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Amryt Pharma plc

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FY2021 Annual Report · Amryt Pharma plc
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Company Number: 12107859 
 
 
 
 
Amryt Pharma plc 
 
 
Annual Report and Accounts  
for the year ended December 31, 2021

Amryt Pharma plc 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
 
 
Contents 
 
Page 
 
 
 
 
Strategic Report 
2 
Board of Directors 
16 
Corporate Governance 
20 
Directors’ Remuneration Report – Annual Statement 
26 
Directors’ Remuneration Report 
28 
Directors’ Report 
35 
 
 
Financial Statements 
 
Independent Auditor’s Report  
38 
Consolidated Statement of Comprehensive Income/(Loss) 
51 
Consolidated Statement of Financial Position 
52 
Consolidated Statement of Changes Cash Flows 
53 
Consolidated Statement of Changes in Equity 
54 
Company Statement of Financial Position 
55 
Company Statement of Cash Flows 
56 
Company Statement of Changes in Equity 
57 
Notes to the Financial Statements 
58 
Company Information 
105 
 
 
 
 
 
 
 

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for the year ended December 31, 2021 
Introduction 
We are pleased to present the annual report and financial statements of Amryt Pharma plc for the year ended 
December 31, 2021. 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.  The Group has also filed with the U.S. Securities and Exchange Commission 
(the “SEC”) its Annual Report on Form 20-F for the year ended December 31, 2021, which contains additional 
disclosures regarding some of the matters discussed in this report. 
 
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 July 8, 2020 
(ticker: AMYT), and, up until January 11, 2022, its shares were also quoted on the Alternative Investment Market 
(“AIM”), a sub-market of the London Stock Exchange (ticker: AMYT). The Company announced the cancellation 
of its admission to AIM on November 22, 2021, and following the AIM delisting on January 11, 2022, the 
Company’s ADSs will remain listed and will only be tradeable on NASDAQ. The Company’s last day of trading on 
AIM was January 10, 2022.  
 
We were incorporated under the Companies Act 2006 (“Companies Act”) on July 17, 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 September 13, 2019, under the name Amryt Pharma Holdings 
Limited. On September 24, 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. 
 
On August 5, 2021, Amryt completed the acquisition of Chiasma, Inc. and, in conjunction with the completion, 
Amryt allotted and issued a total of 127,733,680 ordinary shares as consideration for the acquisition. Following 
the completion, shareholdings in Chiasma were rounded in being converted to Amryt shares using the exchange 
ratio of 0.396. Roundings in converting Chiasma shareholdings to Amryt shares were finalized in August 2021 
and resulted in an additional 7,015 ordinary shares being allotted and issued by Amryt as consideration for the 
acquisition. In total, these ordinary shares were issued to the former Chiasma Shareholders in the form of 
25,548,139 ADSs at US$10.19 per share, to acquire Chiasma for a value of US$260,336,000.  On August 5, 2021, 
the Group repaid US$116,629,000 of Chiasma long term debt. 
  
Through the acquisition of Chiasma, Inc, we acquired our third commercial product, Mycapssa® (octreotide 
capsules) which is approved in the US for long-term maintenance therapy in acromegaly patients who have 
responded to and tolerated treatment with octreotide or lanreotide.  Mycapssa® is the first and only oral 
somatostatin analog approved by the Food and Drug Administration (“FDA”).  Mycapssa® has also been 
submitted to the European Medicines Agency (“EMA”) and is not yet approved in Europe. We believe that 
following the acquisition 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 consolidated accounts comprise the financial statements for the Group for the 12 months ended December 
31, 2021, and 2020. The 2021 financial statements incorporate the results of Chiasma, Inc. from the date of 
acquisition, August 5, 2021, to December 31, 2021. 
 
The functional currency of the Group and Company is US dollars.  
 
Our Business 
Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and 
commercializing novel treatments for rare diseases.  Amryt comprises a strong and growing portfolio of 
commercial and development assets.  Amryt’s commercial business comprises three orphan disease products – 
metreleptin (Myalept®/ Myalepta®); oral octreotide (Mycapssa®); and lomitapide (Juxtapid®/ Lojuxta®).  
 
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 

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for the year ended December 31, 2021 
treatments to patients in need.  For more information on Amryt, including products, please visit 
www.amrytpharma.com. 
 
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 
generalized lipodystrophy (“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 partial lipodystrophy (“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 Homozygous Familial Hypercholesterolaemia ("HoFH"), as an adjunct to a low-fat diet 
and other lipid-lowering medicinal products, with or without low density lipoprotein (“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.  However, according to a 
2016 article published in Atherosclerosis, the number may be as high as 6.25 persons 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 microsomal triglyceride transfer protein (“MTP”) inhibitor with 
the potential to provide significant reductions in LDL cholesterol levels in this high-risk patient population.  
 
Mycapssa® 
Mycapssa® (octreotide capsules) is a combination of octreotide acetate and excipients collectively called 
Transient Permeability Enhancer (TPE®). TPE improves the oral bioavailability of poorly absorbed drugs such as 
octreotide by increasing the permeability of the intestine. The mode of action of TPE is thought to involve a 
transient opening of the tight junctions between epithelial cells lining the intestine. 
Acromegaly is a rare disease most often caused by a benign pituitary tumor and characterized by an excess of 
growth hormone and insulin-like growth factor-1 hormone. Treatment options include surgery, medication and 
radiation or a combination of these. Mycapssa® (octreotide capsules) is approved in the US for long-term 
maintenance therapy in acromegaly patients who have responded to and tolerated treatment with octreotide 
or lanreotide.  Mycapssa® is the first and only oral somatostatin analog approved by the FDA.  Mycapssa® has 
also been submitted to the EMA and is not yet approved in Europe. 
 
 
 

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for the year ended December 31, 2021 
Development Pipeline  
Oleogel S-10 
Our lead development candidate, Oleogel-S10, is being developed as a potential topical treatment for the partial 
thickness wounds of severe Epidermolysis Bullosa (“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 characterized by extreme skin fragility that blisters and 
tears from minor friction or trauma.  Patients with severe forms of EB, including Dystrophic EB (“DEB”) and 
Junctional EB (“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 and 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.  
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.  Favorable trends were evident among secondary endpoints including change in procedural pain, total body 
wound burden based on EB Disease Activity and Scarring Index (“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 in August 2018.  If the New Drug 
Application (“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.  When the NDA was 
submitted to the FDA on March 30, 2021, Amryt requested priority review. In June 2021, Amryt received 
confirmation from the FDA that its NDA for Oleogel-S10 had been accepted and granted priority review. On 
February 28, 2022, we received a Complete Response Letter (“CRL”) from the FDA which asked Amryt to submit 
additional confirmatory evidence of effectiveness for Oleogel-S10 in EB. Amryt intends to discuss with the FDA 
the nature of the data required to address the Agency’s concerns. Having received a CRL from the FDA we may 
no longer be eligible for a PRV and we intend to discuss and clarify this with the FDA.  
 
A Marketing Authorization Application (“MAA”) for Oleogel-S10 for the treatment of Dystrophic and Junctional 
EB was validated by EMA March 25, 2021, the assessment process by EMA was completed on April 22, 2022, 
when the CHMP adopted a positive opinion. The positive opinion recommends the approval of Filsuvez® in the 
EU for the treatment of partial thickness wounds associated with dystrophic and junctional EB in patients six 
months and older. Based on this CHMP recommendation a decision by the EC is expected on the Filsuvez® 
application within 67 days.   
 
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 commenced in Q4 2021.  
 
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 
utilizing 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 

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for the year ended December 31, 2021 
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.  To support this critical milestone, significant effort has been 
invested in 2021 to advance the manufacturing and characterization of the AP103 drug product and constituent 
components. To date, the team have generated the initial qualified batches of the HPAE polymer and DNA 
required to generate AP103. This advancement will facilitate the initiation of key aspects of the non-clinical 
safety program in 2022, which need to be completed prior to launch of first in human (FIH) studies. We intend 
to initiate clinical development of AP103 in 2023. In September 2020, the EMA’s Committee for Orphan 
Medicinal Products (“COMP”) adopted a positive opinion for orphan designation for the use of AP103 in EB and 
on December 23, 2020, the FDA granted orphan designation for AP103 in the treatment of DEB. 
 
Mycapssa® for the Treatment of Neuroendocrine Tumors (“NET”) 
Neuroendocrine tumors (NETs) are a heterogeneous group of cancer subtypes that arise in endocrine cells that 
exist in different organ systems throughout the body. Most NETs (approximately 70%) occur in the 
gastrointestinal (GI) tract or pancreas. Tumors arising from the GI tract are termed carcinoid tumors. NET may 
also occur in the respiratory tract, central nervous system, thyroid, skin, breast, and urogenital system. Up to 
20% of carcinoid tumors are estimated to have carcinoid syndrome (CS). CS are mainly associated with midgut 
metastatic carcinoid tumors. Most commonly, CS presents with diarrhea and flushing episodes due to excessive 
secretion of serotonin. Injectable SRLs, such as octreotide long-acting release, subcutaneous octreotide 
immediate release, and lanreotide, are the first-line treatment for CS associated symptoms as they significantly 
improve flushing episodes and diarrhea symptoms by inhibiting the secretion of serotonin among other 
hormones and vasoactive substances. 
  
Pharmacokinetic studies have been completed and the data supports the higher doses of Mycapssa® (octreotide 
capsules) required in the planned Phase 3 study in patients with carcinoid symptoms due to NET. 
  
The FDA has confirmed that a single positive Phase 3 study would be sufficient for approval consistent with the 
505(b)(2) regulatory pathway previously agreed. Amryt is currently finalizing the study protocol with the FDA 
and plans to initiate the Phase 3 study in Q4 2022. 
 
Strategy & Principal Activities 
Amryt Pharma plc provides management services to group companies which are charged on an arms’ length 
basis based on costs incurred by the Company with an appropriate mark-up applied. See note 26 to the financial 
statements for a complete list of direct and indirect subsidiaries. The Company employees eight Non-Executive 
Directors. The Directors are charged with the responsibility of: 
 
setting the overall Group strategy and providing leadership to implement the strategy and supervising 
the management of the business;  
 
the acquisition or disposal of material corporate entities or assets;  
 
public announcements (including financial statements); approving or making significant changes in 
accounting policy, the capital structure and dividend policy of Amryt; 
 
Group remuneration policy; and  
 
Board structure, composition and succession.  
 
The Board delegates to management in the subsidiary companies, through the Executive Director, responsibility 
for the overall performance of the Group, which is conducted principally through the setting of clear objectives 
and monitoring of performance against those objectives.   
 
During 2021, we continued to execute on our strategy to acquire, develop and commercialize novel treatments 
for rare and orphan diseases. On August 5, 2021, Amryt completed the acquisition of Chiasma, Inc., through 
which we acquired our third commercial product, Mycapssa® (octreotide capsules) which is approved in the US 
for long-term maintenance therapy in acromegaly patients who have responded to and tolerated treatment 

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for the year ended December 31, 2021 
with octreotide or lanreotide. Mycapssa® is the first and only oral somatostatin analog approved by the FDA.  
Mycapssa® has also been submitted to the EMA and is not yet approved in Europe. 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. Amryt has a global portfolio of commercial and development-stage rare disease assets, 
including three 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. 
 
Our vision is to become a leading global rare disease company by acquiring, developing and commercializing 
medicines that transform the lives of patients & their families around the world.  To achieve this vision, we are 
pursuing the following strategies: 
 
 
Drive revenue growth for our existing commercial products.  We intend to continue to focus on growing the 
sales of lomitapide, metreleptin and Mycapssa® 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, for the use of metreleptin to treat a PL indication in the US and expand the indication of 
Mycapssa® beyond acromegaly into carcinoid syndrome associated with neuroendocrine tumors. 
 
 
Complete regulatory filings with the FDA and EMA and commercialize 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. The product does not currently have regulatory 
approval to treat EB but has been submitted to the FDA for approval and in June 2021, Amryt received 
confirmation from the FDA that its NDA for Oleogel-S10 had been accepted and granted priority review. On 
February 28, 2022, Amryt announced that the FDA communicated that it had completed its review of the 
NDA for Oleogel-S10 and has determined that the application cannot be approved in its present form.  The 
FDA has asked Amryt to submit additional confirmatory evidence of effectiveness for Oleogel-S10 in EB.  
Amryt intends to discuss with the FDA the nature of the data required to address the Agency’s concerns. In 
Europe, a Marketing Authorization Application (“MAA”) for Oleogel-S10 was accepted for assessment by 
the EMA in March 2021. The positive opinion recommends the approval of Filsuvez® in the EU for the 
treatment of partial thickness wounds associated with dystrophic and junctional EB in patients six months 
and older. Based on this CHMP recommendation a decision by the EC is expected on the Filsuvez® 
application within 67 days. If approved, we intend to commercialize Oleogel-S10 in the US and the EU and 
evaluate go-to-market strategies for other key markets globally.    
 
 
Leverage our global commercial, medical affairs, market access and patient advocacy infrastructure. We 
intend to leverage this infrastructure and expertise to commercialize 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 maximize 
its value over its period of exclusivity. 
 
 
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 of AP103 in 2023. 
 
 
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 commercialize through our global infrastructure. 
 

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for the year ended December 31, 2021 
Financial Review 
Revenues 
The revenues for each of our significant products were as follows: 
 
 
Year ended December 31, 
 
 
 
 
 
2021 
 
2020 
 
Increase / (Decrease) 
 
$’000 
 
$’000 
 
$’000 
 
% 
Metreleptin 
141,242 
 
 106,872 
 
34,370 
 
32.2% 
Lomitapide 
73,867 
 
 74,750 
 
(883) 
 
(1.2%) 
Mycapssa® 
6,407 
 
— 
 
6,407 
 
— 
Other 
1,027 
 
 985 
 
42 
 
4.3% 
Total revenues 
222,543 
 
 182,607 
 
39,936 
 
21.9% 
 
Total product sales were $222.5 million for the year ended December 31, 2021, compared to $182.6 million for 
the year ended December 31, 2020. The increase in revenues was due to increased sales of metreleptin as well 
as our acquisition of Chiasma in August 2021. Sales of metreleptin lomitapide, and Mycapssa® comprise product 
sales and royalties on sales, respectively, made by our licensees.  
Metreleptin 
We generated revenues from product sales of metreleptin of $141.1 million and royalties of $0.1 million from 
Shionogi for the year ended December 31, 2021, compared to $106.8 million and $0.1 million for the year ended 
December 31, 2020, respectively. The increase is driven by continued EMEA launch success, regular tender 
orders in Brazil and US patient growth. 49.7% of product sales for metreleptin were in the United States, with 
the remaining 50.3% in the European Union and other international markets.  
Lomitapide 
We generated revenues from product sales of lomitapide of $70.5 million and Recordati royalties of $3.4 million 
for the year ended December 31, 2021, compared to $71.8 million and $3.0 million for the year ended December 
31, 2020, respectively. The decrease is primarily due to the impact of competition in the US offsetting underlying 
continued growth in Europe and other territories.  44.5% of product sales for lomitapide were in the United 
States, with the remaining 55.5% in the European Union and other international markets. 
Mycapssa® 
We generated revenues from product sales of Mycapssa® of $6.4 million for the period from the date of the 
acquisition of Chiasma on August 5, 2021, to December 31, 2021. 
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 December 31, 2021, 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 December 31, 
 
 
 
 
 
2021 
 
2020 
 
Increase / (Decrease) 
 
$’000 
 
$’000 
 
$’000 
 
% 
Cost of product sales 
22,029 
 
21,796 
 
233 
 
1.1% 
Write-down of inventories 
5,688 
 
4,058 
 
1,630 
 
40.2% 
Reversal of write-down of inventories 
(932) 
 
— 
 
(932) 
 
(100%) 
Amortization of acquired intangibles 
48,945 
 
42,966 
 
5,979 
 
13.9% 
Amortization of inventory fair value step-up 
4,417 
 
27,617 
 
(23,199) 
 
(84.0%) 
Royalty expenses 
25,973 
 
22,592 
 
3,381 
 
15.0% 
Total cost of sales 
106,119 
 
 119,029 
 
(12,910) 
 
(10.8%) 
 
Total cost of sales was $106.1 million for the year ended December 31, 2021, representing the cost, including 
royalties, of selling metreleptin, lomitapide and Mycapssa®, the cost of delivery of goods sold to customers, 

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for the year ended December 31, 2021 
including the costs associated with the services provided by the distributors to import and deliver the goods, the 
non-cash intangible amortization, and the non-cash inventory fair value step-up expenses and write-down of 
inventories to fair value less costs to sell recognized as an expense. Total cost of sales was $119.0 million for the 
year ended December 31, 2020. The decrease is driven by a reduction in the non-cash inventory fair value step-
up expenses which reduced due to the full amortization of the Aegerion related inventory fair value step-up in 
early 2021 and a lower amortization from the Chiasma related inventory fair value step-up from August 5, 2021. 
This decrease is offset by additional costs related to the cost, including royalties, of selling metreleptin, 
lomitapide and Mycapssa®, and non-cash intangible amortization. 
 
The cost of product sales in the year ended December 31, 2021, increased by $0.9 million, and royalty expenses 
increased by $3.4 million in 2021 compared to the year ended December 31, 2020. The acquisition of Mycapssa® 
as well as increased costs for lomitapide for markets outside the EMEA and metreleptin for all markets largely 
drove this increase in costs. Following the acquisition of Chiasma, we are now selling three commercial products 
with two being sold on a global basis and one commercial product being solely sold in the United States. This 
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.  
 
Amortization of acquired intangible assets was $48.9 million in 2021 compared to $43.0 million in 2020. This 
relates to the amortization charge on the three commercial assets purchased as part of the Aegerion and 
Chiasma acquisitions. The increase is driven by amortization related to the period from the date of the Chiasma 
acquisition on August 5, 2021, to December 31, 2021.  
 
The non-cash inventory fair value step-up expense was $4.4 million in 2021, compared to $27.6 million in 2020. 
This relates to the difference between the estimated fair value and the book value of inventory acquired from 
as part of the acquisitions of Aegerion and Chiasma which is being amortized over the estimated period that we 
expect to sell this inventory. The decrease in the non-cash inventory fair value step-up expense is due to the 
inventory step-up recognized as part of the Aegerion acquisition being fully amortized at the beginning of 2021 
and the inventory fair value step-up from the Chiasma acquisition, which was lower than that from the Aegerion 
acquisition, being amortized from August 5, 2021. 
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 organizations, materials 
and supplies, and other third-party fees. Research and development expenses for the year ended December 31, 
2021, were $37.7 million, representing 24.3% of our total operating expenses, compared to $27.6 million, or 
25.1% of total operating expenses, for the year ended December 31, 2020. Research and development expenses 
in both years were primarily driven by the clinical advancement of Oleogel-S10 as we continued our global EASE 
study. Research expenses in 2021 comprised $15.9 million in employee compensation, $14.9 million of amounts 
paid to clinical research organizations, and $6.9 million of other outsourced services. Research expenses in 2020 
comprised $11.7 million in employee compensation, $11.3 million of amounts paid to clinical research 
organizations, and $4.6 million of other outsourced services.  
Selling, General and Administrative Expenses 
Selling, general and administrative expenses were $92.0 million for the year ended December 31, 2021, 
representing 59.3% of our total operating expenses, compared to $76.7 million for the year ended December 
31, 2020, representing 69.7% 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 of Chiasma, 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 December 31, 2021, were $16.9 million compared to $1.0 
million for the year ended December 31, 2020. These costs primarily relate to professional fees associated with 

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for the year ended December 31, 2021 
the acquisition of Chiasma, which was predominantly completed during 2021. The expenses also include 
severance costs following the completion of the Chiasma acquisition. 
Share-Based Payment Expenses 
Non-cash share-based payment expenses for the year ended December 31, 2021, were $8.3 million, compared 
to $4.7 million in the year ended December 31, 2020. 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 amortized over the period during which the awards vest. 
Impairment charge 
There was no impairment charge recorded for the years ended December 31, 2021, and December 31, 2020. 
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 regulatory approvals of Oleogel-
S10 for the treatment of EB from the FDA or the EMA, as well as future sales-driven milestones. The finance gain 
for the year ended December 31, 2021, was $18.4 million compared to a charge of $27.8 million for the year 
ended December 31, 2020. The gain in 2021 is driven by a change in the probabilities and a decrease in discount 
rates used in calculating the fair value of the contingent consideration. The probability chance of success, based 
on management’s expertise and experience for orphan drugs and taking into account the unique circumstances 
applying to approval process of this product, was revised for the financial year ended December 31, 2021. The 
probability chance of success was updated following the receipt of a CRL from the FDA which asked Amryt to 
submit additional confirmatory evidence of effectiveness for Oleogel-S10 in EB, and following the positive 
opinion adopted by the CHMP, recommending the approval of Filsuvez® in the EU for the treatment of partial 
thickness wounds associated with dystrophic and junctional EB in patients six months and older. Based on this 
CHMP recommendation a decision by the EC is expected on the Filsuvez® application within 67 days. 
Additionally, the discount rate used in the calculation of the fair value of the contingent consideration was 
decreased which was due to the significant risk reduction in the Group over the last 12 months following the 
growth in commercial revenues, the positive top-line data on the Phase 3 EASE trial of Oleogel-S10, the positive 
CHMP opinion  recommending the approval of Filsuvez in the EU, the addition of a third commercial product in 
Mycapssa, and the recent refinancing of our term debt facilities with a significant reduction in the interest rate. 
Non-Cash Contingent Value Rights Finance Expense 
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 Aegerion acquisition, if certain regulatory approval 
and revenue milestones are met in relation to Oleogel-S10. 
The $41.5 million non-cash CVR gain for the year ended December 31, 2021, represents the revised estimated 
expected cash flows and the effective interest rate unwind on amortized cost between the carrying value of the 
CVRs for the 12 months to the reporting date of December 31, 2021. The non-cash CVR loss for the year ended 
December 31, 2020, was $12.0 million. The gain recognized in the 2021 Consolidated Statement of 
Comprehensive Income/(Loss) is mainly driven by changes in the expected timing of milestones being met and 
the related expected amount due as well as a change in the probability chance of success. Milestone payments 
related to the regulatory approval from the FDA and EMA have been updated to reflect the expecting timing of 
achieving regulatory approval and, in turn, the related amount due, which is based on a sliding scale on a linear 
basis from December 31, 2021, to zero if approved before July 1, 2022. The probability chance of success was 
updated based on management’s expertise and experience for orphan drugs and taking into account the unique 
circumstances applying to approval process of this product, following the receipt of a CRL from the FDA, which 
asked Amryt to submit additional confirmatory evidence of effectiveness for Oleogel-S10 in EB, and following 
the positive opinion adopted by the CHMP, recommending the approval of Filsuvez® in the EU for the treatment 
of partial thickness wounds associated with dystrophic and junctional EB in patients six months and older. Based 
on this CHMP recommendation a decision by the EC is expected on the Filsuvez® application within 67 days. 
 

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for the year ended December 31, 2021 
Net Finance Expense - Other 
Other net finance expense was $27.9 million for the year ended December 31, 2021, compared to $19.6 million 
for the year ended December 31, 2020. Other net finance expense mainly relates to interest on loans and foreign 
exchange losses, which amounted to $23.2 million and $4.1 million, respectively, for the year ended December 
31, 2021. Interest on loans was $22.0 million for the year ended December 31, 2020. The increase in 2021 is 
mainly due to the compounding of interest on the Secured Credit Facility, where interest at 6.5% is added to the 
principal loan balance outstanding at each quarter. In 2020 the foreign exchange gain amounted to $2.7 million 
and in both years the foreign exchange gain/(loss) primarily relates to the translation of euro and sterling-
denominated net monetary amounts held by subsidiaries with a non-U.S. dollar functional currency. 
 
Operating Loss and Total Comprehensive Loss 
The operating loss before finance expense for the year ended December 31, 2021, amounted to $38.6 million 
(2020: $46.5 million).   
 
In addition to analyzing 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, amortization expense of intangible assets, amortization of inventory fair value step-up, 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: 
 
Year ended December 31, 
 
2021 
2020 
 
$’000
$’000
Profit/(loss) for the year attributable to equity holders of the Company 
1,000
(104,527)
Income taxes 
(7,562)
(1,332)
Non-cash change in fair value of contingent consideration 
(18,407)
27,827
Non-cash contingent value rights (gain)/loss 
(41,525)
12,004
Net finance expense – other 
27,906
19,569
Amortization of inventory fair value step-up 
4,417
27,617
Amortization expense - other 
49,091
43,168
Depreciation expense 
1,652
1,297
Share-based payments 
8,341
4,729
Adjusted EBITDA 
24,913
30,352
 
Liquidity and Capital Resources 
We had unrestricted cash and cash equivalents of $113.0 million and $118.6 million as at December 31, 2021, 
and December 31, 2020, 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 commercializing 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 United States and 
other jurisdictions.   
 

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for the year ended December 31, 2021 
Cash Flows 
The table below provides selected cash flow information for the periods indicated: 
 
Year ended December 31, 
 
2021 
 
2020 
 
$’000 
 
$’000 
Net cash flow from operating activities 
15,540 
 
26,891 
Net cash flow from / (used in) investing activities 
106,402 
 
(2,379) 
Net cash flow (used in)/ from financing activities 
(125,426) 
 
26,028 
Exchange differences and other movements 
(2,282) 
 
1,029 
Net change in cash and cash equivalents 
(5,766) 
 
51,569 
Net Cash Flow From Operating Activities 
Net cash from operating activities was $15.5 million for the year ended December 31, 2021, compared to net 
cash from operating activities of $26.9 million for the year ended December 31, 2020. The decrease of $11.4 
million was primarily driven by the increased restructuring and acquisition costs related to the acquisition of 
Chiasma along with the increased scale of our business and working capital fluctuations. 
Net Cash Flow From / (Used in) Investing Activities 
Net cash from investing activities was $106.4 million for the year ended December 31, 2021, and primarily 
related to the Chiasma cash balance of $107.9 million, which we received in acquiring Chiasma.  
Net cash used in investing activities was $2.4 million for the year ended December 31, 2020, and primarily 
related to payments for property, plant and equipment and payments for intangible assets.  
Net Cash Flow (Used in) / From Financing Activities  
Net cash flow used in financing activities was $125.4 million for the year ended December 31, 2021. In 
conjunction with the acquisition of Chiasma, we repaid US$116.6 million of debt that was outstanding on August 
5, 2021. The remaining cash outflows mainly consisted of interest paid on our Secured Credit Facility of $5.8 
million and on the Convertible Notes of $6.3 million. 
Net cash flow from financing activities was $26.0 million for the year ended December 31, 2020. On December 
8, 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. 
 
Debt Financing  
The principal debt obligations related 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 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 April 1, 2020.  The Convertible Notes will mature on April 1, 2025, unless earlier repurchased 
or converted.  The Secured Credit Facility had a five-year term from date of draw down and matures in 2024. 
Interest was 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 would be paid when the principal was repaid, which rolls up and is 
included in the principal balance outstanding, on a quarterly basis. On February 18, 2022, the Secured Credit 
Facility was repaid in full, and the Group secured a $125 million Senior Credit Facility from funds managed by 
the Ares of which US$105 million was drawn down to facilitate the prepayment of the existing Secured Credit 
Facility. In repaying the Secured Credit Facility, Amryt incurred an exit fee of 5.00% of the outstanding principal 
amount as at the prepayment date. The new Secured Credit Facility has a quarterly blended cash interest rate 
of SOFR+5.87% (assuming the facility is fully drawn down), subject to a 0.90% SOFR floor.   
 
 
 

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for the year ended December 31, 2021 
Key Performance Indicators 
The key performance indicators for the Company are based on the overall performance of the Group. 
 
Revenue growth is a key measure for the Group. We currently generate revenue, both product and royalty 
revenues, from global sales of lomitapide, metreleptin and Mycapssa®.  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 these products – seeking approval for the use of lomitapide to treat pediatric HoFH patients, for 
the use of metreleptin to treat PL in the US, for Mycapssa® in Europe, and to expand the indication of Mycapssa® 
beyond acromegaly into carcinoid syndrome associated with neuroendocrine tumors.  
 
Adjusted EBITDA growth is an important financial performance indicator for the Group.  The positive momentum 
we experienced during 2019 has continued through 2020 and 2021.  Most importantly, we have experienced 
strong revenue growth and this strong revenue performance drove our eighth consecutive quarter of positive 
EBITDA in Q4 2021 and generated full year operating cash flows before Chiasma deal costs of $29.8M.  
 
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.  Oleogel-S10 is under review by the EMA and the FDA. On April 22, 2022, the 
CHMP adopted a positive opinion, recommending the approval of Filsuvez® in the European Union (EU) for the 
treatment of partial thickness wounds associated with dystrophic and junctional Epidermolysis Bullosa (EB) in 
patients six months and older. Based on this CHMP recommendation a decision by the European Commission 
(EC) is expected on the Filsuvez® application within 67 days of the recommendation. On February 28, 2022, we 
received a CRL from the FDA which asked Amryt to submit additional confirmatory evidence of effectiveness for 
Oleogel-S10 in EB. Amryt intends to discuss with the FDA the nature of the data required to address the agency’s 
concerns. 
 
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-licensed 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.  This acquisition diversified our portfolio comprising of two commercial rare disease products as 
well as a development-stage pipeline focused on rare diseases. Subsequently, in August 2021, the Group 
completed the acquisition of Chiasma through which the Group acquired a third commercial product, 
Mycapssa®.  We continue to evaluate opportunities to expand our rare disease portfolio and pipeline.  
 
Risks and Uncertainties 
The management of risk is a key responsibility of the Company and 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 Company regularly reviews progress in key activities as follows: 
 
The Board of Directors meets regularly and reviews operational progress against Amryt’s strategy and 
key objectives; 
 
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 

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for the year ended December 31, 2021 
 
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 and Board of Directors. 
 
Principal Risk Factors 
The Company is subject to risk factors relating to the business and operations of the Group in the healthcare 
industry. The following summarizes the principal risks and uncertainties of the Company, however further risk 
factors affecting the Group can be found in the Risk Factors section of our 20-F for the period ended December 
31, 2021 at https://www.amrytpharma.com/investors/reports/: 
 
Organizational Risk 
The Company is dependent on the experience and skills of the Executive and Non-Executive Directors and senior 
management to successfully execute its strategy. The loss of such key contributors would present a risk to the 
business. The ability to continue to attract and retain employees with the appropriate expertise and skills cannot 
be guaranteed. 
 
Competition Risk 
The biotechnology and pharmaceutical industries are very competitive. The Company’s competitors include 
major multinational pharmaceutical companies, biotechnology companies and research institutions. Many of its 
competitors have substantially greater financial, technical and other resources, such as larger research and 
development staff. Amryt’s competitors may succeed in developing, acquiring or licensing drug product 
candidates that are earlier to market, more effective or less costly than any product candidate which the Group 
is currently developing or which it may develop and this may have a material adverse impact on the Group.  
 
Funding Risk 
Significant funds are required to continue the development of the Company’s product portfolio. There is also no 
certainty that it will be possible to raise any additional funds at all or on acceptable terms. Debt financing, may 
place restrictions on the financial operating activities of the Group and Company. If the Company is unable to 
obtain additional financing as required, it may be required to reduce the scope of its operations.   
 
Strategic Risk 
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.  
 
Risk that 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 commercialized.  
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 caliber to satisfy the rate of growth and develop 
our future pipeline. 
 

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for the year ended December 31, 2021 
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 Amryt. 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 Company for the benefit of its shareholders but having regard amongst other matters to the following: 
 
• 
the likely consequences of any decision in the long term; 
• 
the interests of the Company’s employees; 
• 
the need to foster the Company’s business relationships with customers and other stakeholders; 
• 
the impact of the Company’s operations on the community and the environment; 
• 
the desirability of the Company maintaining a reputation for high standards of business and conduct; 
and 
• 
the need to act fairly as between members of the Company. 
 
For Amryt, 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. 
 
Environmental matters 
We currently have both in-house and outsourced research, development, testing and manufacturing activities. 
These activities are subject to various environmental, health and safety laws and regulations. If we or our 
partners fail to comply with such laws and regulations, we could be subject to fines or other sanctions.  
 
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 year ended December 31, 
2021, the Group only had emissions relating to Scope 1 and Scope 2. 
 
Estimations 
The total consumption for energy supplies are as follows: 
 
 
2021 
2020 
Consumption by the company (in KWH) 
1,300,281 
1,639,966 
Emissions associated with the reported energy use (tCO2E) 
368.48 
441.38 
 
Intensity Ratio 
The chosen intensity ratio is the total gross emissions in metric tonnes CO2e (mandatory emissions) per 
employee. 
  
 
2021 
2020 
Tonnes of CO2e per employee 
1.95 
2.71 
 
Energy Efficiency Action for the year ended December 31, 2021 
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.  
 

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for the year ended December 31, 2021 
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. Energy consumption in 2021 continued to be low as office locations 
were temporarily closed in line with “work from home” guidance from Government authorities in Europe and 
the US. The Group has implemented a hybrid model and intends to continue operate a hybrid model going 
forward, reducing the number of employees in the office and therefore reducing energy consumption. 
 
Additionally, during 2021 Amryt started a project to treat emissions coming from the extraction plant by 
implementing an abatement system. This will be fully implemented during 2022. 
 
Approval 
This strategic report was approved by the Board on May 31, 2022. 
 
 
Joe Wiley 
Director 

Amryt Pharma plc 
Board of Directors   
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Annual Report  
 
 
for the year ended December 31, 2021 
 
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 U.S.-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 $28 billion transaction where Mr. 
Stafford was Executive Vice President of Global Marketing. Separately, Mr. Stafford also founded one of Ireland’s 
current 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 September 24, 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, specializing 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 
September 24, 2019 
 
George P. Hampton Jr – Non-Executive Director 
 
Skills, Competence and Experience 
Mr. Hampton has been a director of Amryt since 2019. He 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, primary care business unit for Horizon Pharmaceuticals (HZNP), a public 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, orthopedic (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 previously served on the board of IMAC (Nasdaq: IMAC) regeneration medical 
centers. 
Committee Membership 
Remuneration Committee (Chairman) 
Appointment Date 
September 24, 2019 

Amryt Pharma plc 
Board of Directors  
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Raj Kannan – Non-Executive Director 
 
Skills, Competence and Experience 
Mr. Kannan was appointed Chief Executive Officer of Chiasma, Inc. in June 2019. On August 6, 2021, Mr. Kannan 
resigned as Chief Executive Officer of Chiasma and joined the board of Amryt as a Non-Executive Director. Mr. 
Kannan is the CEO of Aerie Pharmaceuticals.  He has over 25 years of experience leading and developing 
companies. He has effectively led and grown organizations and supported multiple successful launches across 
therapeutic areas in the U.S. and globally. Prior to joining Aerie, Mr. Kannan was Chief Executive Officer and 
President of Chiasma, Inc., where he led the organization through the approval and the launch of the first oral 
therapy in over a decade for patients with acromegaly and subsequently through the acquisition by Amryt 
Pharma Plc. Before that, Mr. Kannan was Chief Commercial Officer at Kiniksa Pharmaceuticals, Ltd. (“Kiniksa”), 
where he built the commercial operations, including sales, marketing, and business analytics functions. Prior to 
Kiniksa, he served as the Global Head of the Neurology and Immunology business franchise at Merck KGaA, 
where he was responsible for transforming the largest franchise into a growth franchise with $2 billion in annual 
revenues through significant strategic shifts in investment to support new product introductions and through 
recalibration of pipeline investments. Before that, Mr. Kannan spent 10 years at Boehringer Ingelheim 
International GmbH in the U.S., Canada, and in Germany, including as Global Marketing Head of the 
Cardiovascular Franchise, where he was responsible for more than $3.5 billion in annual revenues.  
 
Appointment Date 
August 5, 2021 
 
Dr. Roni Mamluk – Non-Executive Director 
 
Skills, Competence and Experience 
Dr. Mamluk, Ph.D. joined the Board of Directors of Chiasma, Inc. in June 2017. On August 6, 2021, Dr. Mamluk 
resigned as a non-executive director of Chiasma and joined the board of Amryt as a Non-Executive Director. Dr. 
Mamluk currently serves as President and Chief Executive Officer of Ayala Pharmaceuticals, Inc., a clinical-stage 
biopharmaceutical company dedicated to developing targeted cancer therapies for people living with genetically 
defined cancers, and serves on its board of directors. She joined Chiasma in 2006 and led the creation of its TPE 
technology and subsequently Mycapssa® development. Dr. Mamluk fulfilled multiple roles at Chiasma including 
Chief Development Officer from March 2015 to March 2017, Chief Executive Officer from April 2013 to March 
2015 and held various roles in the Company from 2006 to April 2013, including Chief Operating Officer and Vice 
President, Research and Development. Prior to joining Chiasma, Dr. Mamluk led nonclinical research and 
development at Adnexus Therapeutics, Inc. Dr. Mamluk received her B.A. and Ph.D. from the Hebrew University. 
She completed her post-doctoral fellowship at Children’s Hospital/Harvard Medical School in the field of 
angiogenesis.  
 
Appointment Date 
August 5, 2021 
 
 
 

Amryt Pharma plc 
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for the year ended December 31, 2021 
Dr. Alain H. Munoz – Non-Executive Director 
 
Skills, Competence and Experience 
Dr. Munoz has been a Director of Amryt since 2019. He 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 is 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 and Chairman of the Board of Hybrigenics SA 
and Novagali Pharma acquired by Santen Pharmaceuticals. He presently is an independent board member of 
Auris Medical Holding AG (Nasdaq: EARS), Zealand Pharma A/S (Nasdaq: ZEAL) and Chairman of Acticor-biotech 
(Euronext: ALACT.PA). Mr. Munoz received an undergraduate degree from International Institute for 
Management Development, a doctorate from the University of Montpellier and a graduate degree from Centre 
Hospitalier Universitaire Pitie-Salpetriere. 
 
Committee Membership 
Remuneration Committee (Member) 
 
Appointment Date 
September 24, 2019 
 
Donald K. Stern – Non-Executive Director 
 
Skills, Competence and Experience 
Mr. Stern has been a Director of Amryt since 2019. He 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 Of Counsel to the Boston law firm of Yurko Partners, 
P.C.. He has had a diverse and distinguished legal career, 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 U.S. 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 
September 24, 2019 
 
 
 

Amryt Pharma plc 
Board of Directors  
Amryt Pharma plc 
P a g e  | 19 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Dr. Patrick V.J.J. Vink– Non-Executive Director 
 
Skills, Competence and Experience 
Dr. Vink has been a Director of Amryt since 2019. He has significant experience as a senior executive, having 
worked in the pharmaceutical industry for more than 30 years. Dr. Vink serves as Chairman at BiognoSys AG, a 
privately held proteomics company in Switzerland. 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 listings 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 Masters of Business 
Administration in 1992 at the University of Rochester.  
 
Committee Membership 
Compliance Committee (Member) 
 
Appointment Date 
September 24, 2019 
 
Stephen T. Wills – Non-Executive Director 
 
Skills, Competence and Experience 
Mr. Wills became a Director of Amryt in 2019. He 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 as Chief Financial Officer of Cactus Acquisition Corp 
(Nasdaq: CCTS), a Special Purpose Acquisition Company (SPAC). 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 
chair and compensation 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 
September 24, 2019 
 

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 20 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Dear Shareholder, 
I am pleased to present the Amryt Pharma plc Corporate Governance Report for the year ended December 31, 
2021.  
 
The Corporate Governance report contains details of Amryt’s governance structures and highlights areas of 
focus for the Board and its Committees during the period.  Your Board remains committed to high standards of 
governance across Amryt, in line with our core values of excellence and integrity in all that we do. 
 
This is my third year as Non-Executive Chairman of Amryt where my responsibilities include articulating my role 
and demonstrating my responsibility for corporate governance and 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 Amryt 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, Amryt.  Given the importance 
of culture to the success of our business model, the Board will continue to assess and monitor Amryt’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 Amryt’s strategic 
priorities.  The Board is very clear on its responsibility to ensure Amryt 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 behaviors 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 Amryt 
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 16-19 of this annual report for the year ended December 31, 2021. The Board consists of nine 
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. 
 
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 
recognize 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 
The Board has three standing committees: an Audit Committee, a Remuneration Committee and a Compliance 
Committee. You will find, on pages 23 to 24, individual reports giving details of their activities during the period.  
 
ESG responsibility 
The Board recognizes the importance of environmental, social and governance matters and aims to consider the 
differing interests of Amryt’s stakeholders, including its investors, employees, suppliers and business partners, 
when operating its business. 
 
 

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 21 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Stakeholder Engagement 
In order to operate effectively companies must understand those resources and relationships that matter most 
to their success. Amryt’s stakeholders include shareholders, employees, customers, healthcare providers, 
clinicians, patients, suppliers and the community in which it operates. 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.   
 
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. I look forward to meeting shareholders at our 2021 Annual 
General Meeting (“AGM”), which will be held on June 30, 2022. 
 
 
 
Ray Stafford 
Non-Executive Chairman 
May 31, 2022

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 22 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Chairman’s Corporate Governance Overview 
 
The Board  
The Board is responsible for the overall governance of Amryt.  The Board comprises of one Executive Director 
and eight Non-executive Directors, including the Chairman, as detailed on pages 16 – 19.  The Board believe the 
current split of Non-Executive and Executive Directors is appropriate for the requirements of Amryt.  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.  
The Board has determined that eight of its nine Directors, Raymond Stafford, Stephen Wills, Donald Stern, 
George Hampton, Patrick Vink, Alain Munoz, Raj Kannan and Dr. Roni Mamluk do not have a relationship that 
would interfere with the exercise of independent judgment in carrying out the responsibilities of Director and 
that each of these Directors is “independent” as that term is defined under the rules of the Nasdaq.  
As required under the Nasdaq listing standards, a majority of the members of a listed company’s board of 
directors must qualify as “independent,” as affirmatively determined by the board of directors. Our Board of 
Directors consults with counsel to ensure that the board’s determinations are consistent with relevant securities 
and other laws and regulations regarding the definition of “independent,” including those set forth in the 
applicable Nasdaq listing standards, as in effect from time to time. Consistent with these considerations, after 
review of all relevant transactions or relationships between each director, or any of his or her family members, 
and our company, our senior management and our independent registered public accounting firm, the board of 
directors affirmatively determined that all of our current Directors are independent directors within the meaning 
of the applicable Nasdaq listing standards, except that Dr. Joe Wiley, our  Chief Executive Officer, is not 
independent by virtue of his employment with our company. In addition, our Board of Directors has determined 
that each member of the audit committee, compensation committee and compliance committee meets the 
applicable Nasdaq and SEC rules and regulations regarding “independence” and that each member is free of any 
relationship that would impair his or her individual exercise of independent judgment with regard to the 
company. 
 
As the business develops, the composition of the Board will remain under review to ensure that it remains 
appropriate to the requirements of Amryt.  As per the articles of the company one third of the directors of the 
Company are put up for re-election on an annual basis. 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:  
 
setting the overall Group strategy and providing leadership to implement the strategy and supervising 
the management of the business;  
 
the acquisition or disposal of material corporate entities or assets;  
 
public announcements (including statutory financial statements); approving or making significant 
changes in accounting policy, the capital structure and dividend policy of the Company; 
 
Group remuneration policy; and  
 
Board structure, composition and succession.  
 
The Board delegates to management in the subsidiary companies, through the Executive Director, the overall 
responsibility for performance of Amryt, 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.  
 

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 23 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Board Responsibilities 
To ensure that the Board operates efficiently and effectively, the Directors and Secretary have certain 
responsibilities in line with their roles: 
 
Non-Executive Chairman 
 
Leads the Board and promotes a culture of open discussion between Executive and Non-Executive 
Directors; 
 
Sets the highest standards of corporate governance; and 
 
Ensures effective communications with all our stakeholders. 
 
Executive Director 
 
Develop and execute Amryt’s strategy in line with the policies and objectives agreed by the Board; 
 
Manage operational effectiveness and profitability of Amryt; 
 
Promotes the purpose, vision and values of the organization, both internally and externally; and 
 
Monitor compliance with Amryt’s legal, regulatory, corporate governance, social and ethical 
responsibilities. 
 
Non-Executive Directors 
 
Contribute to the overall development of Amryt’s strategy; 
 
Provide independent insight based on relevant experience; and 
 
Monitor and challenge the business performance and the execution of strategy. 
 
Company Secretary 
 
Ensures correct Board procedures are followed; 
 
Ensures Directors receive timely and clear information so that Directors are equipped for informed 
decision making and open debate; 
 
Advises the Board on policy, procedure and governance; and, 
 
If necessary, coordinates access to independent professional advice for Directors. 
 
Performance evaluation 
The Board recognizes 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.  
 
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.  
 
Remuneration Committee: Chairman - George Hampton 
 
Audit Committee: Chairman - Steven Wills 
 
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. 
 
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, 

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 24 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 Amryt without paying more than necessary. The remuneration policy bears in mind Amryt’s 
appetite for risk and is aligned to Amryt’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 Amryt. 
 
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 Amryt and the involvement of Amryt’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 Amryt’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 Amryt’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 Amryt’s 
compliance with laws, regulations, internal procedures and industry standards that may cause significant 
business, regulatory, or reputational damage to Amryt, 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 Amryt.  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 
Amryt’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. 
 

Amryt Pharma plc 
Corporate Governance 
 
Amryt Pharma plc 
P a g e  | 25 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 December 31, 2021, we have eight employees in the Company, all Non-Executive Directors. The Executive 
Director is employed by a subsidiary company, Amryt Pharmaceuticals Inc. At December 31, 2021, the Group 
had 288 full time employees, one Executive Director and eight Non-Executive Directors, spread across Ireland, 
US and multiple locations in EMEA and LATAM.  
 
Diversity and human rights 
The Board recognizes its legal responsibility to ensure the well-being, safety and welfare of the Company’s 
employees and maintain a safe and healthy working environment for them and for our visitors.  Amryt 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 organization. Amryt aims not to discriminate because of age, disability, sex or 
sexual orientation, race, religion or belief.  This is captured in our Code of Conduct, which all employees are 
encouraged to read on an annual basis. All employees also have access to a dedicated whistleblowing hotline. 
Amryt continues to monitor policies to ensure that they promote a healthy corporate culture. 
 
A breakdown of employees, excluding the CEO, by gender as at December 31, 2021 is as follows: 
 
Position 
Female 
Male 
Gender 
Neutral 
Total 
Executive leadership/ Senior leadership 
15 
10 
- 
25 
Employees 
162 
99 
3 
263 
Total 
177 
109 
3 
289 
 
A breakdown of the Director (CEO) and Non-Executive Directors by gender and disclosure on diverse 
demographic backgrounds as at December 31, 2021 is as follows: 
 
Position 
Female 
Male 
Gender 
Neutral 
Total 
Gender 
 
 
 
 
Director and Non-Executive Directors 
1 
8 
- 
9 
Demographic background 
 
 
 
 
Underrepresented Individual in Home Country 
Jurisdiction 
- 
1 
- 
1 
 
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.  Amryt 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. 
 
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 Amryt’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.

Amryt Pharma plc 
Directors’ Remuneration Report 
 
Amryt Pharma plc 
P a g e  | 26 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Directors’ Remuneration Report – annual statement 
 
Dear Shareholders,  
 
On behalf of the Remuneration Committee, I am pleased to present our Directors’ Remuneration Report for the 
period ended December 31, 2021. 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 will be subject to an advisory vote at the forthcoming Annual General Meeting (“AGM”) 
on June 30, 2022. The Directors Remuneration Report included in this Annual Report is outside the scope of the 
audit report on page 38. 
 
The current Directors’ Remuneration Policy was approved by shareholders at the general meeting on March 2, 
2022. The Policy took formal effect from the date of approval and the policy will formally apply for three years 
beginning on the date of approval unless a new policy is presented to shareholders in the interim. The full 
shareholder approved Policy can be found in the Annual Report for the period ended December 31, 2020. 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. Following approval, all payments to Directors will 
be consistent with the approved policy. 
 
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 period ended December 31, 2021 
Our Executive Director is an employee of a subsidiary Company, Amryt Pharmaceuticals Inc. His remuneration 
expenses are captured in the books of this subsidiary. The Executive Director received an increase in base salary 
of 3% on January 1, 2020, and a further 3% to $731,490 on January 1, 2021. 
 
Details of the fees paid to members of the Non-Executive Board are set out on page 28.  
 
Annual Bonus Plan 
The amount of annual bonus paid to the Executive Director is considered in the context of financial, strategic 
and personal performance for each 12-month period covering January to December. The Committee 
recommends to the Board the level of bonuses to be paid to the Executive Director and employees of the Amryt 
Group, following a review of performance against bonus objectives covering each calendar year. An estimate for 
bonus was accrued in the subsidiary accounts each month during 2020 and 2021. At the end of 2021 the Board 
accepted the recommendation of the Committee, and such amounts were paid in early 2022.  
 
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 incentivize participants. The Committee has been working with its external 
compensation consultant, Radford (part of Aon plc) over the course of the period 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. 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. 
 
 
 

Amryt Pharma plc 
Directors’ Remuneration Report 
 
Amryt Pharma plc 
P a g e  | 27 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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

Amryt Pharma plc 
Directors’ Remuneration Report 
 
Amryt Pharma plc 
P a g e  | 28 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Remuneration Report 
Directors’ remuneration  
The Directors received the following remuneration for the year December 31, 2021: 
 
Salary
/ Fees 
 
Bonus 
Employer 
Pension 
Equity 
awards1 
Other 
Benefits 
2021 
Total 
Fixed 
remuneration 
Variable 
remuneration 
 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
Ray Stafford 
88 
— 
— 
84 
— 
172 
88 
84 
Joe Wiley  
747 
728 
71 
1,759 
174 
3,479 
818 
2,661 
George Hampton 
65 
— 
— 
84 
— 
149 
65 
84 
Raj Kannan 
20 
— 
— 
395 
— 
415 
20 
395 
Roni Mamluk 
20 
— 
— 
114 
— 
134 
20 
114 
Alain Munoz 
58 
— 
— 
84 
— 
142 
58 
84 
Donald Stern 
80 
— 
— 
84 
— 
164 
80 
84 
Patrick Vink 
60 
— 
— 
84 
— 
144 
60 
84 
Stephen Wills 
88 
— 
— 
84 
— 
172 
88 
84 
TOTAL  
1,226 
728 
71 
2,772 
174 
4,971 
1,297 
3,674 
 
The Directors received the following remuneration for the year December 31, 2020: 
 
Salary
/ Fees 
 
Bonus 
Employer 
Pension 
Equity 
awards1 
Other 
Benefits 
2020 
Total 
Fixed 
remuneration 
Variable 
remuneration 
 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
$’000 
Ray Stafford 
88 
— 
— 
110 
— 
198 
88 
110 
Joe Wiley  
727 
739 
71 
— 
182 
1,719 
798 
921 
George Hampton 
65 
— 
— 
110 
— 
175 
65 
110 
Alain Munoz 
58 
— 
— 
110 
— 
168 
58 
110 
Donald Stern 
80 
— 
— 
110 
— 
190 
80 
110 
Patrick Vink 
60 
— 
— 
110 
— 
170 
60 
110 
Stephen Wills 
88 
— 
— 
110 
— 
198 
88 
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. 
 
1The equity awards granted to the Executive Director and Non-Executive Directors in the period is the grant date fair value 
as computed in accordance with IFRS 2 (Share Based Payments) using a Black-Scholes option pricing model.  
 
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.  
 
The annual performance bonus is based on performance against target in any calendar year. 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: 
 
Revenue growth 
 
EBITDA performance 
 
Cash balance 
 
Working Capital 
 
Non financial metrics relating to research and development and commercial milestones 
 
Long term incentive awards during the financial year 
Directors may be granted long-term incentive awards at the discretion of the Remuneration 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, 
incentivizes and retains all employees in the key markets in which the Company operates.  
 
During the year ended December 31, 2021, a total of 7,261,725 share options were granted to Directors of the Company. 
Joseph Wiley was granted a total of 2,031,350 share options, a total of 220,000 share options were granted to each of Dr. 
Roni Mamluk and Raj Kannan and a total of 110,000 share options were granted to each of Raymond T. Stafford, George P. 

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P a g e  | 29 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Hampton, Jr., Dr. Alain H. Munoz, Donald K. Stern, Dr. Patrick V.J.J. Vink and Stephen T. Wills. Additionally, a total of 
1,160,380 and 2,969,995 stock options were issued by Amryt to replace Chiasma stock options held by Dr. Roni Mamluk 
and Raj Kannan, respectively. 
 
All awards granted under the Equity Incentive Plan 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 period 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 the period and no awards lapsed during the period 
to December 31, 2021. 
 
Payments to past Directors 
There were no payments made by the Company to past Directors during the period ended December 31, 2021. 
 
Payments for loss of office 
There were no payments made to Directors for loss of office during the period ended December 31, 2021. 
 
Directors’ service contracts and letters of appointment 
The dates of appointment of each of the Non-Executive Directors serving at December 31, 2021, are summarized in the 
table below: 
 
Non- Executive Director 
Date of appointment 
Ray Stafford1 
September 24, 2019 
George Hampton 
September 24, 2019 
Alain Munoz 
September 24, 2019 
Donald Stern 
September 24, 2019 
Patrick Vink 
September 24, 2019 
Stephen Wills 
September 24, 2019 
Raj Kannan 
August 5, 2021 
Rony Mamluk 
August 5, 2021 
1 Ray Stafford was appointed Non-Executive Chairman of Amryt Pharma plc (Company number: 12107859) on September 
24, 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 September 24, 2019) since April 2016. 
 
Statement of Directors’ shareholdings and share interests 
The table below sets out, as at December 31, 2021, 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. 
 

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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Director 
Beneficially 
owned A 
ordinary shares 
Number of options 
vested not yet 
exercised1 
Number of options unvested1 
Executive 
 
 
 
Joe Wiley 
3,507,080 
3,390,490 
5,078,320 
Non-Executive 
 
 
 
Ray Stafford 
1,913,601 
55,000 
275,000 
George Hampton 
— 
55,000 
275,000 
Alain Munoz 
— 
55,000 
275,000 
Donald Stern 
— 
55,000 
275,000 
Patrick Vink 
— 
55,000 
275,000 
Stephen Wills 
— 
55,000 
275,000 
Raj Kannan 
— 
1,503,550 
1,686,445 
Roni Mamluk 
— 
1,160,380 
220,000 
1 Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary shares. All equity incentives granted 
are in the form of ordinary shares. Share option exercise prices are the exercise price per ordinary share. The ADS equivalent 
exercise price will be the ordinary share exercise price multiplied by five and the number of ADSs will be the number of 
ordinary shares divided by five. 
 
The Company does not have a formal policy on Executive or Non-Executive Director shareholdings. 
 
As at December 31, 2021, 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 December 31, 2021: 
Director 
Number 
of options 
granted1 
Exercise 
Price1 
  
Grant Date 
Expiry Date 
Vesting period 
Joe Wiley 
343,521 
£1.21 
November 28, 2017 
November 28, 2024 
Three years from grant date3 
Joe Wiley 
316,039 
£0.76 
May 21, 2019 
May 21, 2026 
Three years from grant date3 
Joe Wiley 
5,777,900 
£1.22 
November 5, 2019 
November 5, 2026 
Three years from grant date3 
Joe Wiley 
2,031,350 
$2.804 
March 8, 2021 
March 8, 2028 
Three years from grant date3 
Ray Stafford 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
Ray Stafford 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
George Hampton 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
George Hampton 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
Alain Munoz 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
Alain Munoz 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
Donald Stern 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
Donald Stern 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
Patrick Vink 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
Patrick Vink 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
Stephen Wills 
220,000 
US$2.25 
July 9, 2020 
July 9, 2027 
Three years from grant date3 
Stephen Wills 
110,000 
US$2.04 
August 9, 2021 
August 9, 2028 
May 31, 2022 
Raj Kannan2 
2,969,995 
$2.30 - 
$4.08 
June 17, 2020 -
February 8, 2021 
June 17, 2030 -
February 8, 2031 
Various vesting periods2 
Raj Kannan 
220,000 
US$2.04 
August 9, 2021 
August 9, 2028 
Three years from grant date3 
Roni Mamluk2 
1,160,380 
$0.68 - 
$5.02 
November 14, 2014 
- June 10, 2020 
November 14, 2024 
- June 10, 2030 
Various vesting periods2 
Roni Mamluk 
220,000 
US$2.14 
September 14, 2021 
September 14, 2028 
Three years from grant date3 
1 Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary shares. All equity incentives granted 
are in the form of ordinary shares. Share option exercise prices are the exercise price per ordinary share. The ADS equivalent 
exercise price will be the ordinary share exercise price multiplied by five and the number of ADSs will be the number of 
ordinary shares divided by five. 
 
2 When Amryt acquired Chiasma in August 2021, the Chiasma Stock Option and Incentive Plan transferred across to Amryt. 
Each outstanding and unexercised Chiasma Stock Option or RSU, whether vested or not vested, ceased to represent a right 
to acquire shares of Chiasma common stock and were converted into an option to purchase Amryt ADSs on the same terms 

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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
and conditions as were applicable under such Chiasma Stock Option and Incentive Plan immediately prior to the acquisition. 
On August 5, 2021, stock options were issued by Amryt to replace Chiasma stock options. 1,160,380 and 2,969,995 stock 
options were issued by Amryt to replace Chiasma stock options held. Unvested share options at December 31, 2021, included 
various grants that were granted pre-acquisition. In addition grants issued during 2021 included share options that vest 
25% 12 months after the grant date with the remainder vesting ratably over 36 Months thereafer, and share options that 
vest ratably over 16 quarters after the grant date. 
 
3 Share 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. 
 
Under the terms of the Company’s Equity Incentive Plan, we have granted market value options to our Executive Director 
and Non-Executive Directors. Market value options were granted to the Executive Director in 2017, 2019 and 2021. Market 
value options were granted to the Non-Executive Directors in July 2020 and in August/September 2021. These 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. In addition market value options granted to certain Non-Executive 
Directors in August vest over 12 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 during the year December 
31, 2021, or in the year ended December 31, 2020. 
 
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 8, 2020, and is therefore considered to be the most suitable comparator index. 
  
AMYT: $96.00  
NASDAQ 
Biotechnology 
Index: $107.88 

Amryt Pharma plc 
Directors’ Remuneration Report 
 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Executive Directors total remuneration history 
The Executive Directors remuneration for 2021 and 2020 is set out below. This will eventually build up to cover a rolling 
ten-year remuneration history. 
 
2021 
2020 
 
$ 
$ 
Total Executive Director remuneration 1 
3,479,000 
1,719,000 
Executive Director bonus (as a % of base salary) 
99.45% 
130% 
Executive Director LTIP vesting (as a % of maximum available)2 
100% 
100% 
1 Total remuneration above consists of base salary, bonus, employer pension contribution, other benefits and equity awards 
granted in the period 
2 As these options are not subject to performance conditions, the vesting percentage has been recorded at 100% 
 
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 December 31, 2021, and the year ended December 31, 2020: 
 
Executive 
Director 
Average 
Employee 
Base Salary 
3% 
7% 
Annual Bonus 
(1%) 
1% 
Taxable Benefits 
(4%) 
1% 
 
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 2021 and 2020 as compared to total operating 
revenues and illustrates the year-on-year change. 
 
 
2021 
($’000) 
2020 
($’000) 
% Change 
Gross Pay to all employees 
64,330 
44,219 
145.48% 
Total Revenues 
222,543 
182,607 
121.87% 
 
Membership of the remuneration committee and its advisors 
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 period, 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 period to December 31, 2021, were $220,000, charged on a time/cost basis. The Committee 
is satisfied that the advice they received from Radford was objective and independent.  
 
The Committee met six times during 2021 and addressed the following main topics relating to the Company: 
- 
Executive Compensation  
- 
Executive Long Term Incentive Plan 
- 
Equity Vehicle Mix 
- 
Executive Severance 
- 
Review of Peer Group  
- 
Change of Control Language in relation to the Share Option Plan 
- 
Salary increases for 2022 
 

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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Statement of Voting at a general meeting of the Company  
The shareholder votes on the non-binding approval of the Directors’ Remuneration Report and the binding approval of the 
Directors’ Remuneration Policy at the general meeting which took place on March 2, 2022, was as follows: 
 
Resolution 
Votes 
for 
% 
for 
Votes 
against 
% 
against 
Withheld 
% 
withheld 
Total 
Approval of the 
Directors’ 
Remuneration Report 
276,328,891 
87.13% 
40,826,619 
12.87% 
1,520 
0.00% 
317,157,030 
Approval of the 
Directors’ 
Remuneration Policy 
276,320,011 
87.12% 
40,834,235 
12.88% 
1,599 
0.00% 
317,155,845 
 
Statement of implementation of remuneration policy for the calendar year ended December 31, 2021 
 
Annual salary 
In January 2021, the Executive Director received a 3% increase in annual salary 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 2022 calendar 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 12-
month performance period to December 2022. The short-term objectives cover key objectives that relate to the 
achievement of the Amryt’s wider strategic goals including, for the calendar year 2022 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 calendar 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 Group 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 2022. 
 
During the 2022 period to date, equity incentive awards were granted to the Executive Director under the Equity Incentive 
Plan. These equity incentive awards were market value options over 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. 
 
Director 
Number of 
options 
granted1 
Exercise 
Price1 
  
Grant Date 
Expiry Date 
Joe Wiley 
3,401,100
$1.418
March 11, 2022 
March 11, 2029
 
1 Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary shares. All equity incentives granted 
are in the form of ordinary shares. Share option exercise prices are the exercise price per ordinary share. The ADS equivalent 
exercise price will be the ordinary share exercise price multiplied by five and the number of ADSs will be the number of 
ordinary shares divided by five. 
 

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Amryt Pharma plc 
P a g e  | 34 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
During the 2022 period to date, under the terms of Amryt’s Equity Incentive Plan, performance share units (“PSUs”) to 
purchase 347,700 ordinary shares granted to the Executive Director at the discretion of the Remuneration Committee. 
Performance conditions determine how many of these performance stock units will vest and, if performance targets are 
exceeded, additional performance stock units will be issued and vest in accordance with the terms of the relevant 
performance stock units award. The PSUs vest based on the Total Shareholder Return (“TSR”) of Amryt’s NASDAQ traded 
common stock relative to the TSRs of the constituents that comprise the NASDAQ Biotechnology Index (the Peer Group) as 
of January 1, 2022.  TSR for Amryt and each peer company will be measured over the period from January 1, 2022, to 
December 31, 2024. The payout schedule can produce payout percentages ranging from 0% to 150%. 
 
Non- Executive Directors’ fees 
In the period from January 1, 2022, to date, the fees for Ray Stafford increased by $10,000 to $98,000. There were no other 
increases in Non-Executive Directors fees from January 1, 2022, to date.  
 
The following equity awards were granted to the Non-Executive Directors during 2022 to date: 
 
Director 
Number of 
options 
granted1 
Exercise 
Price1 
  
Grant Date 
Expiry Date 
Ray Stafford 
170,000
$1.61
May 15, 2022 
May 15, 2029
George Hampton 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Alain Munoz 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Donald Stern 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Patrick Vink 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Stephen Wills 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Raj Kannan 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
Roni Mamluk 
170,000 
$1.61 
May 15, 2022 
May 15, 2029 
1 Amryt shares trade as ADSs on NASDAQ, each ADS representing five Amryt ordinary shares. All equity incentives granted 
are in the form of ordinary shares. Share option exercise prices are the exercise price per ordinary share. The ADS equivalent 
exercise price will be the ordinary share exercise price multiplied by five and the number of ADSs will be the number of 
ordinary shares divided by five. 
 
These equity incentive awards were market value options over Ordinary shares and the vesting period is the earlier of 12 
months from the grant date or the AGM in 2023. No performance conditions were attached to the awards. 
 
This Directors’ Remuneration Report has been approved by the Board and signed on behalf of the Board. 
 
 
 
Joe Wiley 
Director 
May 31, 2022

Amryt Pharma plc 
Directors’ Report 
 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Directors’ Report 
 
The Directors of the Company present their report and the Financial Statements of the Company for the year ended 
December 31, 2021.  
 
Amryt Pharma plc was incorporated under the UK Companies Act 2006 on July 17, 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) 
Raj Kannan (Non-Executive Director)  
Dr. Roni Mamluk (Non-Executive Director) 
 
Raj Kannan and Dr. Roni Mamluk were appointed to the Board on August 5, 2021. 
 
Principal activities 
The Strategic Report on pages 2 to 15 describes Amryt’s principal development activities, strategy and future 
developments.  
 
Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercializing 
novel treatments for rare diseases.   
 
Results and Dividends 
The Company recorded a total profit for the year ended December 31, 2021, attributable to equity holders of the parent of 
$1.0 million. The Directors do not recommend payment of a dividend. 
 
Research and Development  
For the year December 31, 2021, we spent $37.7 million (2020: $27.6 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. 
 
Future Developments in the Business of the Company 
Details of future developments can be found in the Strategic Report on pages 4 to 5 and form part of this report by cross-
reference.  
 
Existence of branches of the Company outside of the United Kingdom 
As at December 31, 2021, the Company had no branches outside the United Kingdom. 
 
Share Capital Structure 
The Company’s ordinary shares of £0.06 are listed on the NASDAQ (AMYT).  At the date of this report, 320,884,822 ordinary 
shares of £0.06 each were in issue.  Details of share issues and changes to the capital structure during the year ended 
December 31, 2021, are set out in note 17 of the Notes to the Financial Statements. 
 
Qualifying Indemnity Provision 
The Company 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. 

Amryt Pharma plc 
Directors’ Report 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
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. 
 
Stakeholder Engagement 
Our key stakeholders include our people, customers, suppliers and investors. We are committed to open and effective 
engagement with all our stakeholders in order to understand their views and look for opportunities to improve. The Board 
actively encourages direct engagement with its stakeholders to ensure that they consider the interests of these 
stakeholders in the Board’s decision-making. This engagement with stakeholders give the Board an opportunity to share 
the Company’s purpose, values and strategy. 
 
Going Concern 
The business activities of the Company are outlined on page 2 and the factors which may affect the Company’s future 
development and performance are outlined on pages 3 – 6.  The financial review on page 7 discusses the Company’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 27 to the 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 
AGM. 
 
Disclosure of Information to the Auditors 
All of the current Directors have taken all the steps that they ought to have taken to make themselves aware of any 
information needed by the Company’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 Directors' Report and the financial statements in accordance with applicable 
law and regulations. 
Company law requires the Directors to prepare financial statements for each financial year. For the financial year ended 
December 31, 2021, we have chosen to prepare our Group and Company accounts in accordance with international 
accounting standards in conformity with the requirements of the Companies Act 2006” (UK-adopted International 
Accounting Standards ). 
Under company law, the Directors must not approve the financial statements unless they are satisfied that they give a true 
and fair view of the state of affairs of the group and company and of the profit or loss of the group and company for that 
period.  

Amryt Pharma plc 
Directors’ Report 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
In preparing these financial statements, the Directors are required to:  
 
select suitable accounting policies for the company financial statements and apply them consistently;   
 
make judgments and accounting estimates that are reasonable and prudent;  
 
state whether the financial statements have been prepared in accordance with applicable accounting standards, 
identify those standards, and note the effect and the reasons for any material departure from those standards; 
and 
 
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the company 
will continue in business.  
The Directors are responsible for keeping adequate accounting records that are sufficient to show and explain the 
company’s transactions and disclose with reasonable accuracy at any time the financial position of the company and enable 
them to ensure that the financial statements comply with the Companies Act 2006. The Directors are also responsible for 
safeguarding the assets of the company and hence for taking reasonable steps for the prevention and detection of fraud 
and other irregularities. 
 
Website Publication 
The Directors are responsible for ensuring the Annual Report and the financial statements are made available on a website.  
Financial statements are published on Amryt's website in accordance with legislation in the 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 May 31, 2022, and signed on its behalf by: 
 
 
  
 
 
Joe Wiley 
 
Director 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc 
 
Amryt Pharma plc 
P a g e  | 38 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 income/(loss), the 
Consolidated statement of financial position, the Consolidated statement of cash flows, the Consolidated 
statement of changes in equity, the Company statement of financial position, the Company statement of 
cash flows, the Company statement of changes in equity for the year ended 31 December 2021, 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 
applicable law and UK-adopted International Accounting Standards (UK-adopted IAS). 
 
In our opinion, Amryt Pharma plc’s financial statements: 
 
 
give a true and fair view in accordance with UK-adopted IAS of the assets, liabilities and financial 
position of the Group and Company as at 31 December 2021 and of the Group’s financial 
performance and the Group and Company’s cash flows for the year then ended; and  
 
have been properly prepared in accordance with the requirements of the Companies Act 2006. 
 
Basis for opinion 
 
We conducted our audit in accordance with International Standards on Auditing (UK) (‘ISAs UK’). 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: 
 
Evaluating management’s future cash flow forecasts, the process by which they were prepared, and 
assessed the calculations are mathematically accurate;  
 
Challenging the underlying key assumptions incorporated into the Group and Company’s cash flow 
forecasts; 
 
 
 
 
 
 
 
 

 
 
Independent auditor’s report to the members of Amryt 
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Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Conclusions relating to going concern (continued) 
 
 
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; 
 
Challenging the sensitivities and stress testing that management performed on the cash flow 
forecasts; and  
 
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 12 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. 
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, for 
example, in respect of significant accounting estimates that involved making assumptions and considering 
future events. 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: 
 
Accounting for the business combination transaction during the year, in particular the recognition 
and subsequent measurement of the related goodwill and purchased intangible assets (Group) 
 
Valuation of intangible assets including goodwill, other than those acquired as part of the current 
year business combination (Group)  
 
Valuation of Contingent Value Rights (CVRs) (Group and Company) 
 
Valuation of contingent consideration (Group) 
 
Revenue recognition (accuracy and completeness) – U.S. pharmaceutical rebate reserves (Group) 
 
 
 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 40 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Key audit matters (continued) 
 
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.  
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 13 
components out of the 36 reporting components of the Group. The 13 components cover entities across 
Europe and the Americas, which represent the principal business units within the Group. 
Of the 13 components selected, we performed an audit of the complete financial information for three 
components (“full scope components”) which were selected based on their size or risk characteristics. For 
the remaining ten 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 99.6% 
of the Group’s total assets, 99.5% of the total revenue and 100% 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: 
 
Group: 1.5% of total revenue for the year ended 31 December 2021. 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.  
 
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 Company’s statement of financial position is the key 
measure of financial health that is important to shareholders.  
 
 
 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Key audit matters (continued) 
 
Materiality and audit approach (continued) 
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% for both the Group and Company materiality for the 2021 audit.  
In determining performance materiality, we have considered our risk assessment, including our assessment 
of the Group’s overall control environment. This is to reduce, to an appropriately low level, the probability 
that the aggregate of uncorrected and undetected misstatements in the financial statements exceeds 
materiality for the financial statements as a whole. 
We agreed with the audit committee of the Board of Directors 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. 
 
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. 
 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
Accounting for the business 
combination transaction during the 
year, in particular the recognition and 
subsequent measurement of the 
related goodwill and purchased 
intangible assets (Group) 
 
On 5 August 2021, Amryt assumed 
control of Chiasma Inc. (“Chiasma”) 
for a total purchase consideration of 
$260.3 million by allotting and issuing 
a total of 127,740,695 new ordinary 
shares to the former Chiasma 
shareholders in the form of 25,548,139 
Amryt ADSs. In addition, Chiasma 
equity awards of $10.16 million were 
also recognised as consideration 
transferred upon the acquisition of 
Chiasma. The assets acquired include  
significant intangible asset valued at 
date of acquisition of $215 million and 
goodwill of $38.6 million was 
recognised as a result of the business 
combination. 
We obtained an understanding on 
management’s accounting process 
relating to business combinations 
and subsequent measurement and 
performed test of design and 
implementation of relevant 
controls.  
 
We reviewed the acquisition 
related agreements to obtain an 
understanding of the transaction 
and key terms and determine 
whether the acquisition transaction 
was properly accounted for in 
accordance with UK-adopted IAS. 
 
We reviewed the purchase price 
allocation (PPA), including the 
related fair value adjustments and 
resulting goodwill at acquisition 
date. We involved our internal 
valuation specialists in evaluating 
the valuation methodologies and 
key inputs used in identifying fair 
We completed our 
planned audit 
procedures with no 
exceptions. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
 
We have determined the valuation of 
these intangible assets 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 judgment. 
As a consequence, there is greater risk 
of fraud or error due to management  
override of controls. 
 
The following significant judgments 
and estimates used in the valuation 
models and management’s year-end 
impairment assessment could be 
selected inappropriately resulting in 
material misstatement: 
 
- 
Selection of appropriate discount 
rates 
- 
Revenue growth and cash flow 
forecasts 
 
 
This matter is new in 2021 as the  
acquisition occurred only in the 
current year. 
 
Refer to notes 6 and 12 of the  
financial statements for further details. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
value and related PPA adjustments. 
Such inputs include discount rates, 
revenue growth and cash flow 
forecasts. 
 
We assessed the competence, 
independence and integrity of the 
third party valuation experts used 
by the Group. 
 
We validated all significant 
accounting entries relating to the 
fair value impacts on assets 
acquired and liabilities assumed 
resulting from the PPA for 
accuracy checks. 
 
We reviewed the Group’s year-end 
impairment assessment for this 
cash generating unit. 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, including review of 
any changes in assumptions from 
the acquisition date to the year-end 
date. 
 
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 
Group’s financial statements 
disclosures in respect of these 
transactions and assessment was 
made in accordance with 
requirements of relevant 
accounting standards. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 43 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
Valuation of intangible assets 
including goodwill, other than those 
acquired as part of the current year 
business combination (Group) 
 
As at 31 December 2021, the Group’s 
intangible assets and goodwill, other 
than those acquired as part of the 
current year business combination 
described above, had a net book value 
of $258.3 million and $18.1 million, 
respectively. The intangible assets 
include the net book value of in-
process research and development 
(Oleogel-S10) acquired as part of 
Amryt GmbH acquisition in 2016, and 
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 these purchased intangible assets, 
and also because the impairment 
assessment of these assets involve 
significant management judgements 
and estimates, which if selected 
inappropriately could result in material 
misstatement. As a consequence, there 
is greater risk of fraud or error due to 
management override of controls 
Such judgments and estimates include: 
- 
Selection of appropriate 
discount rates 
- 
Revenue growth and cash 
flow forecasts 
- 
Probability of obtaining 
regulatory approval (for 
Oleogel-S10) in the future 
 
Refer to note 12 of the financial 
statements for further details. 
 
We have obtained an 
understanding on management’s 
accounting process relating to the 
valuation of intangible assets 
including goodwill and performed 
test of design and implementation 
of relevant controls. 
 
We reviewed the Group’s year-end 
impairment assessment. We 
evaluated and challenged 
management’s assumptions and 
judgements used in the calculation 
of the future cash flows used in 
estimating recoverable amounts of 
assets, which include but are not 
limited to revenue projections, 
discount rates and probability of 
obtaining regulatory approval in 
the future. We also held 
discussions with the Group’s 
Global Operations and Analytics 
team on revenue projections and 
with the Chief Executive Officer 
and Chief Medical Officer on the 
status of relevant regulatory 
approvals for Oleogel-S10.  
 
We performed sensitivity analysis 
to determine the reasonableness of 
the input and output variables used 
in the model. 
 
We performed integrity and 
mathematical accuracy checks on 
the forecasting model used to 
estimate recoverable amounts.  
 
We assessed the adequacy of the 
financial statements disclosures in 
respect of these transactions and 
the assessment was made in 
accordance with requirements of 
relevant accounting standards. 
 
 
We completed our 
planned audit 
procedures with no 
exceptions. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 44 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
Valuation of Contingent Value Rights 
(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 CVRs 
are payable on achieving certain 
regulatory and revenue milestones. As 
at 31 December 2021, the CVR 
liability in the Consolidated and 
Company Statement of Financial 
Position was valued at $19.9 million.  
The amortised cost of CVR liability 
represents the present value of the re-
estimated future contractual cash 
flows as at 31 December 2021. 
 
The key assumptions include payment 
amounts, expected timing of 
achievement of the two milestones 
(FDA approval and EMA approval) 
related to Oleogel-S10, probabilities 
of successful launch of Oleogel-S10,  
revenue forecast related to Oleogel-
S10 and applicable discount rates. 
 
The selection of valuation method 
and assumptions used requires 
significant judgement and estimates 
from management. The existence of 
significant estimation uncertainty 
warrants significant audit attention.  
 
Refer to note 2 (Valuation of 
contingent value rights (“CVRs”)) and 
note 6 of the financial statements for 
further details. 
 
We obtained an understanding of 
management’s accounting process 
relating to the valuation of CVRs 
and performed test of design and 
implementation of relevant 
controls. 
 
We assessed that the CVRs were 
accounted for correctly and were 
consistent with our understanding 
from previous years and that the 
valuation reflected the terms of the 
CVR related agreements. 
 
With the assistance from our 
internal valuation specialists, we 
evaluated and challenged the 
judgments applied and 
assumptions used by management 
in determining the valuation of 
CVRs at year-end, which included 
but not limited to the selection of 
appropriate valuation model, 
estimates of cash flows, budgeted 
revenue growth, discount rates and 
probability factors. We also held 
discussions with the Group’s 
Global Operations and Analytics 
team on revenue projections and 
the Chief Executive Officer and 
Chief Medical Officer on the status 
of relevant regulatory approvals for 
Oleogel-S10. 
 
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 and the 
assessment was made in 
accordance with requirements of 
We completed our 
planned audit 
procedures with no 
exceptions. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 45 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
relevant accounting standards. 
Valuation of contingent consideration 
(Group) 
 
As a result of the acquisition of Amryt 
AG and Som Therapeutics Corp. in 
2016, the Group recognised a 
contingent consideration liability. 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 
2021, the carrying amount of the 
contingent consideration liability is 
$61.2 million.  
 
We considered the valuation of 
contingent consideration liability as 
key audit matter because of the 
significant judgements and estimates 
required by management in 
determining its fair value at year-end 
which involves forecasting and 
discounting of future cash flows, 
which are complex and are heavily 
reliant on assumptions that could be 
affected by future market or economic 
developments. This is turn led to a 
high degree of auditor judgement and 
subjectivity and audit effort in 
applying procedures for the related 
assumptions. 
 
The 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 2 (Valuation of 
contingent consideration), and note 12 
of the financial statements for further 
details. 
We obtained an understanding of 
management’s accounting process 
relating to the valuation of 
contingent consideration and 
performed test of design and 
implementation of relevant 
controls. 
 
We evaluated and challenged 
management’s judgements and 
assumptions 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 also held 
discussions with the Group’s Global 
Operations and Analytics team on 
revenue projections and with the 
Chief Executive Officer and Chief 
Medical Officer on the status of 
relevant regulatory approvals for 
Oleogel-S10. 
 
We performed integrity and 
mathematical accuracy checks on the 
forecasting model used to estimate 
the 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 contingent 
consideration to be materially 
misstated. 
 
We assessed the adequacy of the 
financial statements disclosures in 
respect of contingent consideration 
and the assessment was made in 
accordance with requirements of 
relevant accounting standards. 
We completed our 
planned audit 
procedures with no 
exceptions. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 46 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
Revenue recognition (accuracy and 
completeness) – U.S. pharmaceutical 
rebate reserves (Group) 
 
As described in note 2 Revenue 
recognition - variable consideration, 
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 variable 
consideration and are recorded as a 
reduction in sales. The yearend liability 
for such rebates is recognised within 
trade and other payables on the 
Consolidated Statement of Financial 
Position. The majority of the Group’s 
rebates relate to sales of 
pharmaceutical goods within the U.S. 
(i.e. Medicaid programs).  
 
The Group is required to pay rebates 
on each unit of product sold to 
customers covered by the relevant 
program.  During the year ended 31 
December 2021, Medicaid rebate costs 
deducted against sales amounted to 
$41.7 million. An accrual of $21.6 
million was recorded at the balance 
sheet date in relation to payments due 
to be paid. 
  
We considered this as a key audit 
matter because management applied 
significant judgement, which involved 
significant measurement uncertainty in 
developing these reserves. Variable 
consideration primarily includes 
government rebates. Estimates of 
variable consideration are made at 
contract inception and historical 
experience, market trends, and 
industry data are considered when 
assessing such estimates. Variable 
We obtained an understanding of 
management’s process and key 
inputs for calculating revenue 
rebates and performed test of 
design and implementation of 
relevant controls. 
 
We reviewed the basis of the year-
end 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 year 
end accruals to assess accuracy. 
 
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. 
 
We assessed the adequacy of the 
financial statements disclosures in 
respect of revenue recognition and 
rebate reserves. The assessment was 
made in accordance with 
requirements of relevant accounting 
standards. 
We completed our 
planned audit 
procedures with no 
exceptions. 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 47 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Description of significant matters 
Our responses to significant matters 
Key observations 
communicated to the 
Audit Committee 
consideration is included in the 
transaction price to the extent it is 
probable that a significant reversal of 
revenue will not occur. The Group 
reassesses variable consideration at the 
end of each reporting period as 
additional information becomes 
available with the variance recorded to 
product sales revenue. 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. 
 
 
Other information 
 
Other information comprises information included in the annual report, other than the financial statements 
and our auditor’s report thereon, such as Strategic report, Corporate governance report, Directors’ 
remuneration report and Directors’ report. The directors are responsible for the other information. Our 
opinion on the financial statements does not cover the other information and, except to the extent otherwise 
explicitly stated in our report, we do not express any form of assurance conclusion thereon.  
In connection with our audit of the financial statements, our responsibility is to read the other information 
and, in doing so, consider whether the other information is materially inconsistent with the financial 
statements or our knowledge obtained in the audit, or otherwise appears to be materially misstated. If we 
identify such material inconsistencies in the financial statements, we are required to determine whether there 
is a material misstatement in the financial statements or a material misstatement of the other information. 
If, based on the work we have performed, we conclude that there is a material misstatement of this other 
information, we are required to report that fact. 
We have nothing to report in this regard.  
 
Opinions on other matters prescribed by the Companies Act 2006 
 
In our opinion, based on the work undertaken in the course of the audit: 
 
the information given in the Strategic Report and the Directors’ Report for the financial year for 
which the financial statements are prepared is consistent with the financial statements; and 
 
the Strategic Report and the Directors’ Report have been prepared in accordance with applicable 
legal requirements.  

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 48 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Matters on which we are required to report by exception 
 
In the light of the knowledge and understanding of the Group and Company and its environment obtained 
in the course of the audit, we have not identified any material misstatements in the Strategic Report and the 
Directors’ Report. We have nothing to report in respect of the following matters where the Companies Act 
2006 requires us to report to you if, in our opinion: 
 
adequate accounting records have not been kept, or returns adequate for our audit have not been 
received from branches not visited by us; or 
 
the financial statements and the part of the Directors’ remuneration report to be audited are not 
in agreement with the accounting records; or 
 
certain disclosures of directors’ remuneration specified by law are not made; or 
 
we have not received all the information and explanations we require for our audit. 
Responsibilities of 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 UK-adopted IAS, 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. 
 
 

 
 
Independent auditor’s report to the members of Amryt 
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Amryt Pharma plc 
P a g e  | 49 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 NASDAQ stock exchange listing 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, and we considered the extent to which 
non-compliance might have a material 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 the 
Companies Act 2006 and UK 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: 
 
enquiries of board, 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; 
 
inspection of the Group and Company’s regulatory and legal correspondence and review of 
minutes of board of directors’ meetings during the year to corroborate inquiries made; 
 
gaining an understanding of the internal controls established to mitigate risk related to fraud; 
 
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; 
 
identifying and testing journal entries to address the risk of inappropriate journals and management 
override of controls; 
 
designing audit procedures to incorporate unpredictability around the nature, timing or extent of 
our testing; 
 
challenging assumptions and judgements made by management in their significant accounting 
estimates, including valuation of convertible notes, valuation of acquired assets, impairment 
assessment of intangible assets and goodwill, valuation of contingent considerations and contingent 
value rights, capitalisation of research and development (“R&D”) expenses, recognition of deferred 
tax assets, revenue recognition – variable consideration, inventory obsolescence and impairment 
review of investment in subsidiaries; 
 
review of the financial statements disclosures to underlying supporting documentation and 
inquiries of management; 
 

 
 
Independent auditor’s report to the members of Amryt 
Pharma plc (continued) 
 
Amryt Pharma plc 
P a g e  | 50 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Responsibilities of the auditor for the audit of the financial statements (continued) 
 
Explanation as to what extent the audit was considered capable of detecting irregularities, including 
fraud (continued) 
 
 
assessing 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. 
 
The purpose of our audit work and to whom we owe our responsibilities 
 
This report is made solely to the Company’s members, as a body, in accordance with chapter 3 of Part 16 
of the Companies Act 2006. Our audit work has been undertaken so that we might state to the Company’s 
members those matters we are required to state to them in an auditor’s report and for no other purpose. 
To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the 
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 & Statutory Auditors  
Dublin 2 
Ireland 
 
 
Date: May 31, 2022 

Amryt Pharma plc 
Consolidated Statement of Comprehensive Income/(Loss) 
For the year ended December 31, 2021 
Amryt Pharma plc 
P a g e  | 51 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
 
Year ended December 31, 
 
Note 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
Revenue 
3 
222,543 
 
182,607 
Cost of sales 
4 
(106,119) 
 
(119,029) 
Gross profit 
 
116,424 
 
63,578 
Research and development expenses 
 
(37,729) 
 
(27,618) 
Selling, general and administrative expenses 
 
(91,995) 
 
(76,673) 
Restructuring and acquisition costs 
6 
(16,947) 
 
(1,017) 
Share based payment expenses 
5 
(8,341) 
 
(4,729) 
Operating loss before finance expense 
7 
(38,588) 
 
(46,459) 
Non-cash change in fair value of contingent consideration 
6 
18,407 
 
(27,827) 
Non-cash contingent value rights gain / (loss)  
6 
41,525 
 
(12,004) 
Net finance expense - other 
9 
(27,906) 
 
(19,569) 
Loss on ordinary activities before taxation 
 
(6,562) 
 
(105,859) 
Tax credit on loss on ordinary activities 
10 
7,562 
 
1,332 
Profit/(loss) for the year attributable to the equity holders of the Company 
 
1,000 
 
(104,527) 
Exchange translation differences which may be reclassified through profit or loss 
 
4,423 
 
(2,164) 
Total other comprehensive income/(loss)  
 
4,423 
 
(2,164) 
Total comprehensive income/(loss) for the year attributable to the equity 
holders of the Company 
 
5,423 
 
(106,691) 
 
 
 
 
 
Earnings/(loss) per share 
 
 
 
 
Basic earnings/(loss) per share attributable to ordinary equity holders of the 
parent (US$) 
11 
0.00 
 
(0.66) 
Diluted earnings/(loss) per share attributable to ordinary equity holders of the 
parent (US$) 
11 
0.00 
 
(0.66) 
 
The accompanying notes form an integral part of these consolidated financial statements. 

Amryt Pharma plc 
Consolidated Statement of Financial Position  
As at December 31, 2021 
Amryt Pharma plc 
P a g e  | 52 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
 
As at December 31, 
 
Note 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
Assets 
 
 
 
 
Non-current assets 
 
 
 
 
Goodwill 
12 
56,688 
 
19,131 
Intangible assets 
12 
467,359 
 
305,369 
Property, plant and equipment 
13 
7,416 
 
7,574 
Other non-current assets 
 
1,885 
 
1,542 
Total non-current assets 
 
533,348 
 
333,616 
Current assets 
 
 
 
 
Trade and other receivables 
14 
53,908 
 
43,185 
Inventories 
15 
115,769 
 
40,992 
Cash and cash equivalents, including restricted cash 
16 
113,032 
 
118,798 
Total current assets 
 
282,709 
 
202,975 
Total assets 
 
816,057 
 
536,591 
 
 
 
 
 
Equity and liabilities 
 
 
 
 
Equity attributable to owners of the parent 
 
 
 
 
Share capital 
17 
25,500 
 
13,851 
Share premium 
17 
318,153 
 
51,408 
Other reserves 
17 
246,303 
 
236,488 
Accumulated deficit 
 
(233,295) 
 
(235,605) 
Total equity 
 
356,661 
 
66,142 
Non-current liabilities 
 
 
 
 
Contingent consideration and contingent value rights 
6 
81,113 
 
148,323 
Deferred tax liability 
18 
17,772 
 
6,612 
Long term loan 
19 
93,395 
 
87,302 
Convertible notes 
20 
105,788 
 
101,086 
Provisions and other liabilities 
22 
4,049 
 
25,951 
Total non-current liabilities 
 
302,117 
 
369,274 
Current liabilities 
 
 
 
 
Trade and other payables 
21 
149,734 
 
90,236 
Provisions and other liabilities 
22 
7,545 
 
10,939 
Total current liabilities 
 
157,279 
 
101,175 
Total liabilities 
 
459,396 
 
470,449 
Total equity and liabilities 
 
816,057 
 
536,591 
 
 
 
 
 
The accompanying notes form an integral part of these consolidated financial statements. 
 
The Financial Statements were approved and authorized for issue by the Directors on May 31, 2022. They are signed on 
the Board’s behalf by: 
 
Joe Wiley 
Company Number: 
Director 
12107859 

Amryt Pharma plc 
Consolidated Statement of Cash Flows  
For the year ended December 31, 2021 
Amryt Pharma plc 
P a g e  | 53 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
 
Year ended December 31, 
 
Note 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
Cash flows from operating activities 
 
 
 
 
Profit/(loss) on ordinary activities after taxation 
 
1,000 
 
(104,527) 
Net finance expense - other 
9 
27,906 
 
19,569 
Depreciation and amortization 
12,13 
50,744 
 
44,465 
Amortization of inventory fair value step-up 
4,7 
4,418 
 
27,617 
Loss on disposal of fixed assets 
 
173 
 
133 
Share based payment expenses 
5 
8,341 
 
4,729 
Non-cash change in fair value of contingent consideration 
6 
(18,407) 
 
27,827 
Non-cash contingent value rights(gain)/loss 
6 
(41,525) 
 
12,004 
Deferred taxation credit 
 
(9,268) 
 
(535) 
Movements in working capital and other adjustments: 
 
 
 
 
    Change in trade and other receivables 
14 
(3,543) 
 
(7,685) 
    Change in trade and other payables 
21 
11,758 
 
8,909 
    Change in provision and other liabilities  
22 
(3,292) 
 
4,663 
    Change in inventories 
15 
(13,288) 
 
(10,609) 
    Change in non-current assets 
 
523 
 
331 
Net cash flow from operating activities 
 
15,540 
 
26,891 
 
 
 
 
 
Cash flow from investing activities 
 
 
 
 
Net cash received on acquisition of subsidiary 
6 
107,942 
 
— 
Payments for property, plant and equipment 
13 
(729) 
 
(1,503) 
Payments for intangible assets 
12 
(816) 
 
(963) 
Deposit interest received  
 
5 
 
87 
Net cash flow from / (used in) investing activities 
 
106,402 
 
(2,379) 
 
 
 
 
 
Cash flow from financing activities 
 
 
 
 
Proceeds from issue of equity instruments, net of expenses 
17 
4,701 
 
37,927 
Repayment of long term debt 
19 
(116,629) 
 
— 
Interest paid 
19 
(12,283) 
 
(10,780) 
Payment of leases 
 
(1,215) 
 
(1,119) 
Net cash flow (used in) / from financing activities 
 
(125,426) 
 
26,028 
 
 
 
 
 
Exchange differences and other movements 
 
(2,282) 
 
1,029 
 
 
 
 
 
Net change in cash and cash equivalents 
 
(5,766) 
 
51,569 
Cash and cash equivalents at beginning of the year 
 
118,798 
 
67,229 
Restricted cash at end of the year 
16 
261 
 
223 
Cash at bank available on demand at end of the year 
16 
112,771 
 
118,575 
Total cash and cash equivalents at end of the year 
16 
113,032 
 
118,798 
The accompanying notes form an integral part of these consolidated financial statements.

Amryt Pharma plc 
Consolidated Statement of Changes in Equity 
For the year ended December 31, 2021 
Amryt Pharma plc 
P a g e  | 54 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
Share 
capital 
Share 
premium 
Warrant 
reserve 
Treasury 
shares 
Share 
based 
payment 
reserve 
Merger 
reserve 
Reverse 
acquisition 
reserve 
Equity 
component 
of 
convertible 
notes 
Other 
distributable 
reserves 
Currency 
translation 
reserve 
Accumulated 
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 January 1, 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 December 31, 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 
Balance at January 1, 2021 
13,851 
51,408 
14,762 
(7,421) 
7,860 
42,627 
(73,914) 
29,210 
217,634 
5,730 
(235,605) 
66,142 
Profit for the year 
— 
— 
— 
— 
— 
— 
— 
— 
— 
— 
1,000 
1,000 
Foreign exchange translation reserve 
— 
— 
— 
— 
— 
— 
— 
— 
— 
4,423 
— 
4,423 
Total comprehensive loss 
— 
— 
— 
— 
— 
— 
— 
— 
— 
4,423 
1,000 
5,423 
Transactions with owners 
 
 
 
 
 
 
 
 
 
 
 
 
Issue of treasury shares in exchange for 
warrants 
17
23 
99 
— 
439 
— 
— 
— 
— 
— 
— 
— 
561 
Issue of treasury shares in exchange for share 
options exercised 
17
25 
89 
— 
465 
(191) 
— 
— 
— 
— 
— 
— 
388 
Issue of shares and treasury shares in 
exchange for warrants 
17
749 
7,496 
(14,762) 
6,517 
— 
— 
— 
— 
— 
— 
— 
— 
Issue of shares in consideration of Chiasma 
acquisition 
5,6
10,547 
249,789 
— 
— 
— 
— 
— 
— 
— 
— 
— 
260,336 
Share based payment reserve recognized on 
Chiasma acquisition 
17
— 
— 
— 
— 
10,157 
— 
— 
— 
— 
— 
— 
10,157 
Issue of shares for share options exercised and 
vesting of RSUs 
17
305 
9,272 
— 
— 
(4,264) 
— 
— 
— 
— 
— 
— 
5,313 
Share based payment expense 
5
— 
— 
— 
— 
8,341 
— 
— 
— 
— 
— 
— 
8,341 
Share based payment – Lapsed 
— 
— 
— 
— 
(1,310) 
— 
— 
— 
— 
— 
1,310 
— 
Total transactions with owners 
11,649 
266,745 
(14,762) 
7,421 
12,733 
— 
— 
— 
— 
— 
1,310 
285,096 
Balance at December 31, 2021 
25,500 
318,153 
— 
— 
20,593 
42,627 
(73,914) 
29,210 
217,634 
10,153 
(233,295) 
356,661 
The accompanying notes form an integral part of these consolidated financial statements. 
 
 

Amryt Pharma plc 
Company Statement of Financial Position 
As at December 31, 2021 
Amryt Pharma plc 
P a g e  | 55 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Balance sheet 
 
 
As at December 31,  
 
Note 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
Assets 
 
 
 
 
Non-current assets 
 
 
 
 
Investment in subsidiaries 
26 
619,960 
 
341,935 
Total non-current assets 
 
619,960 
 
341,935 
Current assets 
 
 
 
 
Trade and other receivables 
14 
26,263 
 
11,135 
Cash and cash equivalents 
16 
12,004 
 
38,364 
Total current assets 
 
38,267 
 
49,499 
Total assets 
 
658,227 
 
391,434 
 
 
 
 
 
Equity and liabilities 
 
 
 
 
Equity attributable to owners of the company  
 
 
 
 
Share capital 
17 
25,500 
 
13,851 
Share premium 
17 
318,153 
 
51,408 
Other reserves 
17 
270,406 
 
265,014 
Retained earnings 
 
21,983 
 
(6,767) 
Total equity 
 
636,042 
 
323,506 
Current liabilities 
 
 
 
 
Contingent value rights 
6 
19,892 
 
49,355 
Total non-current liabilities 
 
19,892 
 
49,355 
Current liabilities 
 
 
 
 
Trade and other payables 
21 
2,293 
 
18,573 
Total current liabilities 
 
2,293 
 
18,573 
Total liabilities 
 
22,185 
 
67,928 
Total equity and liabilities  
 
658,227 
 
391,434 
 
 
 
 
 
The accompanying notes form an integral part of these financial statements. 
 
The Company has taken advantage of the exemption permitted by Section 408 of the Companies Act 2006 not to present 
an income statement for the year. The Company's profit for the financial year ended December 31, 2021, was 
US$27,440,000 (2020: loss of US$5,535,000).  
 
The Financial Statements were approved and authorized for issue by the Directors on May 31, 2022. 
They are signed on the Board’s behalf by: 
 
 
Joe Wiley 
Company Number: 
Director 
12107859 
 
 
 
 
 
 

Amryt Pharma plc 
Company Statement of Cash Flows  
For the year ended December 31, 2021 
Amryt Pharma plc 
P a g e  | 56 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Statement of Cash Flows 
 
 
Year ended December 31, 
 
Note 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
Cash flows from operating activities 
 
 
 
 
Profit/(loss) on ordinary activities after taxation 
 
27,440 
 
(5,535) 
Share based payment expenses 
5 
809 
 
(245) 
Non-cash contingent value rights gain 
6 
(29,463) 
 
(58) 
Movements in working capital and other adjustments: 
 
 
 
 
    Change in other receivables 
14 
(15,128) 
 
(8,581) 
    Change in trade and other payables 
21 
(14,719) 
 
14,856 
Net cash flow (used in) / from operating activities 
 
(31,061) 
 
437 
 
 
 
 
 
Cash flow from financing activities 
 
 
 
 
Proceeds from issue of equity instruments, net of expenses 
17 
4,701 
 
37,927 
Net cash flow from financing activities 
 
4,701 
 
37,927 
 
 
 
 
 
Net change in cash at bank and in hand 
 
(26,360) 
 
38,364 
Cash at bank and in hand at beginning of the year 
 
38,364 
 
— 
Restricted cash at end of the year 
16 
— 
 
— 
Cash at bank available on demand at end of the year 
16 
12,004 
 
38,364 
Total cash at bank and in hand at end of the year 
16 
12,004 
 
38,364 
The accompanying notes form an integral part of these financial statements. 
 

Amryt Pharma plc 
Company Statement of Changes in Equity 
For the year ended December 31, 2021 
Amryt Pharma plc 
P a g e  | 57 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 Changes in Equity 
 
Share 
capital 
Share 
premium 
Warrant 
reserve 
Treasury 
shares 
Share 
based 
payment 
reserve 
Equity 
component 
of 
convertible 
notes 
Other 
distributable 
reserves 
Accumulated 
deficit 
Total 
Note
US$’000
US$’000
US$’000
US$’000
US$’000
US$’000
US$’000
US$’000
US$’000
Balance at January 1, 2020
11,918
2,422
29,523
(7,534)
3,190
29,210
220,603
(1,231)
288,101
Loss for the year
—
—
—
—
—
—
—
(5,535)
(5,535)
Total comprehensive loss
—
—
—
—
—
—
—
(5,535)
(5,535)
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 December 31, 2020
13,851
51,408
14,762
(7,421)
7,860
29,210
220,603
(6,767)
323,506
Balance at January 1, 2021
13,851
51,408
14,762
(7,421)
7,860
29,210
220,603
(6,767)
323,506
Profit for the year
—
—
—
—
—
—
—
27,440
27,440
Total comprehensive loss
—
—
—
—
—
—
—
27,440 
27,440
Transactions with owners
Issue of treasury shares in exchange for 
warrants 
17 
23 
99 
— 
439 
— 
— 
— 
— 
561 
Issue of treasury shares in exchange for share 
options exercised 
17 
25 
89 
— 
465 
(191) 
— 
— 
— 
388 
Issue of shares and treasury shares in 
exchange for warrants 
17 
749 
7,496 
(14,762) 
6,517 
— 
— 
— 
— 
— 
Issue of shares in consideration of Chiasma 
acquisition 
17 
10,547 
249,789 
— 
— 
— 
— 
— 
— 
260,336 
Share based payment reserve recognized on 
Chiasma acquisition 
5,6 
— 
— 
— 
— 
10,157 
— 
— 
— 
10,157 
Issue of shares for share options exercised and 
vesting of RSUs 
5 
305 
9,272 
— 
— 
(4,264) 
— 
— 
— 
5,313 
Share based payment 
5
—
—
—
—
8,341
—
—
—
8,341
Share based payment – Lapsed
—
—
—
—
(1,310)
—
—
1,310
—
Total transactions with owners
11,649
266,745
(14,762)
7,421
12,733
—
—
1,310
285,096
Balance at December 31, 2021
25,500
318,153
—
—
20,593
29,210
220,603
21,983
636,042
The accompanying notes form an integral part of these financial statements. 

Amryt Pharma plc 
Notes to the Financial Statements 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 58 
Annual Report  
 
 
for the year ended December 31, 2021 
 
1. General information 
 
Amryt is a global commercial-stage biopharmaceutical company focused on acquiring, developing and commercializing 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 is a company incorporated in England and Wales. The Company is listed on Nasdaq (ticker: AMYT). The Company 
was also listed on the AIM market of the London Stock Exchange (ticker: AMYT) up until January 11, 2022, on which date the 
Company completed the cancellation its admission to AIM. The cancellation was announced by the Company on November 22, 
2021, and following the AIM delisting, the Company’s American Depository Shares (“ADSs”) will remain listed, and will only be 
tradeable, on Nasdaq. The Company’s last day of trading on AIM was January 10, 2022.  
 
Amryt acquired Chiasma, Inc. (“Chiasma”) in August 2021. 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. Amryt’s commercial business comprises three orphan 
disease products – metreleptin (Myalept®/ Myalepta®); oral octreotide (Mycapssa®); and lomitapide (Juxtapid®/ Lojuxta®). 
 
Amryt's lead development candidate, Oleogel-S10 is a potential treatment for the cutaneous manifestations of Junctional and 
Dystrophic Epidermolysis Bullosa (EB), a rare and distressing genetic skin disorder affecting young children and adults for which 
there is currently no approved treatment. Filsuvez® has been selected as the brand name for Oleogel-S10. The product does not 
currently have regulatory approval to treat EB. On February 28, 2022, Amryt announced that the U.S. Food and Drug 
Administration (“FDA”) communicated that it had completed its review of the NDA for Oleogel-S10 and has determined that the 
application cannot be approved in its present form.  The FDA has asked Amryt to submit additional confirmatory evidence of 
effectiveness for Oleogel-S10 in EB.  Amryt intends to discuss with the FDA the nature of the data required to address the Agency’s 
concerns. The European Medicines Agency (“EMA”) review process for Oleogel-S10 in EB is ongoing and Amryt has responded to 
outstanding questions.  Given the rarity of the disease without any approved therapies, the EMA proposed that an Ad-Hoc Expert 
Group, comprised of both EB clinical experts and patients with EB, be consulted to provide external and independent EB specific 
advice. On April 22, 2022, the Committee for Medicinal Products for Human Use (“CHMP”) adopted a positive opinion, 
recommending the approval of Filsuvez® in the EU for the treatment of partial thickness wounds associated with dystrophic and 
junctional EB in patients six months and older. Based on this CHMP recommendation a decision by the European Commission 
(“EC”) is expected on the Filsuvez® application within 67 days. The CHMP positive opinion is supported by Phase 3 data from the 
EASE trial which was the largest ever global trial conducted in patients with EB, performed across 58 sites in 28 countries.   
 
The financial statements were authorized for issue by the Company’s Board of Directors on May 31, 2022. 
 
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 UK-adopted International Accounting 
Standards and are for the years ended December 31, 2021 and December 31, 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
(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 January 1, 2021, have been applied. These amendments and interpretations do not have significant impact on the 
disclosures or the amounts reported in these financial statements. 
 
 
COVID-19-Related Rent Concessions beyond June 30, 2021 (Amendment to IFRS 16) 
 
Interest Rate Benchmark Reform – Phase 2 (Amendments to IFRS 9, IAS 39, IFRS 7, IFRS 4 and IFRS16) 
 
(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 January 1, 2021, and have 
not been adopted for these consolidated financial statements. 
 
 
Amendments to IAS 1 Presentation of Financial Statements and IFRS Practice Statement 2: Disclosure of Accounting 
policies effective January 1, 2023 
 
Amendments to IAS 8 Accounting policies, Changes in Accounting Estimates and Errors: Definition of Accounting 
Estimates effective January 1, 2023 
 
Onerous contracts – cost of fulfilling a contract (Amendments to IAS 37), effective January 1, 2022 
 
Property, Plant and Equipment: Proceeds before Intended Use (Amendments to IAS 16), effective January 1, 2022 
 
Amendments to IFRS 3 Business Combinations, effective January 1, 2022 
 
Annual Improvements to IFRS Standards 2018–2020, effective January 1, 2022 
 
Classification of Liabilities as Current or Non-current (Amendments to IAS 1), effective January 1, 2023 
 
IFRS 17 Insurance Contracts and amendments to IFRS 17 Insurance Contracts, effective January 1, 2023 
 
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 December 31, 2021. 
 
Key considerations in assessing the going concern assumption included, but were not limited to, the significant cash balance held 
by the Company along with consistent positive operating cash flows, the continued growth in existing commercial produces, the 
positive impact from the increase in revenues from commercial sales of product candidates and additional indications of 
commercial products, if approved. The potential product candidates include Oleogel S-10, on which the CHMP adopted a positive 
opinion on April 22, 2022, recommending the approval of Filsuvez® in the EU for the treatment of partial thickness wounds 
associated with dystrophic and junctional EB in patients six months and older. Based on this CHMP recommendation a decision by 
the European Commission (“EC”) is expected on the Filsuvez® application within 67 days. Additional indications include the 
development for Mycapssa® in patients with carcinoid symptoms stemming from neuroendocrine tumors (“NET”) and label 
expansion for metreleptin in the treatment of partial lipodystrophy metreleptin (“PL”) in the US, each of which represent 
significant commercial opportunities. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
Basis of consolidation 
 
The financial statements comprise the financial statements of the Group for the years ended December 31, 2021, and 2020. 
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 unrealized 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.  
 
The following table discloses the major exchange rates of those currencies other than the functional currency of US$ that are 
utilized by the Group: 
Foreign currency units to 1 US$ 
€
£
ILS
NOK
DKK
Average period to December 31, 2021 
0.8454
0.7271
3.2322
8.5975
6.2875
At December 31, 2021 
0.8830
0.7413
3.1115
8.8074
6.5664
 
Foreign currency units to 1 US$ 
€
£
ILS
NOK
DKK
Average period to December 31, 2020 
0.8777
0.7799
3.4351
9.4206
6.5432
At December 31, 2020 
0.8141
0.7365
3.2148
8.5671
6.0570
 (€ = Euro; £ = Pounds Sterling, ILS = Israeli Shekel, 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 recognized in 
the period in which the estimate is revised if the revision affects only that period or in the period of the revision and future periods 
if the revision affects both current and future periods. 
 
The critical accounting policies which involve significant estimates, assumptions or judgements, the actual outcome of which could 
have a material impact on the Group and Company’s results and financial position outlined below, are as follows: 
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
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 September 24, 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: 
 
loan term and maturity; 
 
repayment profile during the loan term other than interest; 
 
level of loan security; and 
 
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 Chiasma acquisition and with the Aegerion acquisition, primarily related to developed technology on the commercially 
marketed products, and inventories which include raw material, work in progress ("WIP”) 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 
 
estimates of revenues and operating profits related to the products or product candidates;  
 
the probability of success for unapproved product candidates considering their stages of development;  
 
the time and resources needed to complete the development and approval of product candidates;  
 
projecting regulatory approvals; 
 
developing appropriate discount rates and probability rates by project; and 
 
tax implications, including the forecasted effective tax rate. 
 
Refer to Note 6, Business combinations and asset acquisitions, for further details. 
 
Inventories 
 
estimates of saleable inventory and non-saleable inventory, which was determined by a sales forecast and production 
timeline; and 
 
expected selling price and estimated costs of disposal. 
 
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 future events. If the events do not occur, 
the CVRs expire as worthless. The fair value of the CVRs is estimated based on the following key assumptions: 
 
 
expected timing of achievement of the two milestones (FDA approval and EMA approval) related to Oleogel-S10; 
 
probabilities of successful launch of Oleogel-S10; 
 
revenue forecast related to Oleogel-S10. 
 
The Company believes the carrying 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
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 amortized, 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 cash generating units (“CGUs”). 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 CGUs 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 utilized 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 recognized 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 commercialization 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 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 orphan drug research data and statistics, 
where available, and management’s expertise and experience for orphan drugs and taking into account the unique circumstances 
applying to approval process of each product. See Note 24, Fair value measurement and financial risk management, for 
quantification of these sensitivities. 
 
Research and development (“R&D”) expenses 
 
Development costs are capitalized as an intangible asset if all of the following criteria are met: 
 
completing the asset is technically feasible so that the asset will be available for use or sale; 
 
there is an intention to complete the asset and use or sell it; 
 
there is an ability to use or sell the asset; 
 
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; 
 
adequate technical, financial and other resources are available to complete the development of the asset and to use or 
sell it; and 
 
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 capitalized at the date of acquisition. Research costs are expensed 
when they are incurred. 
 
Factors which impact our judgement to capitalize 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. 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
The assessment whether development costs can be capitalized requires management to make significant judgements. 
Management has reviewed the facts and circumstances of each project in relation to the above criteria and in management’s 
opinion, the criteria prescribed for capitalizing development costs as assets have not yet been met by the Group in relation to 
Oleogel-S10 or AP103. Accordingly, all of the Group’s costs related to research and development projects are recognized as 
expenses in the Consolidated Statement of Comprehensive Income/(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. 
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 realizability 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 realized. The ultimate realization 
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 realizable. As 
at December 31, 2021, the Group did not recognize a deferred tax asset in respect of unused tax losses as described in Note 10, 
Tax credit on loss on ordinary activities. 
 
Revenue recognition  
 
Variable Consideration 
Product sales revenues are recognized at the net sales price (“transaction price”) which includes estimated reserves for variable 
consideration, upon the transfer of control of the Company’s products. Variable consideration primarily includes government 
rebates. Estimates of variable consideration are made at contract inception and historical experience, market trends, and industry 
data are considered when assessing such estimates. Variable consideration is included in the transaction price to the extent it is 
probable that a significant reversal of revenue will not occur. The Company reassesses variable consideration at the end of each 
reporting period as additional information becomes available with the variance recorded to product sales revenue.  
 
Inventory obsolescence  
Inventory realizability is evaluated on a case-by-case basis and adjustments are made to inventory provisions based on estimates 
of expected losses. Inventory write-offs include inventory that is approaching its “expiry” date and for which no further re-
processing can be performed. Trends in demand are reviewed to determine whether there are any instances where the realizable 
value of inventory is likely to be less than its carrying value. Refer to Note 15, Inventories, for further details. 
 
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 summarized below. They have been consistently applied throughout the period covered by the 
financial statements. 
 
Revenue recognition 
 
Revenue arises from the sale of metreleptin, lomitapide, Mycapssa® and Imlan. The Group sells directly to customers and also 
uses third parties in the distribution of products to customers. 
 
To determine whether to recognize revenue, the Group follows a five-step process, as required by IFRS 15: 
 
identifying the contract with a customer; 
 
identifying the performance obligations; 
 
determining the transaction price; 
 
allocating the transaction price to the performance obligations; and 
 
recognizing revenue when/as performance obligation(s) are satisfied. 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
Revenue from contracts with customers is recognized 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 
recognizes 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 recognizes 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 recognized 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 recognized 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. 
 
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: 
 
the Group is primarily responsible for fulfilling the promise to provide the promised goods; 
 
the Group bears the inventory risk before or after the goods have been ordered by the customer, during shipping or on 
return; 
 
the Group has the discretion in establishing the selling price of the goods to customers. The distributors’ consideration 
in these contracts is either the margin fee or commission; and 
 
the Group is exposed to the credit risk for the amounts receivable from the customers. 
 
Where the above criteria are met, the Group recognizes 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 
recognized in the cost of sales. 
 
Variable Consideration 
Product sales revenues are recognized at the net sales price (“transaction price”) which includes estimated reserves for variable 
consideration, upon the transfer of control of the Company’s products.  
 
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 recognized when the Group or Company 
becomes party to the contractual provisions of the instrument. Financial assets are de-recognized 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-recognized 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
Financial assets, other than those designated and effective as hedging instruments, are classified into the following categories: 
 
amortized cost; 
 
fair value through profit or loss (“FVTPL”); and 
 
fair value through other comprehensive income (“FVOCI”). 
 
The Group or Company did not have any financial assets categorized as FVTPL or FVOCI as at December 31, 2021 and 2020. The 
classification is determined by both: 
 
the Group and Company’s business model for managing the financial asset; and 
 
the contractual cash flow characteristic of the financial asset. 
Subsequent measurement of financial assets 
 
Financial assets at amortized cost 
 
Financial assets are measured at amortized cost if the assets meet the following conditions (and are not designated as FVTPL): 
 
they are held within a business model whose objective is to hold the financial assets and collect its contractual cash flows; 
and 
 
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 amortized 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 deposits in relation to company credit card facilities, leases and importation bonds. 
 
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 recognizes 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 recognizes a loss allowance based on lifetime ECLs at each reporting 
date when applicable. The Group and Company assesses ECL based on its historical credit loss experience, adjusted for forward-
looking factors specific to the debtors and the economic environment. 
 
Financial liabilities 
 
Financial liabilities are categorized as “fair value through profit or loss” or “other financial liabilities measured at amortized costs 
using the effective interest method.” 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
Trade and other payables 
 
Trade and other payables are initially measured at their fair value and are subsequently measured at their amortized cost using 
the effective interest rate method except for short-term payables when the recognition of interest would be immaterial. 
 
Provisions 
 
Provisions are recognized 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 recognized 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). 
 
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 recognized 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 recognized initially at fair value less attributable transaction costs. Loans and 
borrowings are subsequently carried at amortized cost using the effective interest method. Interest is charged to the Consolidated 
Statement of Comprehensive Income/(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 amortized cost. Interest is calculated by applying the estimated prevailing market interest 
rate at the time of issue. The equity component is recognized in equity and is not subsequently remeasured. 
Contingent consideration 
 
Contingent consideration arising as a result of business combinations is initially recognized 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 recognized in the Consolidated Statement of Comprehensive Income/(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 recognized amounts and there is an intention to settle 
on a net basis, or to realize the asset and settle the liability simultaneously. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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for the year ended December 31, 2021 
Inventories 
 
Inventories, that are not acquired as part of a business combination, are valued at the lower of cost or net realizable 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, labor, efficiency and capacity utilization with the Group’s vendors. WIP valuation is based on the stage of quality 
checks successfully performed during the production process. An inventory valuation adjustment is made if the net realizable 
value is lower than the book value. Net realizable 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 recognized as a liability of the Group. 
 
Inventories acquired as part of a business acquisition is valued at fair value as at the acquisition date. Fair value is based on 
estimates of saleable inventory and non-saleable inventory, which was determined by a sales forecast and production timeline 
and expected selling price and estimated costs of disposal. The resulting step up in the valuation of saleable inventory on 
acquisition is unwound over the period in which the saleable inventory is sold. 
 
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: 
 
the underlying asset is identified in the contract; and 
 
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 recognize 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 recognized at the present value of the following payments, when applicable: 
 
fixed lease payments (including in-substance fixed payments), less any lease incentives receivable; 
 
variable lease payments (linked to an index or interest rate); 
 
expected payments under residual value guarantees; 
 
the exercise price of purchase options, where exercise is reasonably certain; 
 
lease payments in optional renewal periods, where exercise of extension options is reasonably certain; and 
 
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 amortized 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Right-of-use assets 
 
The Group recognizes 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: 
 
the initial lease liability amount; 
 
initial direct costs incurred when entering into the lease; 
 
(lease) payments before commencement date of the respective lease; 
 
an estimate of costs to dismantle and remove the underlying asset; and  
 
less any lease incentives received. 
 
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 
recognized in the Consolidated Statement of Comprehensive Income/(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 recognized 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 equipmen. 
 
Depreciation is charged to the Consolidated Statement of Comprehensive Income/(Loss) on a straight-line basis to write-off the 
cost of the assets over their expected useful lives as follows: 
 
Property, plant and machinery 
5 to 15 years 
 
Office equipment 
3 to 10 years 
 
Government grants 
 
Grants are recognized 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 Income/(Loss) on a systematic 
basis as the Group recognizes 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Business combinations 
 
Business combinations, including the Chiasma 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 restructuring and acquisition costs. 
 
To the extent that settlement of all or any part of the consideration for a business combination is deferred, the fair value of the 
deferred component is determined through discounting the amounts payable to their present value at the date of the exchange. 
The discount component is unwound as an interest charge in the Consolidated Statement of Comprehensive Income/(Loss) over 
the life of the obligation. Any contingent consideration is recognized 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 recognized 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. 
 
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 recognized 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 amortization and impairments, if applicable. 
 
In connection with the acquisition of Chiasma, the Group acquired developed technology related to Mycapssa®, which is amortized 
over the remaining patent lives through February 2036. 
 
In connection with the acquisition of Aegerion, the Group acquired developed technology on metreleptin and lomitapide, which 
are amortized 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 amortized as the assets are 
still under development. 
 
Acquired intangible assets outside business combinations are stated at the lower of cost less provision for amortization and 
impairment or the recoverable amount. Acquired intangible assets are amortized 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: 
 
Software and hardware 
3 to 10 years 
 
Website development 
5 to 10 years 
 
Factors which impact our judgement to capitalize 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 70 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 amortized, but instead is reviewed for impairment on an annual basis 
or when an event becomes known that could trigger an impairment.  
 
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 Income/(Loss). 
 
The Group assesses each asset or cash-generating unit annually to determine whether any indication of impairment exists. Where 
an indicator of impairment exists, a formal estimate of the recoverable amount is made, which is considered to be the higher of 
the carrying value and an assets recoverable amount (the greater of fair value less costs to sell 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. Value in use is 
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 recognized 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 utilized. 
 
In connection with business combinations, deferred tax balances are recognized 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 recognized 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 recognized 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 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 71 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
awards expected to vest is recognized 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. 
 
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 recognized 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. 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 recognized in the Consolidated Statement of Comprehensive Income/(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. 
 
Earnings/Loss per share  
 
Basic earnings per share 
 
Basic earnings per share is calculated by dividing: 
 
the profit attributable to owners of the company, excluding any costs of servicing equity other than ordinary shares 
 
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: 
 
the after-income tax effect of interest and other financing costs associated with dilutive potential ordinary shares, and 
 
the weighted average number of additional ordinary shares that would have been outstanding assuming the conversion 
of all dilutive potential ordinary shares. 
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 72 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
3. Segment information 
 
The Group is a global, commercial-stage biopharmaceutical company dedicated to commercializing 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 
commercialization of three commercial products and a number of 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 summarizes 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 current year revenues include 
Mycapssa® revenue following the acquisition of Chiasma on August 5, 2021. The 2019-year revenues include revenue from 
Aegerion, with acquired products and additional regions, from September 24, 2019. 
 
December 31, 2021 
 
U.S. 
EMEA 
Other 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
Metreleptin 
70,216 
51,769 
19,257 
141,242 
Lomitapide 
32,901 
28,601 
12,365 
73,867 
Mycapssa® 
6,407 
— 
— 
6,407 
Other 
— 
766 
261 
1,027 
Total revenue 
109,524 
81,136 
31,883 
222,543 
 
 
December 31, 2020 
 
U.S. 
EMEA 
Other 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
Metreleptin 
60,568 
32,494 
13,810 
106,872 
Lomitapide 
37,317 
26,144 
11,289 
74,750 
Mycapssa® 
— 
— 
— 
— 
Other 
— 
763 
222 
985 
Total revenue 
97,885 
59,401 
25,321 
182,607 
 
Major Customers 
 
For the year ended December 31, 2021, one customer accounted for 46% of the Group’s net revenues (2020: 54%) and accounted 
for 36% of the Group’s December 31, 2021, accounts receivable balance (2020: 42%).  
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 73 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
4. Cost of sales 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Cost of product sales 
22,029 
 
21,796 
Write-down of inventories (see Note 15) 
5,688 
 
4,058 
Reversal of write-down of inventories (see Note 15) 
(932) 
 
— 
Amortization of acquired intangibles (see Note 12) 
48,944 
 
42,966 
Amortization of inventory fair value step-up (see Note 15) 
4,417 
 
27,617 
Royalty expenses 
25,973 
 
22,592 
Total cost of sales 
106,119 
 
119,029 
 
As a result of the acquisition of Chiasma and Aegerion in August 2021 and September 2019, respectively, 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 utilized to estimate the fair value. Refer to Note 15, Inventories, for further discussion on the 
write-down of inventories. The difference between the estimated fair value and the book value of the acquired inventory was 
amortized, using the straight-line method, over the estimated period that the Group intends to sell this inventory. 
 
5. Share based payments 
 
 
Share-based Compensation Plans 
Amryt’s Equity Incentive Plan 
Amryt’s Equity Incentive Plan was adopted by a special resolution on September 23, 2019. Prior to such date, we granted options 
under a prior employee share option plan, which had the same terms and conditions as the Equity Incentive Plan. On September 
24, 2019, all options held under our prior share option plan were rolled over into options to subscribe for our ordinary shares with 
the key terms including strike price, vesting and the expiration date of such rolled over options remaining the same as they were 
on the issue date of the options under the prior share option plan. The Equity Incentive Plan was approved for amendment by the 
Board on May 18, 2020, and August 3, 2021. The purpose of the Plan is to provide for the granting of Equity Incentives to Directors 
and Employees of, and Consultants to, the Company or any Associated Company. 
 
On July 10, 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 under the 
Amryt’s Equity Incentive Plan outstanding at January 1, 2019 and the share options granted and lapsing during the year ended 
December 31, 2019 have been restated to reflect the 2019 6-for-1 share consolidation. 
 
Chiasma Equity Incentive Plan 
When Amryt acquired Chiasma in August 2021, the Chiasma Stock Option and Incentive Plan transferred across to Amryt. Each 
outstanding and unexercised Chiasma Stock Option or RSU, whether vested or not vested, ceased to represent a right to acquire 
shares of Chiasma common stock and were converted into an option to purchase Amryt ADSs on the same terms and conditions 
as were applicable under such Chiasma Stock Option and Incentive Plan immediately prior to the acquisition.  
 
No new stock option or RSUs will be granted under the Chiasma stock option and incentive plan.  
 
Terms and Conditions of New Grants and Grants Under the Chiasma Equity Incentive Plan 
The terms and conditions of new 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). There are no market conditions associated with the share option vesting periods. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 74 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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, some options will automatically accelerate and become exercisable in full as of a date 
specified by the Board of Directors. 
 
The number and weighted average exercise price (in Sterling pence) of share options per ordinary share granted under Amryt’s 
Equity Incentive Plan and the Chiasma stock option and incentive plan is as follows: 
 
 
Amryt Equity  
Incentive Plan 
Chiasma Stock Option and 
Incentive Plan 
 
Units 
Weighted 
average 
exercise price 
(Sterling pence) 
Units 
Weighted 
average 
exercise price 
(Sterling pence) 
Balance at January 1, 2020  
14,481,720 
116.00p 
— 
— 
Granted  
4,432,000 
144.76p 
— 
— 
Lapsed 
(87,119) 
113.42p 
— 
— 
Exercised 
(72,953) 
120.72p 
— 
— 
Outstanding at December 31, 2020 
18,753,648 
122.79p 
— 
— 
Exercisable at December 31, 2020 
5,866,152 
114.24p 
— 
— 
 
 
 
 
 
Balance at January 1, 2021 
18,753,648 
122.79p 
— 
— 
Granted 
11,337,459 
190.88p 
— 
— 
Transferred to Amryt on acquisition 
— 
— 
18,139,060 
189.07p 
Forfeited 
(1,288,165) 
174.97p 
(4,098,425) 
226.22p 
Exercised 
(300,000) 
93.00p 
(3,320,515) 
116.35p 
Outstanding at December 31, 2021  
28,502,942 
147.83p 
10,720,120 
197.40p 
Exercisable at December 31, 2021 
9,347,338 
118.87p 
8,005,390 
192.35p 
 
The fair value of the Amryt equity award 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 fair value of the Chiasma equity awards transferred to Amryt on acquisition 
were measured in accordance with IFRS 2. The portion of the value of the equity transferred to Amryt attributable to pre-
combination service is included in the consideration at the date of acquisition. The portion of the equity awards transferred to 
Amryt attributable to post combination service is estimated at the date of transfer using 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: 
 
December 31, 
2021 
Options Inputs 
December 31, 
2020 
Options Inputs 
Days to Expiration 
2,555 
2,555 
Volatility 
32% - 49% 
33% - 37% 
Risk free interest rate 
0.77% - 1.33% 
0.39% - 0.46% 
Share price at grant per ordinary share 
146.87 - 201.2p 
123.5p – 178.9p 
Share price at grant per ADS 
29.37 - 40.2p 
24.7p – 35.78p 
 
In the year ended December 31, 2021, a total of 11,337,459 share options over ordinary shares exercisable at a weighted average 
price of £1.91 were granted. The fair value of share options granted in the year ended December 31, 2021, was 
£21,641,094/US$29,818,000.  
 
The share options outstanding under the Amryt 2021 Equity Incentive Plan as at December 31, 2021 have a weighted remaining 
contractual life of 5.42 years with exercise prices ranging from £0.76 to £2.012 per ordinary share.  
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 75 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
The share options outstanding under the Chiasma Share Option and Incentive Plan transferred across to Amryt on acquisition. As 
at December 31, 2021 they have a weighted remaining contractual life of 4.35 years with exercise prices ranging from £0.54 to 
£7.41 per ordinary share. No new share options will be granted under the Chiasma Stock Option and Incentive Plan. 
 
In the year ended December 31, 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 December 31, 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 31, 2020, have a weighted remaining contractual life of 5.45 years with exercise 
prices ranging from £0.76 to £1.79.  
 
Restricted Share Units 
Under the terms of Amryt’s Equity Incentive Plan, restricted share units (“RSUs”) to purchase 1,568,755 ordinary shares were 
outstanding at December 31, 2021. 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 December 31, 2021, a total of 625,205 RSUs were 
granted to employees of the Company. For the year ended December 31, 2020, a total of 1,556,960 RSUs were granted to 
employees of the Company. 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 December 31, 2021, was US$1,636,000. At December 31, 
2021, the total RSUs granted to date have a weighted remaining contractual life of 1.9 years.  
 
Under the terms of Chiasma’s Stock Option and Incentive Plan transferred to Amryt on acquisition, restricted share units (“RSUs”) 
to purchase 106,560 ordinary shares were outstanding at December 31, 2021. At December 31, 2021, the total RSUs granted to 
date have a weighted remaining contractual life of 1.9 years. No new RSUs will be granted under the Chiasma Stock Option and 
Incentive Plan. 
 
The following table summarizes the RSU activity per ordinary share for the year: 
 
Amryt Equity 
Incentive Plan 
Chiasma Stock Option and 
Incentive Plan 
 
Units 
Weighted 
average fair 
value (US$) 
Units 
Weighted 
average fair 
value (US$) 
Balance at January 1, 2020 
— 
— 
— 
— 
Granted 
1,556,960 
$2.34 
— 
— 
Lapsed 
(7,050) 
$2.32 
— 
— 
Exercised 
— 
— 
— 
— 
Outstanding at December 31, 2020  
1,549,910 
$2.34 
— 
— 
Balance at January 1, 2021  
1,549,910 
$2.34 
— 
— 
Granted  
625,205 
$2.62 
— 
— 
Transferred to Amryt on acquisition 
— 
— 
202,145 
$2.75 
Lapsed 
(243,505) 
$2.35 
(56,405) 
$2.75 
Vested 
(362,855) 
$2.34 
(39,180) 
$2.75 
Outstanding at December 31, 2021 
1,568,755 
$2.44 
106,560 
$2.75 
 
Warrants 
There are no outstanding warrants at December 31, 2021 (December 31, 2020: 9,312,062). In August 2021, an Amryt institutional 
investor exercised subscription rights relating to 8,966,520 zero cost warrants. These warrants were issued in September 2019 as 
part of the Company’s acquisition of Aegerion. Certain institutional investors elected to receive warrants to subscribe for new 
ordinary shares of £0.06 each in Amryt (“Ordinary Shares”), in place of the same number of Ordinary Shares, as consideration for 
the Company’s acquisition of Aegerion and their equity investments in the Company in September 2019. Each warrant entitled 
the holder to subscribe for one Ordinary Share for no additional consideration. 
 
Separate warrants consisting of 345,542 as at December 31, 2020, which were issued in connection with the admission to the AIM 
in 2016, are no longer outstanding; 283,389 warrants were exercised in March 2021 and 62,153 warrants lapsed in April 2021.  
 
The 2016 Warrants outstanding as at December 31, 2020 have a weighted remaining contractual life of 0.3 years with an exercise 
price of £1.44.  

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 76 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
The number and weighted average exercise price (in Sterling pence) of warrants per ordinary share is as follows: 
 
Warrants 
 
Units 
Weighted average 
exercise price 
(Sterling pence) 
Balance at January 1, 2020  
17,541,815 
0.03p 
Granted  
— 
— 
Lapsed 
— 
— 
Exercised 
(8,229,753) 
— 
Outstanding at December 31, 2020 
9,312,062 
0.05p 
Exercisable at December 31, 2020 
9,312,062 
0.05p 
Balance at January 1, 2021 
9,312,062 
0.05p 
Granted 
— 
— 
Lapsed 
(62,153) 
1.44p 
Exercised 
(9,249,909) 
0.05p 
Outstanding at December 31, 2021 
— 
0.00p 
 
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 recognized in equity 
with a corresponding expense recognized in the Company Statement of Comprehensive loss. For the share options and RSUs of 
employees that are not employed by the Company, the Company recognizes the share-based payment in equity with a 
corresponding increase in the investment in subsidiary in the Company Statement of Financial Position.  
 
The value of share options and RSU’s charged to the Consolidated Statement of Comprehensive Income/(Loss) during the year are 
detailed below: 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Share option expense 
6,531 
 
4,134 
RSU expense 
1,810 
 
595 
Total share option expense 
8,341 
 
4,729 
 
 
 
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
6. Business combinations and asset acquisitions 
 
Acquisition of Chiasma 
 
On May 5, 2021, Amryt announced that it had signed a definitive agreement to acquire Chiasma, Inc. (Nasdaq: CHMA) in an all-
stock combination. Under the terms of the transaction, each share of Chiasma common stock issued and outstanding prior to the 
consummation of the transaction was exchanged for 0.396 Amryt American Depositary Shares (“ADSs”), each representing five 
Amryt ordinary shares.  
 
On August 5, 2021, Amryt completed the acquisition of Chiasma, Inc. and, in conjunction with the completion, Amryt allotted and 
issued a total of 127,733,680 ordinary shares as consideration for the acquisition. Following the completion, shareholdings in 
Chiasma were rounded in being converted to Amryt shares using the exchange ratio of 0.396. Roundings in converting Chiasma 
shareholdings to Amryt shares were finalized in August 2021 and resulted in an additional 7,015 ordinary shares being allotted 
and issued by Amryt as consideration for the acquisition. In total, these ordinary shares were issued to the former Chiasma 
Shareholders in the form of 25,548,139 ADSs at US$10.19 per share, to acquire Chiasma for a value of US$260,336,000.  
 
On August 5, 2021, Chiasma had outstanding equity awards that were held by Chiasma employees. The fair value of these awards 
transferred to Amryt on acquisition were measured in accordance with IFRS 2. The portion of the value of the equity transferred 
to Amryt attributable to pre-combination service is included in the consideration at the date of acquisition and this amounted to 
US$10,157,000. 
 
On August 5, 2021, the Group repaid US$116,629,000 of Chiasma long term debt. 
 
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 table below reflects the fair value of the identifiable net assets acquired in respect of the acquisition completed during the 
period. Any amendments to fair values will be made within the twelve-month period from the date of acquisition, as permitted 
by IFRS 3: Business Combinations. 
 
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. 
 
In the post-acquisition period to December 31, 2021, the business acquired during the current year contributed revenue of 
US$6,407,000 and a trading loss of US$22,602,000 including restructuring and acquisition costs, to the Group’s results. The full 
year unaudited revenue and trading loss for the Group had the acquisitions taken place at the start of the year, would have been 
US$228,554,000 and US$82,532,000, respectively. 
 
The gross contractual value of trade and other receivables as at the dates of acquisition amounted to US$7,180,000, which 
approximated the fair value of these accounts as the amount not expected to be collected was insignificant. 
 
The Group incurred acquisition and restructuring related costs of US$16,947,000 for the year ended December 31, 2021, relating 
to external legal fees, advisory fees, due diligence costs and severance costs related to the acquisition of Chiasma. These costs 
have been included in operating costs in the Consolidated Statement of Comprehensive Income/(Loss). 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 78 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
Recognized Fair Values as at August 5, 2021 
 
US$’000 
Assets 
 
Non-current assets 
 
Intangible Assets 
215,000 
Property, plant and equipment 
950 
Other non-current assets 
866 
Total non-current assets 
216,816 
 
 
Current assets 
 
Trade and other receivables 
7,180 
Inventories 
65,907 
Cash and cash equivalents, including restricted cash 
107,942 
Total current assets 
181,029 
Total assets 
397,845 
 
 
Non-current liabilities 
 
Deferred tax liability 
21,478 
Total non-current liabilities 
21,478 
 
 
Current liabilities 
 
Trade and other payable 
144,482 
Total current liabilities 
144,482 
Total liabilities 
165,960 
 
 
Total identifiable net assets at fair value 
231,885 
Goodwill arising on acquisition 
38,608 
Consideration 
270,493 
 
 
Consideration 
 
Issue of fully paid up ordinary shares 
260,336 
Chiasma equity awards recognized as consideration 
transferred upon the acquisition of Chiasma 
10,157 
Total consideration 
270,493 
 
Any amendments to these fair values within the twelve-month timeframe from the date of acquisition will be disclosed in the 
2022 consolidated financial statements, as stipulated by IFRS 3.  
 
Acquisition of Aegerion Pharmaceuticals 
 
On May 20, 2019, Amryt entered into a Restructuring Support Agreement (as subsequently amended on June 12, 2019) and Plan 
Funding Agreement pursuant to which, among other matters, Amryt agreed to the acquisition of Aegerion Pharmaceuticals, Inc. 
(‘‘Aegerion’’, subsequently renamed as Amryt Pharmaceuticals Inc.), a former wholly-owned subsidiary of Novelion Therapeutics 
Inc. (‘‘Novelion’’). On May 20, 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 September 24, 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. 
 
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. As at December 31, 2021, no zero cost warrants were remaining. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 79 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
During the year ended December 31, 2021, the Group incurred no additional acquisition and restructuring related costs relating 
to external legal fees, advisory fees, due diligence costs and severance costs related to the acquisition of Aegerion (2020: 
US$1,017,000).  
 
Contingent Value Rights 
Related to the Aegerion acquisition, 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 September 20, 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: 
 
The total CVR payable is up to US$85,000,000 
 
This is divided into three milestones which are related to the success of Oleogel-S10 (the Group’s lead development asset) 
 
FDA approval 
o 
US$35,000,000 upon FDA approval 
o 
100% of the amount due if approval is obtained before December 31, 2021, with a sliding scale on a linear basis 
to zero if before July 1, 2022 
 
EMA approval 
o 
US$15,000,000 upon EMA approval 
o 
100% of the amount due if approval is obtained before December 31, 2021, with a sliding scale on a linear basis 
to zero if before July 1, 2022 
 
Revenue targets 
o 
US$35,000,000 upon Oleogel-S10 revenues exceeding US$75,000,000 in any 12-month period prior to June 30, 
2024 
 
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 of Aegerion. 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 recognize the CVR as a distribution on consolidation instead of goodwill. 
 
Measurement of CVRs 
As at December 31, 2021, the carrying value in the Consolidated financial statements of the CVRs was US$19,892,000 (December 
31, 2020: US$61,417,000). In the Company financial statements, the carrying value of the CVRs as at December 31, 2020, was 
US$49,355,000. The difference in the carrying value as at December 31, 2020, in the Company financial statements compared to 
the Consolidated financial statements is due to the timing of approval of financial statements and driven by additional information 
available on the conditions as at the reporting date. Separate to the previously issued audited consolidated financial statements 
for the year December 31, 2020, for the Company and its subsidiaries, Company only accounts were prepared for statutory filings 
for the period ended December 31, 2020.  
 
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 
probability chance of success, based on management’s expertise and experience for orphan drugs and taking into account the 
unique circumstances applying to approval process of this product, was estimated at 60% for the FDA approval (2020: 89%) and 
100% for the EMA approval (2020: 89%) in the year ended December 31, 2021. This estimate reflects the current facts and 
circumstances as of the date of issuance of the Consolidated Financial Statements. The probability chance of success was updated 
in 2021 following the receipt of a CRL from the FDA, which asked Amryt to submit additional confirmatory evidence of 
effectiveness for Oleogel-S10 in EB, and following positive opinion adopted by the CHMP, recommending the approval of Filsuvez® 
in the EU for the treatment of partial thickness wounds associated with dystrophic and junctional EB in patients six months and 
older. Based on this CHMP recommendation a decision by the EC is expected on the Filsuvez® application within 67 days. The 
CHMP positive opinion is supported by Phase 3 data from the EASE trial which was the largest ever global trial conducted in 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 80 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
patients with EB, performed across 58 sites in 28 countries. 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 December 31, 2021, based on the 
applicable rates determined on the acquisition date. Management was required to make certain estimates and assumptions in 
relation to revenue forecasts, timing of revenues and probability of achievement of commercialization 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 Income/(Loss) over the life of the obligation. It is reviewed on a 
quarterly basis and the appropriate finance charge or gain is booked in the Consolidated Statement of Comprehensive 
Income/(Loss) on a quarterly basis. The Group received positive topline data from the phase 3 EASE trial of Oleogel-S10 in 
September 2020. The product does not currently have regulatory approval to treat EB but has been submitted to the FDA for 
approval and in June 2021, Amryt received confirmation from the FDA that its NDA for Oleogel-S10 had been accepted and granted 
priority review. On February 28, 2022, Amryt announced that the FDA communicated that it had completed its review of the NDA 
for Oleogel-S10 and has determined that the application cannot be approved in its present form.  The FDA has asked Amryt to 
submit additional confirmatory evidence of effectiveness for Oleogel-S10 in EB.  Amryt intends to discuss with the FDA the nature 
of the data required to address the Agency’s concerns. In Europe, a MAA for Oleogel-S10 was accepted for assessment by the EMA 
in March 2021. The positive opinion recommends the approval of Filsuvez® in the EU for the treatment of partial thickness wounds 
associated with dystrophic and junctional EB in patients six months and older. Based on this CHMP recommendation a decision by 
the EC is expected on the Filsuvez® application within 67 days. 
 
The total non-cash gain recognized in the Consolidated Statement of Comprehensive Income/(Loss) for the year ended December 
31, 2021, is US$41,525,000 (2020: US$12,004,000 charge).  
 
Acquisition of Amryt GmbH (previously “Birken”) 
 
Amryt DAC signed a conditional share purchase agreement to acquire Amryt GmbH on October 16, 2015 (“Amryt GmbH SPA”). 
The Amryt GmbH SPA was completed on April 18, 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: 
 
 
Milestone payments of: 
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; 
 
Royalties of 9% on sales of Oleogel-S10 products for 10 years from first commercial sale.  
 
Fair Value Measurement of Contingent Consideration 
As at December 31, 2021, the fair value of the contingent consideration was estimated to be US$61,221,000 (December 31, 2020: 
US$86,906,000). The fair value of the contingent consideration included milestone payments determined using probability 
adjusted present values and probability weighted revenue forecasts (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 probability chance of 
success, based on management’s expertise and experience for orphan drugs and taking into account the unique circumstances 
applying to approval process of the product, was estimated at 60% for the FDA approval (2020: 89%) and 100% for the EMA 
approval (2020: 89%) in the year ended December 31, 2021. This estimate reflects the current facts and circumstances as of the 
date of issuance of the Consolidated Financial Statements. The probability chance of success was updated in 2021 following the 
receipt of a CRL from the FDA, which asked Amryt to submit additional confirmatory evidence of effectiveness for Oleogel-S10 in 
EB, and following the positive opinion adopted by the CHMP, recommending the approval of Filsuvez® in the EU for the treatment 
of partial thickness wounds associated with dystrophic and junctional EB in patients six months and older. Based on this CHMP 
recommendation a decision by the EC is expected on the Filsuvez® application within 67 days. The CHMP positive opinion is 
supported by Phase 3 data from the EASE trial which was the largest ever global trial conducted in patients with EB, performed 
across 58 sites in 28 countries. A discount rate of 7.9% was used in the calculation of the fair value of the contingent consideration 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 81 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
for the year ended December 31, 2021 (December 31, 2020: 14.4%). The decrease in the discount rate is mainly driven by the 
change in Group over the last 12 months where the Group has significantly de-risked with growth in commercial revenues, the 
acquisition of new commercial assets in 2021, refinancing of long term debt which reduced the Group’s cost of debt significantly 
and extended the repayment of long term debt, the positive developments on product candidates and significant cash balances 
held during the year. 
 
Amryt reviews the expected cash flows on a regular basis as the discount on initial recognition is being unwound as financing 
expense/gain in the Consolidated Statement of Comprehensive Income/(Loss) over the life of the obligation. It is reviewed on a 
quarterly basis and the appropriate finance charge or gain is booked in the Consolidated Statement of Comprehensive 
Income/(Loss) on a quarterly basis. The Group received positive topline data from the phase 3 EASE trial of Oleogel-S10 in 
September 2020. The product does not currently have regulatory approval to treat EB but has been submitted to the FDA for 
approval and in June 2021, Amryt received confirmation from the FDA that its NDA for Oleogel-S10 had been accepted and granted 
priority review.  On February 28, 2022, Amryt announced that the FDA communicated that it had completed its review of the NDA 
for Oleogel-S10 and has determined that the application cannot be approved in its present form.  The FDA has asked Amryt to 
submit additional confirmatory evidence of effectiveness for Oleogel-S10 in EB.  Amryt intends to discuss with the FDA the nature 
of the data required to address the Agency’s concerns. In Europe, a MAA for Oleogel-S10 was accepted for assessment by the EMA 
in March 2021. The positive opinion recommends the approval of Filsuvez® in the EU for the treatment of partial thickness wounds 
associated with dystrophic and junctional EB in patients six months and older. Based on this CHMP recommendation a decision by 
the EC is expected on the Filsuvez® application within 67 days. 
 
The total non-cash finance gain recognized in the Consolidated Statement of Comprehensive Income/(Loss) for the year ended 
December 31, 2021, is US$18,407,000 (2020: US$27,827,000 charge). 
 
7. Operating loss for the year 
 
Operating loss for the year is stated after charging/(crediting): 
 
December 31, 
 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
 
Audit fees payable to the Group’s auditor and their 
associates 
893 
 
814 
 
Audit-related fees payable to the Group’s auditor and 
their associates 
92 
 
44 
 
Changes in inventory expensed (excluding fair value 
step-up) 
26,783 
 
25,854 
 
Amortization of inventory fair value step-up 
4,417 
 
27,617 
 
Research and development expenses 
37,729 
 
27,618 
 
Grant income 
(1,007) 
 
(103) 
 
Share based payments 
8,341 
 
4,729 
 
Pension costs 
1,763 
 
1,284 
 
Depreciation of property, plant and equipment 
1,653 
 
1,297 
 
Amortization of intangible assets 
49,091 
 
43,168 
 
Operating lease rentals 
189 
 
623 
 
Foreign exchange loss/(gain) 
4,141 
 
(2,699) 
 
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 82 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
8. Employees 
 
Including the directors, the Group and Company’s average number of employees during the year was 241 (2020: 174) and seven 
(2020: six), respectively. Further details on remuneration of the Group’s directors and Company’s employees are included in the 
Directors’ Remuneration Report on page 28. 
 
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: 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Wages and salaries 
46,983 
 
32,688 
Social security costs 
4,225 
 
3,431 
Pension costs - employees 
1,643 
 
1,213 
Directors' remuneration 
3,138 
 
2,158 
Shared based payments 
8,341 
 
4,729 
Total employee costs 
64,330 
 
44,219 
 
Aggregate remuneration attributable to the highest-paid director amounted to US$3,479,000 (2020: US$1,719,000). The 
directors of the Company held the following share options over shares of Amryt Pharma plc at December 31, 2021: 
 
December 31, 2021 
Director 
Number 
Exercise price 
Expiration Date 
Joseph Wiley 
2,031,350 
$2.804 
March 7, 2028 
Joseph Wiley 
6,437,460 
£0.76p - £121.50p 
November 28, 2024 
- November 4, 2026 
Raj Kannan 
3,189,995 
$2.04 - $4.08 
August 8, 2028 – 
February 8, 2031 
Dr. Roni Mamluk  
1,380,380 
$0.68 - $5.02 
November 14, 2024 
– June 10, 2030 
Raymond T. Stafford 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
George P. Hampton, Jr. 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
Dr. Alain H. Munoz 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
Donald K. Stern 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
Dr. Patrick V.J.J. Vink 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
Stephen T. Wills 
330,000 
$2.04 - $2.25 
July 9, 2027 - 
August 8, 2028 
 
 
December 31, 2020 
Director 
Number 
Exercise price 
Expiration Date 
Joseph Wiley 
6,437,460 
£0.76p - £121.50p 
November 28, 2024 
- November 4, 2026 
Raymond T. Stafford 
220,000 
$2.25 
July 9, 2027 
George P. Hampton, Jr. 
220,000 
$2.25 
July 9, 2027 
Dr. Alain H. Munoz 
220,000 
$2.25 
July 9, 2027 
Donald K. Stern 
220,000 
$2.25 
July 9, 2027 
Dr. Patrick V.J.J. Vink 
220,000 
$2.25 
July 9, 2027 
Stephen T. Wills 
220,000 
$2.25 
July 9, 2027 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 83 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
During the year ended December 31, 2021, a total of 7,261,725 share options were granted to directors of the Company. 
Joseph Wiley was granted a total of 2,031,350 share options, a total of 220,000 share options were granted to each of Dr. 
Roni Mamluk and Raj Kannan and a total of 110,000 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. Additionally, a total of 
1,160,380 and 2,969,995 stock options were issued by Amryt to replace Chiasma stock options held by Dr. Roni Mamluk 
and Raj Kannan, respectively. 
 
During the year ended December 31, 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 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. 
 
9. Net finance expense – other 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Interest on loans 
22,902 
 
22,003 
Interest on lease liabilities 
558 
 
335 
Charges and fees paid 
310 
 
17 
Interest received 
(5) 
 
(87) 
Foreign exchange loss/(gain) 
4,141 
 
(2,699) 
Total 
27,906 
 
19,569 
 
10. Tax credit on loss on ordinary activities 
 
A corporation tax credit of US$7,562,000 arises in the year ended December 31, 2021 (2020: credit of US$1,332,000). 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: 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Loss before tax 
(6,562) 
 
(105,859) 
Tax credit at Irish corporation tax rate of 12.5% 
(820) 
 
(13,232) 
Effect of: 
 
 
 
Movement in unrecognized deferred tax assets 
(4,418) 
 
3,624 
Permanent differences 
(1,949) 
 
11,260 
Differences in overseas taxation rates 
(375) 
 
(2,984) 
Total tax credit on loss on ordinary activities 
(7,562) 
 
(1,332) 
 
At December 31, 2021, the Group had unutilized net operating losses in the following jurisdictions as follows: 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Ireland 
119,854 
 
108,677 
United States 
182,875 
 
35,043 
Germany 
26,427 
 
28,288 
United Kingdom 
3,034 
 
42,893 
Total 
332,169 
 
214,901 
 
The deferred tax asset on tax losses of US$62,395,001 (2020: US$38,244,000), which was calculated at corporation tax rates 
ranging from 12.5% to 32%, has not been recognized due to the uncertainty of the recovery. Tax losses in Ireland, Germany and 
the UK can be carried forward indefinitely.  
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 84 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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. The increase in U.S. tax losses relates primarily to the acquisition of 
Chiasma. Inc. during the period. 
 
All current and deferred tax related charges are recognized in the Consolidated Statement of Comprehensive Income/(Loss). 
 
11. Earnings/(loss) per share - basic and diluted 
 
The weighted average number of shares in the earnings/(loss) per share (“EPS/LPS”) calculation, reflects the weighted average 
total actual shares of Amryt Pharma plc in issue at December 31, 2021. 
 
Issued share capital – ordinary shares of £0.06 each 
 
Number of 
shares 
 
Weighted 
average shares 
December 31, 2021 
319,814,747 
 
235,852,023 
December 31, 2020 
178,801,593 
 
158,591,356 
 
The calculation of loss per share is based on the following: 
 
December 31, 
 
2021 
 
2020 
Profit/(loss) after tax attributable to equity holders of the Company 
(US$’000) 
1,000 
 
 (104,527) 
Weighted average number of ordinary shares in issue 
 235,852,023 
 
 158,591,356 
Fully diluted average number of ordinary shares in issue 
246,981,405 
 
 158,591,356 
Basic earnings/(loss) per share (US$) 
0.00 
 
 (0.66) 
Diluted earnings/(loss) per share (US$) 
0.00 
 
 (0.66) 
 
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, RSUs and warrants outstanding as at December 31, 2021, 
totaled 40,898,377 (December 31, 2020: 29,615,620) and are potentially dilutive. 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 85 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
12. Intangible assets and goodwill 
 
The following table summarizes the Group’s intangible assets and goodwill: 
 
Developed 
technology – 
metreleptin 
Developed 
technology – 
lomitapide 
Developed 
technology – 
Mycapssa® 
In 
process 
R&D 
Other 
intangible 
assets 
Total 
intangible 
assets 
Goodwill 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Cost 
 
 
 
 
 
 
 
At January 1, 2020 
176,000 
123,000 
— 
54,261 
701 
353,962 
19,131 
Additions 
— 
— 
— 
— 
372 
372 
— 
Acquired assets 
— 
— 
— 
591 
— 
591 
— 
Disposals 
— 
— 
— 
— 
(246) 
(246) 
— 
Foreign exchange movement 
— 
— 
— 
5,276 
39 
5,315 
— 
At December 31, 2020 
176,000 
123,000 
— 
60,128 
866 
359,994 
19,131 
Additions 
— 
— 
— 
— 
847 
847 
— 
Acquired assets 
— 
— 
215,000 
— 
— 
215,000 
38,608 
Other movements 
— 
— 
— 
— 
— 
— 
(1,051) 
Foreign exchange movement 
— 
— 
— 
(4,691) 
(61) 
(4,752) 
— 
At December 31, 2021 
176,000 
123,000 
215,000 
55,437 
1,652 
571,089 
56,688 
 
 
 
 
 
 
 
 
Accumulated amortization 
 
 
 
 
 
 
 
At January 1, 2020 
7,314 
4,143 
— 
— 
178 
11,635 
— 
Amortization charge 
27,429 
15,537 
— 
— 
202 
43,168 
— 
Accumulated amortization on 
disposals 
— 
— 
— 
— 
(246) 
(246) 
— 
Foreign exchange movement 
— 
— 
— 
— 
68 
68 
— 
At December 31, 2020 
34,743 
19,680 
— 
— 
202 
54,625 
— 
Amortization charge 
27,428 
15,537 
5,979 
— 
147 
49,091 
— 
Foreign exchange movement 
— 
— 
— 
— 
14 
14 
— 
At December 31, 2021 
62,171 
35,217 
5,979 
— 
363 
103,730 
— 
 
 
 
 
 
 
 
 
Net book value 
 
 
 
 
 
 
 
At December 31, 2020  
141,257 
103,320 
— 
60,128 
664 
305,369 
19,131 
At December 31, 2021  
113,829 
87,783 
209,021 
55,437 
1,289 
467,359 
56,688 
 
Developed technology on commercially marketed products 
In connection with the acquisition of Aegerion in September 2019, the Group acquired developed technology, metreleptin and 
lomitapide. These intangible assets are amortized over their estimated useful lives and the remaining useful lives for metreleptin 
and lomitapide are approximately 4.2 and 5.7 years, respectively, as of December 31, 2021 (December 31, 2020: 5.2 and 6.7 years, 
respectively).   
 
In connection with the acquisition of Chiasma in August 2021, the Group acquired developed technology, Mycapssa®. This 
intangible asset is amortized over its estimated useful life and the remaining useful life is approximately 14.2 years as of December 
31, 2021. 
   
 
Metreleptin 
 
Lomitapide 
 
Mycapssa® 
Years Ending December 31, 
US$’000 
 
US$’000 
 
US$’000 
2022 
 27,429 
 
 15,537 
 
14,828 
2023 
 27,429 
 
 15,537 
 
14,828 
2024 
 27,429 
 
 15,537 
 
14,828 
2025 
 27,429 
 
 15,537 
 
14,828 
2026 
4,113 
 
15,537 
 
14,828 
Thereafter 
— 
 
10,098 
 
134,881 
 
113,829 
 
87,783 
 
209,021 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 86 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
In-process R&D 
 
As a result of the acquisition of Amryt GmbH, in 2016, the Group recognized in-process R&D costs of €48,453,000/US$54,852,000 
which is related to the Group’s lead development asset, Oleogel-S10.  
 
The remaining in-process R&D is a result of the acquisition of Cala Medical Limited in October 2020. 
 
Goodwill 
 
During 2019, the Group completed the acquisition of Aegerion which resulted in the recognition of goodwill that has a carrying 
value of US$18,080,000. On August 5, 2021, the Group completed the acquisition of Chiasma, which resulted in aggregate goodwill 
of US$38,608,000. 
 
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 utilized 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 using projected revenue for each asset up until the end of their relevant patents 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 2021 and 2020 was 7.9% and 14.4%, respectively. 
 
The value-in-use calculation is subject to significant estimation, uncertainty and accounting judgements and key sensitivities arise 
in the following areas: 
 
In the event that there was a variation of 10% in the assumed level of future growth in revenues, which would, in 
management’s view, represent a reasonably likely range of outcomes, this variation would not result in an impairment 
loss at December 31, 2021. 
 
In the event there was a 4% 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 December 
31, 2021. 
Goodwill and intangible assets not in use are subject to impairment testing on an annual basis. The recoverable amount of the 
Group’s CGUs are determined based on a value-in-use computation. The Group’s value-in-use calculations included the cash flow 
projections based on the 2022 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 20% and 46% and cost growth rates of between 2% and 
59%. At the end of the forecasted patent exclusivity period, the terminal value, based on a long-term growth rates of between -
10% and -30%, 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 7.9% (2020: 14.4%) which we believe is a realistic estimate 
for the Group as well as the Group’s risk profile. 
 
The 2021 annual impairment testing process resulted in no impairment for the year ended December 31, 2021 (2020: nil). 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 87 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
13. Property, plant and equipment 
 
Property 
Plant and 
Machinery 
Office 
Equipment 
Right-of-use 
assets 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Cost 
 
 
 
 
 
At January 1, 2020 
383 
1,432 
547 
2,000 
4,362 
Additions 
38 
527 
938 
4,420 
5,923 
Disposals 
— 
— 
(372) 
(378) 
(750) 
Foreign exchange movement 
38 
93 
165 
140 
436 
At December 31, 2020 
459 
2,052 
1,278 
6,182 
9,971 
Additions 
— 
250  
479 
429 
1,158  
Acquired assets 
— 
— 
302 
648 
950 
Disposals 
— 
— 
(397) 
— 
(397) 
Foreign exchange movement 
(37) 
(100) 
(33) 
(389) 
(559) 
At December 31, 2021 
422 
2,202 
1,629 
6,870 
11,123  
 
 
 
 
 
 
Accumulated amortization 
 
 
 
 
 
At January 1, 2020 
353 
404 
187 
382 
1,326 
Depreciation charge 
15 
134 
209 
939 
1,297 
Depreciation charge on disposals 
— 
— 
(239) 
(129) 
(368) 
Foreign exchange movement 
35 
37 
11 
59 
142 
At December 31, 2020 
403 
575 
168 
1,251 
2,397 
Depreciation charge 
9  
151  
580  
912 
1,652  
Depreciation charge on disposals 
— 
— 
(224) 
— 
(224) 
Foreign exchange movement 
(33) 
(33) 
(9) 
(43) 
(118) 
At December 31, 2021 
379 
693  
515  
2,120 
3,707  
 
 
 
 
 
 
Net book value 
 
 
 
 
 
At December 31, 2020 
56 
1,477 
1,110 
4,931 
7,574 
At December 31, 2021 
43 
1,509 
1,114 
4,750 
7,416 
 
14. Trade and other receivables 
 
Group 
 
Company 
 
December 31, 
 
December 31, 
 
2021 
 
2020 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
 
US$’000 
 
US$’000 
Trade receivables 
34,263 
 
33,057 
 
— 
 
— 
Accrued income and other debtors 
12,201 
 
8,423 
 
3,104 
 
2,289 
VAT recoverable 
7,444 
 
1,705 
 
133 
 
75 
Intercompany receivables 
— 
 
— 
 
23,026 
 
8,771 
Trade and other receivables 
53,908 
 
43,185 
 
26,263 
 
11,135 
Trade receivables at December 31, 2021 includes US$258,000 (2020: US$1,186,000) which is due greater than 120 days. No 
impairment is considered necessary. 
 
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 
December 31, 2021, no impairment charge was recognized (2020: nil). 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 88 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
15. Inventories 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Raw materials 
36,850 
 
25,462 
Work in progress 
12,986 
 
3,903 
Finished goods 
65,933 
 
11,627 
Inventories 
115,769 
 
40,992 
 
In 2021, a total of US$26,783,000 (2020: US$25,854,000) of inventories was included in the consolidated statement of 
comprehensive income/(loss) as an expense (excluding the fair value step-up). 
 
The increase in inventories for the year ended December 31, 2021, reflected the fair value of inventory acquired as part of the 
acquisition of Chiasma on August 5, 2021. The fair value of the acquired inventory amounted to US$65,907,000. Inventory on hand 
at the date of acquisition was valued at the expected selling price less the sum of remaining costs of disposal, cost to complete 
and a reasonable profit margin for the selling effort of the acquiring entity. The costs to complete were calculated based on costs 
incurred on recently completed finished goods. The costs to dispose include sales and marketing expenses required to sell the 
product to the customer in addition to certain general and administrative expenses expected to be incurred by Amryt. This resulted 
in a non-cash step up at the valuation of inventory at August 5, 2021, of US$44,794,000. The non-cash step up in inventory is being 
unwound to the Consolidated Statement of Comprehensive Income/(Loss) over the period in which this saleable inventory is sold. 
At December 31, 2021, US$41,581,000 of this non-cash inventory step up is included in finished goods inventory. 
 
As part of the Aegerion acquisition a non cash step up in valuing inventory was also recognized on acquisition and the carrying 
value included in finished goods inventory as at December 31, 2021, was nil (US$1,204,000). 
 
During the year ended December 31, 2021, a provision of US$5,688,000 (2020: US$4,058,000) was recognized in the Consolidated 
Statement of Comprehensive Income/(Loss) relating to review of inventory to net realizable value. During the year ended 
December 31, 2021, US$932,000 (2020: nil) of write-down reversals were recognized due to updated demand forecasts. 
 
16. Cash and cash equivalents 
 
Group 
 
Company 
 
December 31, 
 
December 31, 
 
2021 
 
2020 
 
2021 
 
2020 
 
 
US$’000 
 
US$’000 
 
US$’000 
 
US$’000 
Cash at bank available on demand 
112,771 
 
118,575 
 
12,004 
 
38,364 
Restricted cash 
261 
 
223 
 
— 
 
— 
Total cash and cash equivalents 
113,032 
 
118,798 
 
12,004 
 
38,364 
 
Cash and cash equivalents include cash at bank available on demand and restricted cash. 
 
At December 31, 2021, there was US$261,000 restricted cash (December 31, 2020: US$223,000). The restricted cash balance as 
at December 31, 2021, consists of a deposit on a company credit card facility for an amount of US$126,000 (December 31, 2020: 
US$150,000), a lease deposit for US$85,000 (December 31, 2020: nil) and a letter of credit related to US customs which was put 
in place for an amount of US$50,000 (December 31, 2020: nil). The restricted cash balance as at December 31, 2020, included 
US$73,000 held by a third-party distributor that was received in January 2021. There was no cash in transit held by a third-party 
distributor as at December 31, 2021.  
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 89 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
17. Share capital and reserves 
 
Details of the number of issued ordinary shares with a nominal value of Sterling 6 pence (2020: 6 pence) each are in the table 
below.  
 
 
Ordinary shares 
Treasury shares 
Total 
 
2021 
2020 
2021 
2020 
2021 
2020 
At 1 January 
178,801,593 
154,498,887 
4,791,703 
4,864,656 
183,593,296 
159,363,543 
Issue of treasury shares in exchange 
for warrants 
283,389 
— 
(283,389) 
— 
— 
— 
Issue of shares in exchange for 
warrants 
4,758,206 
8,229,753 
— 
— 
4,758,206 
8,229,753 
Issue of shares in equity fund raises 
— 
16,000,000 
— 
— 
— 
16,000,000 
Issue of treasury shares in exchange 
for warrants 
4,208,314 
— 
(4,208,314) 
— 
— 
— 
Issue of treasury shares for share 
options exercised 
300,000 
72,953 
(300,000) 
(72,953) 
— 
— 
Issue of shares in consideration of 
Chiasma acquisition 
127,740,695 
— 
— 
— 
127,740,695 
— 
Issue of shares for share options 
exercised and RSUs vesting 
3,722,550 
— 
— 
— 
3,722,550 
— 
At December 31 
319,814,747 
178,801,593 
— 
4,791,703 
319,814,747 
183,593,296 
 
The components of equity are detailed in the Consolidated and Company Statement of Changes in Equity and described in more 
detail below. 
 
As at December 31, 2021 there were 319,814,747 ordinary shares issued with no treasury shares held (December 31, 2020: 
183,593,296 of which 4,791,703 were treasury shares). 
 
In December 2020, the Company issued 16,000,000 ordinary shares in the form of ADSs, 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 July 
15, 2020, and September 22, 2020, respectively, in exchange for certain warrants.  
 
On March 11, 2021, the Company issued 300,000 ordinary shares from treasury shares following the exercise of share options. On 
March 11, 2021, the Company issued 283,389 ordinary shares from treasury shares in exchange for certain warrants. On August 
5, 2021, the Company issued 127,740,695 ordinary shares, in the form of ADSs, as consideration for the acquisition of Chiasma. 
On August 5, 2021, the Company issued 8,966,520 ordinary shares with 4,208,314 being issued from treasury shares in exchange 
for warrants. During the year ended December 31, 2021, there were 3,342,680 shares issued following the exercise of share 
options and 379,870 shares issued following RSUs vesting. 
 
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 September 24, 2019, net of issue costs 
apportioned to warrants issued and additional warrants issued to certain shareholders on November 14, 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 July 15, 2020, and September 22, 2020, respectively, in exchange for certain warrants. The remaining warrants were exchanged 
on August 5, 2021, and the Company issued 8,966,520 ordinary shares, 4,208,314 of which were issued from treasury shares. 
There were no remaining warrants outstanding as at December 31, 2021. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 90 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Treasury Shares 
In October 2020, the Company issued 72,953 ordinary shares from treasury shares following the exercise of share options. In 
March 2021, the Company issued a total of 583,389 ordinary shares from treasury shares, 300,000 ordinary shares relating to the 
exercise of share options and 283,389 ordinary shares following the exchange of certain warrants. In August 2021, the company 
issued 4,208,314 ordinary shares from treasury shares in conjunction with the exchange of warrants. There were no treasury 
shares held as at December 31, 2021. 
 
Share based payment reserve 
Share based payment reserve relates to the charge for share based payments in accordance with IFRS 2. In March 2021, the 
Company issued 283,389 ordinary shares in exchange for certain warrants. In April 2021, 62,153 warrants lapsed. During the year 
ended December 31, 2021, the Company issued 3,722,550 ordinary shares in relation to the exercise of share options and RSUs. 
 
As part of the acquisition of Chiasma, the Company replaced share awards that were existing at the time of the acquisition. This 
resulted in the recognition of a share-based payment reserve of US$10,157,000 on acquisition. 
 
Merger reserve 
The merger reserve was created on the acquisition of Amryt DAC by Amryt Pharma plc in April 2016. Ordinary shares in Amryt 
Pharma plc were issued to acquire the entire issued share capital of Amryt DAC. Under section 612 of the UK Companies Act 2006, 
the premium on these shares has been included in a merger reserve. 
 
Reverse acquisition reserve 
The reverse acquisition reserve arose during the period ended December 31, 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 recognized in equity and is not subsequently remeasured. 
 
Other distributable reserves 
Other distributable reserves comprise the following: 
 
Distribution of the share premium amount on November 6, 2019, of US$268,505,000. By special resolution of the 
Company duly passed on September 23, 2019, in accordance with section 283 of the UK Companies Act 2006, 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 
November 5, 2019. 
 
A deemed distribution of US$47,902,000 arising from the issuance of CVRs in September 2019. 
 
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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 91 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
18. Deferred tax liability 
 
Total 
 
US$’000 
At January 1, 2020 
7,147 
Net movement during the year 
(535) 
At December 31, 2020 
6,612 
Net movement during the year 
11,160 
At December 31, 2021 
17,772 
 
A deferred tax liability arose in 2016 on the acquisition of Amryt GmbH. An intangible asset was recognized 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 amortized or impaired the tax difference will be reduced and the movement in the deferred tax 
liability will be recognized in profit or loss. The in-process R&D is currently not being amortized. As this is a euro denominated 
liability, there are FX movements on the deferred tax liability each year. During the year ended December 31, 2021, there was an 
increase in this deferred tax liability of US$246,000.  
 
A deferred tax liability was recognized in 2019 in connection with the acquisition of Aegerion Pharmaceuticals, Inc. and in 2021 in 
connection with the acquisition of Chiasma, Inc. (see Note 6, Business combinations and asset acquisitions). The intangible assets 
have been recognized at their fair value. As the transactions did not result in the intangible assets being re-based to fair value 
from a tax perspective this results in a deferred tax liability being recognized on acquisition. These intangibles are being amortized 
and the resulting reduction in the deferred tax liability will be recognized in profit or loss. The acquisition of Chiasma, Inc. during 
the year ended December 31, 2021, has increased the group’s deferred tax liability by US$10,912,000.  
 
19. Long term loan 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Long term loan principal 
93,988 
 
88,037 
Unamortized debt issuance costs 
(593) 
 
(735) 
Long term loan  
93,395 
 
87,302 
 
As part of the acquisition of Aegerion on September 24, 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 was 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 September 24, 2019. The Term Loan had a five-year term from the date of the draw 
down, September 24, 2019, and a maturity date of September 24, 2024. Under the Term Loan, interest was 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, 
which rolls up and is included in the principal balance outstanding, on a quarterly basis. Unpaid accrued interest of US$1,536,000 
as at December 31, 2021 is recognized in current liabilities within trade and other payables (December 31, 2020: $1,439,000). The 
Term Loan agreement includes an option to prepay the loan in whole or in part 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. 
On February 18, 2022, the Term Loan was repaid in full and the Group secured a $125,000,000 senior credit facility of which 
US$105,000,000 was drawn down to facilitate the prepayment of the existing Term Loan. See further details on the $125,000,000 
senior credit facility entered into by Amryt in Note 27, Events after the reporting period. 
 
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 amortized over the expected life of the loan using the effective 
interest method. 
 
The Term Loan was 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 included 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 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 92 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
of this type and includes (i) a cross-default to the occurrence of any event of default under material indebtedness of Amryt 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 were no events 
of default or breaches of the covenants occurring for the year ended December 31, 2021 (December 31, 2020: no events). 
 
Total 
 
US$’000 
Changes in long term loans from financing activities: 
 
At January 1, 2021 
88,741 
Cash-flows 
 
Acquired loans and borrowings 
116,629 
Repayment of loans and borrowings 
(116,629) 
Liability related 
 
Paid in kind interest  
5,947 
Amortization of debt costs 
146 
Change in accrued interest  
97 
At December 31, 2021 
94,931 
 
20. Convertible notes 
 
Total 
 
US$’000 
At January 1, 2020 
96,856 
Accreted interest 
4,230 
At December 31, 2020 
101,086 
Accreted interest 
4,702 
At December 31, 2021 
105,788 
 
As part of the Aegerion acquisition, Aegerion issued convertible notes with an aggregate principal amount of US$125,000,000 to 
Aegerion creditors.  
 
The convertible notes are senior unsecured obligations and bear interest at a rate of 5.0% per year, payable semi-annually in 
arrears on April 1 and October 1 of each year, beginning on April 1, 2020. The convertible notes will mature on April 1, 2025, unless 
earlier repurchased or converted. 
 
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, Amryt 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 September 24, 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 reorganization involving Aegerion, Amryt and certain subsidiaries of the Group) occurs and is continuing, 
the trustee by notice to Amryt, or the holders of at least 25% in principal amount of the outstanding convertible notes by written 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 93 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
notice to Amryt 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 reorganization 
involving Amryt, 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 Amryt’s election, and for up to 180 days, 
the sole remedy for an event of default relating to certain failures by Amryt 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 December 31, 2021 (2020: no events). 
 
21. Trade and other payables 
 
 
Group 
 
Company 
 
December 31, 
 
December 31, 
 
2021 
 
2020 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
 
US$’000 
 
US$’000 
Trade payables 
41,057 
 
23,595 
 
511 
 
528 
Accrued expenses 
107,194 
 
65,705 
 
1,263 
 
3,108 
Social security costs and other taxes 
1,483 
 
936 
 
— 
 
— 
Intercompany payables 
— 
 
— 
 
519 
 
14,937 
Trade and other payables 
149,734 
 
90,236 
 
2,293 
 
18,573 
 
The Group has a liability, included in accrued expenses above, 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 up 
to the date of approval, which occurred in March 2021. The Group has recognized a liability of US$21,348,000 as at December 31, 
2021. At December 31, 2020, the liability was included in provisions as the underlying agreement was not finalized and it was 
recognized as a non-current liability for an amount of US$21,382,000 as payment was agreed to be made in July 2022. Other 
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 on a regular basis. 
 
22. Provisions and other liabilities 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Non-current liabilities 
 
 
 
Provisions and other liabilities 
— 
 
21,382 
Leases due greater than 1 year 
4,049 
 
4,569 
 
4,049 
 
25,951 
Current liabilities 
 
 
 
Provisions and other liabilities 
6,000 
 
9,976 
Leases due less than 1 year 
1,545 
 
963 
 
7,545 
 
10,939 
Total provisions and other liabilities 
11,594 
 
36,890 
 
Refer to Note 25, Commitments and contingencies for further details on provisions. 
 
The Group leases various offices, equipment, vehicles and a production facility. Refer to Note 7, Operating loss for the year, for 
the lease expense on leases not recognized as a lease liability (short term leases, leases with an expected term of 12 months or 
less, or for leases of low value assets) and Note 24, Fair value measurement and financial risk management, for further details on 
lease commitments. 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 94 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
2021 
2020 
 
US$’000 
US$’000 
Changes in lease liabilities from financing activities: 
 
 
At January 1 
5,532 
1,624 
Adoption of IFRS 16 
— 
— 
Cash-flows 
 
 
Payment of leases 
(1,215) 
(1,119) 
Non-cash 
 
 
Acquired lease assets 
— 
— 
New leases 
1,077 
4,420 
Interest expense 
558 
335 
Foreign exchange movement 
(358) 
272 
At December 31 
5,594 
5,532 
 
23. Related party transactions 
 
Compensation of key management personnel of the Group 
 
In 2021, the key management personnel of the Group consisted of the executive director Joe Wiley, Chief Executive Officer, non-
executive directors, and the Chief Financial Officer and Chief Operating Officer, Rory Nealon.  
 
Compensation for the years ended December 31, 2021, and December 31, 2020, of these personnel is detailed below: 
 
December 31, 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
Short-term employee benefits 
1,912 
 
1,848 
Performance related bonus 
1,106 
 
1,122 
Post-employment benefits 
120 
 
119 
Share-based compensation benefits 
3,713 
 
3,079 
Total compensation 
6,851 
 
6,168 
 
Shares purchased by directors of the Company 
 
The following ordinary shares were purchased by directors of the Company.  
Director 
Number 
Date 
Joseph Wiley 
16,000 
March 2022 
George P. Hampton, Jr. 
100,000 
March 2022 
Stephen T. Wills 
37,500 
March 2022 
Dr. Alain H. Munoz 
22,500 
March 2022 
Dr. Patrick V.J.J. Vink 
25,000 
March 2022 
Raymond T. Stafford 
50,000 
March 2022 
Raymond T. Stafford 
250,000 
November 2021 
Raymond T. Stafford 
300,100 
March 2021 
 
Agreements with principal shareholders 
 
Long term loan 
 
On September 24, 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. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 95 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Convertible notes 
 
On September 24, 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 September 24, 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 November 14, 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. On December 19, 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. 
 
The remaining warrants were exchanged on August 5, 2021, and the Company issued 8,966,520 ordinary shares, 4,208,314 of 
which were issued from treasury shares. There were no remaining warrants outstanding as at December 31, 2021. 
 
 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 96 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
24. Fair value measurement and financial risk management 
Categories of financial instruments 
 
Group 
 
Company 
 
December 31, 
 
December 31, 
 
2021 
 
2020 
 
2021 
 
2020 
 
US$’000 
 
US$’000 
 
US$’000 
 
US$’000 
Financial assets (all at amortized cost): 
 
 
 
 
 
 
 
Cash and cash equivalents 
113,032 
 
118,798 
 
12,004 
 
38,364 
Trade receivables 
34,263 
 
33,057 
 
— 
 
— 
Intercompany receivables 
— 
 
— 
 
23,026 
 
8,771 
Total financial assets 
147,295 
 
151,855 
 
35,030 
 
47,135 
 
 
 
 
 
 
 
 
Financial liabilities: 
 
 
 
 
 
 
 
At amortized cost 
 
 
 
 
 
 
 
Trade payables and accrued expenses 
148,251 
 
89,300 
 
1,774 
 
3,636 
Intercompany payables 
— 
 
— 
 
519 
 
14,937 
Lease liabilities 
5,594 
 
5,532 
 
— 
 
— 
Other liabilities 
— 
 
25,358 
 
— 
 
— 
Convertible notes 
105,788 
 
101,086 
 
— 
 
— 
Long term loan 
93,395 
 
87,302 
 
— 
 
— 
Contingent value rights 
19,892 
 
61,417 
 
19,892 
 
49,355 
At fair value 
 
 
 
 
 
 
 
Contingent consideration 
61,221 
 
86,906 
 
— 
 
— 
Total financial liabilities 
434,141 
 
456,901 
 
22,185 
 
67,928 
Net 
(286,846) 
 
(305,046) 
 
12,845 
 
(20,793) 
 
Financial instruments evaluated at fair value can be classified according to the following valuation hierarchy, which reflects the 
extent to which the fair value is observable: 
 
Level 1: fair value evaluations using prices listed on active markets (not adjusted) of identical assets or liabilities. 
 
Level 2: fair value evaluations using input data for the asset or liability that are either directly observable (as prices) or 
indirectly observable (derived from prices), but which do not constitute listed prices pursuant to Level 1. 
 
Level 3: fair value evaluations using input data for the asset or liability that are not based on observable market data 
(unobservable input data). 
 
The contingent consideration has been valued using Level 3. The contingent consideration comprises: 
 
Contingent consideration relating to the acquisition of Amryt GmbH (see Note 6, Business combinations and asset 
acquisitions) that was measured at US$61,221,000 as at December 31, 2021 (December 31, 2020: US$86,906,000). 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. 
Impact of key unobservable input data 
 
An increase of 10% in estimated revenue forecasts would result in an increase to the fair value of US$3,746,000. A 
decrease would have the opposite effect. 
 
A 5% increase in the discount factor used would result in a decrease to the fair value of US$9,740,000. A decrease of 5% 
would result in an increase to the fair value of US$12,923,000. 
 
A six-month delay in the launch date for Oleogel-S10 would result in a decrease to the fair value of US$5,421,000. 
 
A 20% decrease in the probability of success used would result in a decrease to the fair value of US$17,491,000. An 
increase of 20% in the probability of success with the FDA approval would result in a decrease to the fair value of 
US$13,120,000. 
 
There were no transfers between Level 1, Level 2 and Level 3 during the years ended December 31, 2021, and 2020. 
 
Policies and Objectives 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 97 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 is 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: 
 
December 31, 2021 
 
Carrying 
amount 
Contractual 
cash flows 
6 months 
or less 
6 months - 
12 months 
1-2 
years 
2-5 
years 
> 5 years 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Trade payables and accrued 
expenses 
149,734 
149,734 
149,734 
— 
— 
— 
— 
149,734 
Lease liabilities 
5,594 
7,882 
757 
757 
885 
2,556 
2,927 
7,882 
Long term loan 
93,395 
130,776 
3,097 
3,252 
6,778 
117,649 
— 
130,776 
Convertible notes 
105,788 
146,875 
3,125 
3,125 
6,250 
134,375 
— 
146,875 
Contingent consideration 
and contingent value rights* 
81,113 
80,355 
17,043 
— 
— 
63,312 
— 
80,355 
 
435,624 
515,622 
173,756 
7,134 
13,913 
317,892 
2,927 
515,622 
* 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. 
 
December 31, 2020 
 
Carrying 
amount 
Contractual 
cash flows 
6 months 
or less 
6 months - 
12 months 
1-2 
years 
2-5 
years 
> 5 years 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Trade payables and accrued 
expenses 
89,300 
89,300 
89,300 
— 
— 
— 
— 
89,300 
Lease liabilities 
5,532 
8,820 
525 
525 
1,096 
2,676 
3,998 
8,820 
Other liabilities 
25,358 
25,375 
3,993 
— 
21,382 
— 
— 
25,375 
Long term loan 
87,302 
136,723 
2,901 
3,046 
6,349 
124,427 
— 
136,723 
Convertible notes 
101,086 
153,125 
3,125 
3,125 
6,250 
140,625 
— 
153,125 
Contingent consideration 
and contingent value rights* 
148,323 
127,991 
— 
62,283 
— 
65,708 
— 
127,991 
 
456,901 
541,334 
99,844 
68,979 
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. 
 
The following table shows the maturity profile of financial liabilities of the Company: 
 
December 31, 2021 
 
Carrying 
amount 
Contractual 
cash flows 
6 months 
or less 
6 months - 
12 months 
1-2 
years 
2-5 
years 
> 5 years 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Trade payables and accrued 
expenses 
1,774 
1,774 
1,774 
— 
— 
— 
— 
1,774 
Intercompany payables 
519 
519 
519 
— 
— 
— 
— 
519 
Contingent value rights 
19,892 
40,718 
5,718 
— 
— 
35,000 
— 
40,718 
 
22,185 
43,011 
8,011 
— 
— 
35,000 
— 
43,011 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 98 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
 
December 31, 2020 
 
Carrying 
amount 
Contractual 
cash flows 
6 months 
or less 
6 months - 
12 months 
1-2 
years 
2-5 
years 
> 5 years 
Total 
 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
US$’000 
Trade payables and accrued 
expenses 
3,636 
3,636 
3,636 
— 
— 
— 
— 
3,636 
Intercompany payables 
14,937 
14,937 
14,937 
— 
— 
— 
— 
14,937 
Contingent value rights 
49,355 
70,833 
— 
35,833 
— 
35,000 
— 
70,833 
 
67,928 
89,406 
18,573 
35,833 
— 
35,000 
— 
89,406 
 
Capital management 
 
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 maximizing the return to shareholders through the optimization 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 December 31, 2021, and December 
31, 2020. 
 
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 minimizes 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 December 31, 2021, and December 31, 2020, the long term borrowings of 
the Group were subject to fixed rates of interest. 
 
During the year 2021, 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$578,000 (2020: US$174,000). 
 
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$4,005,000 
with a corresponding reduction in the Group loss before tax with a 10% favorable movement. A theoretical 10% adverse 
movement in £:US$ exchange rates would lead to an increase in the Group loss before tax by US$114,000 with a corresponding 
reduction in the Group loss before tax with a 10% favorable movement. 
 
Credit risk 
 
The Group and Company has no significant concentrations of credit risk. Exposure to credit risk is monitored on an ongoing basis. 
If necessary, the Group maintains specific provisions for potential credit losses. As at December 31, 2021, there has been no 
requirement for 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 recognized banks 
with high credit ratings. 
 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 99 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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 36% of the total trade receivables of the group outstanding as at December 31, 
2021 (2020: 42%). 
 
For trade receivables, the Group applies a simplified approach in calculating ECLs. Therefore, the Group does not track changes in 
credit risk, but instead recognizes 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 commercialize 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 December 31, 2021, 
following the Aegerion acquisition on September 24, 2019, the Group recorded aggregate royalty expenses to third parties of 
US$23,905,000 (2020: US$20,492,000). 
 
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, commercialize, 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 December 31, 2021, following the Aegerion acquisition on 
September 24, 2019, the Group recorded aggregate royalty expenses to third parties of US$1,992,000 (2020: US$2,026,000). 
 
As part of consideration for the acquisition of Amryt GmbH, royalty payments payable to the sellers are as follows: (a) 9% of (i) 
net ex-factory sales, and (ii) net revenues in either case relating to Oleogel-S10; and (b) 6% of: (i) net ex-factory sales; and (ii) net 
revenues relating to other betulin products, with the relevant royalty periods essentially being ten years from first commercial 
sale of the relevant product (other than in respect of Imlan).  
 
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 
utilizing 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 
commercialize 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 commercialize 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 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 100 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
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$23,036,000 of settlement payments, including interest. The settlements have been paid in full with the last payment 
completed in Q1 2021. As at December 31, 2021, there is no DOJ liability outstanding. The remaining liability outstanding as at 
December 31, 2020, of US$3,976,000 was included in current provisions and other liabilities. 
 
Other matters 
 
The Group recognizes 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 December 
31, 2021, the Group had recognized liabilities of US$6,000,000 in relation to ongoing legal matters (2020: US$6,000,000). At 
December 31, 2020, the Group also had recognized a non-current liability of US$21,382,000 for revenue rebates due on 
metreleptin sales in a country in the EMEA region following on from agreeing a reimbursement price with the government 
authorities. The reimbursement agreement, which was agreed in March 2021, results in a one-off revenue rebate payment on 
sales up to the date of approval. The one-off payment is due to be paid to the authorities in July 2022 and this is included within 
accrued expenses, see Note 21, Trade and other payables. 
 
Lease commitments 
 
The Group had no finance lease commitments in 2021 (2020: nil). See Note 24, Fair value measurement and financial risk 
management for details on operating lease commitments. 
 
26. Investment in subsidiaries 
 
Total 
 
US$’000 
Cost 
 
At date of incorporation 
280,962 
Additions 
60,973 
At December 31, 2020 
341,935 
Additions 
278,025 
At December 31, 2021 
619,960 
 
 
Impairment 
 
At date of incorporation 
— 
Impairment charge 
— 
At December 31, 2020 
— 
Impairment charge 
— 
At December 31, 2021 
— 
 
 
Net book value 
 
At December 31, 2020 
341,935 
At December 31, 2021 
619,960 
During the year ended December 31, 2021, the Company issued 127,740,695 ordinary shares in connection with the acquisition 
of Chiasma. In total, these ordinary shares were issued to the former Chiasma Shareholders in the form of 25,548,139 ADSs at 
US$10.19 per share, to acquire Chiasma for a value of US$260,336,000. In addition to this, at the date of acquisition Chiasma had 
outstanding equity awards that were held by Chiasma employees. The fair value of these awards transferred to Amryt on 
acquisition were measured in accordance with IFRS 2. The portion of the value of the equity transferred to Amryt attributable to 
pre-combination service is included in the consideration at the date of acquisition and this amounted to US$10,157,000. The value 
of the shares issued, and the value of equity transferred for equity awards are recognised in in investments in subsidiaries, see 
Note 6, Business combinations and asset acquisitions, for more details. Additions also include the value of share options relating 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 101 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
to employees of subsidiaries, the cost of which recognised in investments in subsidiaries, see Note 5, Share based payments, for 
more details. 
During the year ended December 31, 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 Amryt 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 (2020: nil). 
List of subsidiary companies: 
Subsidiary 
Ownership 
Activities 
Company 
number 
Incorporation 
2021 % 
holding 
2020 % 
holding 
Amryt Pharma Holdings Limited 
Direct 
Holding company 
and management 
services 
5316808 
UK 
100 
100 
Amryt Pharmaceuticals 
Designated Activity Company 
Indirect 
Product Sales and 
management 
services 
566448 
Ireland 
100 
100 
Amryt Research Limited 
Indirect 
Pharmaceuticals 
R&D 
571411 
Ireland 
100 
100 
Amryt Endocrinology Limited 
Indirect 
Pharmaceuticals 
R&D 
572984 
Ireland 
100 
100 
Amryt Lipidology Limited 
Indirect 
Licensee for Lojuxta 
593833 
Ireland 
100 
100 
Amryt Genetics Limited 
Indirect 
Pharmaceutical 
R&D 
622577 
Ireland 
100 
100 
Amryt Pharma (UK) Limited 
Indirect 
Management 
services 
10463152 
UK 
100 
100 
Amryt Pharma Italy SRL 
Indirect 
Management 
services 
2109476 
Italy 
100 
100 
Amryt Pharma Spain S.L. 
Indirect 
Management 
services 
B67130567 
Spain 
100 
100 
Amryt GmbH 
Indirect 
Product Sales and 
Pharmaceuticals 
R&D 
HRB 711487 
Germany 
100 
100 
SomPharmaceuticals SA 
Indirect 
Pharmaceuticals 
R&D and 
management 
services 
CHE-
435.396.568 
Switzerland 
100 
100 
Cala Medical Limited 
Indirect 
Pharmaceuticals 
R&D 
598486 
Ireland 
100 
100 
Amryt Distribution Limited 
Indirect 
Dormant 
667507 
Ireland 
100 
100 
Amryt Pharmaceuticals Inc. 
Indirect 
Product Sales 
Management 
services  
3922075 
USA 
100 
100 
Amryt Endo, Inc. (formerly 
Chiasma, Inc.)  
Indirect 
Product Sales 
Management 
services 
3380352 
USA 
100 
- 
Chiasma Securities Corp 
Indirect 
Holding company 
001194998 
USA 
100 
- 
Chiasma (Israel) Limited 
Indirect 
Management 
services 
513104026 
Israel 
100 
- 
Aegerion International Limited 
Indirect 
Holding company 
52048 
Bermuda 
100 
100 
Aegerion Pharmaceuticals 
Holdings, Inc. 
Indirect 
Holding company 
5213687 
USA 
100 
100 
Aegerion Argentina S.R.L. 
Indirect 
Management 
services 
901-709682-
0 
Argentina 
100 
100 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Aegerion Pharmaceuticals 
(Canada) Limited 
Indirect 
Management 
services 
85134 5132 
RT0001 
Canada 
100 
100 
Amryt Colombia S.A.S. 
Indirect 
Management 
services 
R048196625 
Colombia 
100 
100 
Amryt Brasil Comercio E 
Importacao De Medicamentos 
LTDA (formerly Aegerion Brasil 
Comercio E Importacao De 
Medicamentos LTDA) 
Indirect 
Management 
services 
3522602510-
1 
Brazil 
100 
100 
Aegerion Pharmaceuticals 
Limited 
Indirect 
Management 
services 
46134 
Bermuda 
100 
100 
Aegerion Pharmaceuticals 
Limited 
Indirect 
Management 
services 
8114919 
UK 
100 
100 
Amryt Pharmaceuticals SAS  
Indirect 
Management 
services 
534 195 
59900012 
France 
100 
100 
Aegerion Pharmaceuticals Srl 
Indirect 
Management 
services 
1166250 
Italy 
100 
100 
Amryt Pharma GmbH  
Indirect 
Management 
services 
HRB 95895 
Germany 
100 
100 
Amryt Turkey İlaç Ticaret Limited 
Şirketi (formerly Aegerion İlaç 
Ticaret Limited Şirketi) 
Indirect 
Management 
services 
907292 
Turkey 
100 
100 
Aegerion Pharmaceuticals SARL 
Indirect 
Management 
services 
CHE-
497.494.599 
Switzerland 
100 
100 
Aegerion Pharmaceuticals B.V. 
Indirect 
Management 
services 
69859647 
Netherlands 
100 
100 
Aegerion Pharmaceuticals Spain, 
S.L. 
Indirect 
Management 
services 
B88019161 
Spain 
100 
100 
List of registered offices: 
Company 
Registered Office Address 
Amryt Pharma Holdings Limited 
C/O Corporation Service Company (Uk) Limited, 5 Churchill 
Place, 10th Floor, London, United Kingdom, E14 5HU 
Amryt Pharmaceuticals Designated Activity Company 
45 Mespil road, Dublin 4 
Amryt Research Limited 
45 Mespil road, Dublin 4 
Amryt Endocrinology Limited 
45 Mespil road, Dublin 4 
Amryt Lipidology Limited 
45 Mespil road, Dublin 4 
Amryt Genetics Limited 
45 Mespil road, Dublin 4 
Amryt Pharma (UK) Limited 
C/O Corporation Service Company (Uk) Limited, 5 Churchill 
Place, 10th Floor, London, United Kingdom, E14 5HU 
Amryt Pharma Italy SRL 
Milano (MI)-Via Dell'Annunciata 23/4 
Amryt Pharma Spain S.L. 
Barcelona, calle Diputacio, number 260 
Amryt GmbH  
Streiflingsweg 11, 75223 Niefern-Öschelbronn 
SomPharmaceuticals SA 
Bahnofstrasse 21, 6300 Zug 
Cala Medical Limited 
45 Mespil road, Dublin 4 
Amryt Distribution Limited 
45 Mespil road, Dublin 4 
Amryt Pharmaceuticals Inc. 
2711 Centerville Road, Suite 400, City of Wilmington, County 
of New Castle, Delaware 19808                                                          
Amryt Endo, Inc. (formerly Chiasma, Inc.)  
1209 Orange Street, Wilmington, New Castle County, 
Delaware 19801 
Chiasma Securities Corp 
155 Federal Street, Suite 700, Boston, MA 02110 
Chiasma (Israel) Limited 
5 Golda Meir Street, Nes Ziona 7403649 Israel 
Aegerion International Limited 
Clarendon House, 2 Church Street, Hamilton, HM11 
Aegerion Pharmaceuticals Holdings, Inc. 
2711 Centerville Road, Suite 400, City of Wilmington, County 
of New Castle, Delaware 19808                                                          
Aegerion Argentina S.R.L. 
Avda. Camacua 421, Suite 102, Olivos, Vicente Lopez, 1636 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
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Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
Aegerion Pharmaceuticals (Canada) Limited 
5300 Commerce Court West, 199 Bay Street, Toronto, ON 
M5L 1B9 
Amryt Colombia S.A.S.  
CR 12 89 33 P 5, Bogota DC, Bogota 110111 
Amryt Brasil Comercio E Importacao De Medicamentos LTDA 
(formerly Aegerion Brasil Comercio E Importacao De 
Medicamentos LTDA) 
Rua Joseefina, 200-Guarulhos City, Sao Paulo 
Aegerion Pharmaceuticals Limited 
Clarendon House, 2 Church Street, Hamilton, HM11 
Aegerion Pharmaceuticals Limited 
C/O Corporation Service Company (Uk) Limited, 5 Churchill 
Place, 10th Floor, London, United Kingdom, E14 5HU 
Amryt Pharmaceuticals SAS  
235, Avenue Le Jour se Leve, Boulogne-Billancourt, 92 100 
Aegerion Pharmaceuticals Srl 
Viale Abruzzi n. 94, Milano, 20131 
Amryt Pharma GmbH  
Streiflingsweg 4, 75223 NiefernÖschelbronn, Germany. 
Amryt Turkey İlaç Ticaret Limited Şirketi (formerly Aegerion 
İlaç Ticaret Limited Şirketi) 
Orjin Maslak, Eski Buyukdere Caddesi No: 27 K:11, Maslak, 
Istanbul, 34485 
Aegerion Pharmaceuticals SARL 
Rue de Pontets 6, Lavigny, Switzerland 1175 
Aegerion Pharmaceuticals B.V. 
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 
 
 
27. Events after the reporting period 
Development Pipeline 
On February 28, 2022, Amryt received a Complete Response Letter from the (FDA) regarding its (NDA) for Oleogel-S10, for the 
treatment of the cutaneous manifestations of EB, a rare, genetic skin disease characterized by extremely fragile skin that blisters 
and tears from minor friction or trauma for which there are no approved treatment options. 
 
The FDA communicated that it had completed its review of the application and has determined that the application cannot be 
approved in its present form. The FDA has asked Amryt to submit additional confirmatory evidence of effectiveness for Oleogel-
S10 in EB. Amryt intends to discuss with the FDA the nature of the data required to address the Agency’s concerns. 
 
On March 8, 2022, Amryt announced the completion of a successful pharmacokinetic (PK) study for Mycapssa® (oral octreotide). 
The data supports a planned Phase 3 study of Mycapssa® in the treatment of patients with carcinoid symptoms due to 
Neuroendocrine Tumors (NET). 
 
On April 22, 2022, the CHMP has adopted a positive opinion, recommending the approval of Filsuvez® in the EU for the treatment 
of partial thickness wounds associated with dystrophic and junctional EB in patients six months and older. Based on this CHMP 
recommendation a decision by the EC is expected on the Filsuvez® application within 67 days. The CHMP positive opinion is 
supported by Phase 3 data from the EASE trial which was the largest ever global trial conducted in patients with EB, performed 
across 58 sites in 28 countries. 
 
Debt refinancing  
On February 22, 2022, Amryt announced that it secured US$125,000,000 of senior credit facilities from funds managed by the 
Credit Group of Ares Management Corporation (“Ares”). Amryt used a portion of the proceeds to refinance its previous secured 
term debt facility, which had an outstanding balance of US$93,988,000 as at February 22, 2022, an interest rate of 13.00% and a 
maturity date of September 2024. The new facilities will generate significant annual interest cost savings as well as provide for 
important strategic flexibility as Amryt looks to continue to grow its global rare disease presence. 
 
Key features of the new facilities include: 
 
Total new facilities of $125 million, consisting of: 
o 
$85 million Term Loan Facility with interest rate of Secured Overnight Financing Rate (“SOFR”)+6.75%, subject 
to a 0.90% SOFR floor 
o 
$40 million Revolving Credit Facility with $20 million drawn at close and interest rate of SOFR+4.00%, subject to 
a 0.90% SOFR floor 
o 
Quarterly blended cash interest rate of SOFR+5.87% (assuming fully drawn), subject to a 0.90% SOFR floor, 
substantially lower than Amryt’s previous secured term debt facility at 13.00% interest 
 
Requires interest-only payments until facility matures in February 2027 

Amryt Pharma plc 
Notes to the Financial Statements Continued 
For the year ended December 31, 2021 
 
Amryt Pharma plc 
P a g e  | 104 
Annual Report and Accounts 
 
 
for the year ended December 31, 2021 
 
There are no warrants or any equity conversion features associated with the new facilities 
 
The proceeds will be used to refinance existing debt, for general corporate and product development purposes; and 
potentially for shareholder approved share repurchase programs. 
 
Charges were taken over certain assets of the company and its material entities as guarantee and collateral for the provision of 
the debt. 
 
EMA Contingent Value Rights Payment 
Following the CHMP positive opinion for Filsuvez® on April 22, 2022, the EMA CVR issued to those Amryt shareholders and option 
holders who held Amryt shares or options prior to the acquisition of Aegerion Pharmaceuticals, Inc. (“CVR Holders”) will now 
become payable. 
 
The total amount payable to CVR Holders will be approximately US$5,700,000. Each CVR Holder will be issued with one loan note 
of US$0.0995 for each CVR they hold (each a “Loan Note”). The certificates for the Loan Notes will be held by the Company’s 
Registrar, Link Group (“Link”), in electronic form on behalf of each CVR Holder.  
 
The Loan Notes will be redeemed in full on September 14, 2022 (the “Payment Date”) in accordance with the terms and conditions 
of the CVR Deed Poll and the Deed Poll constituting the Loan Notes (the form of which was appended to the CVR Deed Poll), which 
was executed by the Company on May 3, 2022. The total amount due to each CVR Holder will be paid by cheque on the Payment 
Date. 
 
 

Amryt Pharma plc 
Company Information 
 
Amryt Pharma plc 
P a g e  | 105 
Annual Report  
 
 
for the year ended December 31, 2021 
 
 
 
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)  
Raj Kannan (Non-Executive Director) (appointed on August 5, 2021) 
Dr. Roni Mamluk (Non-Executive Director) (appointed on August 5, 2021) 
 
Company Secretary 
Rory Nealon 
 
Auditors 
 
Grant Thornton 
13-18 City Quay 
Dublin 2 
Ireland 
 
Company Website 
www.amrytpharma.com