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Acasti Pharma

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FY2019 Annual Report · Acasti Pharma
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
_____________________________

FORM 20-F
_____________________________

☐

☒

☐

☐

REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) or (g) OF THE SECURITIES EXCHANGE ACT OF 1934

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended March 31, 2019
OR

Commission file number: 001-35776
_____________________________
Acasti Pharma Inc.
(Exact name of Registrant as specified in its charter)
_____________________________
N/A
(Translation of Registrant’s name into English)

Québec, Canada
(Jurisdiction of incorporation or organization)

545, Promenade du Centropolis, Suite 100, Laval, Québec H7T 0A3
(Address of principal executive office)

Jean-François Boily, Vice President, Finance, Acasti Pharma Inc.
545, Promenade du Centropolis, Suite 100 Laval, Québec H7T 0A3
Tel: 450-687-2262
Fax: 450-687-2272
(Name, Telephone, Email and/or Facsimile number and Address of Company Contact Person)

Title of each class
Common Shares, no par value

Securities registered or to be registered pursuant to Section 12(b) of the Act.
Trading symbol(s)
ACST

Name of each exchange on which registered
The NASDAQ Capital Market

Securities registered or to be registered pursuant to Section 12(g) of the Act.
Not applicable

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act.
None
_____________________________

Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual report.

78,132,734 Common Shares issued and outstanding as of March 31, 2019.

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes  ☐ No ☒

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. Yes  ☐ No ☒

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter
period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the
preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the
Exchange Act. (Check one):
Large accelerated filer ☐

  Emerging growth company ☐

  Non-accelerated filer ☒

  Accelerated filer ☐

If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act ☐.

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:

U.S. GAAP ☐

International Financial Reporting Standards as
issued by the International Accounting Standards Board ☒

  Other ☐

If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow. Item 17  ☐ Item 18 ☐

If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes  ☐ No ☒

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

INTRODUCTION AND USE OF CERTAIN TERMS

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

PART I

Item 1.
Item 2.
Item 3.
Item 4.
Item 4A.
Item 5.
Item 6.
Item 7.
Item 8.
Item 9.
Item 10.
Item 11.
Item 12.

Identity of Directors, Senior Management and Advisers

  Offer Statistics and Expected Timetable
  Key Information

Information on the Company
  Unresolved Staff Comments
  Operating and Financial Review and Prospects
  Directors, Senior Management and Employees
  Major Shareholders and Related Party Transactions

Financial Statements
The Offer and Listing
  Additional Information
  Quantitative and Qualitative Disclosure about Market Risk
  Description of Securities other than Equity Securities

PART II

Item 13.
Item 14.
Item 15.
Item 16.
Item 16A.
Item 16B.
Item 16C.
Item 16D.
Item 16E.
Item 16F.
Item 16G.
Item 16H.

  Defaults, Dividend Arrearages and Delinquencies
  Material Modification to the Rights of Security Holdings and Use of Proceeds
  Controls and Procedures
  Reserved
  Audit Committee Financial Expert
  Code of Ethics

Principal Accountant Fees and Services
Exemptions from the Listing Standards for Audit Committees
Purchases of Equity Securities by the Issuer and Affiliated Purchasers

  Change in Registrant’s Certifying Accountant
  Corporation Governance
  Mining Safety Disclosure

PART III

Item 17.
Item 18.
Item 19.
EXHIBITS INDEX
SIGNATURES

Financial Statements
Financial Statements
Exhibits

1

1

5
5
5
5
23
46
46
60
72
73
73
73
84
84
86
86
86
86
86
86
86
87
87
87
87
88
88
88
88
88
88
89
91

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 INTRODUCTION AND USE OF CERTAIN TERMS

As  used  in  this  annual  report  on  Form  20-F,  or  this  annual  report,  unless  the  context  otherwise  requires,  references  to  “we”,  “our”,  “us”,  “Acasti”,  “Acasti  Pharma”,

“Corporation”, “it”, “its” or similar terms refer to Acasti Pharma Inc.

Market data and certain industry data and forecasts included in this annual report were obtained from internal company surveys, market research, and publicly available
information, reports of governmental agencies and industry publications and surveys. We have relied upon industry publications as our primary sources for third-party industry
data and forecasts. Industry surveys, publications and forecasts generally state that the information they contain has been obtained from sources believed to be reliable, but that
the accuracy and completeness of that information is not guaranteed. We have not independently verified any of the data from third-party sources or the underlying economic
assumptions they made. Similarly, internal surveys, industry forecasts and market research, which we believe to be reliable based upon our management’s knowledge of our
industry, have not been independently verified. Our estimates involve risks and uncertainties, including assumptions that may prove not to be accurate, and these estimates and
certain industry data are subject to change based on various factors, including those discussed under “Risk Factors” in this annual report. While we believe our internal business
research is reliable and the market definitions we use in this annual report are appropriate, neither our business research nor the definitions we use have been verified by any
independent source.

We own or have rights to trademarks, service marks or trade names that we use in connection with the operation of our business. In addition, our name, logo and website
names and addresses are our service marks or trademarks. CaPre® is our registered trademark. The other trademarks, trade names and service marks appearing in this annual
report are the property of their respective owners. Solely for convenience, the trademarks, service marks, tradenames and copyrights referred to in this annual report are listed
without the ©, ® and TM symbols, but we will assert, to the fullest extent under applicable law, our rights or the rights of the applicable licensors to these trademarks, service
marks and tradenames.

Financial Information

All  financial  information  in  this  annual  report  is  presented  in  accordance  with  International  Financial  Reporting  Standards,  or  IFRS,  as  issued  by  the  International

Accounting Standards Board, or IASB, unless otherwise specified.

We  use  multiple  financial  measures  for  the  review  of  our  operating  performance.  These  measures  are  generally  IFRS  financial  measures,  but  one  adjusted  financial
measure,  “Non-IFRS  operating  loss”  (adding  to  net  loss,  finance  expenses,  depreciation  and  amortization  and  impairment  loss,  litigation  settlement  expected  to  be  paid  via
common shares, change in fair value of derivative warrant liabilities, stock-based compensation and by subtracting finance income and deferred income tax recovery), is also
used  to  assess  our  operating  performance.  This  non-IFRS  financial  measure  is  derived  from  our  financial  statements  and  is  presented  in  a  consistent  manner.  We  use  this
measure, in addition to the IFRS financial measures, for the purposes of evaluating our historical and prospective financial performance, as well as our performance relative to
competitors. All of these measures also help us to plan and forecast future periods as well as to make operational and strategic decisions. We believe that providing this Non-
IFRS information to investors, in addition to IFRS measures, allows them to see our results through the eyes of our management, and to better understand our historical and
future financial performance. See “Item 5. Operating and Financial Review and Prospects” for a reconciliation to net loss.

In this annual report, all references to “CA$” or “$” are to Canadian dollars, unless expressly otherwise stated. All amounts related to our financial results are presented in

thousands of Canadian dollars, except where noted and per share amounts.

 SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This annual report contains information that may be forward-looking information within the meaning of Canadian securities laws and forward-looking statements within
the meaning of U.S. federal securities laws, both of which we refer to in this annual report as forward-looking information. Forward-looking information can be identified by the
use  of  terms  such  as  “may”,  “will”,  “should”,  “expect”,  “plan”,  “anticipate”,  “believe”,  “intend”,  “estimate”,  “predict”,  “potential”,  “continue”  or  other  similar  expressions
concerning matters that are not statements about the present or historical facts. Forward-looking information in this annual report includes, among other things, information or
statements about:

·

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·

·

our ability to conduct all required clinical and nonclinical trials for CaPre, including the timing and results of those trials;

our strategy, future operations, prospects and the plans of our management;

the design, regulatory plan, timeline, costs and results of our clinical and nonclinical trials for CaPre;

the timing and outcome of our meetings and discussions with the U.S. Food and Drug Administration, or FDA;

our planned regulatory filings for CaPre, and their timing;

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our  expectation  that  our  Bridging  Study  (as  defined  below)  results  will  support  our  plan  to  get  authorization  from  the  FDA  to  use  the  505(b)(2)  pathway  with  new
chemical entity, or NCE, status towards a New Drug Application, or NDA, approval in the United States;

the timing and results from the STRENGTH study (conducted by Astra Zeneca with their omega-3 (OM3) drug EPANOVA) in patients with high triglycerides, or TGs
(blood levels between 200-499 mg/dL) and concomitantly taking a statin;

the potential benefits and risks of CaPre as compared to other products in the pharmaceutical, medical food and natural health products markets;

our estimates of the size of the potential market for CaPre, unmet medical needs in that market, the potential for market expansion, and the rate and degree of market
acceptance of CaPre if it reaches commercialization, and our ability to serve that market;

our anticipated marketing advantages and product differentiation of CaPre and its potential to become a best-in-class OM3 compound for the treatment of HTG;

the potential to expand CaPre’s indication for the treatment of high TGs (200-499 mg/dL);

the degree to which physicians would switch their patients to a product with CaPre’s target product profile;

our strategy and ability to develop, commercialize and distribute CaPre in the United States and elsewhere;

the manufacturing scale-up of CaPre beyond 20 tons per year and the related timing;

our ability to strengthen our patent portfolio and other means of protecting our intellectual property rights, including our ability to obtain additional patent protection for
CaPre;

our expectation that following expiration of the license agreement with Neptune Technologies & Bioressources Inc. (“Neptune”) we will not require any license from
third parties to support the commercialization of CaPre;

the availability, consistency and sources of our raw materials, including krill oil;

our expectation to be able to rely on third parties to manufacture CaPre whose manufacturing processes and facilities are in compliance with current good manufacturing
practices, or cGMP;

the potential for Omega-3 therapeutics, or OM3s in other cardiometabolic medicine indications;

our intention and ability to build a U.S. commercial organization and to successfully launch CaPre and compete in the U.S. market;

our intention and ability to complete development and/or distribution partnerships to support the commercialization of CaPre outside of the United States, and to pursue
strategic opportunities to provide capital and market access;

our need for additional financing and our estimates regarding our future financing and capital requirements;

our  expectation  regarding  our  financial  performance,  including  our  revenues,  profitability,  research  and  development,  costs  and  expenses,  gross  margins,  liquidity,
capital resources, and capital expenditures; and

our  projected  capital  requirements  to  fund  our  anticipated  expenses,  including  our  research  and  development  and  general  and  administrative  expenses,  and  capital
expenditures.

Although the forward-looking information in this annual report is based upon what we believe are reasonable assumptions, you should not place undue reliance on that
forward-looking  information  since  actual  results  may  vary  materially  from  it.  Important  assumptions  made  by  us  when  making  forward-looking  statements  include,  among
other things, assumptions by us that:

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we are able to obtain the additional capital and financing we require;

we successfully and timely complete all required clinical and nonclinical trials necessary for regulatory approval of CaPre;

the timeline and costs for our clinical and nonclinical programs are not materially underestimated or affected by unforeseen circumstances;

CaPre is safe and effective;

outcome study data from the STRENGTH study is positive;

we obtain and maintain regulatory approval for CaPre on a timely basis;

we are able to attract, hire and retain key management and skilled scientific and commercial personnel;

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·

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third parties provide their services to us on a timely and effective basis;

we are able to maintain our required supply of raw materials, including krill oil;

we are able to find and retain a third-party to manufacture CaPre in compliance with cGMP;

we are able to successfully build a commercial organization, launch CaPre in the United States, and compete in the U.S. market;

we are able to secure distribution arrangements for CaPre outside of the United States, if it reaches commercialization;

we are able to manage our future growth effectively;

we are able to gain acceptance of CaPre in its markets and we are able to serve those markets;

our patent portfolio is sufficient and valid;

we are able to secure and defend our intellectual property rights and to avoid infringing upon the intellectual property rights of third parties;

we are able to take advantage of business opportunities in the pharmaceutical industry and receive strategic partner support;

we are able to continue as a going concern;

there is no significant increase in competition for CaPre from other companies in the pharmaceutical, medical food and natural health product industries;

CaPre would be viewed favorably by payers at launch and receive appropriate healthcare reimbursement;

· market data and reports reviewed by us are accurate;

·

·

there are no adverse changes in relevant laws or regulations; and

we face no product liability lawsuits and other proceedings or any such matters, if they arise, are satisfactorily resolved.

In  addition,  the  forward-looking  information  in  this  annual  report  is  subject  to  a  number  of  known  and  unknown  risks,  uncertainties  and  other  factors,  including  those
described in this annual report under the heading “Item 3.D. Risk Factors”, many of which are beyond our control, that could cause our actual results and developments to differ
materially from those that are disclosed in or implied by the forward-looking information, including, among others:

·

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·

risks related to timing and possible difficulties, delays or failures in our ongoing TRILOGY Phase 3 program for CaPre;

nonclinical and clinical trials may be more costly or take longer to complete than anticipated, and may never be initiated or completed, or may not generate results that
warrant future development of CaPre;

CaPre may not prove to be as safe and effective or as potent as we currently believe;

our planned TRILOGY Phase 3 program may not produce positive results;

our anticipated studies and submissions to the FDA may not occur as currently anticipated, or at all;

the FDA could reject our 505(b)(2) regulatory pathway;

while the REDUCE-IT results (a Cardiovascular outcome study conducted by Amarin with their OM3 drug VASCEPA) were positive, the cardiovascular outcome study
data from the STRENGTH study could be negative, which could also negatively affect the market perception of CaPre;

we  may  encounter  difficulties,  delays  or  failures  in  obtaining  regulatory  approvals  for  the  initiation  of  clinical  trials  or  to  market  CaPre,  or  the  FDA  may  refuse  to
approve CaPre, or place restrictions on our ability to commercialize CaPre;

we may need to conduct additional future clinical trials for CaPre, the occurrence and success of which cannot be assured;

CaPre may have unknown side effects;

CaPre  could  be  subject  to  extensive  post-market  obligations  and  continued  regulatory  review,  which  may  result  in  significant  additional  expense  and  affect  sales,
marketing and profitability;

we may fail to achieve our publicly announced milestones on time;

we may encounter difficulties in completing the development and commercialization of CaPre;

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third parties we will rely upon to conduct our TRILOGY Phase 3 program for CaPre may not effectively fulfill their obligations to us, including complying with FDA
requirements;

there may be difficulties, delays, or failures in obtaining health care reimbursements for CaPre;

recently  enacted  and  future  laws  may  increase  the  difficulty  and  cost  for  us  to  obtain  marketing  approval  of  and  commercialize  CaPre  and  affect  the  prices  we  can
charge;

new laws, regulatory requirements, and the continuing efforts of governmental and third-party payors to contain or reduce the costs of healthcare through various means
could adversely affect our business;

the market opportunity for, and demand and market acceptance of, CaPre may not be as strong as we anticipate;

third  parties  that  we  will  rely  upon  to  manufacture,  supply  and  distribute  CaPre  may  not  effectively  fulfill  their  obligations  to  us,  including  complying  with  FDA
requirements;

there may not be an adequate supply of raw materials, including krill oil, in sufficient quantities and quality and to produce CaPre under cGMP standards;

we may not be able to meet applicable regulatory standards for the manufacture of CaPre or scale-up our manufacturing successfully;

as a development stage company, we have limited sales, marketing and distribution personnel and resources;

our patent applications may not result in issued patents, our issued patents may be circumvented or challenged and ultimately struck down, and we may not be able to
successfully protect our trade secrets or other confidential proprietary information;

we may face claims of infringement of third party intellectual property and other proprietary rights;

we may face product liability claims and product recalls;

we may face intense competition from other companies in the pharmaceutical, medical food and natural health product industries;

we have a history of negative operating cash flow and may never become profitable or be able to sustain profitability;

we have significant additional future capital needs and may not be able to raise additional financing required to fund further research and development, clinical studies,
obtain  regulatory  approvals,  build  a  commercial  organization  in  the  United  States,  and  meet  ongoing  capital  requirements  to  continue  our  current  operations  on
commercially acceptable terms or at all;

we may not be able to successfully compete in the U.S. market with competitors who are larger and have more resources than we do;

we may acquire businesses or products or form strategic partnerships in the future that may not be successful;

we may be unable to secure development and/or distribution partnerships to support the development and commercialization of CaPre outside the United States, provide
development capital, or market access;

we rely on the retention of key management and skilled scientific, manufacturing, regulatory and commercial personnel; and

general changes in economic and capital market conditions could adversely affect us.

All of the forward-looking information in this annual report is qualified by this cautionary statement. There can be no guarantee that the results or developments that we
anticipate will be realized or, even if substantially realized, that they will have the consequences or effects on our business, financial condition or results of operations that we
anticipate. As a result, you should not place undue reliance on the forward-looking information. Except as required by applicable law, we do not undertake to update or amend
any  forward-looking  information,  whether  as  a  result  of  new  information,  future  events  or  otherwise. All  forward-looking  information  is  made  as  of  the  date  of  this  annual
report.

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 PART I

 Item 1.

Identity of Directors, Senior Management and Advisers

Not applicable.

 Item 2.

Offer Statistics and Expected Timetable

Not applicable.

 Item 3.

Key Information

A.

Selected Financial Data

The  following  information  should  be  read  in  conjunction  with  “Item  5.  Operating  and  Financial  Review  and  Prospects”  and  our  audited  financial  statements  and  the
related notes for our fiscal years ended March 31, 2019 and 2018 and the thirteen-month period ended March 31, 2017 which are prepared in accordance with IFRS as issued by
the IASB and are included in this annual report. The selected financial information below includes financial information derived from our audited financial statements. Our
historical results from any prior period are not necessarily indicative of results to be expected for any future period. The following table is a summary of our selected financial
information in accordance with IFRS as issued by the IASB for each of our five most recently completed fiscal years.

For the fiscal year ended 
  March 31, 2018     March 31, 2017(1)     February 29, 2016     February 28, 2015  
  March 31, 2019  
nil 
nil    $
nil 
  $
  $
(12,395)
(11,210)   $
(45,015)   $
  $
(1,655)
(11,247)   $
(51,566)   $
  $
(0.16)
(1.01)   $
(0.95)   $
  $
37,208 
25,456    $
  $
  $
3,980 
3,753    $
  $
  $
61,628 
66,576    $
  $
  $
- 
453    $
  $
  $
10,617,704 
11, 094,512     
- 
-     

nil    $
(19,696)   $
(21,504)   $
(1.23)   $
22,959    $
14,735    $
73,338    $
715    $
17,486,515     
-     

nil    $
(9,612)   $
(6,317)   $
(0.59)   $
28,517    $
1,297    $
61,973    $
-    $
10,659,936     
-     

48,471 
34,509 
129,318 
998 
54,290,295 
- 

Revenue from sales
Loss from operating activities
Net loss and total comprehensive loss
Basic and diluted loss per share
Total assets
Total liabilities
Share capital
Equity - Classified Warrants and rights
Weighted average number of shares outstanding
Dividends declared per share

Note:

(1) For the thirteen-month period ended March 31, 2017.

B.

Capitalization and Indebtedness

Not applicable.

C.

Reasons for the Offer and Use of Proceeds

Not applicable.

D. Risk Factors

Investing in our securities involves a high degree of risk due to, among other things, the nature of our business and the present stage of our development. Prospective and
current investors should carefully consider the following risks and uncertainties, together with all other information in this annual report, as well as our financial statements
included in this annual report and “Item 5. Operating and Financial Review and Prospects.” If any of these risks actually occur, our business, financial condition, prospects,
results of operations or cash flow could be materially and adversely affected and you could lose all or a part of the value of your investment. Additional risks or uncertainties
not currently known to us, or that we deem immaterial, may also negatively affect our business operations.”

General Risks Related to the Corporation

We may not be able to maintain our operations and advance our research and development of CaPre without additional funding.

We have incurred operating losses and negative cash flows from operations since our inception. To date, we have financed our operations through public offerings and
private placements of securities, proceeds from exercises of warrants, rights and options, and receipt of research tax credits and research grant programs. Our cash and cash
equivalents (including restricted investments) were $ 34.4 million as of March 31, 2019 and $8.2 million as of March 31, 2018.

- 5 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our current assets, as of March 31, 2019, are projected to support our current liabilities as at that date when combined with the projected level of our expenses for the next
twelve months, including fully funding the completion of our Phase 3 program for CaPre. We expect that additional time and capital will be required by us to file an NDA to
obtain FDA approval for CaPre in the United States, to further scale up our manufacturing capabilities, and to complete marketing and other pre-commercialization activities.
Consequently, we expect to require additional capital to fund our daily operating needs beyond the next twelve months. Based on a conservative estimate, we believe that our
existing cash and cash equivalents will enable us to fund our operating expenses and capital expenditure requirements beyond the completion of our Phase 3 trials. To fully
execute our business plan, we plan to raise the necessary capital primarily through additional securities offerings and multiple sources of non-dilutive capital such as grants or
loans and strategic alliances. If we are unable to raise additional capital in sufficient amounts or on terms acceptable to us, we may have to significantly delay the commercial
launch  of  CaPre.  Unexpected  negative  results  in  our  TRILOGY  Phase  3  program  for  CaPre  may  affect  our  ability  to  raise  additional  capital  and/or  complete  strategic
development and/or distribution partnerships to support the commercial launch of CaPre. Additional funding from third parties may not be available on acceptable terms or at
all to enable us to continue with the commercialization of CaPre.

If we do not raise additional funds, we may not be able to realize our assets and discharge our liabilities in the normal course of business. As a result, there exists a material
uncertainty that casts substantial doubt about our ability to continue as a going concern and, therefore, realize our assets and discharge our liabilities in the normal course of
business. Our financial statements have been prepared on a going-concern basis, which assumes we will continue our operations in the foreseeable future and will be able to
realize our assets and discharge our liabilities and commitments in the ordinary course of business. If we are unable to continue as a going concern, material write-downs to the
carrying value of our assets, including intangible assets, could be required. If we fail to obtain additional financing, we may not be able to continue as a going concern.

We may never become profitable or be able to sustain profitability.

We are a clinical-stage biopharmaceutical company with a limited operating history. The likelihood of the success of our business plan must be considered in light of the
problems, expenses, difficulties, complications and delays frequently encountered when developing and expanding early-stage businesses and the regulatory and competitive
environment in which we operate. Biopharmaceutical product development is a highly speculative undertaking, involves a substantial degree of risk and is a capital- intensive
business. We expect to incur expenses without any meaningful corresponding revenues unless and until we are able to obtain regulatory approval for and begin selling CaPre in
significant quantities. We filed our investigational new drug application, or IND, for CaPre in late 2013, which allowed us to initiate clinical development in the United States
towards FDA approval for CaPre. To date, we have not generated any revenue from CaPre, and we may never be able to obtain regulatory approval for marketing CaPre in any
indication. Even if we are able to commercialize CaPre, we may still not generate significant revenues or achieve profitability. Additionally, we may not be able to attain our
targeted cost of goods sold, and levels of insurance reimbursement for CaPre may not be commercially viable in all global markets. We incurred net losses for the fiscal year
ended March 31, 2019 of $ 51.6 million, $21.5 million for the year ended March 31, 2018 and $11.2 million for the thirteen-month period ended March 31, 2017, respectively.
As of March 31, 2019, we had an accumulated deficit of $ 123.9 million.

We expect that our expenses will increase in the future as we prepare to seek FDA approval for the commercial launch of CaPre. However, our research and development
expenses could increase in the future if we decide to develop CaPre for other indications. As a result, we expect to continue to incur substantial losses for the foreseeable future,
and these losses may be increasing. We are uncertain about when or if we will be able to achieve or sustain profitability. If we fail to become and remain profitable, our ability
to sustain our operations and to raise capital could be impaired and the price of our common shares could decline.

If outcome studies being conducted by our competitors testing the impact of OM3 on treating patients with high TGs are negative, there could also be an adverse impact for
CaPre.

Top-line  results  from  the  cardiovascular  outcome  trial  (CVOT)  sponsored  by Amarin  (the  REDUCE-IT  trial)  were  recently  released. A  second  CVOT  sponsored  by
AstraZeneca (the STRENGTH trial) is expected to be reported in 2020. While the REDUCE-IT trial provided positive top line results, there can be no assurance that further
detailed  or  subsequent  results  will  be  positive.  If  those  studies  show  or  continue  to  show  that  OM3  therapeutic  drugs  effectively  treat  patients  with  high  TGs  and  improve
cardiovascular,  morbidity  and  mortality  outcomes,  we  believe  that  the  potential  to  expand  CaPre’s  indication  in  the  future  to  include  the  treatment  of  high  TGs  would  be
significantly advanced. Conversely, if outcome study data from Astra Zeneca’s STRENGTH trial is negative, or if it fails to be completed, our potential target market for CaPre
could  be  limited  to  patients  with  severe  HTG  (for  which  the  total  U.S.  market  was  estimated  based  on  audited  prescription  data  by  Symphony  Health  Analytics  to  be
approximately $1.4 billion in 2018) and our ability to realize greater market potential of CaPre could be harmed.

- 6 -

 
 
 
 
 
 
 
 
 
We rely on third parties to conduct our TRILOGY Phase 3 program for CaPre.

We  rely  on  contract  research  organizations,  or  CROs,  to  monitor  and  manage  data  for  our  TRILOGY  Phase  3  program  for  CaPre.  While  we  will  only  control  certain
aspects of the CRO’s activities, we nevertheless are responsible for ensuring that our clinical trials are conducted in accordance with applicable protocols, and legal, regulatory
and  scientific  standards,  and  our  reliance  on  the  CRO  does  not  relieve  us  from  those  responsibilities.  We  and  the  CRO  are  required  to  comply  with  current  good  clinical
practices,  or  cGCPs,  which  are  regulations  and  guidelines  enforced  by  the  FDA,  Health  Canada  and  comparable  foreign  regulatory  authorities  for  any  products  in  clinical
development.

The  FDA  enforces  these  cGCP  regulations  through  periodic  inspections  of  trial  sponsors,  principal  investigators  and  trial  sites.  If  we  or  the  CRO  fail  to  comply  with
applicable cGCPs, the clinical data generated in our clinical trials may be deemed unreliable and the FDA, Health Canada or comparable foreign regulatory authorities may
require us to perform additional clinical trials before approving our marketing applications for CaPre. Upon inspection, the FDA could determine that our clinical trials do not
comply with cGCPs. In addition, our clinical trials must be conducted with products produced under current good manufacturing practice, or cGMP, regulations and require a
large number of test subjects. If we or the CRO fail to comply with these regulations, we may have to repeat preclinical studies or clinical trials for CaPre, which would delay the
regulatory approval process and could also subject us to enforcement action up to and including civil and criminal penalties.

If our relationship with a CRO terminates, we may not be able to enter into arrangements with alternative CROs. If the CRO does not successfully carry out its duties or
obligations or meet expected deadlines, if it needs to be replaced or if the quality or accuracy of the clinical data it obtains is compromised due to the failure to adhere to our
clinical protocols, regulatory requirements or for other reasons, we may have to extend, delay or terminate our preclinical studies or clinical trials, and we may not be able to
obtain regulatory approval for or successfully commercialize CaPre.

The third parties that are conducting our TRILOGY Phase 3 program for CaPre will not be our employees and, except for remedies available to us under our agreements
with the CROs, we cannot control whether or not they devote sufficient time and resources to our preclinical, clinical and nonclinical programs. These third parties may also
have relationships with other commercial entities, including our competitors, for whom they may also be conducting clinical studies or other drug development activities, which
could affect their performance on our behalf.

We  rely  on  third  parties  to  manufacture,  produce  and  supply  CaPre  and  we  may  be  adversely  affected  if  those  third  parties  are  unable  or  unwilling  to  fulfill  their
obligations, including complying with FDA requirements.

Producing  pharmaceutical  products  requires  significant  expertise  and  capital  investment,  including  the  development  of  advanced  manufacturing  techniques  and  process
controls. Currently, while we do own our manufacturing and encapsulation equipment, we outsource the production of CaPre, and do not own or operate the manufacturing
facilities. Accordingly, we need to rely on one or more third party contract manufacturers to produce and supply our required drug product for our nonclinical research and
clinical trials for CaPre.

Although we are currently working with CordenPharma at its Chenôve facility in Dijon, France to scale up our manufacturing processes for CaPre, doing so is a difficult
and  uncertain  task,  and  there  are  risks  associated  with  scaling  to  the  level  required  for  full  commercialization,  including,  among  others,  pricing,  cost  overruns,  potential
problems with process scale up, process reproducibility, stability issues, lot consistency and timely availability of reagents or raw materials. Consequently, we may not be able
to  attain  our  targeted  cost  of  goods  sold  for  CaPre. Any  of  these  challenges  could  delay  the  commercial  launch  of  CaPre,  require  bridging  or  repetition  of  studies  or  trials,
increase development costs, delay approval of CaPre, impair our commercialization efforts, and increase our costs. We may have to delay or suspend the production of CaPre if
a third-party manufacturer:

·

·

·

becomes unavailable for any reason, including as a result of the failure to comply with cGMP regulations;

experiences manufacturing problems or other operational failures, such as equipment failures or unplanned facility shutdowns required to comply with cGMP or damage
from any event, including fire, flood, earthquake, business restructuring or insolvency; or

fails or refuses to perform its contractual obligations under its agreement with us, such as failing or refusing to deliver the quantities of CaPre requested by us on a timely
basis.

If our third-party contract manufacturers fail to achieve and maintain high manufacturing standards in compliance with cGMP regulations, we may be subject to sanctions,
including fines, product recalls or seizures, injunctions, delays or suspensions of our clinical trials for CaPre, total or partial suspension of production of CaPre, civil penalties,
withdrawals  of  previously  granted  regulatory  approvals,  and  criminal  prosecution.  We  do  not  currently  have  arrangements  in  place  for  redundant  supply.  If  any  one  of  our
current  contract  manufacturers  cannot  perform  as  agreed,  we  may  be  required  to  replace  that  manufacturer. Although  we  believe  that  there  are  several  potential  alternative
contract manufacturers who could manufacture CaPre, we may incur added costs and delays in identifying and qualifying any such replacement.

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We  have  historically  had  no  marketing  and  sales  organization  and,  as  a  company,  have  no  experience  in  marketing  products.  If  we  are  unable  to  properly  establish
marketing and sales capabilities or enter into agreements with a strategic partner to market and sell CaPre, we may not be able to generate revenue.

We have historically had no sales, marketing or distribution capabilities and, as a company, we have also historically had no experience in marketing products. If CaPre or
another of our future product candidates is approved for commercialization, unless we find a strategic partner to assist us with sales, marketing and distribution, we will be
required to develop in-house marketing and sales force capability, which would require significant capital expenditures, management resources and time. Also, we would have
to  compete  with  other  biotechnology  and  pharmaceutical  companies  to  recruit,  hire,  train  and  retain  marketing  and  sales  personnel.  We  face  competition  in  our  search  for
strategic partners to assist us with sales, marketing and distribution, and we may not be able to establish or maintain any such arrangements. If we do find a strategic partner, any
revenue we receive from CaPre would partly depend upon the efforts of that strategic partner, which may not be successful. We may have little or no control over the marketing
and sales efforts by any strategic partner we find for CaPre and our revenue may be lower than if we had commercialized CaPre independently.

If we are not successful in attracting and retaining highly qualified personnel, we may not be able to successfully implement our business strategy.

Our  ability  to  compete  in  the  highly  competitive  pharmaceuticals  industry  largely  depends  upon  our  ability  to  attract  and  retain  highly  qualified  managerial,  scientific,
medical, and commercial personnel. Competition for skilled personnel in our market is intense and competition may limit our ability to hire and retain highly qualified personnel
on acceptable terms. We are highly dependent on our management, financial, commercial, and scientific personnel. Despite our efforts to retain valuable employees, members
of our management, financial, commercial, scientific and medical teams may terminate their employment with us on short notice or, potentially, without any notice at all. The
loss of the services of any of our executive officers or other key employees could potentially harm our business, operating results or financial condition. Our success may also
depend on our ability to attract, retain and motivate highly skilled junior, mid-level, and senior managers and scientific personnel. In addition, we do not maintain “key person”
insurance policies on the lives of our executives or those of any of our other employees. Other pharmaceutical companies with which we compete for qualified personnel have
greater  financial  and  other  resources,  different  risk  profiles,  and  a  longer  history  in  the  industry  than  we  do.  They  also  may  provide  more  diverse  opportunities  and  better
chances for career advancement. Some of these characteristics may be more appealing to high-quality candidates than what we can offer. If we are unable to continue to attract
and retain high-quality personnel, the rate and success at which we can develop and commercialize CaPre and any other future product candidates would be limited.

Business disruptions could seriously harm our future revenue and financial condition and increase our costs and expenses.

Our  operations,  and  those  of  our  suppliers,  third  party  manufacturers  and  other  contractors  and  consultants  could  be  subject  to  earthquakes,  power  shortages,
telecommunications failures, water shortages, floods, hurricanes, typhoons, fires, extreme weather conditions, medical epidemics and other natural or man-made disasters or
business interruptions, for which we are predominantly self- insured. The occurrence of any of these business disruptions could seriously harm our operations and financial
condition and increase our costs and expenses. We rely on third-party manufacturers to manufacture CaPre. Our ability to obtain supplies of CaPre could be disrupted if the
operations of our manufacturers and suppliers are affected by a man-made or natural disaster or other business interruption.

Our prospects currently depend entirely on the success of CaPre, which is still in clinical development, and we may not be able to generate revenues from CaPre.

We have no prescription drug products that have been reviewed or approved by the FDA, Health Canada or any similar regulatory authority. Our only prescription drug
candidate is CaPre, for which we have not yet filed an NDA, and for which we must complete the TRILOGY Phase 3 program and seek and receive regulatory approval prior to
commercial launch, which we do not anticipate will occur until 2021 at the earliest. We have invested significant effort and financial resources in researching and developing
CaPre. Further development of CaPre will require substantial investment, access to sufficient commercial manufacturing capacity and significant marketing efforts before we
can generate any revenue from sales of CaPre, if it is ever approved for commercialization.

We do not have any other prescription drug candidates in development and so our business prospects currently depend entirely on the successful development, regulatory
approval and commercialization of CaPre, which may never occur. Most prescription drug candidates never reach the clinical development stage and even those that do reach
clinical development have only a small chance of successfully completing clinical development and gaining regulatory approval. If we are unable to successfully commercialize
CaPre,  we  may  never  generate  meaningful  revenues.  In  addition,  if  CaPre  reaches  commercialization  and  there  is  low  market  demand  for  CaPre  or  the  market  for  CaPre
develops less rapidly than we anticipate, we may not have the ability to shift our resources to the development of alternative products.

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We may not be able to obtain required regulatory approvals for CaPre.

We have limited experience in obtaining regulatory approvals, including approval by the FDA and, as a company, we have no experience in obtaining approval of any
product candidates. The research, testing, manufacturing, labeling, packaging, storage, sale, marketing, pricing, export, import and distribution of prescription drug products are
subject to extensive regulation by the FDA and other regulatory authorities in the United States and other countries and those regulations differ from country to country. We are
not permitted to market CaPre in the United States until we receive approval of an NDA from the FDA and similar restrictions apply in other countries. In the United States, the
FDA generally requires the completion of preclinical testing and clinical trials of each drug to establish its safety and efficacy and extensive pharmaceutical development to
ensure its quality before an NDA is approved. Regulatory authorities in other jurisdictions impose similar requirements. Of the large number of drugs in development, only a
small percentage result in the submission of an NDA to the FDA and even fewer are approved for commercialization. To date, we have not submitted an NDA for CaPre to the
FDA or comparable applications to other regulatory authorities.

Our receipt of required regulatory approvals for CaPre is uncertain and subject to a number of risks, including:

·

·

·

·

·

·

·

·

·

the  FDA  or  comparable  foreign  regulatory  authorities  or  independent  institutional  review  boards,  or  IRBs,  may  disagree  with  the  design  or  implementation  of  our
clinical trials;

we may not be able to provide acceptable evidence of the safety and efficacy of CaPre;

the results of our clinical trials may not meet the level of statistical or clinical significance required by the FDA or other regulatory agencies for marketing approval;

the dosing of CaPre in a particular clinical trial may not be at an optimal level;

patients in our clinical trials may suffer adverse effects for reasons that may or may not be related to CaPre;

we may be unable to demonstrate that CaPre’s clinical and other benefits outweigh its safety risks;

the data collected from our clinical trials may not be sufficient to support the submission of an NDA for CaPre or to obtain regulatory approval for CaPre in the United
States or elsewhere;

the FDA or comparable foreign regulatory authorities may not approve the manufacturing processes or facilities of third party manufacturers with which we contract for
clinical and commercial supplies of CaPre; and

the approval policies or regulations of the FDA or comparable foreign regulatory authorities may significantly change in a manner rendering our clinical data insufficient
for approval.

The FDA and other similar regulators have substantial discretion in the approval process and may refuse to accept our application or may decide that our data is insufficient
for  approval  and  require  additional  clinical  trials,  or  preclinical  or  other  studies  for  CaPre.  If  regulatory  approval  for  CaPre  is  obtained  in  one  jurisdiction  that  does  not
necessarily mean that CaPre will receive regulatory approval in all jurisdictions in which we seek approval. If we fail to obtain approval for CaPre in one or more jurisdictions,
our ability to obtain approval in a different jurisdiction may be negatively affected.

Even if we receive regulatory approval for CaPre, it may just be for a limited indication.

If we obtain regulatory approval for CaPre, we will only be permitted to market it for the indication(s) approved by the FDA, and any such approval may put limits on the
indicated uses or promotional claims we may make for it, or otherwise not permit labeling that sufficiently differentiates CaPre from competitive products with comparable
therapeutic profiles. For example, while our initial objective is to seek regulatory approval for the treatment of severe HTG, afterwards obtaining approval for CaPre to address
mild to moderate HTG could greatly expand our potential market for CaPre. However, even if CaPre is approved for severe HTG, it may never be approved for the treatment of
mild  to  moderate  HTG.  In  addition,  any  approval  we  receive  for  CaPre  could  contain  significant  use  restrictions  for  specified  age  groups,  warnings,  precautions  or
contraindications, or may be subject to burdensome post-approval study or risk management requirements. If any regulatory approval for CaPre contains significant limits, we
may not be able to obtain sufficient funding or generate meaningful revenue from CaPre or be able to continue developing, marketing or commercializing CaPre.

We may be unable to find successful strategic partnerships to develop and commercialize CaPre.

We are currently engaged in strategic partnership discussions with several pharmaceutical companies for the development and commercialization of CaPre. We intend to
seek  co-development,  licensing  and/or  marketing  partnership  opportunities  with  third  parties  that  we  believe  will  complement  or  augment  our  development  and
commercialization  efforts  for  CaPre.  Entering  into  partnership  relationships  may  require  us  to  incur  non-recurring  and  other  charges,  increase  our  near  and  long-term
expenditures,  issue  securities  that  dilute  our  existing  shareholders  or  disrupt  our  management  and  business.  Entering  into  partnership  relationships  could  also  delay  the
development of CaPre and our other future product candidates if we become dependent upon a strategic partner and that strategic partner does not prioritize the development of
CaPre relative to its other development activities. In addition, we face significant competition in seeking strategic partners and the negotiation process is time-consuming and
complex. We may not be successful in our efforts to establish a strategic partnership or other alternative arrangements for CaPre on our anticipated timeline, or at all, because
CaPre may be deemed to be at too early of a stage for collaborative effort and third parties may not view CaPre as having the requisite potential to demonstrate safety and
efficacy. Even if we do enter into strategic partnerships, those partnerships may not achieve our objectives.

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We may be unable to develop alternative product candidates.

To date, we have not commercialized any prescription drug candidates and, other than CaPre, we do not have any compounds in clinical trials, nonclinical testing, lead
optimization  or  lead  identification  stages.  If  we  fail  to  obtain  regulatory  approval  for  and  successfully  commercialize  CaPre  as  a  treatment  for  severe  HTG  or  any  other
indication,  whether  as  a  stand-alone  therapy  or  in  combination  with  other  treatments,  we  would  have  to  develop,  acquire  or  license  alternative  product  candidates  or  drug
compounds to expand our product candidate pipeline beyond CaPre. In such a scenario, we may not be able to identify and develop or acquire product candidates that prove to
be successful products, or to develop or acquire them on terms that are acceptable to us.

We may not be able to compete effectively against our competitors’ pharmaceutical products.

The  biotechnology  and  pharmaceutical  industries  are  highly  competitive.  There  are  many  pharmaceutical  companies,  biotechnology  companies,  public  and  private
universities and research organizations actively engaged in the research and development of products that may be similar to CaPre. It is probable that the number of companies
seeking to develop products and therapies similar to CaPre will increase. Many of these and other existing or potential competitors have substantially greater financial, technical
and human resources than we do and may be better equipped to develop, manufacture and market products. These companies may develop and introduce products and processes
competitive with or superior to CaPre. In addition, other technologies or products may be developed that have an entirely different approach or means of accomplishing the
intended purposes of CaPre, which might render our technology and CaPre non-competitive or obsolete.

Our competitors in the United States and globally include large, well-established pharmaceutical companies, specialty pharmaceutical sales and marketing companies, and
specialized cardiovascular treatment companies. GlaxoSmithKline plc, which currently sells LOVAZA, a prescription-only OM3 fatty acid indicated for patients with severe
HTG, was approved by the FDA in 2004 and has been on the market in the United States since 2005. Multiple generic versions of LOVAZA are now available in the United
States. Amarin launched its prescription-only OM3 drug VASCEPA in 2013, and reached a market share of approximately 20% by the end of 2015. In addition, EPANOVA
(OM3-carboxylic acids) capsules, a free fatty acid form of OM3 (comprised of 55% EPA and 20% DHA), is FDA-approved for patients with severe HTG.  OMTRYG, another
OM3  fatty  acid  composition  developed  by  Trygg  Pharma  AS,  received  FDA  approval  for  severe  HTG.  Neither  EPANOVA  nor  OMTRYG  have  yet  been  commercially
launched,  but  could  launch  at  any  time.  Other  large  companies  with  products  competing  indirectly  with  CaPre  include AbbVie,  Inc.,  which  currently  sells  TRICOR  and
TRILIPIX for the treatment of severe HTG, and NIASPAN, which is primarily used to raise HDL-C but is also used to lower TGs. Generic versions of TRICOR, TRILIPIX and
NIASPAN are also now available in the United States. In addition, we are aware of a number of other pharmaceutical companies in earlier stages of developing products that, if
approved and marketed, could compete with CaPre.

Even  if  it  receives  regulatory  approval,  CaPre  may  need  to  demonstrate  compelling  comparative  advantages  in  efficacy,  convenience,  tolerability  and  safety  to  be
commercially successful. Other competitive factors, including generic drug competition, could force us to lower prices or could result in reduced sales of CaPre. In addition,
new products developed by others could emerge as competitors to CaPre. If we are not able to compete effectively against our current and future competitors, our business will
not grow and our financial condition and operations will suffer.

CaPre could face competition from products for which no prescription is required.

If it receives regulatory approval, CaPre will be a prescription-only OM3. Mixtures of OM3 fatty acids are naturally occurring substances in various foods, including fatty
fish. Lower potency and lower purity forms of OM3 fatty acids are also marketed by other companies as dietary supplements or natural health products. Dietary supplements
may generally be marketed without a lengthy FDA premarket review and approval process and do not require a prescription. However, unlike drug products, manufacturers of
dietary supplements may not make therapeutic claims for their products; dietary supplements may be marketed with claims describing how the product affects the structure or
function  of  the  body  without  premarket  approval,  but  may  not  expressly  or  implicitly  represent  that  the  dietary  supplement  will  diagnose,  cure,  mitigate,  treat,  or  prevent
disease. We cannot be certain that physicians or consumers will view CaPre as superior to these alternatives or that physicians will be more likely to prescribe CaPre. If CaPre
is not broadly covered by insurance, or the patient co-pay is significantly higher than the prices of commercially available OM3 fatty acids marketed by other companies as
dietary  supplements  or  natural  health  products,  physicians  may  recommend  these  commercial  alternatives  instead  of  CaPre  or  patients  may  elect  on  their  own  to  take
commercially available non-prescription OM3 fatty acids. Either of these outcomes could limit how we price CaPre and negatively affect our revenues.

- 10 -

 
 
 
 
 
 
 
 
 
 
Recent and future legal developments could make it more difficult and costly for us to obtain regulatory approvals for CaPre and negatively affect the prices we may
charge.

In the United States and elsewhere, recent and proposed legal and regulatory changes to healthcare systems could prevent or delay our receipt of regulatory approval for
CaPre,  restrict  or  regulate  our  post-approval  marketing  activities,  and  adversely  affect  our  ability  to  profitably  sell  CaPre.  Proposals  have  also  been  made  to  expand  post-
approval requirements and to restrict sales and promotional activities for pharmaceutical products. We do not know whether additional legislative changes will be enacted, or
whether the FDA’s regulations, guidance or interpretations will be changed, or what impact any such changes will have, if any, on our ability to obtain regulatory approvals for
CaPre.  Further,  the  Centers  for  Medicare  and  Medicaid  Services,  or  CMS,  frequently  changes  product  descriptors,  coverage  policies,  product  and  service  codes,  payment
methodologies  and  reimbursement  values. Also,  increased  scrutiny  by  the  U.S.  Congress  of  the  FDA’s  approval  process  could  significantly  delay  or  prevent  our  receipt  of
regulatory approval for CaPre and subject us to more stringent product labeling and post-marketing testing and other requirements. Furthermore, for market approval in EU
countries, a CVOT outcome trial is currently required. These types of trials are large and follow patients for at least 5 years. There can be no guarantee that we will ever conduct
an outcome trial to meet these requirements to market in the EU.

In  the  United  States,  the  Medicare  Modernization Act,  or  the  MMA,  changed  the  way  Medicare  covers  and  pays  for  pharmaceutical  products.  The  MMA  expanded
Medicare  coverage  for  drug  purchases  by  the  elderly  and  introduced  a  new  reimbursement  methodology  based  on  average  sales  prices  for  drugs.  In  addition,  the  MMA
authorized Medicare Part D prescription drug plans to use formularies where they can limit the number of drugs that will be covered in any therapeutic class. As a result of the
MMA  and  the  expansion  of  federal  coverage  of  drug  products,  we  expect  there  will  be  additional  pressure  to  contain  and  reduce  healthcare  costs.  These  healthcare  cost
reduction initiatives and other provisions of the MMA could decrease the coverage and price that we would receive for CaPre. While the MMA applies only to drug benefits for
Medicare beneficiaries, private health insurance companies often follow Medicare coverage policy and payment limitations in setting their own reimbursement rates, and any
reduction in reimbursement that results from the MMA may result in a similar reduction in payments from private health insurance companies.

The  Patient  Protection  and Affordable  Care Act,  as  amended  by  the  Health  Care  and  Education Affordability  Reconciliation Act  (the  Health  Care  Reform  Law),  has
broadened  access  to  health  insurance,  reduced  or  constrained  the  growth  of  healthcare  spending,  enhanced  remedies  against  fraud  and  abuse,  added  new  transparency
requirements for the healthcare and health insurance industries, imposed new taxes and fees on the health industry and imposed additional health policy reforms. Provisions of
the Health Care Reform Law affecting pharmaceutical companies include requirements to offer discounts on brand-name drugs to patients who fall within the Medicare Part D
coverage gap, commonly referred to as the “donut hole”, and to pay an annual non-tax deductible fee to the federal government based on each company’s market share of prior
year  total  sales  of  branded  products  to  certain  federal  healthcare  programs,  such  as  Medicare,  Medicaid,  Department  of  Veterans Affairs  and  Department  of  Defense.  The
Healthcare Reform Law also includes significant provisions that encourage state and federal law enforcement agencies to increase activities related to preventing, detecting and
prosecuting those who commit fraud, waste and abuse in federal healthcare programs, including Medicare, Medicaid and Tricare.

Despite initiatives to invalidate the Health Care Reform Law, the U.S. Supreme Court has upheld key aspects of it. There is still uncertainty with respect to the impact the
current  U.S.  presidential  administration  and  the  U.S.  Congress  may  have,  if  any,  and  the  effects  of  any  changes  will  likely  take  time  to  unfold. As  judicial  challenges  and
legislative initiatives to modify, limit, or repeal the Healthcare Reform Law continue to evolve, the Health Care Reform Law may be significantly changed and we do not know
whether any such changes could have significant negative financial impact on the development or potential profitability of CaPre. At this time, it remains unclear whether there
will be any changes made to the Health Care Reform Law, whether to certain provisions or its entirety. The Health Care Reform Law or any replacement of it could continue to
apply  downward  pressure  on  pharmaceutical  pricing,  especially  under  the  Medicare  program,  and  may  also  increase  our  regulatory  burdens  and  operating  costs. Additional
federal healthcare reform measures could be adopted in the future limiting the amounts that federal and state governments will pay for healthcare products and services, which
could negatively affect the value of CaPre and our ability to achieve profitability.

In Canada, most new patented drug prices are limited so that the cost of therapy is in the range of the cost of therapy for existing drugs sold in Canada used to treat the same

disease. As a result:

·

·

·

prices of moderate and substantial improvement drugs and breakthrough drugs are also restricted by a variety of tests;

existing patented drug prices cannot increase by more than the Canadian Consumer Price Index; and

the Canadian prices of patented medicines can never be the highest in the world.

If CaPre receives regulatory approval in Canada, restrictions on the price we can charge there for CaPre could reduce the value of CaPre and our ability to generate revenue

and achieve profitability.

In many jurisdictions outside the United States, a product candidate must be approved for health care reimbursement before it can be approved for sale. In some cases, the
price that we intend to charge for CaPre will also be subject to approval. If we fail to comply with the regulatory requirements in our target international markets or to receive
required marketing approvals, our potential market for CaPre will be reduced and our ability to realize the full market potential for CaPre will be harmed.

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Reimbursement decisions by third-party payors may have an adverse effect on pricing and market acceptance. If there is not sufficient reimbursement for CaPre, it is less
likely that it will be widely used.

Even if CaPre is approved for sale by the appropriate regulatory authorities, market acceptance and sales of CaPre will depend on reimbursement policies and may be
affected  by  future  healthcare  reform  measures.  Government  authorities  and  third-party  payors,  such  as  private  health  insurers  and  health  maintenance  organizations,  decide
which drugs they will reimburse and establish payment levels. We cannot be certain that reimbursement will be available for CaPre. If reimbursement is not available or is
available on a limited basis, we may not be able to successfully commercialize CaPre.

There may be significant delays in obtaining coverage and reimbursement for newly-approved drugs, and coverage may be more limited than the purposes for which the
drug is approved by the FDA or other regulatory authorities. Moreover, eligibility for coverage and reimbursement does not imply that a drug will be paid for in all cases or at a
rate that covers our costs, including research, development, manufacture, sale and distribution expenses. Interim reimbursement levels for new drugs, if applicable, may also be
insufficient to cover our costs and may not be made permanent. Reimbursement rates may vary according to the use of a drug and the clinical setting in which it is used, may be
based on reimbursement levels already set for lower cost drugs and may be incorporated into existing payments for other services. Net prices for drugs may be reduced by
mandatory discounts or rebates required by government healthcare programs or private payors and by any future relaxation of laws that presently restrict imports of drugs from
countries  where  they  may  be  sold  at  lower  prices  than  in  the  United  States.  Our  inability  to  promptly  obtain  coverage  and  profitable  payment  rates  from  both  government-
funded and private payors for CaPre could have a material adverse effect on our operating results and our overall financial condition.

Even if we obtain FDA approval of CaPre, we may never obtain approval or commercialize it outside of the United States, which would limit our ability to realize CaPre’s
full market potential.

In  order  to  market  CaPre  outside  of  the  United  States,  we  must  establish  and  comply  with  numerous  and  varying  regulatory  requirements  of  other  countries  regarding
safety and efficacy. Clinical trials conducted in one country may not be accepted by regulatory authorities in other countries, and regulatory approval in one country does not
mean that regulatory approval will be obtained in any other country. Approval procedures vary among countries and can involve additional product testing and validation and
additional  administrative  review  periods.  Seeking  foreign  regulatory  approvals  could  result  in  significant  delays,  difficulties  and  costs  for  us  and  may  require  additional
preclinical studies or clinical trials, which would be costly and time consuming. Regulatory requirements can vary widely from country to country and could delay or prevent
the  introduction  of  CaPre  in  those  countries.  In  addition,  our  failure  to  obtain  regulatory  approval  in  any  country  may  delay  or  have  negative  effects  on  the  process  for
regulatory approval in other countries. If we fail to comply with regulatory requirements in international markets or to obtain and maintain required approvals, our target market
will be reduced and our ability to realize the full market potential of CaPre will be harmed.

If we or our third-party service providers fail to comply with healthcare laws and regulations or government price reporting laws, we could be subject to civil or criminal
penalties.

In  addition  to  the  FDA’s  restrictions  on  marketing  pharmaceutical  products,  several  other  types  of  federal  and  state  healthcare  fraud  and  abuse  laws  restrict  marketing
practices  in  the  pharmaceutical  industry.  These  laws  include  the  U.S. Anti-Kickback  Statute,  U.S.  False  Claims Act  and  similar  state  laws.  The  U.S. Anti-Kickback  Statute
prohibits, among other things, offering, paying, soliciting or receiving remuneration to induce, or in return for, purchasing, leasing, or ordering any healthcare item or service
reimbursable under Medicare, Medicaid or other federally financed healthcare programs. A person or entity does not need to have actual knowledge of the U.S.   Anti-Kickback
Statute or special intent to violate the law in order to have committed a violation. This statute has been interpreted broadly to apply to arrangements between pharmaceutical
manufacturers and prescribers, dispensers, purchasers and formulary managers. The exemptions and safe harbors from prosecution are drawn narrowly and we may fail to meet
all of the criteria for safe harbor protection from anti-kickback liability.

In addition, the Health Care Reform Law provides that the government may assert that a claim including items or services resulting from a violation of the U.S. Anti-
Kickback Statute constitutes a false or fraudulent claim for purposes of the U.S. False Claims Act. Federal false claims laws prohibit any person from knowingly presenting, or
causing to be presented, a false claim for payment to the federal government or knowingly making, or causing to be made, a false statement to get a false claim paid. The “qui
tam” provisions of the False Claims Act allow a private individual to bring civil actions on behalf of the federal government alleging that the defendant has submitted a false
claim to the federal government. These individuals, sometimes known as “relators” or, more commonly, as “whistleblowers”, may share in any amounts paid by the entity to the
government in fines or settlement. The number of filings of qui tam actions has increased significantly in recent years, causing more healthcare companies to have to defend a
case brought under the federal False Claim Act. If an entity is determined to have violated the federal False Claims Act, it may be required to pay up to three times the actual
damages sustained by the government, plus attorneys’ fees and costs, and civil penalties of up to US$21,563 for each separate false claim. Certain administrative sanctions, up to
and including exclusion of an entity from participation in the federal healthcare programs, may also ensue.

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Additional laws and regulations include:

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the  federal Anti-Inducement  Law  (also  known  as  the  Civil  Monetary  Penalties  Law),  which  prohibits  a  person  from  offering  or  transferring  remuneration  to  a
Medicare or State healthcare program beneficiary that the person knows or should know is likely to influence the beneficiary’s selection of a particular provider,
practitioner or supplier of any item or service for which payment may be made, in whole or in part, by Medicare or a State healthcare program;

the Ethics in Patient Referrals Act of 1989, commonly referred to as the Stark Law, which prohibits physicians from referring Medicare or Medicaid patients for
certain designated health services where that physician or family member has a financial relationship with the entity providing the designated health service, unless
an exception applies;

the U.S. federal Health Insurance Portability and Accountability Act (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health
Act  (HITECH),  which  created  additional  federal  criminal  statutes  that  prohibit,  among  other  things,  schemes  to  defraud  healthcare  programs  and  imposes
requirements on certain types of people and entities relating to the privacy, security, and transmission of individually identifiable health information, and requires
notification to affected individuals and regulatory authorities of breaches of security of individually identifiable health information;

the federal Physician Payment Sunshine Act, which requires certain manufacturers of drugs, devices, biologics and medical supplies for which payment is available
under Medicare, Medicaid, or the Children’s Health Insurance Program, to report annually to the CMS information related to payments and other transfers of value to
physicians,  other  healthcare  providers  and  teaching  hospitals,  and  ownership  and  investment  interests  held  by  physicians  and  other  healthcare  providers  and  their
immediate family members, which is published in a searchable form on an annual basis;

federal criminal laws that prohibit executing a scheme to defraud any healthcare benefit program or making false statements relating to healthcare matters;

analogous state laws and regulations, such as state anti-kickback and false claims laws, may apply to sales or marketing arrangements and claims involving healthcare
items or services reimbursed by non-governmental third-party payors, including private insurers, and some state laws require pharmaceutical companies report or
disclose  pricing  or  other  financial  information  and  to  comply  with  the  pharmaceutical  industry’s  voluntary  compliance  guidelines  and  the  relevant  compliance
guidance promulgated by the federal government; and

the U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws, which generally prohibit companies and their intermediaries from making improper
payments to government officials for the purpose of obtaining or retaining business. Violations of these laws, or allegations of such violations, could result in fines,
penalties or prosecution and have a negative impact on our business, results of operations and reputation.

Over  the  past  few  years,  a  number  of  pharmaceutical  and  other  healthcare  companies  have  been  prosecuted  under  these  laws  for  a  variety  of  alleged  prohibited
promotional and marketing activities, such as providing free trips, free goods, sham consulting fees and grants and other monetary benefits to prescribers; reporting to pricing
services  inflated  average  wholesale  prices  that  were  then  used  by  federal  programs  to  set  reimbursement  rates;  engaging  in  off-label  promotion  that  caused  claims  to  be
submitted to Medicaid for non-covered, off-label uses; and submitting inflated best price information to the Medicaid Rebate Program to reduce liability for Medicaid rebates.
Most  states  also  have  statutes  or  regulations  similar  to  the  U.S. Anti-Kickback  Statute  and  the  U.S.  False  Claims Act,  which  apply  to  items  and  services  reimbursed  under
Medicaid  and  other  state  programs,  or,  in  several  states,  apply  regardless  of  the  payor.  Sanctions  under  these  federal  and  state  laws  may  include  civil  monetary  penalties,
exclusion  of  a  manufacturer’s  products  from  reimbursement  under  government  programs,  criminal  fines  and  imprisonment.  Settlements  of  U.S.  government  litigation  may
include Corporate Integrity Agreements with commitments for monitoring, training, and reporting designed to prevent future violations.

Any action against us for an alleged or suspected violation of these laws could cause us to incur significant legal expenses and could divert our management’s attention
from the operation of our business, even if our defense is successful. In addition, achieving and sustaining compliance with these laws and regulations may be costly to us in
terms of money, time and resources. If we or any strategic partners, manufacturers or service providers fail to comply with these laws, we could be subject to enforcement
actions, including:

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adverse regulatory inspection findings;

warning letters;

voluntary or mandatory product recalls or public notification or medical product safety alerts to healthcare professionals;

restrictions on, or prohibitions against, marketing our products;

restrictions on, or prohibitions against, importation or exportation of our products;

suspension of review or refusal to approve pending applications or supplements to approved applications;

exclusion from participation in government-funded healthcare programs;

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exclusion from eligibility for the award of government contracts for our products;

suspension or withdrawal of product approvals;

product seizures;

injunctions; and

civil and criminal penalties and fines.

We rely on third parties to conduct our clinical trials for CaPre.

We rely heavily on contract research organizations, or CROs, to monitor and manage data for our preclinical studies and clinical trials for CaPre. While we only control
certain  aspects  of  the  CRO’s  activities,  we  nevertheless  are  responsible  for  ensuring  that  our  clinical  trials  are  conducted  in  accordance  with  applicable  protocols,  legal,
regulatory and scientific standards, and our reliance on the CRO does not relieve us from those responsibilities. We and the CRO are required to comply with cGCPs, which are
regulations and guidelines enforced by the FDA, Health Canada and comparable foreign regulatory authorities for any products in clinical development.

The  FDA  enforces  these  cGCP  regulations  through  periodic  inspections  of  trial  sponsors,  principal  investigators  and  trial  sites.  If  we  or  the  CRO  fail  to  comply  with
applicable cGCPs, the clinical data generated in our clinical trials may be deemed unreliable and the FDA, Health Canada or comparable foreign regulatory authorities may
require us to perform additional clinical trials before approving our marketing applications for CaPre. Upon inspection, the FDA could determine that our clinical trials do not
comply with cGCPs. In addition, our clinical trials must be conducted with products produced under cGMP regulations and require a large number of test subjects. If we or the
CRO fail to comply with these regulations, we may have to repeat preclinical studies or clinical trials for CaPre, which would delay the regulatory approval process and could
also subject us to enforcement action up to and including civil and criminal penalties.

If our relationship with a CRO terminates, we may not be able to enter into arrangements with alternative CROs. If the CRO does not successfully carry out its duties or
obligations or meet expected deadlines, if it needs to be replaced or if the quality or accuracy of the clinical data it obtains is compromised due to the failure to adhere to our
clinical protocols, regulatory requirements or for other reasons, we may have to extend, delay or terminate our preclinical studies or clinical trials, and we may not be able to
obtain regulatory approval for or successfully commercialize CaPre.

The third parties conducting our preclinical studies and clinical trials at CROs will not be our employees and, except for remedies available to us under our agreements
with the CROs, we cannot control whether or not they devote sufficient time and resources to our preclinical, clinical and nonclinical programs. These third parties may also
have relationships with other commercial entities, including our competitors, for whom they may also be conducting clinical studies or other drug development activities, which
could affect their performance on our behalf.

The research, development and manufacture of CaPre involves using potentially hazardous materials.

Our research and development activities relating to CaPre involve the controlled use of potentially hazardous substances, including chemical materials such as acetone. Our
manufacturers for CaPre will be subject to federal, provincial, state and local laws and regulations in Canada, the United States and in other jurisdictions governing laboratory
procedures and the use, manufacture, storage, handling and disposal of medical and hazardous materials. Although we believe that our manufacturers’ procedures for using,
handling, storing and disposing of these materials comply with legally prescribed standards, we cannot completely eliminate the risk of contamination or injury resulting from
medical or hazardous materials. If any such contamination or injury were to occur, we may incur liability or local, city, provincial, state or federal authorities may curtail the use
of these materials and interrupt our business operations and the production of CaPre. In the event of an accident, we could be held liable for damages or penalized with fines,
and the liability could exceed our resources. We do not have any insurance for liabilities arising from medical or hazardous materials. Complying with environmental, health
and safety laws and regulations is expensive, and current or future environmental regulations may impair our research, development and production efforts relating to CaPre,
which  could  harm  our  business,  prospects,  financial  condition  or  results  of  operations. Although  we  maintain  workers’  compensation  insurance  to  cover  us  for  costs  and
expenses  we  may  incur  due  to  injuries  to  our  employees  resulting  from  the  use  of  hazardous  materials,  this  insurance  may  not  provide  adequate  coverage  against  potential
liabilities. We do not maintain insurance for environmental liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of potentially
hazardous materials. In addition, we may incur substantial costs in order to comply with current or future environmental, health and safety laws and regulations. These laws and
regulations may make it more difficult for us to conduct our research, development or production activities relating to CaPre and if we fail to comply with them, we could have
substantial fines, penalties or other sanctions imposed against us.

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If product liability lawsuits are brought against us, we may incur substantial liabilities and may be required to cease the sale, marketing and distribution of CaPre.

We face a potential risk of product liability associated with any future commercialization of CaPre or any other future product candidate we develop. For example, we may
be sued if CaPre allegedly causes injury. Any such product liability claims may include allegations of defects in manufacturing, defects in design, a failure to warn of dangers
inherent in the product, negligence, strict liability and a breach of warranties. Claims could also be asserted under U.S. state or Canadian provincial or other foreign consumer
protection legislation. If we cannot successfully defend against product liability claims, we may incur substantial liabilities or may be required to cease the sale, marketing and
distribution  of  CaPre.  Even  successful  defense  against  product  liability  claims  would  require  significant  financial  and  management  resources.  Regardless  of  the  merits  or
eventual outcome, liability claims may result in:

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decreased demand for CaPre or any future products that we may develop;

injury to our reputation;

costs to defend the related litigation;

a diversion of management’s time and our resources;

substantial monetary awards to consumers, trial participants or patients;

product recalls, withdrawals or labeling, marketing or promotional restrictions;

loss of revenue;

an inability to commercialize CaPre; and

a decline in the price of our common shares.

If we are unable to obtain and retain sufficient product liability insurance at an acceptable cost to protect against potential product liability claims, the commercialization of
CaPre  or  any  other  product  candidates  we  develop  could  be  hindered  or  prevented.  We  currently  carry  product  liability  insurance,  in  the  amount  of  $10.0  million  in  the
aggregate. Any claim that may be brought against us could result in a court judgment or settlement in an amount that is not covered, in whole or in part, by our insurance or that
is in excess of the limits of our insurance coverage. Our insurance policies also have various exclusions, and we may be subject to a product liability claim for which we have no
coverage.  In  the  event  of  a  successful  product  liability  claim  against  us,  we  may  have  to  pay  from  our  own  resources  any  amounts  awarded  by  a  court  or  negotiated  in  a
settlement that exceed coverage limitations or that is not covered by our insurance, and we may not have, or be able to obtain, sufficient funds to pay such amounts.

We may not achieve our publicly announced milestones on time, or at all.

From  time  to  time,  we  may  publicly  announce  the  timing  of  certain  events  we  expect  to  occur,  such  as  the  anticipated  timing  of  results  from  our  clinical  trials.  These
statements are forward-looking and are based on the best estimate of management at the time relating to the occurrence of the events. However, the actual timing of these events
may differ from what has been publicly disclosed. The timing of events such as completion of a clinical trial, discovery of a new product candidate, filing of an application to
obtain regulatory approval, beginning of commercialization of products, or announcement of additional clinical trials for a product candidate may ultimately vary from what is
publicly disclosed. For example, we cannot provide assurances that we will complete our ongoing Phase 3 clinical trial for CaPre, that we will make regulatory submissions or
receive regulatory approvals as planned, or that we will be able to adhere to plans for the scale-up of manufacturing and launch of CaPre. These variations in timing may occur
as a result of different events, including the nature of the results obtained during a clinical trial or during a research phase, problems with a supplier or a distribution partner or
any other event having the effect of delaying the publicly announced timeline. We undertake no obligation to update or revise any forward-looking information, whether as a
result  of  new  information,  future  events  or  otherwise,  except  as  otherwise  required  by  law. Any  variation  in  the  timing  of  previously-announced  milestones  could  have  a
material adverse effect on our business, financial condition or operating results and the trading price of our common shares.

We may be subject to foreign exchange rate fluctuations.

Our reporting currency is the Canadian dollar. However, many of our expenses, such as CaPre’s chief manufacturing organization’s production activities and certain CRO
arrangements  for  our  ongoing  TRILOGY  Phase  3  program,  currently  are  and/or  are  expected  to  be,  denominated  in  foreign  currencies,  including  European  euros  and  U.S.
dollars. As we currently complete financings in both Canadian and U.S. dollars, both currencies are maintained and used to make required payments in the applicable currency.
Though we plan to implement measures designed to reduce our foreign exchange rate exposure, the U.S. dollar/Canadian dollar and European euro/Canadian dollar exchange
rates have fluctuated significantly in the recent past and may continue to do so, which could have a material adverse effect on our business, financial position and results of
operations.

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In the past, Neptune supplied us with the krill oil needed to produce CaPre for our clinical programs, including the krill oil needed for our TRILOGY Phase 3 program,
and we are now evaluating alternative suppliers for commercial supply.

We  sourced  all  of  our  krill  oil  from  Neptune  in  the  past  to  produce  CaPre.  We  have  sufficient  krill  oil  inventories  that  we  anticipate  will  be  required  to  complete  our
TRILOGY Phase 3 program. However, in light of Neptune’s sale of its krill oil business and inventory to Aker in August 2017, we have been validating several alternative
suppliers of krill oil. While we believe that these alternative supplies of krill oil can meet our specifications and will be readily available, we do not have enough experience
with  any  one  of  them  to  guarantee  that  these  alternative  supplies  of  krill  oil  will  be  of  comparable  quality  as  compared  to  the  krill  oil  provided  by  Neptune,  which  could
negatively affect the cost of CaPre. Our reliance on third-party suppliers for krill oil exposes us to risks such as potential fluctuations in supply and reduced control over our
production costs and delivery schedules for CaPre.

CaPre may cause or be perceived to cause undesirable side effects or have other properties that could delay or prevent its regulatory approval, limit the commercial profile
of an approved label, or result in significant negative consequences following marketing approval, if any.

Many of the patients that we expect to enroll in our ongoing Phase 3 clinical trial may have pre-existing disorders. While such disorders may lead to serious adverse events
during  the  clinical  trial  that  may  be  found  to  be  unrelated  to  CaPre,  such  events  may  create  a  negative  safety  perception  and  adversely  impact  market  acceptance  of  CaPre
following any approval.

If unacceptable side effects arise during the clinical trials for CaPre, we, the FDA or comparable foreign regulatory authorities, the Institutional Review Boards, or IRBs, or
independent ethics committees at the institutions in which our studies are conducted, could suspend or terminate our clinical trials or the FDA or comparable foreign regulatory
authorities could order us to cease clinical trials or deny approval of our product candidates for any or all targeted indications. Side effects, whether treatment-related or not,
could also affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product liability claims. In addition, these side effects may not
be appropriately recognized or managed by the treating medical staff. Inadequate training in recognizing or managing the potential side effects of CaPre could result in patient
injury. Any of these occurrences may harm our business, financial condition and prospects significantly.

Moreover,  clinical  trials  of  CaPre  are  conducted  in  carefully  defined  sets  of  patients  who  have  agreed  to  enter  into  clinical  trials.  Consequently,  it  is  possible  that  our
clinical trials, or those of any future collaborator or third party researcher, may indicate an apparent positive effect of CaPre that is greater than the actual positive effect, if any,
or alternatively fail to identify undesirable side effects. If, following approval of a product candidate, we, or others, discover that the product is less effective than previously
believed or causes undesirable side effects that were not previously identified during the clinical trial phase, any of the following adverse events could occur:

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regulatory authorities may withdraw their approval of the product or seize the product;

we,  or  any  future  collaborators  or  third  party  researcher,  may  need  to  recall  the  product,  or  be  required  to  change  the  way  the  product  is  administered  or  conduct
additional clinical trials;

restrictions may be imposed on the marketing of, or the manufacturing processes for CaPre;

we may be subject to fines, injunctions or the imposition of civil or criminal penalties;

regulatory authorities may require the addition of labeling statements;

we, or any future collaborators, may be required to issue a communication outlining the risks of the previously unidentified side effects for distribution to patients;

we, or any future collaborators, could be sued and held liable for harm caused to patients;

CaPre may become less competitive; and

our reputation may suffer.

Any of these events could harm our business and operations and could negatively impact our share price.

Risks Related to Intellectual Property

In addition to our own patents, CaPre is covered by patents that are sublicensed to us by Neptune and Aker.

In addition to our proprietary patent applications, pursuant to a license agreement we entered into with Neptune in August 2008, which was later amended on February 9,
2009  and  March  7,  2013  (the  “License Agreement”),  we  have  a  license  to  use  certain  intellectual  property  developed  by  Neptune  and  now  owned  by Aker  to  develop  and
commercialize CaPre, and our novel and active pharmaceutical ingredients, or APIs, for use in pharmaceutical and medical food applications in the cardiovascular field.

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Moreover,  the  intellectual  property  which  was  licensed  to  us  has  recently  been  acquired  by Aker. Aker  has  granted  to  Neptune  the  right  to  sublicense  to  us  certain
intellectual property as necessary to allow us to maintain its license grant under the License Agreement. Accordingly, the license granted to us under the License Agreement
remains in full force.

Disputes may arise between us and Neptune or Aker regarding the intellectual property that is subject to the License Agreement, including with respect to:

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the scope of rights granted under the License Agreement and other interpretation-related issues; and

our right to sublicense patent and other rights to third parties under collaborative development relationships.

If our sublicense with Neptune is terminated due to a breach by us of its terms (or should the License Agreement otherwise terminate) and we are unable to enter into a
direct license agreement with Aker, we may not be able to manufacture and market CaPre prior to the expiration of the licensed patents in 2022. Any such occurrence could
delay our launch by 6 to 12 months, which would have a material adverse effect on our business and financial condition.

It is difficult and costly to protect our intellectual property rights.

The success of our business will largely depend on our ability to:

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obtain and maintain patents, trade secret protection and operate without infringing the intellectual proprietary rights of third parties;

successfully defend our patents, including enforcing licensed patents through the licensor Neptune/Aker, against third-party challenges; and

successfully enforce our patents against third party competitors.

Our patents and/or proprietary technologies could be circumvented through the adoption of competitive, though non-infringing, processes or products. The patent positions
of  pharmaceutical  companies  can  be  highly  uncertain  and  involve  complex  legal,  scientific  and  factual  questions  for  which  important  legal  principles  remain  unresolved.
Changes in either the patent laws or in interpretations of patent laws may diminish the value of our intellectual property. We cannot predict the breadth of claims that may be
allowable or enforceable in our patents, including the patents licensed to us by Neptune.

We face risks that:

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our rights under our Canadian, U.S. or foreign patents or other patents that Neptune or other third parties license to us could be curtailed;

we may not be the first inventor of inventions covered by our issued patents or pending applications or be the first to file patent applications for those inventions;

our pending or future patent applications may not be issued with the breadth of claim coverage sought by us, or be issued at all;

our competitors could independently develop or patent technologies that are substantially equivalent or superior to our technologies;

our trade secrets could be learned independently by our competitors;

the steps we take to protect our intellectual property may not be adequate; and

effective patent, trademark, copyright and trade secret protection may be unavailable, limited or not sought by us in some foreign countries.

Further, patents have a limited lifespan. In the United States, a patent generally expires 20 years after it is filed (or 20 years after the filing date of the first non-provisional
U.S. patent application to which it claims priority). While extensions may be available, the life of a patent, and the protection it affords, is limited. Without patent protection for
CaPre  or  any  other  of  our  future  product  candidates,  we  may  be  open  to  competition  from  generic  versions  of  CaPre  or  our  other  future  product  candidates.  Further,  the
extensive period of time between patent filing and regulatory approval for a product candidate limits the time during which we can market that product candidate under patent
protection. Patents owned by third parties could have priority over patent applications filed or in-licensed by us, or we or our licensors could become involved in interference,
opposition or invalidity proceedings before U.S., Canadian or foreign patent offices. The cost of defending and enforcing our patent rights against infringement charges by other
patent holders may be significant and could limit our operations.

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CaPre may infringe the intellectual property rights of others, which could increase our costs and delay or prevent our development and commercialization efforts.

Our success depends in part on avoiding infringement of the proprietary technologies of others. The pharmaceutical industry has been characterized by frequent litigation
regarding  patent  and  other  intellectual  property  rights.  Identification  of  third  party  patent  rights  that  may  be  relevant  to  our  proprietary  or  licensed  technology  is  difficult
because  patent  searching  is  imperfect  due  to  differences  in  terminology  among  patents,  incomplete  databases  and  the  difficulty  in  assessing  the  meaning  of  patent  claims.
Additionally, because patent applications are maintained in secrecy until the application is published, we may be unaware of third-party patents that may be infringed by our
development and commercialization of CaPre or any other future product candidate. There may be certain issued patents and patent applications claiming subject matter that we
may be required to license in order to research, develop or commercialize CaPre, and any such patents and patent applications may not be available to license on commercially
reasonable terms, or at all. If claims of patent infringement are asserted by third parties against us, they could be time-consuming and may:

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result in costly litigation;

divert the time and attention of our technical personnel and management;

delay our clinical trials for CaPre;

prevent us from commercializing CaPre until the asserted patent expires or is held finally invalid or not infringed in court;

require us to cease or to modify our use of the technology and/or develop non-infringing technology; or

require us to enter into royalty or licensing agreements.

Others  may  hold  proprietary  rights  that  could  prevent  CaPre  from  being  marketed. Any  patent-related  legal  action  against  us  claiming  damages  and  seeking  to  enjoin
commercial activities relating to CaPre or our processes could subject us to potential liability for damages and require us to obtain a license to continue to manufacture or market
CaPre or any other future prescription drug candidates. We might not prevail in any such actions or if any license is required under any of these patents it may not be available
on commercially acceptable terms, if at all.

Even if a license can be obtained on acceptable terms, the rights may be non-exclusive, which could give our competitors access to the same technology or intellectual

property rights licensed to us. We could be forced to redesign CaPre or any other future product candidates or processes to avoid infringement.

In addition, we may find it necessary to pursue claims or initiate lawsuits to protect or enforce our patent or other intellectual property rights. The cost to us in defending or
initiating  any  litigation  or  other  proceeding  relating  to  patent  or  other  proprietary  rights,  even  if  resolved  in  our  favor,  could  be  substantial,  and  litigation  would  divert  our
management’s attention. Some of our competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially
greater resources. Uncertainties resulting from the initiation and continuation of patent litigation or other proceedings could delay our research and development efforts and
limit our ability to continue our operations.

A number of companies, including several major pharmaceutical companies, have conducted research on pharmaceutical uses of OM3 fatty acids, which has resulted in the
filing of many patent applications related to this research. We are aware of third-party U.S., Canadian or other foreign patents that contain broad claims related to methods of
using these general types of compounds, which may be construed to include potential uses of CaPre. If we were to challenge the validity of these or any other issued U.S.,
Canadian or other foreign patents in court, we would need to overcome a statutory presumption of validity that attaches to every U.S. and Canadian patent. This means that, in
order to prevail, we would have to present clear and convincing evidence as to the invalidity of the other party’s patent’s claims. If we were to challenge the validity of any
issued U.S. patent in an administrative trial before the Patent Trial and Appeal Board in the United States Patent and Trademark Office, or USPTO, we would have to prove that
the  claims  are  unpatentable  by  a  preponderance  of  the  evidence.  If  there  are  disputes  over  our  intellectual  property  rights,  a  jury  and/or  court  may  not  find  in  our  favor  on
questions of infringement, validity or enforceability.

If we do not protect our trademark for CaPre, we may not be able to build name recognition in our markets of interest.

We  have  registered  CaPre  as  a  trademark  in  several  jurisdictions.  Our  trademark  may  be  challenged,  infringed,  circumvented  or  declared  generic  or  determined  to  be
infringing on other marks. We may not be able to protect our rights to this trademark or may be forced to stop using this name, which we need for name recognition by potential
strategic partners and customers. If we are unable to establish name recognition based on our trademark, we may not be able to compete effectively, and our business may be
adversely affected.

We may be involved in lawsuits to protect or enforce our patents or the patents of our licensors, which could be expensive, time- consuming and unsuccessful.

Competitors may infringe our patents or the patents of our licensors. To counter infringement or unauthorized use, we may be required to file infringement claims, which
can be expensive and time-consuming. If we or our licensors were to initiate legal proceedings against a third party to enforce a patent covering CaPre or our technology, the
defendant could counterclaim that our or our licensor’s patent is invalid or unenforceable. In patent litigation, defendant counterclaims alleging invalidity or unenforceability are
commonplace. Grounds for a validity challenge could be an alleged failure to meet any of several statutory requirements; for example, lack of novelty, obviousness or non-
enablement. Grounds for an unenforceability assertion could be an allegation that someone connected with prosecution of the patent withheld relevant information from the
patent office, such as the USPTO, or made a misleading statement, during prosecution. The outcome following legal assertions of invalidity and unenforceability during patent
litigation is unpredictable. With respect to the validity question, for example, we cannot be certain that there is no invalidating prior art, of which we or our licensors and the
patent examiner were unaware during prosecution. If a defendant were to prevail on a legal assertion of invalidity or unenforceability, we would lose at least part, and perhaps
all,  of  the  patent  protection  on  CaPre  or  certain  aspects  of  our  platform  technology.  Such  a  loss  of  patent  protection  could  have  a  material  adverse  impact  on  our  business.
Patents and other intellectual property rights also will not protect our technology if competitors design around our protected technology without legally infringing our patents or
other intellectual property rights.

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In addition, in an infringement proceeding, a court may refuse to stop the other party from using the technology at issue on the grounds that our patents do not cover the
technology  in  question. An  adverse  result  in  any  litigation  or  defense  proceedings  could  put  one  or  more  of  our  patents  at  risk  of  being  invalidated,  held  unenforceable,  or
interpreted narrowly and could put our patent applications at risk of not issuing. Defense of these claims, regardless of their merit, would involve substantial litigation expense
and would be a substantial diversion of employee resources from our business.

Interference proceedings provoked by third parties or brought by the USPTO may be necessary to determine the priority of inventions with respect to our patents or patent
applications or those of our licensors. An unfavorable outcome could result in a loss of our current patent rights and could require us to cease using the related technology or to
attempt to license rights to it from the prevailing party. Our business could be harmed if the prevailing party does not offer us a license on commercially reasonable terms, or at
all.  Litigation  or  interference  proceedings  may  result  in  a  decision  adverse  to  our  interests  and,  even  if  we  are  successful,  may  result  in  substantial  costs  and  distract  our
management and other employees. We may not be able to prevent, alone or with our licensors, misappropriation of our trade secrets or confidential information, particularly in
countries  where  the  laws  may  not  protect  those  rights  as  fully  as  in  Canada  and  the  United  States.  Furthermore,  because  of  the  substantial  amount  of  discovery  required  in
connection with intellectual property litigation, there is a risk that some of our confidential information could be compromised by disclosure during this type of litigation. In
addition, there could be public announcements of the results of hearings, motions or other interim proceedings or developments. If securities analysts or investors perceive these
results to be negative, it could have a substantial adverse effect on the price of our common shares.

Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment and other requirements imposed by

governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.

Changes in patent law could diminish the value of patents in general, thereby impairing our ability to protect CaPre and any of our other future product candidates.

Numerous recent changes to the patent laws and proposed changes to the rules of the various patent offices around the world may have a significant impact on our ability
to protect our technology and enforce our intellectual property rights. These changes may lead to increasing uncertainty with regard to the scope and value of our issued patents
and to our ability to obtain patents in the future.

Once  granted,  patents  may  remain  open  to  opposition,  interference,  re-examination,  post-grant  review, inter  partes  review,  nullification  derivation  and  opposition
proceedings in court or before patent offices or similar proceedings for a given period after allowance or grant, during which time third parties can raise objections against the
initial grant. In the course of any such proceedings, which may continue for a protracted period of time, the patent owner may be compelled to limit the scope of the allowed or
granted claims attacked, or may lose the allowed or granted claims altogether. Depending on decisions by authorities in various jurisdictions, the laws and regulations governing
patents could change in unpredictable ways that may weaken our and our licensors’ ability to obtain new patents or to enforce existing patents we and our licensors or partners
may obtain in the future.

We may not be able to protect our intellectual property rights throughout the world.

Many  companies  have  encountered  significant  problems  in  protecting  and  defending  intellectual  property  rights  in  foreign  jurisdictions.  The  legal  systems  of  some
countries, particularly certain developing countries, do not favor the enforcement of patents, trade secrets and other intellectual property protection, which could make it difficult
for us to stop the infringement of our patents or marketing of competing products in violation of our proprietary rights generally. Proceedings to enforce our patent rights in
foreign jurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business, could put our patents at risk of being invalidated or
interpreted narrowly and our patent applications at risk of not issuing and could provoke third parties to assert claims against us. We may not prevail in any lawsuits that we
initiate and the damages or other remedies awarded, if any, may not be commercially meaningful. Accordingly, our efforts to enforce our intellectual property rights around the
world may be inadequate to obtain a significant commercial advantage from the intellectual property that we develop or license.

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Risks Relating to Our Common Shares

The price of our common shares may be volatile.

Market prices for securities in general, and specifically that of pharmaceutical companies in particular, tend to fluctuate. Factors such as the announcement to the public or
in  various  scientific  or  industry  forums  of  technological  innovations;  new  commercial  products;  patents  or  exclusive  rights  obtained  by  us  or  others;  disputes  or  other
developments relating to proprietary rights, including patents, litigation matters and our ability to obtain patent protection for our technologies; the commencement, enrollment
or results of future clinical trials we may conduct, or changes in the development status of our product candidates; results or delays of pre-clinical and clinical studies by us or
others; any delay in our regulatory filings for our product candidates and any adverse development or perceived adverse development with respect to the applicable regulatory
authority’s  review  of  such  filings;  a  change  of  regulations;  additions  or  departures  of  key  scientific  or  management  personnel;  overall  performance  of  the  equity  markets;
general political and economic conditions; publications; failure to meet the estimates and projections of the investment community or that we may otherwise provide to the
public; research reports or positive or negative recommendations or withdrawal of research coverage by securities analysts; actual or anticipated variations in quarterly operating
results;  announcements  of  significant  acquisitions,  strategic  partnerships,  joint  ventures  or  capital  commitments  by  us  or  our  competitors;  public  concerns  over  the  risks  of
pharmaceutical products and dietary supplements; unanticipated serious safety concerns related to the use of CaPre; the ability to finance, future sales of securities by us or our
shareholders; and many other factors, many of which are beyond our control, could have considerable effects on the price of our securities. There can be no assurance that the
market price of our common shares will not experience significant fluctuations in the future. As a result of any of these factors, the market price of our securities at any given
point in time may not accurately reflect our value or the value of our securities.

In  addition,  the  stock  market  in  general,  and  pharmaceutical  companies  in  particular,  have  experienced  extreme  price  and  volume  fluctuations  that  have  often  been
unrelated or disproportionate to the operating performance of these companies. Broad market and industry factors may negatively affect the market price of our common shares,
regardless of our actual operating performance. In the past, securities class action litigation has often been instituted against companies following periods of volatility in the
market price of these securities. This type of litigation, if instituted, could result in substantial costs and a diversion of management’s attention and resources, which would harm
our business, operating results or financial condition.

Raising additional capital may cause dilution to our existing shareholders, restrict our operations or require us to relinquish rights to our technologies or product
candidates.

We  may  seek  additional  capital  through  a  combination  of  public  and  private  equity  offerings,  debt  financings,  strategic  partnerships  and  alliances  and  licensing
arrangements. To the extent that we raise additional capital through the sale of equity or convertible debt securities, the ownership interests of our shareholders will be diluted,
and the terms may include liquidation or other preferences that adversely affect the rights of our shareholders. The incurrence of indebtedness by us would result in increased
fixed  payment  obligations  and  could  involve  certain  restrictive  covenants,  such  as  limitations  on  our  ability  to  incur  additional  debt,  limitations  on  our  ability  to  acquire  or
license intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business. If we raise additional funds through strategic
partnerships and alliances and licensing arrangements with third parties, we may have to relinquish valuable rights to our technologies or product candidates, or grant licenses
on terms unfavorable to us.

The market price of our common shares could decline as a result of operating results falling below the expectations of investors or fluctuations in operating results each
quarter.

Our net losses and expenses may fluctuate significantly and any failure to meet financial expectations may disappoint securities analysts or investors and result in a decline
in the price of our common shares. Our net losses and expenses have fluctuated in the past and are likely to do so in the future. These fluctuations could cause the market price
of our common shares to decline. Some of the factors that could cause the Corporation’s net losses and expenses to fluctuate include the following:

·

·

·

·

·

·

·

results of preclinical studies and clinical trials, or the addition or termination of preclinical studies, clinical trials or funding support;

the fluctuations in valuation of our derivative warrant liabilities;

the timing of the release of results from any preclinical studies and clinical trials;

the  inability  to  complete  product  development  in  a  timely  manner  that  results  in  a  failure  or  delay  in  receiving  the  required  regulatory  approvals  or  allowances  to
commercialize product candidates;

the timing of regulatory submissions and approvals;

the timing and willingness of any current or future collaborators to invest the resources necessary to commercialize our products;

the outcome of any litigation;

- 20 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
·

·

·

·

·

·

·

·

·

·

·

·

changes in foreign currency fluctuations;

competition;

the timing of achievement and the receipt of milestone payments from current or future third parties;

failure to enter into new or the expiration or termination of current agreements with third parties;

failure to introduce our products to the market in a manner that generates anticipated revenues;

execution of any new collaboration, licensing or similar arrangement, and the timing of payments we may make or receive under such existing or future arrangements or
the termination or modification of any such existing or future arrangements;

any intellectual property infringement lawsuit or opposition, interference or cancellation proceeding in which we may become involved;

additions and departures of key personnel;

strategic decisions by us or our competitors, such as acquisitions, divestitures, spin-offs, joint ventures, strategic investments or changes in business strategy;

if any of our product candidates receives regulatory approval, market acceptance and demand for such product candidates;

regulatory developments affecting our product candidates or those of our competitors; and

changes in general market and economic conditions.

If our quarterly operating results fall below the expectations of investors or securities analysts, the market price of our common shares could decline substantially. Furthermore,
any quarterly fluctuations in our operating results may, in turn, cause the market price of the common shares to fluctuate substantially. We believe that quarterly comparisons of
our financial results are not necessarily meaningful and should not be relied upon as an indication of our future performance.

There can be no assurance that an active market for our common shares will be sustained.

There  can  be  no  assurance  that  an  active  market  for  our  common  shares  will  be  sustained.  Holders  of  common  shares  may  be  unable  to  sell  their  investments  on
satisfactory terms. As a result of any risk factor discussed herein, the market price of our common shares at any given point in time may not accurately reflect our long-term
value. Furthermore, responding to these risk factors could result in substantial costs and divert management’s attention and resources. Substantial and potentially permanent
declines in the value of our common shares may result and adversely affect the liquidity of the market for our common shares.

Other  factors  unrelated  to  our  performance  that  may  have  an  effect  on  the  price  and  liquidity  of  our  common  shares  include:  extent  of  analyst  coverage;  lessening  in

trading volume and general market interest in our common shares; the size of our public float; and any event resulting in a delisting of our common shares.

A large number of common shares may be issued and subsequently sold upon the exercise of existing warrants. The sale or availability for sale of existing warrants or
other securities convertible into common shares may depress the price of our common shares.

To the extent that existing holders of warrants sell common shares issued upon the exercise of warrants, the market price of our common shares may decrease due to the
additional  selling  pressure  in  the  market.  The  risk  of  dilution  from  issuances  of  common  shares  underlying  existing  warrants  may  cause  shareholders  to  sell  their  common
shares, which could further contribute to any decline in our common share market price.

Any downward pressure on the price of our common shares caused by the sale of common shares issued upon the exercise of existing warrants could encourage short sales
by  third  parties.  In  a  short  sale,  a  prospective  seller  borrows  common  shares  from  a  shareholder  or  broker  and  sells  the  borrowed  common  shares.  The  prospective  seller
anticipates that the common share price will decline, at which time the seller can purchase common shares at a lower price for delivery back to the lender. The seller profits
when the common share price declines because it is purchasing common shares at a price lower than the sale price of the borrowed common shares. Such short sales of common
shares could place downward pressure on the price of our common shares by increasing the number of common shares being sold, which could lead to a decline in the market
price of our common shares.

- 21 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We do not currently intend to pay any cash dividends on our common shares in the foreseeable future.

We  have  never  paid  any  cash  dividends  on  our  common  shares  and  we  do  not  anticipate  paying  any  cash  dividends  on  our  common  shares  in  the  foreseeable  future
because, among other reasons, we currently intend to retain any future earnings to finance our business. The future payment of cash dividends will be dependent on factors such
as cash on hand and achieving profitability, the financial requirements to fund growth, our general financial condition and other factors our board of directors may consider
appropriate in the circumstances. Until we pay cash dividends, which we may never do, our shareholders will not be able to receive a return on their common shares unless they
sell them. See “Dividend Policy”.

If we fail to meet applicable listing requirements, the NASDAQ Stock Market or the TSXV may delist our common shares from trading, in which case the liquidity and
market price of our common shares could decline.

Our  common  shares  are  currently  listed  on  the  NASDAQ  Stock  Market  and  the  TSXV,  but  we  cannot  assure  you  that  our  securities  will  continue  to  be  listed  on  the
NASDAQ Stock Market and the TSXV in the future. In the past, we have received notices from the NASDAQ Stock Market that we have not been in compliance with its
continued listing standards, and we have taken responsive actions and regained compliance.

On May 16, 2019, we received written notification from the NASDAQ Listing Qualifications Department for failing to maintain a minimum bid price of U.S.$1.00 per
share for the last 30 consecutive business days, as required by NASDAQ Listing Rule 5550(a)(2) – bid price (the “Minimum Bid Price Rule”). The NASDAQ notification has
no immediate effect on the listing of our common shares. Under NASDAQ Listing Rule 5810(c)(3)(A) – compliance period, we have 180 calendar days, or until November 12,
2019, to regain compliance. If at any time over this period the bid price of our common shares closes at U.S.$1.00 per share or more for a minimum of ten (10) consecutive
business days, NASDAQ will provide written confirmation of compliance and the matter will be closed. If we do not regain compliance within the initial 180-day period, but
otherwise meet the continued listing requirements for market value of publicly-held shares and all other initial listing standards for the NASDAQ Listing Rule 5505 – Capital
Market criteria, except for the Minimum Bid Price Rule, we may be eligible for an additional 180 calendar days to regain compliance. If we are not granted additional time, then
our common shares will be subject to delisting, at which time we may appeal the delisting determination to a NASDAQ Hearings Panel.

If we fail to comply with listing standards and the NASDAQ Stock Market or TSXV delists our common shares, we and our shareholders could face significant material

adverse consequences, including:

·

·

·

·

·

a limited availability of market quotations for our common shares;

reduced liquidity for our common shares;

a determination that our common shares are “penny stock”, which would require brokers trading in our common shares to adhere to more stringent rules and possibly
result in a reduced level of trading activity in the secondary trading market for our common shares;

a limited amount of news about us and analyst coverage of us; and

a decreased ability for us to issue additional equity securities or obtain additional equity or debt financing in the future.

We may pursue opportunities or transactions that adversely affect our business and financial condition.

Our management, in the ordinary course of our business, regularly explores potential strategic opportunities and transactions. These opportunities and transactions may
include  strategic  joint  venture  relationships,  significant  debt  or  equity  investments  in  us  by  third  parties,  the  acquisition  or  disposition  of  material  assets,  the  licensing,
acquisition  or  disposition  of  material  intellectual  property,  the  development  of  new  product  lines  or  new  applications  for  our  existing  products,  significant  distribution
arrangements, the sale of our common shares and other similar opportunities and transactions. The public announcement of any of these or similar strategic opportunities or
transactions  might  have  a  significant  effect  on  the  price  of  our  common  shares.  Our  policy  is  to  not  publicly  disclose  the  pursuit  of  a  potential  strategic  opportunity  or
transaction unless we are required to do so by applicable law, including applicable securities laws relating to continuous disclosure obligations. There can be no assurance that
investors  who  buy  or  sell  securities  are  doing  so  at  a  time  when  we  are  not  pursuing  a  particular  strategic  opportunity  or  transaction  that,  when  announced,  would  have  a
significant effect on the price of our common shares.

In  addition,  any  such  future  corporate  development  may  be  accompanied  by  certain  risks,  including  exposure  to  unknown  liabilities  of  the  strategic  opportunities  and
transactions, higher than anticipated transaction costs and expenses, the difficulty and expense of integrating operations and personnel of any acquired companies, disruption of
our ongoing business, diversion of management’s time and attention, and possible dilution to shareholders. We may not be able to successfully overcome these risks and other
problems associated with any future acquisitions and this may adversely affect our business and financial condition.

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As a foreign private issuer, we are subject to different U.S. securities laws and regulations than a domestic U.S. issuer, which may limit the information publicly available
to our U.S. shareholders.

We  are  a  foreign  private  issuer  under  applicable  U.S.  federal  securities  laws,  and  therefore,  we  are  not  required  to  comply  with  all  the  periodic  disclosure  and  current
reporting requirements of the U.S. Securities and Exchange Act of 1934, as amended (the “ Exchange Act”). As a result, we do not file the same reports that a U.S. domestic
issuer would file with the SEC, although we are required to file with or furnish to the SEC the continuous disclosure documents that we are required to file in Canada under
Canadian securities laws. In addition, our officers, directors and principal shareholders are exempt from the reporting and short-swing profit recovery provisions of Section 16
of the Exchange Act. Therefore, our shareholders may not know on as timely a basis when our officers, directors and principal shareholders purchase or sell common shares as
the reporting periods under the corresponding Canadian insider reporting requirements are longer. In addition, as a foreign private issuer, we are exempt from the proxy rules
under the Exchange Act.

We cannot be certain that we will qualify as a foreign private issuer for our next fiscal year. If we no longer qualify as a foreign private issuer, we will no longer be exempt

from the more stringent disclosure requirements applicable to U.S. companies.

As a non-accelerated filer, we are not required to comply with the auditor attestation requirements of the Sarbanes-Oxley Act.

We are a non-accelerated filer under the Exchange Act and not required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act of
2002. Therefore, our internal controls over financial reporting will not receive the level of review provided by the process relating to the auditor attestation included in annual
reports of issuers that are subject to the auditor attestation requirements. In addition, we cannot predict if investors will find our common shares less attractive because we are
not required to comply with the auditor attestation requirements. If some investors find our common shares less attractive as a result, there may be a less active trading market
for our common shares and trading price for our common shares may be negatively affected.

U.S. investors may be unable to enforce certain judgments.

We are a company existing under the Business Corporations Act (Québec). Some of our directors and officers are residents of Canada, and substantially all of our assets
are located outside the United States. As a result, it may be difficult to effect service within the United States upon us or upon some of our directors and officers. Execution by
U.S. courts of any judgment obtained against us or any of our directors or officers in U.S. courts may be limited to assets located in the United States. It may also be difficult for
holders of securities who reside in the United States to realize in the United States upon judgments of U.S. courts predicated upon civil liability of us and our directors and
executive officers under the U.S. federal securities laws. There may be doubt as to the enforceability in Canada against non-U.S. entities or their controlling persons, directors
and officers who are not residents of the United States, in original actions or in actions for enforcement of judgments of U.S. courts, of liabilities predicated solely upon U.S.
federal or state securities laws.

There is a significant risk that we may be classified as a PFIC for U.S. federal income tax purposes.

Current or potential investors in our common shares who are U.S. holders should be aware that, based on our most recent financial statements and projections and given
uncertainty regarding the composition of our future income and assets, there is a significant risk that we may have been classified as a “passive foreign investment company” or
“PFIC”  for  the  2019  taxable  year  and  may  be  classified  as  a  PFIC  for  our  current  taxable  year  and  possibly  subsequent  years.  If  we  are  a  PFIC  for  any  year  during  a  U.S.
holder’s holding period of our common shares, then such U.S. taxpayer generally will be required to treat any gain realized upon a disposition of such common shares or any
so-called “excess distribution” received on such common shares, as ordinary income (with a portion subject to tax at the highest rate in effect), and to pay an interest charge on a
portion  of  such  gain  or  excess  distribution.  In  certain  circumstances,  the  sum  of  the  tax  and  the  interest  charge  may  exceed  the  total  amount  of  proceeds  realized  on  the
disposition, or the amount of excess distribution received, by the U.S. holder. Subject to certain limitations, a timely and effective QEF Election under Section 1295 of the U.S.
Internal Revenue Code of 1986, as amended, or the Code, or a Mark-to-Market election under Section 1296 of the Code may be made with respect to the common shares. A
U.S. holder who makes a timely and effective QEF Election generally must report on a current basis its share of our net capital gain and ordinary earnings for any year in which
we are a PFIC, whether or not we distribute any amounts to our shareholders. A U.S. holder who makes the Mark-to-Market Election generally must include as ordinary income
each  year  the  excess  of  the  fair  market  value  of  their  common  shares  over  the  holder’s  basis  therein.  This  paragraph  is  qualified  in  its  entirety  by  the  discussion  under  the
heading  “Item  10.E.  Taxation—U.S.  Federal  Income  Tax  Considerations  of  the Acquisition,  Ownership,  and  Disposition  of  Common  Shares—Passive  Foreign  Investment
Company Rules”. Each current or potential investor who is a U.S. holder should consult its own tax advisor regarding the U.S. federal, U.S. state and local, and non-U.S. tax
consequences of the acquisition, ownership, and disposition of our common shares, the U.S. federal tax consequences of the PFIC rules, and the availability of any election that
may be available to the holder to mitigate adverse U.S. federal income tax consequences of holding shares in a PFIC.

 Item 4.

Information on the Company

A.

History and Development of the Company

Acasti was incorporated on February 1, 2002 under Part 1A of the Companies Act (Québec) under the name “9113-0310 Québec Inc.”. On February 14, 2011, the Business
Corporations  Act (Québec) (“QBCA”)  came  into  effect  and  replaced  the Companies  Act (Québec).  We  are  now  governed  by  the  QBCA.  On August  7,  2008,  pursuant  to  a
Certificate of Amendment, we changed our name to “Acasti Pharma Inc.”, our share capital description, the provisions regarding the restriction on securities transfers and our
borrowing powers. On November 7, 2008, pursuant to a Certificate of Amendment, we changed the provisions regarding our borrowing powers. We became a reporting issuer
in the Province of Québec on November 17, 2008.

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Acasti’s head and registered office is located at 545 Promenade du Centropolis, Suite 100, Laval, Québec H7T 0A3. We currently employ 28 full-time employees with the
majority  working  out  of  our  headquarters  in  Laval  and  our  laboratory  in  Sherbrooke.  Our  website  address  is  http://www.acastipharma.com.  We  do  not  incorporate  the
information on or accessible through our website into this annual report, and you should not consider any information on, or that can be accessed through, our website as part of
this annual report.

Intercorporate Relationships

We have no subsidiaries.

B.

Our Business

We are a biopharmaceutical innovator focused on the research, development and commercialization of prescription drugs using omega-3 fatty acids, or OM3, delivered
both as free fatty acids and bound-to-phospholipid esters, or PLs, derived from krill oil. OM3 fatty acids have extensive clinical evidence of safety and efficacy in lowering
triglycerides, or TGs, in patients with hypertriglyceridemia, or HTG. Our lead product candidate is CaPre, an OM3 phospholipid therapeutic, which we are developing initially
for the treatment of severe HTG, a condition characterized by very high or severe levels of TGs in the bloodstream (≥ 500 mg/dL). In accordance with a study published in 2009
in the Archives of Internal Medicine by Ford et al., it is estimated that three to four million people in the United States have severe HTG. In primary qualitative market research
studies  commissioned  by  Acasti  in  August  2016  and  November  of  2017  by  DP  Analytics,  a  division  of  Destum  Partners,  Key  Opinion  Leaders  (KOLs),  High  Volume
Prescribers (HVPs) and Pharmacy Benefit Managers who were interviewed indicated a significant unmet medical need exists for an effective, safe and well-absorbing OM3
therapeutic that can also demonstrate a positive impact on the major blood lipids associated with cardiovascular disease, or CVD, risk. We believe that CaPre will address this
unmet medical need, if our Phase 3 results reproduce what we observed in our Phase 2 data. We initiated TRILOGY, our Phase 3 clinical program in North America, during the
second  half  of  2017  and  started  clinical  site  activation  as  planned  at  the  end  of  2017. As  of  the  date  of  this  annual  report,  patient  enrollment  and  randomization  have  been
completed, and the two TRILOGY Phase 3 studies continue on schedule to report topline results by December 2019 for TRILOGY 1, and January 2020 for TRILOGY 2. We
also believe the potential exists to expand CaPre’s initial indication to the roughly 36 million patients with high TGs in the mild to moderate range (e.g., blood levels between
200 - 499 mg/dL), although at least one additional clinical trial would likely be required to support FDA approval of a Supplemental New Drug Application (SNDA) to expand
CaPre’s indication to this segment. Data from our Phase 2 studies indicated that CaPre may have a positive effect in diabetes and other inflammatory diseases; consequently, we
may also seek to identify new potential indications for CaPre that may be appropriate for future studies and pipeline expansion. In addition, we may also seek to in-license other
cardiometabolic drug candidates for drug development and commercialization.

In four clinical trials conducted to date, we saw the following consistent results with CaPre, and we are seeking to demonstrate similar safety and efficacy in our TRILOGY

Phase 3 program:

·

·

·

·

·

·

·

significant reduction of TGs and non-high density lipoprotein cholesterol (non-HDL-C) levels in the blood of patients with mild to severe HTG;

no deleterious effect on low-density lipoprotein cholesterol (LDL-C), or “bad” cholesterol, with the potential to reduce LDL-C;

potential to increase high-density lipoprotein cholesterol (HDL-C), or “good” cholesterol;

potential to benefit diabetes patients by decreasing hemoglobin A1c (HbA1c), a marker of glucose control;

good bioavailability (absorption by the body), even under fasting conditions;

no significant food effect when taken with either low-fat or high-fat meals; and

an overall safety profile similar to that demonstrated by currently marketed OM3s.

We believe that if we are able to reproduce these results in our TRILOGY Phase 3 program, we potentially could set CaPre apart from current FDA-approved fish oil-derived
OM3 treatment options, and it could give us a significant clinical and marketing advantage.

About Hypertriglyceridemia (HTG)

According to the American Heart Association Scientific Statement on Triglycerides and Cardiovascular Disease from 2011, TG levels provide important information as a
marker associated with the risk for heart disease and stroke, especially when an individual also has low levels of HDL-C and elevated levels of LDL-C. HTG can be caused by
both genetic and environmental factors, including obesity, sedentary lifestyle and high-fat diets. HTG is also associated with comorbid conditions such as chronic renal failure,
pancreatitis, nephrotic syndrome, and diabetes. Multiple epidemiological, clinical, genetic studies suggest that patients with elevated TG levels (≥ 200 mg/dL) are at a greater
risk of coronary artery disease, or CAD, and pancreatitis, a life-threatening condition, as compared to those with normal TG levels. The genes regulating TGs and LDL-C are
equally strong predictors of CAD. Other studies suggest that lowering and managing TG levels may reduce these risks. In addition, the Japan EPA Lipid Intervention Study, or
JELIS, demonstrated the long-term benefit of an OM3 eicosapentaenoic acid, or EPA, in preventing major coronary events in hypercholesterolemic patients receiving statin
treatment. JELIS found a 19% relative risk reduction in major coronary events in patients with relatively normal TGs but a more pronounced 53% reduction in the subgroup of
patients with TGs > 150mg/dL and HDL-C < 40mg/dL. Recently published meta-analyses by Alexander et al. (Mayo Clinic Proceedings, 2017) and Maki et al. (Journal of
Clinical Lipidology, 2016) suggest that EPA and docosahexaenoic acid, or DHA, may be associated with reducing coronary heart disease risk to a greater extent in populations
with  elevated  TG  levels,  and  that  drugs  lowering  TG  and  TG-rich  lipoproteins  may  reduce  cardiovascular  event  risk  in  patients  with  elevated  TG  levels,  particularly  if
associated with low HDL-C. More recently in November of 2018, Amarin published the results of their REDUCE-IT cardiovascular outcome trial (CVOT), which showed that
a therapeutic dose of VASCEPA at 4 grams per day, taken on top of a statin, reduced residual cardiovascular risk by 25%. Astra Zeneca is currently investigating the potential
for EPANOVA, their therapeutic OM3 containing both EPA and DHA, taken with a statin to reduce cardiovascular risk in patients with elevated levels of TGs and low HDL-C
in  their  ongoing  STRENGTH  CVOT,  the  results  of  which  are  expected  to  be  published  in  2020.  A  table  summarizing  the  various  outcome  studies  conducted  over
approximately the last decade is set forth below. The data from these trials support the conclusion that lowering TGs in an “at risk” patient population with the right dose of a
therapeutic drug – independent of the drug class – significantly reduces CVD risk.

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About CaPre

CaPre  is  a  highly  purified,  proprietary  krill  oil-derived  mixture  containing  polyunsaturated  fatty  acids,  or  PUFAs,  primarily  composed  of  OM3  fatty  acids,  principally
eicosapentaenoic acid, or EPA, and docosahexaenoic acid, or DHA, present as a combination of phospholipid esters and free fatty acids. EPA and DHA are well known to be
complementary  and  beneficial  for  human  health,  and  according  to  numerous  recent  clinical  studies,  may  promote  healthy  heart,  brain  and  visual  function  (Kwantes  and
Grundmann, Journal of Dietary Supplements, 2014), and may also contribute to reducing inflammation and blood levels of TGs (Ulven and Holven, Vascular health and risk
management, 2015). Krill is a rich natural source of phospholipids and OM3 fatty acids. The EPA and DHA contained in CaPre are delivered as a combination of OM3s as free
fatty acids and OM3s bound to phospholipid esters. Both forms allow these PUFAs to reach the small intestine where they undergo rapid absorption and transformation into
complex fat molecules that are required for lipid transport in the bloodstream. We believe that EPA and DHA are more efficiently transported by phospholipids sourced from
krill oil than the EPA and DHA contained in fish oil, which are transported either by TGs (as in dietary supplements) or as ethyl esters as in other prescription OM3 drugs (such
as LOVAZA and VASCEPA). These OM3 ethyl ester prescription products must undergo additional digestion before they are ready for transport into the bloodstream. The
digestion and absorption of OM3 ethyl ester drugs requires a particular enzymatic process that is highly dependent on the fat content of a meal – the higher the fat content, the
better the OM3 ethyl ester absorption. High fat content meals are not recommended in patients with HTG. We believe that CaPre’s superior absorption profile could represent a
significant clinical advantage, since taking it with a low-fat meal represents a healthier and more realistic regimen for patients with HTG who must follow a restricted low-fat
diet. CaPre is intended to be used as a therapy combined with positive lifestyle changes, such as a healthy diet and exercise, and can be administered either alone or with other
drug treatment regimens such as statins (a class of drug used to reduce LDL-C). CaPre is intended to be taken orally once or twice per day in capsule form.

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Potential Market for CaPre

We believe a significant opportunity exists for OM3 market expansion because, among other things:

·

·

·

·

·

·

Cardiovascular diseases, or CVD, and stroke are the leading causes of morbidity and mortality in the United States. The burden of CVD and stroke in terms of life-
years lost, diminished quality of life, and direct and indirect medical costs also remains enormous. According to the American Heart Association, in 2016, CVD cost
the American healthcare system $555 billion. By 2035, the cost is estimated to increase to $1.1 trillion;

Evidence suggests potential for OM3s in other cardiometabolic indications, such as diabetes and high blood pressure;

Subgroup  analyses  from  outcome  studies  conducted  since  2007  such  as  JELIS, ACCORD-Lipid  and AIM-HIGH,  have  all  shown  that  patients  who  entered  these
studies with high TGs (above 150 mg/dl) and low HDL (below 40 mg/dl) and received a TG-lowering medication (either an OM3, fibrate or niacin) saw a relative
cardiovascular risk reduction of 31 – 53% by the end of the study when compared to placebo or standard of care;

Based  on  the  assumption  that  the  REDUCE-IT  trial  sponsored  by Amarin  and  the  STRENGTH  trial  sponsored  by Astra  Zeneca,  would  be  positive,  key  opinion
leaders interviewed by DP Analytics in the market research study conducted in 2018 before the results of REDUCE-IT were announced and described further below,
estimated that they would increase their own prescribing of OM3s by 43% in patients with high TGs (blood levels between 200 – 499 mg/dL) and by 35% in patients
with severe HTG (based on qualitative market research with Key Opinion Leaders (KOLs) and High Volume Prescribers (HVPs) conducted for Acasti in November,
2017 by Destum Partners, an independent market research firm);

In February 2019, following the release of the REDUCE-IT results in September 2018, Cantor Fitzgerald projected that based on their market research, prescriptions
for  OM3s  are expected  to  grow  in  2019  by  100%.  The  most  recent  (March  2019)  audited  prescription  data from  Symphony  Health  Analytics  indicates  that
VASCEPA sales in March 2019 had increased by 77% over March 2018; and

Some analysts who cover the HTG segment of the market are now projecting that this market could reach $10 billion or more in the US alone over the next few
years.

According  to  the American  Heart Association,  the  prevalence  of  HTG  in  the  United  States  and  globally  correlates  to  the  aging  of  the  population  and  the  increasing
incidence of obesity and diabetes. Market participants, including the American Heart Association, have estimated that one-third of adults (approximately 70 million people) in
the United States have elevated levels of TGs ((TGs >150 mg/dL) (Ford, Archives of Internal Medicine, 2009; 169(6):572-578), including approximately 3 to 4 million people
diagnosed  with  severe  HTG  (Miller  et  al.  Circulation,  2011  and  Maki  et  al.  J.  Clin.  Lipid,  2012).  Moreover,  according  to  Ford, Archives  of  Internal  Medicine  in  a  study
conducted between 1999 and 2004, 18% of adults in the United States, corresponding to approximately 40 million people, had elevated TG levels equal to or greater than 200
mg/dl, of which only 3.6% were treated specifically with TG-lowering medication (Ford, Archives of Internal Medicine, 2009; 169(6):572-578; Kapoor and Miller, ACC, 2016,
Christian et al. Am. J. Cardiology, 2011). We believe this data indicates there is a large underserved market opportunity for CaPre.

CaPre’s target market in the United States for treatment of HTG was estimated by Symphony Health Analytics Audit data to be approximately US$1.4 billion in 2018, with
approximately  4.5  million  prescriptions  written  annually.  The  total  global  market  for  treatment  of  HTG  was  estimated  by  GOED  Proprietary  Research  in  2015  to  be
approximately US$2.3 billion annually. Currently, all marketed OM3 products are approved by the FDA only for patients with severe HTG. We believe there is the potential to
greatly expand the treatable market in the United States to the approximately 70 million people with TGs above 150 mg/dl, assuming the FDA approves expanded labeling for
VASCEPA based on the recent positive REDUCE-IT outcome study results, and favorable results are reported from the STRENGTH outcome trial, which is currently ongoing
and expected to report sometime in 2020. These CV studies were designed to evaluate the long-term benefit of lowering TGs on CVD risk with prescription drugs containing
OM3 fatty acids in patients with mild to moderately elevated TGs, low HDL-C, and concurrently taking a statin. Additional clinical trials would likely be required for CaPre to
also expand its label claims to this segment. Given the large portion of the adult population in the United States that have elevated levels of TGs above 150 mg/dL but who go
largely untreated, we believe there is the potential for a very significant increase in the total number of patients eligible for treatment based on the positive REDUCE-IT results
and provided the outcome of the STRENGTH trial is also positive.

CaPre currently has two FDA-approved and marketed branded competitors (LOVAZA and VASCEPA). In addition, Astra Zeneca has an FDA-approved product, EPANOVA,
which has not yet been launched. Generic LOVAZA became available on the U.S. market in 2013. In spite of generic options, 2017 audited prescription data from IMS NSP
indicates  that  approximately  70%  of  OM3  prescriptions  are  written  for  branded  products  (predominantly  VASCEPA). According  to  the  most  recently  available  Symphony
Health Analytics Audit data from April 2019, the U.S. OM3 market for HTG was valued at approximately $1.4 billion in 2018. However, the number of prescriptions written
for  OM3s  is  now  increasing  significantly  since Amarin  announced  its  REDUCE-IT  results  in  late  2018.  Some  analysts  are  predicting  that  this  trend  will  continue,  driving
substantial market growth. For example, in February 2019, Cantor Fitzgerald projected that based on their market research based on interviews with 50 physicians, they expect
prescriptions for OM3s to grow in 2019 by 100%.

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We  conduct  market  research  at  least  annually  with  physicians  and  payers  to  monitor  market  developments  and  clinical  practice.  Except  as  otherwise  indicated,  all  of  the
information that follows under this section has been derived from secondary sources, including audited U.S. prescribing data, and from qualitative U.S. primary market research
with physicians and payers conducted for us by DP Analytics, a division of Destum Partners, Inc., or Destum, and other well-respected third party survey providers.

Destum utilized secondary market data and reports to develop market projections for us, and they also conducted primary qualitative market research with physicians and third-
party payers, such as PBMs. One-on-one in-depth phone interviews conducted in November 2017 lasting on average 30-60 minutes were conducted with 22 physicians and 5
PBMs. Key insights and data were collected by Destum on current clinical practice for treating patients with HTG, and physician and payer perceptions of the current unmet
medical and key economic needs in this space. All interviews were conducted by the same individual at Destum to ensure consistency in the collection of key information.
Destum utilized OM3 prescription data from 2009 to 2017 to estimate the size of CaPre’s potential market. Based on its discussions with the PBMs, Destum also assumed CaPre
would be viewed favorably by payers at launch (e.g., Tier 2 or 3, depending on payer plan, which is comparable to LOVAZA and VASCEPA). Upon completing the screening
questionnaire and being approved for inclusion in Destum’s study, key opinion leaders (KOLs) and high volume prescribers (HVPs), were provided with a study questionnaire
and were asked to comment on a target profile for a potential new OM3 “Product X” delivering a “trifecta” of cardio-metabolic benefits similar to the potential efficacy and
safety benefits demonstrated by CaPre in our two Phase 1 pharmacokinetic studies and two Phase 2 clinical trials, which we refer to as the Target Product Profile. Respondents
were told that the unidentified product was being prepared for a Phase 3 program designed to confirm with statistical significance the product’s safety and efficacy in patients
with  severe  HTG.  The  Target  Product  Profile  was  used  by  Destum  strictly  for  market  research  analysis  purposes  and  should  not  be  construed  as  an  indication  of  future
performance of CaPre and should not be read as an expectation or guarantee of future performance or results of CaPre, and will not necessarily be an accurate indication of
whether or not such results will be achieved by CaPre in our Phase 3 program.

In the market research for us, KOLs and HVPs interviewed by Destum were asked to assess the level of unmet medical need associated with treating patients with severe HTG
based on currently available treatment options. 91% of physicians interviewed by Destum in 2016 indicated that they believe that the current unmet medical need for treating
HTG was moderate to high. That number increased to 100% in the subsequent December 2017 research. The reasons identified by these physicians for their dissatisfaction with
the currently available OM3s included insufficient lowering of TGs (a complaint principally related to VASCEPA), negative LDL-C effects (a complaint principally related to
LOVAZA),  the  “food  effect”  or  reduced  absorption  of  both  LOVAZA  and  VASCEPA  when  taken  with  a  low-fat  meal  (or  the  corollary  to  this  concern  which  is  that  their
patients  had  to  take  either  drug  with  a  fatty  meal  to  get  full  efficacy  benefit),  gastrointestinal  side  effects,  and  the  fishy  taste  from  these  fish  oil-derived  OM3s.  Physicians
reported that their patients have difficulty swallowing the large 1 gram softgel capsules of VASCEPA and LOVAZA, and they worried about these issues contributing to patient
non-compliance.  Despite  the  availability  of  other  drug  classes  to  treat  severe  HTG,  interviewed  physicians  indicated  that  they  would  welcome  the  introduction  of  new  and
improved OM3 products, particularly if they can address these perceived deficiencies.

Interviewed  physicians  responded  favorably  to  the  blinded  Target  Product  Profile  of  CaPre  in  the  Destum  Market  Research  studies.  In  the  most  recent  study  conducted  in
December 2017, they indicated that they would prescribe a new OM3 drug with the Target Product Profile to approximately 82% of their patients in the severe HTG patient
population and 68% of their patients in the high HTG segment within two years of the new OM3 drug’s approval. Approximately 60% of the interviewed physicians indicated
that they would switch to a drug with the Target Product Profile primarily due to the “trifecta effect” of reducing TGs and LDL-C while elevating HDL-C, and the remaining
40% indicated they would switch primarily due to a drug with the Target Product Profile due to the effective reduction of TGs alone. In connection with their responses, the
interviewed physicians were instructed to assume the drug with the Target Product Profile and all currently available OM3 products were not subject to any reimbursement or
coverage hurdles (e.g., all products were on an equal health care coverage playing field). This assumption was subsequently supported by our interviews with leading PBMs in
the United States.

This market research was updated in March 2019 to reflect the current views of physicians and third party payers following the publication of the REDUCE-IT study results.
This updated primary qualitative market research project was conducted by a well-respected third party survey provider, and the design of the study was similar to the Destum
project, with one-on-one interviews lasting approximately 60 minutes in duration. These interviews were conducted with 10 physicians and 20 pharmacy directors, covering
179,913,005 commercial lives across the United States, consistent with the current payer mix for the OM3 market. CaPre was evaluated positively by physicians with particular
value placed on its potential to lower TGs, LDL-C, and HbA1c (this was seen as unique, and especially valued), and to increase HDL-C, as well as its potentially superior
tolerability features (e.g. easier to swallow when compared to the ethyl ester fish oils, and no fishy taste or "burpiness"). Importantly, since this research was conducted after the
REDUCE-IT trial outcome results, the lack of clinical outcomes data for CaPre at launch was generally not seen as problematic for the majority of the physicians interviewed.
On average, physicians indicated that they would begin prescribing CaPre 3 months after launch and would evaluate its performance in their initial patients after 3 to 6 months
of use. Depending on favorable experience in initial use, some physicians indicated peak use could begin as quickly as 12 to 18 months after launch. Physicians expect CaPre to
be  priced  similar  to  VASCEPA,  and  to  have  an  out-of-pocket  cost  of  approximately  $10-$50.  Payers  also  viewed  CaPre  favorably  and  did  not  anticipate  any  major
reimbursement restrictions, with likely coverage at Tier 2 or 3 depending on payer plan.

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Based  on  both  primary  market  research  with  pharmacy  benefit  managers,  or  PBMs,  and  audited  prescription  reports,  the  pricing  for  branded  products  currently  averages
between US$299 and US$355 per month. Amarin has raised prices for VASCEPA annually since its launch in late 2013. PBMs offer “Preferred Brand” status (Tier 2 or Tier
3), without significant restrictions (i.e., no prior authorization, step edits, or high co-payments) for these branded OM3s. By the end of 2018, VASCEPA had reached about 45%
market share in the United States, in spite of generic competition from LOVAZA. Amarin continues to gain market share in the United States and, as of the date of this report
has  reached  approximately  50%  of  the  market  share  based  on  dollar.  This  growth  is  principally  coming  from  market  expansion  rather  than  necessarily  from  an  erosion  of
generic sales.

We plan to regularly conduct additional market research with KOLs, HVPs, primary care physicians and payers to further develop and refine our understanding of the potential
market for CaPre ahead of commercial launch in the United States.

Our Clinical Data

CaPre is being developed by us for the treatment of patients with severe HTG. In two Phase 2 clinical trials conducted by us in Canada (our COLT and TRIFECTA trials),
CaPre was well-tolerated at all doses tested, with no serious adverse events that were considered treatment-related. Among the reported adverse events with an occurrence of
greater than 2% of subjects and greater than placebo, only diarrhea had an incidence of 2.2%.

In both Phase 2 clinical trials, CaPre significantly lowered TGs in patients with mild to severe HTG. Importantly, in these studies, CaPre also demonstrated no deleterious

effect on LDL-C (unlike LOVAZA and EPANOVA, which have been shown to significantly increase LDL-C in patients with severe HTG). Further, our Phase 2 data indicated
that  unlike  LOVAZA,  CaPre  may  actually  reduce  LDL-C  with  a  4  gram  per  day  dose  (a  dose  equivalent  to  VASCEPA  and  LOVAZA).  LDL-C  is  undesirable  because  it
accumulates in the walls of blood vessels, where it can cause blockages (atherosclerosis). In the Phase 2 trials, CaPre also significantly reduced non-HDL-C (all cholesterol
contained in the bloodstream except HDL-C), which is also considered to be a marker of cardiovascular disease. The COLT trial data showed a mean increase of 7.7% in HDL-
C  with  CaPre  at  4  grams  per  day  (p=0.07).  Further  analysis  of  the  data  from  our  on-going  TRILOGY  Phase  3  program  will  be  required  to  demonstrate  CaPre’s  statistical
significance with respect to lowering LDL-C and increasing HDL-C. Finally, we saw a statistically significant reduction of HbA1c in the CaPre 4g treatment group in the COLT
study after only 8 weeks on drug. This interesting and potentially differentiating effect will be investigated more thoroughly in our TRILOGY Phase 3 program, where a larger
proportion of the patients are diabetic, and they will be followed for 6 months.

We believe that these multiple potential cardiometabolic benefits, if confirmed in our on-going TRILOGY Phase 3 program, could be significant differentiators for CaPre
in the marketplace, as no currently approved OM3 drug has shown an ability to positively modulate all four of these important blood lipids (TGs, non-HDL-C, LDL-C and
HDL-C) in the treatment of severe HTG. We also believe that if supported by additional clinical trials, CaPre has the potential to become the best-in-class OM3 compound for
the treatment of mild to moderate HTG.

On September 14, 2016, we announced positive data from our completed comparative bioavailability study, or the “Bridging Study”. The Bridging Study was an open-
label, randomized, four-way, cross-over, bioavailability study comparing CaPre, given as a single dose of 4 grams in fasting and fed (high-fat) states, as compared to the FDA-
approved HTG drug LOVAZA (OM3-acid ethyl esters) in 56 healthy volunteers. The protocol was reviewed and approved by the FDA. The primary objective of the Bridging
Study  was  to  compare  the  bioavailability  of  CaPre  to  LOVAZA,  each  administered  as  a  single  4-gram  dose  with  a  high-fat  meal,  which  is  the  condition  under  which
administration of OM3 drugs will yield the highest levels of EPA and DHA in the blood, and therefore has the highest potential for toxicity. For us to rely on the long-term
safety data of LOVAZA to support a 505(b)(2) NDA for CaPre, our results had to show that the blood levels of EPA and DHA resulting from a single 4-gram dose of CaPre, are
not  significantly  higher  than  that  those  from  a  single  4-gram  dose  of  LOVAZA  under  fed  (high-fat  meal)  conditions.  The  Bridging  Study  met  all  of  its  objectives  and
demonstrated that the levels of EPA and DHA following administration of CaPre did not exceed corresponding levels following administration of LOVAZA in subjects who
were fed a high-fat meal. We expect that these results will support a claim by us that CaPre and LOVAZA have a comparable safety profile. Also, among subjects in a fasting
state, CaPre demonstrated better bioavailability than LOVAZA, as measured by significantly higher blood levels of EPA and DHA. Since most HTG patients must follow a
restricted low-fat diet, we believe that CaPre’s strong bioavailability profile could provide a more effective clinical solution for these patients.

We summarized and submitted data from our Bridging Study to the FDA for review and discussed it with the FDA at an End of Phase 2 meeting during the first quarter of
2017. We also presented our Bridging Study data at the National Lipid Association Conference in May 2017 and this data was subsequently published in the peer-reviewed
Journal of Clinical Therapeutics.

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The graph below illustrates that the Bridging Study achieved all of its objectives:

Absorption  of  EPA  and  DHA  as  ethyl  ester  formulations  in  the  currently  available  prescription  OM3  drugs  derived  from  fish  oil  (such  as  LOVAZA  and  VASCEPA)

require the breakdown of the ethyl esters by pancreatic enzymes (lipases) to be released into the blood. These particular enzymes are produced in response to the consumption of
high-fat  content  meals,  leading  to  optimal  absorption  of  DHA  and/or  EPA.  As  a  result,  these  OM3  ethyl  ester  formulations  have  demonstrated  lower  absorption  and
bioavailability when taken with a low-fat meal or on an empty stomach. As shown in our CAP13-101 study described further below, absorption of CaPre, which is formulated
as a combination of OM3 phospholipids and free fatty acids, is not meaningfully affected by the fat content of a meal consumed prior to drug administration. Since a low-fat
diet is typically a critical component for treatment of patients with severe HTG, we believe that being able to effectively combine CaPre with a low-fat diet could give CaPre a
significant clinical and marketing advantage over the ethyl ester-based OM3s, such as LOVAZA and VASCEPA, that must be taken with a high-fat meal to achieve optimal
absorption.

Our CAP13-101 study was an open-label, randomized, multiple-dose, single-center, parallel-design study in healthy volunteers. 42 subjects were enrolled into 3 groups of
14  subjects  who  took  1  gram,  2  grams  or  4  grams  of  CaPre,  administered  once  a  day  30  minutes  after  breakfast.  The  objectives  of  the  study  were  to  determine  the
pharmacokinetic,  or  PK,  profile  and  safety  on  Day  1  following  a  single  oral  dose  and  Day  14  following  multiple  oral  doses  of  CaPre  in  individuals  pursuing  a  low-fat  diet
(therapeutic lifestyle changes diet). The effect of a high-fat meal on the bioavailability of CaPre was also evaluated at Day 15. Blood samples were collected for assessment of
EPA and DHA total lipids in plasma to derive the PK parameters.

The PK profile of CaPre following multiple 4-gram doses obtained in the CAP13-101 study at Day 14 was compared to the results obtained in a similar PK study (Offman
2013 - ECLIPSE 2) where LOVAZA was also administered at 4 grams a day for 14 days with a low-fat diet. Although CaPre contains approximately 2.5 times less EPA and
DHA compared to LOVAZA (approximately 310 mg/1g capsule for CaPre versus 770 mg/1g capsule for LOVAZA), when administered with a low-fat meal, CaPre plasma
levels of EPA and DHA are very similar to those of LOVAZA. This is indicated by the area under the plasma drug concentration against time curve, or AUC, and the maximal
plasma drug concentration. This study gives us confidence in the dosing and design of our ongoing TRILOGY Phase 3 program, as we believe blood levels of EPA and DHA
should  translate  into  efficacy  of  TG  reduction.  This  study  gives  us  confidence  that  4  grams/day  of  CaPre  could  be  as  effective  in  lowering  TGs  as  LOVAZA.  Our  Phase  3
TRILOGY clinical program will confirm if this hypothesis is correct.

- 29 -

 
 
 
 
 
 
 
 
As  illustrated  by  the  two  graphs  below,  CaPre  reached  similar  blood  and  therapeutic  levels  to  LOVAZA  after  14  daily  doses  of  CaPre  at  4  grams/day,  despite  CaPre

containing 2.5 times less EPA and DHA compared to LOVAZA:

The graph below illustrates that the bioavailability of CaPre (total EPA+DHA levels in the blood) does not appear to be meaningfully affected by the fat content of a meal
after multiple daily doses of CaPre at 4 grams/day (< 20% difference in AUC). We believe that CaPre’s strong bioavailability could represent a significant clinical advantage for
CaPre since taking it with a low-fat meal represents a more realistic and attractive regimen for patients with HTG who must follow a restricted low-fat diet.

Our CAP13-101 Study for CaPre Pharmacokinetics Shows No Significant Food Effect

The graph below presents a summary of the effects of CaPre on patients’ lipid profiles as obtained in our completed TRIFECTA and COLT Phase 2 clinical trials. 90% of
the patients in these clinical trials had mild to moderate HTG (levels between 200 - 499 mg/dL) and only 10% of patients had severe HTG (levels between 500 and 877 mg/dL),
which was the maximum level of TGs permitted by Health Canada’s study protocol. Only 30% of the participating patients were taking statins, which we believe is important
because statins appear to enhance the TG-lowering effect of OM3s. In contrast, in our competitors’ summary data that follows, 100% of the patients in those studies with mild
to moderate HTG were taking statins with their OM3s.

The summary data from our COLT and TRIFECTA clinical trials shows that CaPre significantly reduces TGs, but unlike some other prescription EPA/DHA-based OM3s,
it has no deleterious effect on LDL-C and may potentially increase HDL-C (p=0.07), which we refer to as the “trifecta effect”. Also, a dose response was seen for all of the
major lipid markers; the greater the dose of CaPre, the greater the beneficial effect of CaPre.

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Our Phase 2 Study Results Show CaPre Dose Response and Potential for “Trifecta” Lipid Effect

* Indicates results reached statistical significance
TRIFECTA for 1g (N=130) & 2g (N=128) and COLT for 4g (N=62). HDL-C results at 4g from COLT approached statistical significance at P=0.07.

We conducted a subgroup analysis including only patients with severe HTG, consisting of approximately 10% of the patients from our TRIFECTA study, to compare the
effects of CaPre versus other OM3 drugs in the initial target population of patients with severe HTG. Despite being given at a lower dose (only 1 gram and 2 grams), CaPre’s
results compared very well with data from independent studies for the other prescription OM3 drugs that are FDA-approved for the treatment of severe HTG at higher doses of 2
grams and 4 grams. While the results of this subgroup analysis were not statistically significant for CaPre (potentially due to the small sample size), numerically, the results
compared well with the other OM3 drugs, even though CaPre was given at a much lower dose. The results for LDL-C, HDL-C and non-HDL-C levels in the subgroup shown in
the table below are based on descriptive statistics only and are solely directional, meaning that no statistical testing was conducted and so no “p” values were generated. Note
also  that  VASCEPA’s  TG  lowering  results  from  the  MARINE  study  were  inflated  due  to  a  significant  placebo  effect.  This  resulted  in  VASCEPA’s  placebo-corrected  TG
reduction being overstated by about 10%.

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Since statins appear to enhance the TG-lowering property of OM3 drugs, we conducted a subgroup analysis that only included patients who were taking a statin at baseline in
the COLT and TRIFECTA studies (approximately 30% of the population of both trials, combined). The graph below compares the TG-lowering effects of CaPre to other OM3s,
all on a background of a statin drug, and shows that CaPre’s TG-lowering effects compare well with other FDA-approved OM3 drugs. We believe it is noteworthy that only 39
patients on 2 grams of CaPre in our TRIFECTA study (out of a total of 128) and only 22 patients on 4 grams of CaPre in our COLT study (out of 62) were taking statins.

The CaPre 2-gram bar graph in the table below shows the results from patients in our TRIFECTA trial who were taking statins. A statistically significant reduction in TGs
(-25.7% placebo-corrected) was seen in that statin subgroup. The CaPre 4-gram bar graph in the table below shows patient results only from our COLT trial (as there was no 4-
gram component for our TRIFECTA trial). None of the results were statistically significant at 4 grams of CaPre, potentially due to the small number of patients (22) in the
statins subgroup.

As seen in the larger full study analyses in the tables above, CaPre does not show any deleterious effect on LDL, and shows the potential to decrease LDL and increase

HDL (p=0.07). These observations will need to be confirmed in our ongoing TRILOGY Phase 3 program.

VASCEPA’s TG lowering results from the ANCHOR study were also inflated due to a placebo effect from their use of mineral oil. This resulted in VASCEPA’s placebo-

corrected TG reduction being overstated by about 6% in this study.

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In summary, in addition to effectively reducing TG levels in patients with mild to severe HTG, clinical data collected by us to date indicates that CaPre may also have:

·

·

·

·

beneficial clinical effects on other blood lipids, such as HDL-C (good cholesterol) and non-HDL-C;

no deleterious effect on, and may potentially reduce, LDL-C (bad cholesterol) levels;

potential to benefit diabetes patients by reducing HbA1c, an important marker of diabetes; and

absorption capability that, unlike VASCEPA and LOVAZA, is not meaningfully affected by the fat content of a meal consumed prior to drug administration,
providing patients with the reassurance that following their physician-recommended low-fat diet will still result in high absorption.

We believe that these features could set CaPre apart from currently available FDA-approved OM3 treatment options in the marketplace and could give us a significant

clinical and marketing advantage.

CaPre’s potential clinical benefits as compared to currently available FDA-approved OM3 treatment options are summarized in the table below and indicate that CaPre

may deliver a more complete lipid management solution for patients with severe HTG:

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Our Nonclinical Research

In addition to our Phase 2 clinical trials, we carried out an extensive nonclinical program to demonstrate the safety of CaPre in a defined set of studies required by the FDA.
These  studies  were  carried  out  by  contract  research  organizations  in  compliance  with  Good  Laboratory  Practices  (GLPs)  and  conducted  on  various  species  of  animals
recommended by the FDA to investigate the long-term effects of CaPre at doses of up to 65 grams of human equivalent dose over 39 weeks. In these studies, hematological,
biochemical, coagulation and overall health parameters of CaPre were evaluated and no toxic effects were observed in any of the segments of the studies. Other studies focused
on the potential toxic effects of CaPre on vital systems, such as the cardiovascular, respiratory and central nervous system as evaluated by behavioral studies of the various
species. These studies showed that CaPre did not have any adverse or toxic effects on any of the vital systems investigated, again up to doses well above the recommended
clinical dose of CaPre. To rule out short term toxic effects of CaPre on genes, genomic toxicity studies were undertaken on accepted cellular and animal models. These studies
showed no toxic effects of CaPre on any of the genetic markers indicative of potential gene altering toxic effects.

We believe the studies conducted to date indicate that CaPre is well-tolerated and shows no toxic effects on any of the physiological and vital systems of the tested animals

or their genes at doses well above CaPre’s anticipated clinical therapeutic dose of 4 grams daily.

In parallel to our TRILOGY Phase 3 program, we are currently completing additional nonclinical studies, including a pre- and postnatal development study in rodents and
a 26-week oral carcinogenicity study in transgenic homozygous rasH2 mice. Both study protocols were pre-approved by the FDA by means of Special Protocol Assessment
(SPA) through the FDA’s Executive Carcinogenicity Assessment Committee. These nonclinical studies are required to support an NDA filing for CaPre.

Our TRILOGY Phase 3 Program

In March 2017, we announced our plans to proceed with our TRILOGY Phase 3 program following our End-of-Phase 2 meeting with the FDA in February 2017. Based on
the guidance we received from the FDA, we are now actively conducting two pivotal, randomized, placebo-controlled, double-blinded Phase 3 studies to evaluate the safety and
efficacy  of  CaPre  in  patients  with  severe  HTG.  These  studies  of  26-week  duration  will  evaluate  CaPre’s  ability  to  lower  TGs  from  baseline  in  approximately  500  patients
(approximately 250 per study) randomized to either 4 grams daily or placebo. The FDA’s feedback supported our plan to conduct two studies in parallel, potentially reducing
the cost and shortening the time to an NDA submission. These studies are being conducted in approximately 150 sites across North America.

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The primary endpoint of these studies is to determine the efficacy of CaPre at 4 grams/day compared to placebo in lowering TGs after 12 weeks in severe HTG patients,
and to confirm safety by continuing to follow these patients for the full 26 weeks. The study was designed to provide at least 90% statistical power to detect a difference of at
least a 20% decrease from baseline in TGs between CaPre and placebo. In addition, the Phase 3 studies will include numerous secondary and exploratory endpoints, which are
designed to assess the effect of CaPre on the broader lipid profile and certain metabolic, inflammatory and CVD risk markers.

In November 2017, we announced that Dariush Mozaffarian, M.D., Dr.P.H., agreed to serve as the principal investigator of our Phase 3 clinical program. Dr. Mozaffarian
is a cardiologist and epidemiologist serving as the Jean Mayer Professor of Nutrition & Medicine, and the Dean of the Friedman School of Nutrition Science & Policy at Tuft’s
University.  His  widely  published  research  focuses  on  how  diets,  such  as  those  rich  in  OM3s,  and  lifestyle  influence  cardiometabolic  health  and  how  effective  policies  can
improve health and wellness.

Late in 2017, based on feedback from the FDA, we finalized our Chemistry, Manufacturing, and Controls plans and the clinical trial design that supports our TRILOGY
Phase 3 program. In parallel with our Phase 3 clinical trial planning, additional current Good Manufacturing Practices (cGMP) production lots of API (known as NKPL66) and
CaPre were manufactured, enabling us to build the CaPre and placebo inventory required to support the activated clinical trial sites and complete patient randomization. In the
first calendar quarter of 2018, additional raw krill oil was purchased and additional lots of CaPre have been manufactured with this material for use in our Phase 3 program.
With manufacturing of clinical trial material complete, we are now allocating additional technical resources to other activities related to the scale-up of manufacturing for the
planned commercial launch of CaPre in 2021.

We  initiated  our  TRILOGY  Phase  3  program  and  began  site  activation  and  patient  enrollment  on  schedule  at  the  end  of  2017.  We  are  working  with  a  major  clinical
research organization to manage our TRILOGY Phase 3 program. The TRILOGY studies continued to progress on schedule throughout 2018, and as of the date of this annual
report, they remain on schedule for delivery of topline results for TRILOGY 1 in December 2019, and TRILOGY 2 in January 2020. As of June 2019, our two on-going Phase
3 TRILOGY trials had reached 100% patient randomization at more than 150 clinical sites across the United States, Canada, and Mexico, and more than 60% of the patients in
both trials had completed their 6-month treatment plan.

Our first study, designated as TRILOGY 1, is being conducted exclusively in the United States and is fully randomized with a total of 245 patients. The TRILOGY 2 study,
which is also fully randomized as of the date of this annual report, also has a total of 245 patients, and is being conducted in the United States, Canada and Mexico. We expect
to report topline results independently for each study as we receive the results.

The following chart illustrates the design and dosing of our TRILOGY Phase 3 program for CaPre.

TRILOGY Phase 3 Clinical Program

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Clinical Trial Process and Timeline

During  the  second  half  of  2017,  our  clinical  research  organization,  or  CRO,  began  the  process  of  identifying  a  sufficient  number  of  clinical  sites  with  experienced
investigators to conduct the two Phase 3 clinical trials. Site activation involves negotiating a contract, gaining approval from the site’s Institutional Review Board, or IRB, and
delivery of clinical supplies. It was determined that approximately 150 sites across North America would be used to randomize the total of about 500 patients with severe HTG
required  to  complete  the  two  Phase  3  studies.  Site  activation  was  initiated  in  the  fourth  quarter  of  2017,  and  was  completed  in  the  first  half  of  2018.  Site  activation  runs
concurrently with patient screening and enrollment in order to secure an adequate number of sites to achieve the patient enrollment goals of the program.

Initiating a clinical trial involves numerous steps to engage investigators to screen and qualify patients as participants, prior to randomizing them to test the investigational
drug. This entire screening and randomization process takes an average of six to nine weeks. Patient recruitment is conducted by each clinical trial site, supported by resources
provided  by  the  CRO. After  a  patient  is  identified  by  the  investigator  as  a  possible  candidate  for  the  clinical  trial,  they  are  screened  to  determine  their  eligibility  for  trial
enrollment. The screening period takes four to six weeks. Patients must meet the inclusion criteria of the study, as described in the trial plan, also known as a protocol. We
expect each patient will require two screening visits with the investigator’s clinical staff, whereby medical history and patient consent are obtained. This further qualification
process takes two to three weeks.

When patient qualification is confirmed, the process of randomization begins. Approximately 245 patients were randomized in each Phase 3 study. This sample size per
study would provide 90% statistical power to detect at least a 20% decrease in TG levels from baseline to week 12 between CaPre and placebo with a two-sided α  at  0.05
(primary endpoint), a difference that is believed to be clinically relevant. A randomized controlled trial is designed to reduce bias when testing an investigational treatment. The
process of assigning patients to these groups by chance, rather than choice, is completely blinded, and is called randomization. The groups are referred to as the experimental
group or the control group. In the TRILOGY Phase 3 clinical trials, patients were assigned to either receive CaPre (experimental) or placebo (control). Each patient stays on
CaPre or placebo for a period of 26 weeks.

The two TRILOGY Phase 3 clinical trials proceed to dosing both the experimental and control groups, according to the protocol, to assess CaPre’s efficacy and safety
compared to placebo. In these double-blind studies, neither we, the patients or the investigators know which treatment (experimental drug or placebo) a patient receives. Only
after  all  data  has  been  recorded  and  analyzed  will  we,  the  investigators  and  the  participants  learn  which  were  which.  The  trial  conduct  and  patient  safety  are  rigorously
monitored to ensure regulatory compliance and to maintain the integrity of the study in order to assess outcomes.

Our Regulatory Strategy for CaPre

Our strategy is to develop and initially commercialize CaPre for the treatment of severe HTG. The TRILOGY Phase 3 program was initiated during the second half of 2017
and has been designed to evaluate the clinical effect of CaPre on TGs, non-HDL-C, LDL-C, and HDL-C levels together with a variety of other cardiometabolic biomarkers in
patients with severe HTG.

We intend to pursue a 505(b)(2) regulatory pathway towards an NDA approval in the United States. A 505(b)(2) regulatory pathway is defined in the U.S. Federal Food
Drug and Cosmetic Act (FDCA) as an NDA containing investigations of safety and effectiveness that are being relied upon for approval and were not, in whole, conducted by or
for the applicant, and for which the applicant has not obtained a right of reference. 505(b)(2) regulatory pathways differ from a typical NDA because they allow a sponsor to
rely, at least in part, on the FDA’s findings of safety and/or effectiveness for a previously- approved drug. We intend to pursue the 505(b)(2) regulatory pathway as a strategy to
leverage the large body of safety data for LOVAZA, which could accelerate and streamline the development of CaPre and reduce associated costs and risks. This pathway still
allows CaPre to retain its New Chemical Entity (NCE) status due to its novel, patented OM3 free fatty acid/phospholipid ester formulation.

In connection with our intended use of the 505(b)(2) pathway, the FDA supported our proposal to conduct our Bridging Study that compared CaPre (which has an OM3
free fatty acid/phospholipid composition) with LOVAZA (which has an OM3-acid ethyl esters composition) in healthy volunteers. In February 2017, we met with the FDA at
an End-of-Phase 2 meeting where our Bridging Study data was discussed. We confirmed with the FDA the 505(b)(2) regulatory approach to use the safety data for LOVAZA
and finalized the study design for our Phase 3 program that would be required for NDA approval.

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Our planned remaining key development and regulatory milestones and timeline are presented below.

Our Intellectual Property Strategy

Under a license agreement we entered into with Neptune in August 2008, which was later amended on February 9, 2009 and March 7, 2013 (the “License Agreement”), we
received an exclusive license to use certain intellectual property of Neptune (which includes several patents) to develop and commercialize CaPre and our novel and active
pharmaceutical ingredients, or APIs, for use in pharmaceutical and medical food applications in the cardiometabolic field. The term of the License Agreement expires on the
date  of  the  last-to-expire  licensed  patents  in  2022. As  the  result  of  a  royalty  prepayment  transaction  we  entered  into  with  Neptune  on  December  4,  2012,  we  are  no  longer
required to pay any royalties to Neptune under the License Agreement during its term for the use of the licensed intellectual property.

On August 8, 2017, Neptune announced that it sold its krill oil inventory and intellectual property to Aker BioMarine Antarctic AS, or Aker. The sold intellectual property
included the intellectual property to which rights were granted us under the License Agreement. As part of that transaction, Aker entered into a patent license agreement with
Neptune  pursuant  to  which  it  granted  to  Neptune  the  right  to  sublicense  to  us  certain  intellectual  property  as  necessary  to  allow  us  to  maintain  our  license  grant  under  the
original License Agreement. Accordingly, the license granted to us under the License Agreement remains in force.

Upon the expiry of the License Agreement, we believe that CaPre will be covered under our own issued and pending patents, and we do not believe that we will afterwards

require any licenses to support the commercialization of CaPre.

We  currently  have  patents  granted  and  allowed  in  the  following  countries:  United  States,  Canada,  Russia,  Belgium,  Switzerland,  Germany,  Denmark,  Spain,  Finland,
France, United Kingdom, Italy, Netherlands, Norway, Portugal, Sweden, Japan, Israel, Australia, China, Mexico, Panama, Saudi Arabia, Taiwan, South Africa, Chile and South
Korea. We continue to expand our own intellectual property, or IP, patent portfolio. We have filed patent applications in more than 20 jurisdictions, including with the European
Patent  Office  (but  excluding  the  individual  countries  where  we  have  subsequently  registered),  and  in  countries  in  North America, Asia  and Australia  for  our  “Concentrated
Therapeutic Phospholipid Composition”, or Proprietary Composition, to treat HTG. We currently have more than 20 issued or allowed patents (including registered European
countries) and numerous patent applications pending. A patent is generally valid for 20 years from the date of first filing. However, patent terms can be subject to extensions in
some jurisdictions in order to compensate, for example, for delays caused by the patent office during prosecution of the patent application or for regulatory delays during the
pre-market approval process.

Two U.S. patents, U.S. Patent Nos. 8,586,567 and 9,475,830, have issued which relate to the use of concentrated therapeutic phospholipid compositions for treating or
preventing  diseases  associated  with  cardiovascular  disease,  comprising  administering  an  effective  amount  of  a  concentrated  therapeutic  phospholipid  composition.  More
specifically, U.S. Patent No. 8,586,567 covers a method of reducing serum TG levels comprising administering to a subject an effective amount of a concentrated phospholipid
(PL)  composition  having,  among  other  things,  a  concentration  of  total  phospholipids  in  the  composition  of  approximately  66%  (w/w).  U.S.  Patent  No.  9,475,830  covers  a
method of treating HTG comprising administering to a subject a therapeutically effective amount of a concentrated therapeutic phospholipid composition, having, among other
things, a concentration of total phospholipids in the composition of approximately 60% (w/w). U.S. Patent No. 10,130,644 (U.S. Patent Application Serial No. 15/258,044) was
granted and covers claims directed towards a composition encompassing an extract comprising a PL content between approximately 60% to approximately 99%. We also filed a
U.S. continuation patent application (U.S. Patent Application Serial No. 16/135212) to pursue claims directed towards a composition encompassing an extract comprising a PL
content between approximately 50% (w/w) to approximately 70% (w/w).

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In 2017, additional patents were granted to us by the Taiwanese, South Korean, and Australian patent offices to protect our Proprietary Composition using compositions of
matter claims and medical use claims. In 2018, we were also granted patents by the Canadian Intellectual Property Office, the European Patent Office (EPO), the Russian Patent
Office, and the Japanese Patent Office for the Proprietary Composition, all of which contain compositions of matter claims and medical use claims. On January 9, 2019, we
announced a Certificate for a European Patent had been issued by the European Patent Office. The granted patent is valid until 2030 and relates to a concentrated phospholipid
composition and method of using the same for modulating blood lipids. This patent was validated in Belgium, Switzerland, Germany, Denmark, Spain, Finland, France, United
Kingdom, Italy, Netherlands, Norway, Portugal and Sweden. We also received notices of allowances for patents in Chile, Mexico and Israel.

We believe these patents and patent applications increase potential commercial opportunities for CaPre, including through possible licensing and partnership opportunities.
We  are  committed  to  building  a  global  portfolio  of  patents  to  ensure  long-lasting  and  comprehensive  intellectual  property  protection  and  to  safeguard  potentially  valuable
market expansion opportunities.

Our patent No. 600167 in New Zealand, which is in force until 2030 and relates to a concentrated phospholipid composition comprising 60% PL and method of using the
same for treating cardiovascular diseases, has been opposed by BIO-MER Ltd. The evidentiary stage in the New Zealand patent opposition has been completed. The next step is
the hearing. In our view, no new prior art has been presented that was not already considered in other jurisdictions, such as in the United States, where our patents are in force.

We have received a notice issued from the Japan Patent Office (JPO) indicating that a third party filed an opposition against our Japanese Patent No. 6346121. We are in

the process of replying by amendment of our claims to the Japanese Patent Office, which we believe would allow us to overcome the prior art cited in the opposition.

The trademark CaPre® is registered in the United States, Canada, Australia, China, Japan and Europe. We are currently in the process of developing a new brand name and
logo for CaPre for launch into the U.S. market. That name, once it is developed, will be trademarked in all of the major jurisdictions around the world. In addition, two PCT
applications that cover our encapsulation apparatus and manufacturing process while maintaining industrial trade secrets and know-how. We also filed a provisional application
directed to our RKO manufacturing process.

Manufacturing of CaPre

We are developing CaPre as a new chemical entity (which means a novel chemical product protected by patents), and we are conducting our TRILOGY Phase 3 program

using good manufacturing practices, or cGMP, good clinical practices, or cGCP, and good laboratory practices, or cGLP.

The contract manufacturing organizations, or CMOs, selected by us for manufacturing and packaging are all cGMP compliant. In preparation for our TRILOGY Phase 3
program,  working  together  with  our  pharmaceutical  CMOs,  we  advanced  the  installation  and  qualification  of  the  proprietary  extraction  and  purification  equipment  used  to
manufacture CaPre. We ran our first scaled cGMP production lots of CaPre at CordenPharma’s Chenôve facility in Dijon, France during the first half of 2017. We scaled up to
100 kg/day in late 2017 to fulfill the clinical product requirements for our TRILOGY Phase 3 program. We are currently operating at a scale of 20 tons per year, and plan to
scale  further  to  40  tons  to  support  our  initial  commercial  launch. As  of  the  date  of  this  annual  report,  we  have  completed  all  clinical  lots  of  NKPL66  and  CaPre  for  our
TRILOGY Phase 3 program, and we have made additional safety batches to mitigate any potential loss in shipping.

Our Business and Commercialization Strategy

Key elements of our business and commercialization strategy include initially obtaining regulatory approval for CaPre in the United States for severe HTG. We plan to
launch  CaPre  ourselves  in  the  U.S.  market.  Our  preferred  strategy  outside  the  United  States  is  to  commercialize  CaPre  through  regional  or  country-specific  strategic
partnerships, and to potentially seek support and funding from each partner for in-country clinical development, registration and commercialization activities. We believe that a
late development-stage and differentiated drug candidate like CaPre could be attractive to various global, regional or specialty pharmaceutical companies, and we are taking a
targeted approach to partnering and licensing in various geographies.

Our key commercialization goals include:

·

complete our TRILOGY Phase 3 program and, assuming the results are positive, file an NDA by mid 2020 to obtain regulatory approval for CaPre in the United States,
initially for the treatment of severe HTG, with the potential to afterwards expand CaPre’s indication to the treatment of high TGs (although at least one additional clinical
trial would likely be required to expand CaPre’s indication to this segment);

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·

·

·

continue to strengthen our patent portfolio and other intellectual property rights;

continue planning for the potential launch of CaPre in the United States by the second half of 2021; and

continue  to  pursue  strategic  opportunities  outside  of  the  United  States,  such  as  licensing  or  similar  transactions,  joint  ventures,  partnerships,  strategic  alliances  or
alternative financing transactions, to provide development capital, market access and other strategic sources of capital.

In addition to completing our TRILOGY Phase 3 program, we expect that additional time and capital will be required to complete the filing of an NDA to obtain FDA
approval  for  CaPre  in  the  United  States,  and  to  complete  business  development  collaborations,  marketing  and  other  pre-commercialization  activities  before  reaching  the
commercial launch of CaPre in the United States.

Competition

The  biotechnology  and  pharmaceutical  industries  are  highly  competitive.  There  are  many  pharmaceutical  companies,  biotechnology  companies,  public  and  private
universities and research organizations actively engaged in the research and development of products that may be similar to CaPre. We believe that the number of companies
seeking  to  develop  products  and  therapies  similar  to  CaPre  will  likely  increase,  particularly  based  on  the  positive  REDUCE-IT  CVOT  by Amarin,  and  if Astra  Zeneca’s
STRENGTH CVOT is successful.

Our competitors in the United States and globally include large, well-established pharmaceutical companies, specialty pharmaceutical sales and marketing companies, and
specialized cardiovascular treatment companies. GlaxoSmithKline plc, which currently sells LOVAZA, a prescription-only OM3 fatty acid indicated for patients with severe
HTG, was approved by the FDA in 2004 and has been available in the U.S. market since 2005. Multiple generic versions of LOVAZA are now available in the United States.
Amarin launched its prescription-only OM3 drug VASCEPA in 2013, and reached a market share of approximately 45% by the end of 2018. In addition, EPANOVA (OM3-
carboxylic acids) capsules, a free fatty acid form of OM3 (comprised of 55% EPA and 20% DHA), is FDA-approved for patients with severe HTG.  OMTRYG, another OM3-
acid fatty acid composition developed by Trygg Pharma AS, received FDA approval for severe HTG. Neither EPANOVA nor OMTRYG have yet been commercially launched,
but  could  launch  at  any  time. Matinas  recently  decided  to  restart  their  development  program  for  MAT9001,  an  omega-3  free  fatty  acid  that  consists  primarily  of  EPA  and
docosapentaenoic  acid  (DPA).  Other  large  companies  with  products  that  would  compete  indirectly  with  CaPre  include AbbVie,  Inc.,  which  currently  sells  TRICOR  and
TRILIPIX for the treatment of severe HTG, and NIASPAN, which is primarily used to raise HDL-C but is also used to lower TGs. Generic versions of TRICOR, TRILIPIX,
and  NIASPAN  are  also  now  available  in  the  United  States.  In  addition,  we  are  aware  of  a  number  of  other  pharmaceutical  companies  that  are  developing  products  that,  if
approved and marketed, could compete with CaPre.

Raw Materials

We use semi-refined raw krill oil as our primary raw material to produce CaPre. Krill are generally harvested in Antarctic waters. The krill biomass is the world’s most
abundant biomass and it is monitored to help ensure sustainable cultivation. Historically, we sourced all of our krill oil from Neptune. On August 8, 2017, Neptune announced
it was discontinuing krill oil production, and selling its krill oil inventory and intellectual property to Aker. In the three-month period ending December 31, 2017, we purchased
a reserve of krill oil from Neptune and Aker that was used in the production of CaPre capsules for our Phase 3 clinical trials. In addition, krill oil was purchased from Aker,
which was also used in our Phase 3 trials. There are several alternative suppliers of krill oil that we have confirmed can meet our specifications for CaPre. Combined, they have
more than adequate production capacity to meet our future needs.

Employees, Specialized Skills and Knowledge

Our  management  consists  of  professionals  from  business  development,  sales  and  marketing,  clinical  development,  pharmaceutical  manufacturing,  finance  and  science
backgrounds.  Our  research  team  includes  scientists  with  expertise  in  pharmaceutical  development,  chemistry,  manufacturing  and  controls,  nonclinical  and  clinical  studies,
pharmacology, regulatory affairs, quality assurance/quality control, intellectual property and strategic alliances. We currently employ 28 full-time employees with the majority
working out of our headquarters in Laval and at our laboratory in Sherbrooke. We generally require all of our employees to enter into invention assignment, non-disclosure and
non-compete  agreements.  We  rely  on  third-party  consultants  and  contractors  from  time  to  time.  Our  employees  are  not  covered  by  any  collective  bargaining  agreement  or
represented by a trade union.

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Additional Information About Our Phase 2 Clinical Trials

Our COLT Trial

Our COLT clinical trial, which was completed in 2014, was a randomized, open-label, dose-ranging, multi-center trial in Canada designed to assess the safety and efficacy
of CaPre in the treatment of patients with TG levels between 200-877 mg/dL. The primary objectives of the COLT study were to evaluate the safety and efficacy of 0.5 gram, 1
gram, 2 grams and 4 grams of CaPre per day in reducing fasting plasma TGs over 4 and 8 weeks, as compared to the standard of care alone.

The secondary objectives of the COLT study were to evaluate:

·

·

·

the effect of CaPre on fasting plasma TGs in patients with TGs between 200-499 mg/dL (mild to moderate HTG);

the dose dependent effect on fasting plasma TGs in patients with TGs between 500-877 mg/dL (severe HTG); and

the effect of CaPre on fasting plasma levels of LDL-C (direct measurement), HDL-C, non-HDL-C, hs-CRP and OM3 index.

The final results of the COLT trial indicated that CaPre was safe and effective in reducing TGs in patients with mild to severe HTG with significant mean (average) TG
reductions above 20% after 8 weeks of treatment with daily doses of 4 grams and 2 grams. Demographics and baseline characteristics of the patient population were balanced in
terms of age, race and gender. A total of 288 patients were enrolled and randomized and 270 patients completed the study, which exceeded our targeted number of evaluable
patients. From this patient population, approximately 90% had mild to moderate HTG.

The proportion of patients treated with CaPre that experienced one or more adverse events in the COLT trial was similar to that of the standard of care group (30.0% versus
34.5%,  respectively).  A  substantial  majority  of  adverse  events  were  mild  (82.3%)  and  no  severe  treatment-related  adverse  effects  were  reported.  Only  one  patient  was
discontinued from the study due to an adverse event of moderate intensity. While the rate of gastrointestinal side effects was higher in the CaPre groups compared to standard of
care alone and appeared to increase in a dose-related manner, none of the subjects participating in the study suffered from a serious adverse event. The COLT study results
showed that even at higher doses, CaPre is safe and well tolerated with only transient and predominantly mild adverse events occurring at low rates.

The COLT trial met its primary objective of showing CaPre to be safe and effective in reducing TGs in patients with mild to severe HTG. After only a 4-week treatment,
CaPre achieved a statistically significant TG reduction as compared to standard of care alone. Standard of care could be any treatment physicians considered appropriate in a
real-life clinical setting and included lifestyle modifications as well as statins and/or ezetimibe. Patients treated with 4 grams of CaPre per day over 4 weeks reached a mean TG
decrease of 15.4% from baseline and a mean improvement of 18.0% over the standard of care. Results also showed increased benefits after 8 weeks of treatment, with patients
on a daily dose of 4 grams of CaPre registering a mean TG decrease of 21.6% from baseline and a mean improvement of 14.4% over the standard of care.

After 8 weeks of treatment, patients treated with 1 gram of CaPre for the first 4 weeks of treatment and 2 grams for the following 4 weeks, showed a statistically significant
TG mean improvement of 16.2% over the standard of care, corresponding to a 23.3% reduction for the 1-2 grams patient population as compared to a 7.1% reduction for the
standard of care. After 8 weeks of treatment, patients treated with 2 grams of CaPre for the entire 8 weeks showed statistically significant TG mean improvements of 14.8%
over the standard of care, corresponding to a 22.0% reduction for the 2 grams group as compared to a 7.1% reduction for the standard of care. Also, after 8 weeks of treatment,
patients  treated  with  4  grams  for  the  entire  8  weeks  showed  statistically  significant  TG,  non-HDL-C  and  HbA1C  mean  improvements  of  14.4%  and  9.8%  and  15.0%,
respectively, as compared to standard of care. The 4-gram group showed mean improvements in:

·

·

·

TGs of 14.4%, corresponding to a reduction of 21.6% as compared to a reduction of a 7.1% for the standard of care group;

non-HDL-C of 9.8%, corresponding to a reduction of 12.0% as compared to a reduction of 2.3% for the standard of care group; and

HbA1C of 15.0%, corresponding to a reduction of 3.5% as compared to an increase of 11.5% for the standard of care group.

In addition, all combined doses of CaPre showed a statistically significant treatment effect on HDL-C levels, with an increase of 7.4% as compared to standard of care.
Trends (p-value < 0.1) were also noted on patients treated with 4 grams of CaPre for the entire 8-week treatment period with mean reduction of total cholesterol of 7.0% and
increase of HDL-C levels of 7.7%, as compared to the standard of care. The results of the COLT trial indicated that CaPre has no significant deleterious effect on LDL-C levels.

Our TRIFECTA Trial

Our TRIFECTA clinical trial, which was completed in 2015, was a 12-week, randomized, placebo-controlled, double-blind, dose-ranging trial in Canada, designed to assess
the safety and efficacy of CaPre at a dose of 1 gram or 2 grams on fasting plasma TGs as compared to a placebo in patients with TG levels between 200-877 mg/dL. A total of
387  patients  were  randomized  and  365  patients  completed  the  12-week  study,  consistent  with  our  targeted  number  of  evaluable  patients.  From  this  patient  population,
approximately  90%  had  mild  to  moderate  HTG  with  baseline  TGs  between  200  and  499  mg/dL.  The  remainder  had  severe  HTG  with  baseline  TGs  between  500  and  877
mg/dL. Approximately 30% of patients were on lipid-lowering medications, such as statins, and approximately 10% were diabetic.

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Similar to our COLT study, the primary objective of the TRIFECTA study was to evaluate the effect of CaPre on fasting plasma TGs in patients with TGs between 200-

877 mg/dL and to assess the tolerability and safety of CaPre. The secondary objectives of the TRIFECTA study were to evaluate:

·

·

·

the effect of CaPre on fasting plasma TGs in patients with TGs between 200-499 mg/dL;

the dose dependent effect on fasting plasma TGs in patients with TGs between 500-877 mg/dL; and

the effect of CaPre in patients with mild to moderate HTG and severe HTG on fasting plasma levels of LDL-C (direct measurement), and on fasting plasma levels of
HDL-C, non-HDL-C, hs-CRP and OM3 index.

CaPre successfully met the TRIFECTA study’s primary objective. The placebo-corrected percentage change in TGs were decreases of 9.1% (p=0.049) and 9.7% (p=0.044)

for 1 gram and 2 grams of CaPre, respectively. Key secondary objectives were also met:

·

·

·

there was a statistically significant decrease in non-HDL-C versus placebo (p=0.038), with the 2-gram group decreasing by 5.3% from baseline versus placebo over the
12-week period;

HDL-C slightly increased at both the 1-gram and 2-gram levels; and

LDL-C and slightly decreased at the 2-gram level.

Finally,  a  statistically  significant  dose  response  increase  in  the  OM3  index  for  patients  on  1  gram  and  2  grams  versus  placebo  was  noted.  The  OM3  index  reflects  the

percentage of EPA and DHA in red blood cell fatty acids and the risk of cardiovascular disease is considered to be lower as the OM3 index increases.

CaPre was found to be safe and well tolerated at all doses tested, with no serious adverse events that were considered treatment- related. Out of 387 randomized patients, a
total of 7 (1.8%) were discontinued as a result of adverse events, three were on placebo, two were on 1 gram and two were on 2 grams of CaPre. The predominant incidence was
gastrointestinal-related, with no difference between CaPre and placebo. The safety profiles of patients on CaPre and placebo were similar.

Government Regulation

United States Drug Development

Government authorities in the United States, at the federal, state and local level, and in other countries extensively regulate, among other things, the research, development,
testing,  manufacture,  quality  control,  approval,  labeling,  packaging,  storage,  record-  keeping,  promotion,  advertising,  distribution,  post-approval  monitoring  and  reporting,
marketing and export and import of drug products such as CaPre. Generally, before a new drug can be marketed, considerable data demonstrating its quality, safety and efficacy
must be obtained, organized into a format specific to each regulatory authority, submitted for review and approved by the regulatory authority.

FDA Regulatory Process

In  the  United  States,  the  FDA  regulates  drugs  under  the  FDCA  and  its  implementing  regulations.  Drugs  are  also  subject  to  other  federal,  state  and  local  statutes  and
regulations.  The  process  of  obtaining  regulatory  approvals  and  the  subsequent  compliance  with  appropriate  federal,  state  and  local  statutes  and  regulations  require  the
expenditure of substantial time and financial resources.

In order to be marketed in the United States, CaPre must be approved by the FDA through the NDA review process. The process required before a drug may be marketed

in the United States generally involves the following:

·

·

·

·

completion of extensive nonclinical (animal) and formulation studies in accordance with applicable regulations, including the FDA’s Good Laboratory Practice, or GLP,
regulations;

submission of an investigational new drug application, or IND, which must become effective before human clinical trials may begin in the United States;

performance of adequate and well-controlled clinical trials in accordance with the applicable IND  and  other  clinical  study-  related  regulations,  such  as  current  Good
Clinical Practices, or cGMP, to establish the safety and efficacy of the proposed drug for its proposed indication;

submission of an NDA for a new drug;

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·

·

·

satisfactory completion of an FDA pre-approval inspection of the manufacturing facility or facilities where the drug is produced to assess compliance with cGMP to
assure that the facilities, methods and controls are adequate to preserve the drug’s identity, strength, quality and purity;

satisfactory completion of potential FDA audit of the nonclinical and/or clinical trial sites that generated the data in support of the NDA; and

FDA review and approval of the NDA prior to any commercial marketing or sale of the drug in the United States.

The  data  required  to  support  an  NDA  is  generated  in  two  distinct  development  stages:  nonclinical  and  clinical.  The  nonclinical  development  stage  generally  involves
synthesizing  or  otherwise  producing  the  active  component,  developing  the  formulation  and  determining  the  manufacturing  process,  as  well  as  carrying  out  non-human
toxicology, pharmacology and drug metabolism studies in the laboratory, which support subsequent clinical testing. The sponsor must submit the results of the nonclinical tests,
together with manufacturing information, analytical data, any available clinical data or literature and a proposed clinical protocol, to the FDA as part of the IND, which is a
request for authorization from the FDA to administer an investigational drug product to humans. The IND automatically becomes effective 30 days after receipt by the FDA,
unless the FDA raises concerns or questions regarding the proposed clinical trials. The FDA may also place the IND on clinical hold within that 30-day time period. In such a
case, the IND sponsor and the FDA must resolve any outstanding concerns before the clinical trial can begin. A clinical hold may be imposed at any time before or during a
clinical trial due to safety concerns or non-compliance.

The clinical stage of development first involves the administration of the investigational drug to healthy volunteers and then to patients with the disease being targeted with
the drug, all done under the supervision of qualified investigators, generally physicians not employed by or under the trial sponsor’s control, in accordance with cGCP. All
research subjects must provide their informed consent for their participation in any clinical trial. Clinical trials are conducted under protocols detailing, among other things, the
objectives of the clinical trial, dosing procedures, subject selection and exclusion criteria, data collection, and the parameters to be used to monitor subject safety and assess the
investigational drug’s efficacy. Each protocol, and any subsequent amendments to the protocol or new investigator’s information, must be submitted to the FDA as part of the
IND. Further, each clinical trial must be reviewed and approved by an independent institutional review board, or IRB, at or servicing each institution at which the clinical trial
will be conducted. An IRB is charged with protecting the welfare and rights of trial participants and considers such items as whether the risks to individuals participating in the
clinical trials are minimized and are reasonable in relation to anticipated benefits. The IRB also approves the informed consent form that must be provided to each clinical trial
subject or its legal representative. There are also requirements governing the reporting of ongoing clinical trials and completed clinical trial results to public registries, as well as
reporting of safety information under the IND.

Clinical studies are generally conducted in three sequential phases that may overlap, known as Phase 1, Phase 2 and Phase 3 clinical trials. Phase 1 generally involves a
small number of healthy volunteers who are initially exposed to a single dose and then multiple doses of the investigational drug. The primary purpose of these studies is to
assess the metabolism, pharmacologic action, side effect tolerability and safety of the drug. Phase 2 trials typically involve studies in disease-affected patients to determine the
dose required to produce the desired benefits. At the same time, safety and further pharmacokinetic and pharmacodynamic information is collected, as well as identification of
possible adverse effects and safety risks and preliminary evaluation of efficacy. Phase 3 clinical trials generally involve large numbers of patients at multiple sites, often in
multiple countries (from several hundred to several thousand subjects) and are designed to provide the data necessary to demonstrate the effectiveness of the product for its
intended use, its safety in use, and to establish the overall benefit/risk relationship of the product and provide an adequate basis for product approval. Phase 3 clinical trials
should, if possible, include comparisons with placebo and may include a comparison to approved therapies. The duration of treatment is often extended to mimic the actual use
of a product during marketing. Generally, two adequate and well-controlled Phase 3 clinical trials are required by the FDA for approval of an NDA (Pivotal Studies).

Progress reports detailing the results of the clinical trials must be submitted at least annually to the FDA. In addition, written IND safety reports must be submitted to the
FDA and the investigators for serious and unexpected adverse events or any finding from tests in laboratory animals that suggests a significant risk for human subjects. The
FDA,  the  IRB,  or  the  sponsor  may  suspend  or  terminate  a  clinical  trial  at  any  time  on  various  grounds,  including  a  finding  that  the  research  subjects  or  patients  are  being
exposed to an unacceptable health risk.

Additionally, some clinical trials are overseen by an independent group of qualified experts organized by the clinical trial sponsor, known as a data safety monitoring board
or committee. This group provides oversight and will determine whether or not a trial may move forward at designated check points based on review of interim data from the
study. A clinical trial may be terminated or suspended based on evolving business objectives and/or competitive climate.

The manufacturing process must be capable of consistently producing quality batches of the investigational drug and, among other things, must develop methods for testing
the identity, strength, quality and purity of the final drug product. The sponsor must develop appropriate labeling that sets forth the conditions of intended use. Additionally,
appropriate packaging must be selected and tested and stability studies must be conducted to demonstrate that the drug candidate does not undergo unacceptable deterioration
over its shelf life.

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Post-approval  studies,  sometimes  referred  to  as  Phase  4  clinical  trials,  may  be  conducted  after  initial  marketing  approval.  These  studies  are  used  to  gain  additional
experience from the treatment of patients in the intended therapeutic indication. In certain instances, the FDA may mandate the performance of Phase 4 studies as part of a post-
approval commitment, such as pediatric studies.

NDA and FDA Review Process

Nonclinical and clinical information is filed with the FDA in an NDA along with proposed labeling. The NDA is a request for approval to market the drug and must contain
proof  of  safety,  purity,  potency  and  efficacy,  which  is  demonstrated  by  extensive  nonclinical  and  clinical  testing.  Data  may  come  from  company-sponsored  clinical  trials
intended to test the safety and effectiveness of a use of a product, or from a number of alternative sources, including studies initiated by investigators. To support marketing
approval, the data submitted must be sufficient in quality and quantity to establish the safety and effectiveness of the investigational drug product to the satisfaction of the FDA.

The submission of an NDA is subject to the payment of substantial user fees; a waiver of such fees may be obtained under certain limited circumstances. FDA approval of
an NDA must be obtained before marketing a drug in the United States. In addition, under the Pediatric Research Equity Act, an NDA or supplement to an NDA must contain
data to assess the safety and effectiveness of the drug for the claimed indications in all relevant pediatric subpopulations and to  support  dosing  and  administration  for  each
pediatric subpopulation for which the product is safe and effective. The FDA may grant deferrals for submission of data or full or partial waivers.

The FDA reviews all NDAs submitted before it accepts them for filing and may request additional information. The FDA must make a decision on accepting an NDA for
filing within 60 days of receipt. Once the submission is accepted for filing, the FDA begins an in-depth review of the NDA. Under the goals and policies agreed to by the FDA
under the Prescription Drug User Fee Act, or PDUFA, the FDA has ten months from the filing date in which to complete its initial review of a standard NDA and respond to the
applicant. This review typically takes 12 months from the date the NDA is submitted to the FDA including the screening which takes a period of 60 days. The FDA does not
always meet its PDUFA goal dates for standard NDAs, and the review process may be significantly extended by FDA requests for additional information or clarification.

After the NDA submission is accepted for filing, the FDA reviews the NDA to determine, among other things, whether the proposed product is safe and effective for its
intended use, and whether the product is being manufactured in accordance with cGMP to assure and preserve the product’s identity, strength, quality and purity. The FDA will
likely re-analyze the clinical trial data, which could result in extensive discussions with the FDA.

Before approving an NDA, the FDA will conduct a pre-approval inspection of the manufacturing facilities for the new product to determine whether they comply with
cGMP. The FDA will not approve the product unless it determines that the manufacturing processes and facilities are in compliance with cGMP requirements and adequate to
assure consistent production of the product within required specifications. In addition, before approving an NDA, the FDA may also audit data from clinical trials to ensure
compliance with cGCP requirements. After the FDA evaluates the application, manufacturing process and manufacturing facilities, it will issue a Complete Response Letter, or
CRL. A  CRL  indicates  that  the  review  cycle  of  the  application  is  complete  and  whether  the  application  is  approved  and,  when  applicable,  the  CRL  describes  the  specific
deficiencies in the NDA and may require additional clinical data and/or an additional Phase 3 clinical trial(s), and/or other significant and time-consuming requirements related
to clinical trials, nonclinical studies or manufacturing. The applicant may either resubmit the NDA, addressing all of the deficiencies identified in the letter, or withdraw the
application. Even if such data and information is submitted, the FDA may ultimately decide that the NDA does not satisfy the criteria for approval.

If a product receives marketing approval, the approval may be significantly limited to specific diseases and dosages or the indications for use may otherwise be limited,
which  could  restrict  the  commercial  value  of  the  product.  Further,  the  FDA  may  require  that  certain  contraindications,  warnings  or  precautions  be  included  in  the  product
labeling, may condition the approval of the NDA on other changes to the proposed labeling, or may require a Risk Evaluation and Mitigation Strategy (REMS), which could
limit the ability to market the drug once approved. The FDA may also require the development of adequate controls and specifications, or a commitment to conduct post-market
testing or clinical trials and surveillance to monitor the effects of approved products.

U.S. Post-Marketing Requirements

Following approval of a new product, a pharmaceutical company and the approved product are subject to continuing regulation by the FDA, including, among other things,
monitoring and recordkeeping activities, reporting to the applicable regulatory authorities of adverse experiences with the product and reporting Field Alert information relating
to  bacteriological  contamination,  significant  deterioration  of  the  product  or  failure  of  distributed  product  to  meet  specifications,  providing  the  regulatory  authorities  with
updated safety and efficacy information, product sampling and distribution requirements, and complying with promotion and advertising requirements, which include, among
others, standards for direct-to-consumer advertising, restrictions on promoting drugs for uses or in patient populations that are not described in the drug’s approved labeling, or
“off-label use”, limitations on industry-sponsored scientific and educational activities, and requirements for promotional activities involving the internet. Although physicians
may prescribe legally available drugs for off-label uses, manufacturers and distributors may not market or promote such off-label uses. Modifications or enhancements to the
product or its labeling or changes of the site of manufacture are often subject to the approval of the FDA and other regulators, which may or may not be received or may result
in a lengthy review process. In some cases, these changes will require the submission of clinical data and the payment of a user fee.

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U.S. Patent Term Restoration and Marketing Exclusivity

Depending upon the timing, duration and specifics of the FDA approval of our prescription drug candidates, some of our U.S. patents may be eligible for limited patent
term extension under the Drug Price Competition and Patent Term Restoration Act of 1984, commonly referred to as the Hatch-Waxman Amendments. The Hatch-Waxman
Amendments permit a patent restoration term of up to five years as compensation for patent term lost during product development and the FDA regulatory review process.
However, patent term restoration cannot extend the remaining term of a patent beyond a total of 14 years from the product’s approval date. The patent term restoration period is
generally one-half the time between the effective date of an IND and the submission date of an NDA plus the time between the submission date of an NDA and the approval of
that application. Only one patent applicable to an approved drug is eligible for the extension and the application for the extension must be submitted prior to the expiration of
the patent. The USPTO in consultation with the FDA, reviews and approves the application for any patent term extension or restoration. In the future, we intend to apply for
restoration of patent term for one of our currently owned or licensed patents to add patent life beyond its current expiration date, depending on the expected length of the clinical
trials and other factors involved in the filing and review of the relevant NDA.

Non-U.S. Drug Regulation

In Canada, biopharmaceutical product candidates are regulated by the Food and Drugs Act and the related rules and regulations, which are enforced by the Therapeutic
Products Directorate of Health Canada. In order to obtain approval for commercializing new drugs in Canada, the sponsor must satisfy many regulatory conditions. The sponsor
must first complete preclinical studies in order to file a clinical trial application, or CTA, in Canada. The sponsor will then receive different clearance authorizations to proceed
with Phase I clinical trials, which can then lead to Phase 2 and Phase 3 clinical trials. Once all three phases of trials are completed, the sponsor must file a registration file
named a New Drug Submission, or NDS, in Canada. If the NDS demonstrates that the product was developed in accordance with the regulatory authorities’ rules, regulations
and guidelines and demonstrates favorable safety and efficacy and receives a favorable risk/benefit analysis, then the regulatory authorities issue a notice of compliance, which
allows the sponsor to market the product.

In addition to regulations in the United States and Canada, we are subject to a variety of regulations governing clinical studies and commercial sales and distribution of our
products in other jurisdictions around the world. These laws and regulations typically require the licensing of manufacturing and contract research facilities, carefully controlled
research  and  testing  of  product  candidates  and  governmental  review  and  approval  of  results  prior  to  marketing  therapeutic  product  candidates. Additionally,  they  require
adherence to good laboratory practices, good clinical practices and good manufacturing practices during production. The process of new drug approvals by regulators in the
United States, Canada and the European Union are generally considered to be among the most rigorous in the world.

Whether or not the FDA or Health Canada approval is obtained for a product, we must obtain approval from the comparable regulatory authorities of other countries before
we can commence clinical studies or marketing of the product in those countries. The approval process varies from country to country and the time may be longer or shorter
than that required for the FDA or Health Canada approval. The requirements governing the conduct of clinical studies, product licensing, pricing and reimbursement vary greatly
from country to country. In some international markets, additional clinical trials may be required prior to the filing or approval of marketing applications within the country.

Active Pharmaceutical Ingredient Regulation

The FDA will regulate finished products containing APIs developed or under development by us. Depending on its intended uses, a finished product containing the API
may be regulated as a drug under the procedures described above. It may be possible to market a finished product containing an API developed or under development by us as a
dietary supplement. Dietary supplements do not require FDA premarket approval. However, it may be necessary to submit a notification to the FDA that a company intends to
market a dietary supplement containing a “new dietary ingredient.” In general, the regulatory requirements in other countries also depend on the nature of the finished product
and do not focus on the API itself.

Fiscal Year 2019 Developments

·

On April 20-21, 2018, we hosted a well-attended investigators meeting for the TRILOGY Phase 3 studies in Fairfax, Virginia. The aim of the investigators meeting
was  to  ensure  that  the  clinical  studies  are  conducted  in  compliance  with  the  clinical  study  protocol,  guidelines  and  applicable  regulations. Approximately  200
attendees  participated  in  this  meeting,  which  was  composed  of  physicians,  study  nurses  and  study  coordinators  representing  90  of  the  TRILOGY  clinical  sites
together with the clinical team of Acasti, our CRO, and the lead Principal Investigator for the TRILOGY studies, Dariush Mozaffarian, M.D., Dr.P.H., who also
presented at the meeting. Dr. Mozaffarian is a highly regarded cardiologist at Tufts University, and his research focuses on the influence of OM3s, diet and lifestyle
on cardiometabolic health.

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·

·

·

·

·

·

·

·

·

·

·

On May 9, 2018, we announced the closing of a public offering of 9,530,000 units at a price of $1.05 per unit for aggregate gross proceeds to us of $10,006,500,
with  each  unit  consisting  of  one  common  share  and  one  common  share  purchase  warrant.  The  common  share  purchase  warrants  comprising  the  units  are
exercisable at any time prior to May 9, 2023 at an exercise price of $1.31 per common share. On May 14, 2018, we announced that the underwriter had exercised
the over-allotment option in full pursuant to which we issued, on the same date, 1,429,500 additional units upon the same terms as set forth above for additional
aggregate gross proceeds to us of $1,500,975.

On April 27, 2018, we announced the appointment of Donald Olds to our board of directors and audit committee. See “Item 6. Directors, Senior Management and
Employees – Directors and Senior Management.”

On June 4, 2018, we announced the appointment of Mr. Brian Groch as our Chief Commercial Officer. Mr. Groch brings over 25 years of senior experience in the
healthcare  and  life  science  industries,  including  product  commercialization,  developing  and  executing  global  sales  strategies,  business  development,  and
operations. Mr. Groch will drive our global commercialization strategy, including U.S. launch planning and execution, and commercial partnering activities in the
rest of the world. See “Item 6. Directors, Senior Management and Employees – Directors and Senior Management.”

As of June 26, 2018, we had activated 110 clinical sites, 463 patients had been enrolled and 41 patients had been randomized for the CaPre TRILOGY Phase 3
program. Additional cGMP production lots of API and CaPre were manufactured during the fourth quarter, enabling us to continue to accumulate the CaPre and
placebo inventory required to support the TRILOGY Phase 3 trials.

On September 24, 2018, we announced that Mr. Jean-François Boily was appointed as the Vice President of Finance and Mrs. Linda O’Keefe, our former Chief
Financial Officer, announced her retirement.

On October 11, 2018, we announced the closing of its underwritten public offering in the United States of 19,090,000 Common Shares on October 9, 2018 (which
included the exercise in full by the underwriters of their over-allotment option to purchase 2,490,000 additional common shares), at an offering price of US$1.00
per common share generating net proceeds to us of approximately $22.6 million (US$17.4 million).

On October 23, 2018, we announced the closing of an underwritten public offering in Canada of 21,562,000 common shares (which included the exercise in full
by the underwriters of their over-allotment option to purchase 2,812,500 additional common shares), at an offering price of $1.28 per common share generating
net proceeds to us of approximately $25.4 million.

On January 9, 2019, we announced a Certificate for a European Patent had been issued to us by the European Patent Office. The granted patent is valid until 2030
and  relates  to  a  concentrated  phospholipid  composition  and  method  of  using  the  same  for  modulating  blood  lipids.  This  patent  was  validated  in  Belgium,
Switzerland, Germany, Denmark, Spain, Finland, France, United Kingdom, Italy, Netherlands, Norway, Portugal and Sweden.

On February 21,  2019,  we  announced  announces  we  had  been  recognized  by  the  TSX  Venture  Exchange  in  its  “2019  Venture  50,”  a  ranking  of  the  strongest
companies on TSX Venture Exchange by share price, trading volume and market capitalization.

On April  1,  2019,  we  announced  publication  of  CaPre’s  bioavailability  study  in  a  leading  peer-reviewed  journal.  This  study  further  validated  our  prior  study
results demonstrating that the bioavailability of CaPre is significantly better than LOVAZA when taken with a low-fat meal.

As of June 3, 2019, 100% of the required total patients for our two TRILOGY Phase 3 studies had been randomized, and more than 60% of patients who had
previously been randomized in our TRILOGY program had already completed their 6-month treatment plans. This progress supports management’s expectation
for announcing topline results of TRILOGY 1 before the end of calendar 2019 and topline results of TRILOGY 2 in January 2020.

C.

Organizational Structure

We have no subsidiaries.

D.

Property, Plants and Equipment

Our head office and operations are located at 545, Promenade Centropolis, suite 100, Laval, Québec, Canada, H7T 0A3 and our R&D and quality control laboratory is
located  at  Espace  Lab,  2650  Maximilien-Chagnon,  Sherbrooke,  Québec,  Canada,  J1E0M8.  We  do  not  own  our  own  manufacturing  facility  for  the  production  of  CaPre;
however, we do own the proprietary equipment for producing the API and drug product. We currently do not have plans to develop our own manufacturing facility. However,
this could change  in  the  foreseeable  future,  as  we  consider  the  most  cost-effective  approaches  to  producing  CaPre  while  ensuring  the  highest  level  of  quality.  We  currently
depend on third party suppliers and manufacturers to produce our required raw krill oil and drug substance and products. If CaPre is approved for distribution by the FDA, we
initially expect to rely on cGMP-compliant third parties to manufacture NKPL66, which is API in CaPre, encapsulate, bottle and package clinical supplies of CaPre.

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We  have  entered  into  an  agreement  CordenPharma  Chenôve,  a  third  party  CMO,  for  the  manufacturing  of  CaPre  clinical  material  for  the  purposes  of  our  ongoing

TRILOGY Phase 3 program in accordance with cGMP regulations imposed by the FDA.

 Item 4A. Unresolved Staff Comments

Not applicable.

 Item 5.

Operating and Financial Review and Prospects

This annual report contains forward-looking statements, principally in, but not limited to, “Item 4 - Information on the Company” and “Item 5 - Operating and Financial
Review  and  Prospects”.  These  statements  may  be  identified  by  the  use  of  words  like  “plan”,  “expect”,  “aim”,  believe”,  “project”,  “anticipate”,  “intend”,  “estimate”,  “will”,
“should”,  “could”  and  similar  expressions  in  connection  with  any  discussion,  expectation,  or  projection  of  future  operating  or  financial  performance,  events  or  trends.  In
particular, these include statements about our strategy for growth, future performance or results of current sales and production, interest rates, foreign exchange rates, and the
outcome of contingencies, such as acquisitions and/or legal proceedings and intellectual property issues.

Forward-looking statements are based on certain assumptions and expectations of future events that are subject to risks and uncertainties. Actual future results and trends
may differ materially from historical results or those projected in any forward-looking statements depending on a variety of factors, including, among other things, the factors
discussed in this annual report under “Item 3.D - Risk Factors” and factors described in documents that we may furnish from time to time to the SEC. Although the forward-
looking information is based upon what we believe to be reasonable assumptions, no person should place undue reliance on forward-looking information since actual results
may vary materially from the forward-looking information. Except as required by law, we undertake no obligation to update publicly or revise any forward- looking statements
because of new information. Please refer to “Special Note Regarding Forward-Looking Statements” at the beginning of this annual report for additional details.

Management’s Discussion and Analysis of Financial Situation and Operating Results Fiscal Years Ended March 31, 2018 and 2019

Introduction

This management’s discussion and analysis (“MD&A”) is presented in order to provide the reader with an overview of the financial results and changes to our financial
position as at March 31, 2019 and for the year then ended. This MD&A explains our material variations in the financial statements of operations, financial position and cash
flows for the year ended March 31, 2019 and 2018, thirteen-month and one-month periods ended March 31, 2017 and the twelve-month period ended February 28, 2017.

This MD&A must be read in conjunction with our audited financial statements for the year ended March 31, 2019 and 2018, and the thirteen-month period ended March
31, 2017. Our audited financial statements were prepared in accordance with International Financial Reporting Standards (“IFRS”), as issued by the International Accounting
Standards Board. Our financial results are published in Canadian dollars. All amounts appearing in this MD&A are in thousands of Canadian dollars, except share and per share
amounts or unless otherwise indicated.

Caution Regarding Non-IFRS Financial Measures

We  use  multiple  financial  measures  for  the  review  of  our  operating  performance.  These  measures  are  generally  IFRS  financial  measures,  but  one  adjusted  financial
measure, non-IFRS operating loss, is also used to assess our operating performance. This non-IFRS financial measure is directly derived from our financial statements and is
presented  in  a  consistent  manner.  We  use  this  measure,  in  addition  to  the  IFRS  financial  measures,  for  the  purposes  of  evaluating  our  historical  and  prospective  financial
performance, as well as our performance relative to competitors, and to plan and forecast future periods as well as to make operational and strategic decisions. We believe that
providing this non-IFRS information to investors, in addition to IFRS measures, allows them to see our results through the eyes of management, and to better understand its
historical and future financial performance.

Earnings and other measures adjusted to a basis other than IFRS do not have standardized meanings and are unlikely to be comparable to similar measures used by other
companies. Accordingly,  they  should  not  be  considered  in  isolation.  We  use  non-IFRS  operating  loss  to  measure  our  performance  from  one  period  to  the  next  without  the
variation  caused  by  certain  adjustments  that  could  potentially  distort  the  analysis  of  trends  in  its  operating  performance,  and  because  we  believe  it  provides  meaningful
information on our financial condition and operating results. Our method for calculating non-IFRS operating loss may differ from that used by other corporations.

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We calculate our non-IFRS operating loss measurement by adding to net loss finance expenses that includes change in fair value of derivative warrant liabilities and foreign
exchange  gain  (loss),  depreciation  and  amortization,  impairment  loss,  litigation  settlement  expected  to  be  paid  via  common  shares,  and  stock-based  compensation  and  by
subtracting finance income and deferred tax recovery. Items that do not impact our core operating performance are excluded from the calculation as they may vary significantly
from one period to another. We also exclude the effects of certain non-monetary transactions recorded, such as stock-based compensation and litigation settlement expected to
be paid via common shares, from our non-IFRS operating loss calculation. Excluding this item does not imply it is necessarily non-recurring.

A reconciliation of net loss to non-IFRS operating loss is presented later in this MD&A.

Basis of Presentation of the Financial Statements

We are subject to a number of risks associated with our ongoing priorities, including the conduct of our clinical program and  its  results,  the  establishment  of  strategic
alliances  and  the  development  of  new  pharmaceutical  products  and  their  marketing.  Our  current  product  in  development  requires  approval  from  the  FDA  and  equivalent
regulatory organizations in other countries before its sale can be authorized. Certain risks have been reduced for the longer term with the outcome of our actions, including our
intellectual  property  strategy  execution  with  filed  patent  applications  in  more  than  20  jurisdictions,  with  more  than  20  issued  patents  and  with  numerous  additional  patent
applications  pending.  We  have  incurred  significant  operating  losses  and  negative  cash  flows  from  operations  since  our  inception.  To  date,  we  have  financed  our  operations
through the public offering and private placement of common shares (with or without warrants) and convertible debt, the proceeds from research grants and research tax credits,
and the exercises of warrants, rights and options. To achieve the objectives of our business plan, we plan to raise the necessary funds through additional securities offerings and
the  establishment  of  strategic  alliances  as  well  as  additional  research  grants  and  research  tax  credits.  Our  ability  to  complete  the  needed  financing  and  ultimately  achieve
profitable operations is dependent on a number of factors outside of our control. See Item 3 “Risk Factors” in this MD&A.

We have incurred operating losses and negative cash flows from operations since inception. Our current assets of $37.3 million as at March 31, 2019 include cash and cash
equivalents totaling $22.5 million, and marketable securities of $11.9 million mainly generated by the net proceeds from our recent securities offerings. Our current liabilities of
$18.2 million at March 31, 2019 are comprised primarily of amounts due to or accrued for creditors. Management projects that additional funds will be needed in the future,
after TRILOGY phase 3 clinical trials for activities necessary to prepare for CaPre’s commercial launch, including the scale up of our manufacturing operations, the completion
of the potential regulatory (NDA) submission package (assuming positive Phase 3 clinical results), and the expansion of business development and U.S. commercial launch
activities. We are working towards the development of strategic partner relationships, as well as actively seeking additional non-dilutive funds in the future, but there can be no
assurance  as  to  when  or  whether  we  will  complete  any  strategic  collaborations  or  succeed  in  identifying  non-dilutive  funding  sources.  Consequently,  we  may  need  to  raise
additional equity capital in the future to fund these activities. In particular, raising additional capital is subject to market conditions and is not within our control. If we do not
raise additional funds or find one or more strategic partners, we may not be able to realize our assets and discharge our liabilities in the normal course of business. As a result,
there exists a material uncertainty that casts substantial doubt about our ability to continue as a going concern and, therefore, realize our assets and discharge our liabilities in
the normal course of business.

The financial statements have been prepared on a going concern basis, which assumes we will continue our operations in the foreseeable future and will be able to realize
our assets and discharge our liabilities and commitments in the ordinary course of business. These financial statements do not include any adjustments to the carrying values and
classification of assets and liabilities and reported expenses that may be necessary if the going concern basis was not appropriate for these financial statements. If we are unable
to continue as a going concern, material write-downs to the carrying values of our assets, including our intangible asset, could be required.

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Selected Financial Information

Net loss
Basic and diluted loss per share
Non-IFRS operating loss1
Total assets
Working capital2
Total non-current financial liabilities
Total equity

Three-month periods ended   

March 31, 

March 31, 

March 31, 

Year ended    One-month ended   
March 31, 

March 31, 

2019   
$   

(16,806)    
(0.22)    
(12,095)    
48,471     
19,085     
16,263     
13,962     

2018   
$   

(8,140)    
(0.32)    
(6,427)    
22,959     
2,795     
8,038     
8,224     

2019   
$   

(51,566)    
(0.95)    
(40,157)    
48,471     
19,085     
16,263     
13,962     

2018   
$   

(21,504)    
(1.23)    
(16,095)    
22,959     
2,795     
8,038     
8,224     

2017   
$   
(769)    
(0.05)    
(406)    
25,456     
8,143     
1,615     
21,703     

Thirteen-month 
period 
ended 
March 31, 
2017 
$ 
(11,247)
(1.01)
(7,798)
25,456 
8,143 
1,615 
21,703 

Comments on the Significant Variations of Results from Operations for the Three-Month Periods, Years Ended March 31, 2019 and 2018 and the Thirteen-Month Period
Ended March 31, 2017

The net loss totaling $16,806 or ($0.22) per share for the three months ended March 31, 2019 increased by $8,666 or $0.10 per share from the net loss totaling $8,140 or
($0.32) per share for the three months ended March 31, 2018. The increase in net loss was resulted primarily from the $5,668 increased non-IFRS operating loss generated by
planned  research  and  development  expenses  to  execute  the  TRILOGY  Phase  3  clinical  program  as  well  as  from  a  $2,084  (see  “Reconciliation  of  Net  Loss  to  Non-IFRS
Operating Loss”) increase in financial expenses due mostly to a loss related to the increase in value of the warrant derivative liability of $2,055. These losses were also affected
by the legal settlement expected to be paid via common shares of $990 in addition to the increased depreciation and amortization expense of $64, offset by decreased stock-
based compensation of $140.

The net loss totaling $51,566 or ($0.95) per share for the year ended March 31, 2019 increased by $30,062 from the net loss for the year ended March 31, 2018 while the
loss  per  share  decreased  by  ($0.28)  per  share  from  the  loss  of  ($1.23)  per  share  for  the  year  ended  March  31,  2018.  The  per  share  loss  decreased  due  to  the  issuance  of
52,494,519  common  shares  primarily  in  connection  with  the  public  financings  that  occurred  in  May  and  October  2018.  The  increased  net  loss  resulted  primarily  from  the
$24,062 increased non-IFRS operating loss generated by planned research and development expenses to execute the TRILOGY Phase 3 clinical program, as well as increases in
stock-based compensation of $112 and depreciation and amortization of $155. The increase in loss is also affected by the loss related to the legal settlement with our former
CEO expected to be paid via common shares of $990 and the reimbursement of related legal fees of $64. These increased losses were further increased by a net increase of
$4,743 in financial expenses, due mostly to a loss related to increased value of the warrant derivative liability of $5,943 (see “Reconciliation of Net Loss to Non-IFRS Operating
Loss”), offset by a decrease of $481 in derivative warrant liability-related transaction costs and by the remaining gains of $311 due to a foreign exchange gain as well as an
increase in interest income of $403. The foreign exchange gain is mostly due to the U.S. cash flows generated by the U.S. public financing of US$17.4 million that took place
on October 9, 2018 and the U.S. denominated accounts payable, as well as the strengthening of the U.S. dollar in relation to the Canadian dollar functional currency. At the time
of the U.S. public financing, a major portion of the net offering was invested in U.S. dollar investments as per our treasury policy (see “Treasury Operations”). The increase in
interest  income  is  a  result  of  the  increase  in  marketable  securities  and  cash  equivalents  investments  as  per  our  treasury  policy. As  at  March  31,  2019  cash  equivalents  and
marketable securities amounted to $34,413 versus $8,249 as at March 31, 2018.

The  net  loss  totaling  $21,504  or  ($1.23)  per  share  for  the  year  ended  March  31,  2018  increased  by  $10,257  or  ($0.22)  per  share  from  the  net  loss  totaling  $11,247  or
($1.01) per share for the thirteen-month period ended March 31, 2017. This resulted primarily from the $8,297 increased non-IFRS operating loss, a $1,642 increase in financial
expense, a $255 increase in stock-based compensation, and a decrease of $129 in deferred tax recovery offset by a $66 decrease in depreciation and amortization.

______________________________
1  The  non-IFRS  operating  loss  (adding  to  net  loss  financial  expenses  (income),  depreciation  and  amortization,  change  in  fair  value  of  derivative  warrant  liabilities  and  stock-based  compensation)  is  not  a
standard measure endorsed by IFRS requirements. A reconciliation to net loss is presented below. On May 10, 2019 we announced the settlement regarding legal claims made by our former chief executive
(“CEO”) officer with respect to the termination of his employment. Pursuant to the settlement agreement, we have agreed to issue 900,000 common shares at $1.10 per share to the former CEO.  In addition,
we have agreed to reimburse the former CEO for legal fees of $64. Furthermore, pursuant to the settlement agreement, we have received a full and final release from the former CEO on all procedures in
connection with the termination of his employment. This settlement has been accrued as at March 31, 2019 and the expense of $990 is included as part of general and administrative expenses.

2 Working capital is presented for information purposes only and represents a measurement of our short-term financial health. Working capital is calculated by subtracting current liabilities from current assets.
Because there is no standard method endorsed by IFRS requirements, the results may not be comparable to similar measurements presented by other public companies.

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Breakdown of Major Components of the Statement of Earnings and Comprehensive Loss

Research and Development Expenses

Salaries and benefits
Research contracts
Professional fees
Other
Government grants and tax credits
Total before stock-based compensation and depreciation and amortization

Stock-based compensation
Depreciation and amortization
Total

General and Administrative Expenses

Salaries and benefits
Administrative fees
Professional fees
Other
Total before stock-based compensation and legal settlement expected to be paid via

common shares

Stock-based compensation
Legal settlement expected to be paid via common shares
Total

Three-month periods ended   

Year ended

March 31, 
2019 
$ 
676 
9,358 
81 
183 
(298)  

10,000 

64 
731 
10,795 

March 31, 

March 31, 

2018   
$   
615     
4,719     
248     
38     
(325)    
5,295     

91     
667     
6,053     

2019   
$   
1,805     
32,850     
719     
506     
(588)    
35,292     

247     
2,827     
38,366     

Three-month periods ended   

Year ended

March 31, 
2019 
$ 
934 
8 
775 
378 

2,095 

64 
990 
3,149 

March 31, 

March 31, 

2018   
$   
584     
14     
428     
106     

1,132     

177     
-     
1,309     

2019   
$   
2,305     
34     
1,732     
794     

4,865     

794     
990     
6,649     

March 31, 
2018 
$ 
1,705 
9,381 
1,790 
222 
(409)
12,689 

308 
2,672 
15,669 

March 31, 
2018 
$ 
1,576 
121 
1,347 
362 

3,406 

621 
- 
4,027 

Three-Month Period Ended March 31, 2019 Compared to the Three-Month Period Ended March 31, 2018

During the three months ended March 31, 2019 we continued our planned advancement of the two-study TRILOGY Phase 3 clinical study program for our drug candidate,
CaPre, in partnership with one of the world’s largest providers of biopharmaceutical development and clinical outsourcing services (“CRO”). The $10,795 in total research and
development  expenses  for  the  three-months  ended  March  31,  2019  totaled  $10,000  before  depreciation,  amortization  and  stock-based  compensation  expense,  compared  to
$6,053  in  total  research  and  development  expenses  for  the  three-months  ended  March  31,  2018  or  $5,295  before  depreciation,  amortization  and  stock-based  compensation
expense. There is a $4,705 increase in research and development expenses before depreciation, amortization and stock-based compensation which was mainly attributable to a
$4,639 increase in research contracts, a $61 increase to salaries, a $27 increase to government grants and tax credits and a $145 increase to other research and development
expenses, offset by $167 decrease in professional fees. Higher research contract expenses resulted primarily from a $3,988 increase in the CRO’s Phase 3 clinical trial program
contract expense with continued site activation and patient enrollment, randomization and treatment. The decrease in professional fees is made up mostly of a $159 decrease in
legal fees relating to services for contracting and due diligence activities performed during the three-months ended March 31, 2018.

General and administrative expenses totaling $2,095 before stock-based compensation expense for the three months ended March 31, 2019 increased by $963 from $1,132
for the three months ended March 31, 2018. This $963 increase was mainly attributable to a $350 increase in salaries and benefits, an increase of $347 related to professional
fees, an increase of $272 related to other fees. The $350 increase in salaries and benefits primarily resulted from the hiring of a Chief Commercial Officer to support expanded
business and market development activities. The professional fee increase of $347 was due in part to additional legal fees resulting from independence from Neptune, including
no continued internal counsel services. Finally, the $272 increase in other expenses is associated with risk management programs now also independent of Neptune.

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Stock-based  compensation  and  depreciation  and  amortization  included  in  both  research  and  development  and  general  and  administrative  expenses  are  explained  in  the

following discussion of reconciliation of Net Loss to Non-IFRS Operating Loss.

Year ended March 31, 2019 Compared to the Year Ended March 31, 2018

As we continue advancing our planned TRILOGY Phase 3 clinical program and production scale-up of CaPre within its research and development program, $38,366 was
incurred  in  total  research  and  development  expenses  for  the  year  ended  March  31,  2019  and  $35,292  was  incurred  before  depreciation,  amortization  and  stock-based
compensation expense. This compares to $15,669 in total research and development expenses for the year ended March 31, 2018 or $12,689 before depreciation, amortization
and  stock-based  compensation  expense.  The  $22,603  increase  in  research  and  development  expenses  before  depreciation,  amortization  and  stock-based  compensation  was
mainly attributable to the $23,469 increase in contracts with a $22,272 increase in Phase 3 CRO contract expenses and $1,196 of increased research contracts resulting from the
planned  scale-up  of  CaPre  production  activities  in  the  year  ended  March  31,  2019. An  increase  of  $100  in  salaries  and  benefits  relates  to  the  increased  headcount.  These
increases are offset by a $1,071 decrease in legal fees for contracting and due diligence activities, as well as the $179 increase in tax credits which relates to higher research and
development expenditures combined with a higher investment.

General and administrative expenses totaling $4,865 before stock-based compensation expense for the year ended March 31, 2019 increased by $1,459 from $3,406 for the
year ended March 31, 2018. This increase was mainly attributable to a $729 increase in salaries and benefits primarily resulting from the expansion of the team to become
independent of Neptune, and the expansion of our commercialization team and business development activities. Professional fees increased by $385 due in part to additional
legal  fees  resulting  from  independence  from  Neptune. Additionally,  professional  fees  increased  due  to  implementation  of  a  new  ERP  system. An  increase  of  $432  of  other
general  and  administrative  expenses  associated  with  risk  management  programs  as  we  became  independent  of  Neptune.  These  increases  were  partially  offset  by  an  $87
reduction in Neptune’s administrative fees.

Stock-based  compensation  and  depreciation  and  amortization  included  in  both  research  and  development  and  general  and  administrative  expenses  are  explained  in  the

following discussion of reconciliation of Net Loss to Non-IFRS Operating Loss.

Reconciliation of Net Loss to Non-IFRS Operating Loss

Net loss
Add (deduct):

Stock-based compensation
Depreciation and amortization
Legal settlement – expected to be settled in common shares
Financial expenses
Non-IFRS operating loss

Three-month periods ended   

Year ended

March 31, 
2019 
$ 

(16,806)  

128 
731 
990 
2,862 
(12,095)  

March 31, 

March 31, 

2018   
$   

(8,140)    

268     
667     
-     
778     
(6,427)    

2019   
$   

(51,566)    

1,041     
2,827     
990     
6,551     
(40,157)    

March 31, 
2018 
$ 
(21,504)

929 
2,672 
- 
1,808 
(16,095)

For the three-month period and year ended March 31, 2019 we recognized stock-based compensation under our compensation plans in the amount of $128 and $1,041,
respectively,  compared  to  the  three-month  and  year  ended  March  31,  2018  totalling  $268  and  $929  respectively.  The  weighted  average  grant  date  fair  value  of  the  options
granted to employees and directors during the year ended March 31, 2019 was $0.51 compared to the grant date value of options granted in the year ended March 31, 2018 of
$1.22, whereas an increase of 1,052,023 of number of options granted occurred, with total granted stock options of 2,173,523 for the year ended March 31, 2019 compared to
1,121,500 stock options granted for the year ended March 31, 2018. No stock options were granted during the three-month periods March 31, 2019 and 2018. No options were
granted to consultants.

The depreciation and amortization expense increased by $64 to $731 for the three months ended March 31, 2019 from $667 for the three months ended March 31, 2018.
The depreciation and amortization expense increased by $155 to $2,827 for the year ended March 31, 2019 from $2,672 for the year ended March 31, 2018. The depreciation
increased due to encapsulation production equipment being put into use during the three months ended March 31, 2019 and therefore related depreciation commencing.

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Legal settlement expected to be paid via common shares relates to the settlement regarding legal claims made by our former CEO with respect to the termination of his
employment.  Pursuant  to  the  settlement  agreement,  we  have  agreed  to  issue  900,000  common  shares  at  $1.10  per  share  to  the  former  CEO.    Furthermore,  pursuant  to  the
settlement agreement, we receive a full and final release from the former CEO on all procedures in connection with the termination of his employment. This settlement amount
of $990 has been accrued as at March 31, 2019, included as part of general and administrative expenses thus increasing the loss.

Financial expenses increased by $2,084 from a loss of $778 for the three months ended March 31, 2019 to a loss of $2,862 for the three months ended March 31, 2018. The
main component of this increase resulted from the measurement of the fair value of the derivative warrant liabilities as at March 31, 2019, which resulted due to an increase to
the  derivative  warrant  liabilities  included  in  the  statement  of  financial  position  of  $2,055  and  a  corresponding  loss  to  change  in  fair  value  of  warrant  liabilities,  included  in
financial income.

Financial expenses increased by $4,743 to $6,551 for the year ended March 31, 2019 from financial expenses of $1,808 for the year ended March 31, 2018. The main
component of this increase relates to the measurement of the fair value of the derivative warrant liabilities as at March 31, 2019. This increase was offset by a decrease of $481
in derivative warrant liability-related transaction costs, by foreign exchange gain of $311 as well as an increase in interest income of $403.

Two separate derivative warrant liabilities are included in the statement of financial position as at March 31, 2019, compared to one derivative warrant liability as at March
31, 2018. These derivative warrant liabilities stem from the financing transactions that took place in May 2018 and December 2017. The derivative warrant liabilities are re-
measured at each reporting date using the Black-Scholes option pricing model. The valuations are driven by the fluctuation in our common stock price resulting in an increased
or  decreased  loss  or  gain  related  to  the  change  in  fair  value  of  the  warrant  liabilities  and  increasing  or  decreasing  the  corresponding  liability  in  the  statement  of  financial
position.

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Selected Quarterly Financial Data

Net loss
Add (deduct):
Depreciation and amortization
Stock based compensation
Legal settlement expected to be paid via common shares
Financial (income) expense
Non-IFRS operating loss

March 31, 
2019 
$ 

December 31,   
2018   
$   

September 30,   
2018   
$   

(16,806)  

731 
128 
990 
2,862 
(12,095)  

(4,610)    

(22,729)    

723     
336     
-     
(6,100)    
(9,651)    

689     
326     
-     
12,291     
(9,423)    

Basic and diluted net loss per share

(0.22)  

(0.07)    

(0.62)    

Net loss
Add (deduct):
Depreciation and amortization
Stock based compensation
Financial (income) expense
Non-IFRS operating loss

Basic and diluted net loss per share

March 31, 
2018 
$ 

December 31,   
2017   
$   

September 30,   
2017   
$   

(8,140)  

667 
268 
778 
(6,427)  

(0.32)  

(6,079)    

(4,507)    

671     
330     
929     
(4,149)    

667     
295     
122     
(3,423)    

(0.40)    

(0.31)    

June 30, 
2018 
$ 

(7,421)

684 
251 
- 
(2,502)
(8,988)

(0.23)

June 30, 
2017 
$ 

(2,778)

667 
36 
(21)
(2,096)

(0.19)

The quarterly year-to-year non-IFRS operating loss variances are mainly attributable to fluctuations in research and development expenses from quarter-to-quarter as well
as an increase in general and administrative expenses over the last four quarters as we established an administrative and finance team independent from Neptune and expanded
our business development and pre-commercialization activities. The increase in net loss, net loss per share in the fourth quarter of fiscal 2019 compared to the fourth quarter of
fiscal 2018 can primarily be explained by the costs incurred in CRO’s expenses associated with its TRILOGY Phase 3 clinical trial program. The increases in net loss from
quarter to quarter, in addition to the increased non-IFRS operating losses, are mainly due to the changes in fair value of the derivative warrant liabilities as well as variations in
foreign exchange gains or losses.

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Liquidity and Capital Resources

Share Capital Structure

Our authorized share capital consists of an unlimited number of Class A, Class B, Class C, Class D and Class E shares, without par value. Issued and outstanding fully paid

shares, stock options, restricted shares units and warrants, were as follows for the periods ended:

Class A shares, voting, participating and without par value
Stock options granted and outstanding
May 2018 public offering of warrants exercisable at $1.31, until May 9, 2023
Public offering broker warrants May 2018 exercisable at $1.05 until May 9, 2023
December 2017 U.S. public offering of warrants exercisable at US$1.26, until December 27, 2022
December 2017 U.S. broker warrants exercisable at US$1.2625, until December 27, 2022
February 2017 public offering of warrants exercisable at $2.15, until February 21, 2022
2017 unsecured convertible debentures conversion option contingent warrants exercisable at $1.90, until February 21, 20201  
Series 8 warrants exercisable at US$15.00, until December 3, 20182
Series 9 warrants exercisable at $13.30 until December 3, 2018
Total fully diluted shares

March 31, 

2019   

Number 
outstanding   
78,132,734     
4,046,677     
10,188,100     
547,975     
9,801,861     
495,050     
1,904,034     
1,052,630     
-     
-     
106,169,061     

March 31, 
2018 
Number 
outstanding 
25,638,215 
2,284,388 
- 
- 
9,802,935 
495,050 
1,904,034 
1,052,630 
1,840,000 
161,654 
43,178,906 

Comparison of Cash Flows and Financial Condition Between the Three Month and Year End Periods March 31, 2019 and 2018

Summary

As at March 31, 2019, cash and cash equivalents totaled $22,521 with a net decrease in cash and cash equivalents totaling $6,372 for the three-month period ended March
31, 2019 and sources of cash totaling $14,298 for the year ended March 31, 2019. This compares to $8,223 in total cash and cash equivalents as at March 31, 2018 with a net
decrease in cash and cash equivalents totaling $4,252 for the three-month period ended March 31, 2018 and a net decrease in cash and cash equivalents totaling $1,549 for the
year ended March 31, 2018.

Operating Activities

During the three months ended March 31, 2019 and March 31, 2018, our operating activities used cash of $10,330 and $4,362, respectively, and during the years ended
March 31, 2019 and March 31, 2018, our operating activities used cash of $32,476 and $12,519, respectively (see “Reconciliation of Net Loss to Non-IFRS Operating Loss”),
further modified by changes in working capital, excluding cash.

Investing Activities

During the three months ended March 31, 2019, our investing activities generated cash of $5,148 compared to a use of cash of $123 for the three months ended March 31,
2018. The significant increase in cash generated by investing activities during the three months ended March 31, 2019 resulted from our disposal of marketable securities due to
cash on hand following the financings in October 2018. Cash used by investing activities during the three-month period ended March 31, 2018 was due to the acquisition of
equipment of $128, acquisition of marketable securities of $26, offset by interest received of $31.

______________________________
1  The  debentures  are  convertible  into  common  shares  at  a  fixed  price  of  $1.90  per  common  share  except  if  we  pay  before  the  maturity,  if  we  pay  all  or  any  portion  of  the  convertible  debentures  before
maturity, then warrants become exercisable at $1.90 per common share for the equivalent convertible debenture amount prepaid.
2 Total of 18,400,000 warrants. In order to obtain one common share, 10 warrants must be exercised for a total amount of US$15.00.

- 53 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
During the year ended March 31, 2019, our investing activities used cash of $12,136 compared to a use of cash of $411 for the year ended March 31, 2018. The significant
increase in cash used by investing activities resulted from our investment in marketable securities. Additionally, cash used by investing activities during the year ended March
31, 2019 was due to the acquisition of equipment of $700, partially offset by interest received of $384. Cash used by investing activities during the year ended March 31, 2018
was due to the acquisition of equipment totaling $455, acquisition of marketable securities of $26, partially offset by interest received of $70.

Financing Activities

During the three months ended March 31, 2019, our financing activities used cash of $483 due primarily to the payment of transaction costs related to the public offerings.

For March 31, 2018 we used cash of $36.

During the year ended March 31, 2019, our financing activities generated cash of $58,862 mainly from the net proceeds of the public offerings of $57,892 and proceeds
from warrants exercised related to the May 2018 public offering (see “Derivative warrant liabilities”) of $1,011. During the year ended March 31, 2018, our financing activities
generated cash of $11,406 primarily to the net proceeds from a public offering of $11,065 and proceeds from warrants exercised of $384.

See  basis  of  presentation  for  additional  discussion  of  our  financial  condition,  including  the  need  for  additional  funds  and  the  material  uncertainty  that  casts  substantial

doubt about our ability to continue as a going concern.

ATM Program

On February 14, 2019, we entered into an “at-the-market” (“ATM”) sales agreement with B. Riley FBR, Inc., pursuant to which our common shares may be sold from time
to time for aggregate gross proceeds of up to US $30 million, with sales only being made on the NASDAQ Stock Market. The common shares will be distributed at market
prices prevailing at the time of the sale and, as a result, prices may vary between purchasers and during the period of distribution. As at March 31, 2019, no securities have been
issued  in  relation  to  the ATM,  and  it  remains  our  intent  to  use  this  facility  to  prepare  for  commercial  launch.  Costs  incurred  in  connection  to  the ATM  of  $179  have  been
included as deferred financing costs.

October 2018 Public Offering

On October 9, 2018, we closed a U.S. public offering of 16,600,000 common shares at a price of US$1.00 per share. In addition, the underwriters fully exercised their
over-allotment option to purchase 2,490,000 additional common shares at the same public offering price. This offering generated gross proceeds of $24.7 million (US$19.1
million), which resulted in net proceeds to us of $22.6 million (US$17.4 million) and a total of 19,090,000 common shares issued.

On October 23, 2018, we closed a Canadian public offering of 18,750,000 common shares at a price of $1.28 per share. In addition, the underwriters fully exercised their
over-allotment option to purchase 2,812,500 additional common shares at the same public offering price. This offering generated gross proceeds of $27.6 million, which resulted
in net proceeds to us of approximately $25.4 million and a total of 21,562,500 common shares issued.

May 2018 Public Offering

On May 9, 2018 we closed a Canadian public offering issuing 9,530,000 units of Acasti (“Units”) at a price of $1.05 per Unit for gross proceeds of $10 million. The Units
issued consist of 9,530,000 common shares and 9,530,000 Warrants. Each Warrant entitles the holder thereof to acquire one of our common shares at an exercise price of $1.31
at any time until May 9, 2023.

On May 14,  2018,  the  underwriters  exercised  their  over-allotment  option  by  purchasing  an  additional  1,429,500  units  at  a  price  of  $1.05  per  Unit,  for  additional  gross
proceeds of $1.5 million. The units issued consist of 1,429,500 common shares and 1,429,500 warrants. Each Warrant entitles the holder thereof to acquire one of our common
shares at an exercise price of $1.31 at any time until May 9, 2023.

The  warrant  component  of  these  Units  are  Derivative  Warrant  Liabilities  for  accounting  purposes  due  to  the  warrant  agreement,  which  contains  certain  contingent
provisions that allow for cash settlement. The proceeds of the offering are required to be split between the Derivative Warrant Liabilities and the equity-classified common
shares at the time of issuance of the Units. The fair value of the Derivative Warrant Liabilities at the time of issuance was determined to be $4.3 million and the residual of the
proceeds of $6.2 million was allocated to the Common Shares. Issuance costs related to this transaction totaled approximately $1.8 million and have been allocated between the
Derivative Warrant Liabilities and Common shares based on relative value. Resulting from this allocation, $0.7 million has been allocated to the Derivative Warrant Liability
and is recognized in finance costs in the Statements of Earnings and Comprehensive Loss, whereas the remaining portion of $1.1 million in issuance costs was allocated to the
common shares and recognized as a reduction to share capital, in the Statements of Financial Position.

- 54 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The weighted average fair value of the 2018 Warrants issued in May 2018 was determined to be $0.39 per warrant. Changes in the fair value of the 2018 Warrants are

recognized in finance expense.

As part of the May financing, we also issued broker warrants to purchase up to 547,975 Common Shares. Each broker warrant entitles the holder thereof to acquire one of
our common shares at an exercise price of $1.05, at any time until May 9, 2023. The broker warrants are considered for compensation to non-employees under IFRS 2, stock-
based compensation, and are accounted for at fair value at issuance date and not subsequently revalued.

Financial Position

The following table details the significant changes to the statements of financial position as at March 31, 2019 compared to the prior fiscal period end at March 31, 2018:

Accounts
Cash and cash equivalents
Marketable securities – current and long term
Receivable
Prepaid expenses
Other Asset – current and long term
Deferred financing costs
Equipment
Intangible asset
Trade and other payables
Derivative warrant liabilities
Unsecured convertible debentures

Increase 
(Decrease)   
14,298   
11,866   
857   
709   
(37)  
179   
(8)  
(2,322)  
11,549   
9,837   
205   

Comments
See cash flow statement
See cash flow statement
Timing of receipts
Advancement of contracts
Usage of Krill Oil supply
Equity transactions
Acquisition of equipment and depreciation
Amortization
Increased expenses and accruals
  Issuance of derivative warrants and change in fair value
Accretion of interest

See the statement of changes in equity in our financial statements for details of changes to the equity accounts since March 31, 2019.

Treasury Operations

Our  treasury  policy  is  to  invest  cash  that  is  not  required  immediately  into  instruments  with  an  investment  strategy  based  on  capital  preservation.  Cash  equivalents  and
marketable  securities  are  primarily  made  in  guaranteed  investment  certificates  (“GICs”),  term  deposits  and  high-interest  savings  accounts,  which  are  issued  and  held  with
Canadian chartered banks; high rated promissory notes issued by government bodies and commercial paper. We hold cash denominated in both US and CAD dollars. Funds
received in US dollars from the equity private placement are invested as per our treasury policy in US dollar investments and converted to CAD dollars as appropriate to fulfill
operational requirements and funding. 

Derivative warrant liabilities

The 2018 Warrants issued as part of our May 2018 public offering were recognized as Derivative Warrant Liabilities with a fair value of $4,272. As of March 31, 2019, the
Derivative Warrant Liabilities for the 2018 Warrants totaled $8,246, which represents the fair value of these warrants. The weighted average fair value of the 2018 Warrants
issued was determined to be $0.39 per warrant at inception and approximately $0.81 per 2018 Warrant as at March 31, 2019.

On  December  27,  2017,  warrants  were  issued  as  part  of  our  U.S.  public  offering  and  recognized  as  Derivative  Warrant  Liabilities  with  a  fair  value  of  $5,873  (“2017
Warrants”). The 2017 Warrants are Derivative Warrant Liabilities for accounting purposes due to the currency of the exercise price (US$) being different from our Canadian
dollar functional currency. The fair value of the 2017 Warrants as of March 31, 2019, totaled $8,017 which represents the fair value of these warrants. The fair value of the 2017
Warrants was determined to be $0.60 per warrant upon issuance and approximately $0.82 per warrant as of March 31, 2019.

As of March 31, 2019, the fair value of the Derivative Warrant Liabilities issued as part of our Series 8 December 2013 securities offering was nil as the warrants expired

December 3, 2018.

- 55 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The increase in the fair value of both existing derivative warrant liabilities as at March 31, 2019 is due to the increase in our share price and the dilution factor, and the

impact within the valuation model.

March 31, 2019
December 31, 2018
September 30, 2018
June 30, 2018
March 31, 2018

Warrant liabilities 
issued May 2018

Warrant liabilities issued 
December 27, 2017

Warrant liabilities issued 
December 3, 2013

  $
  $
  $
  $

0.81    $
0.68    $
0.96    $
0.36    $
-    $

Fair value per shares issuable
0.82     
0.66     
0.95     
0.36     
0.65     

- 
- 
- 
- 
- 

During October 2018, 771,400 - 2018 Warrants were exercised for one of our common shares at an exercise price of $1.31 for aggregate gross proceeds of approximately
$1.0 million. In addition, 4,455 2017 Warrants were exercised in a cashless manner to acquire 1,074 of our common shares. A total of 772,474 common shares were issued as a
result of 775,855 warrants exercised.

Contractual Obligations, Off-Balance-Sheet Arrangements and Commitments

As at March 31, 2019, our liabilities total $34,509, of which $18,426 is due within twelve months, $16,263 relates to Derivative Warrant Liabilities that will likely be
settled  by  issuing  common  shares  in  exchange  for  proceeds  equal  to  the  strike  price  of  the  instrument,  and  $1,817  of  outstanding  unsecured  convertible  debentures.  The
unsecured convertible debentures may be prepaid. The debentures are convertible into common shares at a fixed price of $1.90 per common share except if we pay before the
maturity, all or any portion of the convertible debentures.

We also entered into a contract to purchase production equipment to be used in the manufacturing of the clinical and future commercial supply of CaPre.

A summary of the contractual obligations at March 31, 2019, is as follows:

Trade, other payables and due to related party
Lease
Unsecured convertible debentures
Total

Total contractual 

Carrying value   
$   

cash flows   
$   

1 year or less   
$   

16,429     
79     
1,817     
18,325     

16,429     
79     
1,817     
18,325     

16,429     
79     
1,817     
18,325     

1 to 3 years 
$ 
- 
- 
- 
- 

Research and development contracts and contract research organizations agreements

We  utilize  CMOs  for  the  development  and  production  of  clinical  materials  and  research  organizations  to  perform  services  related  to  our  clinical  trials.  Pursuant  to  the
agreements  with  these  contract  manufacturing  and  contract  research  organizations,  we  have  either  the  right  to  terminate  the  agreements  without  penalties  or  under  certain
penalty conditions. For agreements which contain penalty conditions, we would be required to pay penalties of approximately $109.

Lease

During  fiscal  year  2018,  we  entered  into  a  lease  agreement  for  our research  and  development  and  quality  control  laboratory  facility  located  in  Sherbrooke,  Québec,

resulting in a commitment of $79 over the remaining lease term, which is committed in the next year.

Contingencies

We  evaluate  contingencies  on  an  ongoing  basis  and  establishes  loss  provisions  for  matters  in  which  losses  are  probable  and  the  amount  of  the  loss  can  be  reasonably

estimated.

- 56 -

 
 
 
 
   
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
On  May  10,  2019  we  announced  the  settlement  regarding  legal  claims  made  by  our  former  CEO  with  respect  to  the  termination  of  his  employment.  Pursuant  to  the
settlement agreement, we have agreed to issue 900,000 common shares at $1.10 per share to the former CEO.  In addition, we have agreed to reimburse the former CEO for
legal  fees  of  $64.  Furthermore,  pursuant  to  the  settlement  agreement,  we  received  a  full  and  final  release  from  the  former  CEO  on  all  procedures  in  connection  with  the
termination of his employment. This settlement has been accrued as at March 31, 2019 and the expense of $1,054 is included as part of general and administrative expenses.

Related Party Transactions

We were charged by Neptune, our former parent company, for the purchase of research supplies and for certain costs incurred by Neptune for our benefit as follows:

Research and development expenses
Supplies and incremental costs
Shared service agreement
Total

General and administrative expenses
Supplies and incremental costs
Shared service agreement
Total

Total related parties expenses

March 31, 
2019 
$ 

March 31, 

2018   
$   

Thirteen-

months ended   
March 31, 

2017   
$   

Month 

ended   

March 31, 

2017   
$   

Twelve-months 
ended 
February 28, 
2017 
$ 

- 
- 
- 

211 
34 
245 
245 

7     
20     
27     

239     
121     
360     
387     

-     
60     
60     

293     
325     
618     
678     

-     
1     
1     

16     
25     
41     
42     

- 
59 
59 

277 
300 
577 
636 

Where  Neptune  incurs  specific  incremental  costs  for  our  benefit,  it  charges  those  amounts  directly.  Neptune  provides  us  with  the  services  of  personnel  for  certain
administrative work as part of a shared service agreement. The employees’ salaries and benefits are charged proportionally to the time allocation agreed upon within the shared
service agreement. Effective September 30, 2017, the laboratory support, the corporate affairs and the public company reporting services previously provided by Neptune as
part of the shared service agreement were discontinued. We are now incurring incremental costs and expects to do so in the future, partially offset by reduced shared service
fees.  The  account  payable  to  Neptune  amounted  to  $2  at  March  31,  2019,  $44  at  March  31,  2018  and  $12  at  March  31,  2017,  is  non-interest  bearing  and  has  no  specified
maturity date. These charges do not represent all charges incurred by Neptune that may have benefited us. Also, these charges do not necessarily represent the cost that we
would otherwise need to incur, should it not receive these services or benefits through the shared resources of Neptune.

During  the  three-months  and  year  ended  March  31,  2019,  we  recognized  expenses  of  $47  and  $245,  respectively  in  general  and  administrative  expenses  in  relation  to
supplies and incremental costs, compared to $80 and $387, respectively, for the three-month and year ended March 31, 2018. As the research and development and quality
control laboratory facility is now completely independent of the Neptune facility, there were no related party charges for research and development as at March 31, 2019.

Historically, Neptune has provided us with the raw krill oil needed to produce CaPre for our clinical programs, including all of the raw krill oil projected as needed for our
Phase 3 clinical study program. However, Neptune discontinued its krill oil production and sold its krill oil inventory to Aker on August 7, 2017. We are continually evaluating
alternative suppliers of raw krill oil. At March 31, 2019, a reserve of raw krill oil was still stored at Neptune’s facility.

Our key management personnel are our officers and the members of our Board of Directors. They control in the aggregate less than 1% of our total voting shares (1% at

March 31, 2018). See note 7 to the financial statements for disclosures of key management personnel compensation.

Use of estimates and measurement of uncertainty

The preparation of the financial statements in conformity with IFRS requires management to  make  judgments,  estimates  and  assumptions  that  affect  the  application  of

accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates.

- 57 -

 
 
 
 
 
 
  
 
    
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
  
 
 
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
  
 
 
  
 
 
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Estimates  are  based  on  management’s  best  knowledge  of  current  events  and  actions  that  we  may  undertake  in  the  future.  Estimates  and  underlying  assumptions  are

reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.

Critical judgments in applying accounting policies that have the most significant effect on the amounts recognized in the financial statements include the following:

·

The use of the going concern basis of preparation of the financial statements. At the end of each reporting period, management assesses the basis of preparation of the
financial statements. The financial statements have been prepared on a going concern basis in accordance with IFRS. The going concern basis of presentation assumes
that we will continue our operations for the foreseeable future and can realize its assets and discharge its liabilities and commitments in the normal course of business.

Assumptions and estimation uncertainties that have a significant risk of resulting in a material adjustment within the next financial year include the following:

· Measurement of derivative warrant liabilities and stock-based compensation.

Also,  management  uses  judgment  to  determine  which  research  and  development  expenses  qualify  for  research  and  development  tax  credits  and  in  what  amounts.  We
recognize the tax credits once it we have had reasonable assurance that they will be realized. Recorded tax credits are subject to review and approval by tax authorities and
therefore, could be different from the amounts recorded.

CRITICAL ACCOUNTING POLICIES

Derivative warrant liabilities

The  warrants  forming  part  of  the  Units  issued  from  the  May  2018  public  offering  are  derivative  liabilities  for  accounting  purposes  given  to  the  fact  that  the  warrant
indenture contains certain contingent provisions that allow for cash settlement. The warrants forming part of the Units issued from the December 2017 and December 2013
public offering are derivative liabilities for accounting purposes due to the currency of the exercise price being different from our functional currency. The derivative warrant
liabilities are required to be measured at fair value at each reporting date with changes in fair value recognized in earnings. We use Black-Scholes pricing model to determine
the fair value. The model requires the assumption of future stock price volatility, which is estimated based on weighted average historic volatility. Changes to the expected
volatility could cause significant variations in the estimated fair value of the derivative warrant liabilities.

Stock-based compensation

We have a stock-based compensation plan, which is described in note 17 of the financial statements. We account for stock options granted to employees based on the fair
value  method,  with  fair  value  determined  using  the  Black-Scholes  model.  The  Black  Scholes  model  requires  certain  assumptions  such  as  future  stock  price  volatility  and
expected life of the instrument. Expected volatility is estimated based on weighted average historic volatility. The expected life of the instrument is estimated based on historical
experience and general holder behavior. Under the fair value method, compensation cost is measured at fair value at date of grant and is expensed over the award’s vesting
period with a corresponding increase in contributed surplus. For stock options granted to non-employees, we measure based on the fair value of services received, unless those
are  not  reliably  estimable,  in  which  case  we  measure  the  fair  value  of  the  equity  instruments  granted.  Compensation  cost  is  measured  when  we  obtain  the  goods  or  the
counterparty renders the service.

Tax credits

Refundable tax credits related to eligible expenses are accounted for as a reduction of related costs in the year during which the expenses are incurred as long as there is

reasonable assurance of their realization.

FINANCIAL INSTRUMENTS

Credit Risk

Credit  risk  is  the  risk  of  a  loss  if  a  customer  or  counterparty  to  a  financial  asset  fails  to  meet  its  contractual  obligations.  We  have  credit  risks  relating  to  cash,  cash
equivalents and marketable securities, which it manages by dealing only with highly-rated Canadian institutions. The carrying amount of financial assets, as disclosed in the
statements of financial position, represents our credit exposure at the reporting date.

- 58 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Currency risk

We are exposed to the financial risk related to the fluctuation of foreign exchange rates and the degrees of volatility of those rates. Foreign currency risk is limited to the
portion of our business transactions denominated in currencies other than the Canadian dollar. Fluctuations related to foreign exchange rates could cause unforeseen fluctuations
in our operating results.

A  portion  of  the  expenses,  mainly  related  to  research  contracts  and  purchase  of  production  equipment,  is  incurred  in  US  dollars  and  in  Euros,  for  which  no  financial
hedging is required. There is a financial risk related to the fluctuation in the value of the US dollar and the Euro in relation to the Canadian dollar. In order to minimize the
financial risk related to the fluctuation in the value of the US dollar in relation to the Canadian dollar, funds which were part of US dollar financings continue to be invested as
short-term investments in the US dollar.

Furthermore, a portion of our cash and cash equivalents and marketable securities are denominated in US dollars, further exposing us to fluctuations in the value of the US

dollar in relation to the Canadian dollar presented in Note 21 of the financial statements.

Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market rates.

Our exposure to interest rate risk as at March 31, 2019 and March 31, 2018 is as follows:

Cash and cash equivalents
Marketable Securities
Unsecured convertible debentures

  Short-term fixed interest rate
  Short-term fixed interest rate
  Short-term fixed interest rate

Our  capacity  to  reinvest  the  short-term  amounts  with  equivalent  return  will  be  impacted  by  variations  in  short-term  fixed  interest  rates  available  on  the  market.
Management believes the risk we will realize a loss as a result of the decline in the fair value of its short-term investments is limited because these investments have short-term
maturities and are generally held to maturity.

Liquidity risk

Liquidity  risk  is  the  risk  that  we  will  not  be  able  to  meet  our  financial  obligations  as  they  fall  due.  We  manage  liquidity  risk  through  the  management  of  our  capital
structure and financial leverage, as outlined in Note 21 to the financial statements. We also manage liquidity risk by continuously monitoring actual and projected cash flows.
The Board of Directors reviews and approves our operating budgets, and reviews material transactions outside the normal course of business.

Our contractual obligations related to financial instruments and other obligations and liquidity resources are presented in the liquidity and capital resources of this MD&A.

Future accounting changes:

The following new standards, and amendments to standards and interpretations, are not yet effective for the period ended March 31, 2019, and have not been applied in

preparing these financial statements.

New standards and interpretations not yet adopted:

Leases – IFRS 16

IFRS 16, Leases (“IFRS 16”) In January 2016, the IASB issued IFRS 16, a new standard that replaces IAS 17, Leases. IFRS 16 is a major revision of the way in which
companies account for leases and will no longer permit off balance sheet leases. Adoption of IFRS 16 is mandatory and will be effective in our fiscal year beginning on April 1,
2019. We are assessing the impact of adoption of IFRS 16, and currently there is only one lease that will be impacted by this new standard and the impact is expected to be
minimal.

- 59 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Item 6.

Directors, Senior Management and Employees

A.

Directors and Senior Management

The  following  table  sets  out  the  name  and  the  province  or  state  and  country  of  residence  of  each  of  our  directors  and  all  offices  with  us  held  by  them,  their  principal
occupation, the year in which they became a director, and the number of common shares they have declared to beneficially own, directly or indirectly, or over which control or
direction is exercised by them.

Name, Province or State, as the case 
may be, and Country or Residence of 
each Director

Principal Occupation

First 
Year as 
Director

Number of Common 
Shares Beneficially 
Owned or Controlled or 
Directed by Each Director (1)

Roderick Carter
California, United States
Chairman of the Board

Jean-Marie (John) Canan
Florida, United States

Jan D’Alvise 
California, United States

Donald Olds
Quebec, Canada

Principal Aquila Life Sciences LLC

Corporate Director

President and CEO of Acasti

President and CEO of NEOMED Institute

2015

2016

2016

2018

-

107,500

52,500

38,000

______________________________
Notes:
(1) Based on information publicly available on SEDI.

The following is a brief biography of our current directors and senior management:

Dr. Roderick N. Carter

Dr.  Carter  has  a  strong  history  of  contributions  to  healthcare  through  clinical,  research,  business  and  people  leadership.  He  has  significant  experience  developing  and
commercializing nutraceutical and pharmaceutical products and has successfully led clinical research and business development strategies for cardiovascular and inflammation
related  diseases.  Dr.  Carter  is  currently  Principal  at Aquila  Life  Sciences  LLC,  a  consulting  firm  he  founded  in April  2008  focusing  on  pharmaceutical  development  and
commercialization.  Prior  to  this,  he  was  Vice  President  of  Clinical  Development  at  Reliant  Pharmaceuticals,  which  developed  the  OM3  cardiovascular  drug  LOVAZA,  and
today is a wholly-owned subsidiary of GlaxoSmithKline. He also served as Executive Director at Merck and Co., USA, President and Chief Executive Officer of WellGen and
Senior  Medical  Director  at  Pfizer  Inc.,  USA.  Dr.  Carter  received  his  Medical  Degree  from  the  University  of  Witwatersrand,  Johannesburg,  along  with  a  Master  of  Science
degree in Sports Medicine from Trinity College, Dublin.

Jan D’Alvise (also our President and CEO)

Ms. D’Alvise has extensive experience in diagnostics, medical devices, pharmaceuticals and drug discovery research tools. Until 2016, Ms. D’Alvise was the President
and Chairman of Pediatric Bioscience. Before that, she was the CEO of Gish Biomedical, a cardiopulmonary medical device company. Prior to Gish, Ms. D’Alvise was the CEO
of the Sidney Kimmel Cancer Center (SKCC), a drug discovery research institute. From 1995 until 1998, she was also the Co-Founder and Executive VP/COO of Metrika Inc.,
and  in  1999  was  the  Co-  Founder/President/CEO/Chairman  of  NuGEN,  Inc.  Ms.  D’Alvise  built  both  companies  from  technology  concept  through  to  successful  regulatory
approvals, product introduction and sustainable revenue growth. Prior to 1995, Ms. D’Alvise was a VP of Drug Development at Syntex/Roche and Business Unit Director of
their Pain and Inflammation business, and also VP of Commercial Operations at SYVA, (Syntex’s clinical diagnostics division), and began her career with Diagnostic Products
Corporation. Ms. D’Alvise has a B.S. in Biochemistry from Michigan Technological University. She has completed post- graduate work at the University of Michigan, Stanford
University, and the Wharton Business Schools. Ms. D’Alvise has served on the board of numerous private companies and non-profits, and is an Entrepreneur-in-Residence for
the von Liebig Institute for Entrepreneurship at the University of California, San Diego.

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Jean-Marie (John) Canan

Mr. Canan is an accomplished business executive with over 34 years of strategic, business development and financial leadership experience. Mr. Canan recently retired
from Merck & Co., Inc. where his last senior position was as Senior Vice-President, Global Controller, and Chief Accounting Officer for Merck from November 2009 to March
2014. He has managed all interactions with the audit committee of the Merck board of directors, while participating extensively with the main board and the compensation &
benefits committee. Mr. Canan serves as a director of REV Group, a public company, where he chairs the audit committee. He also serves on the board of trustees of Angkor
Hospital  for  Children,  where  he  also  chairs  the  audit  &  risk  committee.  Mr.  Canan  is  a  graduate  of  McGill  University,  Montreal,  Canada,  and  is  a  Canadian  Chartered
Accountant.

Donald Olds

Mr. Olds was until recently President and Chief Executive Officer of the NEOMED Institute, an R&D organization dedicated to advancing Canadian research discoveries
to commercial success. Prior to NEOMED, he was the Chief Operating Officer of Telesta Therapeutics Inc., a TSX-listed biotechnology company, where he was responsible for
finance and investor relations, manufacturing operations, business development, human resources and strategy. In 2016, he led the successful sale of Telesta to a larger public
biotechnology company. Prior to Telesta, he was President and Chief Executive Officer of Presagia Corp., and Chief Financial Officer and Chief Operating Officer of Aegera
Therapeutics,  where  he  was  responsible  for  clinical  operations,  business  development,  finance,  and  mergers  and  acquisitions. At  both  Telesta  and Aegera,  Mr.  Olds  was
responsible for raising more than $100 million in equity financing and leading regional and global licensing transactions with life sciences companies. Mr. Olds is currently
Director of Goodfood Market Corp, Oxfam Quebec and Director of Presagia Corp. He has extensive past corporate governance experience serving on the boards of private and
public for-profit and not-for-profit organizations. He holds an MBA (Finance & Strategy) and M.Sc. (Renewable Resources) from McGill University.

The following are brief biographies of our senior managers, other than our President and Chief Financial Officer, Jan D’ Alvise, whose biography appears further above:

Dr. Pierre Lemieux – Chief Operating Officer and Chief Scientific Officer (COO and CSO)

Dr. Lemieux has been our Chief Operating Officer since April 12, 2010 and our Chief Scientific Officer since June 2018. Previously, Mr. Lemieux was CEO, Co-Founder
and Chairman of BiolActis Inc. which he sold in 2009 to interests affiliated with the Nestlé multinational group. Mr. Lemieux joined Suprateck Pharma in 1999 as Director and
Vice-President involved in the development of formulations for gene therapy on behalf of Rhone-Poulenc Rorer and Genzyme, which today are under the Sanofi banner. Prior
to  this,  Mr.  Lemieux  was  involved  in  the  development  of  cardiovascular  products  at Angiotech  Pharmaceuticals.  Mr.  Lemieux  has  a  Ph.D.  in  biochemistry  from  Université
Laval (Québec). He holds more than 16 patents and has authored over 50 publications. Mr. Lemieux’s research was conducted at Université Laval as well as at the anti-cancer
center Paul Papin D’Angers (France) and the University of Nottingham (England). His research focused on ovarian cancer and its treatment with monoclonal antibodies used to
target  cancer  drugs. After  completing  his  graduate  studies,  Mr.  Lemieux  joined  the  Oncology  division  of  the  Center  for  Health  Research,  University  of  Texas  (U.S.).  He
obtained  a  postdoctoral  fellowship  from  the  Susan  G.  Komen  Foundation  (Breast  Cancer).  Mr.  Lemieux  has  served  on  the  boards  of  BioQuébec,  Montreal  in  vivo  and
PharmaBio Development.

Mr. Brian Groch – Chief Commercial Officer (CCO)

Mr. Groch has been our Chief Commercial Officer since June 4, 2018. Mr. Groch brings over 25 years of senior experience in the healthcare and life science industries,
including product commercialization, developing and executing global sales strategies, business development, and operations. Most recently, Mr. Groch served as Executive
Vice President and Chief Commercial Officer at Veru Inc., a urology, oncology and female health products company, where he was responsible for leading the development
and execution of the company’s long-term commercial strategy. Under his leadership, Veru experienced rapid growth in sales of the company’s women’s health product. Mr.
Groch also served as Chief Commercial Officer for Telesta Therapeutics, where he led the development and implementation of the global commercial strategy. Previously, Mr.
Groch served as Vice President of Commercial Operations and Market Access for Horizon Therapeutics, where he oversaw global operations including the integration of two
acquisitions valued over $1.5 billion. Mr. Groch has also served as CEO and President of Exsto Therapeutics, Head of Market Access for Dendreon, and Director of Health
Policy for Phadia. He has held senior management roles with Novartis and Merck & Co. He holds an M.S. in Healthcare Administration and Marketing from Central Michigan
University, as well as a B.S. in Physiology from Central Michigan University.

Jean-François Boily – Vice-President, Finance

Mr. Boily has been our Vice-President of Finance since September 24, 2018. Prior to joining Acasti, Mr. Boily served as a Director of Finance & Information Technology
(IT) at Innovaderm Research Inc., a large North American contract research organization (CRO) specialized in dermatology. At Innovaderm Mr. Boily worked closely with the
President and Chief Medical Officer and founder, where Mr. Boily was responsible for all aspects of Finance and IT. Mr. Boily undertook a major financial, IT and growth
mandate where Mr. Boily increased revenues and profits over 25%. Prior to that, Mr. Boily was a Director of Finance at Teva Canada, a generic drug products manufacturer,
where he oversaw manufacturing of generics, managing branded product launches and clinical R&D activities. At Teva, Mr. Boily worked closely with the CFO, where he had
oversight  of  four  production  sites  that  generated  more  than  four  billion  doses.  Most  recently,  Mr.  Boily  worked  as  a  consultant  and  Vice  President  of  Finance  and  IT  for  a
pharmaceutical start-up led by a US-based investor, where he helped raise seed capital in advance of a planned initial public offering in Canada and the US. Mr. Boily holds a
BS in Accounting from HEC Montreal and is a Chartered Public Accountant (CPA).

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B.

Compensation

Summary of our Compensation Programs

Our executive compensation program is intended to attract, motivate and retain high-performing senior executives, encourage and reward superior performance and align
the  executives’  interests  with  ours  by  providing  compensation  which  is  competitive  with  the  compensation  received  by  executives  employed  by  comparable  companies  and
ensuring that the achievement of annual objectives is rewarded through the payment of bonuses and providing executives with long-term incentive through the grant of stock
options.

Our governance & human resources, or GHR, committee has authority to retain the services of independent compensation consultants to advise its members on executive
compensation and related matters, and to determine the fees and the terms and conditions of the engagement of those consultants. During our fiscal year ended March 31, 2019,
the GHR committee retained compensation consulting services, including those led by The Sarkaria Group, to review our executive compensation programs, including base
salary, short-term and long-term incentives, total cash compensation levels and total direct compensation of certain senior positions, against those of peer groups of similar and
larger size, as measured by market capitalization, biotechnology and pharmaceutical companies listed or headquartered in North America. All of the services provided by the
consultants were provided to the GHR committee. The GHR committee assessed the independence of the consultants and concluded that its engagement of the consultants did
not raise any conflict of interest with us or any of our directors or executive officers. As influenced by the consultants’ fiscal period 2019 executive compensation review, the
board and GHR committee set the following executive compensation program.

Use of Fixed and Variable Pay Components

Compensation of our named executive officers (“NEOs”) is revised each year and has been structured to encourage and reward executive officers on the basis of short-
term and long-term corporate performance. In the context of its analysis of compensation for our fiscal year ended March 31, 2019, the following components were examined
by the GHR committee:

·

·

·

·

base salary;

short term incentive plan, consisting of a cash bonus;

long term incentive plan, consisting of stock options and equity incentive grants based on performance and/or time vesting conditions; and

other elements of compensation, consisting of group benefits and perquisites.

Base Salary

We intend to be competitive with comparator companies and to attract and retain top talent. The GHR committee will review compensation periodically to be sure it meets
this strategic imperative. Base salary is set to reflect an individual’s skills, experience and contributions within a salary structure consistent with our gender pay equity policy.
Base salary structure is revised annually by the GHR committee as our financial and market conditions evolve.

Short Term Incentive Plan (STIP)

Our Short-Term Incentive Plan, or STIP, provides for potential rewards when a threshold of corporate performance is met. Personal objectives that support corporate goals
are established annually with each employee and are assessed at the end of each financial year. Personal objectives are assessed through a performance grid, with pre-specified,
objective  performance  criteria.  STIP  awards  are  paid  out  in  proportion  to  individual  performance,  determined  in  end-of-year  performance  reviews.  For  the  most  senior
participants in the STIP, greater weight is assigned to corporate objectives. Target payout is expressed as a percentage of base salary and is determined by employment contracts
and board discretion. Annual salary for STIP purposes is the annual salary in effect at the end of the plan year (i.e., prior to annual salary increases).

The  actual  amount  awarded  ranges  from  zero  for  performance  well  below  expectation  and  is  capped  at  two  times  target  for  exceptional  performance.  The  STIP  is  a
discretionary variable compensation plan and all STIP payments are subject to board approval. Participants must be employed by us at the end of the financial year to qualify.
We reserve the right to modify or discontinue the STIP at any time.

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Ms. D’Alvise, our CEO, is eligible for up to a 50% bonus of her annual base salary. Dr. Lemieux, our COO, and Mr. Groch, our CCO, are each eligible for up to a 40%

bonus of their annual base salary. Mr. Boily, our Vice-President, Finance, is eligible for up to a 30% bonus of his annual base salary.

These performance goals will take into account the achievement of R&D milestones within  timelines  and  budget  and  individual  objectives  determined  annually  by  the

board according to short-term priorities.

Long Term Incentive Plan (LITP)

The LTIP has been adopted as a reward and retention mechanism. Participation is determined annually at the discretion of the board. Employees approved by our board of
directors may participate in our stock option plan, which is designed to align the long-term interests of participants with those of shareholders, in order to promote shareholder
value.

The GHR committee determines the number of stock options to be granted to a participant based on peer group data and taking into account corporate performance and
level in the organization. The LTIP calculation is based on a guideline percentage of base salary and the number of options is determined based on an approved dollar value
(rather than a specific number of shares). The guideline ranges from 15% to 200% and is subject to adjustment by the board in reviewing annual achievement of corporate
performance  and  availability  of  shares.  The  GHR  committee  may  also  determine,  in  its  sole  discretion, ad  hoc stock  option  awards  to  be  granted  to  participants  in  order  to
address extraordinary situations. Awards at any level may be adjusted as necessary to maintain an equity burn rate and overhang similar to comparator companies. In addition
to our stock option plan, the board is also empowered to grant ad hoc awards, from time to time, under our equity incentive plan to provide for a share-related mechanism to
attract, retain and motivate qualified directors, senior employees and consultants.

Our  directors  and  executive  officers  are  not  permitted  to  purchase  financial  instruments,  such  as  prepaid  variable  forward  contracts,  equity  swaps,  collars  or  units  of
exchange funds that are designed to hedge or offset a decrease in market value of equity securities granted as compensation or held, directly or indirectly, by the director or
officer.

Share Ownership Guidelines

To further align the interests of our executives with those of our other shareholders, the board has adopted share ownership guidelines. Under these guidelines, the CEO
and other executives (i.e., CFO, COO, VPs) are required to retain and hold 50% of the shares acquired by them under any equity incentive award granted on or after June 7,
2017 (after subtracting shares sold to pay for option exercise costs, and relevant federal, state, and local taxes which are assumed to be at the highest marginal tax rates). In
addition, the share retention rule applies unless the executive beneficially owns shares with a value at or in excess of the following share ownership guidelines:

·

·

CEO — 2x then-current annual base salary

Other executives — 1x then-current annual base salary.

The value of an individual’s shares for purposes of the share ownership guidelines is deemed to be the greater of the then- current fair market value of the shares, or the
individual’s  cost  basis  in  the  shares.  Shares  counted  in  calculating  the  share  ownership  guidelines  include  shares  beneficially  owned  outright,  whether  from  open  market
purchases, shares retained after option exercises, and shares of restricted stock or deferred stock units that have fully vested. In addition, in the case of vested, unexercised, in-
the-money stock options, the in-the-money value of the stock options will be included in the share ownership calculation. Executives have five years from their date of hire or
promotion to satisfy the share ownership guidelines.

Stock Option Plan

Our stock option plan was adopted by our board of directors on October 8, 2008 and has been amended from time to time, including most recently on April 15, 2019. The
grant of options is part of the long-term incentive component of executive and director compensation and an essential part of compensation. Qualified directors, employees and
consultants may participate in our stock option plan, which is designed to encourage option holders to link their interests with those of our shareholders, in order to promote an
increase in shareholder value. Awards and the determination of any exercise price are made by our board of directors, after recommendation by the GHR committee. Awards
are established, among other things, according to the role and responsibilities associated with the participant’s position and his or her influence over appreciation in shareholder
value. Any  award  grants  a  participant  the  right  to  purchase  a  certain  number  of  common  shares  during  a  specified  term  in  the  future,  after  a  vesting  period  and/or  specific
performance  conditions,  at  an  exercise  price  equal  to  at  least  100%  of  the  market  price  (as  defined  below)  of  our  common  shares  on  the  grant  date.  The  “market  price”  of
common shares as of a particular date generally means the closing price per common share on the TSXV, or any other exchange on which the common shares are listed from
time to time, for the last preceding date on which there was a sale of common shares on that exchange (subject to certain exceptions set forth in the stock option plan in the event
that we are no longer traded on any stock exchange). Previous awards may sometimes be taken into account when new awards are considered.

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In accordance with the stock option plan, all of an option holder’s options will immediately vest on the date of a Change of Control event (as defined in the stock option

plan), subject to the terms of any employment agreement or other contractual arrangement between the option holder and us.

However, in no case will the grant of options under the plan, together with any proposed or previously existing security based compensation arrangement, result in (in each
case, as determined on the grant date): the grant to any one consultant within any 12-month period, of options reserving for issuance a number of common shares exceeding in
the aggregate 2% of our issued and outstanding common shares (on a non-diluted basis); or the grant to any one employee, director and/or consultant, which provides investor
relations services, within  any  12-month  period,  of  options  reserving  for  issuance  a  number  of  common  shares  exceeding  in  the  aggregate  2%  of  our  issued  and  outstanding
common shares (on a non-diluted basis).

Options granted under the stock option plan are non-transferable and are subject to a minimum vesting period of 18 months, with gradual and equal vesting on no less than
a quarterly basis. They are exercisable, subject to vesting and/or performance conditions, at a price equal to the closing price of the common shares on the TSXV on the day
prior  to  the  grant  of  such  options.  In  addition,  and  unless  otherwise  provided  for  in  the  agreement  between  us  and  the  holder,  options  will  also  lapse  upon  termination  of
employment or the end of the business relationship with us except that they may be exercised for 60 days after termination or the end of the business relationship (30 days for
investor relations services employees), to the extent that they will have vested on such date of termination of employment, except in the case of death, disability or retirement
where this period is extended to 12 months.

Subject to the approval of relevant regulatory authorities, including the TSXV, if applicable, and compliance with any conditions attached to that approval (including, in
certain circumstances, approval by disinterested shareholders) if applicable, the board of directors has the right to amend or terminate the stock option plan. However, unless
option  holders  consent  to  the  amendment  or  termination  of  the  stock  option  plan  in  writing,  any  such  amendment  or  termination  of  the  stock  option  plan  cannot  affect  the
conditions of options that have already been granted and that have not been exercised under the stock option plan.

Options for common shares representing a fixed rate of 15% of our outstanding issued common shares as of April 9, 2019 may be granted by the board under the stock
option  plan. As  at April  9,  2019,  there  were  11,719,910  common  shares  reserved  for  issuance  under  the  stock  option  plan. As  of  the  date  of  this  annual  report,  there  were
600,081 options outstanding under the stock option plan.

Equity Incentive Plan

On May 22, 2013, our equity incentive plan was adopted by the board in order to, among other things, provide us with a share- related mechanism to attract, retain and
motivate qualified directors, employees and consultants. The adoption of the equity incentive plan was initially approved by shareholders at our 2013 Shareholders’ meeting
held on June 27, 2013 and has been amended from time to time, including most recently on April 15, 2019.

Eligible persons may participate in the equity incentive plan. “eligible persons” under the equity incentive plan consist of any director, officer, employee or consultant (as
defined in the equity incentive plan) of us or a subsidiary may participate in the equity incentive plan. A participant is an eligible person to whom an award has been granted
under  the  equity  incentive  plan.  The  equity  incentive  plan  provides  us  with  the  option  to  grant  to  eligible  persons  bonus  shares,  restricted  shares,  restricted  share  units,
performance share units, deferred share units and other share-based awards.

If, and for so long as our common shares are listed on the TSXV, no more than 2% of the issued and outstanding common shares may be granted to any one consultant or

employee conducting investor relations activities in any 12-month period.

The board has the right to determine that any unvested or unearned restricted share units, deferred share units, performance share units or other share-based awards or
restricted shares subject to a restricted period outstanding immediately prior to the occurrence of a change in control will become fully vested or earned or free of restriction
upon the occurrence of a change in control. The board may also determine that any vested or earned restricted share units, deferred share units, performance share units or other
share-based awards will be cashed out at the market price as of the date a change in control is deemed to have occurred, or as of such other date as the board may determine
prior to the change in control. Further, the board has the right to provide for the conversion or exchange of any restricted share unit, deferred share unit, performance share unit
or other share-based award into or for rights or other securities in any entity participating in or resulting from the change in control.

The equity incentive plan is administered by the board and the board has sole and complete authority, in its discretion, to determine the type of awards under the equity
incentive  plan  relating  to  the  issuance  of  common  shares  (including  any  combination  of  bonus  shares,  restricted  share  units,  performance  share  units,  deferred  share  units,
restricted  shares  or  other  share-based  awards)  in  such  amounts,  to  such  persons  and  under  such  terms  and  conditions  as  the  board  may  determine,  in  accordance  with  the
provisions of the equity incentive plan and the recommendations made by the GHR committee.

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Subject to the adjustment provisions provided for in the equity incentive plan and the applicable rules and regulations of all regulatory authorities to which we are subject
(including any stock exchange), the total number of common shares reserved for issuance pursuant to awards granted under the equity incentive plan will be equal to a number
that (A) if, and for so long as the common shares are listed on the TSXV, will not exceed the lower of (i) 1,953,318 common shares, and (ii) 15% of the issued and outstanding
common shares as of April 9, 2019, representing 11,719,910 common shares, which includes common shares issuable pursuant to options issued under our stock option plan.

Other Forms of Compensation

RRSP Matching Program. Effective June 1, 2016, we sponsor a voluntary Registered Retirement Savings Plan, or RRSP, matching program, which is open to all eligible
employees, including NEOs. The RRSP matching program matches employees’ contributions up to a maximum of $1,500 per fiscal year for eligible employees who participate
in the program. Other than matching contributions under the RRSP matching program (which amounts are disclosed in the column entitled “All Other Compensation” in the
summary compensation table below), we do not provide pension or retirement benefits to our executive officers or directors.

Other  Benefits  and  Perquisites. Our  executive  employee  benefit  program  also  includes  life,  medical,  dental  and  disability  insurance.  These  benefits  and  perquisites  are

designed to be competitive overall with equivalent positions in comparable organizations. We do not have a pension plan for employees.

Compensation Paid to Named Executive Officers

The following table sets forth the compensation information for the NEOs during the fiscal year ended March 31, 2019, the fiscal year ended March 31, 2018 and the fiscal

year ended March 31, 2017.

Name and 
Principal 
Position

Jan D’Alvise(4)
President and CEO

Pierre Lemieux
COO

Brian Groch(8)
CCO

Jean-François Boily(9)
VP Finance

Linda O’Keefe
Former CFO(12)

Period 
ended

Salary
($)

March 31, 2019

March 31, 2018

March 31, 2017

March 31, 2019

March 31, 2018

March 31, 2017

March 31, 2019

498,332

431,902

365,072

261,018

253,680

275,819

295,681

March 31, 2019

103,821

March 31, 2019

March 31, 2018

March 31, 2017

269,762

327,199

114,183

Share-
Based 
Awards
($)

Option-Based 
Awards
($)(1) (2)

Annual 
Incentive 
Plans
($)

241,291(10)

183,500(6)

136,049(7)

99,298

71,155

49,000

88,864(11)

497,196

528,279

502,163

200,533

190,426

96,522

164,589

111,693

30,638

-

159,712

237,340

-

64,475(13)

39,897(14)

All Other 
Compensation
($)

Total 
Compensation 
($)

-

-

-

-

1,500(3)

-

-

-

-

-

109,414

1,236,819

1,143,681

1,003,284

560,849

516,761

421,341

549,134

246,152

269,762

551,386

500,834

-

-

-

-

-

-

-

-

-

-

-

- 65 -

 
 
 
 
 
 
 
 
 
 
______________________________
Notes:

(1)

(2)
(3)

The fair value of stock options is estimated  at  the  grant  date  using  the  Black-Scholes  option pricing model.  This  model  requires  the  input  of  a  number  of  parameters,  including  share price, share
exercise  price,  expected  share  price  volatility,  expected  time  until  exercise and  risk-free  interest  rates. Although  the  assumptions  used  reflect  management’s  best  estimates,  they  involve  inherent
uncertainties based on market conditions generally outside of our control.
The fair value of the option-based awards granted on July 2, 2018 in the fiscal year ended March 31, 2019 is $0.5486.
The value of perquisites and other personal benefits received by these executives did not total an aggregate value of $50,000 or more, and does not represent 10% or more of their total salary during
the fiscal years ended March 31, 2019, March 31, 2018 and March 31, 2017.

(4) Ms. D’Alvise was appointed our President and CEO on May 11, 2016 and began her functions on June 1, 2016. Her employment agreement provides for payments in U.S. dollars with an annual base

salary of US$380,000. In fiscal 2019, Ms. D’Alvise earned an annual base salary of US$394,398.
US$142,303 converted as at March 31, 2018, based on a closing exchange rate of US$1.00 = $1.2895.
US$102,300, converted as at March 31, 2017, based on a closing exchange rate of US1.00= $1.3299.
US$50,000 converted as at March 31, 2018, based on a closing exchange rate of US$1.00 = $1.2895.

(5)
(6)
(7)
(8) Mr. Groch was appointed our CCO on June 1, 2018. His employment agreement provides for payments in U.S. dollars with an annual base salary of US$280,000. In fiscal 2019, Mr. Groch earned an

annual base salary of US$225,346.

(9) Mr. Boily was appointed our VP Finance on September 24, 2018. His employment agreement provides for an annual base salary of $215,000.
(10) US$180,566 converted as at March 31, 2019, based on a closing exchange rate of US$1.00 = $1.3363.
(11) US$66,500 converted as at March 31, 2019, based on a closing exchange rate of US$1.00 = $1.3363.
(12) Ms. O’Keefe resigned as CFO effective October 26, 2018.
(13) US$50,000 converted as at March 31, 2018, based on a closing exchange rate of US$1.00 = $1.2895.
(14) US$30,000 converted as at March 31, 2017, based on a closing exchange rate of US$1.00 = $1.3299.

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Outstanding Share-Based and Option-Based Awards

The following tables provide information about the number and value of the outstanding option-based awards held by the NEOs as of March 31, 2019. There are no share-

based awards outstanding as of the date of this annual report.

Name/Grant Date

Number of Securities 
Underlying Unexercised 
Options 
(#)

Option Exercise Price
($)(1)

Option Expiration Date

Value of Unexercised 
In-The-Money Options
($)(2)

Jan D’Alvise

July 2, 2018

June 14, 2017

May 12, 2016

Pierre Lemieux

July 2, 2018

June 14, 2017

February 24, 2017

May 30, 2016

June 1, 2015

October 20, 2014

Brian Groch

July 2, 2018

Jean-François Boily

September 21, 2018
______________________________
Notes:

906,248

430,000

525,000

365,515

155,000

50,000

31,400

16,900

7,500

300,000

200,000

0.77

1.77

1.56

0.77

1.77

1.65

1.99

4.50

6.50

0.77

0.78

July 2, 2028

June 14, 2027

May 12, 2023

July 2, 2028

June 14, 2027

February 24, 2027

May 29, 2023

June 1, 2022

October 19, 2019

July 2, 2028

September 21, 2028

525,624

--

--

211,999

--

--

--

--

--

174,000

114,000

(1) Option-based awards were consolidated following our share consolidation. The exercise price was increased proportionally to reflect the consolidation.
(2) Calculation is based on a trading price of $1.35 of our common shares on the TSXV, as at closing on March 29, 2019.

The following table sets out the value of share-based, option-based, and warrant-based awards held by the NEOs that vested during the fiscal year ended March 31, 2019:

Name

Share-Based Awards
($)

Option-Based Awards
($)

Jan D’Alvise

Jean-François Boily

Pierre Lemieux

Brian Groch

Compensation of Directors

--

--

--

--

439,821

18,250

150,624

40,635

Our  directors’  compensation  consists  of  an  annual  fixed  compensation  of  US$60,000  for  the  chairman  of  the  board  and  US$30,000  for  the  other  non-executive  board
members.  In  addition,  the  chairperson  of  the  audit  committee  and  the  chairperson  of  the  governance  and  human  resources  committee  receive  additional  compensation  of
US$15,000  and  US$10,000,  respectively,  while  members  of  the  audit  committee  and  the  governance  and  human  resources  committee  receive  additional  compensation  of
US$7,500  and  US$5,000,  respectively.  The  directors  are  also  entitled  to  be  reimbursed  for  travelling  and  other  reasonable  expenses  properly  incurred  by  them  in  attending
meetings of the board or any committee or in otherwise serving us, in accordance with our policy on travel and expenses.

- 67 -

 
 
 
 
 
 
 
 
 
Following their first election to our board of directors, non-executive directors are eligible to receive an initial equity grant of up to 150% of their annual cash retainer
worth of stock options vesting annually in equal installments over an 18-month period, subject to the other terms and conditions set  forth  under  the  heading  “Stock  Option
Plan”. In addition to their initial grant, non-executive directors are eligible to receive an annual equity-based award equal to 100% of their total annual cash retainer vesting
quarterly  in  equal  installments  over  an  18-month  period.  These  awards  will  be  granted  at  the  same  time  that  we  are  performing  our  annual  performance  review  for  our
employees, subject to availability of common shares and subject to the terms and conditions described under the headings “Stock Purchase Plan” and “Equity Incentive Plan”.
The  level  of  these  awards  will  be  consistent  with  equivalent  awards  in  comparable  companies  obtained  from  the  benchmark  exercise  and  in  accordance  with  the
recommendations obtained from our independent compensation consultant. The total compensation for our non-executive directors during fiscal year ended March 31, 2019 was
as follows:

Name

Fiscal Year Ended 
March 31

Fees Earned
($)

Option-Based 
Awards
($)(1)(2)

All Other 
Compensation
($)(3)

Roderick N. Carter

Jean-Marie (John) Canan

Donald Olds

2019

2019

2019

85,291 (4)

58,778 (5)

36,657 (6)

80,377

60,283

50,000

--

--

--

Total
($)

165,668

119,061

86,657

______________________________
Notes:

(1)

The fair value of the awards is estimated at the grant date using the Black-Scholes option pricing model. This model requires the input of a number of parameters, including share price, share
exercise price, expected share price volatility, expected time until exercise and risk-free interest rates. Although the assumptions used reflect management’s  best estimates, they involve inherent
uncertainties based on market conditions generally outside of our control.
For the fiscal year ended on March 31, 2019, the fair market value of the July 2, 2018 option-based awards is based on a fair value of $ 0.51 per option granted.
(2)
The directors do not receive pension benefits or other non-equity based annual compensation.
(3)
(4)
Dr. Carter earned a director compensation of US$65,000.
(5) Mr. Canan earned a director compensation of US$45,000.
(6) Mr. Olds was appointed as a director on April 27, 2018 and earned a director compensation of US$27,885.

The following table provides information about the number and value of the outstanding share-based and option-based awards held by non-executive directors. There were

no share-based awards outstanding as of the date of this annual report.

Name/Grant Date

Roderick N. Carter

July 2, 2018

June 14, 2017

May 30, 2016

August 19, 2015

Jean-Marie (John) Canan

July 2, 2018

June 14, 2017

February 24, 2017

Donald Olds

July 2, 2018
______________________________
Notes:

Number of Securities 
Underlying Unexercised 
Options 
(#)

Option Exercise Price
($)(1)

Option Expiration Date

Value of Unexercised 
In-The-Money Options
($)(2)

80,377

51,000

200,000

10,000

60,283

29,000

50,000

50,000

0.77

1.77

1.99

4.80

0.77

1.77

1.65

0.77

July 2, 2028

June 14, 2027

May 29, 2023

August 19, 2022

July 2, 2028

June 14, 2027

February 24, 2027

July 2, 2028

46,619

--

--

--

34,964

--

--

29,000

(1) Option-based awards were consolidated following our share consolidation. The exercise price was increased proportionally to reflect the consolidation.
(2) Calculation is based on a trading price of $1.35 for our common shares on the TSXV, as at closing on March 29, 2019.

- 68 -

 
 
 
 
 
 
 
 
C.

Board Practices

Board of Directors

Director Independence

Our  board  of  directors  believes  that,  in  order  to  maximize  its  effectiveness,  the  board  must  be  able  to  operate  independently. A  majority  of  directors  must  satisfy  the
applicable  tests  of  independence,  such  that  the  board  of  directors  complies  with  all  independence  requirements  under  applicable  corporate  and  securities  laws  and  stock
exchange requirements applicable to us. No director will be independent unless the board of directors has affirmatively determined that the director has no material relationship
with  us  or  any  of  our  affiliates,  either  directly  or  indirectly  or  as  a  partner,  shareholder  or  officer  of  an  organization  that  has  a  relationship  with  us  or  our  affiliates.  Such
determinations will be made on an annual basis and, if a director joins the board of directors between annual meetings, at such time.

Independent Directors

The board of directors determined that Mr. Canan, Dr. Carter and Mr. Olds are independent within the meaning of NI 52-110 and NASDAQ Stock Market rules.

Directors Who are Not Independent

The board of directors determined that Ms. D’Alvise is not independent within the meaning of NI 52-110 and NASDAQ given that she is our President and CEO.

During the fiscal year ended March 31, 2019, the board of directors held 14 meetings. All directors were in attendance for each regularly scheduled quarterly and annual

meeting of the Board.

Chairman of the Board

Dr. Carter acts as Chairman of the board. His duties and responsibilities consist of the oversight of the quality and integrity of the board of directors’ practices.

Board Mandate

There is no specific mandate for the board of directors, since the board has plenary power. Any responsibility that is not delegated to senior management or a committee of

the board remains with the full board of directors.

Position Descriptions

No written position description has been approved for the chair of the board of directors and for the chairs of each committee. The primary role and responsibility of the
chair of each committee of the board of directors is to: (i) in general, ensure that the committee fulfills its mandate, as determined by the board of directors; (ii) chair meetings
of the committee; (iii) report to the board of directors; and (iv) act as liaison between the committee and the board of directors and, if necessary, our management.

Orientation and Continuing Education

We provide orientation for new appointees to the board of directors and committees in the form of informal meetings with members of the board and senior management,
complemented  by  presentations  on  the  main  areas  of  our  business.  The  board  does  not  formally  provide  continuing  education  to  its  directors,  as  directors  are  experienced
members. The board of directors relies on professional assistance, when judged necessary, in order to be educated/updated on a particular topic.

Code of Business Conduct and Ethics

The board of directors adopted a Code of Business Conduct and Ethics, or Code of Conduct, for our directors, officers and employees on May 31, 2007, as amended from
time to time. Our Code of Conduct can be found on SEDAR at www.sedar.com and on our web site on www.acastipharma.com. A copy of the Code of Conduct can also be
obtained by contacting our Corporate Secretary. Since its adoption by the board of directors, any breach of the Code of Conduct must be brought to the attention of the board of
directors by our CEO or other senior executives. No report has ever been filed which pertains to any conduct of a director or executive officer that constitutes a breach to our
Code of Conduct.

- 69 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Since the adoption of the Code of Conduct and the following policies, the board of directors actively monitors compliance with the Code Conduct and promotes a business
environment where employees are encouraged to report malfeasance, irregularities and other concerns. The Code of Conduct provides for specific procedures for reporting non-
compliant practices in a manner which, in the opinion of the board of directors, encourages and promotes a culture of ethical business conduct.

The board of directors also adopted a disclosure policy, insider trading policy, majority voting policy, management and board compensation policies, and a whistleblower

policy.

In  addition,  under  the Civil  Code  of  Québec, to  which  we  are  subject  as  a  legal  person  incorporated  under  the Business  Corporations  Act (Québec)  (L.R.Q.,  c.  S-31),  a
director must immediately disclose to the board any situation that may place him or her in a conflict of interest. Any such declaration of interest is recorded in the minutes of
proceeding of the board of directors. The director abstains, except if required, from the discussion and voting on the question. In addition, it is our policy that an interested
director recuse himself or herself from the decision-making process pertaining to a contract or transaction in which he or she has an interest.

Nomination of Directors

The  board  of  directors  receives  recommendations  from  the  GHR  committee,  but  retains  responsibility  for  managing  its  own  affairs  by,  among  other  things,  giving  its
approval for the composition and size of the board of directors, and the selection of candidates nominated for election to the board of directors. The GHR committee initially
evaluates candidates for nomination for election as directors, having regard to the background, employment and qualifications of possible candidates.

The selection of the nominees for the board of directors is made by the other members of the board, based on our needs and the qualities required for the board of directors,
including  ethical  character,  integrity  and  maturity  of  judgment  of  the  candidates;  the  level  of  experience  of  the  candidates,  their  ideas  regarding  the  material  aspects  of  our
business, the expertise of the candidates in fields relevant to us while complementing the training and experience of the other members of the board of directors; the will and
ability of the candidates to devote the necessary time to their duties to the board of directors and its committees, the will of the candidates to serve on the board of directors for
numerous  consecutive  financial  periods  and  finally,  the  will  of  the  candidates  to  refrain  from  engaging  in  activities  which  conflict  with  the  responsibilities  and  duties  of  a
director.  The  board  researches  the  training  and  qualifications  of  potential  new  directors  which  seem  to  correspond  to  the  selection  criteria  of  the  board  of  directors  and,
depending on the results of said research, organizes meetings with the potential candidates.

In the case of incumbent directors whose terms of office are set to expire, the board will review such directors’ overall service to us during their term of office, including

the number of meetings attended, level of participation, quality of performance and any transactions of such directors with us during their term of office.

We  may  use  various  sources  in  order  to  identify  the  candidates  for  the  board  of  directors,  including  our  own  contacts  and  the  references  of  other  directors,  officers,
advisors and executive placement agencies. We will consider director candidates recommended by shareholders and will evaluate those director candidates in the same manner
in which we evaluate candidates recommended by other sources. In making recommendations for director nominees for the annual meeting of shareholders, we will consider any
written  recommendations  of  director  candidates  by  shareholders  received  by  our  Corporate  Secretary  not  later  than  120  days  before  the  anniversary  of  the  previous  year’s
annual meeting of shareholders. Recommendations must include the candidate’s name, contact information and a statement of the candidate’s background and qualifications,
and must be mailed to us. Following the selection of the candidates by the board of directors, we will propose a list of candidates to the shareholders, for our annual meeting of
shareholders.

The  board  of  directors  does  not  have  a  nominating  committee  and  has  not  adopted  any  formal  written  director  term  limit  policy.  Proposed  nominations  of  director

candidates are evaluated by our GHR committee.

GHR Committee

The  mandate  of  the  GHR  committee  consists  of  the  evaluation  of  the  proposed  nominations  of  senior  executives  and  director  candidates  to  our  board  of  directors,
recommending for board approval, if appropriate, revisions of our corporate governance practices and procedures, developing new charters for any new committees established
by  the  board  of  directors,  monitoring  relationships  and  communication  between  management  and  the  board  of  directors,  monitoring  emerging  best  practices  in  corporate
governance and oversight of governance matters and assessing the board of directors and its committees. The GHR committee is also in charge of establishing the procedure
which must be followed by us to comply with applicable guidelines of the TSXV and NASDAQ Stock Market regarding corporate governance.

The GHR committee has the responsibility of evaluating the compensation, performance incentives as well as the benefits granted to our upper management in accordance
with their responsibilities and performance as well as to recommend the necessary adjustments to our board of directors. The GHR committee also reviews the amount and
method of compensation granted to the directors. The GHR committee may retain an external firm in order to assist it during the execution of its mandate. The GHR committee
considers time commitment, comparative fees and responsibilities in determining compensation.

- 70 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The GHR committee is composed of independent members within the meaning of NI 52-110 and NASDAQ Stock Exchange rules, namely Dr. Carter, Mr. Canan and Mr.

Olds.

Periodic Assessments

The  board  of  directors,  its  committees  and  each  director  are  subject  to  periodic  evaluations  of  their  efficacy  and  contribution.  The  evaluation  procedure  consists  in
identifying any shortcomings and implementing adjustments proposed by directors at the beginning and during meetings of the board of directors and of each of its committees.
Among  other  things,  these  adjustments  deal  with  the  level  of  preparation  of  directors,  management  and  consultants  employed  by  us,  the  relevance  and  sufficiency  of  the
documentation provided to directors and the time allowed to directors for discussion and debate of items on the agenda.

Director Term Limits

The board actively considers the issue of term limits from time to time. At this time, the board does not believe that it is in our best interests to establish a limit on the
number of times a director may stand for election. While such a limit could help create an environment where fresh ideas and viewpoints are available to the board, a director
term limit could also disadvantage us through the loss of the beneficial contribution of directors who have developed increasing knowledge of,  and  insight  into,  us  and  our
operations  over  a  period  of  time.  As  we  operate  in  a  unique  industry,  it  is  difficult  to  find  qualified  directors  with  the  appropriate  background  and  experience  and  the
introduction of a director term limit would impose further difficulty.

Policies Regarding the Representation of Women on the Board and Among Executive Officers

We  have  not  adopted  a  formal  written  policy  regarding  diversity  amongst  executive  officers  and  members  of  the  board  of  directors,  including  mechanisms  for  board
renewal, in connection with, among other things, the identification and nomination of women directors. Nevertheless, we recognize that gender diversity is a significant aspect
of diversity and acknowledges the important role that women with appropriate and relevant skills and experience can play in contributing to the diversity of perspective on the
board of directors.

Rather than considering the level of representation of women for directorship and executive officer positions when making board or executive officer appointments, we
consider all candidates based on their merit and qualifications relevant to the specific role. While we recognize the benefits of diversity at all levels within its organization, we
do not currently have any targets, rules or formal policies that specifically require the identification, consideration, nomination or appointment of candidates for directorship or
executive  management  positions  or  that  would  otherwise  force  the  composition  of  our  board  of  directors  and  executive  management  team.  Currently,  we  have  one  women
director who is also our CEO.

Audit Committee

Our audit committee is responsible for assisting the board of directors in fulfilling its oversight responsibilities with respect to financial reporting, including:

·

·

·

·

·

·

·

reviewing our procedures for internal control management performing financial functions;

reviewing and approving the engagement of the auditor;

reviewing annual and quarterly financial statements and all other material continuous disclosure documents, including our annual information form and management’s
discussion and analysis;

assessing our financial and accounting personnel;

assessing our accounting policies;

reviewing our risk management procedures; and

reviewing any significant transactions outside our ordinary course of business and any pending litigation involving us.

The audit committee has direct communication channels with our management performing financial functions and our external auditor to discuss and review such issues as
the audit committee may deem appropriate. As of March 31, 2019, the audit committee was composed of Mr. Canan, as chairperson, Dr. Carter and Mr. Olds. Each of Mr.
Canan, Dr. Carter and Mr. Olds is “financially literate” and “independent” within the meaning of NI 52-110 and the Exchange Act. As of the date of this annual report, the
composition of the audit committee remains the same as at March 31, 2019.

Compensation Governance

Compensation of our executive officers and directors is recommended to the board of directors by the GHR committee. In its review process, the GHR committee relies on
input from management on the assessment of executives and corporate performance. During the fiscal year ended March 31, 2019, the GHR committee was composed of the
following members, each of whom is independent: Dr. Carter, Mr. Canan and Mr. Olds. The GHR committee establishes management compensation policies and oversees their
general implementation. All members of the GHR committee have direct experience which is relevant to their responsibilities as GHR committee members. All members are or
have  held  senior  executive  or  director  roles  within  significant  businesses,  several  also  having  public  companies  experience,  and  have  a  good  financial  understanding  which
allows them to assess the costs versus benefits of compensation plans. The members combined experience in our sector provides them with the understanding of our success
factors and risks, which is very important when determining metrics for measuring success.

- 71 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risk management is a primary consideration of the GHR committee when implementing its compensation program. We do not believe that our compensation program
results  in  unnecessary  or  inappropriate  risk  taking,  including  risks  that  are  likely  to  have  a  material  adverse  effect  on  us.  Payments  of  bonuses,  if  any,  are  not  made  unless
performance goals are met.

For executives, more than half of target direct compensation (base salary + target STIP awards + target LTIP awards) is considered “at risk”. We believe this mix results in
a strong pay-for-performance relationship and an alignment with shareholders and is competitive with other firms of comparable size in similar fields. The CEO (or any person
acting in that capacity) makes recommendations to the GHR committee as to the compensation of our executive officers, other than himself or herself, for approval by the board.
The GHR committee makes recommendations to the board of directors as to the compensation of the CEO, for approval. The CEO’s salary is based on comparable market
consideration and the GHR committee’s assessment of his or her performance, with regard to our financial performance and progress in achieving strategic goals.

Qualitative factors beyond the quantitative financial metrics are also a key consideration in determination of individual executive compensation payments. How executives

achieve their financial results and demonstrate leadership consistent with our values are key to individual compensation decisions.

D.

Employees

Our  management  consists  of  professionals  experienced  in  business  development,  finance  and  science.  Our  research  team  includes  scientists  with  expertise  in
pharmaceutical  development,  chemistry,  manufacturing  and  controls,  nonclinical  and  clinical  studies,  pharmacology,  regulatory  affairs,  quality  assurance/quality  control,
intellectual  property  and  strategic  alliances. As  of  March  31,  2019,  we  had  28  full-time  employees.  We  generally  require  all  of  our  employees  to  enter  into  an  invention
assignment, non-disclosure and non-compete agreement. We rely, in part on the administrative and other staff of Neptune and also rely on consultants from time to time. Our
employees are not covered by any collective bargaining agreement or represented by a trade union. We consider our relations with our employees to be good and our operations
have never been interrupted as the result of a labor dispute.

E.

Share Ownership

The following table shows the total number of common shares beneficially owned by each of our directors and executive officers and the percentage of the total issued and

outstanding common shares that such holdings represent.

Name
Roderick N. Carter
Jean-Marie (John) Canan
Donald Olds
Jan D’Alvise
Pierre Lemieux
Brian Groch
Jean-François Boily

  Common shares beneficially owned   
as of March 31, 2019

Percentage of total issued and
outstanding common shares  
as of March 31, 2019(1)

-     
107,500     
38,000     
52,500     
7,000     
-     
-     

- 
* 
* 
* 
* 
- 
- 

(1)
*

  Based on 78,132,734 common shares outstanding as of the date of this annual report.
  Less than 1%.

See  “Item  6.B.  Compensation”  above  for  information  regarding  the  share-based,  option-based,  call-option-based,  and  warrant-  based  awards  held  by  our  directors  and

executive officers and for a description of our stock option plan and equity incentive plan.

 Item 7.

Major Shareholders and Related Party Transactions

A.

Major Shareholders

To the best of our knowledge, there are no beneficial owners of 5% or more of any class of our voting securities other than Mr. George W. Haywood, who, according to a
beneficial  ownership  report  on  Schedule  13G/A  filed  by  Mr.  Haywood  with  the  U.S.  Securities  and  Exchange  Commission  (the  “Commission”)  on  February  13,  2019,
beneficially owns 7,396,906 of our common shares, representing approximately 9.2% of our issued and outstanding common shares.

- 72 -

 
 
 
 
 
 
 
 
 
 
 
   
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
All common shares are common shares with the same voting rights. Based on the most recent information received from our registrar and transfer agent, Computershare
Investor  Services  Inc.,  as  of  the  date  of  this  annual  report,  there  are  approximately  9  registered  holders  (including  The  Depository  Trust  Company)  of  our  common  shares
resident in the United States (approximately 37.5% of all registered holders).

B.

Related Party Transactions

Please see the section entitled “—Related Party Transactions” in “Item 5. Operating and Financial Review and Prospects”.

C.

Interests of Experts and Counsel

Not applicable.

 Item 8.

Financial Statements

A.

Financial Statements and Other Financial Information

Financial Statements

See “Item 17. Financial Statements” for our audited financial statements.

Legal Proceedings

Due to the fact that a portion of our intellectual property rights are licensed to us by Neptune/Aker, we rely on Neptune/Aker to protect a certain of the intellectual property

rights that we use under our license agreement with Neptune/Aker. Neptune/Aker are engaged in a number of legal actions related to their intellectual property.

On  May  10,  2019  the  we  announced  the  settlement  regarding  legal  claims  made  by  our  former  chief  executive  officer  (“CEO”)  with  respect  to  the  termination  of  his
employment. Pursuant to the settlement agreement, Acasti agreed to issue 900,000 common shares to the former CEO and also agreed to reimburse the former CEO for nominal
legal  fees.  Furthermore,  pursuant  to  the  settlement  agreement,  the Acasti  received  a  full  and  final  release  from  the  former  CEO  on  all  proceedings  in  connection  with  the
termination of his employment.

Dividend Policy

We do not anticipate paying any cash dividend on the common shares in the foreseeable future. We presently intend to retain future earnings to finance the expansion and
growth  of  our  business. Any  future  determination  to  pay  dividends  will  be  at  the  discretion  of  our  board  of  directors  and  will  depend  on  our  financial  condition,  results  of
operations, capital requirements and other factors the board of directors deems relevant. In addition, the terms of any future debt or credit facility may preclude us from paying
dividends.

 Item 9.

The Offer and Listing

Not applicable except for Item 9.A.4 and Item 9.C.

Since March 31, 2011, the common shares have been listed on the TSX-V under the ticker symbol ACST. Since January 7, 2013, the common shares have been listed on

the NASDAQ Stock Market under the ticker symbol ACST.

 Item 10. Additional Information

A.

Share Capital

Not applicable.

B.

Memorandum and Articles of Association

We were incorporated on February 1, 2002  under  Part  1A  of  the Companies  Act (Québec) under the name “9113-0310 Québec Inc”. On August 7, 2008, pursuant to a
Certificate of Amendment, we changed our name to “Acasti Pharma Inc.”, our share capital, the provisions regarding the restrictions on securities transfers and our borrowing
powers. On November 7, 2008, pursuant to a Certificate of Amendment, we further revised our provisions regarding our borrowing powers. We became a reporting issuer in
Québec  on  November  17,  2008.  On  February  14,  2011,  the Business  Corporations  Act (Québec)  came  into  effect  and  replaced  the Companies  Act (Québec).  We  are  now
governed by the Business Corporations Act (Québec), or the BCA.

- 73 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Register, Entry Number and Purposes

Our articles of incorporation, as amended, or Articles, and general by-laws, do not define any of our objects and purposes. In that respect, we have no limit on the type of

business we can carry out.

Directors’ Powers

Our Articles and by-laws do not contain any provision regarding: (a) a director’s power in the absence of an independent quorum, to vote compensation to itself or any
members of the committees of the board; (b) retirement or non-retirement of directors under an age limit requirement; and (c) number of shares, if any, required for a director’s
qualification.

Our by-laws provide that a director may not vote on a resolution to approve, amend or terminate a contract or transaction in which the director has any financial stake that
may  reasonably  be  considered  to  influence  decision-making  or  be  present  during  deliberations  concerning  the  approval,  amendment  or  termination  of  such  a  contract  or
transaction, unless the contract or transaction: (a) relates primarily to the remuneration of the director or an associate of the director as a director of us or an affiliate of us, (b)
relates primarily to the remuneration of the director or an associate of the director as an officer, employee or mandatary of us or an affiliate of us, if we are not a reporting
issuer, (c) is for indemnity or liability insurance, or (d) is with an affiliate of us, and the sole interest of the director is as a director or officer of the affiliate. In addition, our by-
laws provide that a director must avoid placing himself or herself in any situation where his or her personal interests would be in conflict with his obligations as a director of
ours, and that a director must disclose to us any interest he or she has in a business or association that may place him or her in a situation of conflict of interest and of any right
he or she may set up against us, indicating their nature and value, where applicable.

Our Articles provide that the board may, on behalf us, (a) borrow money, (b) issue, reissue, sell or pledge debt instruments, (c)  guarantee the obligations of a third party,

and (d) hypothecate all or any of its assets, both present and future, to guarantee the performance of any of our obligations.

The quorum at every meeting of the board has been set to the minimum number of directors required under our Articles. In the absence of a quorum, a director has no

power to make any decision regarding, among other things, compensation to himself or herself or to any member of the committees of the board.

Our by-laws do not contain any requirements with respect to a mandatory retirement age for our directors and the number of shares required for directors’ qualifications.

Rights, Preferences and Restrictions Attaching to Each Class of Shares

Our authorized capital consists of an unlimited number of no par value common shares and an unlimited number of no par value Class B, Class C, Class D and Class E

preferred shares (collectively, the preferred shares), issuable in one or more series. As of March 31, 2019, there were:

(i)
(ii)
(iii)

(iv)
(v)

(vi)

(vii)
(viii)

a total of 78,132,734 common shares issued and outstanding and no preferred shares issued and outstanding,
4,046,677 options to purchase common shares issued and outstanding, at a weighted average exercise price of $1.25 per common share,
$2,000,000 aggregate principal amount of unsecured convertible debentures, maturing on February 21, 2020, issued in our February 2017 private placement and
contingent warrants to acquire 1,052,630 common shares (the debentures are convertible into up to 1,052,630 common shares at any time by the holders at a fixed
price of $1.90 per common share, except if we pay before the maturity all or any portion of the convertible debentures, in which case the applicable pro rata share
of the contingent warrants will be exercisable for the remaining term of the convertible debentures at a fixed price of $1.90 per common share),
warrants issued in connection with our February 2017 public offering to purchase up to 1,904,034 common shares at an exercise price of $2.15 per common share,
broker  warrants  issued  in  connection  with  our  December  2017  public  offering  to  purchase  up  to  495,050  common  shares  at  an  exercise  price  of  US$1.26  per
common share,
warrants issued in connection with our December 2017 public offering to purchase up to 9,801,861 common shares at an exercise price of US$1.26 per common
share.
warrants issued in connection with our May 2018 public offering to purchase up to 10,188,100 common shares at an exercise price of $1.31 per common share.
broker warrants issued in connection with our May 2018 public offering to purchase up to 547,975 common shares at an exercise price of $1.05 per common share

The following is a brief description of the rights, privileges, conditions and restrictions attaching to the common shares and preferred shares.

Common Shares

Voting Rights

Each common share entitles its holder to receive notice of, and to attend and vote at, all annual or special meetings of our shareholders. Each common share entitles its
holder to one vote at any meeting of our shareholders, other than meetings at which only the holders of a particular class or series of shares are entitled to vote due to statutory
provisions or the specific attributes of this class or series.

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Dividends

Subject  to  the  prior  rights  of  the  holders  of  preferred  shares  ranking  before  the  common  shares  as  to  dividends,  the  holders  of  common  shares  are  entitled  to  receive

dividends as declared by the board our funds that are available for the payment of dividends.

Winding-up and Dissolution

In the event of our voluntary or involuntary winding-up or dissolution, or any other distribution of our assets among our shareholders for the purposes of winding up its
affairs,  the  holders  of  common  shares  shall  be  entitled  to  receive,  after  payment  by  us  to  the  holders  of  preferred  shares  ranking  prior  to  common  shares  regarding  the
distribution of our assets in the case of winding-up or dissolution, share for share, the remainder of our property, with neither preference nor distinction. The order of priority,
applicable to all classes of our shares with respect to the redemption, liquidation, dissolution or distribution of property (the order of priority) is as follows: First, the

Class E non-voting shares; Second, the Class D non-voting shares; Third, the Class B multiple voting shares and Class C non-voting shares, pari passu;  and  Fourth,  the
common shares. Notwithstanding the order of priority, shareholders of a class of shares may renounce the order of priority by unanimous approval by all shareholders of that
class of shares.

Preferred Shares

Class B Multiple Voting Shares

Each Class B multiple voting share entitles the holder thereof to 10 votes per share in all of our shareholder meetings.

Dividends. Holders of Class B multiple voting shares are entitled to receive, as and when such dividends are declared, an annual non-cumulative dividend of 5% on the

amount paid for the said shares, payable at the time and in the manner which the directors may determine and subject to the order of priority.

Participation. Subject to the provisions of subsection 5.2.2 of our Articles, holders of Class B multiple voting shares do not have the right to participate in our profits or

surplus assets.

Conversion. Holders of Class B multiple voting shares have the right, at their entire discretion, to convert, part or all of the Class B multiple voting shares they hold into

common shares on the basis of 1 common share for each Class B multiple voting share converted.

Redemption. Subject to the provisions of the BCA and the order of priority, holders of Class B multiple voting shares have the right to demand from us, upon 30 days’
written notice, that we redeem the Class B multiple voting shares at a price equivalent to the amount paid for such shares plus the redemption premium, as defined in subsection
5.2.4.1 of the Articles, and any and all declared but yet unpaid dividends on same.

Liquidation. In the event of our dissolution or liquidation or any other distribution of our property, the Class B voting shareholders have the right to be reimbursed for the
amount paid for their Class B multiple voting shares plus the redemption premium, as defined in subsection 5.2.4.1 of our Articles as well as the amount of any and all declared
but yet unpaid dividends on their shares, subject to the order of priority.

Class C Non-Voting Shares

Subject to the provisions of the BCA, holders of Class C non-voting shares are neither entitled to vote at any meeting of our shareholders, receive a notice of any such

meeting, nor attend any such meeting.

Dividends. Holders of Class C non-voting shares are entitled to receive, as and when such dividends are declared, an annual non-cumulative dividend of 5% on the amount
paid for the said shares, plus a redemption premium as defined in subsection 5.3.6.1 of our Articles, payable at the time and in the manner which the directors may determine
and subject to the order of priority.

Participation. Subject to the provisions of subsection 5.3.2 of our Articles, holders of Class C non-voting shares do not have the right to participate in our profits or surplus

assets.

Conversion. Holders of Class C non-voting shares have the right, at their entire discretion, to convert, part or all of the Class C non-voting shares they hold into common

shares on the basis of 1 common share for each Class C non-voting share converted.

Forced Conversion. All of our Class C non-voting shares shall automatically be converted in common shares upon the request of an unrelated third-party investor in us
investing more than $500,000, or any other amount to be determined by the board of directors in us and requesting as a condition to the investment that the Class C non-voting
shares be converted into common shares on the basis of 1 common share for each Class C non-voting share converted.

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Redemption. Subject to the provisions of the BCA and the order of priority, holders of Class C non-voting shares have the right to demand, upon 30 days’ written notice,
that we redeem their Class C non-voting shares at a price equivalent to the amount paid for the shares plus the redemption premium, as defined in subsection 5.3.6.1 of our
Articles, and any and all declared but yet unpaid dividends on the shares.

Liquidation. In the event of our dissolution or liquidation or any other distribution of our property, Class C non-voting shareholders have the right to be reimbursed for the
amount paid for their Class C non-voting shares plus the redemption premium, as defined in subsection 5.3.6.1 of our Articles, as well as the amount of any and all declared but
yet unpaid dividends on their shares, subject to the order of priority.

Class D Non-Voting Shares

Subject to the provisions of the BCA, holders of Class D non-voting shares are neither entitled to vote at any meeting of the shareholders, receive a notice of any such

meeting, nor attend any such meeting.

Dividends. Holders of Class D non-voting shares are entitled to receive, as and when such dividends are declared, a monthly non-cumulative dividend of 0.5% to 2% on the
amount paid for the shares, plus a redemption premium as defined in subsection 5.4.6.1 of our Articles, payable at the time and in the manner which the directors may determine
and subject to the order of priority.

Participation. Subject to the provisions of subsection 5.4.2 of our Articles, holders of Class D non-voting shares do not have the right to participate in our profits or surplus

assets.

Conversion. Holders of Class D non-voting shares have the right, at their discretion, to convert, part or all of their Class D non-voting shares into common shares on the

basis of a number of common shares equal to the number of Class D non-voting shares converted multiplied by a conversion ratio, calculated as follows:

The product obtained by multiplying a factor to be agreed at the time of the issuance of the Class D non-voting shares by the average amount paid per share for
the  Class  D  non-voting  shares  plus  the  redemption  premium  per  share,  as  defined  in  subsection  5.4.6.1  of  our Articles  as  well  as  the  amount  of  any  and  all
declared but yet paid

Conversion Ratio 

=   dividends on the shares

  Fair market value of the common shares at the date of any conversion of Class D non-voting shares into common shares

Conversion All of our Class D non-voting shares automatically convert into common shares upon the request of an unrelated third party investor in us, investing more than
$500,000, or any other amount to be determined by the board of directors, in us and requesting as a condition to the investment that the Class D non-voting shares be converted
into common shares in all cases, on the basis of a number of common shares equal to the number of Class D non-voting shares converted multiplied by the conversion ratio,
calculated as follows:

Conversion Ratio

=

  The product obtained by multiplying a factor to be agreed at the time of the issuance of the Class D non-voting shares by the average amount paid per
share for the Class D non-voting shares plus the redemption premium per share, as defined in subsection 5.4.6.1 of our Articles as well as the amount
of any and all declared but yet paid dividends on the shares

  Fair market value of the common shares at the date of any conversion of Class D non-voting shares into common shares

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Redemption. Subject to the provisions of the BCA and the order of priority, holders of Class D non-voting shares have the right to demand, upon 30 days’ written notice,
that we redeem their Class D non-voting shares at a price equivalent to the amount paid for the shares plus the redemption premium, as defined in subsection 5.4.6.1 of our
Articles, and any and all declared but yet unpaid dividends on the shares.

Liquidation. In  the  event  of  our  dissolution  or  liquidation  or  any  other  distribution  of  our  property,  the  Class  D  non-voting  shareholders  shall  have  the  right  to  be
reimbursed for the amount paid for their Class D non-voting shares plus the redemption premium, as defined in subsection 5.4.6.1 of our Articles as well as the amount of any
and all declared but yet unpaid dividends on their shares, subject to the order of priority.

Class E Non-Voting Shares

Subject to the provisions of the BCA, holders of Class E non-voting shares are neither entitled to vote at any meeting of the shareholders, receive a notice of any such

meeting, nor attend any such meeting.

Dividends. Holders of Class E non-voting shares are entitled to receive, as and when such dividends are declared, a monthly non-cumulative dividend of 0.5% to 2% on the

amount paid for the shares, payable at the time and in the manner which the directors may determine and subject to the order of priority.

Participation. Subject to the provisions of subsection 5.5.2 of our Articles, holders of Class E non-voting shares do not have the right to participate in our profits.

Conversion. Holders of Class E non-voting shares have the right, at their discretion, to convert, part or all of their Class E non-voting shares into common shares on the

basis of a number of common shares equal to the number of Class E non-voting shares converted multiplied by the conversion ratio, calculated as follows:

  The product obtained by multiplying a factor to be agreed at the time of the issuance of the Class E non-voting shares by the average amount paid per

Conversion Ratio

=

share for the Class E non-voting shares plus the amount of any and all declared but yet paid dividends on the shares
  Fair market value of the common shares at the date of any conversion of Class E non-voting shares into common shares

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Redemption. Subject to the provisions of the BCA and the order of priority, we have the right, upon 30 days’ written notice, to redeem the Class E non-voting shares at a

price equivalent to the amount paid for the shares and any and all declared but yet unpaid dividends on the shares.

Liquidation. In the event of our dissolution or liquidation or any other distribution of our property, the Class E non-voting shareholders have the right to be reimbursed for

the amount paid for their Class E non-voting shares as well as the amount of any and all declared but yet unpaid dividends on the shares, subject to the order of priority.

Procedures to Change the Rights of Shareholders

In order to change the rights attached to all classes of our shares, the vote of at least 66 2/3% of the holders of each class, must be cast at a shareholders meeting called for

amending the rights attached to our common shares or preferred shares, as the case may be.

Ordinary and Extraordinary Shareholders’ Meetings

Our by-laws provide that our annual meeting of shareholders must be held on a yearly basis on such date and on such time as may be fixed by the board. Our by-laws
provide  that  special  meetings  of  shareholders  may  be  called  at  any  time  as  determined  by  the  board.  Our  shareholders  are  entitled  to  call  special  meetings  of  shareholders,
provided that they hold at least 10% of the issued and outstanding shares entitled to vote at the meeting so called. Our by-laws provide that notice of each annual and special
meeting of shareholders must be sent to the shareholders entitled to attend such meetings not less than 21 days and not more than 60 days before the date fixed for such meeting.
Our by-laws provide that during any meeting of shareholders, the attendance, in person or by proxy, of at least two shareholders representing at least 10% of the issued and
outstanding shares entitled to vote at the meeting will constitute a quorum.

Limitations on Rights to Own Securities

There exists no limitation on the right to own our securities.

Impediments to Change of Control

Neither our Articles nor by-laws contain any provision that would have an effect of delaying, deferring or preventing a change in control of us.

Stockholder Ownership Disclosure Threshold in Bylaws

Our Articles and By-laws do not contain any provision requiring a shareholder to disclose his ownership above a particular threshold.

C.

Material Contracts

For the two years preceding this annual report, we have not entered into any material contracts, other than contracts entered into in the ordinary course of our business and
other than the warrant agency agreement relating to the warrants that we issued in connection with our public offering of units in December 2017 and the indenture relating to
the warrants that we issued in connection with our public offering of units in May 2018.

D.

Exchange Controls

Subject to the following paragraph, there is no law or governmental decree or regulation in Canada that restricts the export or import of capital, or affects the remittance of

dividends, interest or other payments to non-resident holders of our subordinate voting shares, other than withholding tax requirements.

There is no limitation imposed by Canadian law or by our Articles or our other charter documents on the right of a non-resident to hold or vote voting shares, other than as
provided by the Investment Canada Act (Canada), or Investment Canada Act, the North American Free Trade Agreement Implementation Act (Canada), or North American Free
Trade Agreement,  and  the World Trade Organization Agreement Implementation Act. The Investment Canada Act requires notification and, in certain cases, advance review
and approval by the Government of Canada of an investment to establish a new Canadian business by a non-Canadian or of the acquisition by a “non-Canadian” of “control” of
a “Canadian business”, all as defined in the Investment Canada Act. Generally, the threshold for review will be higher in monetary terms for a member of the World Trade
Organization or North American Free Trade Agreement.

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E.

Taxation

The following is a summary of certain U.S. federal income tax considerations arising from and relating to the acquisition, ownership, and disposition of our common shares to a
U.S. Holder (as defined below) as capital assets.

This summary provides only general information and does not purport to be a complete analysis or listing of all potential U.S. federal income tax consequences that may apply
to a U.S. Holder as a result of the acquisition, ownership, and disposition of our common shares. In addition, this summary does not take into account the individual facts and
circumstances of any particular U.S. Holder that may affect the U.S. federal income tax consequences applicable to that U.S. Holder. Accordingly, this summary is not intended
to be, and should not be construed as, legal or U.S. federal income tax advice with respect to any U.S. Holder. Each U.S. Holder should consult its own tax advisor regarding
the U.S. federal, U.S. state and local, and non-U.S. tax consequences arising from or relating to the acquisition, ownership, and disposition of our common shares.

No legal opinion from U.S. legal counsel or ruling from the Internal Revenue Service, or IRS, has been requested, or will be obtained, regarding the U.S. federal income tax
consequences to U.S. Holders of the acquisition, ownership, and disposition of our common shares. This summary is not binding on the IRS, and the IRS is not precluded from
taking a position that is different from, and contrary to, the positions taken in this summary. In addition, because the authorities on which this summary is based are subject to
various interpretations, the IRS and the U.S. courts could disagree with one or more of the positions taken in this summary.

Scope of this Disclosure

Authorities

This  summary  is  based  on  the  Code,  U.S.  Treasury  Regulations  promulgated  thereunder  (whether  final,  temporary  or  proposed),  published  IRS  rulings,  judicial  decisions,
published administrative positions of the IRS, and the Convention between Canada and the United States of America with Respect to Taxes on Income and on Capital, signed
September 26, 1980, as amended (the Canada-U.S. Tax Treaty), in each case, as in effect as of the date of this report. Any of the authorities on which this summary is based
could be changed in a material and adverse manner at any time, and any such change could be applied on a retroactive basis. Unless otherwise discussed, this summary does not
discuss the potential effects, whether adverse or beneficial, of any proposed legislation.

U.S. Holders

For  purposes  of  this  summary,  a  “U.S.  Holder”  is  a  beneficial  owner  of  common  shares  that,  for  U.S.  federal  income  tax  purposes,  is  (a)  an  individual  who  is  a  citizen  or
resident of the United States, (b) a corporation, or other entity classified as a corporation for U.S. federal income tax purposes, that is created or organized in or under the laws
of the U.S., any state in the United States or the District of Columbia, (c) an estate if the income of such estate is subject to U.S. federal income tax regardless of the source of
such income, or (d) a trust if (i) such trust has validly elected to be treated as a U.S. person for U.S. federal income tax purposes or (ii) a U.S. court is able to exercise primary
supervision over the administration of such trust and one or more U.S. persons have the authority to control all substantial decisions of such trust.

U.S. Holders Subject to Special U.S. Federal Income Tax Rules Not Addressed

This summary does not address the U.S. federal income tax consequences applicable to U.S. Holders that are subject to special provisions under the Code, including, but not
limited  to,  the  following  U.S.  Holders:  (a)  U.S.  Holders  that  are  tax-exempt  organizations,  qualified  retirement  plans,  individual  retirement  accounts,  or  other  tax  deferred
accounts; (b) U.S. Holders that are financial institutions, insurance companies, real estate investment trusts, or regulated investment companies; (c) U.S. Holders that are dealers
in  securities  or  currencies  or  U.S.  Holders  that  are  traders  in  securities  that  elect  to  apply  a  mark-to-market  accounting  method;  (d)  U.S.  Holders  that  have  a  “functional
currency” other than the U.S. dollar; (e) U.S. Holders subject to the alternative minimum tax provisions of the Code; (f) U.S. Holders that own common shares as part of a
straddle,  hedging  transaction,  conversion  transaction,  integrated  transaction,  constructive  sale,  or  other  arrangement  involving  more  than  one  position;  (g)  U.S.  Holders  that
acquired common shares through the exercise of employee stock options or otherwise as compensation for services; (h) U.S. Holders that hold common shares other than as a
capital asset within the meaning of Section 1221 of the Code; (i) U.S. Holders that beneficially own (directly, indirectly or by attribution) 10% or more of our equity securities
(by vote or value); and (j) U.S. expatriates. U.S. Holders that are subject to special provisions under the Code, including U.S. Holders described above, should consult their own
tax advisor regarding  the  U.S.  federal,  U.S.  federal  alternative  minimum,  U.S.  federal  estate  and  gift,  U.S.  state  and  local,  and  non-U.S.  tax  consequences  arising  from  and
relating to the acquisition, ownership, and disposition of the common shares.

If  an  entity  or  arrangement  that  is  classified  as  a  partnership  for  U.S.  federal  income  tax  purposes  holds  common  shares,  the  U.S.  federal  income  tax  consequences  to  that
partnership and the partners of that partnership generally will depend on the activities of the partnership and the status of the partners. Partners of entities that are classified as
partnerships for U.S. federal income tax purposes should consult their own tax advisors regarding the U.S. federal income tax consequences arising from and relating to the
acquisition, ownership and disposition of the common shares.

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Tax Consequences Other than U.S. Federal Income Tax Consequences Not Addressed

This  summary  does  not  address  the  U.S.  estate  and  gift,  alternative  minimum,  state,  local  or  non-U.S.  tax  consequences  to  U.S.  Holders  of  the  acquisition,  ownership,  and
disposition of our common shares. Each U.S. Holder should consult its own tax advisor regarding the U.S. estate and gift, alternative minimum, state, local and non-U.S. tax
consequences arising from and relating to the acquisition, ownership, and disposition of our common shares.

U.S. Federal Income Tax Considerations of the Acquisition, Ownership, and Disposition of Common Shares

Distributions on Common Shares

Subject to the discussion under “—Passive Foreign Investment Company Rules” below, a U.S. Holder that receives a distribution, including a constructive distribution or a
taxable  stock  distribution,  with  respect  to  the  common  shares  generally  will  be  required  to  include  the  amount  of  that  distribution  in  gross  income  as  a  dividend  (without
reduction for any Canadian income tax withheld from such distribution) to the extent of our current or accumulated “earnings and profits” (as computed for U.S. federal income
tax purposes). To the extent that a distribution exceeds our current and accumulated “earnings and profits”, the excess amount will be treated (a) first, as a tax-free return of
capital to the extent of a U.S. Holder’s adjusted tax basis in the common shares with respect to which the distribution is made (resulting in a corresponding reduction in the tax
basis of those common shares) and, (b) thereafter, as gain from the sale or exchange of those common shares (see the more detailed discussion at “—Disposition of Common
Shares” below). We do not intend to calculate our current or accumulated earnings and profits for U.S. federal income tax purposes and, therefore, will not be able to provide
U.S. Holders with that information. U.S. Holders should therefore assume that any distribution by us with respect to our common shares will constitute a dividend. However,
U.S. Holders should consult their own tax advisors regarding whether distributions from us should be treated as dividends for U.S. federal income tax purposes. Dividends paid
on our common shares generally will not be eligible for the “dividends received deduction” allowed to corporations under the Code with respect to dividends received from U.S.
corporations.

A dividend paid by us generally will be taxed at the preferential tax rates applicable to long-term capital gains if, among other requirements, (a) we are a “qualified foreign
corporation” (as defined below), (b) the U.S. Holder receiving the dividend is an individual, estate, or trust, and (c) the dividend is paid on common shares that have been held
by the U.S. Holder for at least 61 days during the 121-day period beginning 60 days before the “ex-dividend date” (i.e., the first date that a purchaser of the common shares will
not be entitled to receive the dividend).

For purposes of the rules described in the preceding paragraph, we generally will be a “qualified foreign corporation”, or a QFC, if (a) we are eligible for the benefits of the
Canada-U.S.  Tax  Treaty,  or  (b)  our  common  shares  are  readily  tradable  on  an  established  securities  market  in  the  United  States,  within  the  meaning  provided  in  the  Code.
However, even if we satisfy one or more of the requirements, we will not be treated as a QFC if we are classified as a PFIC (as discussed below) for the taxable year during
which we pay the applicable dividend or for the preceding taxable year. The dividend rules are complex, and each U.S. Holder should consult its own tax advisor regarding the
application of those rules to them in their particular circumstances. Even if we satisfy one or more of the requirements, as noted below, there can be no assurance that we will
not be a PFIC in the current taxable year, or become a PFIC in the future. Thus, there can be no assurance that we will qualify as a QFC.

Disposition of Common Shares

Subject to the discussion under “—Passive Foreign Investment Company Rules” below, a U.S. Holder will recognize gain or loss on the sale or other taxable disposition of
common  shares  (that  is  treated  as  a  sale  or  exchange  for  U.S.  federal  income  tax  purposes)  equal  to  the  difference,  if  any,  between  (a)  the  U.S.  dollar  value  of  the  amount
realized on the date of the sale or disposition and (b) the U.S. Holder’s adjusted tax basis (determined in U.S. dollars) in the common shares sold or otherwise disposed of. Any
such gain or loss generally will be capital gain or loss, which will be long-term capital gain or loss if the common shares are held for more than one year. Each U.S. Holder
should consult its own tax advisor as to the tax treatment of dispositions of common shares in exchange for Canadian dollars.

Preferential tax rates apply to long-term capital gains of a U.S. Holder that is an individual, estate, or trust. There are currently no preferential tax rates for long-term capital
gains of a U.S. Holder that is a corporation. Deductions for capital losses are subject to complex limitations.

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Passive Foreign Investment Company Rules

If we are or become a PFIC, the preceding sections of this summary may not describe the U.S. federal income tax consequences to U.S. Holders of the acquisition, ownership,
and disposition of our common shares.

Passive Foreign Investment Company Status.

Special, generally unfavorable, rules apply to the ownership and disposition of the stock of a PFIC. For U.S. federal income tax purposes, a non-U.S. corporation is classified as
a PFIC for each taxable year in which either:

·

·

at least 75% of its gross income is “passive” income (referred to as the “income test”); or

at least 50% of the average value of its assets is attributable to assets that produce passive income or are held for the production of passive income (referred to as the
“asset test”).

Passive income generally includes the following types of income:

·

·

dividends, royalties, rents, annuities, interest, and income equivalent to interest; and

net  gains  from  the  sale  or  exchange  of  property  that  gives  rise  to  dividends,  interest,  royalties,  rents,  or  annuities  and  certain  gains  from  the  commodities
transactions.

In determining whether we are a PFIC, we will be required to take into account a pro rata portion of the income and assets of each corporation in which we own, directly or
indirectly, at least 25% by value.

As described above, PFIC status of a non-U.S. corporation for a taxable year depends on the relative values of certain categories of assets and the relative amount of certain
kinds of income. Therefore, our status as a PFIC for any given taxable year depends upon the financial results for such year and upon relative valuations, which are subject to
change and beyond our ability to predict or control. Based on our most recent financial statements and projections and given uncertainty regarding the composition of our future
income and assets, there is a significant risk that we may have been classified as a PFIC for the 2019 taxable year and may be classified as a PFIC for our current taxable year
and possibly subsequent years. However, PFIC status is fundamentally factual in nature, depends on the application of complex U.S. federal income tax rules (which are subject
to differing interpretations), generally cannot be determined until the close of the taxable year in question and is determined annually. Accordingly, there can be no assurance
that  we  will  not  be  a  PFIC  in  our  current  taxable  year  or  subsequent  years.  The  PFIC  rules  are  complex,  and  each  U.S.  Holder  should  consult  its  tax  advisor  regarding  the
application of the PFIC rules to us.

Default PFIC Rules Under Section 1291 of the Code.

Generally, if we are or have been treated as a PFIC for any taxable year during a U.S. Holder’s holding period of common shares, subject to the special rules described below
applicable to a U.S. Holder who makes a Mark-to-Market Election or a QEF Election (each as defined below), any “excess distribution” with respect to the common shares
would be allocated ratably over the U.S. Holder’s holding period. The amounts allocated to the taxable year of the excess distribution and to any year before we became a PFIC
would be taxed as ordinary income. The amount allocated to each other taxable year would be subject to tax at the highest rate in effect for individuals or corporations in that
taxable year, as appropriate, and an interest charge would be imposed on the amount allocated to that taxable year. Distributions made in respect of common shares during a
taxable year will be excess distributions to the extent they exceed 125% of the average of the annual distributions on common shares received by the U.S. Holder during the
preceding three taxable years or the U.S. Holder’s holding period, whichever is shorter. In addition, dividends generally will not be qualified dividend income if we are a PFIC
in the taxable year of payment or the preceding year.

Generally, if we are treated as a PFIC for any taxable year during which a U.S. Holder owns common shares, any gain on the disposition of the common shares would be treated
as  an  excess  distribution  and  would  be  allocated  ratably  over  the  U.S.  Holder’s  holding  period  and  subject  to  taxation  in  the  same  manner  as  described  in  the  preceding
paragraph, and would not be eligible for the preferential long-term capital gains rate.

Certain elections (including the Mark-to-Market Election and the QEF Election, as defined and discussed below) may sometimes be used to mitigate the adverse impact of the
PFIC rules on U.S. Holders, but these elections may accelerate the recognition of taxable income and have other adverse results.

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Each current or prospective U.S. Holder should consult its own tax advisor regarding potential status of us as a PFIC, the possible effect of the PFIC rules to such
holder in their particular circumstances, information reporting required if we were treated as a PFIC and the availability of any election that may be available to the
holder to mitigate adverse U.S. federal income tax consequences of holding shares in a PFIC.

QEF Election.

A U.S. Holder of common shares in a PFIC generally would not be subject to the PFIC rules discussed above if the U.S. Holder had made a timely and effective election (a
“QEF Election”) to treat us as a “qualified electing fund” (a “QEF”). Instead, such U.S. Holder would be subject to U.S. federal income tax on its pro rata share of our (i) net
capital gain, which would be taxed as long-term capital gain to such U.S. Holder, and (ii) ordinary earnings, which would be taxed as ordinary income to such U.S. Holder, in
each  case  regardless  of  whether  such  amounts  are  actually  distributed  to  such  U.S.  Holder.  However,  a  U.S.  Holder  that  makes  a  QEF  Election  may,  subject  to  certain
limitations, elect to defer payment of current U.S. federal income tax on such amounts, subject to an interest charge. If such U.S. Holder is not a corporation, any such interest
paid will be treated as “personal interest,” which is not deductible.

A  U.S.  Holder  that  makes  a  timely  and  effective  QEF  Election  generally  (a)  may  receive  a  tax-free  distribution  from  us  to  the  extent  that  such  distribution  represents  our
“earnings  and  profits”  that  were  previously  included  in  income  by  such  U.S.  Holder  because  of  such  QEF  Election  and  (b)  will  adjust  such  U.S.  Holder’s  tax  basis  in  the
common shares to reflect the amount included in income or allowed as a tax-free distribution because of such QEF Election. In addition, for U.S. federal income tax purposes, a
U.S. Holder that makes a timely QEF Election generally will recognize capital gain or loss on the sale or other taxable disposition of the common shares.

A QEF Election will be treated as “timely” if such QEF Election is made for the first taxable year in the U.S. Holder’s holding period for the common shares in which we are a
PFIC. A U.S. Holder may make a timely QEF election by filing the appropriate QEF Election documents at the time such U.S. Holder files a U.S. federal income tax return for
such first year. If a U.S. Holder makes a QEF Election after the first taxable year in the U.S. Holder’s holding period for the common shares in which we are a PFIC, then, in
addition to filing the QEF Election documents, a U.S. Holder may elect to recognize gain (which will be taxed under the rules discussed under “—Default PFIC Rules Under
Section 1291 of the Code”) as if the common shares were sold on the qualification date. The “qualification date” is the first day of the first taxable year in which we are a QEF
with respect to such U.S. Holder. The election to recognize such gain can only be made if such U.S. Holder’s holding period for the common shares includes the qualification
date. By electing to recognize such gain, such U.S. Holder will be deemed to have made a timely QEF Election. In addition, under very limited circumstances, it is possible that
a U.S. Holder might make a retroactive QEF Election if such U.S. Holder failed to file the QEF Election documents in a timely manner. If a U.S. Holder fails to make a QEF
Election for the first taxable year in the U.S. Holder’s holding period for the common shares in which we are a PFIC and does not elect to recognize gain as if the common
shares were sold on the qualification date, such holder will not be treated as having made a “timely” QEF election and will continue to be subject to the special adverse taxation
rules discussed above under “—Default PFIC Rules Under Section 1291 of the Code”.

A QEF Election will apply to the taxable year for which such QEF election is made and to all subsequent taxable years, unless such QEF Election is invalidated or terminated or
the IRS consents to revocation of such QEF Election. If a U.S. Holder makes a QEF Election and, in a subsequent taxable year, we cease to be a PFIC, the QEF Election will
remain in effect (although it will not be applicable) during those taxable years in which we are not a PFIC. Accordingly, if we become a PFIC in another subsequent taxable
year, the QEF Election will be effective and the U.S. Holder will be subject to the rules described above during any such subsequent taxable year in which we qualify as a PFIC.

A U.S. Holder cannot make and maintain a valid QEF Election unless we provide certain U.S. tax information necessary to make such an election. On an annual basis, we
intend to use commercially reasonable efforts to make available to U.S. Holders, upon their written request (a) timely information as to our status as a PFIC, and (b) for each
year in which we are a PFIC, information and documentation that a U.S. Holder making a QEF Election with respect to us is required to obtain for U.S. federal income tax
purposes. Each U.S. Holder should consult its own tax advisor regarding the availability of, and procedure for making, a QEF Election with respect to us.

Mark-to-Market Election.

A U.S. Holder of common shares in a PFIC would not be subject to the PFIC rules discussed above under “—Default PFIC Rules Under Section 1291 of the Code” if the U.S.
Holder had made a timely and effective election to mark the PFIC common shares to market (a “Mark-to-Market Election”).

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A U.S. Holder may make a Mark-to-Market Election with respect to the common shares only if such shares are marketable stock. Such shares generally will be “marketable
stock”  if  they  are  regularly  traded  on  a  “qualified  exchange,”  which  is  defined  as  (a)  a  national  securities  exchange  that  is  registered  with  the  Securities  and  Exchange
Commission,  (b)  the  national  market  system  established  pursuant  to  section  11A  of  the  Exchange Act  of  1934,  or  (c)  a  non-U.S.  securities  exchange  that  is  regulated  or
supervised by a governmental authority of the country in which the market is located, provided that (i) such non-U.S. exchange has trading volume, listing, financial disclosure,
surveillance, and other requirements, and the laws of the country in which such non-U.S. exchange is located, together with the rules of such non-U.S. exchange, ensure that
such requirements are actually enforced and (ii) the rules of such non-U.S. exchange ensure active trading of listed stocks. Our common shares will generally be treated as
“regularly traded” in any calendar year in which more than a de minimis quantity of common shares is traded on a qualified exchange for at least 15 days during each calendar
quarter. Each U.S. Holder should consult its own tax advisor with respect to the availability of a Mark-to-Market Election with respect to the common shares.

In general, a U.S. Holder that makes a timely Mark-to-Market Election with respect to the common shares will include in ordinary income, for each taxable year in which we are
a PFIC, an amount equal to the excess, if any, of (a) the fair market value of the common shares as of the close of such taxable year over (b) such U.S. Holder’s tax basis in such
shares. A U.S. Holder that makes a Mark-to-Market Election will be allowed a deduction in an amount equal to the lesser of (a) the excess, if any, of (i) such U.S. Holder’s
adjusted tax basis in the common shares over (ii) the fair market value of such shares as of the close of such taxable year or (b) the excess, if any, of (i) the amount included in
ordinary income because of such Mark-to-Market Election for prior taxable years over (ii) the amount allowed as a deduction because of such Mark-to-Market Election for
prior taxable years. If a U.S. Holder makes a Mark-to-Market Election after the first taxable year in which we are a PFIC and such U.S. Holder has not made a timely QEF
Election with respect to us, the PFIC rules described above under “—Default PFIC Rules Under Section 1291 of the Code” will apply to certain dispositions of, and distributions
on, the common shares, and the U.S. Holder’s mark-to-market income for the year of the election. If we were to cease being a PFIC, a U.S. Holder that marked its common
shares to market would not include mark-to-market gain or loss with respect to its common shares for any taxable year that we were not a PFIC.

A  U.S.  Holder  that  makes  a  Mark-to-Market  Election  generally  will  also  adjust  such  U.S.  Holder’s  tax  basis  in  his  common  shares  to  reflect  the  amount  included  in  gross
income or allowed as a deduction because of such Mark-to-Market Election. In addition, upon a sale or other taxable disposition of the common shares subject to a Mark-to-
Market  Election,  any  gain  or  loss  on  such  disposition  will  be  ordinary  income  or  loss  (to  the  extent  that  such  loss  does  not  to  exceed  the  excess,  if  any,  of  (a)  the  amount
included  in  ordinary  income  because  of  such  Mark-to-Market  Election  for  prior  taxable  years  over  (b)  the  amount  allowed  as  a  deduction  because  of  such  Mark-to-Market
Election for prior taxable years). A Mark-to-Market Election applies to the taxable year in which such Mark-to-Market Election is made and to each subsequent taxable year,
unless the common shares cease to be “marketable stock” or the IRS consents to revocation of such election. Each U.S. Holder should consult its own tax advisor regarding the
availability of, and procedure for making, a Mark-to-Market Election with respect to the common shares.

Reporting. If we were to be treated as a PFIC in any taxable year, a U.S. Holder will generally be required to file an annual report with the IRS containing such information as
the U.S. Treasury Department may require.

Each U.S. Holder should consult its own tax advisor regarding our potential status as a PFIC, the possible effect of the PFIC rules to such holder and information
reporting  required  if  we  were  a  PFIC,  as  well  as  the  availability  of  any  election  that  may  be  available  to  the  holder  to  mitigate  adverse  U.S.  federal  income  tax
consequences of holding shares in a PFIC.

Receipt of Foreign Currency

The amount of a distribution paid in Canadian dollars or Canadian dollar proceeds received on the sale or other taxable disposition of common shares will generally be equal to
the  U.S.  dollar  value  of  the  currency  on  the  date  of  receipt.  If  any  Canadian  dollars  received  with  respect  to  the  common  shares  are  later  converted  into  U.S.  dollars,  U.S.
Holders may realize gain or loss on the conversion. Any gain or loss generally will be treated as ordinary income or loss and generally will be from sources within the United
States for U.S. foreign tax credit purposes. Each U.S. Holder should consult its own tax advisor concerning the possibility of foreign currency gain or loss if any such currency
is not converted into U.S. dollars on the date of receipt.

Foreign Tax Credit

Subject to certain limitations, a U.S. Holder who pays (whether directly or through withholding) Canadian or other non-U.S. income tax with respect to the common shares may
be  entitled,  at  the  election  of  the  U.S.  Holder,  to  receive  either  a  deduction  or  a  credit  for  Canadian  or  other  non-U.S.  income  tax  paid.  Dividends  paid  on  common  shares
generally will constitute income from sources outside the United States. The foreign tax credit rules (including the limitations with respect thereto) are complex, and each U.S.
Holder should consult its own tax advisor regarding the foreign tax credit rules, having regard to such holder’s particular circumstances.

- 83 -

 
 
 
 
 
 
 
 
 
 
 
 
Information Reporting; Backup Withholding

Generally, information reporting and backup withholding will apply to distributions on, and the payment of proceeds from the sale or other taxable disposition of, the common
shares unless (i) the U.S. Holder is a corporation or other exempt entity, or (ii) in the case of backup withholding, the U.S. Holder provides a correct taxpayer identification
number and certifies that the U.S. Holder is not subject to backup withholding.

Backup withholding is not an additional tax. Any amount withheld generally will be creditable against a U.S. Holder’s U.S. federal income tax liability or refundable to the
extent that it exceeds such liability provided the required information is provided to the IRS in a timely manner.

In addition, certain categories of U.S. Holders must file information returns with respect to their investment in a non-U.S. corporation. For example, certain U.S. Holders must
file IRS Form 8938 with respect to certain “specified foreign financial assets” (such as the common shares) with an aggregate value in excess of US$50,000 (and, in some
circumstances, a higher threshold). Failure to do so could result in substantial penalties and in the extension of the statute of limitations with respect to such holder’s U.S. federal
income tax returns. Each U.S. Holder should consult its own tax advisor regarding application of the information reporting and backup withholding rules to it in connection with
an investment in our common shares.

Medicare Contribution Tax

U.S. Holders that are individuals, estates or certain trusts generally will be subject to a 3.8% Medicare contribution tax on, among other things, dividends on, and capital gains
from  the  sale  or  other  taxable  disposition  of,  common  shares,  subject  to  certain  limitations  and  exceptions.  Each  U.S.  Holder  should  consult  its  own  tax  advisor  regarding
possible application of this additional tax to income earned in connection with an investment in our common shares.

F.

Dividends and Paying Agents

Not applicable.

G.

Statement by Experts

Not applicable.

H.

Documents on Display

Any statement in this annual report about any of our contracts or other documents is not necessarily complete. If the contract or document is filed as an exhibit to this
annual report, the contract or document is deemed to modify the description contained in this annual report. You must review the exhibits themselves for a complete description
of the contract or document.

We are subject to the informational requirements of the Exchange Act and are required to file reports and other information with the SEC. Our SEC filings are available at
the SEC’s website at www.sec.gov. In addition, we are required by Canadian securities laws to file documents electronically with Canadian securities regulatory authorities and
these filings are available on our SEDAR profile at www.sedar.com. Requests for such documents should be directed to our Corporate Secretary.

I.

Subsidiary Information

Not applicable.

 Item 11. Quantitative and Qualitative Disclosure about Market Risk

Information relating to quantitative and qualitative disclosures about market risks is detailed in “Item 5. Operating and Financial Review and Prospects”, as well as in Note

21 to our audited financial statements contained in “Item 17. Financial Statements”.

 Item 12. Description of Securities other than Equity Securities

A.

Debt Securities

Not applicable.

- 84 -

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B.

Warrants and Rights

Not applicable.

C.

Other Securities

Not applicable.

D.

American Depositary Shares

Not applicable.

- 85 -

 
 
 
 
 
 
 
 
 
 
 PART II

 Item 13. Defaults, Dividend Arrearages and Delinquencies

None.

 Item 14. Material Modification to the Rights of Security Holdings and Use of Proceeds

None.

 Item 15. Controls and Procedures Disclosure Controls and Procedures

As of the end of the period covered by this annual report, our management, with the participation of our CEO and Vice President Finance, has performed an evaluation of
the  effectiveness  of  our  disclosure  controls  and  procedures  within  the  meaning  of  Rules  13a-15  (e)  and  15d-15(e)  of  the  Exchange Act.  Based  upon  this  evaluation,  our
management has concluded that, as of March 31, 2019, our existing disclosure controls and procedures were effective. It should be noted that while the CEO and Vice President
Finance  believe  that  our  disclosure  controls  and  procedures  provide  a  reasonable  level  of  assurance  that  they  are  effective,  they  do  not  expect  the  disclosure  controls  and
procedures to be capable of preventing all errors and fraud. A control system, no matter how well conceived or operated, can provide only reasonable, not absolute, assurance
that the objectives of the control system are met.

Management’s Report on Internal Controls over Financial Reporting

Our management, with the participation of our CEO and Vice President Finance, is responsible for establishing and maintaining adequate internal control over financial
reporting. Our internal control system was designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation and fair presentation of
its  published  financial  statements. All  internal  control  systems,  no  matter  how  well  designed,  have  inherent  limitations.  Therefore,  even  those  systems  determined  to  be
effective may not prevent or detect misstatements and can provide only reasonable assurance with respect to financial statement preparation and presentation. Also, projections
of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of
compliance with the policies or procedures may deteriorate. Our management conducted an assessment of the design and operation effectiveness of our internal control over
financial reporting as of March 31, 2019. In making this assessment, we used the criteria established within the Internal Control—Integrated Framework (2013) issued by the
Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (COSO).  Based  on  this  assessment,  our  management  has  concluded  that,  as  of  March  31,  2019,  our
internal control over financial reporting was effective.

Changes in Internal Control over Financial Reporting

No changes were made to our internal controls over financial reporting that occurred during the quarter and fiscal year ended March 31, 2019 that have materially affected,

or are reasonably likely to materially affect, our internal controls over financial reporting.

We are a non-accelerated filer under the Exchange Act and not required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act of
2002. Therefore, this annual report does not include an attestation report of our registered public accounting firm regarding our management’s assessment of internal control
over financial reporting.

 Item 16. Reserved

 Item 16A. Audit Committee Financial Expert

Our board of directors has determined that Mr. Canan is the “audit committee financial expert”, as defined by applicable regulations of the Commission. The Commission
has indicated that the designation of Mr. Canan as an audit committee financial expert does not make him an “expert” for any purpose, impose any duties, obligations or liability
on Mr. Canan that are greater than those imposed on members of the audit committee and board of directors who do not carry this designation or affect the duties, obligations or
liability of any other member of the audit committee or board of directors.

 Item 16B. Code of Ethics

The board of directors adopted a Code of Business Conduct and Ethics for our directors, officers and employees on May 31, 2007, which can be found on SEDAR at

www.sedar.com and on our web site on www.acastipharma.com. A copy of the Code of Ethics and Conduct can also be obtained by contacting our Corporate Secretary. Any
breach  of  the  Code  of  Ethics  must  be  brought  to  the  attention  of  the  board  of  directors  by  our  CEO  or  other  senior  executive  officer.  No  report  has  ever  been  filed  which
pertains to any conduct of a director or executive officer that constitutes a breach of the Code of Business Conduct and Ethics.

- 86 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The board of directors also adopted an insider trading program for its directors, officers and employees and adopted recently a majority voting policy for the election of

proposed director candidates at our annual general shareholders meeting.

 Item 16C. Principal Accountant Fees and Services Audit Fees

“Audit  fees”  consist  of  fees  for  professional  services  for  the  audit  of  our  annual  financial  statements,  interim  reviews  and  limited  procedures  on  interim  financial
statements, securities filings and consultations on accounting or disclosure issues. KPMG LLP, our external auditors, billed $403,500 for audit fees for the fiscal year ended
March 31, 2019 and $349,100 for audit fees for the fiscal year ended March 31, 2018.

Audit-Related Fees

“Audit-related fees” consist of fees for professional services that are reasonably related to the performance of the audit or review of our financial statements and which are
not reported under “Audit Fees” above. KPMG LLP billed $53,000 for the fiscal year ended March 31, 2019 and $8,440 for the fiscal year ended March 31, 2018. Audit-related
fees include French translation services.

Tax Fees

“Tax fees” consist of fees for professional services for tax compliance, tax advice and tax planning. KPMG LLP billed $28,100 for tax fees for fiscal year ended March 31,

2019 and $57,100 for tax fees for fiscal year ended March 31, 2018. Tax fees include, but are not limited to, preparation of tax returns.

All Other Fees

“Other fees” include all other fees billed for professional services other than those mentioned hereinabove. KPMG LLP billed no fees under this category for the fiscal

years ended March 31, 2019 and March 31, 2018.

Pre-Approval Policies and Procedures

The  audit  committee  approves  all  audit,  audit-related  services,  tax  services  and  other  non-audit  related  services  provided  by  the  external  auditors  in  advance  of  any
engagement. Under the Sarbanes-Oxley Act of 2002, audit committees are permitted to approve certain fees for non-audit related services pursuant to a de minimus exception
prior to the completion of an audit engagement. Non-audit related services satisfy the de minimus exception if the following conditions are met:

·

·

·

the aggregate amount of all non-audit services that were not pre-approved is reasonably expected to constitute no more than five per cent of the total amount of fees paid
by us and our subsidiaries to our external auditors during the fiscal year in which the services are provided;

we or our subsidiaries, as the case may be, did not recognize the services as non-audit services at the time of the engagement; and

the services are promptly brought to the attention of the audit committee and approved, prior to the completion of the audit, by the audit committee or by one or more of
its members to whom authority to grant such approvals had been delegated by the audit committee.

None of the services described above under “Principal Accountant Fees and Services” were approved by the audit committee pursuant to the de minimus exception.

 Item 16D. Exemptions from the Listing Standards for Audit Committees

Not applicable.

 Item 16E. Purchases of Equity Securities by the Issuer and Affiliated Purchasers

Not applicable.

 Item 16F. Change in Registrant’s Certifying Accountant

None.

- 87 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Item 16G. Corporation Governance

NASDAQ Marketplace Rule 5615(a)(3) permits a foreign private issuer to follow its home country practice in lieu of certain of the requirements of the Rule 5600 Series. A
foreign private issuer that follows a home country practice in lieu of one or more provisions of the Rule 5600 Series is required to disclose in its annual report filed with the
SEC, or on its website, each requirement of the Rule 5600 Series that it does not follow and describe the home country practice followed by the issuer in lieu of such NASDAQ
corporate governance requirements.

A description of the significant ways in which our governance practices currently differ from those followed by domestic companies pursuant to the Rule 5600 series is set

out below:

·

·

we do not follow NASDAQ Marketplace Rule 5620(c), but instead follow our home country practice. The NASDAQ minimum quorum requirement under Rule 5620(c)
for a meeting of shareholders is 33.33% of the outstanding shares of common voting stock. Our quorum requirement, as set forth in our by-laws, is that a quorum for a
meeting  of  our  holders  of  common  shares  is  the  attendance,  in  person  or  by  proxy,  of  the  shareholders  representing  10%  of  our  common  shares.  The  foregoing  is
consistent with the laws, customs and practices in Québec, Canada, and the rules and policies of the TSX-V; and

we do not follow NASDAQ Stock Market Rule 5635(d), but instead follow our home country practice. NASDAQ Stock Market Rule 5635(d) requires each issuer to
obtain shareholder approval for the issuance of securities in connection with a transaction other than a public offering involving certain issuances of common shares in
amounts  equaling  20%  or  more  of  such  issuer’s  common  shares  then  outstanding.  We  do  not  follow  this  NASDAQ  Stock  Market  Rule  and  instead  comply  with  the
applicable requirements of the TSX-V. The TSX-V requires shareholder approval for any issuance of securities if following such issuance, we would have a new “control
person” (i.e. any individual or entity holding greater than 20% of our voting rights).

 Item 16H. Mining Safety Disclosure

Not applicable.

 Item 17.

Financial Statements

 PART III

The financial statements of Acasti Pharma Inc. are located at the end of this annual report, beginning on page F-1.

 Item 18.

Financial Statements

See Item 17.

 Item 19.

Exhibits

- 88 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 EXHIBITS INDEX

Exhibit 
Number
1.1
1.2

1.3

2.1

2.2

2.3

2.4

2.5

4.1

4.2

4.3

4.4

4.5

4.6*
4.7*
11.1

Description of Document

  Articles of Incorporation (incorporated by reference to Exhibit 4.1 from Form S-8 (File No. 333-191383) filed with the Commission on September 25, 2013)
  Amended and Restated General By-Law (incorporated by reference to Exhibit 99.1 from Form 6-K (File No. 001-35776) filed with the Commission on

February 21, 2017)

  Advance Notice bylaw No. 2013-1 (incorporated by reference to Exhibit 4.3 from Form S-8 (File No. 333-191383) filed with the Commission on September

25, 2013)
Specimen Certificate for Common Shares of Acasti Pharma Inc. (incorporated by reference to Exhibit 2.1 from Form 20-F (File No. 001-35776) filed with
the Commission on June 6, 2014)

  Warrant Indenture dated December 3, 2013 between Acasti Pharma Inc. and Computershare Trust Company of Canada (incorporated by reference to Exhibit

99.1 from Form 6-K (File No. 001-35776) filed with the Commission on December 3, 2013)

  Warrant Indenture dated February 21, 2017 between Acasti Pharma Inc. and Computershare Trust Company of Canada (incorporated by reference to Exhibit

2.3 from Form 20-F (File No. 001-35776) filed with the Commission on June 27, 2017)

  Warrant Agency Agreement dated December 27, 2017 between Acasti Pharma Inc. and Computershare Inc. and its wholly-owned subsidiary,

Computershare Trust Company N.A. (incorporated by reference to Exhibit 2.4 from Form 20-F (File No. 001-35776) filed with the Commission on June 29,
2018)

  Amended and Restated Warrant Indenture dated May 10, 2018 between Acasti Pharma Inc. and Computershare Trust Company of Canada (incorporated by

reference to Exhibit 2.5 from Form 20-F (File No. 001-35776) filed with the Commission on June 29, 2018)
Prepayment Agreement, dated December 4, 2012, between Neptune Technologies & Bioressources Inc. and Acasti Pharma Inc. (incorporated by reference to
Exhibit 99.1 from Form 6-K (File No. 001-35776) filed with the Commission on October 29, 2013)
Equity Incentive Plan, as amended June 8, 2017 (incorporated by reference to Exhibit 4.2 from Form 20-F (File No. 001-35776) filed with the Commission
on June 27, 2017)
Stock Option Plan, as amended June 8, 2017 (incorporated by reference to Exhibit 4.3 from Form 20-F (File No. 001-35776) filed with the Commission on
June 27, 2017)
Employment Agreement with Jan D’Alvise, dated May 11, 2016 (incorporated by reference to Exhibit 10.6 from Form F-1 (File No. 333-220755) filed with
the SEC on September 29, 2017)
Employment Agreement with Pierre Lemieux, dated September 26, 2017 (incorporated by reference to Exhibit 10.7 from Form F-1 (File No. 333-220755)
filed with the SEC on September 29, 2017)
Employment Agreement with Brian Groch, dated May 31, 2018
Employment Agreement with Jean-François Boily, dated September 24, 2018

  Code of Business Conduct and Ethics for Directors, Officers and Employees (incorporated by reference to Exhibit 99.4 from Form 40-F (File No. 001-

35776) filed with the Commission on May 30, 2013)

- 89 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12.1*
12.2*
13.1*
13.2*
15.1*
15.2*

* Filed herewith.

Principal Executive Officer Certification Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
Principal Financial Officer Certification Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
Principal Executive Officer Certification Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
Principal Financial Officer Certification Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

  Consent of KPMG LLP

Consent of Destum Partners, Inc.

- 90 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The registrant hereby certifies that it meets all of the requirements for filing on this Annual Report and that it has duly caused and authorized the undersigned to sign

this Annual Report on its behalf.

 SIGNATURES

Date: June 26, 2019

ACASTI PHARMA INC.

By:
Name:
Title:

  /s/ Jan D’Alvise
  Jan D’Alvise
  Principal Executive Officer

- 91 -

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
Financial Statements of

ACASTI PHARMA INC.

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February
28, 2017

F-1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
KPMG LLP
600 de Maisonneuve Blvd. West
Suite 1500, Tour KPMG
Montréal (Québec) H3A 0A3
Canada

  Telephone
  Fax
  Internet

  (514) 840-2100
  (514) 840-2187
  www.kpmg.ca

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders and Board of Directors
Acasti Pharma Inc.

Opinion on the Financial Statements

We have audited the accompanying statements of financial position of Acasti Pharma, Inc. (the Company) as of March 31, 2019 and 2018, the related statements of earnings
and comprehensive loss, changes in equity, and cash flows for the years ended March 31, 2019 and 2018 and the thirteen-month period ended March 31, 2017, and the related
notes (collectively, the financial statements). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of
March 31, 2019 and 2018, and its financial performance and its cash flows for the years ended March 31, 2019 and 2018 and the thirteen-month period ended March 31, 2017,
in conformity with International Financial Reporting Standards as issued by the International Accounting Standards Board.

Material Uncertainty Related to Going Concern

Without qualifying our opinion on the financial statements, we draw attention to Note 2 (c) to the financial statements, which indicates that the Company has incurred operating
losses and negative cash flows from operations since inception, and additional funds will be needed in the future for activities necessary to prepare for commercial launch. These
events  or  conditions,  along  with  other  matters  as  set  forth  in  Note  2  (c),  indicate  that  a  material  uncertainty  exists  that  casts  substantial  doubt  on  the  Company’s  ability  to
continue as a going concern.

Basis for Opinion

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.
We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to
the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about
whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an
audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of internal control over financial reporting but not for the
purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion.

KPMG LLP is a Canadian limited liability partnership and a member firm of the KPMG
network of independent member firms affiliated with KPMG International Cooperative
("KPMG International"), a Swiss entity.
KPMG Canada provides services to KPMG LLP.

F-2

 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 2

Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that
respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included
evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe
that our audits provide a reasonable basis for our opinion.

Other Matter

The  financial  statements  of  Acasti  Pharma  Inc.  for  the  twelve-month  and  one-month  periods  ended  February  28,  2017  and  March  31,  2017  respectively  are  unaudited.
Accordingly, we do not express an opinion on them.

We have served as Company’s auditor since 2009.

Montreal, Canada
June 26, 2019

*CPA auditor, CA, public accountancy permit No. A122596

F-3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017

Financial Statements

Statements of Financial Position

Statements of Earnings and Comprehensive Loss

Statements of Changes in Equity

Statements of Cash Flows

Notes to Financial Statements

F-4

F-5

F-6

F-7

F-9

F-10

 
 
 
 
 
 
 
 
 
 
 
 ACASTI PHARMA INC.
Statements of Financial Position

As at March 31, 2019 and March 31, 2018

(thousands of Canadian dollars)
Assets

Current assets:

Cash and cash equivalents
Marketable securities
Receivables
Other Assets
Deferred financing costs
Prepaid expenses
Total current assets

Marketable securities
Other Asset
Equipment
Intangible assets

Total assets

Liabilities and Equity

Current liabilities:

Trade and other payables
Unsecured convertible debentures

Total current liabilities

Derivative warrant liabilities
Unsecured convertible debentures
Total liabilities

Equity:

Share capital
Other equity
Contributed surplus
Deficit
Total equity

Commitments and contingencies

Total liabilities and equity

See accompanying notes to financial statements.

On behalf of the Board:

/s/ Dr. Roderick Carter
Roderick Carter
Chair of the Board

/s/ Jean-Marie Canan
Jean-Marie Canan
Director

F-5

Notes

24
5
4
6
14(b)

5
6
9
10

11
13

12, 14(d)( e)  
13

14
14

22

March 31, 2019   

March 31, 2018 

$   

$ 

22,521   
11,865   
1,586   
65   
179   
1,115   
37,331   

27   
557   
2,813   
7,743   

48,471   

16,429   
1,817   
18,246   

16,263   
–   
34,509   

129,318   
309   
8,280   
(123,945)  
13,962   

8,223 
– 
759 
104 
– 
406 
9,492 

26 
555 
2,821 
10,065 

22,959 

6,697 
– 
6,697 

6,426 
1,612 
14,735 

73,338 
309 
6,956 
(72,379)
8,224 

48,471   

22,959 

 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
    
 
  
 
 
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
    
 
  
  
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 ACASTI PHARMA INC.
Statements of Earnings and Comprehensive Loss

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017

(thousands of Canadian dollars, except per share
data)

Research and development expenses, net of

government assistance

General and administrative expenses
Loss from operating activities

Notes

8

Thirteen-
months 

ended     

March 31, 
2019 

March 31, 

March 31, 

2018     

2017     

 Month ended     
March 31, 

2017     
(Unaudited)     

Twelve-
months 
ended 
February 28, 
2017 
(Unaudited) 

$ 

$     

$     

$     

$ 

(38,366)    
(6,649)    
(45,015)    

(15,669)    
(4,027)    
(19,696)    

(7,653)    
(3,557)    
(11,210)    

(426)    
(292)    
(718)    

(7,227)
(3,265)
(10,492)

Financial expenses

  12, 14 (d)(e), 16 

(6,551)    

(1,808)    

(166)    

(51)    

(115)

Net loss and comprehensive loss before income tax
Deferred income tax recovery
Net loss and total comprehensive loss

(51,566)    

– 

(51,566)    

(21,504)    
–     
(21,504)    

(11,376)    
129     
(11,247)    

(769)    
–     
(769)    

(10,607)
129 
(10,478)

Basic and diluted loss per share

18

(0.95)    

(1.23)    

(1.01)    

(0.05)    

(0.97)

Weighted average number of shares outstanding

54,290,295 

17,486,515     

11,094,512     

14,702,556     

10,788,075 

See accompanying notes to financial statements

F-6

 
 
 
 
 
 
 
  
   
      
 
 
 
 
   
 
 
 
 
  
   
      
      
 
 
   
 
 
 
 
  
   
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
  
   
      
      
      
  
 
 
 
 
 
 
   
 
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 ACASTI PHARMA INC.
Statements of Changes in Equity

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017

(thousands of Canadian dollars)

Notes

Share capital

Number 

Dollar     
$     

Other      Contributed     
surplus     
equity     
$     
$     

Deficit     
$     

Total 
$ 

Balance, March 31, 2018

25,638,215 

73,338     

309     

6,956     

(72,379)    

8,224 

Net loss and total comprehensive loss for the

period

Transactions with owners, recorded

directly in equity

Contributions by and distributions to equity

holders

Public offering
Warrants exercised
Share-based payment transactions
Issuance of shares for payment of interest on

convertible debentures

Total contributions by and distributions to

equity holders

Balance at March 31, 2019

— 
25,638,215 

—     
73,338     

—     
309     

—     
6,956     

(51,566)    
(123,945)    

(51,566)
(43,342)

14(c)(d)

17

14(g)

51,612,000 
772,474 
4,167 

54,124     
1,733     
3     

105,878 

120     

52,494,519 
78,132,734 

55,980     
129,318     

—     
—     
—     

—     

—     
309     

283     
—     
1,041     

–     

—     
—     
—     

—     

1,324     
8,280     

—     
(123,945)    

54,407 
1,733 
1,044 

120 

57,304 
13,962 

(thousands of Canadian dollars)

Notes

Share capital

Number 

Dollar     
$     

Other      Contributed     
surplus     
equity     
$     
$     

Deficit     
$     

Total 
$ 

Balance, March 31, 2017

14,702,556 

66,576     

309     

5,693     

(50,875)    

21,703 

Net loss and total comprehensive loss for the

period

Transactions with owners, recorded

directly in equity

Contributions by and distributions to equity

holders

Public offering
Warrants exercised
Share-based payment transactions
Issuance of shares for payment of interest on

convertible debentures

Total contributions by and distributions to

equity holders

Balance at March 31, 2018

See accompanying notes to financial statements.

— 
14,702,556 

—     
66,576     

—     
309     

—     
5,693     

(21,504)    
(72,379)    

(21,504)
199 

14(e)

17

14(g)

10,667,169 
178,721 
— 

89,769 

10,935,659 
25,638,215 

6,169     
456     
—     

137     

6,762     
73,338     

—     
—     
—     

—     

—     
309     

406     
(72)    
929     

—     
—     
—     

—     

1,263     
6,956     

—     
(72,379)    

6,575 
384 
929 

137 

8,025 
8,224 

F-7

 
 
 
 
 
 
 
 
     
      
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
      
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Statements of Changes in Equity, Continued

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017

(thousands of Canadian dollars)

    Notes

Share capital

Number     

Dollar     
$     

Other      Contributed     
surplus     
equity     
$     
$     

Deficit     
$     

Total 
$ 

Balance, February 29, 2016

    10,712,038     

61,973     

–     

4,875     

(39,628)    

27,220 

Net loss and total comprehensive loss for the twelve-month period

(unaudited)

Net loss and total comprehensive loss for the one-month period

(unaudited)

Net loss and total comprehensive loss for the thirteen-month

Period

Transactions with owners, recorded directly in equity
Contributions by and distributions to equity holders
Public offering
Issue of unsecured convertible debentures, net of deferred

income tax expense of $129

Equity settled non-employee share-based payment
Share-based payment transactions for the twelve-month period

(unaudited)

Share-based payment transactions for the one-month period

(unaudited)

Share-based payment transactions for the thirteen-month period    
Total contributions by and distributions to equity holders for the

twelve-month period (unaudited)

Total contributions by and distributions to equity holders for the

one-month period (unaudited)

Total contributions by and distributions to equity holders for the

thirteen-month period

Balance at February 28, 2017 (unaudited)
Balance at March 31, 2017

See accompanying notes to financial statements.

—     

—     

—     

—     

—     
    10,712,038     

—     
61,973     

—     

—     

—     
—     

—     

(10,478)    

(10,478)

—     

(769)    

(769)

—     
4,875     

(11,247)    
(50,875)    

(11,247)
15,973 

14(f)

    3,930,518     

4,509     

–     

144     

—     

4,653 

   13, 20    

—     
60,000     

17

17
17

—     

—     
—     

—     
94     

—     

—     
—     

309     
—     

—     

—     
—     

—     
—     

588     

86     
674     

—     
—     

—     

—     
—     

309 
94 

588 

86 
674 

    3,990,518     

4,603     

309     

732     

—     

5,644 

—     

—     

—     

86     

—     

86 

    3,990,518     
    14,702,556     
    14,702,556     

4,603     
66,576     
66,576     

309     
309     
309     

818     
5,607     
5,693     

—     
(50,106)    
(50,875)    

5,730 
22,386 
21,703 

F-8

 
 
 
 
   
 
   
     
      
  
 
   
 
   
   
      
 
   
 
   
      
      
      
      
      
  
   
 
 
   
 
   
      
      
      
      
      
  
   
 
   
   
 
   
   
 
   
 
   
 
   
 
   
      
      
      
      
      
  
   
 
   
      
      
      
      
      
  
   
   
   
 
   
   
   
   
   
   
   
 
   
 
   
   
 
   
 
   
 
 
 
 
 ACASTI PHARMA INC.
Statements of Cash Flows

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017

Notes

10
9
17
16

19

9, 19

14(c)(d)(e)(f)
13, 14(f)

(thousands of Canadian dollars)
Cash flows used in operating activities:

Net loss for the period
Adjustments:

Amortization of intangible assets
Depreciation of equipment
Stock-based compensation
Net financial expenses
Realized foreign exchange gain (loss)
Deferred income tax recovery
Total adjustments
Changes in working capital items
Net cash used in operating activities
Cash flows from (used in) investing activities:

Interest received
Acquisition of equipment
Acquisition of short-term investments
Acquisition of marketable securities
Maturity of short-term investments
Maturity of marketable securities
Net cash (used in) investing activities
Cash flows from (used in) financing activities:
Net proceeds from public offering
Net proceeds from private placement
Proceeds from exercise of warrants
Share based payment
Interest paid
Net cash from (used in) financing activities

Foreign exchange (loss) gain on cash and cash equivalents
held in foreign currencies
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents, beginning of period
Cash and cash equivalents, end of period

Cash and cash equivalents is comprised of:
Cash
Cash equivalents

See accompanying notes to financial statements.

Thirteen-
months 

ended    Month ended   

March 31, 
2019

March 31, 
2018

March 31, 
2017

$ 

$   

$   

(51,566)    

(21,504)    

(11,247)    

March 31, 
2017 

(Unaudited)   
$   
(769)    

Twelve-
months 
ended 
February 28, 
2017 
(Unaudited) 
$ 
(10,478)

2,323     
349     
929     
1,808     
(7)    
-     
(16,102)    
3,583     
(12,519)    

70     
(455)    
-     
(26)    
-     

2,517     
221     
674     
166     
48     
(129)    
(7,750)    
792     
(6,958)    

150     
(2,527)    
(12,765)    
-     
22,030     

(411)    

6,888     

11,065     
(40)    
384     
-     
(3)    
11,406     

(25)    
(1,549)    
9,772     
8,223     

5,010     
1,872     
-     
-     
(18)    
6,864     

(49)    
6,745     
3,027     
9,772     

194     
32     
86     
51     
(12)    
-     
(418)    
(328)    
(746)    

4     
(24)    
-     
-     
-     

(20)    

(34)    
(10)    
-     
-     
-     
(44)    

9     
(801)    
10,573     
9,772     

2,323 
189 
588 
115 
60 
(129)
(7,332)
1,120 
(6,212)

146 
(2,503)
(12,765)
- 
22,030 

6,908 

5,044 
1,882 
- 
- 
(18)
6,908 

(58)
7,546 
3,027 
10,573 

1,583     
6,640     

6,778     
2,994     

6,778     
2,994     

7,584 
2,989 

2,322 
505 
1,041 
6,551 
581 
- 

(40,566)    
8,090 
(32,476)    

384 
(700)    
- 

(23,753)    

- 
11,933 
(12,136)    

57,892 
- 
1,011 
3 
(44)    

58,862 

48 
14,298 
8,223 
22,521 

1,896 
20,625 

F-9

 
 
 
 
 
  
  
 
    
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
  
   
      
      
      
  
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
   
      
      
      
  
 
 
 
 
 
 
 
 
  
   
      
      
      
  
 
 
 
   
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
  
   
      
      
      
  
 
 
 
 
  
   
      
      
      
  
 
 
 
 
   
 
 
 
 
   
 
 
 
 ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

1.

Reporting entity

Acasti  Pharma  Inc.  (Acasti  or  the Corporation)  is  incorporated  under  the Business  Corporations  Act  (Québec)  (formerly  Part  1A  of  the Companies  Act (Québec)).  The
Corporation is domiciled in Canada and its registered office is located at 545, Promenade du Centropolis, Laval, Québec, H7T 0A3.

The Corporation is subject to a number of risks associated with its ongoing priorities, including the conduct of its clinical program and its results, the establishment of strategic
alliances and the development of new pharmaceutical products and their marketing. The Corporation’s current product in development requires approval from the U.S Food
and Drug Administration and equivalent regulatory organizations in other countries before their sale can be authorized. Certain risks have been reduced for the longer term
with the outcome of the Corporation’s actions, including its intellectual property strategy execution with filed patent applications in more than 20 jurisdictions, with more than
20 issued patents and with numerous additional patent applications pending.

The  Corporation  has  incurred  significant  operating  losses  and  negative  cash  flows  from  operations  since  inception.  To  date,  the  Corporation  has  financed  its  operations
through  the  public  offering  and  private  placement  of  Common  Shares,  units  consisting  of  Common  Shares  and  warrants  and  convertible  debt,  the  proceeds  from  research
grants  and  research  tax  credits,  and  the  exercises  of  warrants,  rights  and  options.  To  achieve  the  objectives  of  its  business  plan, Acasti  plans  to  raise  the  necessary  funds
through additional securities offerings and the establishment of strategic alliances as well as additional research grants and research tax credits. The ability of the Corporation
to complete the needed financing and ultimately achieve profitable operations is dependent on a number of factors outside of the Corporation’s control.

2.

(a)

Basis of preparation

Statement of compliance:

These financial statements have been prepared in accordance with International Financial Reporting Standards (“IFRS”) as issued by the International Accounting Standards
Board  (“IASB”).  Beginning  in  fiscal  2017,  the  Corporation’s  fiscal  year  end  is  on  March  31.  Fiscal  2017  is  a  transition  year,  and  includes  thirteen  months  of  operations,
beginning  on  March  1,  2016  and  ending  on  March  31,  2017. As  a  result,  for  comparative  purposes  the  above  financial  statements  and  corresponding  notes  to  financial
statements  include  two  unaudited  periods:  the  one-month  period  ended  March  31,  2017  and  the  twelve-month  period  ended  February  28,  2017.  The  Canadian  Securities
regulator permits, in the transition year, the presentation of a thirteen-month period for the financial year ended March 31, 2017.

The financial statements were approved by the Board of Directors on June 26, 2019.

(b)

Basis of measurement:

The financial statements have been prepared on the historical cost basis, except for:

·

·

Stock-based compensation which is measured pursuant to IFRS 2, Share-based payments (Note 3(e) (ii)); and,

Derivative warrant liabilities measured at fair value on a recurring basis (Note 12).

(c)

Going concern uncertainty:

The Corporation has incurred operating losses and negative cash flows from operations since inception. The Corporation’s current assets of $37.3 million as at March 31,
2019  include  cash  and  cash  equivalents  totaling  $22.5  million,  and  marketable  securities  of  $11.9  million  mainly  generated  by  the  net  proceeds  from  the  recent  Public
Offerings. The Corporation’s current liabilities total $18.2 million at March 31, 2019 and are comprised primarily of amounts due to or accrued for creditors. Management
projects that additional funds will be needed in the future, after TRILOGY phase 3 clinical trials, for activities necessary to prepare for commercial launch, including the scale
up of our manufacturing operations, the completion of the potential regulatory (NDA) submission package (assuming positive Phase 3 clinical results), and the expansion of
business development and US commercial launch activities. The Corporation is working towards development of strategic partner relationships, as well as actively seeking
additional non-dilutive funds in the future, but there can be no assurance as to when or whether Acasti will complete any strategic collaborations or succeed in identifying non-
dilutive funding sources. Consequently, the Corporation may need to raise additional equity capital in the future to fund these activities. In particular, raising additional capital
is subject to market conditions and is not within the Corporation’s control. If the Corporation does not raise additional funds or find one or more strategic partners, it may not
be able to realize its assets and discharge its liabilities in the normal course of business. As a result, there exists a material uncertainty that casts substantial doubt about the
Corporation’s ability to continue as a going concern and, therefore, realize its assets and discharge its liabilities in the normal course of business.

F-10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

2.

(c)

Basis of preparation (continued):

Going concern uncertainty (continued):

The financial statements have been prepared on a going concern basis, which assumes the Corporation will continue its operations in the foreseeable future and will be able to
realize its assets and discharge its liabilities and commitments in the ordinary course of business. These financial statements do not include any adjustments to the carrying
values and classification of assets and liabilities and reported expenses that may be necessary if the going concern basis was not appropriate for these financial statements. If
the Corporation was unable to continue as a going concern, material write-downs to the carrying values of the Corporation’s assets, including the intangible asset, could be
required.

(d)

Functional and presentation currency:

These financial statements are presented in Canadian dollars, which is the Corporation’s functional currency.

(e)

Use of estimates and judgments:

The  preparation  of  the  financial  statements  in  conformity  with  IFRS  requires  management  to  make  judgments,  estimates  and  assumptions  that  affect  the  application  of
accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates.

Estimates are based on management’s best knowledge of current events and actions that the Corporation may undertake in the future. Estimates and underlying assumptions
are reviewed on an ongoing basis. Revisions to accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.

Critical judgments in applying accounting policies that have the most significant effect on the amounts recognized in the financial statements include the following:

·

The use of the going concern basis of preparation of the financial statements. At the end of each reporting period, management assesses the basis of preparation of
the financial statements (Note 2(c)).

Assumptions and estimation uncertainties that have a significant risk of resulting in a material adjustment within the next financial year include the following:

·

(f)

Measurement of derivative warrant liabilities (note 12) and stock-based compensation (note 17).

Use of estimates and judgments (continued):

Also,  management  uses  judgment  to  determine  which  research  and  development  (“R&D”)  expenses  qualify  for  R&D  tax  credits  and  in  what  amounts.  The  Corporation
recognizes the tax credits once it has reasonable assurance that they will be realized. Recorded tax credits are subject to review and approval by tax authorities and therefore,
could be different from the amounts recorded.

3.

Significant accounting policies:

The accounting policies set out below have been applied consistently to all periods presented in these financial statements.

(a)

Financial instruments:

A financial instrument is any contract that gives rise to a financial asset of one party and a financial liability or equity instrument of another party.

(i)

Non-derivative financial assets:

The Corporation has the following non-derivative financial assets: cash, cash equivalents, marketable securities and receivables. The Corporation determines the classification
of its financial assets at initial recognition. The subsequent measurement of financial assets depends on their classification.

Financial assets and liabilities are offset and the net amount presented in the statements of financial position when, and only when, the Corporation has a legal right to offset
the amounts and intends either to settle on a net basis or to realize the asset and settle the liability simultaneously.

Cash,  cash  equivalents,  marketable  securities  and  receivables  with  maturities  of  less  than  one  year  are  classified  at  amortized  cost  as  they  meet  both  of  the  following
conditions; they are held within a business model whose objective is to hold assets to collect contractual cash flows and its contractual terms give rise on specified dates to
cashflows  that  are  solely  payments  of  principal  and  interest  on  the  principal  amount  outstanding.  Cash  and  cash  equivalents  comprise  cash  balances  and  highly  liquid
investments purchased three months or less from maturity.

F-11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

Significant accounting policies (continued):

(ii)

Non-derivative financial liabilities:

The Corporation has the following non-derivative financial liabilities: trade and other payables. Such financial liabilities are recognized initially at fair value plus any directly
attributable transaction costs. Subsequent to initial recognition, these financial liabilities are measured at amortized cost using the effective interest method.

The Corporation derecognizes a financial liability when its contractual obligations are discharged, cancelled or expire.

(iii)

Compound financial instruments:

Compound financial instruments are instruments that can be converted to share capital at the option of the holder, and the number of shares to be issued is fixed.

The unsecured convertible debentures are compound instruments and have been separated into liability and equity components. The liability component is recognized initially
at the fair value of a similar liability that does not have an equity conversion option. The equity component is recognized initially as the difference between the fair value of
the compound financial instrument as a whole and the fair value of the liability component. Any directly attributable transaction costs are allocated to the liability and equity
components  in  proportion  to  their  initial  carrying  amounts.  Subsequent  to  initial  recognition,  the  liability  component  of  a  compound  financial  instrument  is  measured  at
amortized cost using the effective interest method. The equity component of a compound financial instrument is not remeasured subsequent to initial recognition.

(iv)

Share capital:

Common Shares

Class A Common Shares are classified as equity. Incremental costs directly attributable to the issue of Common Shares and share options are recognized as a deduction from
share capital, net of any tax effects.

(v)

Derivative financial instruments:

The Corporation has issued liability-classified derivatives over its own equity. Derivatives are recognized initially at fair value; attributable transaction costs are recognized in
profit and loss as incurred. Subsequent to initial recognition, derivatives are measured at fair value, and all changes in their fair value are recognized immediately in profit or
loss as a component of finance expense (income).

(vi)

Other equity instruments:

Warrants,  options  and  rights  over  the  Corporation’s  equity  issued  outside  of  share-based  payment  transactions  that  do  not  meet  the  definition  of  a  liability  instrument  are
recognized in equity.

(b)

Equipment:

(i)

Recognition and measurement:

Equipment is measured at cost less accumulated depreciation and accumulated impairment losses, if any.

Cost includes expenditures that are directly attributable to the acquisition of the asset, including all costs incurred in bringing the asset to its present location and condition.

Purchased software that is integral to the functionality of the related equipment is capitalized as part of that equipment.

Gains and losses on disposal of equipment are determined by comparing the proceeds from disposal with the carrying amount of equipment, and are recognized net within
''other income or expenses'' in profit or loss.

(ii)

Subsequent costs:

The cost of replacing a part of an equipment is recognized in the carrying amount of the item if it is probable that the future economic benefits embodied within the part will
flow to the Corporation, and its cost can be measured reliably. The carrying amount of the replaced part is derecognized. The costs of the day-to-day servicing of equipment
are recognized in profit or loss as incurred.

F-12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

Significant accounting policies (continued):

(iii)

Depreciation:

Depreciation is recognized in profit or loss on either a straight-line basis or a declining basis over the estimated useful lives of each part of an item of equipment, since this
most closely reflects the expected pattern of consumption of the future economic benefits embodied in the asset. Items of equipment are depreciated from the date that they are
available for use or, in respect of assets not yet in service, from the date they are ready for their intended use.

The estimated useful lives and rates for the current and comparative periods are as follows:

Assets
 Furniture and office equipment
Computer equipment
Laboratory equipment
Production equipment (in years)

Method 
Declining balance 
Declining balance 
Declining balance 
Straight-line 

20%

30%

Period/Rate
to
30%
30%
10

Depreciation methods, useful lives and residual values are reviewed at each financial year-end and adjusted prospectively if appropriate.

(c)

Intangible assets:

(i)

Research and development:

Expenditure on research activities, undertaken with the prospect of gaining new scientific or technical knowledge and understanding, is recognized in profit or loss as incurred.

Development activities involve a plan or design for the production of new or substantially improved products and processes. Development expenditure is capitalized only if
development  costs  can  be  measured  reliably,  the  product  or  process  is  technically  and  commercially  feasible,  future  economic  benefits  are  probable,  and  the  Corporation
intends to and has sufficient resources to complete development and to use or sell the asset. The expenditure capitalized includes the cost of materials, direct labour, overhead
costs that are directly attributable to preparing the asset for its intended use, and borrowing costs on qualifying assets. Other development expenditures are recognized in profit
or loss as incurred.

Capitalized  development  expenditure  is  measured  at  cost  less  accumulated  amortization  and  accumulated  impairment  losses. As  of  the  reporting  periods  presented,  the
Corporation has not capitalized any development expenditure.

(ii)

Other intangible assets:

Patent costs

Patents for technologies that are no longer in the research phase are recorded at cost. Patent costs include legal fees to obtain patents and patent application fees. When the
technology is still in the research and development phase, those costs are expensed as incurred.

Licenses

Licenses that are acquired by the Corporation and have finite useful lives are measured at cost less accumulated amortization and accumulated impairment losses.

(iii)

Subsequent expenditure:

Subsequent expenditure is capitalized only when it increases the future economic benefits embodied in the specific asset to which it relates. All other expenditures, including
expenditure on internally generated goodwill and brands, are recognized in profit or loss as incurred.

(iv)

Amortization:

Amortization is calculated over the cost of the intangible asset less its residual value.

F-13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

Significant accounting policies (continued):

Amortization is recognized in profit or loss on a straight-line basis over the estimated useful lives of intangible assets from the date that they are available for use, since this
most closely reflects the expected pattern of consumption of the future economic benefits embodied in the asset. The estimated useful lives for the current and comparative
periods are as follows:

Assets
Patents
License

(d)

Impairment:

(i)

Financial assets:

Period (in years)
20
to

8

14

The Corporation assesses at each reporting date the expected credit loss for calculating impairment of financial assets and recognizes expected credit losses as loss allowances
for assets measured at amortized cost.

(ii)

Non-financial assets:

The carrying amounts of the Corporation’s non-financial assets are reviewed at each reporting date to determine whether there is any indication of impairment. If any such
indication exists, then the asset’s recoverable amount is estimated.

The recoverable amount of an asset or cash-generating unit is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future
cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the
asset. For the purpose of impairment testing, assets that cannot be tested individually are grouped together into the smallest group of assets that generates cash inflows from
continuing use that are largely independent of the cash inflows of other assets or groups of assets (the “cash-generating unit, or “CGU”).

The  Corporation’s  corporate  assets  do  not  generate  separate  cash  inflows.  If  there  is  an  indication  that  a  corporate  asset  may  be  impaired,  then  the  recoverable  amount  is
determined for the CGU to which the corporate asset belongs.

An impairment loss is recognized if the carrying amount of an asset or its CGU exceeds its estimated recoverable amount. Impairment losses are recognized in profit or loss.

Impairment  losses  recognized  in  prior  years  are  assessed  at  each  reporting  date  for  any  indications  that  the  loss  has  decreased  or  no  longer  exists. An  impairment  loss  is
reversed if there has been a change in the estimates used to determine the recoverable amount. An impairment loss is reversed only to the extent that the asset’s carrying
amount does not exceed the carrying amount that would have been determined, net of depreciation or amortization, if no impairment loss had been recognized.

(e)

Employee benefits:

(i)

Short-term employee benefits:

Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided.

A  liability  is  recognized  for  the  amount  expected  to  be  paid  under  short-term  cash  bonus  or  profit-sharing  plans  if  the  Corporation  has  a  present  legal  or  constructive
obligation to pay this amount as a result of past service provided by the employee, and the obligation can be estimated reliably.

F-14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

Significant accounting policies (continued):

(ii)

Share-based payment transactions:

The grant date fair value of share-based payment awards granted to employees is recognized as an employee expense, with a corresponding increase in contributed surplus,
over the period that the employees unconditionally become entitled to the awards. The grant date fair value takes into consideration market performance conditions when
applicable. The amount recognized as an expense is adjusted to reflect the number of awards for which the related service and non-market vesting conditions are expected to
be met, such that the amount ultimately recognized as an expense is based on the number of awards that do meet the related service and non-market performance conditions at
the vesting date. Share-based payment arrangements in which the Corporation receives goods or services as consideration for its own equity instruments are accounted for as
equity-settled share-based payment transactions, regardless of how the equity instruments are obtained by the Corporation.

(iii)

Termination benefits:

Termination benefits are recognized as an expense when the Corporation is committed demonstrably, without realistic possibility of withdrawal, to a formal detailed plan to
either terminate employment before the normal retirement date, or to provide termination benefits as a result of an offer made to encourage voluntary redundancy. Termination
benefits for voluntary redundancies are recognized as an expense if the Corporation has made an offer of voluntary redundancy, it is probable that the offer will be accepted,
and the number of acceptances can be estimated reliably. If benefits are payable more than 12 months after the reporting year, then they are discounted to their present value.

(f)

Provisions:

A provision is recognized if, as a result of a past event, the Corporation has a present legal or constructive obligation that can be estimated reliably, and it is probable that an
outflow of economic benefits will be required to settle the obligation. Provisions are determined by discounting the expected future cash flows at a pre-tax rate that reflects
current market assessments of the time value of money and the risks specific to the liability. The unwinding of the discount is recognized as a component of finance expense
(income).

(i)

Onerous contracts:

A provision for onerous contracts is recognized when the expected benefits to be derived by the Corporation from a contract are lower than the unavoidable cost of meeting its
obligations  under  the  contract.  The  provision  is  measured  at  the  present  value  of  the  lower  of  the  expected  cost  of  terminating  the  contract  and  the  expected  net  cost  of
continuing with the contract. Before a provision is established, the Corporation recognizes any impairment loss on the assets associated with that contract.

(ii)

Contingent liability:

A contingent liability is a possible obligation that arises from past events and of which the existence will be confirmed only by the occurrence or non-occurrence of one or
more uncertain future events not within the control of the Corporation; or a present obligation that arises from past events (and therefore exists), but is not recognized because
it is not probable that a transfer or use of assets, provision of services or any other transfer of economic benefits will be required to settle the obligation; or the amount of the
obligation cannot be estimated reliably.

(g)

Government grants:

Government grants are recorded as a reduction of the related expense or cost of the asset acquired. Government grants are recognized when there is reasonable assurance that
the Corporation has met the requirements of the approved grant program and there is reasonable assurance that the grant will be received.

Grants  that  compensate  the  Corporation  for  expenses  incurred  are  recognized  in  profit  or  loss  in  reduction  thereof  on  a  systematic  basis  in  the  same  years  in  which  the
expenses are recognized. Grants that compensate the Corporation for the cost of an asset are recognized in profit or loss on a systematic basis over the useful life of the asset.

(h)

Lease payments:

Payments made under operating leases are recognized in profit or loss on a straight-line basis over the term of the lease. Lease incentives received are recognized as an integral
part of the total lease expense, over the term of the lease.

(i)

Foreign currency:

Transactions in foreign currencies are translated into the functional currency at exchange rates at the dates of the transactions. Monetary assets and liabilities denominated in
foreign currencies at the reporting date are translated to the functional currency at the exchange rate at that date. The foreign currency gain or loss on monetary items is the
difference between amortized cost in the functional currency at the beginning of the period, adjusted for effective interest and payments during the period, and the amortized
cost in foreign currency translated at the exchange rate at the end of the reporting period. Foreign currency differences arising on translation are recognized in profit or loss.

F-15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

(j)

Significant accounting policies (continued):

Finance income and finance expense:

Finance income comprises interest income on funds invested. Interest income is recognized as it accrues in profit or loss, using the effective interest method.

Finance costs comprise interest expense, accretion on borrowings, unwinding of the discount on provisions, impairment losses recognized on financial assets, transaction costs
for issuance of derivative warrant liabilities and changes of fair value of derivative warrant liabilities. Borrowing costs that are not directly attributable to the acquisition,
construction or production of a qualifying asset are recognized in profit or loss using the effective interest method.

Foreign currency gains and losses are reported on a net basis. The Corporation recognizes interest income as a component of investing activities and interest expense as a
component of financing activities in the statements of cash flows.

(k)

Income tax:

Income tax expense comprises current and deferred taxes. Current and deferred taxes are recognized in profit or loss except to the extent that they relate to items recognized
directly in equity or in other comprehensive income.

Current tax is the expected tax payable or receivable on the taxable income or loss for the year, using tax rates enacted at the reporting date, and any adjustment to tax payable
in respect of previous years.

Deferred tax is recognized in respect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for
taxation purposes. Deferred tax is not recognized for temporary differences arising from the initial recognition of assets or liabilities in a transaction that is not a business
combination and that affects neither accounting nor taxable profit or loss. Deferred tax is measured at the tax rates, enacted or substantively enacted, that are expected to be
applied to temporary differences when they reverse, based on the laws that have been enacted or substantively enacted by the reporting date. Deferred tax assets and liabilities
are offset if there is a legally enforceable right to offset current tax liabilities and assets, and they relate to income taxes levied by the same tax authority on the same taxable
entity, or on different tax entities, but they intend to settle current tax liabilities and assets on a net basis or their tax assets and liabilities will be realized simultaneously. A
deferred  tax  asset  is  recognized  for  unused  tax  losses,  tax  credits  and  deductible  temporary  differences,  to  the  extent  that  it  is  probable  that  future  taxable  profits  will  be
available against which they can be utilized. Deferred tax assets are reviewed at each reporting date and are reduced to the extent that it is no longer probable that the related
tax benefit will be realized.

(l)

Earnings per share:

The Corporation presents basic and diluted earnings per share (“EPS”) data for its Class A shares (or “Common Shares”). Basic EPS is calculated by dividing the profit or loss
attributable to the holders of Class A shares (Common Shares) of the Corporation by the weighted average number of Common Shares outstanding during the year, adjusted
for  own  shares  held.  Diluted  EPS  is  determined  by  adjusting  the  profit  or  loss  attributable  to  the  holders  of  Class A  shares  (Common  Shares)  and  the  weighted  average
number of Class A shares (Common Shares) outstanding adjusted for the effects of all dilutive potential Common Shares, which comprise warrants, rights and share options
granted to employees.

(m)

Segment reporting:

An operating segment is a component of the Corporation that engages in business activities from which it may earn revenues and incur expenses. The Corporation has one
reportable operating segment: the development and commercialization of pharmaceutical applications of its licensed rights for cardiovascular diseases. The majority of the
Corporation’s assets are located in Canada, while one major production unit, with a carrying value of $1,831 (March 31, 2018 - $2,077), is located in France.

F-16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

3.

(n)

Significant accounting policies (continued):

Change in accounting policy:

Adoption of new accounting standards

The  accounting  policies  used  in  these  annual  financial  statements  are  consistent  with  those  applied  by  the  Corporation  in  its  March  31,  2018  annual  financial  statements
except for the amendments to certain accounting standards which are relevant to the Corporation and were adopted by the Corporation as of April 1, 2018 as described below.

(i)

Financial instruments:

IFRS 9, Financial Instruments, replaces IAS 39, Financial Instruments: Recognition and Measurement. IFRS 9 introduces a revised approach for the classification of financial
assets based on how an entity manages financial assets and the characteristics of the contractual cash flows of the financial assets replacing the multiple rules in IAS 39. Most
of the requirements in IAS 39 for classification and measurement of financial liabilities have been carried forward in IFRS 9. IFRS 9 also introduces a new hedge accounting
model that is more closely aligned with risk-management activities and a new expected credit loss model for calculating impairment on financial assets replacing the incurred
loss model in IAS 39. The Corporation adopted IFRS 9 as of April 1, 2018 and assessed the impact of the adoption on its financial statements, and determined there was no
material impact. The Corporation does not apply hedge accounting.

(ii)

Amendments to IFRS 2 – Classification and Measurement of Share-Based Payment Transactions:

On  June  20,  2016,  the  IASB  issued  amendments  to  IFRS  2,  Share-Based  Payment,  clarifying  how  to  account  for  certain  types  of  share-based  payment  transactions.  The
amendments provide requirements on the accounting for: the effects of vesting and non-vesting conditions on the measurement of cash-settled share-based payments; share-
based payment transactions with a net settlement feature for withholding tax obligations; and a modification to the terms and conditions of a share-based payment that changes
the classification of the transaction from cash-settled to equity-settled. The Corporation adopted the amendments to IFRS 2 as of April 1, 2018 and assessed the impact of the
adoption of IFRS 2 on its financial statements, and determined that there was no material impact.

Future accounting change:

The  following  new  standards,  and  amendments  to  standards  and  interpretations,  are  not  yet  effective  for  the  period  ended  March  31,  2019,  and  have  not  been  applied  in
preparing these financial statements.

New standards and interpretations not yet adopted:

(i)

Leases – IFRS 16

IFRS  16,  Leases  (“IFRS  16”)  In  January  2016,  the  IASB  issued  IFRS  16,  a  new  standard  that  replaces  IAS  17,  Leases.  IFRS  16  is  a  major  revision  of  the  way  in  which
companies account for leases and will no longer permit off balance sheet leases. Adoption of IFRS 16 is mandatory and will be effective for the Corporation’s fiscal year
beginning on April 1, 2019. The Corporation is assessing the impact of adoption of IFRS 16, and currently there is only one lease that will be impacted by this new standard
and the impact is expected to be minimal.

4.

Receivables:

Sales tax receivables
Government assistance and tax credits receivable
Interest receivable
Other receivables
Total receivables

Notes

8

March 31, 2019   
$   
618     
872     
80     
16     
1,586     

March 31, 2018 
$ 
470 
282 
- 
7 
759 

F-17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

5.

Marketable Securities

The corporation holds various marketable securities with maturities greater than 90 days at the time of purchase as follows:

Term deposit issued in US currency [US $20], earning interest at 2.23% and maturing on March 13, 2019
Term deposits issued in US currency [US $2,020], earning interest at 2.50% and maturing on various dates from April 8,
2019 to March 12, 2020
Treasury bills issued in CAD currencyearning interest at rates ranging from 1.83% to 1.90% and maturing on various
dates from April 2, 2019 to July 25, 2019
Total Marketable securities

Current marketable securities
Marketable securities

6.

Other Assets

March 31, 2019   
$   

March 31, 2018 
$ 

-     

2,696     

9,196     
11,892     

11,865     
27     

26 

- 

- 
26 

- 
26 

During  the  year,  the  Corporation  owned  a  reserve  of  krill  oil  in  which  amounts  are  expensed  as  it  is  being  used.  The  following  table  summarizes  information  regarding
activities of amounts of the krill oil usage in the R&D production processes and for NKPL66 manufacturing for the year (see note 7 (a)):

Balance – beginning of year
Purchased
Used
Balance – end of year

Current other asset
Other asset

7.

Related parties:

March 31, 2019   
$   
659     
68     
(105)    
622     

March 31, 2018 
$ 
- 
970 
(311)
659 

65     
557     

104 
555 

Neptune  Technologies  (Neptune)  Acasti’s  former  parent  company,  owned  approximately  6.5%  of  the  issued  and  outstanding  Class  A  shares  (Common  Shares)  of  the
Corporation as at March 31, 2019. Neptune’s ownership reduced below a control position, following Acasti’s U.S. public financing activities in December 2017 and January
2018.

(a)

Administrative and research and development expenses:

The Corporation has significantly reduced its reliance on the support of Neptune for a portion of its general and administrative needs; however, it will continue to utilize their
IT support for the near term. The Corporation was charged by Neptune for the purchase of research supplies and for certain costs incurred by Neptune for the benefit of the
Corporation, as follows:

F-18

 
 
 
 
 
 
 
 
 
    
  
   
   
   
   
 
   
      
  
   
   
 
 
 
 
 
 
 
 
   
   
   
   
 
   
      
  
   
   
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

7.

Related parties (continued):

Research and development expenses
Supplies and incremental costs
Shared service agreement
Total

General and administrative expenses
Supplies and incremental costs
Shared service agreement
Total

Total related parties expenses

March 31, 

2019   

March 31, 

2018   

Thirteen-

months ended   
March 31, 

2017   

$   

-     
-     
-     

211     
34     
245     
245     

$   

$   

7     
20     
27     

239     
121     
360     
387     

-     
60     
60     

293     
325     
618     
678     

Month ended   
March 31, 

2017   
(Unaudited)   
$   

Twelve-months 
ended 
February 28, 
2017 
(Unaudited) 
$ 

-     
1     
1     

16     
25     
41     
42     

- 
59 
59 

277 
300 
577 
636 

Where Neptune incurs specific incremental costs for the benefit of the Corporation, it charges those amounts directly. Neptune provides Acasti with the services of personnel
for  certain  administrative  work  as  part  of  a  shared  service  agreement.  The  employees’  salaries  and  benefits  are  charged  proportionally  to  the  time  allocation  agreed  upon
within  the  shared  service  agreement.  Effective  September  30,  2017,  the  laboratory  support,  the  corporate  affairs  and  the  public  company  reporting  services  previously
provided  by  Neptune  as  part  of  the  shared  service  agreement  were  discontinued.  The  Corporation  is  now  incurring  incremental  costs  and  expects  to  do  so  in  the  future,
partially offset by reduced shared service fees. The account payable to Neptune amounted to $2 at March 31, 2019 and $44 at March 31, 2018, is non-interest bearing and has
no specified maturity date. These charges do not represent all charges incurred by Neptune that may have benefited the Corporation. Also, these charges do not necessarily
represent the cost that the Corporation would otherwise need to incur, should it not receive these services or benefits through the shared resources of Neptune.

Historically,  Neptune  has  provided  the  Corporation  with  the  krill  oil  needed  to  produce  CaPre  for Acasti’s  clinical  programs,  including  all  of  the  krill  oil  projected  to  be
needed for its Phase 3 clinical study program. However, Neptune discontinued its krill oil production and sold its krill oil inventory to Aker on August 7, 2017. In 2017 Acasti
purchased a reserve of krill oil from Aker that will be used in the production of CaPre capsules for its Phase 3 clinical trials (see also note 6). The Corporation is currently
evaluating alternative suppliers of krill oil. At March 31, 2019, a reserve of krill oil owned by the Corporation was physically stored at Neptune’s facility.

(b)

Interest revenue:

On  January  7,  2016  Neptune  announced  the  acquisition  of  Biodroga  Nutraceuticals  Inc.  As  part  of  this  transaction,  the  Corporation  pledged  an  amount  of  $2  million
(“Committed Funds”) to partly guarantee the financing for the said transaction (“Pledge Agreement”). Neptune had agreed to pay Acasti an annual fee on the Committed
Funds  outstanding  at  an  annual  rate  of  9%  during  the  first  six  months  and  11%  for  the  remaining  term  of  the  Pledge Agreement.  On  September  20,  2016,  Neptune  fully
released the pledged amount. The Corporation recognized interest revenue of nil for the years ended March 31, 2019 and 2018, $89 for the thirteen-month period ended March
31, 2017, nil (unaudited) for the month ended March 31, 2017, and $89 (unaudited) for the twelve-month period ended February 28, 2017.

F-19

 
 
 
 
 
    
    
 
 
 
 
    
    
    
 
 
 
 
 
   
 
   
 
   
 
   
 
 
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
      
      
      
      
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

7.

(c)

Related parties (continued):

Key management personnel compensation:

The key management personnel are the officers of the Corporation and the members of the Board of Directors of the Corporation. They control in the aggregate less than 1%
of the voting shares of the Corporation (less than 1% in 2018 and 2% in 2017).

Key management personnel compensation includes the following for the years ended March 31, 2019 and 2018, the thirteen-month and one-month periods ended March 31,
2017 and the twelve-month period ended February 28, 2017.

Compensation
Share-based compensation costs
Total key management personnel compensation

8.

Government assistance:

$ 

1,641 
940 
2,581 

March 31, 
2019 

March 31, 

2018   

Thirteen-

months ended   
March 31, 

2017   

$   

$   

Month ended   
March 31, 

2017   
(Unaudited)   
$   

Twelve-months 
ended 
February 28, 
2017 
(Unaudited) 
$ 

1,754     
826     
2,580     

1,510     
619     
2,129     

146     
78     
224     

1,364 
541 
1,905 

Investment tax credit
Government grant
Total government assistance

March 31, 

2019   

March 31, 

2018   

Thirteen-

months ended   
March 31, 

2017   

$   
588     
7     
595     

$   
409     
-     
409     

$   
103     
227     
330     

Month ended   
March 31, 

2017   
(Unaudited)   
$   
8     
37     
45     

Twelve-months 
ended 
February 28, 
2017 
(Unaudited) 
$ 
95 
190 
285 

Government assistance is comprised of a government grant from the federal government and research and development investment tax credits receivable from the provincial
government which relate to qualifiable research and development expenditures under the applicable tax laws. The amounts recorded as receivables are subject to a government
tax audit and the final amounts received may differ from those recorded.

Unrecognized federal tax credits may be used to reduce future income tax and expire as follows:

2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039

F-20

$ 
11 
30 
45 
431 
441 
436 
519 
286 
315 
324 
329 
3,167 

 
 
 
 
 
 
 
 
  
 
    
 
 
 
 
 
  
 
    
    
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
    
 
 
 
 
    
    
    
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
 
   
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

9.

Equipment:

Cost:
Balance at February 29, 2016
Additions for the twelve-month period (Unaudited)
Balance at February 28, 2017 (Unaudited)
Additions for the one-month period (Unaudited)
Additions for the thirteen-month period
Balance at March 31, 2017
Additions
Balance at March 31, 2018
Additions
Balance at March 31, 2019

Accumulated depreciation:
Balance at February 29, 2016
Depreciation for the twelve-month period (Unaudited)
Balance at February 28, 2017 (Unaudited)
Depreciation for the one-month period (Unaudited)
Depreciation for thirteen-month period
Balance at March 31, 2017
Depreciation
Balance at March 31, 2018
Depreciation
Balance at March 31, 2019

Net carrying amounts:

March 31, 2018
March 31, 2019

Furniture and 
office equipment   
$   

Computer 
equipment   
$   

Laboratory 
equipment   
$   

Production 
equipment   
$   

59     
-     
59     
-     
-     
59     
4     
63     
5     
68     

52     
7     
59     
-     
7     
59     
-     
59     
1     
60     

4     
8     

3     
8     
11     
-     
8     
11     
6     
17     
13     
30     

3     
1     
4     
-     
1     
4     
3     
7     
7     
14     

10     
16     

336     
186     
522     
-     
186     
522     
192     
714     
219     
933     

56     
129     
185     
11     
140     
196     
107     
303     
180     
483     

411     
450     

-     
2,484     
2,484     
43     
2,527     
2,527     
181     
2,708     
260     
2,968     

-     
52     
52     
21     
73     
73     
239     
312     
317     
629     

2,396     
2,339     

Total 
$ 

398 
2,678 
3,076 
43 
2,721 
3,119 
383 
3,502 
497 
3,999 

111 
189 
300 
32 
221 
332 
349 
681 
505 
1,186 

2,821 
2,813 

Depreciation  expense  for  the  periods  end  March  31,  2019  and  2018,  the  thirteen-month  and  one-month  periods  ended  March  31,  2017  and  twelve-month  period  ended
February 28, 2017 has been recorded in “research and development expenses” in the statements of earnings and comprehensive loss.

F-21

 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
    
  
   
      
      
      
      
  
   
   
   
   
   
   
   
   
   
   
 
   
      
      
      
      
  
   
      
      
      
      
  
   
   
   
   
   
   
   
   
   
   
 
   
      
      
      
      
  
   
      
      
      
      
  
   
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

10.

Intangible assets :

In December 2012, the Corporation entered into a prepayment agreement with Neptune pursuant to which the Corporation exercised its option under the License Agreement to
pay in advance all of the future royalties payable. The license allows the Corporation to exploit the intellectual property rights in order to develop novel active pharmaceutical
ingredients  (“APIs”)  into  commercial  products  for  the  prescription  drugs  market.  The  license Agreement,  together  with  the  Corporation  own  IP,  allows  the  “freedom  to
operate” for CaPre, which is currently the Corporation’s only prescription drug candidate in development. The Corporation believes that upon the expiry of the last licensed
Neptune patent in 2022, the Corporation’s expanding patent portfolio will cover CaPre, and that it will not require any license from Neptune to support the commercialization
of CaPre.

Cost:
Balance at February 29, 2016, February 28, 2017 (Unaudited) and March 31, 2017
Additions
Balance at March 31, 2018
Additions
Balance at March 31, 2019

Accumulated amortization:
Balance at February 29, 2016
Amortization for the twelve-month period (Unaudited)
Balance at February 28, 2017 (Unaudited)
Amortization for the one-month period (Unaudited)
Amortization for the thirteen-month period
Balance at March 31, 2017
Amortization for the year
Balance at March 31, 2018
Amortization for the year
Balance at March 31, 2019

Net carrying amounts:

March 31, 2018
March 31, 2019

Patents   
$   

License   
$   

362     
-     
362     
-     
362     

362     
-     
362     
-     
-     
362     
-     
362     
-     
362     

-     
-     

24,330     
-     
24,330     
-     
24,330     

9,425     
2,323     
11,748     
194     
2,517     
11,942     
2,323     
14,265     
2,322     
16,587     

10,065     
7,743     

Total 
$ 

24,692 
- 
24,692 
- 
24,692 

9,787 
2,323 
12,110 
194 
2,517 
12,304 
2,323 
14,627 
2,322 
16,949 

10,065 
7,743 

Amortization expense and impairment loss for the period ended March 31, 2019 and 2018, the thirteen-month and one-month periods ended March 31, 2017, and the twelve-
month period ended February 28, 2017 have been recorded in “research and development expenses” in the statements of earnings and comprehensive loss.

F-22

 
 
 
 
 
 
 
 
 
 
 
   
    
  
 
 
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
  
 
 
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
  
 
 
      
      
  
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

11.

Trade and other payables:

Trade payables
Accrued liabilities and other payables
Employee salaries and benefits payable
Legal settlement expected to be paid via common shares (note 25)
Payable to Neptune
Total trade and other payables

March 31, 2019   

March 31, 2018 

$   

4,064     
10,319     
1,054     
990     
2     
16,429     

$ 

3,420 
2,479 
754 
- 
44 
6,697 

The Corporation’s exposure to currency and liquidity risks related to trade and other payables is presented in Note 21.

12.

Derivative warrant liabilities:

The warrants issued as part of the public offering of units composed of Common Share and Common Share purchase warrants on both May 9, 2018 and May 14, 2018 (see
note 14) are derivative liabilities (“Derivative Warrant Liabilities”) given the warrant indenture contains certain contingent provisions that allow for cash settlement.

Warrants issued as part of a public offering of units composed of class A share (Common Share) and Common Share purchase warrants on both December 27, 2017 and
December 3, 2013 are derivative liabilities (“Derivative warrant liabilities”) given the currency of the exercise price is different from the Corporation’s functional currency.

The derivative warrant liabilities are measured at fair value at each reporting period and the reconciliation of changes in fair value is presented in the following tables:

Balance – beginning of period
Issued during period
Exercised during period
Change in fair value of derivative warrant liabilities
Balance – end of period

Warrant liabilities issued 
May 2018

Warrant liabilities issued 
December 27, 2017

Warrant liabilities issued 
December 3, 20131

March 31, 

March 31, 

March 31, 

March 31, 

March 31, 

2019   
$   
-     
4,272     
(722)    
4,696     
8,246     

2018   
$   
-     
-     
-     
-     
-     

2019   
$   

6,405     
-     
-     
1,612     
8,017     

2018   
$   
-     
5,873     
-     
532     
6,405     

2019   
$   
21     
-     
-     
(21)    
-     

March 31, 
2018 
$ 
209 
- 
- 
(188)
21 

Fair value per share issuable
(1) In order to obtain one Common Share, 10 warrants must be exercised. All unexercised warrants expired on December 3, 2018.

0.81     

-     

0.82     

0.65     

-     

0.01 

F-23

 
 
 
 
 
 
 
    
  
 
 
 
 
    
  
   
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
   
   
   
   
   
 
   
      
      
      
      
      
  
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

12.

Derivative warrant liabilities (continued):

The fair value of the derivative warrant liabilities was estimated using the Black-Scholes option pricing model and based on the following assumptions:

Warrant liabilities issued 
May 2018

Warrant liabilities issued 
December 27, 2017

Exercise price
Share price
Risk-free interest
Estimated life (in years)
Expected volatility
(1) In order to obtain one Common Share, 10 warrants must be exercised. All unexercised warrants expired on December 3, 2018.

-     
-     
-     
-     
-     

  $
  $

2.23%   
3.75 
107.57%   

March 31, 

2018   

March 31, 
2019 
US $1.26 
US $1.02 

March 31, 
2019 
1.31 
1.35 
1.52%   
4.11 
94.58%   

March 31, 
2018 
US $1.26 
US $1.02 

2.56%   
4.75 
95.15%   

Warrant liabilities issued
December 3, 2013 1
March 31, 

2019   

-     
-     
-     
-     
-     

March 31, 
2018 
US $1.50 
US $1.02 

2.19%
0.68 
133.86%

13.

Unsecured convertible debentures

Concurrent  with  the  Public  Offering  described  in  note  14,  on  February  21,  2017,  the  Corporation  issued  $2,000  aggregate  principal  amount  of  unsecured  convertible
debentures maturing February 21, 2020 and contingent warrants to acquire up to 1,052,630 Common Shares (the “Private Placement”). The principal may be prepaid, in whole
or in part, at any time and from time to time, in cash, at the sole discretion of the Corporation. The debentures are convertible into Common Shares at any time by the holder at
a fixed price of $1.90 per Common Share except if the Corporation pays before the maturity, all or any portion of the convertible debentures. Should the Corporation pay all
or any portion of the convertible debenture before maturity, then warrants become exercisable at $1.90 per Common Share for the equivalent convertible debenture amount
prepaid. The contingent warrants will be exercisable for the remaining term of the convertible debt for the same price as the conversion options. The unsecured convertible
debentures were issued at a discount of 3.5% to the principal amount, for aggregate gross proceeds of $1,930.

The convertible debentures provide the Corporation an accelerated conversion right whereby the Corporation may, at any time at least four months after the date of issuance
of  the  convertible  debentures,  accelerate  the  conversion  of  the  debentures  to  Common  Shares  in  the  event  that  the  volume  weighted  average  price  of  the  Corporation’s
Common Shares on the TSX Venture Exchange is equal to or exceeds $2.65, subject to customary adjustment provisions, during 20 consecutive trading days.

The  interest  to  be  paid  on  the  convertible  debentures  under  the  terms  of  the  agreement  is  8%  per  annum,  payable  on  a  quarterly  basis  in  cash  or  Common  Shares  of  the
Corporation or a combination thereof, commencing on March 31, 2017. The decision to pay the interest due in cash or shares is at the discretion of the Corporation and the
number of Common Shares to be issued will be calculated at the current market price as at the close of business on the day before the interest payment is to be made. Payment
in shares shall be at a floor price of $0.10 per share, with the difference between the amount payable and the amount computed at floor price payable in cash.

The  proceeds  of  the  Private  Placement  were  split  between  the  liability  and  the  equity  at  the  time  of  issuance  of  the  Private  Placement.  Both  the  conversion  option  and
contingent warrants are considered the equity component of the Private Placement. The fair value of the liability component was determined through a discounted cash flow
analysis  using  a  discount  rate  of  20%  that  was  set  based  on  a  similar  debt  and  maturity  considering  the  Corporation’s  credit  risk  excluding  the  conversion  option  and
contingent warrants. The amount allocated to the equity component is the residual amount after deducting the fair value of the financial liability component from the fair value
of the entire compound instrument. Subsequent to initial recognition, the liability is measured at amortized cost calculated using the effective interest rate method and will
accrete up to the principal balance at maturity. The interest accretion is presented as a financial expense. The equity component is not re-measured. Transaction costs were
allocated to the components in proportion to their initial carrying amounts. The portion allocated to the liability was recognized as a reduction of the debt whereas the portion
allocated to other equity was recognized as a reduction to other equity.

F-24

 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

13.

Unsecured convertible debentures (continued):

The split between the liability and equity component portions of the Private Placement are summarized below:

Balance at March 31, 2017
Effective interest for the twelve-month period
Interest payable during the period
Balance at March 31, 2018
Effective interest during the period
Interest payable during the period
Balance at March 31, 2019

14.

(a)

Capital and other components of equity

Share capital:

Authorized capital stock:

Unlimited number of shares:

Liability component

Equity component

$   
1,406     
366     
(160)    
1,612     
365     
(160)    
1,817     

$   
309     
-     
-     
309     
-     
-     
309     

Total Private 
Placement 
$ 
1,715 
366 
(160)
1,921 
365 
(160)
2,126 

Ø Class A shares (Common Shares), voting (one vote per share), participating and without par value

Ø Class B shares, voting (ten votes per share), non-participating, without par value and maximum annual non-cumulative dividend of 5% on the amount paid for
said  shares.  Class  B  shares  are  convertible,  at  the  holder’s  discretion,  into  Class A  shares  (Common  Shares),  on  a  one-for-one  basis,  and  Class  B  shares  are
redeemable at the holder’s discretion for $0.80 per share, subject to certain conditions. There are non issued and outstanding.

Ø Class C shares, non-voting, non-participating, without par value and maximum annual non-cumulative dividend of 5% on the amount paid for said shares. Class C
shares are convertible, at the holder’s discretion, into Class A shares (Common Shares), on a one-for-one basis, and Class C shares are redeemable at the holder’s
discretion for $0.20 per share, subject to certain conditions. There are non issued and outstanding.

Ø Class D and E shares, non-voting, non-participating, without par value and maximum monthly non-cumulative dividend between 0.5% and 2% on the amount
paid for said shares. Class D and E shares are convertible, at the holder’s discretion, into Class A shares (Common Shares), on a one-for-one basis, and Class D
and E shares are redeemable at the holder’s discretion, subject to certain conditions. There are non issued and outstanding.

(b)

“At-the-market” (“ATM”) sales agreement

On February 14, 2019, the Corporation entered into an “at-the-market” (“ATM”) sales agreement with an underwriter B. Riley FBR, Inc. (B. Riley), pursuant to which the
Corporation’s  common  shares  may  be  sold  from  time  to  time  for  aggregate  gross  proceeds  of  up  to  US  $30  million,  with  sales  only  being  made  on  the  NASDAQ  Stock
Market. The common shares would be issued at market prices prevailing at the time of the sale and, as a result, prices may vary between purchasers and during the period of
distribution. The ATM provides the Company with a flexible alternative for raising additional capital. The ATM has a 3 year term, and requires the company to pay a 3% fee
to B. Riley when any sales are made. As at March 31, 2019, no securities have been issued in relation to the ATM. Costs incurred in connection to the ATM of $179 have
been recorded as deferred financing costs.

(c)

Public Offerings – October 2018:

On October 9, 2018, the Corporation closed a U.S. public offering of 16,600,000 Common Shares at a price of US$1.00 per share. In addition, the underwriters fully exercised
their  over-allotment  option  to  purchase  2,490,000  additional  Common  Shares  at  the  same  public  offering  price.  This  offering  generated  gross  proceeds  of  $24.7  million
(US$19.1 million), which resulted in net proceeds to the Corporation of $22.6 million (US$17.4 million) and a total of 19,090,000 Common Shares issued.

F-25

 
 
 
 
 
 
   
   
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

14.

Capital and other components of equity (continued):

On  October  23,  2018,  the  Corporation  closed  a  Canadian  public  offering  of  18,750,000  Common  Shares  at  a  price  of  $1.28  per  share.  In  addition,  the  underwriters  fully
exercised their over-allotment option to purchase 2,812,500 additional Common Shares at the same public offering price. This offering generated gross proceeds of $27.6
million, which resulted in net proceeds to the Corporation of approximately $25.4 million and a total of 21,562,500 Common Shares issued.

(d)

Public Offering – May 2018:

On May 9, 2018 the Corporation closed a Canadian public offering issuing 9,530,000 units of Acasti (“Units”) at a price of $1.05 per Unit for gross proceeds of $10 million.
The units issued consist of 9,530,000 Common Shares and 9,530,000 Warrants. Each Warrant entitles the holder thereof to acquire one Common Share of the Corporation at
an exercise price of $1.31 at any time until May 9, 2023.

On  May  14,  2018,  the  underwriters  exercised  their  over-allotment  option  by  purchasing  an  additional  1,429,500  units  at  a  price  of  $1.05  per  Unit,  for  additional  gross
proceeds of $1.5 million. The units issued consist of 1,429,500 Common Shares and 1,429,500 warrants. Each Warrant entitles the holder thereof to acquire one Common
Share of the Corporation at an exercise price of $1.31 at any time until May 9, 2023.

The warrant component of these Units are Derivative Warrant Liabilities for accounting purposes due to the warrant agreement, which contains certain contingent provisions
that allow for cash settlement (note 12). The proceeds of the offering are required to be split between the Derivative Warrant Liabilities and the equity-classified Common
shares at the time of issuance of the Units. The fair value of the Derivative Warrant Liabilities at the time of issuance was determined to be $4.3 million and the residual of the
proceeds of $6.2 million were allocated to the Common Shares. Issuance costs related to this transaction totaled approximately $1.8 million and have been allocated between
the  Derivative  Warrant  Liabilities  and  Common  shares  based  on  relative  value.  Resulting  from  this  allocation,  $0.7  million  has  been  allocated  to  the  Derivative  Warrant
Liability  and  is  recognized  in  finance  costs  in  the  Statements  of  Earnings  and  Comprehensive  Loss,  whereas  the  remaining  portion  of  $1.1  million  in  issuance  costs  was
allocated to the Common Shares and recognized as a reduction to share capital, in the Statements of Financial Position.

The fair value of the public offering warrants at issuance was estimated using to the Black-Scholes option pricing model and was based on the following weighted average
assumptions:

Exercise price
Share price
Risk-free interest
Estimated life (in years)
Expected volatility

  $
  $

May 2018 
1.31 
0.82 
2.21%
5 

87.40%

The weighted average fair value of the public offering warrants issued in May 2018 was determined to be $0.39 per warrant. Changes in the subsequent measurement of fair
value of the Warrants are recognized in financial expenses.

As part of the transaction, the Corporation also issued broker warrants to purchase up to 547,975 Common Shares. Each broker warrant entitles the holder thereof to acquire
one Common Share of the Corporation at an exercise price of $1.05, at any time until May 9, 2023. The broker warrants are considered to be compensation to non-employees
under  IFRS  2,  as  stock-based  compensation,  and  are  thus  accounted  for  at  fair  value  at  issuance  date  and  not  subsequently  revalued.  To  determine  the  fair  value  of  these
broker warrants, a Black-Scholes options pricing model was used based on the following assumptions:

Exercise price
Share price
Risk-free interest
Estimated life (in years)
Expected volatility

The total value associated with the broker warrants amounted to $283 and was recorded in contributed surplus.

F-26

  $
  $

May 2018 
1.05 
0.81 
2.20%
5 

87.40%

 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
   
   
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

14.

(e)

Capital and Other Components of Equity (continued):

Public offering – December 27, 2017

On December 27, 2017, the Corporation closed a U.S. public offering issuing 9,900,990 units of Acasti at a price of US$1.01 per Unit for gross proceeds of $12.6 million
(US$10  million).  The  units  issued  consist  of  9,900,990  Common  Shares  and  8,910,891  warrants  with  the  right  to  purchase  one  Common  Share  of Acasti. As  part  of  this
closing, the underwriters’ also partially exercised for nil consideration the over-allotment option for warrants, which were issued for a right to purchase 892,044 Common
Shares at an exercise price of US$1.26.

The  Warrants  forming  part  of  the  Units  are  Derivative  Warrant  Liabilities  for  accounting  purposes  due  to  the  currency  of  the  exercise  price  being  different  from  the
Corporation’s functional currency. The proceeds of the offering are required to be split between the Derivative Warrant Liabilities and the equity-classified Common Share at
the time of issuance of the Units. The fair value of the Derivative Warrant Liabilities at the time of issuance was determined to be $5.9 million and the residual of the proceeds
was allocated to the Common Shares. Total issuance costs related to this transaction totaled approximately $2.5 million. The issuance costs have been allocated between the
Warrants  and  Common  Shares  based  on  relative  value.  The  portion  allocated  to  the  Warrants  was  recognized  in  finance  costs  in  the  Statements  of  Earnings  and
Comprehensive Loss, whereas the portion allocated to Common Shares was recognized as a reduction to share capital, in the Statements of Financial Position.

The fair value of the public offering Warrants at issuance was estimated according to the Black-Scholes option pricing model and based on the following assumptions:

Exercise price
Share price
Risk-free interest
Estimated life (in years)
Expected volatility

December 27, 
2017 
US $1.26 
US $0.97 

2.22%
5 

93.52%

The  fair  value  of  the  public  offering  Warrants  issued  was  determined  to  be  $0.60  per  warrant  as  at  December  27,  2017.  Changes  in  the  fair  value  of  the  Warrants  are
recognized in finance income or expenses.

As part of the transaction, the Corporation also issued broker warrants to purchase up to 495,050 Common Shares. Each broker warrant entitles the holder thereof to acquire
one Common Share of the Corporation at an exercise price of US$1.2625, at any time until December 27, 2022. The broker warrants are considered for compensation to non-
employees under IFRS 2, stock-based compensation, and are accounted for at fair value. To determine the fair value of the Broker Warrants, a Black-Scholes option pricing
model was used based on the following assumptions:

Exercise price
Share price
Risk-free interest
Estimated life (in years)
Expected volatility

The total cost associated with the Broker Warrants amounted to $406 and was recorded in contributed surplus.

F-27

December 27, 
2017 
US $1.2625 
US $0.97 

2.22%
5 

93.52%

 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
   
   
   
   
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

14.

(f)

Capital and Other Components of Equity (continued):

Public offering - February 21, 2017:

Concurrent with the private placement described in Note 12, on February 21, 2017, the Corporation closed a public offering (“Public Offering”) issuing 3,930,518 units of
Acasti (“Units”) at a price of $1.45 per Unit for gross proceeds of $5,699. Each Unit consists of one class A share (Common Share) and one half of one class A or common
share  purchase  warrant.  Each  whole  warrant  entitles  the  holder  thereof  to  purchase  one  common  share  at  an  exercise  price  of  $2.15  per  common  share,  at  any  time  until
February 21, 2022. The Units issued as part of the public offering are considered equity instruments. The transaction costs associated with the Public Offering amounted to
$1,190. The proceeds and transaction costs were allocated to share capital.

As part of the transaction, the Corporation also issued broker warrants (the “Broker Warrants”) to purchase up to 234,992 Common Shares. Each Broker Warrant entitles the
holder thereof to acquire one Common Share of the Corporation at an exercise price of $2.15 per common share, at any time until February 21, 2018. The broker warrants are
considered for compensation to non-employees under IFRS 2, stock-based compensation, and are accounted for at fair value through contributed surplus. To determine the fair
value of the Broker Warrants, the Black-Scholes pricing model was used. The total costs associated with the Broker Warrants amounted to $144 and were allocated to share
capital.

The warrants issued as part of the Units of the Public Offering and the broker warrants include an “Acceleration Right”, related to the Corporation’s right to accelerate the
expiry date of the warrants. The Acceleration Right clause means the right of the Corporation to accelerate the expiry date to a date that is not less than 30 days following
delivery of the acceleration notice if, at any time at least four months after the effective date, the volume weighted average trading price of the common shares equals or
exceeds $2.65 for a period of 20 consecutive trading days on the TSXV.

Furthermore,  as  part  of  the  February  2017  Public  Offering  and  convertible  debt  transactions,  a  total  of  60,000  Common  Shares  were  issued  as  equity  settled  share-based
payments for services received from an employee of the previous parent at a price of $1.57 per share for a total cost of $94. The equity settled share-based payment costs have
been allocated to share capital for a cost that amounted to $85 and to debt for a cost that amounted to $9 based on relative value.

The value of the broker warrants was estimated using a Black-Scholes option pricing model and based on the following assumptions:

Exercise price
Share price
Dividend
Risk-free interest
Estimated life (in years)
Expected volatility

  $
  $

February 21, 2017 

2.15 
1.70 
- 
0.79%
1.00 
112.09%

The total cost associated with the Broker Warrants amounted to $144 and was recorded as contributed surplus.

(g)

Issuance of shares:

The following table summarizes the shares issued to settle the payment of accrued interest on the unsecured convertible debentures with the corresponding amount recorded to
share capital.

Accrued interest as at

March 31, 2017
June 30, 2017
September 30, 2017
December 31, 2017
March 31, 2018
June 30, 2018
September 30, 2018

Share issuance date

  April 7, 2017
  August 15, 2017
  December 27, 2017
  March 27, 2018
  June 6, 2018
  August 21, 2018
  October 31, 2018

F-28

Number of shares    

Amount
$  

9,496     
23,885     
22,783     
33,605     
30,348     
51,807     
23,723     
195,647     

17 
40 
40 
40 
40 
40 
40 
257 

 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
   
   
   
 
 
 
 
 
 
 
 
 
 
   
 
    
  
   
   
   
   
   
   
   
  
    
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

14.

(h)

Capital and other components of equity (continued):

Warrants:

The warrants of the Corporation are composed of the following as at March 31, 2019, March 31, 2018, March 31, 2017 and February 28, 2017:

March 31, 2019

March 31, 2018

March 31, 2017

Number 
outstanding 

Number 
outstanding 

Amount 
$ 

Amount 
$ 

Number 
outstanding 

Liability
May 2018 Public offering Warrants 2018 (i)
Series December 2017 US Public offering Warrants

  10,188,100 

8,246 

- 

- 

2017 (ii)

9,801,861 

8,017 

9,802,935 

6,405 

- 

- 

Amount 
$ 

- 

- 

February 28, 2017
(Unaudited)  

Number 
outstanding 

Amount 
$ 

- 

- 

Series 8 Public offering Warrants December 2013

(iii)

Equity
Public offering warrants
Public offering broker warrants May 2018 (iv)
Public offering U.S. broker warrants December 2017

(v)

Public offering warrants February 2017 (vi)
Private Placement- contingent warrants
2017 unsecured convertible debenture conversion

option and contingent warrants (vii)

Series 9 Private Placement warrants 2013 (viii)
Series 2017 BW Broker warrants (ix)

- 
  19,989,961 

- 
16,263 

  18,400,000 
  28,202,935 

21 
6,426 

  18,400,000 
  18,400,000 

209 
209 

  18,400,000 
  18,400,000 

547,975 

495,050 
1,904,034 

1,052,630 
- 
- 
3,999,689 

283 

406 
- 

309 
- 
- 
998 

- 

495,050 
1,904,034 

1,052,630 
161,654 
- 
3,613,368 

- 

406 
- 

309 
- 
- 
715 

- 

- 
1,965,259 

1,052,630 
161,654 
234,992 
3,414,535 

- 

- 
- 

309 
- 
144 
453 

- 

- 
1,965,259 

1,052,630 
161,654 
234,992 
3,414,535 

- 

- 

187 
187 

- 

- 
- 

309 
- 
144 
453 

Warrant to acquire one Common Share of the Corporation at an exercise price of $1.31, expiring on May 9, 2023.

In order to obtain one Common Share of the Corporation at an exercise price of US$15.00, 10 warrants must be exercised. Warrants expired on December 3, 2018.

(i)
(ii) Warrant to acquire one Common Share of the Corporation at an exercise price of US$1.26, expiring on December 27, 2022.
(iii)
(iv) Warrant to acquire one Common Share of the Corporation at an exercise price of $1.05, expiring on May 9, 2023.
(v) Warrant to acquire one Common Share of the Corporation at an exercise price of US$1.2625, expiring on December 27, 2022.
(vi) Warrant to acquire one Common Share of the Corporation at an exercise price of $2.15, expiring on February 21, 2022.
(vii) Warrant to acquire one Common Share of the Corporation at an exercise price of $1.90 expiring on February 21, 2020, net of deferred tax expense of $129. Exercisable only for any portion of or all

debentures paid by the Corporation prior to maturity.

(viii) Warrant to acquire one Common Share of the Corporation at an exercise price of $13.30, expired on December 3, 2018.
(ix) Warrant  to  acquire  one  Common  Share  of  the  Corporation  at  an  exercise  price  of  2.15  expiring on  February  21,  2018.  117,496  warrants  amounted  to  $71  were  exercised  in  November  2017 and

117,496 warrants expired on February 21, 2018

F-29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

14.

(h)

Capital and other components of equity (continued):

Warrants (continued):

Warrants exercise:

During the year 771,400 warrants offered as part of the May 2018 public offering were exercised at an exercise price of $1.31 per Common Share of the Company, resulting
in $1.0 million of cash proceeds. In addition, 4,455 warrants offered as part of the December 2017 U.S. public offering were exercised in a cashless manner to acquire 1,074
Common Shares of the Company.  A total of 772,474 Common Shares were issued as a result of 775,855 warrants being exercised. During the year ended December 31,
2017, 178,721 warrants offered as part of the February 2017 public offering were exercised at an exercise price of $2.15 per Common Share of the Company, resulting in
$384 of cash proceeds.

15.

Personnel expenses:

Salaries and other short-term employee benefits
Share-based compensation costs
Total personnel expenses

16.

Financial expenses:

Interest income
Foreign exchange gain (loss)
Interest payable on convertible debenture
Accretion of interest on convertible debenture
Transaction costs related to derivative warrant liabilities
Change in fair value of warrant liabilities
Other charges

Financial expenses

March 31, 
2019

March 31, 
2018

Thirteen-

months ended   
March 31, 
2017

$ 
4,144 
1,041 
5,185 

$   
3,281     
929     
4,210     

$   
2,491     
674     
3,165     

Month ended   
March 31, 
2017 

(Unaudited)   
$   
214     
86     
300     

Twelve-month 
period ended 
February 28, 
2017 
(Unaudited) 
$ 
2,277 
588 
2,865 

March 31, 
2019

March 31, 
2018

Thirteen-

months ended   
March 31, 
2017

$   

72     
(32)    
(160)    
(206)    
(1,134)    
(344)    
(4)    

(1,808)    

$   

125     
(180)    
(17)    
(22)    
-     
(53)    
(19)    

(166)    

$ 

475 
279 
(160)  
(205)  
(653)  
(6,287)  

- 

(6,551)  

F-30

Month ended   
March 31, 
2017 

(Unaudited)   
$   

Twelve-month 
period ended 
February 28, 
2017 
(Unaudited) 
$ 

6     
(3)    
(14)    
(17)    
-     
(22)    
(1)    

(51)    

119 
(177)
(3)
(5)
- 
(31)
(18)

(115)

 
 
 
 
 
 
 
 
 
  
 
    
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
    
 
 
 
 
   
   
 
 
 
 
 
  
 
    
    
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
  
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

17.

Share-based payments:

At March 31, 2019, the Corporation has the following share-based payment arrangement:

(a)

Corporation stock option plan:

The Corporation has in place a stock option plan for directors, officers, employees and consultants of the Corporation (“Stock Option Plan”). An amendment of the Plan was
approved  by  shareholders  on August  28,  2018.  The  amendment  provides  for  an  increase  to  the  existing  limits  for  Common  Shares  reserved  for  issuance  under  the  Stock
Option  Plan  as  well  as  certain  changes  to  the  minimum  vesting  period  applicable  to  options  granted  to  directors  and  employees  under  the  Stock  Option  Plan.  The  plan
continues to provide for the granting of options to purchase Common Shares. The exercise price of the stock options granted under this amended plan is not lower than the
closing price of the shares listed on the TSXV at the close of markets the day preceding the grant. The maximum number of Common Shares that may be issued upon exercise
of options granted under the amended Stock Option Plan was increased from 2,940,511, representing 20% of the issued and outstanding Common Shares of the Company as
of March 31, 2017, to 5,494,209 representing 15% of the issued and outstanding Common Shares of the Company as of June 27, 2018. The terms and conditions for acquiring
and exercising options are set by the Corporation’s Board of Directors, subject among others, to the following limitations: the term of the options cannot exceed ten years and
(i) all options granted to a director will be vested evenly on a quarterly basis over a period of at least eighteen (18) months, and (ii) all options granted to an employee will be
vested evenly on a quarterly basis over a period of at least thirty-six (36) months.

The total number of shares issued to any one consultant within any twelve-month period cannot exceed 2% of the Corporation’s total issued and outstanding shares (on a non-
diluted basis). The Corporation is not authorized to grant within any twelve-month period such number of options under the stock option plan that could result in a number of
Common  Shares  issuable  pursuant  to  options  granted  to  (a)  related  persons  exceeding  2%  of  the  Corporation’s  issued  and  outstanding  Common  Shares  (on  a  non-diluted
basis) on the date an option is granted, or (b) any one eligible person in a twelve-month period exceeding 2% of the Corporation’s issued and outstanding Common Shares (on
a non-diluted basis) on the date an option is granted.

The following tables summarize information about activities within the stock option plan:

Outstanding at beginning of year
Granted
Exercised
Forfeited
Expired
Outstanding at end of year

Exercisable at end of year

Outstanding at beginning of period
Granted
Forfeited
Expired
Outstanding at end of period

Weighted average 

exercise price   
$   
1.81     
0.77     
0.77     
1.84     
-     
1.25     

March 31, 2019   
Number of 

options   

Weighted average 

exercise price   
$   
2.58     
1.75     
-     
1.89     
18.06     
1.81     

March 31, 2018 
Number of 
options 

1,424,788 
1,121,500 
- 
(199,800)
(62,100)
2,284,388 

2,284,388     
2,173,523     
(4,167)    
(407,067)    
-     
4,046,677     

1.56     

1,613,200     

1.92     

591,113 

Thirteen-month period 
ended 

March 31, 2017   

Number 
of options

Weighted 
average 
exercise price

Month ended 
March 31, 2017   

Number 
of options

Twelve-month period 
ended 
February 28, 2017 
Number 
of options

Weighted 
average 
exercise price

454,151     
1,300,400     
(190,138)    
(139,625)    
1,424,788     

$   
2.59     
-     
11.50     
-     
2.58     

1,427,288     
-     
(2,500)    
-     
1,424,788     

$   
13.52     
1.69     
13.29     
15.38     
2.59     

454,151 
1,300,400 
(187,638)
(139,625)
1,427,288 

Weighted 
average 
exercise price
$ 
13.52 
1.69 
13.27 
15.38 
2.58 

Exercisable at end of period

6.44 

238,482     

6.44     

238,482     

6.49     

240,982 

F-31

 
 
 
 
 
 
 
 
 
    
  
 
 
 
 
 
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
      
  
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
    
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
      
      
      
  
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

17.

(a)

Share-based payments (continued):

Corporation stock option plan (continued):

March 31, 

2019   

March 31, 

2018   

Thirteen-month 

period ended   
March 31, 

2017   

Twelve-month 
Period ended 
February 28, 2017 
(Unaudited) 

Weighted average fair value of the options granted to employees and directors

of the Corporation

  $

0.51    $

1.22    $

1.40    $

1.40 

There were no options granted during the month ended March 31, 2017 and no options granted to consultants during the thirteen-month period ended March 31, 2017. 4,167
options were exercised during the period ended March 31, 2019 (nil for period ended March 31, 2018 and nil for the thirteen-month period ended March 31, 2017). Stock-
based compensation recognized under this plan for the period ended March 31, 2019 was $1,041 (March 31, 2018 amounted to $929, thirteen-month and one-month periods
ended March 31, 2017 amounted to $674 and $86 (unaudited), respectively and amounted to $588 (unaudited) for the twelve-month period ended February 28, 2017).

The fair value of options granted was estimated using the Black-Scholes option pricing model, resulting in the following weighted average assumptions for options granted
during the periods ended:

Exercise price
Share price
Dividend
Risk-free interest
Estimated life (in years)
Expected volatility

March 31, 2019

March 31, 2018

Thirteen-month 
period ended 
March 31, 2017

Twelve-month 
Period ended 
February 28, 2017 
(Unaudited) 

  $
  $

  $
  $

0.77 
0.73 
- 
2.10%   
5.78 
85.35 

  $
  $

1.75 
1.75 
- 
1.21%   
5.89 
82.4%   

  $
  $

1.69 
1.69 
- 
0.87%   
4.94 
123.5%   

1.69 
1.69 
- 
0.87%
4.94 
123.5%

The expected life of the stock options is based on historical data and current expectation and is not necessarily indicative of exercise patterns that may occur. The expected
volatility reflects the assumption that the historical volatility over a period similar to the life of the options is indicative of future trends, which may also not necessarily be the
actual outcome.

The following tables summarize the status of the outstanding and exercisable options of the Corporation:

Exercise price

$0.77
$0.78
$1.59
$1.72
$1.89

- $0.77
- $1.58
- $1.71
- $1.88
- $6.50

Options outstanding

Exercisable options

March 31, 2019

Weighted remaining 
contractual life 

Number of options 

Weighted average 
exercise price 

outstanding   

outstanding   

9.26     
5.86     
7.90     
8.21     
3.97     
7.91     

1,898,523    $
775,000    $
273,333    $
790,833    $
308,988    $
4,046,677    $

$   

0.77     
1.50     
1.65     
1.77     
2.57     
1.56     

Number of options 
exercisable 

348,197 
518,750 
233,333 
292,500 
220,420 
1,613,200 

F-32

 
 
 
 
 
 
    
    
 
 
 
 
 
 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
    
    
  
   
   
   
   
   
 
 
 
   
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

17.

(a)

Share-based payments (continued):

Corporation stock option plan (continued):

Share-based payment transactions and broker warrants:

The fair value of share-based payment transaction is measured using the Black-Scholes option pricing model. Measurement inputs include share price on measurement date,
exercise price of the instrument, expected volatility (based on weighted average historic volatility),  weighted  average  expected  life  of  the  instruments  (based  on  historical
experience and general option holder behaviour unless no entity-specific information exists in which case the average of the vesting and contractual periods is used), and the
risk-free  interest  rate  (based  on  government  bonds).  Service  and  non-market  performance  conditions  attached  to  the  transactions,  if  any,  are  not  taken  into  account  in
determining fair value.

(b)

Corporation equity incentive plan:

The  Corporation  established  an  equity  incentive  plan  for  employees,  directors  and  consultants.  The  plan  provides  for  the  issuance  of  restricted  share  units  (“RSU”),
performance share units, restricted shares, deferred share units and other share-based awards, subject to restricted conditions as may be determined by the Board of Directors.
There are no such awards outstanding as of March 31, 2019 and March 31, 2018, and no stock-based compensation was recognized for the period ended March 31, 2019 and
March 31, 2018 (nil for the one-month and thirteen-month periods ended March 31, 2017).

18.

Loss per share:

Diluted  loss  per  share  was  the  same  amount  as  basic  loss  per  share,  as  the  effect  of  options,  RSUs  and  warrants  would  have  been  anti-dilutive,  because  the  Corporation
incurred losses in each of the periods presented. All outstanding options, RSUs and warrants could potentially be dilutive in the future.

19.

(a)

Supplemental cash flow disclosure:

Changes in working capital items:

Receivables
Prepaid expenses
Other Assets
Deferred financing costs
Trade and other payables
Total changes in working capital items

March 31, 
2019

March 31, 
2018

Thirteen-

months ended   
March 31, 
2017

$   

(553)    
(103)    
(659)    
-     
4,898     
3,583     

$   

193     
247     
-     
-     
352     
792     

(738)  
(709)  
37 
(179)  
9,679 
8,090 

F-33

Month ended   
March 31, 
2017 
(Unaudited)

$   

Twelve-months 
ended 
February 28, 
2017 
(Unaudited)
$ 

(40)    
(33)    
-     
-     
(255)    
(328)    

233 
280 
- 
- 
607 
1,120 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
    
 
 
 
 
   
   
   
 
 
 
  
 
 
 
  
 
    
    
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

19.

(b)

Supplemental cash flow disclosure (continued):

Non-cash transactions:

Issuance of shares for interest on convertible debt
Issuance of broker warrants included in net proceeds from

public offering

Public offering transaction costs included in trade and other

payables

Interest receivable included in receivables
Reduction in share issue costs from reduction in trade and

other payables

Private Placement transaction costs included in trade and

other payables

Equipment included in trade and other payables
Interest payable included in trade and other payables

Thirteen-months 

ended   

March 31, 

March 31, 

March 31, 

2018   
$   
137     

406     

132     
7     

-     

-     
216     
40     

2017   
$   
94     

144     

381     
-     

109     

40     
288     
18     

2019   
$   
120     

283     

-     
96     

-     

-     
12     
40     

F-34

Month ended   
March 31, 
2017 

(Unaudited)   
$   
-     

Twelve-months 
ended 

February 28, 2017 
(Unaudited) 
$ 
94 

-     

381     
-     

-     

40     
288     
18     

144 

416 
- 

109 

50 
269 
4 

 
 
 
 
 
 
    
    
 
 
 
 
   
   
   
   
   
   
   
   
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

20.

Income taxes:

Deferred tax (recovery) expense:

March 31, 
2019

March 31, 
2018

Thirteen-months 

ended   

March 31, 
2017

$ 

$   

$   

Origination and reversal of temporary differences
Change in unrecognized deductible temporary differences
Deferred tax (recovery) expense

11,599 
(11,599)  

- 

5,241     
(5,241)    
-     

2,240     
(2,369)    
(129)    

Reconciliation of effective tax rate:

Loss before income taxes
Basic combined Canadian statutory income tax rate 1
Computed income tax recovery
Increase resulting from:

Change in unrecognized deductible temporary

differences

Non-deductible stock-based compensation
Non-deductible change in fair value
Permanent differences and other
Change in statutory income tax rate

Total tax (recovery) expense

March 31, 
2019

March 31, 
2018

$ 

(51,566)    
26.68%   
(13,758)    

$ 
(21,504)    
26.78%   
(5,759)    

11,599 
279 
1,677 
203 
- 
- 

5,241 
248 
92 
178 
- 
- 

Thirteen-months 
ended 
March 31, 
2017

$ 

(11,376)    
26.87%   
(3,057)    

2,369 
178 
14 
166 
201 
(129)    

1 The Canadian combined statutory income tax rate has decreased due to a reduction in the provincial statutory income tax rate.

F-35

Month 

ended   

March 31, 
2017 
(Unaudited)

$   

163     
(163)    
-     

Twelve-months 
ended 
February 28, 
2017 
(Unaudited)
$ 

2,077 
(2,206)
(129)

Month 
ended 
March 31, 
2017 
(Unaudited)
$ 
(769)    
26.80%   
(206)    

Twelve-months 
ended 
February 28, 
2017 
(Unaudited)
$ 
(10,607)
26.88%
(2,851)

162 
23 
6 
12 
3 
- 

2,207 
155 
8 
154 
198 
(129)

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
   
 
 
 
 
 
 
  
 
    
    
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
  
   
  
   
  
   
  
   
  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

20.

Income taxes (continued):

Unrecognized deferred tax assets:

At March 31, 2019, 2018, and 2017, the net deferred tax assets, which have not been recognized in these financial statements because the criteria for recognition of these
assets were not met, were as follows:

Deferred tax assets
Tax losses carried forward
Research and development expenses
Property, plan and equipment and intangible assets
Financing expenses
Other deductible temporary differences
Deferred tax assets
 Deferred tax liabilities
Tax basis of unsecured convertible debentures in excess of carrying value
Deferred tax liabilities
Net deferred tax assets

March 31, 2019    
$   

March 31, 2018    
$   

March 31, 2017  
$ 

23,695     
5,362     
766     
1,852     
378     
32,053     

13     
13     
32,040     

12,670     
4,927     
567     
116     
768     
19,048     

67     
67     
18,981     

8,293 
4,220 
435 
- 
522 
13,470 

122 
122 
13,348 

On initial recognition of the unsecured convertible debenture equity component on February 21, 2017, a deferred tax liability of $129 was recognized with the corresponding
entry recognized directly in Other equity. Consequently, an equal amount of deferred tax asset related to unrecognized tax losses was recognized with the offsetting entry in
the Corporation statement of earnings and comprehensive loss.

As at March 31, 2019, the amounts and expiry dates of tax attributes and temporary differences, which are available to reduce future years’ taxable income, were as follows:

Tax losses carried forward
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039

Research and development expenses, without time limitation

Other deductible temporary differences, without time limitation

F-36

Federal   

$     

714     
1,627     
2,071     
2,262     
1,854     
3,598     
4,595     
5,494     
8,584     
17,340     
41,447     
89,586     

19,617     

30,875     

March 31, 2019 
Provincial 
$ 

714 
1,620 
2,063 
2,241 
1,825 
3,598 
4,459 
5,494 
8,456 
17,270 
41,447 
89,187 

21,036 

32,294 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
      
  
   
   
   
   
   
   
   
   
   
   
   
 
   
 
   
      
  
   
 
   
      
  
   
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

21.

Financial instruments:

This  note  provides  disclosures  relating  to  the  nature  and  extent  of  the  Corporation’s  exposure  to  risks  arising  from  financial  instruments,  including  credit  risk,  foreign
currency risk, interest rate risk and liquidity risk, and how the Corporation manages those risks.

(a)

Credit risk:

Credit risk is the risk of a loss if a customer or counterparty to a financial asset fails to meet its contractual obligations. The Corporation has credit risk relating to cash and
cash equivalents and marketable securities, which it manages by dealing only with highly-rated Canadian institutions. The carrying amount of financial assets, as disclosed in
the statements of financial position, represents the Corporation’s credit exposure at the reporting date.

(b)

Currency risk:

The Corporation is exposed to the financial risk related to the fluctuation of foreign exchange rates and the degrees of volatility of those rates. Foreign currency risk is limited
to the portion of the Corporation's business transactions denominated in currencies other than the Canadian dollar. Fluctuations related to foreign exchange rates could cause
unforeseen fluctuations in the Corporation's operating results.

A portion of the expenses, mainly related to research contracts and purchase of production equipment, is incurred in US dollars and in Euros. There is a financial risk related
to the fluctuation in the value of the US dollar and the Euro in relation to the Canadian dollar. In order to minimize the financial risk related to the fluctuation in the value of
the US dollar in relation to the Canadian dollar, funds continue to be invested as short-term investments in the US dollar.

The following table provides an indication of the Corporation’s significant foreign exchange currency exposures as stated in Canadian dollars at the following dates:

Denominated in

Cash and cash equivalents
Marketable securities
Receivables
Trade and other payables

The following exchange rates are those applicable to the following periods and dates:

CA$ per US$
CA$ per Euro

  March 31, 2019   
Euro    

US 
$

     March 31, 2018 
Euro  

US 
$

3,369 
2,696 
16 
(13,251)    
(7,170)    

-     
-     
-     
(131)    
(131)    

7,024     
26     
6     
(3,924)    
3,132     

- 
- 
- 
(627)
(627)

Average 

  March 31, 2019   
Reporting   

     March 31, 2018 
Reporting 

Average   

1.3122 
1.5192 

1.3349     
1.4975     

1.2834     
1.5008     

1.2900 
1.5898 

Based on the Corporation’s foreign currency exposures noted above, varying the above foreign exchange rates to reflect a 5% strengthening of the US dollar and Euro would
have an increase (decrease) in net loss as follows, assuming that all other variables remain constant:

Increase (decrease) in net loss

March 31, 2019   
$   

March 31, 2018 
$ 

364     

(88)

An assumed 5% weakening of the foreign currencies would have an equal but opposite effect on the basis that all other variables remained constant.

F-37

 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
   
 
 
  
 
    
    
  
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
  
 
    
    
  
 
 
  
 
 
 
 
 
  
 
    
    
  
 
 
   
 
 
   
 
 
 
 
 
 
 
   
      
  
   
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

21.

(c)

Financial instruments (continued):

Interest rate risk:

Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate because of changes in market rates.

The Corporation’s exposure to interest rate risk as at March 31, 2019 and March 31, 2018 is as follows:

Cash and cash equivalents
Marketable Securities
Unsecured convertible debentures

Short-term fixed interest rate
Short-term fixed interest rate
Long-term fixed interest rate

The capacity of the Corporation to reinvest the short-term amounts with equivalent return will be impacted by variations in short-term fixed interest rates available on the
market.  Management  believes  that  the  risk  the  Corporation  will  realize  a  loss  as  a  result  of  the  decline  in  the  fair  value  of  its  cash  equivalents  is  limited  because  these
investments have short-term maturities and are generally held to maturity.

(d)

Liquidity risk:

Liquidity  risk  is  the  risk  that  the  Corporation  will  not  be  able  to  meet  its  financial  obligations  as  they  fall  due.  The  Corporation  manages  liquidity  risk  through  the
management of its capital structure and financial leverage, as outlined in Note 24. It also manages liquidity risk by continuously monitoring actual and projected cash flows.
The Board of Directors reviews and approves the Corporation's operating budgets, and reviews material transactions outside the normal course of business. Refer to Note 2(c).

The following are the contractual maturities of financial liabilities as at March 31, 2019 and March 31, 2018:

Required payments per year

Trade and other payables
Unsecured convertible debentures

Required payments per year

Trade and other payables
Unsecured convertible debentures

Notes

11
13

Notes

11
13

Total    Carrying amount   
$   

$   

Less than 1 year   
$   

16,429     
2,143     
18,572     

16,429     
1,817     
18,246     

16,429     
2,143     
18,572     

March 31, 2019 
1 to 3 years 
$ 

- 
- 
- 

Total    Carrying amount   
$   

$   

Less than 1 year   
$   

     March 31, 2018 
1 to 3 years 
$ 

6,697     
2,303     
9,000     

6,697     
1,612     
8,309     

6,697     
160     
6,857     

- 
2,143 
2,143 

The Derivative warrant liabilities are excluded from the above tables as they expected to be settled in shares and not by the use of liquidities.

22.

Commitments and contingencies:

Research and development contracts and contract research organizations agreements:

The Corporation utilizes contract manufacturing organizations related to the development and production of clinical material and clinical research organizations to perform
services  related  to  the  Company’s  clinical  trials.  Pursuant  to  these  agreements  with  manufacturing  and  contract  research  organizations,  the  Corporation  has  the  right  to
terminate the agreements either without penalties or under certain penalty conditions. For agreements which contain penalty conditions, the Company would be required to
pay penalties of approximately $109.

During Fiscal 2018, the Corporation entered into a lease agreement, for its research and development and quality control laboratory facility located in Sherbrooke, Québec,
resulting in a commitment of $79 over the remaining lease term, which is committed in the next year.

Contingencies:

The  Corporation  evaluates  contingencies  on  an  ongoing  basis  and  establishes  loss  provisions  for  matters  in  which  losses  are  probable  and  the  amount  of  the  loss  can  be
reasonably estimated. Refer to Note 25, Subsequent Events.

F-38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
    
    
 
 
 
 
 
 
 
 
 
 
    
    
    
  
 
   
 
   
 
 
 
   
 
 
 
 
 
    
    
 
 
 
 
 
 
 
 
 
 
    
    
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

23.

Determination of fair values:

Certain  of  the  Corporation’s  accounting  policies  and  disclosures  require  the  determination  of  fair  value,  for  both  financial  assets  and  liabilities.  Fair  values  have  been
determined for measurement and/or disclosure purposes based on the following methods.

Financial assets and liabilities:

In establishing fair value, the Corporation uses a fair value hierarchy based on levels as defined below:

·
·
·

Level 1: defined as observable inputs such as quoted prices in active markets.
Level 2: defined as inputs other than quoted prices in active markets that are either directly or indirectly observable.
Level 3: defined as inputs that are based on little or no observable market data, therefore requiring entities to develop their own assumptions.

The Corporation has determined that the carrying values of its short-term financial assets and liabilities (cash and cash equivalents, marketable securities and trade and other
payables) approximate their fair value given the short-term nature of these instruments. The fair value of the liability component of the convertible debenture is determined by
discounting future cash flows using a rate that the Corporation could obtain for loans with similar terms, conditions and maturity dates. The fair value of this liability at March
31, 2019 approximates the carrying amount and was measured using level 3 inputs.

Derivative warrant liabilities:

The Corporation measured its derivative warrant liabilities at fair value on a recurring basis. These financial liabilities were measured using level 3 inputs (Note 12).

As at March 31, 2019, the effect of an increase or a decrease of 5% of the volatility used, which is the significant unobservable input in the fair value estimate, would result in
a loss of $569 or a gain of $598, respectively.

As at March 31, 2019, the effect of a 5% strengthening of the US dollar, would result in a loss of $405. An assumed 5% weakening of the foreign currency would have an
equal but opposite effect on the basis that all other variables remained constant.

24.

Capital management:

Since inception, the Corporation’s objective in managing capital is to ensure sufficient liquidity to finance its research and development activities, general and administrative
expenses, expenses associated with intellectual property protection and its overall capital expenditures. The Corporation is not exposed to external requirements by regulatory
agencies or third parties regarding its capital, except for certain covenants included within the convertible debentures (Note 13).

Since the beginning of its operations, the Corporation has primarily financed its liquidity needs from funding provided through public offerings, private placements, from the
exercise of warrants that were distributed to its related party’s shareholders, from a rights offering and from the issuance of options to employees. The Corporation defines
capital to include total shareholders’ equity, derivative warrant liabilities and unsecured convertible debentures. The Corporation’s policy is to maintain a minimal level of
debt.

The following table summarizes the cash and cash equivalents of the Corporation:

Cash

Cash equivalents

Term deposits issued in CAD currency
Term deposits issued in US currency [US - $3,250]
Commercial papers issued in CAD currency
Commercial papers issued in US currency [US - $1,099]
Promissory notes issued in CAD currency
Promissory notes issued in US currency [US - $798]
Bankers acceptance
Total Cash equivalents

Total Cash and cash equivalents

F-39

March 31, 2019   
$   
1,896     

March 31, 2018 
$ 
1,583 

12,100     
-     
5,693     
-     
498     
-     
2,334     
20,625     

22,521     

- 
4,193 
- 
1,418 
- 
1,029 

6,640 

8,223 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
      
  
   
      
  
   
   
   
   
   
   
   
  
   
 
   
      
  
   
 
 
ACASTI PHARMA INC.
Notes to Financial Statements

For the years ended March 31, 2019, 2018 and the thirteen-month and one-month periods ended March 31, 2017, and the twelve-month period ended February 28, 2017
(thousands of Canadian dollars, except where noted and for share and per share amounts)

24.

Capital management (continued):

As  at  March  31,  2019,  the  term  deposits,  commercial  paper,  promissory  note  and  bankers  acceptance  have  maturity  dates  of  ranging  between April  1,  2019  and  June  25,
2019, bearing interest rates ranging from 1.76% and 2.40% per annum, cashable at any time at the discretion of the Corporation, under certain conditions.

As at March 31, 2018, the term deposits, commercial paper and promissory note have maturity dates of ranging between April 2, 2018 and May 11, 2018, bearing interest
rates ranging from 1.26% and 1.72% per annum, cashable at any time at the discretion of the Corporation, under certain conditions.

25.

Subsequent events

On April 15, 2019 the Corporation announced the annual grant of stock options to its employees, executives and directors of its stock option plan (the “Stock Option Plan”).
The stock options were granted by the Board of Directors as part of the Corporation’s annual performance review in accordance with the Corporation’s Long-Term Incentive
Program (LTIP). An aggregate of 644,117 stock options were granted to certain employees, executives and directors of the Corporation under the Corporation’s Stock Option
Plan. Subject to the terms and conditions of the Stock Option Plan, options granted to directors will vest in equal quarterly installments over a period of 18 months and options
granted to executives and employees will vest in equal quarterly installments over a period of 36 months. Each option will entitle the holder to purchase one common share of
the Corporation at a price of CDN$1.28, until April 15, 2029. 

On May 10, 2019 the Corporation announced the settlement regarding legal claims made by its former chief executive (“CEO”) officer with respect to the termination of his
employment.  Pursuant  to  the  settlement  agreement,  the  Corporation  has  agreed  to  issue  900,000  common  shares  at  $1.10  per  share  to  the  former  CEO.    In  addition,  the
Corporation has agreed to reimburse the former CEO for legal fees of $64. Furthermore, pursuant to the settlement agreement, the Corporation receives a full and final release
from the former CEO on all procedures in connection with the termination of his employment. This settlement has been accrued as at March 31, 2019 and the expense of
$1,054 is included as part of General and administrative expenses.

F-40

 
 
 
 
 
 
 
 
 
 
 
Exhibit 4.6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 4.7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SECTION 302 CERTIFICATION

Exhibit 12.1

I, Janelle D’Alvise, certify that:

1.

I have reviewed this annual report on Form 20-F of Acasti Pharma Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of

the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results

of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e)

and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d–15(f)) for the company and have:

a) Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to  ensure  that  material
information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which
this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable
assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted  accounting
principles;

c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the  effectiveness  of  the  disclosure

controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed  in  this  report  any  change  in  the  company’s  internal  control  over  financial  reporting  that  occurred  during  the  period  covered  by  the  annual  report  that  has

materially affected, or is reasonably likely to materially affect, the company’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the company’s auditors and

the audit committee of the company’s board of directors (or persons performing the equivalent functions):

a)

 All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect
the company’s ability to record, process, summarize and report financial information; and

b)  Any fraud, whether or not material, that involves management or other employees who have a significant role in the company’s internal control over financial reporting.

/s/ Jan D’Alvise
Name: Jan D’Alvise
Title: Principal Executive Officer

Date: June 26, 2019

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 12.2

I, Jean-François Boily, certify that:

1.

I have reviewed this annual report on Form 20-F of Acasti Pharma Inc.;

SECTION 302 CERTIFICATION

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of

the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results

of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e)

and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d–15(f)) for the company and have:

a) Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to  ensure  that  material
information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which
this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable
assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted  accounting
principles;

c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the  effectiveness  of  the  disclosure

controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed  in  this  report  any  change  in  the  company’s  internal  control  over  financial  reporting  that  occurred  during  the  period  covered  by  the  annual  report  that  has

materially affected, or is reasonably likely to materially affect, the company’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the company’s auditors and

the audit committee of the company’s board of directors (or persons performing the equivalent functions):

a)

 All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect
the company’s ability to record, process, summarize and report financial information; and

b)  Any fraud, whether or not material, that involves management or other employees who have a significant role in the company’s internal control over financial reporting.

/s/ Jean-François Boily
Name: Jean-François Boily
Title: Principal Financial Officer

Date: June 26, 2019

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350 AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES–OXLEY ACT OF 2002

In connection with the Annual Report on Form 20-F of Acasti Pharma Inc. (the “Company”) for the fiscal year ended March 31, 2019, as filed with the Securities and Exchange
Commission on the date hereof (the “Report”), I, Janelle D’Alvise, Principal Executive Officer of the Company certify pursuant to 18 U.S.C. Section 1350, as adopted pursuant
to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Exhibit 13.1

Date: June 26, 2019

/s/ Jan D’Alvise
Name: Jan D’Alvise
Title: Principal Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350 AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES–OXLEY ACT OF 2002

In connection with the Annual Report on Form 20-F of Acasti Pharma Inc. (the “Company”) for the fiscal year ended March 31, 2019, as filed with the Securities and Exchange
Commission  on  the  date  hereof  (the  “Report”),  I,  Jean-François  Boily,  Principal  Financial  Officer  of  the  Company  certify  pursuant  to  18  U.S.C.  Section  1350,  as  adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Exhibit 13.2

Date: June 26, 2019

/s/ Jean-François Boily
Name: Jean-François Boily
Title: Principal Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 15.1

KPMG LLP
600 de Maisonneuve Blvd. West  
Suite 1500, Tour KPMG
Montréal (Québec) H3A 0A3
Canada

Telephone  (514) 840-2100
  (514) 840-2187
Fax
  www.kpmg.ca
Internet

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors of Acasti Pharma Inc.

We consent to the incorporation by reference in the registration statements on Form S-8 (No. 333-191383 and No. 333-227476), and Form F-3 (No. 333-223464) of Acasti
Pharma  Inc.  of  our  report  dated  June  26,  2019,  with  respect  to  the  statements  of  financial  position  as  at  March  31,  2019  and  2018,  the  related  statements  of  earnings  and
comprehensive loss, changes in equity and cash flows for the years ended March 31, 2019 and 2018 and the thirteen month period ended March 31, 2017, and the related notes,
which report appears in the annual report on Form 20-F of Acasti Pharma Inc. dated June 26, 2019.

Our report dated June 26, 2019 contains an explanatory paragraph that states that Acasti Pharma Inc. has incurred operating losses and negative cash flows from operations
since inception and additional funds will be needed in the future for activities necessary to prepare for commercial launch, which indicate that a material uncertainty exists that
casts substantial doubt about its ability to continue as a going concern. The financial statements do not include any adjustments that may be necessary if the going concern basis
was not appropriate.

Our  report  dated  June  26,  2019  also  contains  an  explanatory  paragraph  that  states  that  the  financial  statements  of Acasti  Pharma  Inc.  for  the  twelve-month  and  one-month
periods ended February 28, 2017 and March 31, 2017 respectively are unaudited. Accordingly, we do not express an opinion on them.

June 26, 2019

Montréal, Canada

 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 15.2

June 26, 2019

Acasti Pharma Inc.
545 Promenade du Centropolis, Suite 100
Laval, Québec
Canada H7T 0A3

Re: Consent of Destum Partners, Inc.

The Board of Directors of Acasti Pharma Inc.,

We hereby consent to the references to our name and the inclusion of information, data and statements from our market research reports with respect to CaPre, dated August 19,
2016 and November 17, 2017 (the “Reports”), as well as any citation of the Reports, in (i) Acasti Pharma Inc.’s (the “Company”) annual report on Form 20-F (“Annual
Report”) dated June 26, 2019 for its fiscal year ended March 31, 2019 and (ii) the Company’s registration statements on Form S-8 (No. 333-191383 and No. 333-227476), on
Form F-1 (No. 333-220755) and on Form F-3 (No. 333-223464).

We further hereby consent to the filing of this letter as an exhibit to the Annual Report.

In giving such consent, we do not thereby admit that we come within the category of persons whose consent is required under Section 7 of the U.S. Securities Act of 1933, as
amended, or the rules and regulations of the U.S. Securities and Exchange Commission thereunder.

Yours faithfully,

For and on behalf of

Destum Partners, Inc.

By:

/s/ Thomas J. Filipczak
Name: Thomas J. Filipczak
Title: Managing Director & Partner