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Annual Report 2021

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pharmaceuticals

Improving the lives of people with 
neurodevelopmental disabilities

N e u r e n   P h a r m a c e u t i c a l s   L i m i t e d   
A N N U A L   R E P O R T   2 0 2 1

Neuren Pharmaceuticals is developing new 
therapies for debilitating neurodevelopmental 
disorders that emerge in early childhood and 
are characterised by impaired connections 
and signalling between brain cells. 
Incorporated in New Zealand and based in 
Melbourne, Australia, Neuren is listed on the 
ASX under the code NEU.

Contents

1  Neuren’s value proposition
2  Chair and CEO message
3  Operating Review
15  Board
16  Management Team
18  Corporate Governance
24  Directors’ Report
30  Consolidated Statement of Comprehensive Income
31  Consolidated Statement of Financial Position
32  Consolidated Statement of Changes in equity
33  Consolidated Statement of Cash Flows
34  Notes to the Consolidated Financial Statements
47  Independent Auditor’s Report
49  Additional Information

N E U R E N ’ S   V A LU E   P R O P O S I T I O N

Leading pipeline in neurodevelopmental disorders

Compound

Indication

Preclinical

Phase 1

Phase 2

Phase 3

Commercial Partner

Trofinetide

NNZ-2591

Rett syndrome1

Fragile X 
syndrome1

Phelan-McDermid 
syndrome2

Angelman 
syndrome2

Pitt Hopkins 
syndrome2

Prader-Willi 
syndrome

(North America)

(North America)

Commence 
H1 2022 

Results  
H1 2023

Commence 
H2 2022

Results  
H2 2023

1  Orphan Drug designation in US and EU, Fast Track designation in US 
2  Orphan Drug designation in US and EU3 Orphan Drug designation in US

Three key drivers of future value

1

2

Realise Neuren’s share of 
trofinetide value in the US 
through Acadia’s New Drug 
Application for Rett syndrome

Implement commercial 
strategy for trofinetide ex-
North America, using US 
data for registration

3

Confirm efficacy of 
NNZ-2591 in Phase 2 
trials for 4 valuable 
indications

Key milestones in next 18 months

•  NNZ-2591 Phase 2 

trial results

•  Approval of NDA for Rett 

syndrome (Q1 2023)

•  Commercial partnerships ex-

North America for Rett syndrome

•  Commence Prader-Willi 
syndrome Phase 2 trial

•  Acadia New Drug Application (NDA) 

for Rett syndrome (mid-2022)

•   Commence Phase 2 trials in 

Angelman, Phelan-McDermid 
and Pitt Hopkins syndromes

1

Neuren Pharmaceuticals Limited Annual Report 2021 
 
C H A I R   A N D   C E O   M E S S A G E

PAT R I C K   D A V I E S   &   J O N   P I L C H E R

Dear Shareholders,

2021 was a very successful year 
for Neuren, culminating in the 
positive Phase 3 clinical trial results 
for trofinetide in Rett syndrome, 
announced in December by our US 
partner Acadia Pharmaceuticals. 
Given that the trial was conducted 
entirely through the pandemic, it 
was an outstanding achievement 
by Acadia to complete it within the 
envisaged timeline. Of course, this 
was made possible by the remarkable 
determination and resilience of the 
Rett syndrome community in the 
United States. Their unwavering 
support has been critical throughout 
this ground-breaking development 
program.

The robustly positive trial results were 
a very important value-accretive event 
for Neuren, as evidenced by the large 
increase in the share price against 
the background of a bear market for 
biotech stocks. However, the results 
were also the gateway to much larger 
value creation in the near term across 
the three elements that Neuren is 
pursuing. If all goes according to plan 
for these three elements, we expect 
to have a range of very attractive 
strategic options for the Company. 

Firstly, the results enable the New Drug 
Application for trofinetide that Acadia 
plans to submit to the US Food and 
Drug Administration (FDA) in mid-2022. 

Neuren will earn the first milestone 
payment from Acadia of US$10 million 
when the FDA accepts the application 
for review, which is typically 60 
days after filing. If the application is 
approved, we expect further payments 
in 2023 of US$73 million, as well as 
double digit percentage royalties on 
sales and the potential to earn future 
sales milestone payments of up to 
US$350 million.

Secondly, the results enable Neuren 
to seek partners to commercialise 
trofinetide outside North America, 
using the data generated by the US 
development program.

Thirdly, the trofinetide results further 
increased our confidence in the 
prospects of our second drug NNZ-
2591, which also targets the role of IGF-
1 in the brain and will involve similar 
clinical trials. It is a very exciting 
time for Neuren as we commence 
multiple Phase 2 trials for NNZ-2591 
following the great promise seen in all 
the pre-clinical models. The number 
of potential patients across the four 
neurodevelopmental disorders we 
are currently targeting in parallel is 
more than five times the number for 
Rett syndrome. We retain global rights 
to NNZ-2591, which has the potential 
to generate larger value for Neuren 
shareholders than trofinetide. 

We are grateful to the existing and 
new shareholders that gave strong 
support to the modest capital raising 
we conducted in September 2021. 
The raising ensured that our ambitious 
plans for NNZ-2591 were fully funded, 
independent of anticipated revenues 
from trofinetide. This includes 
accelerating the path to market 
by laying the foundations that are 
required for Phase 3 in parallel with 
executing the Phase 2 trials. Our 
increasing market capitalisation has 
now led to broader media and investor 
interest in Neuren, including brokers 
that typically follow more mature and 
larger healthcare companies. In time 
this should result in a new and larger 
audience for the Neuren story and we 
remain very active in engaging with 
investors and stakeholders to share 
with them the strong prospects of your 
company. Neuren was recently added 
to the ASX All Ordinaries Index and 
further growth may potentially lead 
to inclusion in the ASX 300 Index. 

We would like to thank the Neuren 
team and Board, the patient 
communities and our many industry 
partners for their effort and skill over 
the last year. The Neuren team remains 
highly motivated and determined 
to improve the lives of patients and 
families around the world impacted 
by neurodevelopmental disabilities. 
We believe that there is a very exciting 
time ahead for the Company.

Neuren’s  
Values

We are passionate about making a difference 
to the lives of patients and their families

We aim to earn the respect of everyone 
we deal with

We are determined and creative to break 
through barriers

We harness the power of collaboration 
and different perspectives

We recognise the importance of all 
stakeholders and endeavour to use 
financial resources efficiently

2

Patrick Davies 
Chair

Jon Pilcher 
CEO

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

Treating neurodevelopmental disorders

Rett

MECP2

Fragile X

Phelan-
McDermid

Angelman

Pitt Hopkins

Prader-Willi

FMR1

SHANK3

UBE3A

TCF4

15q11-q13

Impaired communication between 
neurons, abnormal formation/pruning 
of dendrites & chronic inflammation

Neuren’s drugs 
target the critical 
role of IGF-1 in this 
upstream process, 
using analogs of 
peptides that can 
be taken orally as 
liquids

Severe impact on nearly every aspect of life

walking and balance issues

anxiety and hyperactivity

seizures

speech impairment

impaired hand use

intellectual disability

breathing irregularities

sleep disturbance

gastrointestinal problems

NEUREN’S GROUND -BRE AKING THER APIES 
Neuren has two novel patented drugs, trofinetide and NNZ-
2591, which potentially have broad utility in the treatment 
of neurological disorders. Both drugs can be administered 
orally in a patient-friendly liquid dose. Each drug is in clinical 
development to treat debilitating neurodevelopmental 
disorders that emerge in early childhood and for which there 
are currently no approved drug therapies. The disorders 
stem from problems in brain development which lead to a 
wide range of serious issues affecting nearly every aspect of 
life, creating a severe life-long burden for the patients and 
their families. 

Each neurodevelopmental disorder is caused by a different 
genetic mutation, but in many cases they share similar 
symptoms and the common characteristic of impaired 
connections and signalling between brain cells. Neuren’s 
drugs, which are synthetic analogues of important 
molecules that occur naturally in the brain, aim to improve 
the impaired connections and signalling, meaning that 
the drug’s target is to have a broad impact on the disorder 
rather than aiming to treat one symptom.

A critical feature of Neuren’s work to develop therapies 
for each of these disorders is close collaboration with the 
leading specialist physicians and with the well-organised 
patient advocacy organisations. 

THE IMPORTANCE OF ORPHAN DRUG 
DESIGNATION

Neuren has received Orphan Drug designation from the US 
Food and Drug Administration (FDA) for trofinetide to treat 
Rett syndrome and Fragile X syndrome and for NNZ-2591 
to treat Phelan-McDermid syndrome, Angelman syndrome, 
Pitt Hopkins syndrome and Prader-Willi syndrome. The 
European Medicines Agency (EMA) has also granted Orphan 
designation to all except Prader-Willi syndrome, for which 
an application will be submitted in due course.

Orphan Drug designation is a special status that the 
regulators may grant to a drug to treat a rare disease 
or condition. Amongst other incentives, Orphan Drug 
designation qualifies the sponsor of the drug for exclusivity 
periods during which the regulators will not approve a 
generic competitor product. These marketing exclusivity 
periods are extremely valuable for the commercialisation 
of Orphan Drugs. They provide additional protection, along 
with patents, against generic competitors and potentially 
can continue to provide protection after patent expiry. 
The exclusivity periods after marketing authorisation of 
products approved for pediatric use are 7.5 years in the US 
and 12 years in the EU. Japan, South Korea and Taiwan also 
have Orphan Drug programs.

3

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

C O N T I N U E D

As well as the exclusivity periods, Orphan Drugs have many other commercial advantages compared with existing markets 
that have apparently attractive large sales in which established products and companies have to be displaced. The serious and 
urgent unmet need results in a more supportive regulatory and pricing environment and strong engagement from the patient 
community and leading physicians. Historical data indicates a higher probability of achieving regulatory approval and the 
potential for immediate access to known patients means that a large sales organisation is less important. 

In short, the Orphan Drug business model targets a leadership position in markets with urgent need, at an attractive price and 
with a higher probability of getting to market.

The neurodevelopmental disorders that Neuren is aiming to treat are “rare diseases”, however they are not “ultra-rare”, and 
in each disorder there are tens of thousands of potential patients. Combined with Neuren’s strategy to develop treatments for 
multiple disorders in parallel, this results in a substantial commercial opportunity.

COMMERCIAL EXCLUSIVIT Y
In addition to the primary protection of the important exclusivity periods from Orphan Drug designation explained above, 
Neuren has additional commercial protection from issued patents, which extend as far as 2032 for trofinetide and 2034 for 
NNZ-2591. Further international patent applications have been filed for both drugs which, if granted, will extend to 2040. Since 
trofinetide and NNZ-2591 are new chemical entities, following the first marketing authorisation for each drug, the term of one 
patent may potentially be extended by up to 5 years in many countries, including the United States, Europe and Japan.

TROFINETIDE FOR RETT SYNDROME

Successful Phase 3 clinical trial and pending NDA
In December 2021, Neuren’s partner for trofinetide in North America, Acadia Pharmaceuticals (Nasdaq: ACAD), announced 
positive top-line results from the pivotal, Phase 3 Lavender™ clinical trial evaluating the efficacy and safety of trofinetide 
in 187 girls and young women aged 5-20 years with Rett syndrome. The 12-week placebo-controlled study demonstrated 
a statistically significant improvement over placebo for both co-primary endpoints. On the Rett Syndrome Behaviour 
Questionnaire (RSBQ), change from baseline to week 12 was -5.1 vs. -1.7 (p=0.0175; effect size=0.37). The Clinical Global 
Impression–Improvement (CGI-I) score at week 12 was 3.5 vs. 3.8 (p=0.0030; effect size=0.47). The RSBQ is a caregiver 
assessment of the core symptoms of Rett syndrome and the CGI-I is a global physician assessment of worsening or improving 
of Rett syndrome. Additionally, trofinetide demonstrated a statistically significant separation over placebo on the key 
secondary endpoint, the Communication and Symbolic Behavior Scales Developmental Profile™ Infant-Toddler Checklist–
Social composite score (CSBS-DP-IT–Social) change from baseline to week 12 was -0.1 vs. -1.1 (p=0.0064; effect size=0.43).

Lavender™ positive top-line results

Disorder

Primary Endpoints:

Rett Syndrome Behaviour Questionnaire (RSBQ) 
(Change from baseline to week 12)

p-value

Effect Size: Cohen’s d

Clinical Global Impression of Improvement (CGI-I) 
(Score at week 12)

p-value

Effect Size: Cohen’s d

Key Secondary Endpoint:

CSBS-DP-IT Social Composite Score 
(Change from baseline to week 12)

p-value

Effect Size: Cohen’s d

Placebo

Trofinetide

-1.7 (0.98)

-5.1 (1.38)

p=0.0175

0.37

3.8 (0.06)

3.5 (0.08)

p=0.0030

0.47

-1.1 (0.28)

-0.1 (0.28)

p=0.0064

0.43

Source: Acadia Lavender Study Top-Line Results Presentation https://ir.acadia-pharm.com/static-files/84457c64-60ab-4b2f-a166-edc1d465f4a8

4

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

C O N T I N U E D

The trofinetide program has Orphan Drug, Fast Track and Rare Pediatric Disease designations from the FDA. Acadia plans to 
submit a New Drug Application (NDA) to the FDA around mid-year 2022. A NDA with Orphan Drug Designation is eligible for 
Priority Review in 6 months, compared with the standard review period of 10 months, which means potential for marketing 
approval in the first quarter of 2023. The NDA will be based on pivotal efficacy from the positive Phase 3 trial, supportive 
efficacy from Neuren’s positive Phase 2 trial and safety data from completed and ongoing studies, which include the Lilac™ 
open label extension trial and the Daffodil™ trial evaluating safety and pharmacokinetics in children aged 2 to 5 years. Acadia 
has already conducted pre-NDA meetings with the FDA to discuss the clinical data package and the chemistry, manufacturing 
and controls package for the NDA.

Neuren’s attractive economics from the Acadia partnership
Under the terms of the licence agreement with Acadia, the development and commercialisation of trofinetide in North America 
is fully funded by Acadia and Neuren may receive potential milestone payments of up to US$455 million, plus double-digit 
percentage royalties on net sales of trofinetide in North America, plus one third of the market value of a Rare Pediatric Disease 
Priority Review Voucher if awarded by the FDA upon approval of a NDA for trofinetide. These vouchers are tradeable and 
published sales since 2019 have fetched between US$95 million and US$110 million.

Neuren expects to receive revenue over 2022 and 2023 for Rett syndrome in the US alone of A$115 million plus double-digit 
percentage royalties on net sales. The expected revenue in addition to the royalties comprises:

 – A milestone payment in 2022 of US$10 million (A$14 million at assumed exchange rate of 0.72) following acceptance of the 

NDA for review by the FDA;

 – A milestone payment in 2023 of US$40 million (A$55 million), following the first commercial sale of trofinetide in the United 

States; and

 – US$33 million (A$46 million) in 2023 as Neuren’s one third share of the market value of a Priority Review Voucher, estimated 

as US$100 million.

Neuren’s additional ongoing revenue from sales has two components: 

 – Double digit percentage royalties on sales of trofinetide in all indications. The annual sales are recorded in tiers and 
an escalating percentage is applied to each successive tier. The potential peak annual net sales for trofinetide in Rett 
syndrome has been estimated by Acadia as at least US$500 million.

 – Payments of up to US$350 million (approximately A$486 million) on achievement of a series of 4 thresholds of total annual 

sales for all indications.

No royalties or similar costs are payable by Neuren to third parties, which means that Neuren’s revenue from Acadia will flow 
through to pre-tax profit.

A redacted version of the licence agreement between Neuren and Acadia was filed with the US Securities and Exchange 
Commission as a material contract exhibit to Acadia’s 2018 10-K Annual Report, which is available to view via the SEC Filings 
section of Acadia’s website.

Development and commercialisation outside North America
Acadia has exclusive rights to trofinetide in all indications for the United States, Canada and Mexico. Neuren retained all rights 
to trofinetide for countries outside North America and has a fully paid-up, irrevocable licence for use in those countries to all 
data generated by Acadia.

There is urgent unmet need for a treatment for Rett syndrome around the world, evidenced by communications received from 
families, patient support groups and physicians. The estimated number of potential patients and currently identified patients 
are shown in the table below. Neuren expects rates of diagnosis to increase with greater awareness and accelerate with the 
availability of a treatment.

Rett Syndrome opportunity

Estimates

Potential patients1

Patients currently identified

US

Europe

Japan

China urban

Other Asia

10,000

5,000

13,000

4,000

3,000

1,000

28,000

2,000

6,000

‘00s

1  Potential patient estimates derived by applying the mid-point of the published prevalence estimate range to the populations under 60 years

5

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

C O N T I N U E D

Neuren has received strong interest for potential commercial partnerships and the number of interested parties has increased 
significantly since the Phase 3 results were announced. Discussions are now in progress under a process to secure the optimum 
outcome for shareholders and for patients.

i

About Rett syndrome

Rett syndrome is a seriously debilitating and life-threatening neurological disorder, for which there are no 
approved medicines. It is first recognized in infancy and seen predominantly in girls, but can occur very 
rarely in boys. At diagnosis, Rett syndrome has often been misdiagnosed as autism, cerebral palsy, or non-
specific developmental delay. Most cases of Rett syndrome are caused by mutations on the X chromosome 
on a gene called MECP2. Rett syndrome strikes all racial and ethnic groups and has been estimated to 
occur worldwide in 1 of every 10,000 to 15,000 female births, causing problems in brain function that are 
responsible for cognitive, sensory, emotional, motor and autonomic function. These problems can include 
learning, speech, sensory sensations, mood, movement, breathing, cardiac function, and even chewing, 
swallowing, and digestion. Rett syndrome symptoms appear after an early period of apparently normal or 
near normal development until six to eighteen months of life, when there is a slowing down or stagnation of 
skills. A period of regression then follows, with loss of communication skills and purposeful hand use, loss or 
impairment of walking, and the onset of stereotypic hand movements. Other problems frequently include 
seizures and erratic breathing patterns, an abnormal side-to-side curvature of the spine (scoliosis), and 
sleep disturbances.

NNZ-2591 FOR MULTIPLE NEURODEVELOPMENTAL DISORDERS
Neuren recently received approval from the FDA for Investigational New Drug (IND) applications to commence Phase 2 clinical 
trials of NNZ-2591 for each of Phelan-McDermid syndrome (PMS), Angelman syndrome (AS) and Pitt Hopkins syndrome (PTHS). 
There are currently no approved therapies for these debilitating neurodevelopmental disorders. A fourth disorder, Prader-Willi 
syndrome, was also added to the development pipeline in 2021 following excellent results in a model of the disorder and the 
grant of Orphan Drug designation by the FDA.

The estimated number of potential patients being targeted across these four disorders is more than five times larger than Rett 
syndrome. Neuren retains all global rights to NNZ-2591.

Five times larger opportunity for NNZ-2591

Disorder

Gene mutation Published prevalence estimates

Phelan-McDermid

SHANK3

1/8,000 to 1/15,000 males and females

UBE3A

TCF4

1/12,000 to 1/24,000 males and females

1/34,000 to 1/41,000 males and females

Angelman

Pitt Hopkins

Prader-Willi

Potential 
patients 
US1

Potential 
patients 
Europe1

Potential 
patients 
Other1, 2

22,000

14,000

7,000

28,000

18,000

9,000

81,000

52,000

25,000

47,000

15q11-q13

1/10,000 to 1/30,000 males and females

13,000

16,000

1    Estimates derived by applying the mid-point of the prevalence estimate range to the populations under 60 years

2   Other comprises Japan, Korea, Taiwan, Israel, Brazil and urban population of China

56,000

71,000

205,000

6

Neuren Pharmaceuticals Limited Annual Report 2021 
 
O P E R AT I N G   R E V I E W

C O N T I N U E D

Phase 2 trials in AS, PMS and PTHS – results expected in H1 2023
Following review of the originally submitted trial protocols, FDA requested enhancements to the safety monitoring in these 
first trials of NNZ-2591 in pediatric patients. This required amendments to the protocols and re-submission of the applications, 
which deferred the approvals of the IND applications by 5 months. This in turn moved the expected timing of top-line results 
from H2 2022 to H1 2023. 

The overall aim of these first trials is to expedite the generation of data that will enable the subsequent trials to be designed 
as registration trials. Prioritising fast enrolment of subjects, the AS trial is being conducted in Australia, whilst the PMS and 
PTHS trials are being conducted in the US. Up to 20 pediatric patients will be enrolled in each trial. All patients will receive drug 
following a well-characterised baseline period, which will enable the change from baseline to be extensively analysed.

The primary aim is to confirm the safety and pharmacokinetics of NNZ-2591 in pediatric patients. However, each trial will also 
assess the treatment impact across multiple efficacy measures to generate data to select the best primary efficacy endpoint 
or endpoints for the registration trials. The trials maximise the opportunity to demonstrate effects by focusing on pediatric 
patients and treating them for 13 weeks. 

Preparation for Phase 3
In order to expedite the overall development plan, in parallel with conducting the Phase 2 trials Neuren is executing the 
additional development work required to be ready for Phase 3 development. This includes non-clinical toxicity studies 
to support longer clinical trials and commercial use of the product, as well as optimisation of the drug product and drug 
substance manufacturing arrangements. 

Strong foundations for Phase 2 trials
In designing and executing the NNZ-2591 development program, Neuren has been able to leverage the extensive and highly 
relevant experience the management team has gained from the trofinetide Rett syndrome program across manufacturing, 
non-clinical, clinical and regulatory. Neuren has meticulously built strong foundations in each of these areas to enable Phase 2 
trials in multiple indications. 

Clear and consistent efficacy in mouse models of all four disorders

The studies in these models compared normal mice (“wild type”) and mice with a disrupted gene (“knockout”). The knockout 
mice exhibit behavioural and biochemical deficits that mimic each disorder in humans. The wild type mice and the knockout 
mice were each treated with placebo and NNZ-2591. In all four models, treatment with NNZ-2591 for 6 weeks eliminated all the 
deficits so that the knockout mice were indistinguishable from the wild type mice. Treatment had no impact on the wild type 
mice which is important from a safety point of view.

Following review of the data from the mouse models and the mechanistic rationale for treatment, FDA granted Orphan Drug 
designation for NNZ-2591 in each of the four disorders.

7

Neuren Pharmaceuticals Limited Annual Report 2021EFFICACY IN MOUSE MODEL OF ANGELMAN

C O N T I N U E D

O P E R AT I N G   R E V I E W

The charts below show the results in the Angelman syndrome, Pitt Hopkins and Prader-Willi syndrome models. In the 
Angelman model, treatment also eliminated seizures in the knockout mice.

Efficacy in mouse model of Angelman (Ube3a)

Hypoactivity & anxiety

y
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W T + N N Z 2591
U b e3a
Sociability

-/p+  + vehicle

W T-vehicle
U be3a

m

m -/p+  + N N Z 2591
W T + N N Z 2591
U b e3a

80

Motor

-/p+  + vehicle

W T-vehicle
U be3a

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m -/p+  + N N Z 2591
W T + N N Z 2591
U b e3a

8

Cognition

80

60

40

20

0

200

150

l

EFFICACY IN MOUSE MODEL OF PITT HOPKINS
EFFICACY IN MOUSE MODEL OF PITT HOPKINS

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7

Efficacy in mouse model of Pitt Hopkins (Tcf4)

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f
o
%
n

i
g
n
i
z
e
e
r
F

0

0

W T + V ehicle 
W T + V ehicle 

+/_  + V ehicle
+/_  + V ehicle

W T + N N Z 2591
W T + N N Z 2591
+/_  + N N Z 2591
+/_  + N N Z 2591

Tcf4

Tcf4

Tcf4

Tcf4

W T + V ehicle 
W T + V ehicle 

+/_  + V ehicle
+/_  + V ehicle

W T + N N Z 2591
W T + N N Z 2591
+/_  + N N Z 2591
+/_  + N N Z 2591

Tcf4

Tcf4

Tcf4

Tcf4

)
s
(
e
s
u
o
m

)
s
(
60
e
s
u
o
m

l

e
v
o
n
e
h
t
h
t
i

w

t

n
e
p
s
e
m
T

i

l

e
v
40
o
n
e
h
t
h
t
i
20
w
n
e
p
s
e
m
0
T

t

i

Sociability

Sociability

60

40

20

0

i

)
s
(
g
n
m
o
o
r
g
t
n
e
p
s
e
m
T

i

150

100

i

150
)
s
(
g
n
m
100
o
o
r
g
t
n
e
50
p
s
e
m
T

i

+/_  + V ehicle
+/_  + V ehicle
N _ W T + N N Z 2591
N _ W T + N N Z 2591
N _ W T + V ehicle 
N _ W T + V ehicle 
+/_  + N N Z 2591
+/_  + N N Z 2591
N _Tcf4
N _Tcf4
N _Tcf4
N _Tcf4

Repetitive behavior

Repetitive behavior

Motor performance

Motor performance

1.0

1.0

0.8

0.8

50

e
c
r
o
F

0

0

W T + V ehicle 
W T + V ehicle 

+/_  + V ehicle
+/_  + V ehicle

W T + N N Z 2591
W T + N N Z 2591
+/_  + N N Z 2591
+/_  + N N Z 2591

Tcf4

Tcf4

Tcf4

Tcf4

)

N

(

)

(

N
0.6
e
c
r
o
0.4
F

0.6

0.4

0.2

0.2

0.0

0.0

W T + V ehicle 
W T + V ehicle 

+/_  + V ehicle
+/_  + V ehicle

W T + N N Z 2591
W T + N N Z 2591
+/_  + N N Z 2591
+/_  + N N Z 2591

Tcf4

Tcf4

Tcf4

Tcf4

8

8

8

Neuren Pharmaceuticals Limited Annual Report 2021 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
O P E R AT I N G   R E V I E W

C O N T I N U E D

Efficacy in mouse model of Prader-Willi (Magel2-null)
Prader-Willi is caused by mutations in the 15q11-q13 region of chromosome 15. In the Magel2-null mouse model, which 
exhibits features of Prader-Willi in humans, wild type mice and knockout mice were treated with placebo (vehicle) or NNZ-2591 
for 6 weeks. Treatment with NNZ-2591 normalized fat mass (obesity) insulin levels, IGF-1 levels and all the behavioral deficits in 
the knockout mice and had no effect on the wild type mice.

Insulin levels (pM)

WT plus  
vehicle

110

Magel2-null  
plus vehicle

WT plus  
NNZ-2591 low dose

Magel2-null plus  
NNZ-2591 low dose

WT plus  
NNZ-2591 high dose

Magel2-null plus  
NNZ-2591 high dose

173

112

143

115

119

Obesity
Obesity

Circulating IGF-1 levels
Circulating IGF-1 levels

Cognition
Cognition

)
g
(

s
s
a
m

t
a
F

30

20

10

0

)
l

/

m
g
n
(

1
-
F
G

I

150

100

50

0

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Hypoactivity

Hypoactivity
Hypoactivity (Open Field time spent active)

(Open Field distance travelled)
Hypoactivity (Open Field distance travelled)

(Open Field time spent active)

10000

8000

6000

4000

2000

0

)

S

(

e
m
T

i

800

600

400

200

0

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Social preference

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Social Interaction

Social preference

Social interaction

)

m
c
(
d
e

l
l

e
v
a
r
t
e
c
n
a
t
s
D

i

e
h
t
h
t
i

w

t
n
e
p
s

e
m
T

i

)

S

(

t
c
e
j
b
o

l
e
v
o
n

10

8

6

4

2

0

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Daily Living
Daily living

)
5
o
t
1
e
d
a
r
g
(

6

4

2

0

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Anxiety
Anxiety

y
t
i
l

a
u
q
g
n
d

i

l
i

u
B

t
s
e
N

e
h
t
h
t
i

w

t
n
e
p
s

e
m
T

i

)

S

(

e
s
u
o
m

150

100

50

0

)
n
(

s
t
n
e
v
e
g
n
i
f
f
i
n
S

100

80

60

40

20

0

)

S

(

e
m
T

i

200

150

100

50

0

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

9

W T + V ehicle 
M a g el2-n ull + V e hicle
W T + N N Z 2591 (lo w d o se)
W T + N N Z 2591 (hig h d o se)
M ag el2-n ull + N N Z 2591 (lo w d o se)
M ag el2-n ull + N N Z 2591 (hig h d o se)

Neuren Pharmaceuticals Limited Annual Report 2021 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MCDERMID

O P E R AT I N G   R E V I E W

C O N T I N U E D

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID

Optimum dose identified

In the Phelan-McDermid syndrome model, the effect of four escalating dose levels was investigated. The results of this dose 
ranging study are shown in the charts below. They were consistent across all 8 behavioral tests and the incidence of seizures, 
demonstrating that the second highest dose was the optimum dose level in the mouse model. Comparison with human 
pharmacokinetic data from the Phase 1 clinical trial has informed the equivalent human dose for the Phase 2 trials in patients.

A further observation was that the optimum dose in this 6-week study showed better efficacy than the same dose in an earlier 
study for 3 weeks, indicating that efficacy increases with treatment duration. In the Phase 2 trials Neuren is testing treatment 
with NNZ-2591 for 13 weeks. 

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID
OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID

Memory

Memory
Motor function

Learning

Motor function

Learning
Anxiety

Sociability

Repetitive behavior

Sociability

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID

Repetitive behavior

Anxiety

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID

OPTIMUM DOSE IN MOUSE MODEL OF PHELAN-
MCDERMID

Motor function

Motor function

Incidence of seizures

WT + vehicle

0%

KO + vehicle
60%

KO + x mg/kg
50%

WT + vehicle
0%
KO + 2x mg/kg
30%

Anxiety

Anxiety
Incidence of seizures
Memory
KO + 2x mg/kg
30%

KO + x mg/kg
50%
KO + 8x mg/kg
10%

Daily living
KO + vehicle
60%
KO + 4x mg/kg
Daily living
10%

Repetitive behavior

Repetitive behavior

Learning

Daily living

KO + 4x mg/kg
10%
Daily living

KO + 8x mg/kg
10%

9

Daily living

Daily living

Daily living

Daily living

Incidence of seizures

Sociability

9

10

10

KO + 4x mg/kg
10%

KO + 8x mg/kg

10%

KO + x mg/kg
WT + 
50%
vehicle

KO + 
vehicle

KO + 2x mg/kg
KO + x 
30%
mg/kg

0%

60%

50%

KO + 2x 
mg/kg

KO + 4x 
mg/kg

KO + 8x 
mg/kg

30%

10%

10%

10

10

9

WT + vehicle
0%

KO + vehicle
60%

10

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

C O N T I N U E D

CORRECTING IMPAIRED SIGNALING IN NEURONS

Effects on biochemistry and brain cell structure confirmed

Biochemical testing in the Phelan-McDermid model showed that the abnormal length of dendritic spines between brain 
cells, the excess activated ERK protein (pERK) and the depressed level of IGF-1 in the knockout mice were all normalised after 
treatment with NNZ-2591, as shown in the charts below.

Correction of abnormal dendritic 
spines in mouse models:
Left - Phelan-McDermid syndrome 
(shank3)
Right - Fragile X syndrome (fmr1)

Abnormal dendrites in 
shank3 knockout mice

Normalisation after 
treatment with NNZ-2591

Blood-brain barrier penetration confirmed

Correction in fmr1 knockout mice after 
treatment with trofinetide (NNZ-2566)

As well as very high oral bioavailability, good penetration of the blood-brain barrier by NNZ-2591 has been demonstrated in 
a rodent study. A single dose was administered at 2 dose levels, with the high dose twice the low dose. The concentration of 
NNZ-2591 in the blood and cerebrospinal fluid was determined after 1.5 hours and again after 4 hours. The amount in the brain 
tissue was also measured after 4 hours. In each case the concentration was approximately proportional to the dose and after 
4 hours the concentration in blood and brain tissue was approximately equivalent.

12

Large scale manufacturing process developed

Neuren has successfully developed a proprietary process for manufacturing drug substance at large scale with exceptional 
purity and high yield. Manufacturing has been completed to supply all four Phase 2 trials.

Positive Phase 1 clinical trial results

In 2021, Neuren completed a Phase 1 clinical in Australia, in which twice daily oral dosing of NNZ-2591 for seven days was safe 
and well tolerated in healthy volunteers at doses expected to be within the effective therapeutic range. This was an important 
milestone for NNZ-2591 to be able to move forward to Phase 2 clinical trials in patients.

The primary objective was to evaluate safety and tolerability, with a secondary objective to evaluate pharmacokinetic 
parameters. Two double-blind placebo-controlled cohorts of eight healthy adult volunteers were dosed orally twice per day for 
seven days. Each cohort was titrated up to the target dose, with the target dose in the second cohort double the target dose in 
the first cohort. These two cohorts were preceded by preliminary testing of single doses of NNZ-2591, which enabled modelling 
of potential multiple dosing regimens.

11

Neuren Pharmaceuticals Limited Annual Report 2021O P E R AT I N G   R E V I E W

C O N T I N U E D

No Serious Adverse Events (SAEs) were reported. All reported Adverse Events (AEs) were mild or moderate and resolved during 
the trial. There were no clinically significant findings from safety laboratory tests, vital signs, or cardiac tests. In the cohorts 
dosed for seven days, the most common AE reported was drowsiness. In the higher dose cohort, only one of the reported AEs 
was moderate, the remainder were mild. All subjects completed the scheduled dosing, apart from one of the eight subjects 
in the lower dose cohort, who ceased dosing after receiving the first starting dose following moderate drowsiness and 
incoordination. 

IND-enabling program of non-clinical toxicology and CMC studies completed

An extensive program of non-clinical toxicology and manufacturing studies required to open an IND in the United States and 
enable clinical trials for 13 weeks in pediatric patients has been completed.

To find out more about these disorders:

www.pmsf.org

www.pitthopkins.org

www.angelman.org

www.fpwr.org

THE SCIENCE BEHIND NEUREN’S PRODUCTS
Trofinetide (also known as NNZ-2566) and NNZ-2591 are synthetic analogues of glypromate (“GPE”) and cyclic glycine-proline (“cGP”) 
respectively, each of which occurs naturally in the brain and is involved in the metabolism of IGF-1, which is a growth factor stimulated 
by growth hormone. In the central nervous system, IGF-1 is produced by both of the major types of brain cells – neurons and glia. IGF-1 
in the brain is critical both for normal development and to maintain or restore the biological balance required for normal functioning. 
During development, the brain and the cells that comprise it change rapidly and in complex ways. IGF-1 and its metabolites play a 
significant role in regulating these changes. In the mature brain, these molecules play an important role in responding to disease, 
stress and injury. 

Trofinetide and NNZ-2591 mimic the function of the natural molecules in the brain, however each drug is designed to have a longer 
half-life in circulation, be suitable for use as an oral medication, more readily cross the blood brain barrier and have better stability 
for longer and easier storage and shipping.

Whereas many drugs typically exert a specific effect on a specific target related to one symptom, trofinetide and NNZ-2591 exert 
diverse effects which can help to control or normalise abnormal biological processes in the brain. 

Many neurological conditions share four common, underlying pathological features:

1.  Inflammation
Inflammation in the brain (neuroinflammation) is perhaps the most common pathological feature of neurological disorders. 
Much of it is the result of excess production of molecules called inflammatory cytokines. These are prominent in brain injuries, 
neurodevelopmental disorders such as Rett syndrome, neurodegenerative diseases like Alzheimer’s and even so-called 
“normal” aging. 

Neuroinflammation places significant stress on brain cells. Stress can disrupt normal cellular processes such as information 
signalling, increase energy requirements beyond the ability of the cells to meet their metabolic needs, and disturb electrical 
functions which can lead to seizures and other abnormalities and even result in premature cell death.

12

Neuren Pharmaceuticals Limited Annual Report 2021 
O P E R AT I N G   R E V I E W

C O N T I N U E D

2.  Over-activation of microglia
Microglia are the resident immune cells in the brain. Once thought to serve primarily a sentinel function – responding to infection 
and damaged cells by surrounding and removing them – it is now known that they play a central role in maintaining synapses during 
development and in mature brains by pruning dendrites, the many small extensions of neurons that form synapses. Microglia are 
also a key source of IGF-1. Due to this wide-ranging maintenance function, they have appropriately been referred to as the “constant 
gardeners” of the brain.

Microglia are not only activated in response to infection and injury, they also are activated by inflammation. In this activated 
state, they not only lose their ability to effectively perform their normal function in synaptic maintenance but also produce more 
inflammatory cytokines which can further compound the damage to neurons and other brain cells.

Resting Microglial Cells

Activated Microglial Cells

3.  Dysfunction of synapses
Neurons communicate with each other by chemical and electrical signals transmitted via synapses. Normal synaptic function is 
essential for healthy brain function and underlies memory, cognition, behaviour and other brain activities. Normal synaptic function 
requires that the dendrites (the branches on the neurons) which form synapses are appropriately formed as well as that excitatory 
and inhibitory signals are kept in balance. 

When dendritic structure and synaptic signalling are abnormal, virtually all brain activities can be negatively impacted. Synaptic 
dysfunction has been identified as a core feature of many conditions including acute brain injury, neurodevelopmental disorders and 
neurodegenerative diseases. 

4.  Reduced levels of IGF-1
IGF-1 levels in the brain have been reported to be depressed in a number of conditions, which means that the critical role of IGF-1 in 
maintaining and repairing brain cells and synapses is impaired. 

The aim of treatment with Neuren’s drugs is to restore the natural balance of brain function by:

 – reducing inflammation
 – restoring the normal functioning of microglia
 – improving the dendritic structure of synapses
 – normalising the levels of IGF-1 in the brain

13

Neuren Pharmaceuticals Limited Annual Report 2021 
O P E R AT I N G   R E V I E W

C O N T I N U E D

FINANCE

R&D Tax Incentive

Interest income

Other income (Government cash-flow boost)

Foreign exchange gain

Total income

Research & Development

Corporate & Administration

Foreign exchange loss

(Loss)/Profit after tax

Cash flow from operations

Cash flow from financing

Effect of exchange rates on cash balances

Cash at 31 December

2021 
$’m

 3.2 

 – 

_

 0.4 

 3.6 

 (9.5)

 (1.9)

–

 (7.8)

 (10.0)

 22.2 

 0.4 

 36.8 

2020 
$’m

 0.7 

 0.1 

 0.1 

–

 0.9 

 (7.8)

 (1.7)

 (0.6)

 (9.2)

 (8.1)

 19.1 

 (0.7)

 24.2 

The loss after tax for 2021 was $7.8 million compared with $9.2 million in 2020. This is mainly due to R&D Tax Incentive income 
of $3.2 million (2020: $0.7 million) following AusIndustry’s approval of an Advance and Overseas finding for the development of 
NNZ-2591 as a novel therapy for neurodevelopmental disorders. Research and development costs were $1.7 million higher, due 
to an increase in expenditures in 2021 for the NNZ-2591 non-clinical studies, Phase 1 trial, Phase 2 trials and manufacture of 
the required drug for the Phase 2 trials. In addition, foreign exchange gains were $0.4 million compared with foreign exchange 
losses of $0.6 million in 2020. This is due to an increase in the carrying value in AUD of USD cash held to eliminate exchange risk 
for USD expenditure, as a result of the strengthening of the USD against the AUD. 

Cash reserves at 31 December 2021 were $36.8 million (2020: $24.2 million). Net cash used in operating activities was $10.0 
million (2020: $8.1 million). The increase of $1.9 million was mainly in payments to other suppliers, due to higher research and 
development expenditure of $3.5 million, which was partially offset by the receipt of $2.5 million under the R&D Tax Incentive 
program (2020: $0.5 million). Financing provided cash of $22.2 million, received for the issue of new ordinary shares in the 
capital raise and share purchase plan, compared with $19.1 million in 2020.

14

Neuren Pharmaceuticals Limited Annual Report 2021 
B O A R D

PATRICK DAVIES
Non-Executive Chair
B EC, MBA 

Patrick joined the Neuren Board in July 2018. He has held executive management roles in the Australian 
and New Zealand healthcare industry for over twenty five years having performed successfully in senior 
roles across many industry sectors including pharmacy, primary care, pharmaceutical and consumer 
products. During his ten year period as Chief Executive Officer of EBOS Group Limited (and previously 
Symbion), the enterprise value of the group achieved compound annual growth in enterprise value of 
+20% (from circa $450M to in excess of $3.1B). He is a director on other corporate boards and provides 
strategic advice to a range of healthcare businesses and investors.

JON PILCHER
Chief Executive Officer/Managing Director
BSc (Hons), FCA

Jon joined Neuren in August 2013 as CFO and was appointed CEO in May 2020. He has played a central 
role in all aspects of Neuren’s R&D, commercial and corporate activities. Before joining Neuren he was 
a member of the leadership team at Acrux (ASX: ACR) throughout a period that included Acrux’s IPO and 
listing on the ASX, the development and FDA approval of three novel pharmaceutical products and a 
transforming licensing deal with Eli Lilly in 2010. He formerly spent seven years in a series of executive 
positions in the R&D and corporate functions of international pharmaceutical groups Medeva and 
Celltech, which are now part of UCB. Jon is a Chartered Accountant and holds a degree in Biotechnology 
from the University of Reading in the UK. He is a non-executive director of BTC Health Limited (ASX: BTC).

DR TREVOR SCOTT
Non-Executive Director
MNZM, LLD (Hon), BCom, FCA, FNZIM, DF Inst D 

Trevor joined the Neuren Board in March 2002. He is the founder of T.D. Scott and Co., an accountancy 
and consulting firm, which he formed in 1988. He is an experienced advisor to companies across a variety 
of industries. Trevor serves on numerous corporate boards and is chairman of several. 

DIANNE ANGUS 
Non-Executive Director
BSc (Hons), Master of Biotechnology, IPTA 

Dianne joined the Neuren Board in July 2018. She has worked as a senior executive and non-executive 
director within the biotechnology, biopharmaceutical and agritech industries for over twenty-five years. 
She has created numerous global industry partnerships which include Prana Biotechnology, Gerolymatos 
International, Florigene, Suntory & Monsanto to yield novel and competitive medical, pharmaceutical 
and agricultural products. Dianne has successfully forged strong partnerships with key medical opinion 
leaders to create innovative clinical research programs and driven the development path for novel 
neurological pre-clinical agents to late-stage clinical assets before the FDA and European regulators. 
With over fifteen years’ experience in an ASX and NASDAQ listed company, she has expertise in business 
development, capital raising, investor relations, regulatory affairs and intellectual property, together with 
corporate governance and compliance capabilities. Dianne holds a Masters degree in biotechnology and 
is a registered patent attorney.

DR JENNY HARRY
Non-Executive Director
BSc (Hons), PhD 

Jenny joined the Neuren Board in 2018. She has 20 years’ experience in executive management of 
companies in the biotechnology and biopharmaceutical industry. Jenny is an accomplished CEO and 
Managing Director with experience in growing companies from start-up to commercialisation. She has 
served on Board’s of a number of listed and unlisted companies and is currently a Non-Executive Director 
of Aeris Environmental Limited (ASX:AEI) and on the Board’s IP sub-committee of the Children’s Medical 
Research Institute. Jenny is a graduate of the Harvard Business School General Manager Program and 
the Australian Institute of Company Directors.

15

Neuren Pharmaceuticals Limited Annual Report 2021M A N A G E M E N T   T E A M

JON PILCHER
Chief Executive Officer/Managing Director
BSc (Hons), FCA

Jon joined Neuren in August 2013 as CFO and was appointed CEO in May 2020. He has played a central 
role in all aspects of Neuren’s R&D, commercial and corporate activities. Before joining Neuren he was 
a member of the leadership team at Acrux (ASX: ACR) throughout a period that included Acrux’s IPO 
and listing on the ASX, the development and FDA approval of three novel pharmaceutical products and a 
transforming licensing deal with Eli Lilly in 2010. He formerly spent seven years in a series of executive positions 
in the R&D and corporate functions of international pharmaceutical groups Medeva and Celltech, which 
are now part of UCB. Jon is a Chartered Accountant and holds a degree in Biotechnology from the 
University of Reading in the UK. He is a non-executive director of BTC Health Limited (ASX: BTC).

L ARRY GL A SS
Chief Science Officer
BA (Biology)

Larry joined Neuren in 2004 and was an Executive Director from 2012 to 2018. He directs Neuren’s 
scientific and non-clinical development, as well as playing a leading role in clinical and regulatory 
strategy. Larry has more than 30 years’ experience in the life sciences industry, including clinical trials, 
basic and applied research, epidemiologic studies, diagnostics and pharmaceutical product development. 
Before he joined Neuren, he worked as an independent consultant for a number of biotech companies in 
the US and internationally provided management, strategic and business development services. Prior 
to that, he was CEO of a contract research organisation that provided preclinical research and clinical 
trials support for major pharmaceutical and biotechnology companies and the US government. For a 
number of years, the CRO operated as a subsidiary of a NYSE-listed company and was subsequently sold 
to a European biopharmaceutical enterprise which was then acquired by Johnson & Johnson. Larry is 
a biologist with additional graduate training in epidemiology and biostatistics.

DR NANC Y JONES
Vice President, Clinical Development
PhD

Nancy joined Neuren in January 2013. She leads the design and implementation of Neuren’s clinical 
studies in neurodevelopmental disorders. Prior to joining Neuren, Nancy held a senior position at Autism 
Speaks, the largest science and advocacy organization in the US focused on autism spectrum and related 
disorders. She was at Autism Speaks for 6 years, directing the overall operations of the Autism Treatment 
Network, a network of hospitals and medical centers dedicated to improving access to comprehensive, 
coordinated medical care for individuals with ASD. She also oversaw the Autism Clinical Trials Network, 
a network developed to promote and expedite clinical trials in ASD, and played a lead role in an initiative 
to enhance the development of syndrome-specific outcome measures for treatment trials in ASD. Nancy 
received her Ph.D. in Applied Linguistics from the University of California, Los Angeles where she focused 
on the neurobiology of language and developmental disorders.

JAMES SHAW
Vice President, Clinical & Regulatory Operations
BSc (Hons), MBA

James joined Neuren in August 2013, bringing twenty years of development and commercialisation 
experience in the Pharmaceutical Industry, having worked for both large Pharma and Clinical Research 
Organisations. He leads the clinical and regulatory execution of Neuren’s programs. Before joining Neuren, 
James was CEO of a Clinical Research and Site Management Organisation providing full service clinical 
trial support in ANZ. Prior to that he spent seven years with Quintiles in Sydney and Singapore working 
across Business Development and Operational leadership roles. James brings a global focus to drug 
development, having led product teams from Phase 2 through to FDA submission and commercialisation 
during six years with AstraZeneca at their Global headquarters in the UK.

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Neuren Pharmaceuticals Limited Annual Report 2021M A N A G E M E N T   T E A M

C O N T I N U E D

DR CLIVE BLOWER
Vice President, Product Development
BSc (Hons), PhD

Clive joined Neuren in August 2014, bringing over twenty years of global drug development experience. 
He has led all aspects of CMC (Chemistry, Manufacturing and Controls) development of both trofinetide 
and NNZ-2591. Before joining Neuren, Clive was at Acrux (ASX: ACR) for seven years as Director of Product 
Development and Technical Affairs and then Chief Operating Officer. During this period he led the CMC 
development of the company’s lead product through Phase 3 clinical trials, FDA approval and commercial 
launch. Clive formerly served in senior management positions at Hospira Inc. (previously Faulding 
Pharmaceuticals, then Mayne Pharma), including leading the Injectable Drug Development Group. He 
earned a Doctorate in Chemistry from Monash University in 1992 and has experience in all stages of drug 
development, from concept to commercialisation, having contributed to the development and launch 
of more than 25 pharmaceutical products.

L AUREN FR A ZER
Chief Financial Officer & Company Secretary
BBus (Acc), CA

Lauren joined Neuren in March 2020 and brings over fifteen years of experience in accounting and finance. 
Prior to joining Neuren, Lauren was at Boundary Bend, one of Australia’s leading agribusinesses and 
owner of Australian olive oil brands Cobram Estate and Red Island. Lauren was at Boundary Bend for 
ten years as Financial Controller and then Senior Manager of Accounting & Tax. Lauren is a Chartered 
Accountant and began her career with Pitcher Partners.

GERRY ZHAO
Vice President, Corporate Development
B Com (Hons Finance), B Law (Hons)

Gerry has more than 16 years of global investment banking and financial services experience, with 
approximately 12 years at Bank of America Merrill Lynch responsible for healthcare investment banking 
coverage. He has advised numerous local and international corporations and private equity funds on 
public and private mergers and acquisitions, capital management and financing. Since 2019, Gerry has 
been consulting to several Australian and global biotech companies regarding strategic projects, including 
successfully facilitating the A$400m strategic licence and commercial partnership between China Grand 
Pharmaceutical and Healthcare Holdings and Telix Pharmaceuticals in November 2020. 

VIRGINIE DUREZ
Senior Director, Product Development & Project Management
MSc, MBA, PMP®

Virginie joined Neuren in March 2021 and brings over twenty years of global pharmaceutical experience 
ranging from product ideation to product launch. Prior to joining Neuren, she worked with Pfizer 
for seventeen years through the legacy of Hospira and Mayne Pharma, in the Program Management, 
Commercial and Early Stage Development Groups and most recently worked as the Pipeline Development 
Lead for the Hospital Business Unit. Virginie has assessed, developed, and led over 100 global product 
strategies (US, EU, CAN, ANZ, China and Japan) and launched 3 products to the market. She is focused 
on bringing novel therapies that change patients’ lives. Virginie received her Master of Chemistry and 
her Master of Chemical Engineering in France (University of Aix-Marseilles and Ecole Nationale Supérieure 
de Chimie de Toulouse), earned an MBA from the Australian Graduate School of Entrepreneurship, and is 
a PMP® practitioner.

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Neuren Pharmaceuticals Limited Annual Report 2021CO R P O R AT E   G O V E R N A N C E

Neuren’s board of directors (“Board”) aims to ensure that 
the Company and its subsidiaries (the “Group”) operates 
with a corporate governance framework and practices that 
promote an appropriate governance culture throughout 
the organisation and that are relevant, practical and cost-
effective for the current size and stage of development of 
the business.

This Statement provides a description of the framework 
and practices, laid out under the structure of the 
ASX Listing Rules and the Corporate Governance 
Principles (the “Principles”) and Recommendations 
(the “Recommendations”) 4th Edition.

PRINCIPLE 1.  L AY SOLID FOUNDATIONS 
FOR MANAGEMENT AND OVERSIGHT
The Board is responsible for the overall corporate 
governance of the Group. The Board acts on behalf of and 
is accountable to the shareholders. The Board seeks to 
identify the expectations of shareholders as well as other 
regulatory and ethical expectations and obligations. The 
Board is responsible for identifying areas of significant 
business risk and ensuring mechanisms are in place to 
manage those risks adequately. In addition, the Board sets 
the overall strategic goals and objectives, and monitors 
achievement of goals.

The Board appoints the principal executive officer, 
currently the Chief Executive Officer. The Board has 
delegated the responsibility for the operation and 
administration of the Group to the Chief Executive Officer 
and senior management. The Board ensures that the 
management team is appropriately qualified to discharge 
its responsibilities. 

The Board ensures management’s objectives and activities 
are aligned with the expectations and risks identified by 
the Board through a number of mechanisms including the 
following:

 – establishment of the overall strategic direction and 

leadership of the Group;

 – approving and monitoring the implementation by 

management of the Group’s strategic plan to achieve 
those objectives;

 – reviewing performance against its stated objectives, 

by receiving regular management reports on business 
situation, opportunities and risks;

 – monitoring and review of the Group’s controls and 
systems including those concerned with regulatory 
matters to ensure statutory compliance and the highest 
ethical standards; and

 – review and adoption of budgets and forecasts and 
monitoring the results against stated targets.

The Board sets the corporate strategy and financial targets 
with the aim of creating long-term value for shareholders.

In accordance with Recommendation 1.2, the Board 
undertakes appropriate checks before appointing a new 
director, or putting forward to shareholders a candidate 
for election and provides shareholders with all material 
information in its possession relevant to a decision on 
whether or not to elect or re-elect a director.

The Group has a written agreement with each director and 
senior executive, setting out the terms of their appointment, 
in accordance with Recommendation 1.3. The Company 
Secretary is accountable directly to the Board on all matters 
to do with the proper functioning of the Board, in accordance 
with Recommendation 1.4.

At this stage of the Group’s development, considering the 
very small size of the workforce and the specialist nature 
of most positions, the Board has chosen not to establish 
a formal diversity policy or formal objectives for gender 
diversity, as recommended in Recommendation 1.5. The 
Group does not discriminate on the basis of age, ethnicity, 
religion, gender or sexuality and when a position becomes 
vacant the Group seeks to employ the best candidate 
available for the position. Currently there are three male and 
two female directors. Three of the eight senior executives 
are female. The Group currently has eleven employees and 
consultants, of which six are female. 

In accordance with Recommendation 1.6, there is a process 
to evaluate periodically the performance of the Board, 
its committees and individual directors. Each director 
completes a quantitative evaluation questionnaire and 
is able to provide qualitative comments. The Company 
Secretary collates the responses and reports back to 
the board for discussion. A performance evaluation was 
undertaken during 2021.

In accordance with Recommendation 1.7, there is a process 
for the Board to evaluate periodically the performance of the 
Chief Executive Officer and for the Chief Executive Officer to 
evaluate periodically the performance of senior executives. 
The evaluation of the Non-Executive Chair is part of the 
board performance evaluation process. For the evaluation 
of senior executives, an individual discussion is held after 
each senior executive complete a qualitative questionnaire, 
covering past individual and team achievements and 
challenges, as well as forward-looking outcomes and areas 
of personal focus. Performance evaluations were undertaken 
during 2021.

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C O N T I N U E D

PRINCIPLE 2.  STRUCTURE THE BOARD TO BE EFFECTIVE AND ADD VALUE
The Board has not considered it necessary or value-adding to establish a separate Nomination Committee (Recommendation 
2.1). The selection, appointment and retirement of directors is considered by the full Board, within the framework of the skills 
matrix described below. The Board may also engage an external consultant where appropriate to identify and assess suitable 
candidates who meet the Board’s specifications. The composition of the board is discussed regularly and each director may 
propose changes for discussion. 

In accordance with Recommendation 2.2, the Company has a skills matrix setting out the mix of skills that the Board is looking 
to achieve in its membership. The matrix is summarised in the table below.

Skill

Requirements Overview

Professional Director Skills

Risk & Compliance

Financial & Audit

Strategy

Policy Development

Executive Management

Previous Board Experience

Industry Specific Skills 

Pharmaceutical product development

International pharmaceutical 
commercialisation
Pharmaceutical partnering

Risk capital management

Intellectual property

Interpersonal Skills

Leadership

Ethics and Integrity

Contribution

Crisis Management

Identify key risks to the organisation related to each key area of operations. 
Ability to monitor risk and compliance and knowledge of legal and 
regulatory requirements.
Experience in accounting and finance to analyze statements, assess 
financial viability, contribute to financial planning, oversee budgets and 
oversee funding arrangements. 
Ability to identify and critically assess strategic opportunities and threats 
to the organization. Develop strategies in context to our policies and 
business objectives.
Ability to identify key issues for the organisation and develop appropriate 
policy parameters within which the organization should operate.
Experience in evaluating performance of senior management, and oversee 
strategic human capital planning.
The board's directors should have director experience and have completed 
formal training in governance and risk.

Experience in and/or understanding of the issues in clinical development, 
interactions with international regulators and/or CMC development.
Experience in and/or understanding of the issues in entering international 
pharmaceutical markets, including pricing, distribution and exclusivity.
Experience in and/or understanding of the issues in partnering transactions 
and/or relevant contacts in international pharma companies.
Experience in raising funding from equity markets and/or relevant contacts 
in relevant funds and/or investment banks.
Understanding of the importance and value of market exclusivity and 
the various ways of protecting it across different jurisdictions, including 
patents and data exclusivity.

Make decisions and take necessary actions in the best interest of the 
organisation, and represent the organisation favourably. Analyse issues 
and contribute at board level to solutions. Recognise the role of the board 
versus the role of management.
Understand role as director and continue to self educate on legal 
responsibility, ability to maintain board confidentiality, declare any 
conflicts.
Ability to constructively contribute to board discussions and communicate 
effectively with management and other directors.
Ability to constructively manage crises, provide leadership around 
solutions and contribute to communications strategy with stakeholders.

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C O N T I N U E D

The Board is highly engaged in the oversight and direction of the business. Five members served during the year to 
31 December 2021, as set out in the table below. Details of the relevant skills, experience and expertise of each Board 
member are set out on page 15 of this report.

Appointment

Retirement

Role

Independent

Committees

Patrick Davies

Appointment 
as director: 
2018

Appointment 
as Chair: 2020

Non-executive chair

Yes

Member of Audit Committee 
and Remuneration Committee

Trevor Scott

2002

Non-executive director

Yes

Dianne Angus

2018 

Non-executive director

Jenny Harry

2018

Non-executive director

Jon Pilcher

Appointment 
as director: 
14 June 2021

Chief Executive Officer 
and Managing Director

1  Jon Pilcher is not considered independent due to his executive role.

Yes

Yes

No1

Chair of Audit Committee and 
member of Remuneration 
Committee

Member of Audit Committee 
and Remuneration Committee

Member of Audit Committee 
and Chair of Remuneration 
Committee

There is a majority of independent directors in accordance with Recommendation 2.4. The chair has been independent and 
the chair and chief executive officer roles are separate (Recommendation 2.5). The directors believe that the structure and 
membership profile of the Board has provided and continues to provide the maximum value to the business at its stage of its 
development. 

In accordance with Recommendation 2.6, the Company has a program for inducting new directors and provides appropriate 
professional development opportunities for directors to develop and maintain the skills and knowledge needed to perform 
their role as directors effectively. 

PRINCIPLE 3. 
In accordance with Recommendation 3.1, the Group has articulated its values, which are disclosed on the Company website

INSTIL A CULTURE OF ACTING L AWFULLY, ETHIC ALLY AND RESPONSIBLY

 – We are passionate about making a difference to the lives of patients and their families
 – We aim to earn the respect of everyone we deal with
 – We are determined and creative to break through barriers
 – We harness the power of collaboration and different perspectives
 – We recognise the importance of all stakeholders and endeavour to use financial resources efficiently

The Board has established a Code of Conduct (Recommendation 3.2), which requires that Board members and executives:

 – will act honestly, in good faith and in the best interests of the whole Company
 – owe a fiduciary duty to the Company as a whole
 – have a duty to use due care and diligence in fulfilling the functions of office and exercising the powers attached to that 

office

 – will undertake diligent analysis of all proposals placed before the Board
 – will act with a level of skill expected from Directors and key executives of a publicly listed Company
 – will use the powers of office for a proper purpose, in the best interests of the Company as a whole
 – will demonstrate commercial reasonableness in decision-making
 – will not make improper use of information acquired as Directors and key executives
 – will not disclose non-public information except where disclosure is authorised or legally mandated

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C O N T I N U E D

 – will keep confidential information received in the course 
of the exercise of their duties and such information 
remains the property of the Company from which it was 
obtained and it is improper to disclose it, or allow it to 
be disclosed, unless that disclosure has been authorised 
by the person from whom the information is provided, 
or required by law

 – will not take improper advantage of the position of 
Director or use the position for personal gain or to 
compete with the Company

 – will not take advantage of Company property or use 
such property for personal gain or to compete with 
the Company

 – will protect and ensure the efficient use of the 

Company’s assets for legitimate business purposes
 – will not allow personal interests, or the interest of any 
associated person, to conflict with the interests of the 
Company

 – have an obligation to be independent in judgement and 
actions and Directors will take all reasonable steps to 
be satisfied as to the soundness of all decisions of the 
Board

 – will make reasonable enquiries to ensure that the 

Company is operating efficiently, effectively and legally, 
towards achieving its goals

 – will not engage in conduct likely to bring discredit upon 

the Company

 – will encourage fair dealing by all employees with the 

Company’s customers, suppliers, competitors and other 
employees

 – will encourage the reporting of unlawful/unethical 

behaviour and actively promote ethical behaviour and 
protection for those who report violations in good faith 

 – will give their specific expertise generously to the 

Company

 – have an obligation, at all times, to comply with the spirit, 
as well as the letter of the law and with the principles 
of this Code of Conduct

Neuren is committed to the highest standards of conduct 
and ethical behaviour in all business activities. The Group’s 
Whistleblower Policy is available on the Company webiste 
(Recommendation 3.3). Any material breaches of the 
Whistleblower Policy are to be reported to the Board.

The Group’s Anti-bribery and Corruption is available on 
the Company website (Recommendation 3.4). Any material 
breaches of the Anti-bribery and Corruption Policy are to be 
reported to the Board.

PRINCIPLE 4.  SAFEGUARD INTEGRIT Y 
OF CORPOR ATE REPORTS
The Board has an Audit Committee, which consists of 
only independent non-executive directors, has at least 
3 members and is chaired by an independent director as 
suggested in Recommendation 4.1. The Committee met 
twice during 2021, attended by all members. 

The Committee operates under a charter approved by 
the Board, a summary of which is available on the Neuren 
website. It is responsible for undertaking a broad review of, 
ensuring compliance with, and making recommendations in 
respect of, the Group’s internal financial controls and legal 
compliance obligations. In respect of financial reporting, 
it is also responsible for:

 – review of audit assessment of the adequacy and 

effectiveness of internal controls over the Company’s 
accounting and financial reporting systems, including 
controls over computerised systems;

 – review of the audit plans and recommendations of 

the external auditors;

 – evaluating the extent to which the planned scope of 
the audit can be relied upon to detect weaknesses 
in internal control, fraud and other illegal acts;
 – review of the results of audits, any changes in 

accounting practices or policies and subsequent effects 
on the financial statements and make recommendations 
to management where necessary and appropriate;
 – review of the performance and fees of the external 

auditor;

 – audit of legal compliance including trade practices, 

corporations law, occupational health and safety and 
environmental statutory compliance , and compliance 
with the Listing Rules of the ASX;

 – supervision of special investigations when requested 

by the Board;

In undertaking these tasks the Audit Committee meets 
separately with management and external auditors where 
required. 

In accordance with Recommendation 4.2, the Board also, 
before it approves the entity’s financial statements for a 
financial period, receives a declaration in writing from the 
Chief Executive Officer and the Chief Financial Officer that 
the financial records of the company have been properly 
maintained and that the financial statements are in 
accordance with New Zealand Equivalents to International 

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C O N T I N U E D

Financial Reporting Standards (NZ FRS) and present a 
true and fair view, in all material respects, of the Group’s 
financial position and performance and that this opinion 
is founded on a sound system of risk management and 
internal control that is operating effectively in all material 
respects with regard to business and financial reporting 
risks. The Board received those assurances for the annual 
financial statements on 23 February 2022.

For other periodic corporate reports released to the 
market that are not audited or reviewed by an external 
auditor, processes are in place to ensure that the reports 
are materially accurate, balanced and provide investors 
with appropriate information to make informed investment 
decisions (Recommendation 4.3). Reports are prepared 
by the Chief Financial Officer and reviewed by the Chief 
Executive Officer, or are prepared by the Chief Executive 
Officer and reviewed by the Board. The Board receives a 
declaration in writing from the Chief Financial Officer and 
Chief Executive Officer regarding those reports.

PRINCIPLE 5.  MAKE TIMELY 
AND BAL ANCED DISCLOSURE
Neuren is required to comply with the continuous disclosure 
requirements as set out in the ASX Listing Rules, disclosing 
to the ASX any information that a reasonable person would 
expect to have a material effect on the price or value of 
Neuren’s securities, unless certain exemptions from the 
obligation to disclose apply.

In accordance with Recommendation 5.1, the Board has 
approved policies and procedures to ensure that it complies 
with its disclosure obligations and that disclosure is timely, 
factual, clear and objective. The Board has designated the 
company secretary as the person primarily responsible 
for implementing and monitoring those policies and 
procedures. A summary of the policies and procedures is 
available on the Neuren website. All information disclosed 
to the ASX is placed on the Neuren website after it has been 
published by the ASX, and the Board receives copies of all 
material market announcements promptly after they have 
been made (Recommendation 5.2).

All investor or analyst presentations with new information 
are released on the ASX Market Announcements Platform 
ahead of such presentations, in accordance with 
Recommendation 5.3.

PRINCIPLE 6.  RESPECT THE RIGHTS 
OF SECURIT Y HOLDERS
The Board strives to communicate effectively with 
shareholders, give them ready access to balanced and 
understandable information about the business and make 
it easy for them to participate in shareholder meetings.

In accordance with Recommendation 6.1, comprehensive 
information about the Company and its governance 
is provided via the website www.neurenpharma.com. 
This includes information about the Board and senior 
executives, as well as corporate governance policies. All 
announcements, presentations, financial information and 
meetings materials disclosed to the ASX are placed on the 
website, so that current and historical information can 
be accessed readily.

The Company’s investor relations program facilitates 
effective two-way communication with investors 
(Recommendation 6.2). Supported by the Non-Executive 
Chair, the Chief Executive Officer interacts with institutional 
investors, private investors, analysts and media on an ad 
hoc basis, conducting meetings in person or by video/
teleconference and responding personally to enquiries. 

The Board seeks practical and cost-effective ways to 
promote informed participation at shareholder meetings 
(Recommendation 6.3). This includes providing access to 
clear and comprehensive meeting materials and electronic 
proxy voting. The Annual Shareholders’ Meeting in 2021 
was conducted as a virtual meeting, with participation 
by electronic means.

All resolutions at the Company’s Annual 
Shareholders’ Meeting in 2021 were decided by a poll 
(Recommendation 6.4)

In accordance with Recommendation 6.5, shareholders are 
provided with and encouraged to use electronic methods to 
communicate with the Company and with the share registry.

PRINCIPLE 7.  RECOGNISE AND MANAGE RISK
The Board has established policies for the oversight and 
management of material business risks, a summary of which 
is available on the Neuren website. The Board does not have 
a separate committee to oversee risk, judging that the whole 
Board is better able to conduct that function efficiently 
and effectively, given the small size of the Board and the 
specialised nature of the business (Recommendation 7.1). 

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C O N T I N U E D

In accordance with Recommendation 7.2, the Board reviews 
the Group’s risk management framework at least annually 
to satisfy itself that it continues to be sound. A review was 
conducted in 2021.

The size and complexity of the Group’s business is 
not sufficient to warrant an internal audit function 
(Recommendation 7.3). The risk management policy 
is designed to involve the entire organisation in risk 
management and to ensure that the effectiveness of the risk 
management and internal control processes are continually 
improved.

The Group does not have a material exposure to 
economic, environmental or social sustainability risks 
(Recommendation 7.4).

PRINCIPLE 8.  REMUNER ATE FAIRLY 
AND RESPONSIBLY
Neuren believes having highly skilled and motivated people 
will allow the organisation to best pursue its mission 
and achieve its goals for the benefit of shareholders and 
stakeholders more broadly. The ability to attract and retain 
the best people is critical to the Company’s future success. 
The Board believes remuneration policies are a key part of 
ensuring this success.

The Board has a Remuneration Committee, which consists 
of only independent non-executive directors, has at least 
three members and is chaired by an independent director 
as suggested in Recommendation 8.1. The Committee met 
once during 2021. 

The Committee operates under a charter approved by 
the Board, a summary of which is available on the Neuren 
website. It is responsible for undertaking a broad review of, 
ensuring compliance with, and making recommendations 
in respect of, the Group’s remuneration policies. It is also 
responsible for:

 – setting and reviewing compensation policies and 

practices of the Company;

 – setting and reviewing all elements of remuneration of 
the directors and members of the executive team; and

 – setting and reviewing long term incentive plans for 

employees and/or directors.

In undertaking these tasks the Remuneration Committee 
meets separately with management where required.

The Group’s remuneration policies and practices 
are summarised below, in accordance with 
Recommendation 8.2.

The Remuneration Committee assesses the appropriateness 
of the nature and amount of remuneration of executive 
directors and senior executives on a regular basis by 
reference to relevant employment market conditions, with 
the overall objective of ensuring maximum shareholder 
benefit from the retention of a high quality executive 
team. To assist in achieving these objectives, the nature 
and amount of executive remuneration is linked to the 
Company’s performance. Remuneration consists of fixed 
cash remuneration, including superannuation contributions 
required by law, and equity-based remuneration. Fixed cash 
remuneration takes into account labour market conditions, 
as well as the scale and nature of the Group’s business. 
Equity-based remuneration is provided by participation in 
a share option plan, a loan funded share plan and equity 
performance rights. These are designed to ensure that 
key executives are aligned with shareholders through an 
interest in the long-term growth and value of the Company. 
Senior executive service agreements generally include a 
requirement for 3 months’ notice of termination by the 
executive or the Group. There are no other termination 
payments. Termination for misconduct does not require 
notice or payment.

Remuneration of non-executive directors comprises fixed 
cash fees only. The fees are determined by the Board 
within the aggregate limit for directors’ fees approved by 
shareholders. Non-executive directors on payroll receive 
retirement benefits as part of their fixed fee. All other non-
executive directors receive no retirement benefits.

Participants in equity based remuneration schemes 
are not permitted to enter into transactions which 
limit the economic risk of participating in the scheme 
(Recommendation 8.3).

PRINCIPLE 9.  ADDITIONAL RECOMMENDATIONS
Neuren is incorporated in New Zealand and ensures 
meetings of security holders are held at a reasonable place 
and time (Recommendation 9.2).

Since Neuren is incorporated in New Zealand and applies 
New Zealand financial reporting standards, its auditor 
is located in New Zealand. The Board has considered it 
impractical and an unnecessary expense for the auditor 
to travel to Australia to attend the annual general meeting 
in person, as suggested in Recommendation 9.3. The 
Company’s constitution enables the Board to convene 
virtual shareholder meetings, with participation by 
electronic means.

23

Neuren Pharmaceuticals Limited Annual Report 2021D I R E C TO R S’   R E P O R T

PRINCIPAL ACTIVITIES
Neuren Pharmaceuticals Limited (Neuren or the Company, 
and its subsidiaries, or the Group) is a publicly listed 
biopharmaceutical company developing drugs for 
neurological disorders.

REVIEW OF OPER ATIONS
Neuren is developing two new drug therapies to treat 
multiple neurodevelopmental disorders that emerge in early 
childhood and are characterized by impaired connection 
and signalling between brain cells. No approved therapies 
are currently available for these seriously debilitating 
disorders. Neuren’s potential therapies utilize synthetic 
analogs of neurotrophic peptides that occur naturally in 
the brain.

During the year ended 31 December 2021, significant 
progress was made in both the development of trofinetide 
for Rett syndrome and the development of NNZ-2591 for 
Phelan-McDermid syndrome, Angelman syndrome, Pitt 
Hopkins syndrome and Prader-Willi syndrome.

In December 2021 Neuren’s partner for trofinetide in 
North America, Acadia Pharmaceuticals (Nasdaq: ACAD), 
announced positive top-line results from the pivotal, Phase 
3 Lavender™ study evaluating the efficacy and safety of 
trofinetide in 187 girls and young women aged 5-20 years 
with Rett syndrome. The 12-week placebo-controlled 
study demonstrated a statistically significant improvement 
over placebo for both co-primary endpoints. On the Rett 
Syndrome Behaviour Questionnaire (RSBQ), change from 
baseline to week 12 was -5.1 vs. -1.7 (p=0.0175; effect 
size=0.37). The Clinical Global Impression–Improvement 
(CGI-I) score at week 12 was 3.5 vs. 3.8 (p=0.0030; effect 
size=0.47). The RSBQ is a caregiver assessment of the 
core symptoms of Rett syndrome and the CGI-I is a global 
physician assessment of worsening or improving of 
Rett syndrome. Additionally, trofinetide demonstrated 
a statistically significant separation over placebo on 
the key secondary endpoint, the Communication and 
Symbolic Behavior Scales Developmental Profile™ Infant-
Toddler Checklist–Social composite score (CSBS-DP-IT–
Social) change from baseline to week 12 was -0.1 vs. -1.1 
(p=0.0064; effect size=0.43).

The trofinetide program has Orphan Drug, Fast Track and 
Rare Pediatric Disease designations from the US Food 
and Drug Administration (FDA). Acadia plans to submit 
a New Drug Application (NDA) to the US Food and Drug 
Administration (FDA) around mid-year 2022. A NDA with 

Orphan Drug Designation is eligible for Priority Review 
in 6 months, compared with the standard review period 
of 10 months, which means potential for approval in the 
first quarter of 2023. Upon FDA approval of a NDA with 
Rare Pediatric Disease designation, the sponsor may be 
eligible to receive a Priority Review Voucher, which can be 
used to obtain FDA review of a NDA for another product in 
an expedited period of six months. The voucher may also 
be sold for use by another company. In February 2022, 
a voucher was sold for US$110 million.

Under the terms of the licence agreement with Acadia, the 
development and commercialisation of trofinetide in North 
America is fully funded by Acadia and Neuren may receive 
potential milestone payments of up to US$455 million, plus 
tiered escalating double-digit percentage royalties on net 
sales of trofinetide in North America, plus one third of the 
market value of a Rare Pediatric Disease Priority Review 
Voucher if awarded by the FDA upon approval of a NDA for 
trofinetide.

Neuren expects to receive revenue over 2022 and 2023 for 
Rett syndrome in the US alone of A$115 million plus double-
digit percentage royalties on net sales. The expected 
revenue in addition to royalties comprises:

 – A milestone payment in 2022 of US$10 million 

(A$14 million at assumed exchange rate of 0.72) 
following acceptance of the NDA for review by the FDA;

 – A milestone payment in 2023 of US$40 million 

(A$55 million), following the first commercial sale 
of trofinetide in the United States; and

 – US$33 million (A$46 million) in 2023 as Neuren’s 
estimated one third share of the market value of 
a Priority Review Voucher.

Under the terms of the licence agreement with Acadia, 
Neuren retained all rights to trofinetide outside North 
America and has a fully paid-up, irrevocable licence to 
all data for use in those countries. There is urgent unmet 
need for a treatment for Rett syndrome around the 
world. Neuren has received strong interest for potential 
commercial partnerships and the number of interested 
parties has increased significantly since the Phase 3 results 
were announced. Discussions are now in progress under a 
process to secure the best outcome for shareholders and for 
patients.

Neuren is also preparing for Phase 2 clinical trials of its 
second drug candidate NNZ-2591 for Phelan-McDermid 
syndrome, Angelman syndrome and Pitt Hopkins syndrome. 
Based on its mechanism of action and positive results 
in animal models, NNZ-2591 has received Orphan Drug 
designation in both the United States and the European 
Union for each of these disorders. 

24

Neuren Pharmaceuticals Limited Annual Report 2021D I R E C TO R S’   R E P O R T

C O N T I N U E D

In February 2021, Neuren announced completion of a Phase 
1 clinical trial in Australia, in which twice daily oral dosing 
of NNZ-2591 for seven days was safe and well tolerated 
in healthy volunteers at doses expected to be within the 
effective therapeutic range. An extensive range of non-
clinical toxicology and manufacturing studies have also 
been completed. In September 2021, Neuren submitted to 
the FDA three Investigational New Drug (IND) applications 
for review and clearance to start Phase 2 trials in each of 
Phelan-McDermid syndrome, Angelman syndrome and 
Pitt Hopkins syndrome. Following feedback from the FDA, 
Neuren was required to add additional clinical assessments 
to each trial protocol to enhance safety monitoring during 
these first trials in pediatric patients. Neuren worked 
with expert clinical advisors to address all the detailed 
feedback that was received from the FDA and has recently 
submitted all three protocols for FDA review. The programs 
are supervised by the FDA Office of Neuroscience, with 
Phelan-McDermid and Pitt Hopkins reviewed by the Division 
of Neurology 1 and Angelman reviewed by the Division 
of Psychiatry.

A fourth disorder, Prader-Willi syndrome was added to the 
NNZ-2591 development pipeline in February 2021, when 
Neuren announced positive results in the Magel2-null mouse 
model of Prader-Willi syndrome, in which treatment with 
NNZ-2591 for 6 weeks normalized fat mass, insulin levels, 
IGF-1 levels and all behavioural defects. The FDA granted 
Orphan Drug designation to NNZ-2591 for the treatment 
of Prader-Willi syndrome in September 2021. Neuren is 
planning to commence a Phase 2 clinical trial in Prader-Willi 
syndrome in mid-2022.

The consolidated financial statements are presented on 
pages 30 to 46. All amounts in the consolidated Financial 
Statements are shown in Australian dollars unless 
otherwise stated.

The Group’s loss after tax attributable to equity holders 
of the Company for the year ended 31 December 2021 
was $7.8 million compared with the Group’s loss after tax 
of $9.2 million in 2020. This was mainly due to the R&D 
Tax incentive income of $3.2 million (2020: $0.7 million) 
following AusIndustry’s approval of an Advance and 
Overseas finding for the development of NNZ-2591 as a 
novel therapy for neurodevelopmental disorders. Research 
and development costs were $1.7 million higher, due to an 
increase in expenditures in 2021 for the NNZ-2591 non-

clinical studies, Phase 1 trial, Phase 2 trials and manufacture 
of the required drug for the Phase 2 trials. In addition, 
foreign exchange gains were $0.4 million compared with 
foreign exchange losses of $0.6 million in 2020. This is due 
to an increase in the carrying value in AUD of USD cash held 
to eliminate exchange risk for USD expenditure, as a result 
of the strengthening of the USD against the AUD. Prudent 
control of expenditure continues to be an important 
principle in the Group’s operations and financing.

The basic loss per share for 2021 was $0.066 (2020: earnings 
of $0.086 per share), based on a weighted average number 
of shares outstanding of 117,770,052 (2020: 107,057,317).

Cash reserves at 31 December 2021 were $36.8 million 
(2020: $24.2 million). Net cash used in operating 
activities was $10.0 million (2020: $8.1 million). The 
increase of $1.9 million was mainly in payments to other 
suppliers, due to higher research and development 
expenditure of $3.5 million, which was partially offset by 
the receipt of $2.5 million under the R&D Tax Incentive 
program (2020: $0.5 million). Financing provided cash 
of $22.2 million, received for the issue of new ordinary 
shares in the capital raise and share purchase plan, 
compared with $19.1 million in 2020.

In September 2021, the Group announced the successful 
completion of a capital raise of $20 million. The Group 
issued 9,756,098 fully paid ordinary shares at an issue price 
of $2.05 per share to institutional investors in Australia and 
overseas. In October, the Group announced the completion 
of its Share Purchase Plan (SPP), raising $3.3m and issuing 
1,601,470 new fully paid ordinary shares at $2.05 per share. 
The funds will accelerate the development and increase the 
value of NNZ-2591 for four neurodevelopmental disorders, 
by enabling a Phase 2 clinical trial in Prader-Willi syndrome 
and the foundational work for Phase 3 development across 
Prader-Willi, Phelan-McDermid, Angelman and Pitt-Hopkins 
syndromes.

No dividends were paid in the year, or in the prior year 
and the Directors recommend none for the year.

25

Neuren Pharmaceuticals Limited Annual Report 2021D I R E C TO R S’   R E P O R T

C O N T I N U E D

Dianne Angus BSc (Hons),  
Master of Biotechnology, IPTA  
(Non-Executive Director)

Dianne joined the Neuren Board in July 2018. She has 
worked as a senior executive and non-executive director 
within the biotechnology, biopharmaceutical and agritech 
industries for over twenty-five years. She has created 
numerous global industry partnerships which include 
Prana Biotechnology, Gerolymatos International, Florigene, 
Suntory & Monsanto to yield novel and competitive 
medical, pharmaceutical and agricultural products. 
Dianne has successfully forged strong partnerships with 
key medical opinion leaders to create innovative clinical 
research programs and driven the development path for 
novel neurological pre-clinical agents to late-stage clinical 
assets before the FDA and European regulators. With over 
fifteen years’ experience in an ASX and NASDAQ listed 
company, she has expertise in business development, 
capital raising, investor relations, regulatory affairs and 
intellectual property, together with corporate governance 
and compliance capabilities. Dianne holds a Masters degree 
in biotechnology and is a registered patent attorney.

Dr Jenny Harry BSc (Hons), PhD  
(Non-Executive Director) 

Jenny joined the Neuren Board in 2018. She has 20 years’ 
experience in executive management of companies in the 
biotechnology and biopharmaceutical sectors. Jenny is an 
accomplished CEO and Managing Director with experience 
in growing companies from start-up to commercialisation. 
She has served on the Boards of a number of listed and 
unlisted companies and is currently a Non-Executive 
Director of Aeris Environmental Limited (ASX:AEI) and on 
the Board’s IP sub-committee of the Children’s Medical 
Research Institute. Jenny is a graduate of the Harvard 
Business School General Manager Program and the 
Australian Institute of Company Directors.

DIRECTORS

Patrick Davies B EC, MBA  
(Non-Executive Chair) 

Patrick joined the Neuren Board in July 2018. He has held 
executive management roles in the Australian and New 
Zealand healthcare industry for over twenty five years 
having performed successfully in senior roles across 
many industry sectors including pharmacy, primary care, 
pharmaceutical and consumer products. During his ten year 
period as Chief Executive Officer of EBOS Group Limited 
(and previously Symbion), the enterprise value of the group 
achieved compound annual growth in enterprise value 
of +20% (from circa $450M to in excess of $3.1B). He is a 
director on other corporate boards and provides strategic 
advice to a range of healthcare businesses and investors.

Jon Pilcher BSc (Hons), FCA  
(Managing Director) 

Jon joined Neuren in August 2013 as CFO and was 
appointed CEO in May 2020. Jon was appointed to the 
Board as Managing Director in June 2021. He has played 
a central role in all aspects of Neuren’s R&D, commercial 
and corporate activities. Before joining Neuren he was 
a member of the leadership team at Acrux (ASX: ACR) 
throughout a period that included Acrux’s IPO and listing 
on the ASX, the development and FDA approval of three 
novel pharmaceutical products and a transforming licensing 
deal with Eli Lilly in 2010. He formerly spent seven years in a 
series of senior financial positions in the R&D and corporate 
functions of international pharmaceutical groups Medeva 
and Celltech, which are now part of UCB. Jon is a Chartered 
Accountant and holds a degree in Biotechnology from 
the University of Reading in the UK. He is a non-executive 
director of BTC Health (ASX:BTC).

Dr Trevor Scott, MNZM, LLD (Hon),  
BCom, FCA, FNZIM, DF Inst D  
(Non-Executive Director)

Trevor joined the Neuren Board in March 2002. He is 
the founder of T.D. Scott and Co., an accountancy and 
consulting firm, which he formed in 1988. He is an 
experienced advisor to companies across a variety of 
industries. Trevor serves on numerous corporate boards 
and is chairman of several. 

26

Neuren Pharmaceuticals Limited Annual Report 2021D I R E C TO R S’   R E P O R T

C O N T I N U E D

BOARD AND COMMITTEE ATTENDANCE
The table below shows the number of Board and Committee meetings each Director was eligible to attend and attended during 
the financial year ended 31 December 2021:

Director

Patrick Davies

Dr Trevor Scott

Dianne Angus

Dr Jenny Harry

Jonathan Pilcher (ii)

           Board

          Audit and Risk

          Remuneration

Held (i)

Attended

Held (i)

Attended

Held (i)

Attended

 11 

 11 

 11 

 11 

 7 

11

11

11

11

 7 

 2 

 2 

 2 

 2 

–

2

2

2

2

–

1

1

1

1

–

1

1

1

1

–

(i)  Number of meetings held during the time the Director was a member of the Board or Committee 
(ii)  Appointed to the Board on 14 June 2021.

INTERESTS REGISTER
The Company is required to maintain an interests register in which particulars of certain transactions and matters involving 
Directors must be recorded. Details of the entries in this register for each of the Directors during and since the end of 2021 are 
as follows:

Director

Jon Pilcher

Jon Pilcher

Patrick Davies

Patrick Davies

Dianne Angus

Dr Jenny Harry

Ordinary Shares 
Purchased/(Sold)

Consideration 
Paid/(Received)

Date of 
Transaction

 19,039 

 7,317 

 35,211 

 14,634 

 30,000 

 9,756 

$25,000

$15,000

$50,175

$30,000

15 Jun 2021

08 Oct 2021

17 Feb 2021

08 Oct 2021

$59,316

15/18 Oct 2021

$20,000

08 Oct 2021

INFORMATION USED BY DIRECTORS 
During the year the Board received no notices from Directors of the Company requesting to use Company information received 
in their capacity as Directors, which would not otherwise have been available to them.

INDEMNIFIC ATION AND INSUR ANCE OF DIRECTORS AND OFFICERS
Neuren has entered into a deed of indemnity, insurance and access with Directors and Officers, which provides that Directors 
and Officers generally will incur no monetary loss as a result of actions undertaken by them as Directors and Officers. The 
indemnity does not cover criminal liability or liability in respect of a breach of a director’s duty to act in good faith and in 
what the director believes to be the best interests of the Company or a breach of any fiduciary duty owed to the Company 
or a subsidiary. 

DONATIONS
No donations were made by the Company or its subsidiary companies during the year (2020: $nil).

27

Neuren Pharmaceuticals Limited Annual Report 2021D I R E C TO R S’   R E P O R T

C O N T I N U E D

NON-EXECUTIVE DIRECTOR REMUNER ATION
Remuneration of Non-Executive Directors is shown in the table below:

Remuneration of Directors

Patrick Davies (appointed Chair May 2020)

Dr Trevor Scott 

Dianne Angus

Dr Jenny Harry

2021 
$

120,000

72,000

60,000

66,000

2020 
$

95,000

72,000

60,000

60,000

EXECUTIVE DIRECTOR REMUNER ATION
The Managing Director, Jon Pilcher, receives remuneration and other benefits in his executive role as Chief Executive Officer 
and, accordingly, does not receive a director fee. The table below shows the total remuneration for Jon Pilcher since his 
appointment to Managing Director on 14 June 2021.

Director

2021

Jonathan Pilcher

2020

Fixed 
remuneration 
(including 
superannuation) 
$

Share based 
payments 
$

Total 
Remuneration 
$

203,125

229,123

432,248

Dr Richard Treagus (resigned May 2020)

146,000

–

146,000

EMPLOYEE REMUNER ATION
The number of employees, not being directors of the Company, who received remuneration and benefits in their capacity as 
employees totalling NZ $100,000 or more during the year, shown in bands denominated in Australian dollars, was as follows:

Excluding shared based payments

2021 
$’000

2020 
$’000

$100,000 - $109,999

$160,000 - $169,999

$170,000 - $179,999

$250,000 - $259,999

$270,000 - $279,999

$280,000 - $289,999

$290,000 - $299,999

$340,000 - $349,999

 – 

 1 

 2 

–

 1 

–

 1 

–

 1 

 – 

 – 

 1 

–

 1 

–

 1 

28

Neuren Pharmaceuticals Limited Annual Report 2021 
 
D I R E C TO R S’   R E P O R T

C O N T I N U E D

Including shared based payments

2021 
$’000

2020 
$’000

$100,000 - $109,999

$160,000 - $169,999

$170,000 - $179,999

$350,000 - $359,999

$360,000 - $369,999

$380,000 - $389,999

$480,000 - $489,999

$500,000 - $509,999

$540,000 - $549,999

–

 1 

 1 

–

 1 

–

 1 

 1 

–

 1 

–

–

 1 

–

 1 

–

–

 1 

AUDITORS
Grant Thornton New Zealand Audit Limited (‘Grant Thornton’) is the independent auditor of the Company. Audit fees in relation 
to the annual and interim financial statements were $65,921 (2020: $57,759). Grant Thornton did not receive any other fees 
in relation to other financial advice and services. No amounts were payable to an auditor by subsidiary companies in 2021 
or 2020. 

For and on behalf of the Board of Directors who authorised the issue of these consolidated financial statements on

23 February 2022.

Patrick Davies 
Non-Executive Chair 

Dr Trevor Scott 
Director

29

Neuren Pharmaceuticals Limited Annual Report 2021 
 
 
 
 
 
C O N S O L I D AT E D   S TAT E M E N T   O F   C O M P R E H E N S I V E   I N C O M E
F O R   T H E   Y E A R   E N D E D   3 1   D E C E M B E R   2 0 2 1

Interest 

Foreign exchange gain

Australian R&D tax incentive

Other income

Total income

Research and development costs

Corporate and administrative costs

Foreign exchange loss

Loss before income tax

Income tax

Loss after income tax

Other comprehensive loss, net of tax

Amounts which may be subsequently reclassified to profit or loss:

Exchange differences on translation of foreign operations

Total comprehensive loss for the year

Loss after tax attributable to Equity holders of the Company:

Total comprehensive loss attributable to Equity holders of the Company:

Basic loss per share

Diluted loss per share

The notes on pages 34 to 46 form part of these consolidated financial statements.

Note

5

6

6

2021
$’000

41

398

3,197

 – 

3,636

(9,516)

(1,914)

 – 

(7,794)

–

2020
$’000

147

 – 

 717 

 100 

964

(7,763)

(1,763)

 (631)

(9,193)

–

(7,794)

(9,193)

 (4)

(7,798)

(7,794)

(7,798)

($0.066)

($0.066)

 11 

(9,182)

(9,193)

(9,182)

($0.086)

($0.086)

30

Neuren Pharmaceuticals Limited Annual Report 2021C O N S O L I D AT E D   S TAT E M E N T   O F   F I N A N C I A L   P O S I T I O N
A S   AT   3 1   D E C E M B E R   2 0 2 1

ASSETS

Current Assets:

Cash and cash equivalents

Trade and other receivables

Total current assets

Non-current assets:

Property, plant and equipment

Total non-current assets

TOTAL ASSETS

LIABILITIES AND EQUITY

Current liabilities:

Trade and other payables 

Total current liabilities

Total liabilities

EQUITY

Share capital

Other reserves

Accumulated deficit

Total equity attributable to equity holders

TOTAL LIABILITIES AND EQUITY

The notes on pages 34 to 46 form part of these consolidated financial statements.

Note

2021
$’000

2020
$’000

7

8

9

36,783

3,261

40,044

 12 

12

24,188

755

24,943

10

10

40,056

24,953

803

803

803

753

753

753

10

167,578

(9,448)

145,567

(10,284)

(118,877)

(111,083)

39,253

40,056

24,200

24,953

31

Neuren Pharmaceuticals Limited Annual Report 2021C O N S O L I D AT E D   S TAT E M E N T   O F   C H A N G E S   I N   E Q U I T Y
F O R   T H E   Y E A R   E N D E D   3 1   D E C E M B E R   2 0 2 1

Equity as at 1 January 2020

Shares issued in capital raising

Shares issued in share purchase plan

Share issue costs

Transfer on expiry of options

Loan funded share payments

Transactions with owners

Loss after income tax 

Other comprehensive loss

Total Comprehensive income for the year

Shares issued in capital raising

Shares issued in share purchase plan

Share issue costs

Loan funded share payments

Transactions with owners

Loss after income tax

Other comprehensive loss

Total Comprehensive loss for the year

Equity as at 31 December 2021

Share 
Capital
$’000

126,426

20,000

216

(1,075)

 – 

 – 

 – 

 – 

 – 

(2,186)

394

 19,141 

 (1,792)

 – 

 – 

 – 

 – 

 – 

 – 

Share 
Option 
Reserve
$’000

Currency 
Translation 
Reserve
$’000

Accumulated 
Deficit
$’000

2,186

(10,689)

(104,076)

 – 

 – 

 – 

 – 

 – 

 – 

 – 

11

11

 – 

 – 

 – 

2,186

 – 

 2,186 

(9,193)

 – 

(9,193)

 20,000 

 3,281 

 (1,270)

 – 

 22,011 

 – 

 – 

 – 

 – 

 – 

 – 

 840 

 840 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

 – 

(4)

(4)

 – 

 – 

 – 

 – 

 – 

167,578

 1,234 

(10,682)

(118,877)

(7,794)

(7,794)

 – 

 (7,794)

Total 
Equity
$’000

13,847

 20,000 

 216 

 (1,075)

 – 

 394 

 19,535 

(9,193)

11

(9,182)

24,200

 20,000 

 3,281 

 (1,270)

 840 

 22,851 

 (4)

 (7,798)

39,253

Equity as at 31 December 2020

145,567

394

(10,678)

(111,083)

The notes on pages 34 to 46 form part of these consolidated financial statements.

32

Neuren Pharmaceuticals Limited Annual Report 2021C O N S O L I D AT E D   S TAT E M E N T   O F   C A S H   F L O W S
F O R   T H E   Y E A R   E N D E D   3 1   D E C E M B E R   2 0 2 1

Cash flows from operating activities:

Receipts from Australian R&D Tax Incentive 

Interest received

GST refunded

Receipts from government cash flow boost

Payments for employees and directors

Payments to other suppliers

Net cash flow used in operating activities

Cash flows from investing activities:

Purchase of property, plant and equipment 

Net cash used in investing activities

Cash flows from financing activities:

Proceeds from the issue of shares

Payment of share issue expenses

Net cash provided from financing activities

Net increase / (decrease) in cash

Effect of exchange rate changes on cash balances

Cash and cash equivalents at the beginning of the year

Cash and cash equivalents at the end of the year

Reconciliation with loss after income tax:

(Loss) / Profit after income tax 

Non-cash items requiring adjustment:

Depreciation of property, plant and equipment

Loan funded share payments expense

Foreign exchange (gain)/loss

Changes in working capital:

Trade and other receivables

Trade and other payables

Net cash used in operating activities

The notes on pages 34 to 46 form part of these consolidated financial statements.

Note

2021
$’000

2020
$’000

10

 2,521 

 54 

 372 

 – 

(1,756) 

(11,161) 

(9,970) 

(10) 

(10) 

 491 

 164 

 283 

 100 

(1,480) 

(7,636) 

(8,078) 

(6) 

(6) 

 23,281 

 (1,106)

 22,175 

 20,216 

(1,075) 

 19,141 

 12,195 

 11,057 

 400 

 24,188 

 36,783 

(713) 

 13,844 

 24,188 

(7,794) 

(9,193) 

 8 

 840 

(404) 

(2,506) 

(114) 

(9,970) 

 6 

 394 

 724 

(203) 

 194 

(8,078) 

33

Neuren Pharmaceuticals Limited Annual Report 2021N O T E S   T O   T H E   C O N S O L I D AT E D   F I N A N C I A L   S TAT E M E N T S
F O R   T H E   Y E A R   E N D E D   3 1   D E C E M B E R   2 0 2 1

1.  NATURE OF BUSINESS
Neuren Pharmaceuticals Limited (Neuren or the Company, 
and its subsidiaries, or the Group) is a publicly listed 
biopharmaceutical company developing drugs for 
neurological disorders. 

The Company is a limited liability company incorporated 
in New Zealand. The address of its registered office in New 
Zealand is at the offices of Lowndes Jordan, Level 15 HSBC 
Tower, 188 Quay Street, Auckland 1141. Neuren ordinary 
shares are listed on the Australian Securities Exchange 
(ASX code: NEU).

These consolidated financial statements have been 
approved for issue by the Board of Directors on 
23 February 2022.

Material Uncertainties 
 –  The Group’s research and development activities involve 

inherent risks. These risks include, among others: 
dependence on, and the Group’s ability to retain key 
personnel; the Group’s ability to protect its intellectual 
property and prevent other companies from using the 
technology; the Group’s business is based on novel 
and yet to be proven technology; the Group’s ability 
to sufficiently complete the clinical trials process; and 
technological developments by the Group’s competitors 
could render its products obsolete.

 –  The Group’s revenue from licence agreements is 

contingent on future events and will be intermittent 
until product sales commence. The business plan 
therefore may require expenditure in excess of revenue 
and in the future the Group may need to raise further 
financing through other public or private equity 
financings, collaborations or other arrangements with 
corporate sources, or other sources of financing to 
fund operations. There can be no assurance that such 
additional financing, if available, can be obtained on 
terms reasonable to the Group.

2.   SUMMARY OF SIGNIFIC ANT ACCOUNTING 

POLICIES

These general-purpose consolidated financial statements 
of the Group are for the year ended 31 December 2021 
and have been prepared in accordance with and comply 
with generally accepted accounting practice in New 
Zealand (GAAP), New Zealand equivalents to International 
Financial Reporting Standards (NZ IFRS) issued by the 
New Zealand Accounting Standards Board which comply 
with International Financial Reporting Standards, the 
requirements of the Financial Markets Conduct Act 2013, 
and other applicable Financial Reporting Standards as 
appropriate for profit-oriented entities that fall into Tier 1 as 
determined by the New Zealand External Reporting Board.

(a)  Basis of preparation

Entities Reporting
The consolidated financial statements incorporate the 
assets and liabilities of all subsidiaries of the Group as at 
31 December 2021 and the results of all subsidiaries for 
the year then ended. Neuren Pharmaceuticals Limited and 
its subsidiaries, which are designated as profit-oriented 
entities for financial reporting purposes, together are 
referred to in these financial statements as the Group.

Statutory Base
Neuren is registered under the New Zealand Companies 
Act 1993. Neuren is also registered as a foreign company 
under the Australian Corporations Act 2001.

Historical cost convention
These consolidated financial statements have been 
prepared under the historical cost convention as modified 
by certain policies below. Amounts are expressed in 
Australian Dollars and are rounded to the nearest thousand, 
except for earnings per share. 

Critical accounting estimates
The preparation of financial statements requires the use 
of certain critical accounting estimates. It also requires the 
Group to exercise its judgement in the process of applying 
the Group’s accounting policies. Actual results may differ 
from those estimates. The areas involving a higher degree 
of judgement or complexity, or areas where assumptions 
and estimates are significant to the financial statements 
are disclosed in Note 16.

Going concern basis
The directors monitor the Group’s cash position and 
initiatives to ensure that adequate funding continues to 
be available for the Group to meet its business objectives. 
The Group recorded a loss after tax of $7.8 million for the 
year ending 31 December 2021 and had negative operating 
cash flows of $10.0 million for the year ended 31 December 
2021. The Group had net assets at 31 December 2021 of 
$39.3 million, including cash balances and receivables of 
$40.0 million.

In September 2021, the Group announced the successful 
completion of a capital raise of $20 million. The Group 
issued 9,756,098 fully paid ordinary shares at an issue price 
of $2.05 per share to institutional investors in Australia and 
overseas. In October, the Group announced the completion 
of its Share Purchase Plan (SPP), raising $3.3m and issuing 
1,601,470 new fully paid ordinary shares at $2.05 per share.

It is the considered view of the Directors that the Group 
will have access to adequate resources to meet its ongoing 
obligations for at least a period of 12 months from the 
date of signing these financial statements. On this basis, 
the Directors have assessed it is appropriate to adopt the 
going concern basis in preparing its consolidated financial 
statements. The consolidated financial statements do not 
include any adjustments that would result if the Group was 
unable to continue as a going concern.

34

Neuren Pharmaceuticals Limited Annual Report 2021N O T E S   T O   T H E   C O N S O L I D AT E D   F I N A N C I A L   S TAT E M E N T S
C O N T I N U E D

2.   SUMMARY OF SIGNIFIC ANT ACCOUNTING 

(c)  Foreign Currency Translation

POLICIES (CONTINUED)

Impact of COVID-19 on our business
On March 11, 2020 the World Health Organization declared 
a pandemic resulting from the disease known as COVID-19 
caused by a novel strain of coronavirus, SARS-CoV-2. In an 
effort to contain COVID-19 or slow its spread, state or federal 
governments around the world have enacted various 
measures, including orders to close businesses not deemed 
“essential”, isolate residents to their homes or places of 
residence, and practice social distancing when engaging 
in essential activities. In certain jurisdictions, such orders 
have been lifted, although subsequent trends in COVID-19 
infections have led to the reinstatement of such orders in 
various jurisdictions.

To date there has been no financial impact of COVID-19 
on the Group. It is possible that clinical trials or other 
research and development activities for NNZ-2591 could 
be impacted in the future by COVID-19 restrictions or risks. 
The Group is continuing to monitor the situation and may 
take further actions affecting its business operations as 
are deemed necessary.

Changes in accounting policies
There is no significant impact of changes in accounting 
policies for the year ended 31 December 2021.

Standards, interpretations and amendments to published 
standards that are not yet effective
Certain new standards, amendments and interpretations to 
existing standards have been published that are mandatory 
for later periods and which the Group has not adopted early. 
None are expected to materially impact the Group.

(b)  Principles of Consolidation

Subsidiaries
Subsidiaries are all entities (including structured entities) 
over which the group has control. The group controls 
an entity when the group is exposed to, or has rights to, 
variable returns from its involvement with the entity and 
has the ability to affect those returns through its power over 
the entity. 

Subsidiaries are fully consolidated from the date on which 
control is transferred to the group. They are deconsolidated 
from the date that control ceases. 

Inter-company transactions, balances and unrealised gains 
on transactions between group companies are eliminated. 
Unrealised losses are also eliminated. When necessary, 
amounts reported by subsidiaries have been adjusted to 
conform with the group’s accounting policies. 

(i) Functional and Presentation Currency
The functional currency of the Company and the 
presentation currency of the Group is Australian Dollars.

(ii) Transactions and Balances
Foreign currency transactions are translated into the 
functional currency using the exchange rates prevailing 
at the dates of the transactions. Foreign exchange 
gains and losses resulting from the settlement of such 
transactions and from the translation at year-end exchange 
rates of monetary assets and liabilities denominated 
in foreign currencies are recognised in the Statement 
of Comprehensive Income, except when deferred in 
equity as qualifying cash flow hedges and qualifying 
net investment hedges.

(iii) Foreign Operations
The results and financial position of foreign entities 
(none of which has the currency of a hyperinflationary 
economy) that have a functional currency different from the 
presentation currency are translated into the presentation 
currency as follows:

 –  assets and liabilities for each statement of financial 
position presented are translated at the closing rate 
at the date of that statement of financial position;

 –  revenue and expenses for each Statement of 

Comprehensive Income are translated at average 
exchange rates; and

 –  all resulting exchange differences are recognised 

as a separate component of equity.

Exchange differences arising from the translation of any 
net investment in foreign entities, and of borrowings and 
other currency instruments designated as hedges of such 
investments, are taken to shareholders’ equity. 

Goodwill and fair value adjustments arising on the 
acquisition of a foreign operation are treated as assets 
and liabilities of the foreign operation and translated at 
the closing rate.

(d)  Revenue
Revenue arises mainly from grants received and interest. 
Revenue is recognised either at a point in time or over time, 
when (or as) the Group satisfies performance obligations 
by transferring the promised goods or services to its 
customers.

Grants
Grants received are recognised in profit or loss within the 
Statement of Comprehensive Income over the periods in 
which the related costs for which the grants are intended 
to compensate are recognised as expenses and when the 
requirements under the grant agreement have been met. 
Any grants received for which the requirements under the 
grant agreement have not been completed are carried as 
liabilities until all the conditions have been fulfilled.

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Deferred tax assets are recognised for deductible temporary 
differences and unused tax losses only if it is probable that 
future taxable amounts will be available to utilise those 
temporary differences and losses.

Current and deferred tax balances attributable to amounts 
recognised directly in equity are also recognised directly 
in equity.

(g)  Impairment of non-financial assets
Assets that have an indefinite useful life are not subject to 
amortisation and are tested annually for impairment. All 
non-financial assets are also reviewed whenever events or 
changes in circumstances indicate that the carrying amount 
of the assets may not be recoverable. The carrying amount 
of a long-lived asset is considered impaired when the 
recoverable amount from such asset is less than its carrying 
value. In that event, a loss is recognised in the Statement of 
Comprehensive Income based on the amount by which the 
carrying amount exceeds the fair value less costs of disposal 
and value in use of the long-lived asset. Fair market value is 
determined using the anticipated cash flows discounted at a 
rate commensurate with the risk involved. 

(h)  Goods and services tax (GST)
The financial statements have been prepared so that all 
components are presented exclusive of GST. All items 
in the statement of financial position are presented net 
of GST, with the exception of receivables and payables, 
which include GST invoiced.

(i)  Cash and cash equivalents
Cash and cash equivalents comprises cash and demand 
deposits held with established financial institutions and 
highly liquid investments, which have maturities of three 
months or less that are readily convertible to known 
amounts of cash and which are subject to an insignificant 
risk of changes in value.

(j)  Trade and other receivables
The Group makes use of a simplified approach in accounting 
for trade and other receivables and records the loss 
allowance as lifetime expected credit losses. These are the 
expected shortfalls in contractual cash flows, considering 
the potential for default at any point during the life of the 
financial instrument. In calculating, the Group assesses 
trade receivables on an individual basis, and uses its 
historical experience, external indicators and forward-
looking information to calculate the expected credit losses.

(k)  Property, plant and equipment
Property, plant and equipment are stated at historical cost 
less depreciation. Historical cost includes expenditure that 
is directly attributable to the acquisition of the items. 

2.   SUMMARY OF SIGNIFIC ANT ACCOUNTING 

POLICIES (CONTINUED)

Interest income
Interest income is recognised on a time-proportion basis 
using the effective interest method.

(e)  Research and development
Research costs include direct and directly attributable 
overhead expenses for drug discovery, research and pre-
clinical and clinical trials. Research costs are expensed 
as incurred.

When a project reaches the stage where it is reasonably 
certain that future expenditure can be recovered 
through the process or products produced, development 
expenditure is recognised as a development asset using the 
following criteria:

 – a product or process is clearly defined and the costs 

attributable to the product or process can be identified 
separately and measured reliably;

 – the technical feasibility of the product or process can be 

demonstrated;

 – the existence of a market for the product or process can 
be demonstrated and the Group intends to produce and 
market the product or process;

 – adequate resources exist, or their availability can be 

reasonably demonstrated to complete the project and 
market the product or process.

In such cases the asset is amortised from the 
commencement of commercial production of the product 
to which it relates on a straight-line basis over the years 
of expected benefit. Research and development costs are 
otherwise expensed as incurred.

(f)  Income tax
The income tax expense for the period is the tax payable on 
the period’s taxable income or loss using tax rates enacted 
or substantively enacted at the reporting date and adjusted 
by changes in deferred tax assets and liabilities attributable 
to temporary differences between the tax bases of assets 
and liabilities and their carrying amounts in the financial 
statements, and to unused tax losses.

Deferred tax assets and liabilities are recognised for 
temporary differences at the tax rates expected to apply 
when the assets are recovered or liabilities are settled, 
based on those tax rates which are enacted or substantively 
enacted at the reporting date. The relevant tax rates are 
applied to the cumulative amounts of deductible and 
taxable temporary differences to measure the deferred tax 
asset or liability. An exception is made for certain temporary 
differences arising from the initial recognition of an asset 
or a liability. No deferred tax asset or liability is recognised 
in relation to these temporary differences if they arose in 
a transaction, other than a business combination, that at 
the time of the transaction did not affect either accounting 
profit or taxable profit or loss.

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2.   SUMMARY OF SIGNIFIC ANT ACCOUNTING 

POLICIES (CONTINUED)

Subsequent costs are included in the asset’s carrying 
amount or recognised as a separate asset, as appropriate, 
only when it is probable that future economic benefits 
associated with the item will flow to the Group and 
the cost of the item can be measured reliably. All other 
repairs and maintenance are charged to the Statement of 
Comprehensive Income during the financial period in which 
they are incurred.

Depreciation is determined principally using the straight-
line method to allocate their cost, net of their residual 
values, over their estimated useful lives, as follows:

Scientific equipment 

Computer equipment 

Office furniture, fixtures & fittings 

4 years

2-10 years

3-4 years

(l)  Intangible assets

Intellectual property
Costs in relation to protection and maintenance of 
intellectual property are expensed as incurred unless the 
project has yet to be recognised as commenced, in which 
case the expense is deferred and recognised as contract 
work in progress until the revenues and costs associated 
with the project are recognised.

Acquired patents, trademarks and licences have finite useful 
lives and are carried at cost less accumulated amortisation 
and impairment losses. Amortisation is calculated using the 
straight line method to allocate the cost over the anticipated 
useful lives, which are aligned with the unexpired patent 
term or agreement over trademarks and licences. 

Acquired software
Acquired software licences are capitalised on the basis of 
the costs incurred to acquire and bring to use the specific 
software. These costs are amortised over their estimated 
useful lives.

(m)  Employee benefits

Wages and salaries, annual leave, long service leave and 
superannuation
Liabilities for wages and salaries, bonuses, annual leave, 
long service leave and superannuation expected to 
be settled within 12 months of the reporting date are 
recognised in accrued liabilities in respect of employees’ 
services up to the reporting date and are measured at 
the amounts expected to be paid when the liabilities are 
settled. Liabilities for non-accumulating personal leave are 
recognised when the leave is taken and measured at the 
rates paid or payable.

Contributions are made by the Group to employee 
superannuation funds and are charged as expenses when 
the obligation to pay them arises.

Share-based payments
Neuren has operated a loan funded share plan and equity 
performance rights plan. Both plans are accounted for as 
share options and the loan is not recognised as an asset. The 
fair value of the services received in exchange for the grant 
of the options or shares is recognised as an expense with 
a corresponding increase in other reserve equity over the 
vesting period. The total amount to be expensed over the 
vesting period is determined by reference to the fair value of 
the options or shares at grant date. At each reporting date, 
except for options that are subject to a market condition for 
vesting, the Company revises its estimates of the number of 
options that are expected to vest and become exercisable. 
It recognises the impact of the revision of original estimates, 
if any, in the Statement of Comprehensive Income, and a 
corresponding adjustment to equity over the remaining 
vesting period.

When options are exercised, the proceeds received net of 
any directly attributable transaction costs are credited to 
share capital.

(n)  Share issue costs
Costs associated with the issue of new shares which 
are recognised in shareholders’ equity are treated as a 
reduction of the amount collected per share.

(o)  Financial instruments

Recognition and derecognition
Financial assets and financial liabilities are recognised when 
the Group becomes a party to the contractual provisions of 
the financial instrument.

Financial assets are derecognised when the contractual 
rights to the cash flows from the financial asset expire, or 
when the financial asset and substantially all the risks and 
rewards are transferred.

A financial liability is derecognised when it is extinguished, 
discharged, cancelled or expires.

Classification and initial measurement of financial assets
Except for those trade receivables that do not contain a 
significant financing component and are measured at the 
transaction price in accordance with NZ IFRS 15 ‘Revenue 
from contracts with customers’, all financial assets are 
initially measured at fair value adjusted for transaction 
costs (where applicable).

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

 – amortised cost
 – fair value through profit or loss (FVTPL)
 – fair value through other comprehensive income (FVOCI).

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2.   SUMMARY OF SIGNIFIC ANT ACCOUNTING 

POLICIES (CONTINUED)

In the periods presented the corporation does not have any 
financial assets categorised as FVTPL or FVOCI.

(p)  Financial liabilities
The Group’s financial liabilities include trade and other 
payables. Financial liabilities are initially measured at fair 
value, and, where applicable, adjusted for transaction costs.

Subsequently, financial liabilities are measured at 
amortised cost using the effective interest method.

(q)  Earnings per share
Basic and diluted earnings per share are calculated by 
dividing the profit attributable to equity holders of the 
Company by the weighted average number of ordinary 
shares outstanding during the period.

3.  SEGMENT INFORMATION
The Group operates as a single operating segment and 
internal management reporting systems present financial 
information as a single segment. The segment derives its 
revenue and incurs expenses through the development 
of pharmaceutical products. Grant income arises from 
the Australian R&D Tax Incentive and revenue from 
licence agreements is derived from the United States. 
The Board of the Company has been identified as the 
chief operating decision maker. The Board assesses the 
financial performance and position of the group, and 
makes strategic decisions.

The classification is determined by both:

 – the entity’s business model for managing the 

financial asset

 – the contractual cash flow characteristics of the 

financial asset.

All income and expenses relating to financial assets that 
are recognised in profit or loss are presented within finance 
costs, finance income or other financial items, except for 
impairment of trade receivables which is presented within 
other expenses.

Subsequent measurement of financial assets

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

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

 – the contractual terms of the financial assets give rise 

to cash flows that are solely payments of principal and 
interest on the principal amount outstanding

After initial recognition, these are measured at amortised 
cost using the effective interest method.

Discounting is omitted where the effect of discounting 
is immaterial. The Group’s cash and cash equivalents, 
trade and most other receivables fall into this category 
of financial instruments.

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4.  EXPENSES

Loss / (Profit) before income tax includes the following expenses:

Depreciation – property, plant and equipment
Computer equipment

Total depreciation

Remuneration of auditors 

Audit and review of financial statements (Grant Thornton NZ)

Total remuneration of auditors

Employee benefits expense

Short-term benefits
Post-employment benefits
Other employee benefits
Share based payments

Total employee benefits expenses

Directors’ compensation

Short-term benefits
Post-employment benefits
Share based payments

Total Directors' compensation

2021
$’000

2020
$’000

 8 

 8 

 66 

 66 

 1,093 
 91 
 26 
 611 

 1,821 

 498 
 23 
 229 

 750 

 6 

 6 

 58 

 58 

 974 
 76 
 35 
 394 

 1,479 

 423 
 10 
–

 433 

Jon Pilcher is included in Employee benefits until 14 June 2021, when he was appointed Managing Director. His remuneration 
post 14 June 2021 is included in Director’s compensation.

5.  INCOME TA X

Income tax

Current tax
Deferred tax

Numerical reconciliation of income tax to prima facie tax receivable:

(Loss) / Profit before income tax
Tax at applicable rates 26.0% (2020: 27.5%)

Non-taxable Australian R&D tax incentive income
Non deductible expenses for R&D incentive

Deductible temporary differences and tax losses for which no deferred tax asset was recognised

Income tax

2021
$’000

2020
$’000

–
–

–

(7,794) 
(2,026) 

(831) 
 1,973 

 884 

–

–
–

–

(9,193) 
(2,528) 

(197) 
 454 

 2,271 

–

Gross tax losses for which no deferred tax asset has been recognised (a)

 110,750 

 107,065 

(a)   Of these gross tax losses, $63.3 million (2020: $62.9 million) relates to New Zealand tax losses, which are unlikely to be 
utilised unless future taxable income is generated in New Zealand. The movement is due to the New Zealand tax losses 
being translated at the closing foreign exchange rate at each reporting date.

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6.  E ARNINGS PER SHARE
Basic earnings per share is calculated by dividing the profit for the year attributable to the equity holders of the company by 
the weighted average number of ordinary shares on issue during the year excluding shares held as treasury stock.

Diluted earnings per share is calculated by dividing the profit for the year attributable to the equity holders of the company by 
the weighted average number of shares outstanding during the year plus the weighted average number of ordinary shares that 
would be issued on conversion of any dilutive potential ordinary shares into ordinary shares.

The dilutive impact of loan funded shares has not been included in the weighted average number of ordinary shares for the 
purposes of calculating diluted earnings per share, as it does not meet the requirements for inclusion in NZ IAS 33.

Loss after income tax attributable to equity holders (basic) - ($'000)

Weighted average shares outstanding (basic) - (No.)

Basic loss per share

Loss after income tax attributable to equity holders (diluted) - ($'000)

Weighted average shares outstanding (diluted) - (No.)

Diluted loss per share

7.  C A SH AND C A SH EQUIVALENTS

Cash

Demand and short-term deposits 

8.  TR ADE AND OTHER RECEIVABLES

Trade receivables

Other receivables 
Interest receivables
Prepayments
Australian R&D tax incentive

2021

2020

(7,794)
117,770,052

(9,193)
107,057,317

($0.066)

($0.086)

 (7,794)
118,524,002

(9,193)
107,057,317

($0.066)

($0.086)

2021  
$’000

6,912
29,871

36,783

2021  
$’000

 7 
 21 
 3 
 1,837 
 1,393 

 3,261 

2020  
$’000

229
23,959

24,188

2020  
$’000

–
 22 
 16 
–
 717 

755

The Group applies the simplified model of recognising lifetime expected credit losses for all trade receivables as these items do 
not have a significant financing component. 

In measuring the expected credit losses, the trade receivables have been assessed on an individual basis due to the limited 
number of receivables.

The expected loss rates are based on the payment profile of the individual receivable and other transactions with that debtor 
over the past 12 months before 31 December 2021 as well as the corresponding historical credit losses during that period. 

Trade receivables are written off (i.e. de-recognised) when there is no reasonable expectation of recovery. Failure to make 
payments within 180 days from the invoice date and failure to engage with the Group on alternative payment arrangements 
amongst others are considered indicators of no reasonable expectation of recovery. No credit losses have been determined for 
the current year (2020: nil).

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9.  TR ADE AND OTHER PAYABLES

Trade payables

Accruals
Employee benefits

2021  
$’000

 245 
 209 
 349 

803

2020  
$’000

 167 
 323 
 263 

753

Trade payables and accruals relate to operating expenses, primarily research and development expenses. Trade payables 
comprise amounts invoiced prior to the reporting date and accruals comprise the value of work done but not invoiced at each 
reporting date. 

10.  SHARE C APITAL

Issued Share Capital

Ordinary shares on issue at beginning of year
Shares issued under Loan Funded Share Plan
Shares bought back under Loan Funded Share Plan
Shares issued in private placement
Share issued in Share Purchase Plan
Share issue expenses - issue costs

2021
Shares

2020
Shares

2021
$’000

2020
$’000

 117,608,108 
–
–
 9,756,098 
 1,601,470 
–

 102,668,413 
 3,000,000 
 (2,500,000)
 14,285,723 
 153,972 
–

 128,965,676 

 117,608,108 

 145,567 
–
–
 20,000 
 3,281 
 (1,270)

 167,578 

 126,426 
–
–
 20,000 
 216 
 (1,075)

 145,567 

In September 2021, the Group issued 9,756,098 fully paid ordinary shares at an issue price of $2.05 per share in a placement 
to institutional in Australia and overseas. In October 2021, the Group issued 1,601,470 fully paid ordinary shares at an issue 
price of $2.05 in the Share Purchase Plan (SPP). The issue price of $2.05 per share for the placement and the SPP represented a 
discount of 8.9% to the last closing price of $2.25 on 9 September 2021.

At 31 December 2021 3.0 million ordinary shares (31 December 2020: 3.0 million ordinary shares) were held as treasury stock in 
respect of the Loan Funded Share Plan described below. 

Ordinary Shares
The ordinary shares have no par value and all ordinary shares are fully paid-up and rank equally as to dividends and 
liquidation, with one vote attached to each fully paid ordinary share.

Share based payments
No securities were issued under any share based payment plans in 2021 or 2020. There were no equity-settled share based 
payments expensed in the Statement of Comprehensive Income in 2021 or 2020.

Loan funded shares
The Company has a Loan Funded Share Plan to support the achievement of the Company’s business strategy by linking 
executive reward to improvements in the financial performance of the Company and aligning the interests of executives 
with shareholders. Under the Loan Funded Share Plan, loan funded shares may be offered to employees or consultants 
(“Participants”). The Company issues new ordinary shares, which are placed in a trust to hold the shares on behalf of the 
Participant. The trustee issues a limited-recourse, interest-free loan to the participant, which is equal to the number of shares 
multiplied by the issue price. A limited-recourse loan means that the repayment amount will be the lesser of the outstanding 
loan and the market value of the shares that are subject to the loan. The trustee continues to hold the shares on behalf of 
the Participant until all vesting conditions have been satisfied and the Participant chooses to settle the loan, at which point 
ownership of the shares is transferred from the trust to the Participant. Any dividends paid by the Company while the shares 
are held by the trust are applied as repayment of the loan at the after-tax value of the dividend. On request by the participant, 
the Company may dispose of, or buy back, vested shares and utilise the proceeds to settle the outstanding loan. The directors 
may apply vesting conditions to be satisfied before the shares can be transferred to the Participant. Before the loan can be 
given, the New Zealand Companies Act requires the Company to disclose to shareholders the provision of financial assistance 
to the Participant. The maximum loan term is 5 years.

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10.  SHARE C APITAL (CONTINUED)
All loan funded shares under the plan during the year ended 31 December 2021 are subject to the following vesting conditions:

i. 

ii. 

 40% of the Loan Funded Shares shall vest on acceptance by the US Food and Drug Administration of the filing of a New Drug 
Application for Trofinetide; and

 40% of the Loan Funded Shares shall vest when the Company determines to progress NNZ-2591 to a Phase 2b or Phase 3 
clinical trial following a positive Phase 2 clinical trial outcome, or executes a partnering transaction for NNZ-2591;

iii.   20% of the Loan Funded Shares shall vest when the Company executes a partnering transaction for trofinetide outside 
North America, or submits a Marketing Authorisation Application for trofinetide in the European Union, the United 
Kingdom, or Japan.

Each of these Vesting Conditions shall be tested separately from the other Vesting Conditions.

The estimated fair value of the shares has been determined using the Black-Scholes valuation model. The significant inputs 
into the model were the share price on date of valuation, the estimated future volatility of the share price, a dividend yield of 
0%, an expected life of 5 years, and an annual risk-free interest rate of 0.4%. The estimated future volatility of the share price 
was derived by analysing the historic volatility of the share price during a relevant period.

Movements in the number of Loan Funded Shares were as follows:

Loan Funded 
Shares

Weighted 
Average 
Exercise Price

Exercisable

Weighted 
Average 
Exercise Price

Outstanding at 31 December 2019

Expired and bought back

Issued

Outstanding at 31 December 2020

Expired and bought back

Issued

 1,000,000 

 (1,000,000)

 3,000,000 

 3,000,000 

–

–

$1.76

$1.76

$1.84

$1.84

–

–

Outstanding at 31 December 2021

 3,000,000 

$1.84

The exercise price for 3.0 million unvested Loan Funded Shares is $1.84 per share.

–

–

–

–

–

–

–

–

–

–

11.  SUBSIDIARIES

(a)  Investment in subsidiaries
The consolidated financial statements incorporate the assets, liabilities and results of the following subsidiaries in accordance 
with the accounting policy described in Note 2(b).

Name of entity

Neuren Pharmaceuticals Inc.

Neuren Pharmaceuticals (Australia) Pty Ltd

Date of 
incorporation

20-Aug-02

9-Nov-06

Principle activities

Interest  
held

Domicile

Development services

Dormant

100%

100%

100%

USA

AUS

NZ

Neuren Trustee Limited

29-May-13

Holds loan funded shares

All subsidiaries have a reporting date of 31 December.

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12.  COMMITMENTS AND CONTINGENCIES

(a)  Legal claims
The Group had no significant legal matter contingencies as at 31 December 2021 or at 31 December 2020.

(b)  Commitments
The Group was not committed to the purchase of any property, plant or equipment or intangible assets as at 31 December 2021 
(2020: nil).

At 31 December 2021, the Group had commitments under product development contracts amounting to approximately 
$6.1 million, comprising approximately US$3.3 million, GBP 0.3 million and AU $0.9 million. At 31 December 2020, the Group 
had commitments under product development contracts amounting to approximately $5.0 million, comprising approximately 
US$2.6 million, GBP 0.4 million and AU $0.9 million.

(c)  Contingent liabilities
The Group had no contingent liabilities at 31 December 2021 or at 31 December 2020 that require disclosure.

13.  REL ATED PART Y TR ANSAC TIONS

(a)  Key Management Personnel 
The Key Management Personnel of the Group (KMP) include the directors of the Company and direct reports to the Managing 
Director. Compensation for KMP was as follows:

Short-term benefits

Post-employment benefits
Other long-term benefits
Share based payment compensation

2021  
$’000

 1,340 
 83 
 26 
 840 

 2,289 

2020  
$’000

 1,349 
 73 
 35 
 394 

 1,851 

(b)  Subsidiaries
The ultimate parent company in the Group is Neuren Pharmaceuticals Limited (“Parent”). The Parent funds the activities of the 
subsidiaries throughout the year as needed. Interests in and amounts due from subsidiaries are set out in Note 11. All amounts 
due between entities in the Group are payable on demand and bear no interest.

14.  EVENTS AFTER REPORTING DATE
As at the date of these consolidated financial statements authorised for issue, there are no events arising since 31 December 
2021 that require disclosure.

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15.  FINANCIAL INSTRUMENTS AND RISK MANAGEMENT

(a)  Categories of financial instruments

Financial assets

2021

Cash and cash equivalents
Trade and other receivables

Total financial assets

2020

Cash and cash equivalents
Trade and other receivables

Total financial assets

Financial liabilities

Amortised cost – Non-Interest Bearing:

Trade and other payables

Total financial liabilities

At amortised cost

At fair value 
through 
profit or loss

Floating 
Interest Rate 
$’000

Non-Interest 
Bearing 
$’000

Non-Interest 
Bearing 
$’000

7
8

7
8

36,783
–

36,783

24,188
–

 24,188 

–
 30 

 30 

–
 37 

 37 

9

Total 
$’000

36,783
30

36,813

24,188
37

 24,225 

–
–

–

–
–

–

2021  
$’000

2020  
$’000

454

454

490

490

At 31 December 2021, the reporting value of all financial instruments approximated to the fair value.

(b)  Risk management
The Group is subject to a number of financial risks which arise as a result of its activities.

Market risk
Market risk is the risk that changes in market prices, such as foreign exchange rates and interest rates will affect the Group’s 
income or the value of its holdings of financial instruments. The objective of market risk management is to manage and control 
market risk exposures within acceptable parameters, while optimising the return.

Currency risk
During the normal course of business the Group enters into contracts with overseas customers or suppliers or consultants that 
are denominated in foreign currency. As a result of these transactions there is exposure to fluctuations in foreign exchange 
rates. The Company also has a net investment in a foreign operation, whose net assets are exposed to foreign currency 
translation risk.

The principle currency risk faced by the business is the exchange rate between the Australian dollar and the US dollar. The 
Group holds cash denominated in US dollars and Australian dollars and has material expenditure in each of these currencies. 
Where possible, the Group matches foreign currency income and foreign currency expenditure as a natural hedge, holding 
foreign currency cash to facilitate this natural hedge. When foreign currency expenditure exceeds foreign currency revenue 
and foreign currency cash, the group purchases foreign currency to meet anticipated requirements under spot and forward 
contracts. The Group does not designate formal hedges. At 31 December 2021, there were no forward contracts outstanding 
(2020: None).

During the year, the US dollar fluctuated against the Australian dollar. A foreign exchange gain of $398,000 is included in results 
for the year ended 31 December 2021 (2020: loss $631,000). The majority of the gain relates to gains on the translation for 
reporting purposes of the Group’s US dollar cash reserves into Australian dollars. 

44

Neuren Pharmaceuticals Limited Annual Report 2021N O T E S   T O   T H E   C O N S O L I D AT E D   F I N A N C I A L   S TAT E M E N T S
C O N T I N U E D

15.  FINANCIAL INSTRUMENTS AND RISK MANAGEMENT (CONTINUED)
The carrying amounts of US dollar denominated financial assets and liabilities are as follows:

Assets

US dollars

Liabilities

US dollars

2021
$’000

2020
$’000

 6,905 

 8,686 

 38 

 46 

An increase of 10% in the cross rate of the US dollar against the Australian dollar as at the reporting date would have increased 
the consolidated loss after income tax by $624,000 (2020: $785,000). A decrease of 10% in the cross rate of the US dollar against 
the Australian dollar as at the reporting date would have decreased the consolidated loss after income tax by $763,000 
(2020: $960,000).

Interest rate risk
The Group is exposed to changes in market interest rates as entities in the Group hold cash and cash equivalents. 

The effective interest rates on financial assets are as follows:

Financial Assets

Cash and cash equivalents
    Australian dollar cash deposits
    Australian dollar interest rate
    US dollar cash deposits
    US dollar interest rate

2021  
$’000

2020  
$’000

29,888
0.17%
6,898
–%

15,502
0.48%
8,686
0.07%

The Company and Group do not have any interest-bearing financial liabilities. Trade and other receivables and payables do not 
bear interest and are not interest rate sensitive.

A 10% change in average market interest rates would have changed reported loss after tax by approximately $5,100 
(2020: $8,000).

Credit risk
The Group incurs credit risk from transactions with financial institutions. The total credit risk on cash and cash equivalents, 
which have been recognised in the statement of financial position, is the carrying amount. The Company and its subsidiaries 
do not retain any collateral or security to support transactions with financial institutions. Cash and cash equivalents are held 
and transacted with National Australia Bank, Western Union and Primis bank. 

Liquidity risk
The Group’s financial liabilities, comprising trade and other payables, are generally repayable within 1 – 2 months. The 
maturity and availability of financial assets, comprising cash and cash equivalents and trade and other receivables, are 
monitored and managed to ensure financial liabilities can be repaid when due.

Capital risk
The Group manages its capital, which is its equity, to ensure that the Group entities are able to meet their estimated 
commitments as they fall due. In this regard, the Company raised additional equity capital during 2021, as described in 
Note 10. Capital risk is impacted by the material uncertainties described in Note 1.

45

Neuren Pharmaceuticals Limited Annual Report 2021N O T E S   T O   T H E   C O N S O L I D AT E D   F I N A N C I A L   S TAT E M E N T S
C O N T I N U E D

16.  CRITIC AL ACCOUNTING ESTIMATES AND A SSUMPTIONS
The Group makes estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, 
seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing material 
adjustment to the carrying amounts of assets and liabilities within the next financial year are as discussed below.

The Group’s research and development activities are eligible under the Australian R&D Tax Incentive. The Group has assessed 
these activities and expenditure to determine which are likely to be eligible under the incentive scheme. For the period to 
31 December 2021 the Group has recorded other revenue of $3.2 million (2020: $0.7 million).

The Group has assessed that all research and development expenditure to date does not meet the requirements for 
capitalisation as an intangible asset because it is not yet probable that the expected future economic benefits that are 
attributable to the asset will flow. The Group’s current assessment is that future expenditure will not meet that requirement 
prior to the approval of a New Drug Application by the US Food and Drug Administration.

The Group is subject to income taxes in Australia because it is domiciled in that country. There are transactions and 
calculations undertaken during the ordinary course of business for which the ultimate tax determination may be uncertain. 
Where the final tax outcome of these matters is different from the amounts that were initially recorded, such differences will 
impact the current and deferred tax provisions in the period in which such determination is made.

Loan Funded Shares
The Group measures the fair value of loan funded shares with employees by reference to the fair value of the equity 
instruments at the date at which they are granted. The estimated fair value of the shares is determined using the Black-Scholes 
valuation model, taking into account the terms and conditions upon which the instruments were granted. Some judgements 
are made on the inputs into the valuation model, including the expected life and volatility.

46

Neuren Pharmaceuticals Limited Annual Report 2021Independent Auditor’s Report 

Grant Thornton New Zealand Audit Limited 
L4, Grant Thornton House 
152 Fanshawe Street 
PO Box 1961 
Auckland 1140 

T +64 (09) 308 2570 
www.grantthornton.co.nz 

To the Shareholders of Neuren Pharmaceuticals Limited 

Report on the Audit of the Consolidated Financial Statements 

Opinion 

We have audited the consolidated financial statements of Neuren Pharmaceuticals Limited (the “Company”) and its 
subsidiaries (the “Group”) on pages 30 to 46 which comprise the consolidated statement of financial position as at
31 December 2021, and the consolidated statement of comprehensive income, consolidated statement of changes in 
equity and consolidated statement of cash flows for the year then ended, and notes to the consolidated financial statements, 
including a summary of significant accounting policies 

In our opinion, the accompanying consolidated financial statements present fairly, in all material respects, the financial position 
of the Group as at 31 December 2021 and of its financial performance and cash flows for the year then ended in accordance 
with the New Zealand equivalents to International Financial Reporting Standards (NZ IFRS) issued by the New Zealand 
Accounting Standards Board. 

Basis for Opinion 

We conducted our audit in accordance with International Standards on Auditing (New Zealand) (ISAs (NZ)) issued by the New 
Zealand Auditing and Assurance Standards Board. Our responsibilities under those standards are further described in the 
Auditor’s Responsibilities for the Audit of the Consolidated Financial Statements section of our report. We are independent of 
the Group in accordance with Professional and Ethical Standard 1 International Code of Ethics for Assurance Practitioners 
(including International Independence Standards) (New Zealand) issued by the New Zealand Auditing and Assurance 
Standards Board and the International Ethics Standards Board for Accountants’ International Code of Ethics for Professional 
Accountants (including International Independence Standards) (IESBA Code, and we have fulfilled our other ethical 
responsibilities in accordance with these requirements and the IESBA Code. We believe that the audit evidence we have 
obtained is sufficient and appropriate to provide a basis for our opinion. 

Other than in our capacity as auditor we have no relationship with, or interests in, the Group. 

Key Audit Matters 

Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the 
consolidated financial statements of the current year.  We have determined that there are no key audit matters to 
communicate in our report. 

Chartered Accountants and Business Advisers 
Member of Grant Thornton International Ltd. 

47

Neuren Pharmaceuticals Limited Annual Report 2021Information Other than the Consolidated Financial Statements and Auditor’s Report thereon 

The Directors are responsible for the other information. The other information comprises the information included in the 
Directors’ Report (but does not include the consolidated financial statements and our auditor’s report thereon), which we 
obtained prior to the date of this auditor’s report and the annual report which is expected to be made available to us after that 
date. 

Our opinion on the consolidated financial statements does not cover the other information and we do not express any form of 
audit opinion or assurance conclusion thereon. 

In connections with our audit of the consolidated financial statements, our responsibility is to read the other information and, in 
doing so, consider whether the other information is materially inconsistent with the consolidated financial statements, or our 
knowledge obtained in the audit or otherwise appears to be materially misstated. 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. 

Directors’ responsibilities for the Consolidated Financial Statements 

The Directors are responsible on behalf of the Group for the preparation and fair presentation of the consolidated financial 
statements in accordance with New Zealand equivalents to International Financial Reporting Standards issued by the New 
Zealand Accounting Standards Board, and for such internal control as the Directors determine is necessary to enable the 
preparation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. 

In preparing the consolidated financial statements, the directors are responsible on behalf of the Group for assessing the 
Group’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 the directors either intend to liquidate the Group or to cease operations, or have no 
realistic alternative but to do so. 

Auditor’s responsibilities for the Audit of the Consolidated Financial Statements 

Our objectives are to obtain reasonable assurance about whether the consolidated financial statements as a whole are free 
from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. 
Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs 
(NZ) 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 consolidated financial statements. 

A further description of the auditor’s responsibilities for the audit of the consolidated financial statements is located on the 
External Reporting Board’s website at: https://www.xrb.govt.nz/standards/assurance-standards/auditing-standards/auditors-
responsibilities/audit-report-1/  

Grant Thornton New Zealand Audit Limited 

R Campbell 
Auckland 

23 February 2022 

Chartered Accountants and Business Advisers 
Member of Grant Thornton International Ltd. 

48

Neuren Pharmaceuticals Limited Annual Report 2021 
 
 
 
A D D I T I O N A L   I N F O R M AT I O N

EQUIT Y SECURITIES HELD BY DIREC TORS A S AT 23 FEBRUARY 2022 

Director

Trevor Scott

Dianne Angus
Patrick Davies

Jenny Harry

Jonathan Pilcher1

Interests in
Ordinary Shares

Interests in Loan 
Funded Shares

Direct

Indirect

Indirect

 1,000,000 

 2,589,784 

 30,000 
–

–

–

–
 220,940 

 29,663 

 398,207 

 1,500,000 

–

–
–

–

1 

 Jon Pilcher has an interest in 1.5 million Loan Funded Shares held by Neuren Trustee Limited. As detailed in Note 10 to the 
Financial Statements, the Loan Funded Shares are subject to vesting conditions and repayment of a loan amounting to 
$1.84 per share before they can be transferred to Jon.

DIREC TORS OF SUBSIDIARY COMPANIES AT 31 DECEMBER 2021

Neuren Pharmaceuticals Inc.

Neuren Pharmaceuticals (Australia) Pty Ltd

Neuren Trustee Limited

Jon  
Pilcher

Larry  
Glass

Trevor  
Scott

√

√

√

√

√

AUSTR ALIAN STOCK EXCHANGE DISCLOSURES
Neuren Pharmaceuticals Limited is incorporated in New Zealand under the Companies Act 1993.

The Company is not subject to Chapters 6, 6A, 6B and 6C of the Corporations Act, Australia, dealing with the acquisition 
of shares (such as substantial holdings and takeovers). 

Limitations on the acquisition of shares are imposed under New Zealand law are as follows:

(a)   In general, securities in the Company are freely transferable and the only significant restrictions or limitations in relation 
to the acquisition of securities are those imposed by New Zealand laws relating to takeovers and overseas investment.

(b)   The New Zealand Takeovers Code creates a general rule under which the acquisition of 20% or more of the voting rights 
in the Company or the increase of an existing holding of 20% or more of the voting rights of the Company can only occur 
in certain permitted ways. These include a full takeover offer in accordance with the Takeovers Code, a partial takeover 
in accordance with the Takeovers Code, an acquisition approved by an ordinary resolution, an allotment approved by an 
ordinary resolution, a creeping acquisition (in certain circumstances), or compulsory acquisition of a shareholder holding 
90% or more of the shares.

(c)   The New Zealand Overseas Investment Act 2005 and Overseas Investment Regulations 2005 (New Zealand) regulate certain 

investments in New Zealand by overseas interests. In general terms, the consent of the New Zealand Overseas Investment 
Office may be required where an ‘overseas person’ acquires shares in the Company that amount to 25% or more of the 
shares issued by the Company, or if the overseas person already holds 25% or more, the acquisition increases that holding.

49

Neuren Pharmaceuticals Limited Annual Report 2021A D D I T I O N A L   I N F O R M AT I O N
C O N T I N U E D

EQUIT Y SECURITIES INFORMATION
The Company has only one class of shares, being ordinary shares.  Each ordinary share is entitled to one vote when a poll is 
called; otherwise on a show of hands at a shareholder meeting every member present in person or by proxy has one vote.  
There are no securities subject to escrow and there is no current on-market buy-back of securities.

The following information is based on share registry information processed up to and including 31 March 2022.

The number of ordinary shareholdings held in less than marketable parcels at 31 March 2022 was 405, holding 10,305 
ordinary shares.

DISTRIBUTION OF SECURIT Y HOLDERS
Ordinary shares 

Size of holding

100,001 and Over

10,001 to 100,000

5,001 to 10,000

1,001 to 5,000

1 to 1,000

Total

Number of 
ordinary shares

90,071,999

26,035,247

4,316,199

4,619,890

922,341

%

71.51

20.67

3.43

3.67

0.73

125,965,676

100.00

Number  
of holders

142

878

573

1,732

2,152

5,477

%

2.59

16.03

10.46

31.62

39.29

100.00

SUBSTANTIAL SECURIT Y HOLDERS
The following have filed substantial holding notifications:

Milford Asset Management Limited

Substantial holdings are based on the last notice lodged on the ASX.

Number held

Percentage

6,733,814

5.35%

50

Neuren Pharmaceuticals Limited Annual Report 2021A D D I T I O N A L   I N F O R M AT I O N
C O N T I N U E D

Twenty largest holders of ordinary shares 

HSBC CUSTODY NOMINEES (AUSTRALIA) LIMITED-GSCO ECA 

NATIONAL NOMINEES LIMITED 

CITICORP NOMINEES PTY LIMITED 

CAMERON RICHARD PTY LTD 

STUART ANDREW PTY LTD 

LINWIERIK SUPER PTY LTD 

HSBC CUSTODY NOMINEES (AUSTRALIA) LIMITED 

ESSEX CASTLE LIMITED 

SMITHLEY SUPER PTY LTD 

HOBSON WEALTH CUSTODIANS LTD 

MXB INVESTMENTS LLC 

FIRST COLBYCO PTY LTD 

SHARESIES NOMINEE LIMITED 

DR TREVOR SCOTT 

DR ROBIN LANCE CONGREVE 

J P MORGAN NOMINEES AUSTRALIA PTY LIMITED 

BNP PARIBAS NOMS PTY LTD 

HSBC CUSTODY NOMINEES (AUSTRALIA) LIMITED - A/C 2 

10 BOLIVIANOS PTY LTD 

BNP PARIBAS NOMINEES PTY LTD SIX SIS LTD 

Total

Balance of share register

Total ordinary shares quoted on ASX

Unquoted loan funded shares held by Neuren Trustee Limited1

Total issued ordinary shares

Number of 
ordinary shares

% of issued  
share capital

14,473,054

12,475,013

9,417,997

5,432,260

2,667,146

2,639,643

2,592,919

2,367,144

2,148,000

1,595,901

1,330,000

1,032,854

1,011,875

1,000,000

991,637

926,986

913,170

821,336

754,116

631,525

65,222,576

60,743,100

125,965,676

3,000,000

128,965,676

11.49

9.90

7.48

4.31

2.12

2.10

2.06

1.88

1.71

1.27

1.06

0.82

0.80

0.79

0.79

0.74

0.72

0.65

0.60

0.50

51.78

48.22

100.00

1 

 Loan Funded Share Plan described in Note 10 to the Financial Statements.

UNLISTED SECURITIES
1,450,000 Employee Share Scheme options, with an exercise price of $3.46 and expiry date of 3 February 2026.  
There are 4 holders of 100,001 and over.

51

Neuren Pharmaceuticals Limited Annual Report 2021pharmaceuticals

NEUREN PHARMACEUTIC ALS LIMITED
Suite 201, 697 Burke Rd 
Camberwell 
Victoria 3124 
Australia

Tel:    +61 3 9092 0480 
ABN:   72 111 496 130 
ASX code: NEU

New Zealand Registered Office:
At the offices of Lowndes Jordan 
Level 15 HSBC Tower 
188 Quay Street 
Auckland 1141 
New Zealand

Share Registry:
Link Market Services Limited 
Tower 4, 727 Collins Street 
Docklands 
Victoria 3008 
Australia

Postal address:

Locked Bag A14 
Sydney South NSW 1235

Tel:   +61 1300 554 474 
Fax:   +61 2 9287 0303

www.neurenpharma.com