. 

On 14 November 2019, the Company repurchased a combined 4,864,656 ordinary shares from Highbridge Tactical Master Fund 
L.P., Highbridge SCF Special Situations SPV, L.P. and Nineteen77 Global Multi Strategy Alpha Master Limited. In exchange for the 
ordinary shares, these institutions were issued an equivalent number of zero cost warrants. Each warrant entitles the holder to 
subscribe for one ordinary share at zero cost. These ordinary shares are now held as treasury shares. On 19 December 2019, 
Highbridge MSF International Ltd exercised 1,645,105 zero cost warrants in exchange for 1,645,105 ordinary shares. 

In July 2020, Highbridge Tactical Master Fund L.P. exercised 4,000,000 zero cost warrants in exchange for 4,000,000 ordinary 
shares. In September 2020, Nineteen77 Global Multi Strategy Alpha Master Limited exercised 4,229,753 zero cost warrants in 
exchange for 4,229,753 ordinary shares. 

Annual Report for the 12 months ended 31 December 2020

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124

Notes to the Financial Statements continued 
For the year ended 31 December 2020

24. Fair value measurement and financial risk management 

Categories of financial instruments 

                                                                                          31 December
                                                                                                        2020
                                                                                                  US$’000

Financial assets (all at amortised cost): 
Cash and cash equivalents                                                           118,798
Trade receivables                                                                            33,057
Intercompany receivables                                                                        –

Group                                           Company 

31 December                           
2019    31 December
restated*                  2020
US$’000             US$’000

31 December 
2019 
US$’000 

67,229               38,364
28,607                         –
–                 8,771

Total financial assets                                                                 151,855

95,836               47,135

Financial liabilities: 
At amortised cost 
Trade payables and accrued expenses                                            89,300
Intercompany payables                                                                           –
Lease liabilities                                                                                 5,532
Other liabilities                                                                               25,358
Convertible notes                                                                        101,086
Long term loan                                                                              87,302
Contingent value rights                                                                 61,417
At fair value 
Contingent consideration                                                              86,906

77,555                 3,636
–               14,937
1,624                         –
19,457                         –
96,856                         –
81,610                         –
49,413               61,417

53,048                         –

Total financial liabilities                                                                456,901

379,563               79,990

Net                                                                                            (305,046)

(283,727)             (32,855)

* see note 27 

– 
– 
58,221 

58,221 

1,381 
680 
– 
– 
– 
– 
49,413 

– 

51,474 

6,747 

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: 

(cid:129) Level 1: fair value evaluations using prices listed on active markets (not adjusted) of identical assets or liabilities. 

(cid:129) 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. 

(cid:129) 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 contingent consideration has been valued using Level 3. The contingent consideration comprises: 

(cid:129) Contingent consideration relating to the acquisition of Amryt GmbH (see Note 6, Business combinations and asset 

acquisitions) that was measured at US$86,906,000 as at 31 December 2020 (2019: US$53,048,000). The fair value comprises 
royalty payments which was determined using probability weighted revenue forecasts and the fair value of the milestones 
payments which was determined using probability adjusted present values. It also included a revision to the discount rate 
used, and revenue and costs forecasts have been amended to reflect management’s current expectations. 

Amryt Pharma plc

                                                                                                                
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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

125

Impact of key unobservable input data 

(cid:129) An increase of 10% in estimated revenue forecasts would result in an increase to the fair value of US$6,079,000. A decrease 

would have the opposite effect. 

(cid:129) A 5% increase in the discount factor used would result in a decrease to the fair value of US$15,656,000. A decrease of 5% 

would result in an increase to the fair value of US$20,965,000. 

(cid:129) A six-month delay in the launch date for Oleogel-S10 would result in a decrease to the fair value of US$8,667,000. 

There were no transfers between Level 1, Level 2 and Level 3 during the years ended 31 December 2020 and 2019. 

Policies and Objectives 

The Group and Company’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 and Company’s finance function. 
The main policies for managing these risks are as follows: 

Liquidity risk 

The Group and Company are not subject to any externally imposed capital requirement. Accordingly, the Group and Company’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 and Company has sufficient funds to complete contracted work commitments. 

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

                                                                                      31 December 2020 

                            Carrying  Contractual       6 months  6 months -
 12 months
                             amount    cash flows             or less
US$’000
                             US$’000       US$’000          US$’000

1-2 years
US$’000

2-5 years
US$’000

> 5 years
US$’000

Total 
US$’000 

Trade payables  
and accrued  
expenses                  89,300          89,300            89,300
Lease liabilities           5,532            8,820                 525
Other liabilities         25,358          25,375              3,993
Long term loan        87,302        136,723              2,901
Convertible notes   101,086        153,125              3,125
Contingent  
consideration and  
contingent value  
rights**                 148,323        127,991                     –

                             456,901        541,334            99,844

–
525
–
3,046
3,125

–
1,096
21,382
6,349
6,250

–
2,676
–
124,427
140,625

–
3,998
–
–
–

89,300 
8,820 
25,375 
136,723 
153,125 

62,283

68,979

–

65,708

–

127,991 

35,077

333,436

3,998

541,334 

** Contingent consideration contractual cash flows do not include royalty payments due to be paid by Amryt, which are dependent on sales of Oleogel-S10 products. 
The carrying amount of contingent consideration is recorded at fair value, which incorporates the estimated royalty payments on sales of Oleogel-S10 products. 

Annual Report for the 12 months ended 31 December 2020

 
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126

Notes to the Financial Statements continued 
For the year ended 31 December 2020

                                                                                      31 December 2019 

                            Carrying  Contractual       6 months  6 months -
 12 months
                             amount    cash flows             or less
US$’000
                             US$’000       US$’000          US$’000

1-2 years
US$’000

2-5 years
US$’000

> 5 years
US$’000

Total 
US$’000 

Trade payables  
and accrued  
expenses, as  
restated*                 77,555          77,555            77,555
Lease liabilities           1,624            2,048                 484
Other liabilities,  
as restated*             19,457          19,650              7,584
Long term loan        81,610        142,308              2,732
Convertible notes     96,856        159,497              3,247
Contingent  
consideration and  
contingent value  
rights**                 102,461        127,557                     –

–
485

8,138
2,853
3,125

–

                             379,563        528,615            91,602

14,601

* see note 27 

–
601

3,928
5,947
6,250

–
458

–
20

77,555 
2,048 

–
130,776
18,750

–
–
128,125

19,650 
142,308 
159,497 

50,000

66,726

49,559

27,998

127,557 

199,543

156,143

528,615 

** Contingent consideration contractual cash flows do not include royalty payments due to be paid by Amryt, which are dependent on sales of Oleogel-S10 

products. The carrying amount of contingent consideration is recorded at fair value, which incorporates the estimated royalty payments on sales of Oleogel-S10 
products. 

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

                                                                                      31 December 2020 

                            Carrying  Contractual       6 months  6 months -
 12 months
                             amount    cash flows             or less
US$’000
                             US$’000       US$’000          US$’000

1-2 years
US$’000

2-5 years
US$’000

> 5 years
US$’000

Total 
US$’000 

Trade payables  
and accrued  
expenses                    3,636            3,636              3,636
Intercompany  
payables                   14,937          14,937            14,937
Contingent value  
rights                       61,417          85,000                     –

                               79,990        103,573            18,573

–

–

50,000

50,000

–

–

–

–

–

–

35,000

35,000

–

–

–

–

3,636 

14,937 

85,000 

103,573 

Amryt Pharma plc

 
 
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 127

STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

127

                                                                                      31 December 2019 

                            Carrying  Contractual       6 months  6 months -
 12 months
                             amount    cash flows             or less
US$’000
                             US$’000       US$’000          US$’000

1-2 years
US$’000

2-5 years
US$’000

> 5 years
US$’000

Total 
US$’000 

Trade payables  
and accrued  
expenses                    1,381            1,381              1,381
Intercompany  
payables                        680               680                 680
Contingent value  
rights                       49,413          85,000                     –

                               51,474          87,061              2,061

Capital management 

–

–

–

–

–

–

–

–

50,000

50,000

35,000

35,000

–

–

–

–

1,381 

680 

85,000 

87,061 

The Group and Company considers its capital to be its ordinary share capital, share premium, other reserves and accumulated 
deficit. The Group and Company 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 
and Company 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 and Company 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 years ended 31 December 2020 and 31 
December 2019. 

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 of Directors reviews the currency profile of cash balances 
and managements accounts. 

It is the Group’s policy to enter into long term borrowings at fixed rates of interest where possible to reduce the Group’s exposure 
to cash flow interest rate risk. During the years ended 31 December 2020 and 31 December 2019, the long term borrowings of 
the Group were subject to fixed rates of interest. 

During the year 2020, the Group earned interest on its interest-bearing financial assets at rates between 0% and 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 US$174,000 (2019: US$71,000). 

In addition to cash balances maintained in US$, the Group had balances in £ and € amongst others at year-end. A theoretical 
10% adverse movement in the year end €:US$ exchange rate would lead to an increase in the Group loss before tax by 
US$2,228,000 with a corresponding reduction in the Group loss before tax with a 10% favourable movement. A theoretical 
10% adverse movement in £:US$ exchange rates would lead to an increase in the Group loss before tax by US$120,000 with a 
corresponding reduction in the Group loss before tax with a 10% favourable movement. 

Credit risk 

The Group and Company have 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 

Annual Report for the 12 months ended 31 December 2020

 
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 128

128

Notes to the Financial Statements continued 
For the year ended 31 December 2020

such provisions. The Group maintains cash and cash equivalents with various financial institutions. The Group 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’s bankers. For cash and cash equivalents, the Group only uses recognised banks with high credit ratings. 

Credit risk related to customers is managed through risk assessment procedures, through assessment of credit quality, taking into 
account the financial position of the customer, past experience and other factors. The compliance with credit terms is monitored 
on a regular basis by management. Credit terms may vary from one month to several months depending on the region and 
customer. The major customers contribute to 42% of the total trade receivables of the group outstanding as at 31 December 
2020 (2019: 44%). 

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. 

25. Commitments and contingencies 

Contingent consideration and contingent value rights 

See Note 6, Business combinations and asset acquisitions, in relation to contingent consideration and contingent value rights as a 
result of the acquisition of Amryt GmbH and Aegerion. 

License Agreements 

In connection with metreleptin, the Group has license agreements for the exclusive license and patents for the use of metreleptin 
to develop, manufacture and commercialise a preparation containing metreleptin. Under the license agreements the Group is 
required to make royalty payments on net sales on a country-by-country basis. During the year ended 31 December 2020, 
following the Aegerion acquisition on 24 September 2019, the Group recorded aggregate royalty expenses to third parties of 
US$20,492,000 (2019: US$5,104,000). 

The Group holds a license agreement for the exclusive, worldwide license of certain know-how and a range of patent rights 
applicable to lomitapide. The Group is obligated to use commercially reasonable efforts to develop, commercialise, market and 
sell at least one product covered by the licensed patent right, such as lomitapide. Additionally, the Group is required to make 
royalty payments on net sales of products. During the year ended 31 December 2020, following the Aegerion acquisition on 24 
September 2019, the Group recorded aggregate royalty expenses to third parties of US$2,026,000 (2019: US$803,000). 

The Group entered into a license agreement for the exclusive, worldwide license to the patent rights for a novel polymer-based 
topical gene therapy delivery platform for potential use in the treatment of rare genetic diseases. The first product candidate 
utilising this platform, AP103, is currently in preclinical development for the treatment of recessive dystrophic EB, a subset of 
severe EB. Under the license agreement Amryt is required to pay milestone payments and, upon the sale of product, royalty 
payments on net sales of products. 

The Group entered into a license agreement for the non-exclusive, worldwide license to the patent rights for the design and 
development of gene coded therapy vectors and methods for making such vectors, in order for Amryt to develop and 
commercialise  

its genetic encoded therapies relating to AP103. Under this agreement Amryt is required to make milestone payments and 
royalty payments on net sales of products. 

The Group is party to a license agreement for the exclusive license of certain know-how and a range of patent rights in order for 
Amryt to develop and commercialise its genetic encoded therapies relating to AP104. Under this agreement Amryt is required to 
make royalty payments on net sales of products. 

Amryt Pharma plc

261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 129

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FINANCIAL STATEMENTS

129

Legal matters 

Prior to the acquisition of Aegerion by Amryt, Aegerion entered into settlement agreements with governmental entities including 
the Department of Justice (“DOJ”) and the FDA in connection with Juxtapid investigations. The settlement agreements require 
Aegerion to pay specified fines and engage in regulatory compliance efforts. Subsequent to the acquisition, Aegerion made 
US$19,108,000 of settlement payments, including interest. The settlements remaining to be paid are due for payment in Q1 
2021 and the amount totalling US$3,976,000 is recognised in Other liabilities as a current liability (2019: US$15,547,000). There 
is no non-current liability at 31 December 2020 (2019: US$3,910,000). 

Other matters 

The Group recognises a liability for legal contingencies when it believes that it is both probable that a liability has been incurred 
and that it can reasonably estimate the amount of the loss. The Group reviews these accruals and adjusts them to reflect 
ongoing negotiations, settlements, rulings, advice of legal counsel and other relevant information. To the extent new information 
is obtained and the Group’s views on the probable outcomes of claims, suits, assessments, investigations or legal proceedings 
change, changes in the Group’s liability accrual would be recorded in the period in which such determination is made. At 31 
December 2020 the Group had recognised liabilities of US$6,000,000 in relation to ongoing legal matters (2019 US$7,757,000, 
as restated, see Note 27, Restatement of prior year comparatives). 

The Group has a liability for revenue rebates due on Myalepta sales in a country in the EMEA region from agreeing a 
reimbursement price with the government authorities resulting in a one-off payment related to sales to date. The Group has 
recognised a liability of US$21,382,000 as at 31 December 2020, and the final payment is due to be paid to the authorities in 
July 2022.  

Lease commitments 

The Group and Company had no finance lease commitments in 2020 (2019: nil). See Note 24, Fair value measurement and 
financial risk management for details on operating lease commitments. 

26. Investment in subsidiaries 

Cost 
At date of incorporation
Additions

At 31 December 2019

Additions

At 31 December 2020

Impairment 
At date of incorporation
Impairment charge

At 31 December 2019

Impairment charge

At 31 December 2020

Net book value 
At 31 December 2019

At 31 December 2020

Total 
US$’000 

– 
280,962 

280,962 

60,973 

341,935 

– 
– 

– 

– 

– 

280,962 

341,935 

Annual Report for the 12 months ended 31 December 2020

 
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 130

130

Notes to the Financial Statements continued 
For the year ended 31 December 2020

During the year ended 31 December 2020, the Company provided a capital contribution of US$56,059,000 to its immediate 
subsidiary Amryt Pharma Holdings Limited. Additions also include the value of share options relating to employees of 
subsidiaries, the cost of which recognised in investments in subsidiaries, see Note 5, Share based payments, for more details.   

The carrying value of the investments are directly linked to the subsidiaries of Amryt Pharma Holdings Limited including the 
portfolio owned by Aegerion Pharmaceuticals Inc. and Amryt Pharmaceuticals DAC. The carrying value of these investments are 
held at cost and will be reviewed at each reporting date for indicators of impairment. No impairment was identified by 
management during the year (2019: nil). 

Company
number

5316808

Incorporation

UK

2020 % 2019 % 
holding 
holding

100

100 

List of subsidiary companies: 

Subsidiary                         Ownership Activities

Amryt Pharma                    Direct
Holdings Limited                

Holding company 
and management  
services 

Amryt Pharmaceuticals       Indirect
DAC                                  

Product Sales and 
management services 

Amryt Research Limited     Indirect

Pharmaceuticals R&D

Amryt Endocrinology         Indirect
Limited 

Pharmaceuticals R&D

Amryt Lipidology Limited   Indirect

Licensee for Lojuxta

Amryt Genetics Limited      Indirect

Pharmaceutical R&D

566448

Ireland

571411

572984

593833

622577

Ireland

Ireland

Ireland

Ireland

UK

Italy

Spain

Amryt Pharma (UK)            Indirect
Limited 

Management services

10463152

Amryt Pharma Italy SRL      Indirect

Management services

2109476

Amryt Pharma Spain SL      Indirect

Management services

B67130567

Amryt GmbH                     Indirect
(formerly Amryt AG)          

Product Sales and 
Pharmaceuticals R&D 

HRB 711487

Germany

SomPharmaceuticals SA     Indirect

Pharmaceuticals R&D 
and management services

CHE-435.
396.568 

Switzerland

SomTherapeutics, Corp      Indirect

License holder

P14000071235

Cala Medical Limited          Indirect

Pharmaceuticals R&D

Amryt Distribution Limited Indirect

Dormant

Amryt Pharmaceuticals       Indirect
Inc.                                    

Holding company and 
management services

Aegerion International Ltd.   Indirect

Management services

Aegerion Pharmaceuticals  Indirect
Holdings, Inc.                     

Product Sales 
Management services

598486

667507

3922075

52048

5213687

USA

Ireland

Ireland

USA

Bermuda

USA

Aegerion Argentina S.R.L.  Indirect

Management services

901-709682-0

Argentina

Management services 85134 5132 RT0001

Canada

Management services

R048196625

Colombia

Aegerion Pharmaceuticals  Indirect
(Canada) Limited 

Amryt Colombia S.A.S.      Indirect
(formerly Aegerion  
Colombia S.A.S)

Amryt Pharma plc

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

NA 

100 

100 

100 

100 

100 

100 

100 

                                         
                                         
                                         
 
 
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 131

STRATEGIC REPORT

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FINANCIAL STATEMENTS

131

Subsidiary                         Ownership Activities

Company
number

Incorporation

2020 % 2019 % 
holding 
holding

Aegerion Pharmaceuticals  Indirect
K.K. (Recently liquidated) 

Aegerion Brasil Comercio   Indirect
E Importacao De  
Medicamentos LTDA 

Aegerion Pharmaceuticals  Indirect
Ltd. 

Aegerion Pharmaceuticals  Indirect
Limited 

Amryt Pharmaceuticals       Indirect
SAS (formerly Aegerion  
Pharmaceuticals, SAS)* 

Aegerion Pharmaceuticals  Indirect
S.r.l. 

Amryt Pharma GmbH         Indirect
(formerly Aegerion  
Pharmaceuticals GmbH) 
Aegerion İlaç Ticaret          Indirect
Limited Şirketi 
Aegerion Pharmaceuticals  Indirect
SARL 

Aegerion Pharmaceuticals  Indirect
B.V. 

Aegerion Pharmaceuticals  Indirect
Spain, S.L. 

Management services

0104-01-107816

Japan

Management services

3522602510-1

Brazil

Management services

46134

Bermuda

Management services

8114919

UK

Management services 534 195 59900012

France

Management services

1166250

Italy

Management services

HRB 95895

Germany

Management services

907292

Turkey

Management services CHE-497.494.599

Switzerland

Management services

69859647

Netherlands

Management services

B88019161

Spain

100

100

100

100

100

100

100

100

100

100

100

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

100 

* Amryt Pharma France, a dormant group subsidiary merged with Amryt Pharmaceuticals SAS (formerly Aegerion Pharmaceuticals, SAS) during the year. 

List of registered offices: 

Company

Amryt Pharma Holdings Limited

Amryt Pharmaceuticals DAC

Amryt Research Limited

Amryt Endocrinology Limited

Amryt Lipidology Limited

Amryt Genetics Limited

Amryt Pharma (UK) Limited

Registered Office Address 

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

45 Mespil road, Dublin 4 

45 Mespil road, Dublin 4 

45 Mespil road, Dublin 4 

45 Mespil road, Dublin 4 

45 Mespil road, Dublin 4 

3rd Floor 1 Ashley Road, Altrincham, Cheshire,  
United Kingdom, WA14 2DT 

Amryt Pharma Italy SRL

Milano (MI)-Via Dell'Annunciata 23/4

Annual Report for the 12 months ended 31 December 2020

                                         
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 132

132

Notes to the Financial Statements continued 
For the year ended 31 December 2020

Company

Amryt Pharma Spain SL

Registered Office Address 

Barcelona, calle Diputacio, number 260 

Amryt GmbH (formerly Amryt AG)

Streiflingsweg 11, 75223 Niefern-Öschelbronn 

SomPharmaceuticals SA

SomTherapeutics, Corp

Cala Medical Limited

Amryt Distribution Limited

Amryt Pharmaceuticals Inc.

Aegerion International Ltd.

Bahnofstrasse 21, 6300 Zug 

3795 Coventry Lane, Boca Raton, FL 33496 

45 Mespil road, Dublin 4 

45 Mespil road, Dublin 4 

245 First Street, Riverview II, 18th Floor, Cambridge, MA 02142 

Clarendon House, 2 Church Street, Hamilton, HM11 

Aegerion Pharmaceuticals Holdings, Inc.

245 First Street, Riverview II, 18th Floor, Cambridge, MA 02142 

Aegerion Argentina S.R.L.

Avda. Camacua 421, Suite 102, Olivos, Vicente Lopez, 1636 

Aegerion Pharmaceuticals (Canada) Limited

5300 Commerce Court West, 199 Bay Street, Toronto, ON M5L 1B9 

Amryt Colombia S.A.S.  
(formerly Aegerion Colombia S.A.S)

Aegerion Pharmaceuticals K.K.  
(Recently liquidated)

Aegerion Brasil Comercio E Importacao  
De Medicamentos LTDA

CR 12 89 33 P 5, Bogota DC, Bogota 110111 

12F, Ark Mori Building, 1-12-32 Akasaka, Minato-ku, Tokyo 

Rua Joseefina, 200-Guarulhos City, Sao Paulo 

Aegerion Pharmaceuticals Ltd.

Clarendon House, 2 Church Street, Hamilton, HM11 

Aegerion Pharmaceuticals Limited
Floor, London, United Kingdom, E14 5HU 

Amryt Pharmaceuticals SAS  
(formerly Aegerion Pharmaceuticals, SAS)

C/O Corporation Service Company (Uk) Limited 5 Churchill Place, 10th 

235, Avenue Le Jour se Leve, Boulogne-Billancourt, 92 100 

Aegerion Pharmaceuticals S.r.l.

Viale Abruzzi n. 94, Milano, 20131 

Amryt Pharma GmbH  
(formerly Aegerion Pharmaceuticals GmbH)
Aegerion İlaç Ticaret Limited Şirketi

Aegerion Pharmaceuticals SARL

Aegerion Pharmaceuticals B.V.

Streiflingsweg 4, 75223 NiefernÖschelbronn, Germany. 

Orjin Maslak, Eski Buyukdere Caddesi No: 27 K:11, 
Maslak, Istanbul, 34485 

Rue de Pontets 6, Lavigny, Switzerland 1175 

Atrium Building, 8th Floor, Strawinskylaan 3127,  
8e verdieping, Amsterdam 

Aegerion Pharmaceuticals Spain, S.L.

Calle Josep Coroleu, 83 2-2, Vilanova I la Geltru, Barcelona 08800 

Amryt Pharma plc

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FINANCIAL STATEMENTS

133

27. Restatement of prior year comparatives 
As described in Note 6, Business combinations and asset acquisitions, IFRS 3 requires fair value adjustments to be recorded with 
effect from the date of acquisition and consequently result in the restatement of previously reported financial results. The impact 
on the Consolidated Statement of Financial Position as at 31 December 2019 is shown below: 

                                                                                                            As 
                                                                                               previously  
                                                                                                 reported
                                                                                                  US$’000

Assets 
Non-current assets 
Goodwill                                                                                        30,813
Intangible assets                                                                          350,953
Property, plant and equipment                                                         3,036
Other non-current assets                                                                 2,306

Adjustments                  Note
US$’000                          

As restated 
US$’000 

(11,682)                    27a
(8,626)                   27b
–                          
(433)                    27c

Total non-current assets                                                           387,108

(20,741)                         

Current assets                                                                                         
Trade and other receivables                                                            36,387
Inventories                                                                                     43,623
Cash and cash equivalents, including restricted cash                      67,229

(887)                    27c
14,377                    27d
–                          

Total current assets                                                                   147,239

13,490                          

Total assets                                                                                534,347
Equity and liabilities                                                                              
Equity attributable to owners of the parent                                       
Share capital                                                                                  11,918
Share premium                                                                                2,422
Other reserves                                                                             248,656
Accumulated deficit                                                                    (133,674)

(7,251)                         

–                          
–                          
(26)                         
2,537                          

Total equity                                                                               129,322

2,511                          

Non-current liabilities                                                                            
Contingent consideration and contingent value rights                 102,461
Deferred tax liability                                                                       18,921
Long term loan                                                                              81,610
Convertible notes                                                                          96,856
Provisions and other liabilities                                                          4,963

–                          
(11,774)                    27e
–                          
–                          
–                          

Total non-current liabilities                                                      304,811

(11,774)                         

Current liabilities                                                                                    
Trade and other payables                                                               76,596
Provisions and other liabilities                                                        23,618

1,755                     27c
257                     27c

Total current liabilities                                                              100,214

2,012                          

Total liabilities                                                                           405,025

(9,762)                         

Total equity and liabilities                                                        534,347

(7,251)                         

19,131 
342,327 
3,036 
1,873 

366,367 

35,500 
58,000 
67,229 

160,729 

527,096 

11,918 
2,422 
248,630 
(131,137) 

131,833 

102,461 
7,147 
81,610 
96,856 
4,963 

293,037 

78,351 
23,875 

102,226 

395,263 

527,096 

Annual Report for the 12 months ended 31 December 2020

                          
 
                          
 
                          
 
                          
 
                          
 
261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 134

134

Notes to the Financial Statements continued 
For the year ended 31 December 2020

The above adjustments to the consolidated statement of financial position relate to the completion of the fair value assignment to identifiable assets and liabilities 
acquired as part of the Aegerion acquisition, the following adjustments have been reflected in the consolidated financial statements: 

a) The adjustments to goodwill are a consequence of the fair value adjustments described in more detail below, which primarily relate to the measurement of 

intangible assets, valuation of inventory and associated deferred tax liabilities.  

b) The fair value of intangible assets acquired, consisting of developed technology for metreleptin and lomitapide, was adjusted as a consequence of the detailed 

review and update to the expected future usage of inventory, the valuation of which was a factor in determining the fair value of acquired developed technology. 
See more detail on the update to the inventory valuation below. 

c) Accruals, provisions, and prepayments as at the acquisition date were reviewed during the twelve months following the acquisition and the fair values as at the 

acquisition date were updated based on the results of a review of the conditions that existed at this date.  

d) Fair value of inventory recognised at the date of acquisition was updated to reflect the results of detailed reviews of both raw material and finished good acquired. 
This involved a review the expected timing of transition from usage of acquired finished goods to usage of new inventory, including the review of expected timing 
of manufacture runs and the review of expected inventory usage. Additionally, a review was conducted on the demand and production that would be saleable in 
the future. The review resulted in a change in the assumptions and estimates regarding the usage of acquired inventory, leading to an increase in the estimated 
usage of acquired inventory and consequently resulting in an increase in the fair value of acquired inventory.  

e) Deferred tax was updated to reflect the above changes to the fair value of the inventory and of intangible assets. In addition, deferred tax was updated to reflect 
the results of a review of the historic tax basis of U.S. intangible assets included in the Aegerion acquisition. This review identified that the tax basis of the asset in 
question was understated at the time of the acquisition. The closing deferred tax liability as of 31 December 2019 was adjusted for the correct tax basis.  

As noted above, IFRS 3 requires fair value adjustments to be recorded as if the accounting for the business combination had been completed at the acquisition date. 
Consequently, the comparative information for prior periods presented in financial statements were revised, including changes in inventory fair value step-up 
amortisation, intangible amortisation and deferred tax effects recognised in completing the acquisition accounting.  

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

135

The impact on the Consolidated Statement of Comprehensive Loss of the fair value adjustments for the year ended 31 December 
2019 is shown below: 

58,124 
(38,733) 

19,391 
(15,827) 
(35,498) 
(13,038) 
(841) 
(4,670) 

(50,483) 

(6,740) 
(1,511) 
(4,759) 

(63,493) 

495 

                                                                                                            As 
                                                                                               previously  
                                                                                                 reported
                                                                                                  US$’000

Revenue                                                                                        58,124
Cost of sales                                                                                 (42,001)

Gross profit                                                                                   16,123
Research and development expenses                                            (15,827)
Selling, general and administrative expenses                                 (35,498)
Restructuring and acquisition costs                                               (13,038)
Share based payment expenses                                                          (841)
Impairment charge                                                                         (4,670)

–                          
3,268                     27f

3,268                          
–                          
–                          
–                          
–                          
–                          

Adjustments                  Note
US$’000                          

As restated 
US$’000 

Operating loss before finance expense                                    (53,751)

3,268                          

Non-cash change in fair value of contingent consideration              (6,740)
Non-cash contingent value rights finance expense                          (1,511)
Net finance expense - other                                                            (4,759)

–                          
–                          
–                          

Loss on ordinary activities before taxation                              (66,761)

3,268                          

Tax credit on loss on ordinary activities                                             1,226

(731)                   27g

Loss for the year attributable to the equity holders  
of the Company                                                                         (65,535)

2,537                          

(62,998) 

Exchange translation differences which may be  
reclassified through profit or loss                                                        781

Total other comprehensive income                                                781

Total comprehensive loss for the year attributable to the  
equity holders of the Company                                                (64,754)

Loss per share                                                                                         
Loss per share - basic and diluted, attributable to  
ordinary equity holders of the parent (US$)                                       (0.86)

(26)                         

(26)                         

755 

755 

2,511                          

(62,243) 

(0.83) 

The above adjustments relate to the impact on the consolidated statement of comprehensive loss as result of the fair value 
adjustments following the completion of the fair value assignment to identifiable assets and liabilities acquired as part of the 
Aegerion acquisition. 

Non-cash adjustments to the statement of comprehensive loss: 

f) Cost of sales has been adjusted for the impact on the non-cash amortisation of inventory fair value step-up and acquired intangibles, for the period from the date 
of acquisition to the year end, as a result of the update to acquired inventory and intangible fair values following the finalisation of acquisition accounting for the 
Aegerion acquisition. See Note 27b and 27d, above, for further detail on the fair value adjustments to acquired inventory and intangible. 

g) As a result of a change in the measurement of the deferred tax liability at the acquisition date, there was a non-cash adjustment to the tax charge for the period 

from the date of acquisition to the year end. 

Annual Report for the 12 months ended 31 December 2020

                          
 
                          
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136

Notes to the Financial Statements continued 
For the year ended 31 December 2020

28. Events after the reporting period 

Mergers and acquisitions 

On 5 May 2021, Amryt announced that it had signed a definitive agreement to acquire Chiasma, Inc. (“Chiasma”) in an all-stock 
combination. The combined company will be a global leader in rare and orphan diseases with three on-market commercial 
products, a global commercial and operational footprint and a significant development pipeline of therapies with the financial 
flexibility to execute its growth plans. The transaction has been approved and recommended by the Boards of both Amryt and 
Chiasma.   

Under the terms of the transaction, each share of Chiasma common stock issued and outstanding prior to the consummation of 
the transaction will be exchanged for 0.396 Amryt ADSs, each representing five Amryt ordinary shares. As of the close of trading 
on 4 May 2021 Amryt’s ordinary shares on AIM were £2.00 ($2.78) per share and Amryt’s ADS’s on NASDAQ were $12.95 
(£9.31) per ADS. 

Development Pipeline 

Amryt will seek a Priority Review Voucher (“PRV”) as part of the Oleogel-S10 NDA submission which if granted, we can sell, 
transfer or use to accelerate the approval of a future Amryt NDA. However, to be eligible for a PRV, Oleogel-S10 must have a 
Pediatric Rare Disease Designation from the FDA, be granted a priority review by FDA, and ultimately the NDA must be approved 
by the FDA.  Amryt was granted a Pediatric Rare Disease Designation by the FDA in August 2018.  On 2 June 2021, the NDA was 
accepted by the FDA and on 3 June 2021, a priority review for the NDA was granted by the FDA. 

There were no other significant events since the end of the reporting period. 

Amryt Pharma plc

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STRATEGIC REPORT

CORPORATE GOVERNANCE

FINANCIAL STATEMENTS

137

Company Information 

Registered Office 

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

Company Number 

12107859 

Directors 

Ray Stafford (Non-Executive Chairman)  
Dr. Joe A. Wiley (Chief Executive Officer) 
George P. Hampton Jr. (Non-Executive Director)  
Dr. Alain H. Munoz (Non-Executive Director) 
Donald K. Stern (Non-Executive Director) 
Dr. Patrick V.J.J. Vink (Non-Executive Director)  
Stephen T. Wills (Non-Executive Director) 

Company Secretary 

Rory Nealon 

Company Website 

www.amrytpharma.com 

AIM Nominated Adviser 

Shore Capital and Corporate Limited 
Cassini House 
57 St. James’s Street 
London, SW1A 1LD 
United Kingdom 

Joint Broker 

Shore Capital Stockbrokers Limited 
Cassini House 
57 St. James’s Street 
London, SW1A 1LD 
United Kingdom 

Joint Broker 

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

Auditors 

Grant Thornton 
13-18 City Quay 
Dublin 2 
Ireland 

Registrars 

Link Asset Services 
Central Square 
29 Wellington Street 
Leeds, LS1 4DL 
United Kingdom  

Annual Report for the 12 months ended 31 December 2020

261072 5 Amyrt 110pp-138pp.qxp  25/06/2021  14:31  Page 138

Perivan    261072

Amryt Pharma plc
Annual Report 2020

Contact:

45 Mespil Road, Dublin

D04 W2F1, Ireland

+353 1 518 0200
IR@amrytpharma.com

https://www.amrytpharma.com/
https://www.linkedin.com/company/amryt-pharma-plc/

www.amrytpharma.com