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Acasti Pharma

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FY2022 Annual Report · Acasti Pharma
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

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

For the fiscal year ended  March 31, 2022
or

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

For the transition period from

to

Commission file number:  001-35776

ACASTI PHARMA INC.

(Exact name of registrant as specified in its charter)

Québec, Canada

(State or other jurisdiction
of incorporation or organization)

98-1359336

(I.R.S. Employer Identification Number)

3009 boul. de la Concorde East, Suite 102 , Laval, Québec, Canada H7E 2B5
(Address of principal executive offices, including zip code)

Registrant’s telephone number, including area code:  450-687-2262

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Common Shares, no par value per share

Name of each exchange on which registered

NASDAQ Stock Market

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

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes ☐ No ☒

Securities registered pursuant to Section 12(g) of the Act: None

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, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See definitions of “large
accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

Non-accelerated filer

☐

☒

Accelerated filer

Smaller reporting company

Emerging growth company

☐

☒

☐

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If an emerging growth company, 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 whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the
Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐ Indicate by check mark whether the registrant is a shell company (as defined in Rule
12b-2 of the Securities Exchange Act of 1934). Yes ☐ No ☒

The aggregate market value of the voting and non-voting common shares held by non-affiliates of the registrant, based on the closing sale price of the registrant’s common shares on the last business day of its
most recently completed second fiscal quarter, as reported on the NASDAQ Stock Market, was approximately $110,720,458.

The number of outstanding common shares of the registrant, no par value per share, as of June 21, 2022, was  44,439,758.

Auditor Firm Id: 85 Auditor Name: KPMG LLP  Auditor Location: Montréal, QC, Canada

Documents Incorporated by Reference

Portions of the registrant’s Definitive Proxy Statement to be filed with the Securities and Exchange Commission pursuant to Regulation 14A in connection with the registrant’s 2022 Annual Meeting of
Shareholders,  to  be  filed  subsequent  to  the  date  hereof,  are  incorporated  by  reference  into  Part  III  of  this  annual  report. Such  Definitive  Proxy  Statement  will  be  filed  with  the  Securities  and  Exchange
Commission not later than 120 days after the conclusion of the registrant’s fiscal year ended March 31, 2022 .

 
 
 
 
 
ACASTI PHARMA INC.

FORM 10-K

For the Fiscal Year Ended March 31, 2022

Table of Contents

PART I

PART II

PART III

Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
Item 9C.

Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Shareholder Matters and Issuer Purchases of Equity Securities
[Reserved]
Management’s Discussion and Analysis of Financial Condition and Results of Operation
Quantitative and Qualitative Disclosure About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters
Certain Relationships and Related Transactions and Director Independence
Principal Accounting Fees and Services

PART IV  

Item 15.
Item 16. 

Exhibits, Financial Statement Schedules
Form 10-K Summary

SIGNATURES

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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:

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

•our ability to build a premier, late-stage specialty pharmaceutical company focused in rare and orphan disease and, on developing and commercializing products that improve clinical outcomes using
our novel drug delivery technologies;

•our ability to apply new proprietary formulations to existing pharmaceutical compounds to achieve enhanced efficacy, faster onset of action, reduced side effects, and more convenient drug delivery
that can result in increased patient compliance;

•the potential for our drug candidates to receive orphan drug designation from the U.S. Food and Drug Administration (“FDA”) or regulatory approval under the Section 505 (b)(2) regulatory pathway
under the Federal Food, Drug and Cosmetic Act;

•the future prospects of our GTX-104 drug candidate, including but not limited to GTX-104’s potential to be administered to improve the management of hypotension in patients with subarachnoid
hemorrhage (“SAH”); GTX-104’s potential to reduce the incidence of vasospasm in SAH patients resulting in better outcomes; the ability of GTX-104 to achieve a pharmacokinetic (“PK”) and safety
profile similar to the oral form of nimodipine; GTX-104’s potential to provide improved bioavailability and the potential for reduced use of rescue therapies, such as vasopressors in patients with SAH;
the timing of the completion of the PK bridging study, and the timing and outcome of the Phase 3 safety study for GTX-104; our ability to ultimately file a new drug application (“NDA”) for GTX-104
under Section 505 (b)(2) of the Federal Food, Drug and Cosmetic Act; and the timing and ability to receive FDA approval for marketing GTX-104;

•the future prospects of our GTX-101 drug candidate, including but not limited to  GTX-101’s  potential  to  be  administered  to  postherpetic  neuralgia  (“PHN”)  patients  to  treat  the  severe  nerve  pain
associated with the disease; assumptions about the biphasic delivery mechanism of GTX-101, including its potential for rapid onset and continuous pain relief for up to eight hours; and the timing and
outcomes of single ascending dose/multiple ascending dose and PK bridging studies, and a Phase 2 and Phase 3 efficacy and safety study; the timing of an NDA filing under Section 505 (b)(2) for
GTX-101; and the timing and ability to receive FDA approval for marketing GTX-101;

•the future prospects of our GTX-102 drug candidate, including but not limited to GTX-102’s potential to provide clinical benefits to decrease symptoms associated with Ataxia Telangiectasia (“A-T”);
GTX-102’s potential ease of drug administration; the timing and outcomes of a PK bridging study and a Phase 3 efficacy and safety study for GTX-102; the timing of an NDA filing under Section 505
(b)(2) in connection with GTX-102; and the ability to receive FDA approval for marketing GTX-102;

•the quality of our clinical data, the cost and size of our development programs, expectations and forecasts related to our target markets and the size of our target markets; the cost and size of our
commercial  infrastructure  and  manufacturing  needs  in  the  United  States,  European  Union,  and  the  rest  of  the  world;  and  our  expected  use  of  a  range  of  third-party  contract  research  organizations
(“CROs”) and contract manufacturing organizations (“CMOs”) at multiple locations;

•expectations and forecasts related to our intellectual property portfolio, including but not limited to the probability of receiving orphan drug designation from the FDA for our leading pipeline products;
our patent portfolio strategy; and outcomes of our patent filings and extent of patent protection;

•our strategy, future operations, prospects and the plans of our management with a goal to enhance shareholder value

•our intellectual property position and duration of our patent rights;

•the potential adverse effects that the COVID-19 pandemic may have on our business and operations;

•our need for additional financing, and our estimates regarding our operating runway and timing for future financing and capital requirements;

•our expectation regarding our financial performance, including our costs and expenses, liquidity, and capital resources;

•our projected capital requirements to fund our anticipated expenses; and

•our ability to establish strategic partnerships or commercial collaborations or obtain non-dilutive funding.

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

•we are able to attract and retain key management and skilled personnel;

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

•we are able to take advantage of new business opportunities in the pharmaceutical industry;

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

•the shareholder litigation relating to our merger with Grace Therapeutics Inc. ("Grace") is resolved in a manner favorable to us and we face no additional lawsuits or other proceedings, or any such
matters, if they arise, are satisfactorily resolved;

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

•we are able to obtain the additional capital and financing we require when we need it.

 
 
 
 
 
In addition, the forward-looking statements in this annual report are subject to a number of known and unknown risks, uncertainties and other 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 statements, including, among others:

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

•We are heavily dependent on the success of our lead drug candidates, GTX-104, GTX-102 and GTX-101.

•Our future results will suffer if we do not effectively manage our expanded operations.

•We may not be able to maintain our operations and advance our research and development and commercialization of our lead drug candidates without additional funding.

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

•We may be subject to foreign exchange rate fluctuations.

•If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price and trading volume could decline.

•Lawsuits have been filed, against us and members of our board of directors challenging the Grace merger, and other lawsuits may be filed and any adverse ruling in any such lawsuit may result in an
award of damages against us.

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

•We will need to expand our organization, and we may experience difficulties in managing this growth, which could disrupt our operations and our ability to compete.

•We may face future product liability, and if claims are brought against us, we may incur substantial liability.

•We rely significantly on information technology and any failure, inadequacy, interruption or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate
our business effectively.

•Even if our drug candidates receive regulatory approval in the United States, we may never obtain regulatory approval or successfully commercialize our products outside of the United States.

•We  are  subject  to  uncertainty  relating  to  healthcare  reform  measures  and  reimbursement  policies  which,  if  not  favorable  to  our  drug  candidates,  could  hinder  or  prevent  our  drug  candidates’
commercial success.

•Our commercial success depends upon attaining significant market acceptance of our drug products and drug candidates, if approved, among physicians, nurses, pharmacists, patients and the medical
community.

•Guidelines and recommendations published by government agencies can reduce the use of our drug candidates and negatively impact our ability to gain market acceptance and market share.

•If we are unable to establish sales and marketing capabilities or enter into agreements with third parties to market and sell our drug products, if approved, we may be unable to generate any revenue.

•If  we  obtain  approval  to  commercialize  any  approved  drug  products  outside  of  the  United  States,  a  variety  of  risks  associated  with  international  operations  could  materially  adversely  affect  our
business.

•If we are unable to differentiate our drug products from branded reference drugs or existing generic therapies for similar treatments, or if the FDA or other applicable regulatory authorities approve
products that compete with any of our drug products, our ability to successfully commercialize our drug products would be adversely affected.

•We face significant competition from other biotechnology and pharmaceutical companies, and our operating results will suffer if we fail to compete effectively.

•We could incur substantial costs and disruption to our business and delays in the launch of our drug products if our competitors and/or collaborators bring legal actions against us, which could harm our
business and operating results.

•The COVID-19 pandemic, or a similar pandemic, epidemic, or outbreak of an infectious disease, may materially and adversely affect our business and our financial results and could cause a disruption
to the development of our drug candidates.

•We are subject to numerous complex regulatory requirements and failure to comply with these regulations, or the cost of compliance with these regulations, may harm our business.

•If the FDA does not conclude that our drug candidates satisfy the requirements for the 505(b)(2) regulatory approval pathway, or if the requirements for approval of any of our drug candidates under
Section  505(b)(2)  are  not  as  we  expect,  the  approval  pathway  for  our  drug  candidates  will  likely  take  longer,  cost  more  and  we  could  encounter  significantly  greater  complications  and  risks  than
anticipated, and in any case may not be successful.

•Clinical development is a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results. Failure can occur at any stage of
clinical development.

•Delays in clinical trials are common and have many causes, and any delay could result in increased costs to us and could jeopardize or delay our ability to obtain regulatory approval and commence
product sales. We may also find it difficult to enroll patients in our clinical trials, which could delay or prevent development of our drug candidates.

 
 
•Our  drug  products  or  drug  candidates  may  cause  adverse  effects  or  have  other  properties  that  could  delay  or  prevent  their  regulatory  approval  or  limit  the  scope  of  any  approved  label  or  market
acceptance, or result in significant negative consequences following marketing approval, if any.

•The  regulatory  approval  processes  of  the  FDA  and  comparable  foreign  authorities  are  lengthy,  time  consuming  and  inherently  unpredictable,  and  if  we  are  ultimately  unable  to  obtain  regulatory
approval for our drug candidates, our business will be substantially harmed.

•An NDA submitted under Section 505(b)(2) subjects us to the risk that we may be subject to a patent infringement lawsuit that would delay or prevent the review or approval of our drug candidate.
The FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses.

•Our  drug  development  strategy  relies  heavily  upon  the  505(b)(2)  regulatory  pathway,  which  requires  us  to  certify  that  we  do  not  infringe  upon  third-party  patents  covering  approved  drugs.  Such
certifications often result in third-party claims of intellectual property infringement, the defense of which can be costly and time consuming, and an unfavorable outcome in any such litigation may
prevent or delay our development and commercialization efforts, which would harm our business.

•Our business is subject to extensive regulatory requirements and our drug candidates that obtain regulatory approval will be subject to ongoing and continued regulatory review, which may result in
significant expense and limit our ability to commercialize such products.

•Our employees, independent contractors, principal investigators, consultants, commercial partners and vendors may engage in misconduct or other improper activities, including non-compliance with
regulatory standards and requirements.

•Any relationships with healthcare professionals, principal investigators, consultants, customers (actual and potential) and third-party payors are and will continue to be subject, directly or indirectly, to
federal and state healthcare fraud and abuse laws, false claims laws, marketing expenditure tracking and disclosure, or sunshine laws, government price reporting and health information privacy and
security laws. If we are unable to comply, or have not fully complied,  with  such  laws,  we  could  face  penalties,  including,  without  limitation,  civil,  criminal,  and  administrative  penalties,  damages,
monetary fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm, diminished profits and future
earnings and curtailment or restructuring of our operations.

•We are required to obtain regulatory approval for each of our drug candidates in each jurisdiction in which we intend to market such drug products, and the inability to obtain such approvals would limit
our ability to realize their full market potential.

•If we are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome in that litigation would have a material adverse effect on our
business.

•We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties.

•Our success depends in part upon our ability to protect our intellectual property for our drug candidates, such as GTX-104, GTX-102 and GTX-101.

•If we fail to comply with our obligations in the agreements under which we license rights to technology from third parties, or if the license agreements are terminated for other reasons, we could lose
license rights that are important to our business.

•We may be subject to claims challenging our inventorship or ownership of our patents and other intellectual property.

•Intellectual property rights do not necessarily address all potential threats to our competitive advantage.

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

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

•If our estimates or judgments relating to our critical accounting policies for intangible assets prove to be incorrect, impairment charges could result.

•We do not have internal manufacturing capabilities, and if we fail to develop and maintain supply relationships with various third-party manufacturers, we may be unable to develop or commercialize
our drug candidates.

•Our contract manufacturers may encounter manufacturing failures that could delay the clinical development or regulatory approval of our drug candidates, or their commercial production, if approved.

•We rely on third parties to conduct our preclinical studies and clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected deadlines, we may not be able to
obtain regulatory approval for or commercialize our drug candidates and our business could be substantially harmed.

•We  rely  on  third  parties  to  manufacture  commercial  and  clinical  supplies  of  our  drug  candidates,  and  we  intend  to  rely  on  third  parties  to  manufacture  commercial  supplies  of  any  approved  drug
products. The commercialization of any of our drug products could be stopped, delayed, or made less profitable if those third parties fail to provide us with sufficient quantities of active pharmaceutical
ingredients, excipients, or drug products, or fail to do so at acceptable quality levels or prices or fail to maintain or achieve satisfactory regulatory compliance.

•The design, development, manufacture, supply, and distribution of our drug candidates are highly regulated and technically complex.

•We may not be successful in establishing development and commercialization collaborations which could adversely affect, and potentially prevent, our ability to develop our drug candidates.

•We may not be successful in maintaining development and commercialization collaborations, and any partner may not devote sufficient resources to the development or commercialization of our drug
candidates  or  may  otherwise  fail  in  development  or  commercialization  efforts,  which  could  adversely  affect  our  ability  to  develop  certain  of  our  drug  candidates  and  our  financial  condition  and
operating results.

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

•We may not be able to use our net operating loss carry forwards to offset future taxable income for Canadian or U.S. federal income tax purposes.

•The IRS may not agree that we should be treated as a foreign corporation for U.S. federal tax purposes.

•We do not expect to pay any cash dividends for the foreseeable future.

•The price of our common shares may be volatile.

•Raising additional capital in the future may cause dilution to our existing shareholders, restrict our operations or require us to relinquish rights to our technologies or drug candidates.

•The market price of our common shares could decline if our operating results fall below the expectations of investors or fluctuate.

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

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

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

•We  are  a  “smaller  reporting  company”  under  the  U.S.  Securities  and  Exchange  Commission’s  (“SEC’s”)  disclosure  rules  and  have  elected  to  comply  with  the  reduced  disclosure  requirements
applicable to smaller reporting 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 Québec incorporated company headquartered in Canada, and U.S. investors may be unable to enforce certain judgments against us.

All of the forward-looking statements in this annual report are 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 statements. Except as required by applicable law, we do not undertake to update or amend any forward-looking statements, whether as a result of new information, future events or otherwise.
All forward-looking statements are made as of the date of this annual report.

We express all amounts in this annual report in U.S. dollars, except where otherwise indicated. References to “$” and “U.S.$” are to U.S. dollars and references to “C$” or “CAD$” are to Canadian dollars.

Except as otherwise indicated, references in this annual report to “Acasti,” “the Corporation,” “we,” “us” and “our” refer to Acasti Pharma Inc. and its consolidated subsidiaries, including Acasti Pharma U.S.,
which is formerly Grace.

 
 
 
 
 
Item 1. Business

Overview

PART I

On August 27, 2021, we completed our acquisition of Grace via a merger following the approval of Acasti’s shareholders and Grace’s stockholders. Following completion of the merger, Grace became a
wholly owned subsidiary of Acasti and was renamed Acasti Pharma U.S. Inc.

The successful completion of the merger positions Acasti to build a premier, late-stage specialty pharmaceutical company focused on developing and commercializing products for rare and orphan diseases
that  have  the  potential  to  improve  clinical  outcomes  by  using  the  Company’s  novel  drug  delivery  technologies.  We  seek  to  apply  new  proprietary  formulations  to  approved  and  marketed  pharmaceutical
compounds  to  achieve  enhanced  efficacy,  faster  onset  of  action,  reduced  side  effects,  and  more  convenient  drug  delivery  and  increased  patient  compliance;  all  of  which  could  result  in  improved  patient
outcomes. The active ingredients chosen by Acasti for further development may be already approved in a target indication or could be repurposed for use in new indications.

The existing well understood efficacy and safety profiles of these marketed compounds provides the opportunity for us to utilize the Section 505(b)(2) regulatory pathway under the Federal Food, Drug and
Cosmetic Act  (the  “FFDCA”)  for  our  reformulated  versions  of  these  drugs,  and  therefore  may  provide  a  potentially  shorter  path  to  regulatory  approval.  Under  Section  505(b)(2),  if  sufficient  support  of  a
product’s safety and efficacy either through previous FDA experience or sufficiently within the scientific literature can be established, it may eliminate the need to conduct some of the early studies that new
drug candidates might otherwise require.

In connection with the merger, we acquired Grace’s entire therapeutic pipeline, which has  the  potential  to  address  critical  unmet  medical  needs  for  the  treatment  of  rare  and  orphan  diseases. The  pipeline
consists of three unique clinical stage and multiple pre-clinical stage assets supported by an intellectual property portfolio of more than 40 granted and pending patents in various jurisdictions worldwide. These
drug candidates aim to improve clinical outcomes by applying proprietary formulation and drug delivery technologies to existing pharmaceutical compounds to achieve improvements over the current standard
of care, or to provide treatment for diseases with no currently approved therapies.

Rare disorders represent an attractive area for drug development, and there remains an opportunity for Acasti to utilize already approved drugs that have established safety profiles and clinical experience to
potentially address significant unmet medical needs. A key advantage of pursuing therapies for rare disorders is the potential to receive orphan drug designation (“ODD”) from the FDA. ODD provides for
seven years of marketing exclusivity in the United States post-launch, provided certain conditions are met. Rare diseases also allow for more manageably scaled clinical trials and provide market opportunities
that may require a smaller, more targeted commercial infrastructure.

The specific diseases targeted for drug development by Acasti are well understood although these patient populations may remain poorly served by available therapies or in some cases approved therapies do
not yet exist. We aim to effectively treat debilitating symptoms that result from these underlying diseases.

Our three most advanced programs are:

•GTX-104, an IV formulation of nimodipine designed to treat Subarachnoid Hemorrhage (“SAH”), a rare brain disorder for which Acasti Pharma U.S. had completed multiple pharmacokinetic (“PK”)
studies and for which we most recently completed a successful PK study in May 2022. SAH is a central nervous system condition that causes acute bleeding on the surface of the brain as the result of a
ruptured  aneurysm  and  requires  immediate  medical  attention  to  prevent  long-term  disability  or  death.  GTX-104  could  be  administered  to  improve  the  management  of  hypotension  and  reduce  the
incidence of vasospasm in SAH patients and potentially lead to better outcomes.

•GTX-102,  an  oral-mucosal  betamethasone  spray  for  the  treatment  of Ataxia  Telangiectasia  (“A-T”),  a  complex  orphan  pediatric  genetic  neurodegenerative  disorder  usually  diagnosed  in  young
children, for which no FDA approved treatment exists.

•GTX-101, a topical bioadhesive film-forming bupivacaine spray for Postherpetic Neuralgia (“PHN”), which is persistent and often causes debilitating pain following infection by the shingles virus.
We believe that GTX-101 could be administered to patients with PHN to treat pain associated with the disease.

Our management team possesses significant experience in drug delivery research and evaluation, clinical and pharmaceutical development and manufacturing, regulatory affairs, and business development, as
well  as  being  well-versed  in  late-stage  drug  development  and  commercialization.  The Acasti  team  has  been  collectively  involved  in  the  development  and  approval  of  several  successful  marketed  drugs,
including  TORADOL™,  NAPROSYN™,  ANDROGEL™,  SUBSYS™,  MARINOL™  and  KEPPRA  XR™,  CLARITIN®,  EUFLEX®,  EFFEXOR®,  SONATA®,  ATIVAN®,  RD-HEPARIN®,
RAPAMUNE®, ETODOLAC ARICEPT®, CARDIZEM®, DEFLAZACORT®, MACIMORELIN®

8

 
 
 
 
 
 
 
 
 
 
 
 
The table below summarizes planned key 2022 calendar year milestones for our three clinical drug candidates:

GTX-104 Overview

Nimodipine was granted FDA approval in 1988, and is the only drug approved to improve neurological outcomes in SAH. It is only available in the United States as a generic oral capsule and as a branded oral
liquid solution called NYMALIZE™, which is manufactured and sold by Arbor Pharmaceuticals. Nimodipine has poor water solubility and high permeability characteristics as a result of its high lipophilicity.
Additionally, orally administered nimodipine has dose-limiting side-effects such as hypotension, poor absorption and low bioavailability resulting from high first-pass metabolism, and a narrow administration
window as food effects lower bioavailability significantly. Due to these issues, blood levels of orally administered nimodipine can be highly variable, making it difficult to manage blood pressure in SAH
patients.  Nimodipine  capsules  are  also  difficult  to  administer,  particularly  to  unconscious  patients  or  those  with  impaired  ability  to  swallow.  Concomitant  use  with  CYP3A  inhibitors  is  contraindicated
(NIMODIPINE Capsule PI).

NIMOTOP™ is an injectable form of nimodipine that is manufactured by Bayer Healthcare. It is approved in Europe and in other regulated markets (but not in the United States), but it has limited utility for
SAH patients because of its high organic solvent content, namely 23.7% ethanol and 17% polyethylene glycol 400 (NIMOTOP SmPC).

GTX-104  is  a  clinical  stage,  novel  formulation  of  nimodipine  for  IV  infusion  in  SAH  patients.  It  uses  surfactant  micelles  as  the  drug  carrier  to  solubilize  nimodipine.  This  unique  nimodipine  injectable
formulation  is  composed  of  a  nimodipine  base,  an  effective  amount  of  polysorbate  80,  a  non-ionic  hydrophilic  surfactant,  and  a  pharmaceutically  acceptable  carrier  for  injection.  GTX-104  is  an  aqueous
solution substantially free of organic solvents, such that the nimodipine is contained in a concentrated injection solution, suspension,  emulsion  or  complex  as  a  micelle,  a  colloidal  particle  or  an  inclusion
complex, and the formulation is stable and clear.

Key Benefits: Novel nanoparticle technology facilitates aqueous formulation of insoluble nimodipine and enables a safe, standard peripheral IV infusion:

•Potential for better management of hypotension

•100% bioavailability

•Lower inter and intra-subject variability

•No food effects

9

 
 
 
 
 
 
 
 
 
 
GTX-104  could  provide  a  more  convenient  mode  of  administration  as  compared  to  generic  nimodipine  capsules  or  NYMALIZE™  GTX-104  is  peripherally  infused  every  four  hours  as  compared  to
administration via a nasogastric tube in unconscious patients every two to four hours for both NYMALIZE™ oral solution and nimodipine oral capsules. Therefore, GTX-104 could be considered as a major
contribution to patient care by potentially reducing the dosing frequency, and the associated nursing burden. More convenient and less frequent dosing can also reduce the risk of medication errors. In addition,
two  PK  studies  conducted  with  GTX-104  has  shown  that  it  has  the  potential  to  provide  improved  bioavailability  and  lower  intra-subject  variability  compared  to  oral  administration.  Because  of  its  IV
formulation, we also expect it to reduce certain drug-drug interactions and food effects.

Despite the positive impact it has on recovery, physicians often must discontinue their patients on oral nimodipine, primarily as a result of hypotensive episodes that cannot be controlled by titrating the oral
form of drug. Such discontinuation could potentially be avoided by administering GTX-104, which because of its IV administration, may obviate the complexity that results from the need for careful attention
to the timing of nimodipine administration at least one hour before or two hours after a meal. Administration of GTX-104 via a peripheral vein is often much more comfortable for the patients compared to
administration by central venous access, which can often be a difficult and invasive procedure. Also, unconscious patients will likely receive more consistent concentrations of nimodipine when delivered by
the  IV  route  as  compared  to  oral  gavage  or  a  nasogastric  tube.  More  consistent  dosing  is  expected  to  result  in  a  reduction  of  vasospasm  and  a  better,  more  consistent  management  of  hypotension. As
summarized in the table below, we anticipate reduced use of rescue therapies, such as vasopressors, and expensive hospital resources, such as the angiography suite, are possible by more effectively managing
blood pressure with GTX-104. Reduced incidences of vasospasm could result in shorter length of stay and better outcomes.

About Subarachnoid Hemorrhage (SAH)

SAH is bleeding over the surface of the brain in the subarachnoid space between the brain and the skull, which contains blood vessels that supply the brain. A primary cause of such bleeding is rupture of an
aneurysm. The result is a relatively uncommon type of stroke that accounts for about 5% of all strokes and has an incidence of six per 100,000 person years (Becske, 2018).

In contrast to more common types of stroke in elderly individuals, an SAH often occurs at a relatively young age, with approximately half the affected patients younger than 60 years old (Becske, 2018).
Particularly devastating for patients younger than 45, around 10% to 15% of aneurysmal SAH (“aSAH”) patients die before reaching the hospital (Rinkel, 2016), and those who survive the initial hours post
hemorrhage are admitted or transferred to tertiary care centers with high risk of complications, including rebleeding and delayed cerebral ischemia (“DCI”). Systemic manifestations affecting cardiovascular,
pulmonary, and renal function are common and often complicate management of DCI. Approximately 70% of aSAH patients experience death or a permanent dependence on family members, and half die
within one month after the hemorrhage. Of those who survive the initial month, half remain permanently dependent on a caregiver to maintain daily living (Becske, 2018).

Treatment  offerings  currently  include  sustained  hypervolemia,  hemodilution,  and/or  induced  hypertension  (Triple-H  therapy),  calcium  antagonists  and  angioplasty.  Because  vasospasm  may  result  from  an
increase of calcium in the vascular smooth-muscle cell, a medical rationale has emerged for the use of calcium antagonists. The addition of calcium antagonists like nimodipine to the treatment arsenal for the
prevention of cerebral vasospasm after aSAH is based on the notion that these drugs can counteract the influx of calcium into the vascular smooth-muscle cell (Rinkel, 2002).

10

 
 
 
 
 
 
 
 
 
 
The incidence of SAH in the United States is approximately 10 in every 100,000 persons per year (Becske, 2016; NINDS, 2016; Ingall, 1989; Schievink, 1995; Schievink, 1997; Zacharia, 2010), based on
multiple analyses of the population of Rochester, Minnesota. Ingall (1989) studied the incidence of SAH in this population over the 40-year period from 1945 through 1984. At that time, the population of
Rochester  lent  itself  well  to  epidemiological  studies  because  medical  care  was  provided  primarily  by  the  Mayo  Clinic.  Over  this  period,  the  average  annual  incidence  rate  of  aSAH  remained  constant  at
approximately 11 per 100,000 population. More recently, the American Heart Association/American Stroke Association Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (Connolly,
2012)  refer  to  the  2003  Nationwide  Inpatient  Sample  as  providing  an  annual  estimate  of  14.5  discharges  for  aSAH  per  100,000  adults,  although,  because  death  resulting  from  aSAH  often  occurs  before
hospital  admission  (in  an  estimated  10%  to  15%  of  cases),  the  true  incidence  may  be  higher. According  to  the  U.S.  Census  Bureau,  Population  Estimates  for  2015,  the  U.S.  population  was  estimated  at
321,418,820. Therefore, we estimate that approximately 53,596 individuals experience aSAH each year. The total addressable market for SAH is approximately $300 million in the U.S., and an estimated
50,000 patients in the European Union based on annual inpatient admissions and the average length-of-stay.

GTX-104—R&D History and Clinical Studies to Date

During 2017 and 2018, Acasti Pharma U.S. (formerly Grace) evaluated GTX-104 in a four-part, single center, randomized, safety and dose-escalation and crossover study in over 80 healthy male and female
subjects designed to assess the PK, bioavailability (“BA”), and the safety of GTX-104 administered via IV infusion compared to nimodipine oral capsules.

Details of the four-part PK study follow below:

Part One:

Primary Objective:

   Evaluate the preliminary cardiovascular safety and tolerability of incremental doses of IV GTX-104 in healthy male and female subjects

Method:

Adverse Events:

Part Two:

Primary Objective:

Method:

Adverse Events:

Part Three:

Primary Objective:

Method:

Adverse Events:

Part Four:

Primary Objective:

Method:

Adverse Events:

Evaluate incremental dose-escalation of GTX-104 administered at dose levels of 0.3 mg/h to 1.22 mg/h over 16 hours, with dose-escalation occurring every 
4 hours (0.3, 0.6, 0.9, and 1.22 mg/h)

Arthralgia, constipation, flatulence, headache, infusion site irritation, peripheral edema, and vomiting—all adverse events (“AEs”) were rated as mild in 
severity

Evaluate the PK and BA of GTX-104 administered via IV infusion compared to the reference product of oral nimodipine capsules and to select the dose of 
IV GTX-104 with an exposure profile most closely matching that of oral nimodipine capsules

Two-period, crossover BA study. Pilot study that evaluated GTX-104 administered open-label as 1.22 mg/h continuous IV infusion for 16 hours compared 
to oral nimodipine (60 mg every 4 hours for 12 hours) in 12 subjects

No serious adverse events ("SAEs") in any subjects. 20.0% of subjects reported non-serious AEs following administration of GTX-104 compared to 50.0% 
of subjects reporting AEs following administration of oral nimodipine

Determine the comparative bioavailability of IV GTX-104 versus oral nimodipine capsules and to evaluate the safety and tolerability of IV GTX 104 
compared to oral nimodipine capsules in healthy male and female subjects

BA study, with GTX-104 administered as 1.1 mg/h continuous IV infusion for 28 hours compared to oral nimodipine capsules administered every four hours 
for 24 hours at a dose level of 60 mg in approximately 32 subjects

No SAEs; 20.0% of the subjects reported non-serious AEs following administration of GTX-104 whereas 8 (50.0%) subjects reported AEs following 
administration of oral nimodipine. Fourteen (34.1%) subjects reported AEs following administration of GTX-104 whereas 18 (43.9%) subjects reported AEs 
following administration of oral nimodipine

Determine the comparative BA of IV GTX-104 versus oral nimodipine capsules and to evaluate the safety and tolerability of IV GTX 104 compared to oral 
nimodipine capsules in healthy male and female subjects

BA study: extension study with the same study design as Part Three, where only GTX-104 was administered open-label as a continuous IV infusion of 1.4 
mg/h for 36 hours with oral nimodipine administered for 20 hours (approximately 24 subjects)

No SAEs: 10 (41.7%) subjects reported AEs following administration of GTX-104 whereas eight (36.4%) subjects reported AEs following administration of 
oral nimodipine

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GTX-104 Near Term Milestones: - Conduct PK Bridging and Phase 3 Safety Studies

In  September  2021,  we  initiated  our  pivotal  PK  bridging  study  to  evaluate  the  relative  bioavailability  of  GTX-104  compared  to  currently  marketed  oral  nimodipine  capsules  in  approximately  50  healthy
subjects. The PK study was the next required step in our proposed 505(b)(2) regulatory pathway for GTX-104.

Interim results were reported on December 2, 2021, and we believed at the time and it turned out to be correct, that the tight correlation of the primary endpoint data for the first 20 patients was a strong
indication that GTX-104 could achieve comparable bioavailability with oral nimodipine in the full study cohort of 50 subjects. As observed in a previous PK study, the inter- and intra-subject variability in the
interim analysis was much lower for GTX-104 as compared with oral nimodipine. There were no serious adverse events observed in the first 20 subjects, and only mild adverse events were reported in both
groups such as headaches, that were resolved with common medications.

Final results from this pivotal PK study were reported on May 18, 2022, and showed that the bioavailability of IV GTX-104 compared favorably with the oral formulation of nimodipine in all subjects, and no
serious adverse events were observed for GTX-104.

The  PK  study  was  completed  at  a  single  center  in  Canada  and  followed  a  2-period  crossover  design  where  each  subject  received  IV  GTX-104  first,  followed  by  oral  nimodipine;  or  oral  nimodipine  first,
followed by IV GTX-104. Fifty-eight subjects were randomized in a ratio of 1:1 between IV GTX-104 first or oral nimodipine first. IV GTX-104 and oral nimodipine was administered to all subjects over a
period of 72 hours. A total of 56 and 55 subjects were included in the PK analysis at Day 1 and Day 3, respectively, as two subjects did not complete one of the two periods and one subject was excluded due
to a protocol deviation, as prospectively defined in the statistical analysis plan.

The  primary  PK  endpoints  were  maximum  concentration  (expressed  as  Cmax)  during  the  first  4  hours  on  Day  1  and  the  total  amount  of  nimodipine  in  the  blood  (expressed  as  the  area  under  the  curve
(AUCDay  3,  0-24hr))  on  Day  3.  The  secondary  endpoint  was  Cmax  measured  over  24  hours  on  Day  3.  The  ratio  of  IV/oral  is  presented  below  for  each  endpoint  with  the  corresponding  90%  confidence
interval (CI). A ratio of 1 indicates no absolute difference between IV GTX-104 and oral nimodipine.

The IV/oral ratio (%) and its corresponding 90% CI (range) for the primary and secondary endpoints in the subjects who completed each treatment period were as follows:

Day 1 Cmax, 0-4hr: 92% (82 – 104)
AUCDay 3, 0-24hr: 106% (99 – 114)
Day 3 Cmax, 0-24hr: 92% (85 – 101)

All three endpoints indicated that statistically there was no difference in exposures between IV GTX-104 and oral nimodipine over the defined time periods for both maximum exposure and total exposure.
Plasma concentrations obtained following IV administration showed significantly less variability between subjects as compared to oral administration of capsules, since IV administration is not as sensitive to
some of the physiological processes that affect oral administration, such as taking the drug with and without meals, variable gastrointestinal transit time, variable drug uptake from the gastrointestinal tract into
the systemic circulation, and variable hepatic blood flow and hepatic first pass metabolism. Previous studies have shown these processes significantly affect the oral bioavailability of nimodipine, and therefore
cause oral administration to be prone to larger within and between-subject variability.

The bioavailability of oral nimodipine capsules observed was only 8% compared to IV GTX-104. Consequently, less than one-tenth the amount of nimodipine is delivered with GTX-104 to achieve the same
blood  levels  as  with  the  oral  capsules.  In  addition,  the  diurnal  variation  associated  with  IV  GTX-104  was  approximately  half  of  that  seen  with  the  oral  nimodipine  capsules.  Diurnal  variation  takes  into
consideration variation in body functions (blood flow, renal function and hepatic metabolism) over the course of a day.

No serious adverse events and no adverse events leading to withdrawal were reported during the study. More gastro-intestinal disorders were observed with oral nimodipine (16% vs 7% for IV GTX-104), and
as expected in the context of a phase I trial conducted in healthy volunteers, more administration and sampling site related events were observed with IV GTX-104 (41% vs 11% for oral nimodipine). The other
most frequently observed adverse events (IV/oral) were headache (36%/36%), somnolence (9%/13%) and hot flashes/flushing (10%/11%).

We plan to submit these results to the FDA, along with our proposed study design for the Phase 3 safety study which continues on track to start in the second half of 2022. We expect the safety study to be the
final step required to seek approval under the 505(b)(2) regulatory pathway before submitting a New Drug Application to the FDA.

12

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
GTX-102 Overview

GTX-102 is a novel, concentrated oral-mucosal spray of betamethasone intended to improve neurological symptoms of Ataxia Telangiectasia (“A-T”) for which there are currently no FDA-approved therapies.
GTX-102 is a stable, concentrated oral spray formulation comprised of the glucocorticoid betamethasone, that together with other excipients can be sprayed conveniently over the tongue of the A-T patient.

About Ataxia Telangiectasia

A-T is a rare genetic progressive autosomal recessive neurodegenerative disorder that affects children, with the hallmark symptoms of cerebellar ataxia and other motor dysfunction, and dilated blood vessels
(telangiectasia) that occur in the sclera of the eyes. A-T is caused by mutations in the ataxia telangiectasia gene, which is responsible for modulating cellular response to stress, including breaks in the double
strands of DNA.

Children with A-T begin to experience balance and coordination problems when they begin to walk (toddler age), and ultimately become wheelchair-bound in their second decade of life. In pre-adolescence
(between ages 5 and 8), patients experience oculomotor apraxia, dysarthria, and dysphagia. They also often develop compromised immune systems and are at increased risk of developing respiratory tract
infections and cancer (typically lymphomas and leukemia) (U.S. National Cancer Institute A-T, 2015).

A-T  is  diagnosed  through  a  combination  of  clinical  assessment  (especially  neurologic  and  oculomotor  deficits),  laboratory  analysis,  and  genetic  testing.  There  is  no  known  treatment  to  slow  disease
progression,  and  treatments  that  are  used  are  strictly  aimed  at  controlling  the  symptoms  (e.g.,  physical,  occupational  or  speech  therapy  for  neurologic  issues),  or  conditions  secondary  to  the  disease  (e.g.,
antibiotics for lung infections, chemotherapy for cancer, etc.) (U.S. National Cancer Institute A-T, 2015). There are no FDA-approved therapeutic options currently available. Patients typically die by age 25
from complications of lung disease or cancer. According to a third-party report commissioned by Acasti Pharma US, A-T affects approximately 4,300 patients per year in the United States and has a potential
total addressable market of $150 million, based on the number of treatable patients in the United States.

The U.S. National Institutes of Health (NIH) Genetics Home Reference, the U.S. National Organization for Rare Disorders (NORD), the U.S. National Cancer Institute, and the United States National Ataxia
Foundation, all estimate the incidence of A-T worldwide to be between 1:40,000 and 1:100,000 live births. It has been reported in all races throughout the world and is represented equally in males and females
(Lavin, 2007; Sedgwick and Boder, 1972).

For the purposes of estimating prevalence, the maximum survival age observed by Crawford et al., 40 years, has been used. Assuming a maximum survival of 40 years, the total number of A-T cases has been
calculated from 1975 to 2015. The highest incidence rate reported in the United States of 1:40,000 has been used to obtain an estimate of A-T prevalence today. Between 1975 and 2015, the highest number of
births in one year was 4,316,233 in 2007 (Martin, 2010; Martin, 2015) and so for the purposes of this prevalence calculation, this has been taken as the number of births per year.

Total A-T cases/year = 25 A-T births/million live births x 4.32 million live births/year = 108 new A-T cases/year. Assuming that all 108 people possibly born with A-T are still alive today, the total number of
individuals with A-T today in the United States, at the very outside estimate = 108 births/year x 40 years = 4320 cases. With a U.S. population of 321,251,852 (United States Census Bureau) the highest
estimated prevalence of A-T is 4320:321,251,852 or 1:74,364.

GTX-102—R&D and Clinical Studies to Date

In  a  multicenter,  double-blind,  randomized,  placebo-controlled  crossover  trial  conducted  in  Italy,  Zannolli  et  al.  studied  the  effect  of  an  oral  liquid  solution  of  betamethasone  on  the  reduction  of  ataxia
symptoms in 13 children (between ages 2 to 8 years) with A-T. Patients were randomly assigned to first receive either betamethasone or placebo at a dose of 0.1 mg/kg/day for 30 days: at full dose for the first
10 days, at a tapered dose on days 11–20 (i.e., for 4 days, 0.075 mg/kg/day; for 4 days, 0.050 mg/kg/day; and for 2 days, 0.025 mg/kg/day); and at full dose for the last 10 days (the full dose was tapered in
the middle of the treatment phase to reduce risk from potential functional suppression of the hypothalamus-hypophysis-adrenal axis). Each phase of the trial was followed by a washout period of 30 days. The
primary outcome measure was the reduction in ataxia symptoms as assessed by the International Cooperative Ataxia Rating Scale (“ICARS”).

In the trial, oral liquid betamethasone reduced the ICARS total score by a median of 13 points in the intent-to-treat (“ITT”) population and 16 points in the per-protocol (“PP”) population (the median percent
decreases of ataxia symptoms of 28% and 31%, respectively). In the ITT population, significant improvements were observed in the posture and gait disturbance (p = 0.02), kinetic function (p = 0.02), and
speech  disorders  ICARS  subscales  (p  =  0.02),  but  not  in  the  oculomotor  disorders  subscale  (p  >  0.05).  Similar  results  were  found  in  the  PP  population. Adverse  events  in  the  trial  were  minimal,  with  no
compulsory withdrawals and only minor side effects that did not require medical intervention. Small increases in body weight were observed in 12 patients on betamethasone and in 4 patients on placebo.
Moon face was present in 8 patients on betamethasone. Clinical study results in A-T patients administered oral betamethasone indicated that betamethasone significantly reduced ICARS total score relative to
placebo (P = 0.01). The median ICARS change score (change in score with betamethasone minus change in score with placebo) was -13 points (95% confidence interval for the difference in medians was -19
to -5.5 points).

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
ICARS

Total score
I. Posture and gait disturbance
II. Kinetic function
III. Speech disorder
IV. Oculomotor disorders

Clinical Study Results in A-T Patients Administered Oral Betamethasone

Placebo

Betamethasone

Day -1

46 (14-69)  
13.5 (3-30)  
22 (6-32)  
3 (1-5)  
3 (2-5)  

Day 31
41.5 (26-68)  
14.5 (7-30)  
20.5 (13-31)  
2.5 (2-5)  
3.5 (1·5)  

Day -1

Day 31

50 (20-68)  
18 (7-29)  
23 (10-33)  
3 (2-5)  
3 (1-5)  

33 (19-55)  
9 (4-26)  
18 (8-28)  
2 (1-5)  
3 (1-5)  

Db

-13 (-28 to 14)  
-5 (-15 to 5)  
-8 (-15 to 10)  
-1 (-3 to 1)  
0 (-2 to 2)  

Efficacy
95% Cl for the
median

P valuec

-19 to -5.5  
-9.5 to -1.5  
-10 to -0.5  
-2.5 to -0.5  
-2 to 1  

0.01  
0.02  
0.02  
0.02  
0.43  

a.Data are medians (ranges). Thirteen ITT A-T patients are included.

b.Median differences between the change in the ICARS score related to BETA treatment (d BETA) and the change related to placebo treatment (d placebo).

c.P values calculated using the Wilcoxon rank sum test.

Betamethasone significantly reduced ICARS total score relative to placebo (P = .01). The median ICARS change score (change in score with Betamethasone minus change in score with placebo)
was -13 points (95% CI for the difference in medians was -19 to -5.5 points).

Based on the Zannolli data, we believe GTX-102 concentrated oral spray has the potential to provide clinical benefits in decreasing A-T symptoms, including assessments of posture and gait disturbance and
kinetic, speech and oculomotor functions. In addition, GTX-102 may ease drug administration for patients experiencing A-T given its application of 1-3x/day of 140µL of concentrated betamethasone liquid
spray onto the tongue using a more convenient metered dose spray, as these A-T patients typically have difficulty swallowing (lefton-greif 2000).

GTX-102 PK Data to Date:

GTX-102  administered  as  a  concentrated  oral  spray  achieves  similar  blood  levels  at  only  1/70th  the  volume  of  an  oral  solution  of  betamethasone.  This  is  important  for A-T  patients  who  have  difficulties
swallowing large volumes of liquids, and it could help to reduce the side effects common with chronic use of a glucocorticosteroid drug.

GTX-102 Near-Term Milestones: Conduct PK Bridging and Confirmatory Phase 3 Clinical Trials

Acasti Pharma US has licensed the data from the multicenter, double-blinded, randomized, placebo-controlled crossover trial from Azienda Ospedaliera Universitaria Senese, Siena, Italy, where Dr. Zannolli
et. al. studied the effect of oral liquid solution of betamethasone to reduce ataxia symptoms in patients with A-T. Note that this oral liquid solution is not approved in the United States, and therefore is not
available for clinical use. Betamethasone is only available in the United States as an injectable or as a topical cream. However, this license gives Acasti Pharma US the right to reference the study’s data in its
NDA filing. On November 12, 2015, Acasti Pharma US submitted the data from the Zannolli study to the FDA’s Division of Neurology at a pre-Investigational New Drug (“IND”) meeting and received
guidance from the agency on the regulatory requirements to seek approval.

Based on such FDA guidance, we plan to initiate a PK bridging study of our proprietary concentrated oral spray as compared to the oral liquid solution of betamethasone used in the Zannolli study and against
the injectable form of betamethasone that is approved in the U.S. in the second calendar quarter of 2022. We expect to report the results of this study before the end of 2022. Based on the FDA’s guidance and
assuming the PK bridging study meets its primary endpoint, we plan to conduct a confirmatory Phase 3 safety and efficacy trial in A-T patients. The Phase 3 study is expected to be initiated in the first half of
2023. If both studies meet their primary endpoints, an NDA filing under Section 505(b)(2) would follow.

14

 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
GTX-101 Overview

GTX-101  is  a  non-narcotic,  topical  bio-adhesive  film-forming  bupivacaine  spray  designed  to  ease  the  symptoms  of  patients  suffering  with  postherpetic  neuralgia  (“PHN”).  GTX-101’s  metered-dose  of
bupivacaine spray forms a thin bio-adhesive topical film on the surface of the patient’s skin, which enables a touch-free, non-greasy application. It also comes in convenient, portable 30 ml plastic bottles.
Unlike oral gabapentin and lidocaine patches, we believe that the biphasic delivery mechanism of GTX-101 has the potential for rapid onset and continuous pain relief for up to eight hours. No skin sensitivity
was reported in a Phase 1 study.

Source: Third party primary market research (2022)

About Postherpetic Neuralgia (PHN)

PHN is neuropathic pain due to damage caused by the varicella zoster virus (“VZV”). Infection with the VZV causes two distinct clinical conditions. Primary VZV infection causes varicella (i.e., chickenpox),
a contagious rash illness that typically occurs among young children. Secondary VZV can reactivate clinically, decades after initial infection, to cause herpes zoster (“HZ”), otherwise known as shingles. Acute
HZ arises when dormant virus particles, persisting within an affected sensory ganglion from the earlier, primary infection with VZV become reactivated when cellular immunity to varicella decreases. Viral
particles replicate and may spread to the dorsal root, into the dorsal horn of the spinal cord, and through peripheral sensory nerve fibers down to the level of the skin. Viral particles also may circulate in the
blood. This reactivation is accompanied by inflammation of the skin, immune response, hemorrhage, and destruction of peripheral and central neurons and their fibers. Following such neural degeneration,
distinct types of pathophysiological mechanisms involving both the central and peripheral nervous systems may give rise to the severe nerve pain associated with PHN.

While the rash associated with HZ typically heals within two to four weeks, the pain may persist for months or even years, and this PHN manifestation is the most common and debilitating complication of
HZ. There is currently no consensus definition for PHN, but it has been suggested by the Centers for Disease Control and Prevention (“CDC”) that PHN is best defined as pain lasting at least three months after
resolution of the rash.

PHN is associated with significant loss of function and reduced quality of life, particularly in the elderly. It has a detrimental effect on all aspects of a patients’ quality of life. The nature of PHN pain varies
from mild to excruciating in severity, constant, intermittent, or triggered by trivial stimuli. Approximately half of patients with PHN describe their pain as “horrible” or “excruciating,” ranging in duration from
a few minutes to constant on a daily or almost daily basis (Katz, 2004). The pain can disrupt sleep, mood, work, and activities of daily living, adversely impacting the quality of life and leading to social
withdrawal and depression. PHN is the number-one cause of intractable, debilitating pain in the elderly, and has been cited as the leading cause of suicide in chronic pain patients over the age of 70 (Hess,
1990).

15

 
 
 
 
 
 
 
 
 
 
 
 
Current  treatment  of  PHN  most  often  consists  of  oral  gabapentin  (first  line)  and  prescription  lidocaine  patches  (second  line),  and  refractory  cases  may  be  prescribed  opioids  to  address  persistent  pain.
Gabapentin and opioid abuse have continued to proliferate, and lidocaine patches are suboptimal for many reasons. An independent  third party market research firm commissioned by Acasti interviewed more
than 250 physicians who regularly treat PHN patients, and found that approximately 40% of patients using lidocaine patches experience insufficient pain relief. Lidocaine patches are difficult to use, fall off,
and look unsightly with possible skin sensitivity and irritation. Additionally, it can take up to two weeks for an optimal analgesic effect to be achieved. Prescription lidocaine patches are only approved for
PHN, and the market is currently made up of both branded and generic offerings. It is estimated that PHN affects approximately 120,000 patients per year in the United States. According to the third-party
report commissioned by Acasti, the total addressable market for GTX-101 could be as large as $2.5 billion, consisting of approximately $200 million for PHN pain and $2.3 billion for non-PHN pain.

GTX-101 R&D History and Clinical Studies Completed to Date

To date, Acasti Pharma US has conducted three Phase I studies in healthy volunteers to assess the PK, safety and tolerability of GTX-101 and to determine the plasma levels of bupivacaine HCl administered
as a single dose in various concentrations, namely 30 mg (three sprays), 50 mg (five sprays), 70 mg (seven sprays) or 100 mg (ten sprays).

The initial study was conducted to determine the PK levels of GTX-101 following a single dose of either 30 mg, 50 mg or 70 mg, and to compare the plasma levels to those produced by a single 30 mg dose
of injectable bupivacaine (SENSORCAINETM). In this study, the plasma levels of bupivacaine were below the limit of quantitation (limit of quantitation (“LOQ”) was 1.00 ng/mL) for almost all subjects
administered  GTX-101,  and  at  almost  all  time  points.  Mean  Cmax  and AUC0-T  for  injectable  bupivacaine  were  129.3  ng/mL  and  517.7  ng/mL,  respectively.  Bupivacaine  was  not  detected  due  to  assay
sensitivity limited to 1ng/ml.

The second study investigated the PK, safety, and tolerability of a single 100 mg dose (ten sprays) of GTX-101. The mean bupivacaine Cmax in this study was 1.249 ng/mL for the first set of samples and
1.067 ng/mL for the second set of samples; the two mean values differing from each other by less than 20%. The LOQ of the bioanalytical method used for this study was 5 pg/mL. This study confirmed the
Cmax values as being similar from two sets of samples collected from the same patients at the same time points.

In the third study, the PK, safety, and tolerability of a single 100 mg dose (ten sprays) of GTX-101 were again investigated. This study was a single-center, non-randomized, single dose, open-label, 1-period,
1-treatment design in 10 healthy male and female subjects. The PK results show the maximum observed plasma concentration of bupivacaine was reached within 20 to 48 hours for all subjects. The maximum
concentration reached was 19.59 ng/mL. This study confirmed that bupivacaine delivered as a spray (GTX-101) is well absorbed through the skin, as demonstrated in the graph below, while very little is
absorbed systemically.

16

 
 
 
 
 
 
 
 
 
 
In  all  three  studies,  the  administration  of  GTX-101  to  healthy  volunteers  was  safe  and  well  tolerated.  In  addition,  no  evidence  of  skin  irritation  was  observed  at  the  application  site  following  the  spray
administrations.

GTX-101 Near-Term Milestones: Conduct Dose Ranging Phase 1 Clinical Trials of GTX-101

We believe that the PHN pain market will continue to grow, and non-opioid products like GTX-101 that can relieve PHN pain more quickly and in a sustained manner by means of a more efficient delivery
system, will be an attractive therapy option for patients and physicians. GTX-101 is administered by spraying a proprietary bupivacaine formulation over the affected area, which we believe has the potential
to provide several advantages over currently marketed products such as the lidocaine patch, including faster onset of action, sustained pain relief, possibly lower dosing requirements and improved dosing
convenience, all which could lead to increased patient compliance.

The data from the single dose Phase 1 clinical trial for topical bupivacaine spray along with regulatory guidance from the FDA’s Division of Anesthesiology that was received at a pre-IND meeting on April
18, 2018 has informed the design of additional preclinical toxicology studies and a clinical and regulatory pathway to approval. We expect to report the results of a minipig skin sensitivity study in the third
calendar quarter of 2022. We also plan to initiate a single dose and a multiple ascending dose study in healthy human volunteers in the third calendar quarter of 2022. We expect to report both of these results
for these studies before the end of 2022. Results from these pre-clinical and clinical studies are required before we can initiate our program in PHN patients, which we expect will start in early 2023.

Overall Commercialization Strategy

We plan to retain our worldwide commercialization rights for some of our key drug candidates, while for other drug candidates we might consider collaboration opportunities to maximize market penetration
and  returns.  If  we  receive  regulatory  approval,  we  expect  to  build  a  small  and  focused  commercial  organization  in  the  United  States  to  market  and  sell  GTX-104  and  GTX-102.  We  believe  the  patient
populations and medical specialists for these indications are sufficiently concentrated to allow us to cost-effectively promote these drug products following approval for commercial sale. Given that GTX-101
will be targeted to a larger primary care and pain specialist market, if GTX-101 receives regulatory approval, it is likely we will seek commercial partnerships to fully exploit the market potential of this drug
product.

As  product  candidates  advance  through  the  pipeline,  our  commercial  plans  may  change.  Clinical  data,  the  size  of  the  development  programs,  the  size  of  the  target  market,  the  size  of  a  commercial
infrastructure and manufacturing needs may all have influence on U.S., European Union, and rest-of-world strategies.

Manufacturing and Supply

We currently do not own any manufacturing facilities. The manufacture of our pipeline of drug candidates is highly reliant on complex techniques and personnel aseptic techniques, which present significant
challenges  and  require  specialized  expertise.  Further,  these  processes  undergo  a  high  level  of  scrutiny  by  regulatory  agencies.  Consequently,  we  utilize  a  network  of  third-party  contract  manufacturers
(“CMOs”) for manufacturing of our drug candidates. All CMOs are monitored and evaluated by us to assess compliance with regulatory requirements.

We  work  with  and  regularly  inspect  our  manufacturers  to  review  the  manufacturing  process  for  our  drug  candidates  and  to  provide  input  on  quality  issues.  We  have  addressed  the  risk  of  supply  chain
disruptions  through  risk  management  strategies  designed  to  mitigate  the  effects  of  any  disruptions.  While  this  strategy  creates  additional  effort  and  requires  maintaining  dialogue  and  traveling  to  and
overseeing production at multiple facilities, we believe our manufacturing risks are better managed by utilizing a range of specialized third-party manufacturers at diverse locations.

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Intellectual Property Portfolio

We have a strong and multi-layered intellectual property protection strategy, which we believe will create barriers to entry and solidify our position in the market. All of our leading pipeline products have
received orphan status designation from the FDA, which could result in 7 years of marketing exclusivity in the United States and 10 years in Europe, provided they receive the final marketing authorizations
from the applicable government agencies, and they can meet the conditions for receiving such marketing exclusivity. In addition, we protect our drug candidates through a well-defined patent filing strategy.
Our patent estate includes more than 40 granted and pending patents in various global jurisdictions, including 4 U.S. issued patents and 7 filed U.S. patent applications. We believe that our intellectual property
portfolio, consisting primarily of composition and method-of-use patents, will protect the market value of our products by extending exclusivity beyond what is granted through the orphan designation. We
intend to continue to build our patent portfolio by filing for patent protection on new developments with respect to our product candidates. We expect that these patents will, if and when issued, allow us to list
our own patents in the Orange Book: Approved Drug Products with Therapeutic Equivalence issued by the FDA, to which potential competitors will be required to certify upon submission of their applications
referencing our drug products, if approved.

We strive to protect and enhance the proprietary technology, inventions, and improvements that are commercially important to the development of our business, including seeking, maintaining, and defending
patent rights, whether developed internally or licensed from third parties. We also rely on trade secrets relating to manufacturing know-how, continuing technological innovation and in-licensing opportunities
to develop, strengthen, and maintain our proprietary position. We may also rely on regulatory protections afforded through orphan drug status, data exclusivity, market exclusivity, and patent term extensions,
where available.

We are actively seeking U.S. and international patent protection for a variety of technologies and intend to seek patent protection or rely upon trade secret rights to protect other technologies that may be used
to discover and validate targets and that may be used to identify and develop novel pharmaceutical products. We seek these protections, in part, through confidentiality and proprietary information agreements.

Individual patents extend for varying periods depending on the date of filing or the date of issuance, and the legal term of patents in the countries in which they are obtained. Generally, utility patents issued for
applications filed in the United States are granted a term of 20 years from the earliest effective filing date of a non-provisional patent application. In addition, in certain instances, a patent term can be extended
to recapture a portion of the U.S. Patent and Trademark Office delay in issuing the patent as well as a portion of the term effectively lost as a result of the FDA regulatory review period. However, as to the
FDA component, the restoration period cannot be longer than 5 years and the total patent term including the restoration period must not exceed 14 years following FDA approval. The duration of foreign
patents varies in accordance with provisions of applicable local law, but typically is also 20 years from the earliest effective filing date. The actual protection afforded by a patent may vary on a product-by-
product  basis  from  country  to  country  and  can  depend  upon  many  factors,  including  the  type  of  patent,  the  scope  of  its  coverage,  the  availability  of  regulatory-related  extensions,  the  availability  of  legal
remedies in a particular country and the validity and enforceability of the patent.

Acasti Pharma US has several issued U.S. patents and patent applications as well as patents and patent applications in other jurisdictions. Four patents for GTX-104 have been granted in the United States.
One patent for GTX-101 has been granted in Europe, China, Mexico, Japan and South Africa. One patent for GTX-102 has been granted in Japan.

Recent Developments

On March 22, 2022 we announced the awards of several patents relating to our three lead drug candidates. The European Patent Office provided notice of intention to grant the Company’s composition of
matter patent for GTX-104. The patent is expected to be valid until 2037. The United States Patent and Trademark Office also issued a notice of allowance for our composition of matter patent for GTX-102.
The patent is expected to be valid until 2037. Finally, the Japanese Patent Office granted a composition of matter patent for our GTX 101 topical spray. The granted patent is valid until 2036.

On  March  25,  2022  we  announced  the  appointment  of  Michael  L.  Derby  to  our  board  of  directors,  filling  the  remaining  seat  on  our  board  of  directors  recommended  by  the  former  Grace  stockholders  as
contemplated by the merger agreement for the Grace transaction.

On May 18, 2022, we announced that the top line results of the PK bridging study with IV GTX-104, our lead drug candidate for the treatment of SAH, met all its planned study endpoints. The primary
objective of the study was to evaluate the relative bioavailability of IV GTX-104 compared to oral nimodipine in healthy adult male and female subjects, while the secondary objective was to assess its safety
and tolerability.

On  May  23,  2022  we  announced  that  we  have  retained  one  of  the  industry's  leading  investor  relations  firms,  Lytham  Partners,  LLC,  to  lead  a  strategic  investor  relations  and  shareholder  communication
program for the Company.

On June 14, 2022 we announced the issuance of additional patents for GTX-104 and GTX-101. Three composition of matter patents were issued for GTX-104 by The United States Patent and Trademark
Office, the Japanese Patent Office, and the Australian Patent Office. Additionally, one new patent for GTX-104 was awarded by the Indian Patent Office. These granted patents are all valid until 2037.

COVID-19 Update

To date, the ongoing COVID-19 pandemic has not caused significant disruptions to our business operations and research and development activities.

The extent to which the COVID-19 pandemic impacts our business and prospects and the timing and completion of future clinical trials for our new drug candidates will depend on future developments, which
are highly uncertain and cannot be predicted, including new information which may emerge concerning the severity of the COVID-19 pandemic and the actions to contain the COVID-19 pandemic or treat its
impact, among others.

Corporate Structure

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), or
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. On December 18, 2019, we incorporated a new wholly owned subsidiary named
Acasti Innovation AG, or AIAG, under the laws of Switzerland for the purpose of future development of our intellectual property and for global distribution of our products. AIAG currently does not have any
operations. On August 27, 2021, Acasti completed its acquisition of Grace via a merger following the approval of Acasti’s shareholders and Grace’s stockholders. Following completion of the merger, Grace
became a wholly owned subsidiary of Acasti and was renamed Acasti Pharma U.S. Inc.

18

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Available Information

This annual report on Form 10-K, our quarterly reports on Form 10-Q, our current reports on Form 8-K, and any amendments to these reports are filed, or will be filed, as applicable, with the SEC, and the
Canadian Securities Administrators, or CSA. These reports are available free of charge on our website, www.acastipharma.com, as soon as reasonably practicable after we electronically file such reports with
or furnish such reports to the SEC and the CSA. Information contained on, or accessible through, our website is not a part of this annual report, and the inclusion of our website address in this document is an
inactive textual reference.

Additionally, our filings with the SEC may be accessed through the SEC’s website at www.sec.gov and our filings with the CSA may be accessed through the CSA’s System for Electronic Document Analysis
and Retrieval at www.sedar.com.

Item 1A. Risk Factors

Summary of Risk Factors

We are providing the following summary of the risk factors contained in this Annual Report on Form 10-K to enhance the readability and accessibility of our risk factor disclosures. This summary does not
address all of the risks that we face. We encourage you to carefully review the full risk factors contained in this Annual Report on Form 10-K in their entirety for additional information regarding the material
factors that make an investment in our securities speculative or risky. The primary categories by which we classify risks include: (i) general risks related to our company; (ii) risks relating to our business; (iii)
risks relating to the development, testing and commercialization of our products; (iv) risks relating to our intellectual property; (v) risks relating to our dependence on third parties; and (vi) risks relating to
ownership of our common shares. Set forth below within each of these categories is a summary of the principal factors that make an investment in our common shares speculative or risky.

General Risks Related to the Company

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

•We are heavily dependent on the success of our lead drug candidates, GTX-104, GTX-102 and GTX-101.

•Our future results will suffer if we do not effectively manage our expanded operations.

•We may not be able to maintain our operations and advance our research and development and commercialization of our lead drug candidates without additional funding.

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

•We may be subject to foreign exchange rate fluctuations.

•If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our share price and trading volume could decline.

•Lawsuits have been filed, and other lawsuits may be filed, against us and members of our board of directors challenging the Grace merger, and an adverse ruling in any such lawsuit may result in an
award of damages against us.

Risk Factors Relating to our Business

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

•We will need to expand our organization, and we may experience difficulties in managing this growth, which could disrupt our operations and our ability to compete.

•We face potential product liability, and if claims are brought against us, we may incur substantial liability.

•We rely significantly on information technology and any failure, inadequacy, interruption, or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate
our business effectively.

Risks Related to Development, Testing and Commercialization of Our Products

•Even if our drug candidates receive regulatory approval in the United States, we may never obtain regulatory approval or successfully commercialize our products outside of the United States.

•We  are  subject  to  uncertainty  relating  to  healthcare  reform  measures  and  reimbursement  policies  which,  if  not  favorable  to  our  drug  candidates,  could  hinder  or  prevent  our  drug  candidates’
commercial success.

•Our commercial success depends upon attaining significant market acceptance of our drug candidates and drug products, if approved, among physicians, nurses, pharmacists, patients and the medical
community.

•Guidelines  and  recommendations  published  by  government  agencies  can  reduce  the  use  of  our  drug  candidates  and  drug  products,  if  approved,  and  negatively  impact  our  ability  to  gain  market
acceptance and market share.

•If we are unable to establish sales and marketing capabilities or enter into agreements with third parties to market and sell our drug candidates, we may be unable to generate any revenue.

•If  we  obtain  approval  to  commercialize  any  approved  drug  products  outside  of  the  United  States,  a  variety  of  risks  associated  with  international  operations  could  materially  adversely  affect  our
business.

19

 
 
 
 
 
 
 
 
 
 
 
 
 
•If we are unable to differentiate our drug candidates from branded reference drugs or existing generic therapies for similar treatments, or if the FDA or other applicable regulatory authorities approve
generic products that compete with any of our drug candidates, our ability to successfully commercialize our drug candidates would be adversely affected.

•We face significant competition from other biotechnology and pharmaceutical companies, and our operating results will suffer if we fail to compete effectively.

•We could incur substantial costs and disruption to our business and delays in the launch of our drug candidates if our competitors and/or collaborators bring legal actions against us, which could harm
our business and operating results.

•The COVID-19 pandemic, or a similar pandemic, epidemic, or outbreak of an infectious disease, may materially and adversely affect our business and our financial results and could cause a disruption
to the development of our drug candidates.

•We are subject to numerous complex regulatory requirements and failure to comply with these regulations, or the cost of compliance with these regulations, may harm our business.

•If the FDA does not conclude that our drug candidates satisfy the requirements for the 505(b)(2) regulatory approval pathway, or if the requirements for approval of any of our drug candidates under
Section 505(b)(2) are not as we expect, the approval pathway for our drug candidates will likely take significantly longer, cost significantly more and encounter significantly greater complications and
risks than anticipated, and in any case may not be successful.

•An NDA submitted under Section 505(b)(2) subjects us to the risk that we may be subject to a patent infringement lawsuit that would delay or prevent the review or approval of our drug candidate.
The FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses.

•Clinical development is a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results. Failure can occur at any stage of
clinical development.

•Delays in clinical trials are common and have many causes, and any delay could result in increased costs to us and could jeopardize or delay our ability to obtain regulatory approval and commence
drug product sales. We may also find it difficult to enroll patients in our clinical trials, which could delay or prevent development of our drug candidates.

•Our  drug  products  or  drug  candidates  may  cause  adverse  effects  or  have  other  properties  that  could  delay  or  prevent  their  regulatory  approval  or  limit  the  scope  of  any  approved  label  or  market
acceptance, or result in significant negative consequences following marketing approval, if any.

•The  regulatory  approval  processes  of  the  FDA  and  comparable  foreign  authorities  are  lengthy,  time  consuming  and  inherently  unpredictable,  and  if  we  are  ultimately  unable  to  obtain  regulatory
approval for our drug candidates, our business will be substantially harmed.

•Our business is subject to extensive regulatory requirements and our drug candidates that obtain regulatory approval will be subject to ongoing and continued regulatory review, which may result in
significant expense and limit our ability to commercialize such products.

•Our employees, independent contractors, principal investigators, consultants, commercial partners and vendors may engage in misconduct or other improper activities, including non-compliance with
regulatory standards and requirements.

•Any relationships with healthcare professionals, principal investigators, consultants, customers (actual and potential) and third-party payors are and will continue to be subject, directly or indirectly, to
federal and state healthcare fraud and abuse laws, false claims laws, marketing expenditure tracking and disclosure, or sunshine laws, government price reporting and health information privacy and
security laws. If we are unable to comply, or have not fully complied,  with  such  laws,  we  could  face  penalties,  including,  without  limitation,  civil,  criminal,  and  administrative  penalties,  damages,
monetary fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm, diminished profits and future
earnings and curtailment or restructuring of our operations.

•We are required to obtain regulatory approval for each of our drug candidates in each jurisdiction in which we intend to market such products, and the inability to obtain such approvals would limit our
ability to realize their full market potential.

Risks Relating to our Intellectual Property

•If we are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome in that litigation would have a material adverse effect on our
business.

•We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed alleged confidential information or trade secrets of their other clients or
former employers to us.

•Our success depends in part upon our ability to protect our intellectual property for our branded drug products and drug candidates, such as GTX-104, GTX-102 and GTX-101.

•Our  drug  development  strategy  relies  heavily  upon  the  505(b)(2)  regulatory  pathway,  which  requires  us  to  certify  that  we  do  not  infringe  upon  third-party  patents  covering  approved  drugs.  Such
certifications often result in third-party claims of intellectual property infringement, the defense of which will be costly and time consuming, and an unfavorable outcome in any litigation may prevent
or delay our development and commercialization efforts which would harm our business.

•If we fail to comply with our obligations in the agreements under which we license rights to technology from third parties, or if the license agreements are terminated for other reasons, we could lose
license rights that are important to our business.

•We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties.

•We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.

•Intellectual property rights do not necessarily address all potential threats to our competitive advantage.

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

20

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

•If our estimates or judgments relating to our critical accounting policies for intangible assets prove to be incorrect, impairment charges could result.

Risks Related to Our Dependence on Third Parties

•We do not have internal manufacturing capabilities, and if we fail to develop and maintain supply relationships with various third-party manufacturers, we may be unable to develop or commercialize
our drug candidates.

•Our contract manufacturers may encounter manufacturing failures that could delay the clinical development or regulatory approval of our drug candidates, or their commercial production, if approved.

•We rely on third parties to conduct our preclinical studies and clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected deadlines, we may not be able to
obtain regulatory approval for or commercialize our drug candidates and our business could be substantially harmed.

•We  rely  on  third  parties  to  manufacture  commercial  and  clinical  supplies  of  our  drug  candidates,  and  we  intend  to  rely  on  third  parties  to  manufacture  commercial  supplies  of  any  approved  drug
products. The commercialization of any of our drug products could be stopped, delayed, or made less profitable if those third parties fail to provide us with sufficient quantities of active pharmaceutical
ingredients, excipients, or drug products, or fail to do so at acceptable quality levels or prices or fail to maintain or achieve satisfactory regulatory compliance.

•The design, development, manufacture, supply, and distribution of our drug candidates is highly regulated and technically complex.

•We may not be successful in establishing development and commercialization collaborations which could adversely affect, and potentially prohibit, our ability to develop our drug candidates.

•We may not be successful in maintaining development and commercialization collaborations, and any partner may not devote sufficient resources to the development or commercialization of our drug
candidates  or  may  otherwise  fail  in  development  or  commercialization  efforts,  which  could  adversely  affect  our  ability  to  develop  certain  of  our  drug  candidates  and  our  financial  condition  and
operating results.

Risks related to Tax

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

•We may not be able to use our net operating loss carry forwards to offset future taxable income for Canadian or U.S. federal income tax purposes.

•The IRS may not agree that we should be treated as a foreign corporation for U.S. federal tax purposes.

Risks Relating to Ownership of our Common Shares

•We do not expect to pay any cash dividends for the foreseeable future.

•The price of our common shares may be volatile.

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

•The market price of our common shares could decline if our operating results fall below the expectations of investors or fluctuate .

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

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

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

•We are a “smaller reporting company” under the SEC’s disclosure rules and have elected to comply with the reduced disclosure requirements applicable to smaller reporting 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 Québec incorporated company headquartered in Canada, and U.S. investors may be unable to enforce certain judgments against us.

Any investment in our common shares involves a high degree of risk. The following risk factors and other information included in this annual report on Form 10-K should be carefully considered. 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 Company

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 that we expect to occur, such as the anticipated timing of results from our clinical trials and the timing of an upcoming NDA filing.
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, completion of a strategic partnership, or announcement of additional clinical trials for a product candidate may ultimately vary from what is publicly disclosed. These variations in timing may
occur as a result

21

 
 
 
 
 
 
 
 
 
 
 
 
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 are heavily dependent on the success of our lead drug candidates, GTX-104, GTX-102 and GTX-101.

Our business and future success are substantially dependent on our ability to successfully and timely develop, obtain regulatory approval for, and commercialize our lead product candidate, GTX-104. Any
delay or setback in the development of GTX-104 could adversely affect our business. Our planned development, approval and commercialization of GTX-104 may fail to be completed in a timely manner or
at all. Our other product candidates, GTX-102 and GTX-101, are at an earlier development stage and we will require additional time and resources to develop and seek regulatory  approval  for  such  drug
candidates and, if we are successful, to proceed with commercialization. We cannot provide assurance that we will be able to obtain approval for any of our drug candidates from the FDA or any foreign
regulatory authority or that we will obtain such approval in a timely manner.

We may not be able to maintain our operations and advance our research and development and commercialization of our lead drug candidates 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  and  short-term  investments  (including  restricted
investments) were $43.7 million as of March 31, 2022 and $60.7 million as of March 31, 2021.

Our current assets, as of March 31, 2022, 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 GTX-104. We expect that additional time and capital will be required by us to file an NDA to obtain FDA approval for GTX-104 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 for GTX-104. 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 research and
development and commercial launch of our lead drug candidates. Unexpected negative results in our clinical programs for our lead drug candidates may affect our ability to raise additional capital and/or
complete strategic development and/or distribution partnerships to support the commercial launch of our drug candidates. Additional funding from third parties may not be available on acceptable terms or at
all to enable us to continue with the research and development and commercialization of our lead drug candidates.

Our future results will suffer if we do not effectively manage our expanded operations.

As a result of the merger, we have become a larger company than either of Acasti or Grace prior to the merger, and our business has become more complex. There can be no assurance that we will effectively
manage the increased complexity without experiencing operating inefficiencies or control deficiencies. Significant management time and effort is required to effectively manage the increased complexity of the
larger organization and if we fail to successfully do so it could have a material adverse effect on our business, financial condition, results of operations and growth prospects. In addition, as a result of the
merger, our financial statements and results of operations in prior years may not provide meaningful guidance to form an assessment of our prospects or the potential success of our future business operations.

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  pandemics  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  our
products.  Our  ability  to  obtain  supplies  of  candidate  products  could  be  disrupted  if  the  operations  of  our  manufacturers  and  suppliers  are  affected  by  a  man-made  or  natural  disaster  or  other  business
interruption.

We may be subject to foreign exchange rate fluctuations.

Our reporting currency is the U.S. dollar. However, many of our expenses currently are and/or are expected to be, denominated in foreign currencies, including Canadian dollars. As we previously completed
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 U.S. dollar /European euro 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.

If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our share price and trading volume could decline.

The  trading  market  for  our  common  shares  will  depend  in  part  on  the  research  and  reports  that  securities  or  industry  analysts  publish  about  us  or  our  business.  We  do  not  currently  have  limited  research
coverage by securities and industry analysts. If few or no securities or industry analysts commence coverage of our company, the trading price for our common shares could be negatively impacted. If one or
more of the analysts who covers us downgrades our common shares or publishes inaccurate or unfavorable research about our business, our share price would likely decline. If one or more of these analysts
ceases coverage of us or fails to publish reports on us regularly, demand for our common shares could decrease, which could cause our share price and trading volume to decline.

Lawsuits have been filed, and other lawsuits may be filed, against us and members of our board of directors challenging the Grace merger, and an adverse ruling in any such lawsuit may result in an
award of damages against us.

In connection with the Grace merger, four shareholder lawsuits were filed. Two of the lawsuits have been voluntarily dismissed without prejudice and the remaining two have been consolidated. The lawsuits
generally allege that our public disclosures pertaining to the Grace merger omit material facts in purported violation of Section 14(a) of the Exchange Act and Rule 14a-9 promulgated thereunder, and that
members of our board of directors are liable for those purported omissions under Section 20(a) of the Exchange Act. The relief sought in the lawsuits includes, among other things, to enjoin the consummation
of the merger, to award damages purportedly caused by the alleged omissions, and to award plaintiffs’ attorneys’ fees and other costs. It is possible that additional lawsuits asserting similar claims could be
filed. We strongly believe the allegations in the lawsuits are frivolous and without merit, and are vigorously defending against them. The results of complex legal proceedings are difficult to predict.

22

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Moreover, the pending litigation is, and any future additional litigation could be, time consuming and expensive and could divert management’s attention away from its regular business.

Risk Factors Relating to our Business

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

We are highly dependent on the principal members of our executive team. Any of our executive officers could leave our employment at any time, as all of our employees are “at will” employees. Recruiting
and retaining other qualified employees for our business, including scientific and technical personnel, will also be critical to our success. There is currently a shortage of skilled executives and other personnel
in our industry, which is likely to continue. As a result, competition for skilled personnel is intense and the turnover rate can be high. We may not be able to attract and retain personnel on acceptable terms
given the competition among numerous pharmaceutical companies for individuals with similar skill sets. In addition, failure to succeed in clinical studies may make it more challenging to recruit and retain
qualified personnel. The inability to recruit key executives or the loss of the services of any executive or key employee might impede the progress of our development and commercialization objectives.

We will need to expand our organization, and we may experience difficulties in managing this growth, which could disrupt our operations and our ability to compete.

As our company matures, we expect to expand our employee base to increase our managerial, scientific, engineering, operational, sales, marketing, financial and other resources and to hire more consultants
and  contractors.  Future  growth  would  impose  significant  additional  responsibilities  on  our  management,  including  the  need  to  identify,  recruit,  maintain,  motivate,  and  integrate  additional  employees,
consultants and contractors. We may not be able to effectively manage the expansion of our operations, which may result in weaknesses in our infrastructure, give rise to operational mistakes, loss of business
opportunities, loss of employees and reduced productivity among remaining employees. Future growth could require significant capital expenditures and may divert financial resources from other projects,
such as the development of our existing or future product candidates. Our future financial performance and our ability to sell and commercialize our product candidates, if approved, and compete effectively
will depend, in part, on our ability to effectively manage any future growth.

We face potential product liability, and if claims are brought against us, we may incur substantial liability.

The use of our product candidates in clinical trials, and the sale of any drug candidates for which we obtain marketing approval, exposes us to the risk of product liability claims. Product liability claims might
be brought against us by consumers, healthcare providers, pharmaceutical companies or others selling or otherwise coming into contact with our product candidates. If we cannot successfully defend against
product liability claims, we could incur substantial liability and costs. In addition, regardless of merit or eventual outcome, product liability claims may result in:

• impairment of our business reputation;

•withdrawal of clinical study participants

• costs due to related litigation

•distraction of management’s attention from our primary business

•substantial monetary awards to patients or other claimants; and

•the inability to commercialize our product candidates.

Our current product liability insurance coverage may not be sufficient to reimburse us for any expenses or losses we may suffer. Moreover, insurance coverage is becoming increasingly expensive, and, in the
future, we may not be able to maintain insurance coverage at a reasonable cost or in sufficient amounts to protect us against losses due to liability. A successful product liability claim or series of claims
brought against us could cause our share price to decline and, if judgments exceed our insurance coverage, could adversely affect our results of operations and business.

We rely significantly on information technology and any failure, inadequacy, interruption, or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate our
business effectively.

Despite the implementation of security measures, our internal computer systems, and those of third parties with which we contract are vulnerable to damage from cyber-attacks, computer viruses, unauthorized
access, natural disasters, terrorism, war and telecommunication and electrical failures. System failures, accidents or security breaches could cause interruptions in our operations and could result in a material
  drug  product
disruption  of  our drug product  development  and  clinical  activities  and  business  operations,  in  addition  to  possibly  requiring  substantial  expenditures  of  resources  to  remedy.  The  loss  of
development or clinical trial data could result in delays in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that any disruption or security
breach were to result in a loss of, or damage to, our data or applications, or inappropriate disclosure of confidential or proprietary information, we could incur liability and our development programs, and the
development of our product candidates could be delayed.

Risks Related to Development, Testing and Commercialization of Our Products

Even if our drug candidates receive regulatory approval in the United States, we may never obtain regulatory approval or successfully commercialize our products outside of the United States.

Our business plan is highly dependent upon our ability to obtain regulatory approval to market and commercialize our lead drug candidates, GTX-104, GTX-102 and GTX-101 in the United States. The failure
to do so would have a material adverse effect on our ability to execute on our business plan and generate revenue. In addition, even if we obtain U.S. regulatory approvals to commercialize GTX-104, GTX-
102 and GTX-101, we may not be able to do so in other international jurisdictions.

We are subject to uncertainty relating to healthcare reform measures and reimbursement policies which, if not favorable to our drug candidates, could hinder or prevent our drug candidates
success.

’ commercial

Our ability to commercialize our drug candidates successfully will depend in part on the extent to which governmental authorities, private health insurers and other third-party payors establish appropriate
coverage and reimbursement levels for our drug candidates and related treatments. As a threshold for coverage and reimbursement, third-party payors generally require that drug products have been approved
for marketing by the FDA. Third-party payors are increasingly imposing additional

23

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
requirements  and  restrictions  on  coverage  and  limiting  reimbursement  levels  for  medical  products.  These  restrictions  and  limitations  influence  the  purchase  of  healthcare  services  and  products.  The  cost
containment  measures  that  healthcare  payors  and  providers  are  instituting  and  the  effect  of  any  healthcare  reform  could  significantly  reduce  our  revenues  from  the  sale  of  any  approved  drug.  We  cannot
provide any assurances that we will be able to obtain third-party coverage or reimbursement for our drug candidates in whole or in part.

In  the  United  States,  there  have  been  a  number  of  legislative  and  regulatory  changes  to  the  healthcare  system  in  ways  that  could  affect  our  future  revenues  and  profitability  and  the  future  revenues  and
profitability of our potential customers. Under the prescription drug benefit, Medicare beneficiaries can obtain prescription drug coverage from private sector plans that are permitted to limit the number of
prescription drugs that are covered in each therapeutic category and class on their formularies. If our products are not widely included on the formularies of these plans, our ability to market our products to the
Medicare population could be harmed.

There also have been, and likely will continue to be, legislative and regulatory proposals at the federal and state levels directed at containing or lowering the cost of healthcare. We cannot predict the initiatives
that may be adopted in the future. The continuing efforts of the government, insurance companies, managed care organizations and other payors of healthcare costs to contain or reduce costs of healthcare may
adversely affect one or more of the following:

•our ability to set a price that we desire for our drug products, if any are approved

•our ability to generate revenues and achieve profitability;

•the future revenues of our potential customers, suppliers and collaborators; and

•the availability of capital to us.

Any of these scenarios could harm our ability to market our products and generate revenues. It is also possible that other proposals having a similar effect will be adopted.

Our commercial success depends upon attaining significant market acceptance of our drug candidates and drug products, if approved, among physicians, nurses, pharmacists, patients and the medical
community.

Even if we obtain regulatory approval for our drug product candidates, our drug product candidates may not gain market acceptance among physicians, nurses, pharmacists, patients, the medical community or
third-party payors, which is critical to commercial success. Market acceptance of our drug candidates and any drug product for which we receive approval depends on a number of factors, including:

•the timing of market introduction of the drug candidate or drug product as well as competitive products;

•the clinical indications for which the drug product is approved;

•the convenience and ease of administration to patients of the drug candidate or drug product;

• the potential and perceived advantages of such drug candidate over alternative treatments;

•the cost of treatment in relation to alternative treatments, including any similar generic treatments;

•the availability of coverage and adequate reimbursement and pricing by third party payors and government authorities;

•relative convenience and ease of administration;

•any negative publicity related to our or our competitors’ drug products that include the same active ingredient;

•the prevalence and severity of adverse side effects, including limitations or warnings contained in a drug product’s FDA-approved labeling; and

•the effectiveness of our sales and marketing efforts.

If our drug candidates or drug products, if approved, fail to achieve an adequate level of acceptance by physicians, nurses, pharmacists, patients, and the medical community, we will be unable to generate
significant revenues, and we may not become or remain profitable.

Guidelines and recommendations published by government agencies can reduce the use of our drug candidates and drug products, if approved and negatively impact our ability to gain market acceptance
and market share.

Government  agencies  promulgate  regulations  and  guidelines  applicable  to  certain  drug  classes  which  may  include  our  drug  products  and  product  candidates  that  we  are  developing.  Recommendations  of
government agencies may relate to such matters as usage, dosage, route of administration and use of concomitant therapies. Regulations or guidelines suggesting the reduced use of certain drug classes which
may include our drug products and product candidates that we are developing or the use of competitive or alternative drug products as the standard of care to be followed by patients and healthcare providers
could result in decreased use of our drug candidates or negatively impact our ability to gain market acceptance and market share.

If we are unable to establish sales and marketing capabilities or enter into agreements with third parties to market and sell our drug candidates, we may be unable to generate any revenue.

Although we intend to establish a small, focused, specialty sales and marketing organization to promote GTX-104 and GTX-102, if approved for marketing in the United States, we currently have no such
organization and the cost of establishing and maintaining such an organization may exceed the benefit of doing so. Given the size of its potential market, we anticipate that to commercialize GTX-101, we
would seek to enter into a strategic partnership with a larger marketing partner, if GTX-101 is approved by the FDA for marketing, and we may not be successful in doing so. If we are unable to establish
adequate  sales,  marketing  and  distribution  capabilities,  whether  independently  or  with  third  parties,  we  may  not  be  able  to  generate  sufficient  product  revenue  and  may  not  become  profitable.  We  will  be
competing  with  many  companies  that  currently  have  extensive  and  well-funded  marketing  and  sales  operations.  Without  an  internal  team  or  the  support  of  a  third  party  to  perform  marketing  and  sales
functions, we may be unable to compete successfully against these more established companies.

24

 
 
 
 
 
 
 
 
 
 
 
 
If we obtain approval to commercialize any approved drug products outside of the United States, a variety of risks associated with international operations could materially adversely affect our business.

If any of our drug candidates are approved for commercialization, we may enter into agreements with third parties to market these drug products outside the United States. We expect that we will be subject to
additional risks related to entering into international business relationships, including:

•different regulatory requirements for drug approvals in foreign countries;

•reduced protection for intellectual property rights;

•unexpected changes in tariffs, trade barriers and regulatory requirements;

•economic weakness, including inflation, or political instability in particular foreign economies and markets;

•compliance with tax, employment, immigration and labor laws for employees living or traveling abroad;

•foreign taxes, including withholding of payroll taxes;

•foreign currency fluctuations, which could result in increased operating expenses and reduced revenue, and other obligations incident to doing business in another country;

•workforce uncertainty in countries where labor unrest is more common than in the United States;

•ability to secure third party marketing and selling agreements outside of the United States;

•production shortages resulting from any events affecting raw material supply or manufacturing capabilities abroad; and

•business interruptions resulting from geopolitical actions, including war and terrorism, or natural disasters including earthquakes, typhoons, floods and fires.

If we are unable to differentiate our drug candidates from branded reference drugs or existing generic therapies for similar treatments, or if the FDA or other applicable regulatory authorities approve
generic products that compete with any of our drug candidates, our ability to successfully commercialize our drug candidates would be adversely affected.

Although we believe that our drug candidates will be clinically differentiated from branded reference drugs and their generic counterparts, if any, it is possible that such differentiation will not impact our
market  position.  If  we  are  unable  to  achieve  significant  differentiation  for  our  product  candidates  against  other  drugs,  the  opportunity  for  our  product  candidates  to  achieve  premium  pricing  and  be
commercialized successfully would be adversely affected.

In  addition  to  existing  branded  reference  drugs  and  the  related  generic  products,  the  FDA  or  other  applicable  regulatory  authorities  may  approve  generic  products  that  compete  directly  with  our  drug
candidates, if approved. Once an NDA, including a 505(b)(2) application, is approved, the product covered thereby becomes a “listed drug” which can, in turn, be cited by potential competitors in support of
approval of an abbreviated new drug application (“ANDA”). The Federal Food, Drug, and Cosmetic Act, FDA regulations and other applicable regulations and policies provide incentives to manufacturers to
create modified, non-infringing versions of a drug to facilitate the approval of an ANDA for generic substitutes. These manufacturers might only be required to conduct a relatively inexpensive study to show
that their product has the same active ingredient(s), dosage form, strength, route of administration and conditions of use or labeling as our product candidate and that the generic product is bioequivalent to ours,
meaning it is absorbed in the body at the same rate and to the same extent as our drug product. These generic equivalents, which must meet the same quality standards as branded pharmaceuticals, would be
significantly  less  costly  than  ours  to  bring  to  market  and  companies  that  produce  generic  equivalents  are  generally  able  to  offer  their  drug  products  at  lower  prices. After  the  introduction  of  a  generic
competitor, a significant percentage of the sales of any branded drug product is typically lost to the generic drug product. Accordingly, competition from generic equivalents of our drug candidates would
materially adversely impact our ability to successfully commercialize our drug candidates.

We face significant competition from other biotechnology and pharmaceutical companies, and our operating results will suffer if we fail to compete effectively.

The biopharmaceutical industry is intensely competitive and subject to rapid and significant technological change. We expect to have competitors both in the United States and internationally, including major
multinational pharmaceutical companies, biotechnology companies and universities and other research institutions.

Many of our competitors have substantially greater financial, technical and other resources, such as larger research and development staff and experienced marketing and manufacturing organizations. If our
competitors market products that are more effective, safer or less expensive than our drug products, if any, or that reach the market sooner than our drug products, if any, we may enter the market too late in the
cycle and may not achieve commercial success. In addition, the biopharmaceutical industry is characterized by rapid technological change. If we fail to stay at the forefront of technological change, we may be
unable to compete effectively. Technological advances or drug products developed by our competitors may render our drug products, if any, or drug candidates obsolete, less competitive or not economical.

We could incur substantial costs and disruption to our business and delays in the launch of our drug candidates if our competitors and/or collaborators bring legal actions against us, which could harm
our business and operating results.

We cannot predict whether our competitors or potential competitors, may bring legal actions against us based on our research, development, and commercialization activities, as well as any drug candidates or
drug products resulting from these activities, claiming, among other things, infringement of their intellectual property rights, breach of contract or other legal theories. If we are forced to defend any such
lawsuits, whether they are with or without merit or are ultimately determined in our favor, we may face costly litigation and diversion of technical and management personnel. These lawsuits could hinder our
ability to enter the market early with our drug candidates and thereby hinder our ability to influence usage patterns when fewer, if any, of our potential competitors have entered such market, which could
adversely impact our potential revenue from such drug candidates. Some of our competitors have substantially greater resources than we do and could be able to sustain the cost of litigation to a greater extent
and for longer periods of time than we could. Furthermore, an adverse outcome of a dispute may require us: to pay damages, potentially including treble damages and attorneys’ fees, if we are found to have
willfully infringed a party’s patent or other intellectual property rights; to cease making, licensing or using products that are alleged to incorporate or make use of the intellectual property of others; to expend
additional development resources to reformulate our products or prevent us from marketing a certain drug; and to enter into potentially unfavorable royalty or license agreements in order to obtain the rights to
use necessary technologies. Royalty or licensing agreements, if required, may be unavailable on terms acceptable to us, or at all.

25

 
 
 
 
 
 
 
 
 
 
 
The COVID-19 pandemic, or a similar pandemic, epidemic, or outbreak of an infectious disease, may materially and adversely affect our business and our financial results and could cause a disruption
to the development of our drug candidates.

Public health crises such as pandemics or similar outbreaks could adversely impact our business. The coronavirus pandemic is evolving, and has led to the implementation of various responses, including
government-imposed quarantines, travel restrictions and other public health safety measures. While to date, the coronavirus pandemic has not had a material adverse effect on our business, any negative impact
COVID-19 has to patient enrollment or treatment, or the research and development of our drug candidates could cause costly delays to clinical trial activities, which could adversely affect our ability to obtain
regulatory approval for and to commercialize our drug candidates, increase our operating expenses, and have a material adverse effect on our financial results.

Additionally, timely enrollment in planned clinical trials is dependent upon clinical trial sites which could be adversely affected by global health matters, such as pandemics. We plan to conduct clinical trials
for our drug candidates in geographies which are currently being affected by the COVID-19 pandemic. Some factors from the COVID-19 pandemic that could delay or otherwise adversely affect enrollment in
the clinical trials of our drug candidates, as well as our business generally, include:

•the potential diversion of healthcare resources away from the conduct of clinical trials to focus on pandemic concerns, including the attention of physicians serving as our clinical trial investigators,
hospitals serving as our clinical trial sites and hospital staff supporting the conduct of our prospective clinical trials;

•limitations on travel that could interrupt key trial and business activities, such as clinical trial site initiations and monitoring, domestic and international travel by employees, contractors or patients to
clinical trial sites, including any government-imposed travel restrictions or quarantines that will impact the ability or willingness of patients, employees or contractors to travel to our clinical trial sites or
secure visas or entry permissions, a loss of face-to-face meetings and other interactions with potential partners, any of which could delay or adversely impact the conduct or progress of our prospective
clinical trials;

•the potential negative affect on the operations of our third-party manufacturers;

•interruption in global shipping affecting the transport of clinical trial materials, such as patient samples, investigational drug product and conditioning drugs and other supplies used in our prospective
clinical trials;

•disruptions caused by potential workplace, laboratory and office closures and an increased reliance on employees working from home, disruptions to or delays in ongoing laboratory experiments;

•operations, staffing shortages, travel limitations or mass transit disruptions, any of which could adversely impact our business operations or delay necessary interactions with local regulators, ethics
committees and other important agencies and contractors;

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

•interruption or delays in the operations of the FDA or other regulatory authorities, which may impact review and approval timelines.

These factors arising from COVID-19 could worsen in countries that are already afflicted with COVID-19 or could continue to spread to additional countries. Any of these factors, and other factors related to
any such disruptions that are unforeseen, could have a material adverse effect on our business and our results of operation and financial condition. Further, uncertainty around these and related issues could
lead to adverse effects on the economy of the United States and other economies, which could impact our ability to raise the necessary capital needed to develop and commercialize our programs and drug
candidates.

We are subject to numerous complex regulatory requirements and failure to comply with these regulations, or the cost of compliance with these regulations, may harm our business.

The  research,  testing,  development,  manufacturing,  quality  control,  approval,  labeling,  packaging,  storage,  record-keeping,  promotion,  advertising,  marketing,  distribution,  possession  and  use  of  our  drug
candidates, among other things, are subject to regulation by numerous governmental authorities in the United States and elsewhere. The FDA regulates drugs under the Federal Food, Drug, and Cosmetic Act,
and implementing regulations. Non-compliance with any applicable regulatory requirements can result in refusal of the governmental authority to approve products for marketing, criminal prosecution and
fines, warning letters, product recalls or seizure of products, total or partial suspension of production, prohibitions or limitations on the commercial sale of products or refusal to allow the entering into of
federal and state supply contracts. FDA and comparable governmental authorities have the authority to withdraw product approvals that have been previously granted. In addition, the regulatory requirements
relating to our drug candidates and drug products, if any, may change from time to time and it is impossible to predict what the impact of any such changes may be.

If the FDA does not conclude that our drug candidates satisfy the requirements for the 505(b)(2) regulatory approval pathway, or if the requirements for approval of any of our drug candidates under
Section 505(b)(2) are not as we expect, the approval pathway for our drug candidates will likely take significantly longer, cost significantly more and encounter significantly greater complications and
risks than anticipated, and in any case may not be successful.

We intend to seek FDA approval through the 505(b)(2) regulatory pathway for GTX-104, GTX-101 and GTX-102. The Drug Price Competition and Patent Term Restoration Act of 1984, also known as the
Hatch-Waxman Act, added Section 505(b)(2) to the Federal Food, Drug and Cosmetic Act (“FDCA”). Section 505(b)(2) permits the filing of an NDA where at least some of the information required for
approval comes from studies that were not conducted by or for the applicant.

If the FDA does not allow us to pursue the 505(b)(2) regulatory pathway for GTX-104, GTX-101 or GTX-102 as anticipated, we may need to conduct additional clinical trials, provide additional data and
information and meet additional standards for regulatory approval. If this were to occur, the time and financial resources required to obtain FDA approval for our drug candidates would likely substantially
increase. Moreover, an inability to pursue the 505(b)(2) regulatory pathway could result in new competitive products reaching the market faster than our drug candidates, which could materially adversely
impact  our  competitive  position  and  prospects.  Even  if  we  are  allowed  to  pursue  the  505(b)(2)  regulatory  pathway  for  a  drug  candidate,  we  cannot  assure  you  that  we  will  receive  the  requisite  or  timely
approvals for commercialization of such drug candidate.

In addition, it is possible that our competitors may file citizens’ petitions with the FDA in an attempt to persuade the FDA that our drug candidates, or the clinical studies that support their approval, contain
deficiencies. Such actions by our competitors could delay or even prevent the FDA from approving any NDA that we submit under Section 505(b)(2).

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Clinical development is a lengthy and expensive process with an uncertain outcome, and results of earlier studies and trials may not be predictive of future trial results. Failure can occur at any stage of
clinical development.

Clinical testing, even when utilizing the 505(b)(2) pathway, is expensive and can take many years to complete, and its outcome is inherently uncertain. Failure can occur at any time during the clinical trial
process,  even  with  active  ingredients  that  have  previously  been  approved  by  the  FDA  as  safe  and  effective.  The  results  of  preclinical  studies  and  early  clinical  trials  of  our  drug  candidates  may  not  be
predictive of the results of later stage clinical trials. A number of companies in the biopharmaceutical industry have suffered significant setbacks in advanced clinical trials due to lack of efficacy or adverse
safety profiles, notwithstanding promising results in earlier trials.

Our  drug  candidates  are  in  various  stages  of  development.  Clinical  trial  failures  may  occur  at  any  stage  and  may  result  from  a  multitude  of  factors  both  within  and  outside  our  control,  including  flaws  in
formulation, adverse safety or efficacy profile and flaws in trial design, among others. If the trials result in negative or inconclusive results, we or our collaborators may decide, or regulators may require us, to
discontinue trials of our drug candidates or conduct additional clinical trials or preclinical studies. In addition, data obtained from trials and studies are susceptible to varying interpretations, and regulators
may not interpret our data as favorably as we do, which may delay, limit or prevent regulatory approval. For these reasons, our future clinical trials may not be successful.

Delays in clinical trials are common and have many causes, and any delay could result in increased costs to us and could jeopardize or delay our ability to obtain regulatory approval and commence drug
product sales. We may also find it difficult to enroll patients in our clinical trials, which could delay or prevent development of our drug candidates.

We  may  experience  delays  in  clinical  trials  of  our  drug  candidates.  Our  planned  clinical  trials  may  not  begin  on  time,  have  an  effective  design,  enroll  a  sufficient  number  of  patients  or  be  completed  on
schedule, if at all. Our clinical trials can be delayed for a variety of reasons, including:

•inability to raise or delays in raising funding necessary to initiate or continue a trial;

•delays in obtaining regulatory approval to commence a trial;

•delays in reaching agreement with the FDA on final trial design;

•imposition of a clinical hold for safety reasons or following an inspection of our clinical trial operations or trial sites by the FDA or other regulatory authorities;

•delays in reaching agreement on acceptable terms with prospective contract manufacturing organizations (CMOs), or contract research organizations (“CROs”), and clinical trial sites, or failure by such
CMOs to complete the manufacturing of clinical trial materials or CROs to follow and carry out the clinical study protocol at each site in accordance with the terms of our agreements with them;

•delays in obtaining required institutional review board, or IRB, approval at each site;

•difficulties or delays in having patients’ complete participation in a trial or return for post-treatment follow-up;

•clinical sites electing to terminate their participation in one of our clinical trials, which would likely have a detrimental effect on subject enrollment;

•time required to add new clinical sites; or

•delays by our CMOs to produce and deliver sufficient supply of clinical trial materials.

If initiation or completion of our planned clinical trials is delayed for any of the above reasons or other reasons, our development costs may increase, our regulatory approval process could be delayed and our
ability to commercialize and commence sales of our drug candidates could be materially harmed, which could have a material adverse effect on our business.

In addition, identifying and qualifying patients to participate in clinical trials of our drug candidates is critical to our success. The timing of our clinical trials depends on the speed at which we can recruit
patients to participate in testing our drug candidates as well as completion of required follow-up periods. We may not be able to identify, recruit and enroll a sufficient number of patients, or those with required
or desired characteristics or to complete our clinical trials in a timely manner. Patient enrollment is and completion of the trials are affected by a variety of factors, including:

•severity and prevalence of the disease under investigation;

•design of the trial protocol;

•size of the patient population;

•eligibility criteria for the trial in question;

•perceived risks and benefits of the drug candidate under trial;

•proximity and availability of clinical trial sites for prospective patients;

•availability of competing therapies and clinical trials;

•efforts to facilitate timely enrollment in clinical trials;

•patient referral practices of physicians; and

•ability to monitor patients adequately during and after treatment.

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Our  drug  products  or  drug  candidates  may  cause  adverse  effects  or  have  other  properties  that  could  delay  or  prevent  their  regulatory  approval  or  limit  the  scope  of  any  approved  label  or  market
acceptance, or result in significant negative consequences following marketing approval, if any.

As with many pharmaceutical and biological products, treatment with our drug products or drug candidates may produce undesirable side effects or adverse reactions or events. Although the nature of our drug
products or drug candidates as containing active ingredients that have already been approved means that the side effects arising from the use of the active ingredient or class of drug in our drug products or
drug candidates is generally known, our drug products or drug candidates may still cause undesirable side effects, which may harm our business, financial condition and prospects significantly.

Further, if any of our drug products cause serious or unexpected side effects after receiving market approval, a number of potentially significant negative consequences could result, including:

•regulatory authorities may withdraw their approval of the drug product or impose restrictions on its distribution;

•the FDA may require implementation of a Risk Evaluation and Mitigation Strategy (“REMS”);

•regulatory authorities may require the addition of labeling statements, such as warnings or contraindications;

•we may be required to change the way the drug product is administered or conduct additional clinical studies;

•we could be sued and held liable for harm caused to patients; or

•our reputation may suffer.

Any of these events could prevent us from achieving or maintaining market acceptance of the affected drug product or drug candidate and could substantially increase the costs of commercializing our drug
products and drug candidates.

The regulatory approval processes of the FDA and comparable foreign authorities are lengthy, time consuming and inherently unpredictable, and if we are ultimately unable to obtain regulatory approval
for our drug candidates, our business will be substantially harmed.

The time required to obtain approval by the FDA and comparable foreign authorities is unpredictable but typically takes many years following the commencement of clinical trials and depends upon numerous
factors, including the substantial discretion of the regulatory authorities. In addition, approval policies, regulations or the type and amount of clinical data necessary to gain approval may change during the
course of a drug candidate’s clinical development and may vary among jurisdictions. It is possible that none of our existing drug candidates or any drug candidates we may seek to develop will ever obtain
regulatory approval in the United States or other jurisdictions.

Our drug candidates could fail to receive regulatory approval for many reasons, including the following:

•the FDA or comparable foreign regulatory authorities may disagree that our changes to branded reference drugs meet the criteria for the 505(b)(2) regulatory pathway or foreign regulatory pathways;

•we may be unable to demonstrate to the satisfaction of the FDA or comparable foreign regulatory authorities that a drug candidate is safe and effective or comparable to its branded reference product
for its proposed indication;

•the results of any clinical trials we conduct may not meet the level of statistical significance required by the FDA or comparable foreign regulatory authorities for approval;

•we may be unable to demonstrate that a drug candidate’s clinical and other benefits outweigh its safety risks;

•the FDA or comparable foreign regulatory authorities may fail to approve the manufacturing processes or facilities of third-party manufacturers with which we contract for clinical and commercial
supplies; and

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

This lengthy approval process as well as the unpredictability of future clinical trial results may result in us failing to obtain regulatory approval to market our drug candidates, which would harm our business,
results of operations and prospects significantly.

We have limited experience using the 505(b)(2) regulatory pathway to submit an NDA or any similar drug approval filing to the FDA, and we cannot be certain that any of our drug candidates will receive
regulatory approval. If we do not receive regulatory approvals for our drug candidates, we may not be able to continue our operations. Even if we successfully obtain regulatory approvals to market one or more
of our drug candidates, our revenue will be dependent, to a significant extent, upon the size of the markets in the territories for which we gain regulatory approval. If the markets for patients or indications that
we are targeting are not as significant as we estimate, we may not generate significant revenue from sales of such drug products, if approved.

An NDA submitted under Section  505(b)(2) subjects us to the risk that we may be subject to a patent infringement lawsuit that would delay or prevent the review or approval of our drug candidate. The
FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses.

Our drug candidates will be submitted to the FDA for approval under Section 505(b)(2) of the FDCA. Section 505(b)(2) permits the submission of an NDA where at least some of the information required for
approval comes from studies that were not conducted by, or for, the applicant and on which the applicant has not obtained a right of reference. The 505(b)(2) application would enable us to reference published
literature  and/or  the  FDA’s  previous  findings  of  safety  and  effectiveness  for  the  branded  reference  drug.  For  NDAs  submitted  under  Section  505(b)(2)  of  the  FDCA,  the  patent  certification  and  related
provisions  of  the  Hatch-Waxman Act  apply.  In  accordance  with  the  Hatch-Waxman Act,  such  NDAs  may  be  required  to  include  certifications,  known  as  paragraph  IV  certifications,  that  certify  that  any
patents listed in the Patent and Exclusivity Information Addendum of the FDA’s publication, Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book, with
respect to any product referenced in the 505(b)(2) application, are invalid, unenforceable or will not be infringed by the manufacture, use or sale of the product that is the subject of the 505(b)(2) NDA.

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Companies that produce branded reference drugs routinely bring litigation against 505(b)(2) applicants that seek regulatory approval to manufacture and market generic and reformulated forms of their branded
products. These companies often allege patent infringement or other violations of intellectual property rights as the basis for filing suit against a 505(b)(2) applicant. Likewise, patent holders may bring patent
infringement suits against companies that are currently marketing and selling their approved generic or reformulated products. When a drug, such as GTX-104, has orphan drug exclusivity, the FDA may not
approve any other application to market the same drug for the same indication for a period of up to seven years, except in limited circumstances, such as a showing of clinical superiority over the drug product
with orphan exclusivity. In the United States, pediatric exclusivity adds six months to any existing exclusivity period.

Our business is subject to extensive regulatory requirements and our drug candidates that obtain regulatory approval will be subject to ongoing and continued regulatory review, which may result in
significant expense and limit our ability to commercialize such products.

Even  after  a  drug  product  is  approved,  we  will  remain  subject  to  ongoing  FDA  and  other  regulatory  requirements  governing  the  labeling,  packaging,  storage,  distribution,  safety  surveillance,  advertising,
promotion, import, export, record-keeping and reporting of safety and other post-market information. The holder of an approved NDA is obligated to monitor and report adverse events, and any failure of a
drug product to meet the specifications in the NDA. The holder of an approved NDA must also submit new or supplemental applications and obtain FDA approval for certain changes to the approved drug
product,  product  labeling  or  manufacturing  process. Advertising  and  promotional  materials  must  comply  with  FDA  laws  and  regulations  and  are  subject  to  FDA  review,  in  addition  to  other  potentially
applicable federal and state laws. In addition, the FDA may impose significant restrictions on the approved indicated uses for which the drug product may be marketed or on the conditions of approval. For
example,  a  product’s  approval  may  contain  requirements  for  potentially  costly  post-approval  studies  and  surveillance  to  monitor  the  safety  and  efficacy  of  the  drug  product,  or  the  imposition  of  a  REMS
program.

In addition, the FDA’s regulations, policies, or guidance may change and new or additional statutes or government regulations in the United States and other jurisdictions may be enacted that could prevent or
delay regulatory approval of our drug product candidates or further restrict or regulate post-approval activities. We cannot predict the likelihood, nature or extent of adverse government regulation that may
arise from pending or future legislation or administrative action, either in the United States or abroad. If we are not able to achieve and maintain regulatory compliance, we may not be permitted to market our
drug products and/or drug candidates, which would adversely affect our ability to generate revenue and achieve or maintain profitability.

Our employees, independent contractors, principal investigators, consultants, commercial partners and vendors may engage in misconduct or other improper activities, including non-compliance with
regulatory standards and requirements.

We  are  exposed  to  the  risk  that  our  employees,  independent  contractors,  principal  investigators,  consultants,  commercial  partners,  and  vendors  may  engage  in  fraudulent  conduct  or  other  illegal  activity.
Misconduct by these parties could include intentional, reckless and/or negligent conduct that violates (1) the laws of the FDA and similar foreign regulatory bodies, including those laws requiring the reporting
of  true,  complete,  and  accurate  information  to  such  regulatory  bodies;  (2)  healthcare  fraud  and  abuse  laws  of  the  United  States  and  similar  foreign  fraudulent  misconduct  laws;  and  (3)  laws  requiring  the
reporting of financial information or data accurately. Specifically, the promotion, sales and marketing of health care items and services, as well as certain business arrangements in the healthcare industry are
subject  to  extensive  laws  designed  to  prevent  misconduct,  including  fraud,  kickbacks,  self-dealing  and  other  abusive  practices.  These  laws  may  restrict  or  prohibit  a  wide  range  of  pricing,  discounting,
marketing, structuring and commission(s), certain customer incentive programs and other business arrangements generally. Activities subject to these laws also involve the improper use of information obtained
in the course of patient recruitment for clinical trials. It is not always possible to identify and deter employee and other third-party misconduct. The precautions we take to detect and prevent inappropriate
conduct may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to comply with
these  laws.  If  any  such  actions  are  instituted  against  us,  and  we  are  not  successful  in  defending  ourselves,  those  actions  could  have  a  significant  impact  on  our  business,  including  the  imposition  of  civil,
criminal and administrative penalties, damages, monetary fines, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm,
diminished profits and future earnings, and curtailment of our operations, any of which could adversely affect our ability to operate our business and our results of operations.

Any relationships with healthcare professionals, principal investigators, consultants, customers (actual and potential) and third-party payors are and will continue to be subject, directly or indirectly, to
federal and state healthcare fraud and abuse laws, false claims laws, marketing expenditure tracking and disclosure, or sunshine laws, government price reporting and health information privacy and
security laws. If we are unable to comply, or have not fully complied, with such laws, we could face penalties, including, without limitation, civil, criminal, and administrative penalties, damages, monetary
fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm, diminished profits and future earnings
and curtailment or restructuring of our operations.

Our business operations and activities may be directly or indirectly, subject to various federal, state, and local fraud and abuse laws, including, without limitation, the federal Anti-Kickback Statute and the
federal False Claims Act. These laws may impact, among other things, our current activities with principal investigators and research subjects, as well as proposed and future sales, marketing, and education
programs. In addition, we may be subject to patient privacy regulation by the federal government, state governments and foreign jurisdictions in which we conduct our business. The laws that may affect our
ability to operate include, but are not limited to:

•the federal Anti-Kickback Statute, which prohibits, among other things, knowingly and willfully soliciting, receiving, offering or paying any remuneration (including any kickback, bribe or rebate),
directly or indirectly, overtly or covertly, in cash or in kind, to induce, or in return for, either the referral of an individual, or the purchase, lease, order or recommendation of any good, facility, item or
service for which payment may be made, in whole or in part, under a federal healthcare program, such as the Medicare and Medicaid programs;

•federal civil and criminal false claims laws and civil monetary penalty laws, which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for
payment or approval from Medicare, Medicaid or other third-party payors that are false or fraudulent or knowingly making a false statement to improperly avoid, decrease or conceal an obligation to
pay money to the federal government;

•the  federal  Health  Insurance  Portability  and Accountability Act  of  1996  (“HIPAA”),  which  created  new  federal  criminal  statutes  that  prohibit  knowingly  and  willfully  executing,  or  attempting  to
execute, a scheme to defraud any healthcare benefit program or obtain, by means of false or fraudulent pretenses, representations or promises, any of the money or property owned by, or under the
custody or control of, any healthcare benefit program, regardless of the payor (e.g., public or private) and knowingly and willfully falsifying, concealing or covering up by any trick or device a material
fact or making any materially false statements in connection with the delivery of, or payment for, healthcare benefits, items or services relating to healthcare matters;

•HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009, (“HITECH”), and their respective implementing regulations, which impose requirements on
certain  covered  healthcare  providers,  health  plans  and  healthcare  clearinghouses  as  well  as  their  respective  business  associates  that  perform  services  for  them  that  involve  the  use,  or  disclosure  of,
individually identifiable health information, relating to the privacy, security and transmission of individually identifiable health information without appropriate authorization;

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•the federal Physician Payment Sunshine Act, created under Section 6002 of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010,
(collectively, “ACA,”), and its implementing regulations requires manufacturers of drugs, devices, biologicals and medical supplies for which payment is available under Medicare, Medicaid or the
Children’s Health Insurance Program (with certain exceptions) to report annually to the United States Department of Health and Human Services, or HHS, information related to payments or other
transfers of value made to physicians (defined to include doctors, dentists, optometrists, podiatrists and chiropractors) (and beginning on January 1, 2021 this also includes Physician Assistants, Nurse
Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetists, and Certified Nurse Midwives (CNM) and teaching hospitals, as well as ownership and investment interests held by
physicians and their immediate family members, with data collection required beginning August 1, 2013 and reporting to the Centers for Medicare & Medicaid Services required by March 31, 2014 and
by the 90th day of each subsequent calendar year;

•federal consumer protection and unfair competition laws, which broadly regulate marketplace activities and activities that potentially harm consumers;

•federal government price reporting laws, changed by ACA to, among other things, increase the minimum Medicaid rebates owed by most manufacturers under the Medicaid Drug Rebate Program and
offer  such  rebates  to  additional  populations,  that  require  us  to  calculate  and  report  complex  pricing  metrics  to  government  programs,  where  such  reported  prices  may  be  used  in  the  calculation  of
reimbursement and/or discounts on our marketed drugs. Participation in these programs and compliance with the applicable requirements may subject us to potentially significant discounts on our drug
products, increased infrastructure costs and potentially limit our ability to offer certain marketplace discounts;

•the  Foreign  Corrupt  Practices  Act,  a  United  States  law  which  regulates  certain  financial  relationships  with  foreign  government  officials  (which  could  include,  for  example,  certain  medical
professionals); and

•state law equivalents of each of the above federal laws.

In addition, any sales of our drug products or drug candidates, if and once commercialized outside the United States will also likely subject us to foreign equivalents of the healthcare laws mentioned above,
among other foreign laws.

If  our  operations  are  found  to  be  in  violation  of  any  of  the  laws  described  above  or  any  other  governmental  regulations  that  apply  to  us,  we  may  be  subject  to,  without  limitation,  civil,  criminal  and
administrative penalties, damages, monetary fines, disgorgement, possible exclusion from participation in Medicare, Medicaid and other federal healthcare programs, contractual damages, reputational harm,
diminished profits and future earnings and curtailment or restructuring of our operations, any of which could adversely affect our ability to operate.

We are required to obtain regulatory approval for each of our drug candidates in each jurisdiction in which we intend to market such products, and the inability to obtain such approvals would limit our
ability to realize their full market potential.

In order to market drug products outside of the United States, we must 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. However, the
failure  to  obtain  regulatory  approval  in  one  jurisdiction  may  adversely  impact  our  ability  to  obtain  regulatory  approval  in  another  jurisdiction. Approval  processes  vary  among  countries  and  can  involve
additional product testing and validation and additional administrative review periods. Seeking foreign regulatory approval could result in difficulties and costs for us and require additional non-clinical studies
or  clinical  trials  which  could  be  costly  and  time  consuming.  Regulatory  requirements  can  vary  widely  from  country  to  country  and  could  delay  or  prevent  the  introduction  of  our  drug  products  in  those
countries. If we fail to comply with regulatory requirements in international markets or to obtain and maintain required approvals, or if regulatory approval in international markets is delayed, our target market
will be reduced and our ability to realize the full market potential of our drug products will be harmed.

Risks Relating to Our Intellectual Property

If we are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome in that litigation would have a material adverse effect on our
business.

Our commercial success also depends upon our ability and the ability of our future collaborators to develop, manufacture, market and sell our drug candidates and to use our proprietary technologies without
infringing the proprietary rights of third parties. Numerous U.S. and foreign issued patents and pending patent applications, which are owned by third parties, exist in the fields in which we are developing
drug candidates. Because patent applications can take many years to issue, there may be currently pending applications, which  may  later  result  in  issued  patents  that  our  product  candidates  or  proprietary
technologies may infringe. Similarly, there may be issued patents relevant to our drug candidates of which we are not aware.

There is a substantial amount of litigation involving patent and other intellectual property rights in the biotechnology and biopharmaceutical industries generally. In particular, the generic drug industry is
characterized  by  frequent  litigation  between  generic  drug  companies  and  branded  drug  companies.  If  a  third-party  claims  that  we  infringe  its  intellectual  property  rights,  we  may  face  a  number  of  issues,
including, but not limited to:

•infringement and other intellectual property claims which, with or without merit, may be expensive and time-consuming to litigate and may divert our management’s attention from our core business;

•substantial damages for infringement, including, but not limited to, treble damages, punitive damages, loss of profits and attorneys’ fees, which we may have to pay if a court decides that the drug
product or proprietary technology at issue infringes on or violates the third party’s rights;

•if a license is available from the third party, we may have to pay substantial royalties, fees and/or grant cross licenses to our technology; and

•redesigning our drug candidates or processes so they do not infringe, which may not be possible or may require substantial funds and time.

We have not conducted an extensive search of patents issued to third parties, and no assurance can be given that third party patents containing claims covering our drug candidates, technology or methods do
not exist, have not been filed, or could not be filed or issued. Because of the number of patents issued and patent applications filed in our technical areas or fields, we believe there is a significant risk that third
parties may allege they have patent rights encompassing our products, technology, or methods. Other drug candidates that we may in-license or acquire could be subject to similar risks and uncertainties.

30

 
 
 
 
 
 
 
 
 
 
 
We  may  be  subject  to  claims  that  our  employees,  consultants,  or  independent  contractors  have  wrongfully  used  or  disclosed  alleged  confidential  information  or  trade  secrets  of  their  other  clients  or
former employers to us.

As is common in the biotechnology and pharmaceutical industry, certain of our employees were formerly employed by other biotechnology or pharmaceutical companies, including our competitors or potential
competitors. Moreover, we engage the services of consultants to assist us in the development of our drug candidates, many of whom were previously employed at or may have previously been or are currently
providing consulting services to, other biotechnology or pharmaceutical companies, including our competitors or potential competitors. We may be subject to claims that these employees and consultants or we
have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of their former employers or their former or current customers. Litigation may be necessary to defend against
these claims. Even if we are successful in defending against these claims, litigation could result in substantial costs and be a distraction to management. Any such litigation would be protracted, expensive, and
potentially subject to an unfavorable outcome.

Our success depends in part upon our ability to protect our intellectual property for our branded products and drug candidates, such as GTX-104, GTX-102 and GTX-101.

Our commercial success with respect to our drug products and drug candidates, including GTX-104, GTX-102 and GTX-101, depends on obtaining and maintaining patent protection in the United States and
in  other  countries  and  trade  secret  protection  for  our  drug  candidates,  proprietary  technologies  and  their  uses.  Our  ability  to  protect  our  drug  products  from  unauthorized  or  infringing  use  by  third  parties
depends in substantial part on our ability to obtain and maintain valid and enforceable patents.

Due to evolving legal standards relating to patentability, validity and enforceability of patents covering pharmaceutical inventions and the scope of claims made under these patents, our ability to maintain,
obtain and enforce patents is uncertain and involves complex legal and factual questions. The patent positions of pharmaceutical and biotechnology companies can be highly uncertain and involve complex
legal  and  factual  questions  for  which  important  legal  principles  remain  unresolved.  Changes  in  either  the  patent  laws  or  in  the  interpretations  of  patent  laws  in  the  United  States  and  other  countries  may
diminish the value and the scope of our intellectual property. Accordingly, we cannot predict the breadth of claims that may be allowed or enforced in our patents or in third-party patents.

The  degree  of  future  protection  for  our  proprietary  rights  is  uncertain.  Only  limited  protection  may  be  available  and  may  not  adequately  protect  our  rights  or  permit  us  to  gain  or  keep  our  competitive
advantage. For example:

•we might not have been the first to file patent applications for these or similar inventions;

•we might not have been the first to make the inventions covered by each of our pending patent applications and issued patents;

•others may independently develop similar or alternative technologies or duplicate any of our technologies;

•it is possible that none of our or our licensors’ pending patent applications will result in issued patents;

•any patents we obtain, or our licensors’ issued patents may not encompass commercially viable products, may not provide us with any competitive advantages, or may be challenged by third parties
for lack of novelty, obviousness, lack of demonstrated or predicted utility, or other technical reasons related to the drafting of the patent itself;

•any patents we obtain, or our in-licensed issued patents may not be valid or enforceable; or

•we may not develop additional proprietary technologies that are patentable.

Proprietary  trade  secrets  and  unpatented  know-how  are  also  very  important  to  our  business. Although  we  have  taken  steps  to  protect  our  trade  secrets  and  unpatented  know-how,  including  entering  into
confidentiality agreements with third parties, and confidential information and inventions agreements with certain of our employees, consultants, and advisors, third parties may still obtain this information, or
we may be unable to protect our rights. Enforcing a claim that a third party illegally obtained and is using our trade secrets or unpatented know-how is expensive and time consuming, and the outcome is
unpredictable. In addition, courts outside the United States may be less willing to protect trade secret information. Moreover, our competitors may independently develop equivalent knowledge, methods, and
know-how, and we would not be able to prevent their use.

Our  drug  development  strategy  relies  heavily  upon  the  505(b)(2)  regulatory  pathway,  which  requires  us  to  certify  that  we  do  not  infringe  upon  third-party  patents  covering  approved  drugs.  Such
certifications often result in third-party claims of intellectual property infringement, the defense of which will be costly and time consuming, and an unfavorable outcome in any litigation may prevent or
delay our development and commercialization efforts which would harm our business.

Litigation or other proceedings to enforce or defend intellectual property rights are often complex in nature, may be very expensive and time-consuming, may divert our management’s attention from other
aspects of our business and may result in unfavorable outcomes that could adversely impact our ability to launch and market our drug candidates, or to prevent third parties from competing with our drug
products and drug candidates.

In particular, our commercial success depends in large part on our avoiding infringement of the patents and proprietary rights of third parties for existing approved drug products. Because we intend to utilize
the 505(b)(2) regulatory pathway for the approval of our drug products and drug candidates, we rely in whole or in part on studies conducted by third parties related to those approved drug products.

Because patent applications can take many years to issue, there may be currently pending or subsequently filed patent applications which may later result in issued patents that may be infringed by our drug
products or drug candidates. If any third-party patents were held by a court of competent jurisdiction to cover aspects of our drug candidates, including the formulation, method of use, any method or process
involved in the manufacture of any of our drug candidates, any molecules or intermediates formed during such manufacturing process or any other attribute of the final product itself, the holders of any such
patents may be able to block our ability to commercialize our drug candidates unless we obtain a license under the applicable patents, or until such patents expire. In either case, such a license may not be
available on commercially reasonable terms or at all.

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Parties  making  claims  against  us  may  request  and/or  obtain  injunctive  or  other  equitable  relief,  which  could  effectively  block  our  ability  to  further  develop  and  commercialize  one  or  more  of  our  drug
candidates on a temporary or permanent basis. 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. In the event of a successful claim of infringement against us, we may have to pay substantial damages, including treble damages and attorneys’ fees for wilful infringement, obtain one or more
licenses from third parties, pay royalties or redesign our infringing products or manufacturing processes, which may be impossible or require substantial time and monetary expenditure. We cannot predict
whether any such license would be available at all or whether it would be available on commercially reasonable terms. Furthermore, even in the absence of litigation, we may need to obtain licenses from third
parties to advance our research, manufacture clinical trial supplies or allow commercialization of our drug candidates. We may fail to obtain any of these licenses at a reasonable cost or on reasonable terms, if
at all. In that event, we would be unable to further develop and commercialize one or more of our drug candidates, which could harm our business significantly. We cannot provide any assurances that third
party patents do not exist which might be enforced against our products, resulting in either an injunction prohibiting our sales, or, with respect to our sales, an obligation on our part to pay royalties and/or other
forms of compensation to third parties.

If we fail to comply with our obligations in the agreements under which we license rights to technology from third parties, or if the license agreements are terminated for other reasons, we could lose
license rights that are important to our business.

We may be a party to a number of technology licenses that are important to our business and expect to enter into additional licenses in the future. Our existing license agreements impose, and we expect that
future license agreements will impose, on us, various development, regulatory and/or commercial diligence obligations, payment of milestones and/or royalties and other obligations. Under these agreements,
we must rely on our licensor to comply with their obligations under the primary license agreements under which such third party obtained rights in the applicable intellectual property, where we may have no
relationship  with  the  original  licensor  of  such  rights.  If  our  licensors  fail  to  comply  with  their  obligations  under  these  upstream  license  agreements,  the  original  third-party  licensor  may  have  the  right  to
terminate the original license, which may terminate our sublicense. If this were to occur, we would no longer have rights to the applicable intellectual property unless we are able to secure our own direct
license with the owner of the relevant rights, which we may not be able to do at a reasonable cost or on reasonable terms, which may impact our ability to continue to develop and commercialize our drug
candidates and companion diagnostic incorporating the relevant intellectual property. If we fail to comply with our obligations under our license agreements, or we are subject to a bankruptcy or insolvency,
the licensor may have the right to terminate the license. In the event that any of our important technology licenses were to be terminated by the licensor, we would likely cease further development of the
related program or be required to spend significant time and resources to modify the program to not use the rights under the terminated license.

We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties.

We employ individuals who were previously employed at other biotechnology or pharmaceutical companies. We may be subject to claims that we or our employees, consultants or independent contractors
have inadvertently or otherwise used or disclosed confidential information of our employees’ former employers or other third parties. We may also be subject to claims that former employers or other third
parties have an ownership interest in our patents. Litigation may be necessary to defend against these claims. There is no guarantee of success in defending these claims, and if we are successful, litigation
could result in substantial cost and be a distraction to our management and other employees.

We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.

We may also be subject to claims that former employees, collaborators or other third parties have an ownership interest in our patents or other intellectual property. We may be subject to ownership disputes in
the future arising, for example, from conflicting obligations of consultants or others who are involved in developing our drug candidates and companion diagnostic. Litigation may be necessary to defend
against these and other claims challenging inventorship or ownership. If we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights, such
as exclusive ownership of, or right to use, valuable intellectual property. Such an outcome could have a material adverse effect on our business. Even if we are successful in defending against such claims,
litigation could result in substantial costs and be a distraction to management and other employees.

Intellectual property rights do not necessarily address all potential threats to our competitive advantage.

The  degree  of  future  protection  afforded  by  our  intellectual  property  rights  is  uncertain  because  intellectual  property  rights  have  limitations  and  may  not  adequately  protect  our  business  or  permit  us  to
maintain our competitive advantage. The following examples are illustrative:

•others may be able to make compounds that are similar to our drug candidates but that are not covered by the claims of the patents that we own or have exclusively licensed;

•we or our licensors or future collaborators might not have been the first to make the inventions covered by the issued patent or pending patent application that we own or have exclusively licensed;

•we or our licensors or future collaborators might not have been the first to file patent applications covering certain of our inventions;

•others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual property rights;

•it is possible that our pending patent applications will not lead to issued patents;

•issued patents that we own or have exclusively licensed may be held invalid or unenforceable as a result of legal challenges by our competitors;

•we may not develop additional proprietary technologies that are patentable; and

•the patents of others may have an adverse effect on our business.

Should any of these events occur, they could significantly harm our business, results of operations and prospects.

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

32

 
 
 
 
 
 
 
 
 
 
 
 
 
Once granted, patents may remain open to opposition, 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.

If our estimates or judgments relating to our critical accounting policies for intangible assets prove to be incorrect, impairment charges could result.

We carry a significant amount of intangible assets on our consolidated balance sheet, associated with acquired in process research and development. In the ordinary course of business, circumstances may arise,
including  manifestation  of  any  of  the  risks  identified  in  this  section,  that  could  result  in  recognition  that  the  carrying  values  of  our  assets  may  not  be  recovered  from  future  operations.  Under  such
circumstances, it is possible we may be required to impair our asset values to the extent that their remaining value after any such impairment can be recovered by our business going forward. Intangible assets
with an indefinite useful life are subject to an impairment review at least annually.

Risks Related to Our Dependence on Third Parties

We do not have internal manufacturing capabilities, and if we fail to develop and maintain supply relationships with various third-party manufacturers, we may be unable to develop or commercialize our
drug candidates.

Our  ability  to  develop  and  commercialize  our  drug  candidates  depends,  in  part,  on  our  ability  to  outsource  their  manufacturing  at  a  competitive  cost,  in  accordance  with  regulatory  requirements  and  in
sufficient quantities for clinical testing and eventual commercialization. All of our manufacturing is outsourced to third parties, and we do not plan to build manufacturing capabilities.

Our contract manufacturers may encounter manufacturing failures that could delay the clinical development or regulatory approval of our drug candidates, or their commercial production , if approved.

Any performance failure on the part of any of our manufacturers could delay the clinical development or regulatory approval of our drug candidates. Our manufacturers may encounter difficulties involving,
among other things, production yields, regulatory compliance, quality control and quality assurance, as well as shortages of qualified personnel. Approval of our drug candidates could be delayed, limited, or
denied if the FDA does not approve and maintain the approval of our contract manufacturer’s processes or facilities. Moreover, our contract manufacturers may encounter difficulties that have a negative
impact on our operations and business. Our manufacturers may encounter difficulties with the manufacturing processes required to manufacture commercial quantities of our drug candidates or the quantities
needed for our pre-clinical studies or clinical trials. Such difficulties could result in delays in our pre-clinical studies, clinical trials, and regulatory submissions, in the commercialization of our drug candidates.
Further,  development  of  large-scale  manufacturing  processes  may  require  additional  validation  studies,  which  the  FDA  must  review  and  approve.  If  any  of  our  manufacturers  fail  to  deliver  the  required
commercial  quantities  or  quantities  needed  for  our  pre-clinical  studies  and  clinical  trials  on  a  timely  basis  and  upon  terms  that  we  find  acceptable,  we  may  be  unable  to  meet  demand  for  any  of  our  drug
candidates that are approved and could lose potential revenue.

Certain changes in the manufacturing process or procedure, including a change in the location where the drug candidate is manufactured or a change of a third-party manufacturer, generally require prior FDA,
or foreign regulatory authority, review and/or approval of the manufacturing process and procedures in accordance with cGMP. We may need to conduct additional pre-clinical studies and clinical trials to
support approval of such changes. This review may be costly and time-consuming and could delay or prevent the launch of a drug candidate.

We rely on third parties to conduct our preclinical studies and clinical trials. If these third parties do not successfully carry out their contractual duties or meet expected deadlines, we may not be able to
obtain regulatory approval for or commercialize our drug candidates and our business could be substantially harmed.

We have relied upon and plan to continue to rely upon third party CROs to monitor and manage data for our preclinical and clinical programs. We rely on these parties for execution of our preclinical studies
and  clinical  trials,  and  control  only  certain  aspects  of  their  activities.  Nevertheless,  we  are  responsible  for  ensuring  that  each  of  our  trials  is  conducted  in  accordance  with  the  applicable  protocol,  legal,
regulatory, and scientific standards and our reliance on the CROs does not relieve us of our regulatory responsibilities. We and our CROs are required to comply with FDA laws and regulations regarding
current good clinical practice (“GCP”), which are also required by the Competent Authorities of the Member States of the European Economic Area and comparable foreign regulatory authorities in the form of
International  Conference  on  Harmonization,  guidelines  for  all  of  our  drug  candidates  in  clinical  development.  Regulatory  authorities  enforce  GCP  through  periodic  inspections  of  trial  sponsors,  principal
investigators, and trial sites. If we or any of our CROs fail to comply with applicable GCP, the clinical data generated in our clinical trials may be deemed unreliable and the FDA or comparable foreign
regulatory  authorities  may  require  us  to  perform  additional  clinical  trials  before  approving  our  marketing  applications.  We  cannot  assure  you  that  upon  inspection  by  a  given  regulatory  authority,  such
regulatory authority will determine that any of our clinical trials comply with GCP regulations. In addition, our clinical trials must be conducted with product produced under cGMP regulations. While we have
agreements governing activities of our CROs, we have limited influence over their actual performance. In addition, portions of the clinical trials for our drug candidates are expected to be conducted outside of
the United States, which will make it more difficult for us to monitor CROs and perform visits of our clinical trial sites and will force us to rely heavily on CROs to ensure the proper and timely conduct of our
clinical trials and compliance with applicable regulations, including GCP. Failure to comply with applicable regulations in the conduct of the clinical trials for our drug candidates may require us to repeat
clinical trials, which would delay the regulatory approval process.

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We rely on third parties to manufacture commercial and clinical supplies of our drug candidates, and we intend to rely on third parties to manufacture commercial supplies of any approved drug products.
The commercialization of any of our drug products could be stopped, delayed, or made less profitable if those third parties fail to provide us with sufficient quantities of active pharmaceutical ingredients,
excipients, or drug products, or fail to do so at acceptable quality levels or prices or fail to maintain or achieve satisfactory regulatory compliance.

We do not own any manufacturing facilities, and we do not currently, and do not expect in the future, to independently conduct any aspects of our product manufacturing and testing, or other activities related
to the clinical development and commercialization of our drug candidates. We currently rely, and expect to continue to rely, on third parties with respect to these items, and control only certain aspects of their
activities.

Any  of  these  third  parties  may  terminate  their  engagements  with  us  at  any  time.  If  we  need  to  enter  into  alternative  arrangements,  it  could  delay  our  drug  candidate  development  and  commercialization
activities.  Our  reliance  on  these  third  parties  reduces  our  control  over  these  activities  but  does  not  relieve  us  of  our  responsibility  to  ensure  compliance  with  all  required  legal,  regulatory,  and  scientific
standards  and  any  applicable  trial  protocols.  If  these  third  parties  do  not  successfully  carry  out  their  contractual  duties,  meet  expected  deadlines  or  conduct  our  studies  in  accordance  with  regulatory
requirements or our stated study plans and protocols, we will not be able to complete, or may be delayed in completing, clinical trials required to support future regulatory submissions and approval of our drug
candidates.

More  generally,  manufacturers  of  pharmaceutical  products  often  encounter  difficulties  in  production,  particularly  in  scaling  up  and  validating  initial  production.  These  problems  include  difficulties  with
production costs and yields, quality control, including stability of the product, quality assurance testing, shortages of qualified personnel, as well as compliance with strictly enforced federal, state, and foreign
regulations. Additionally, our manufacturers may experience manufacturing difficulties due to resource constraints or as a result of labor disputes or unstable political environments. If our manufacturers were
to  encounter  any  of  these  difficulties,  or  otherwise  fail  to  comply  with  their  contractual  obligations,  our  ability  to  make  product  candidates  available  for  clinical  trials  and  development  purposes  or  to
commercialize any of our product candidates in the United States would be jeopardized. Any delay or interruption in our ability to meet commercial demand may result in the loss of potential revenues and
could adversely affect our ability to gain market acceptance for approved products. In addition, any delay or interruption in the supply of clinical trial supplies could delay the completion of clinical trials,
increase  the  costs  associated  with  maintaining  clinical  trial  programs  and,  depending  upon  the  period  of  delay,  require  us  to  commence  new  clinical  trials  at  additional  expense  or  terminate  clinical  trials
completely. Additionally, if supply from one approved manufacturer is interrupted, there could be a significant disruption in commercial supply. Regulatory agencies may also require additional studies if a
new manufacturer is relied upon for commercial production. Switching manufacturers may involve substantial costs and is likely to result in a delay in our desired clinical and commercial timelines.

The design, development, manufacture, supply, and distribution of our drug candidates is highly regulated and technically complex.

All  entities  involved  in  the  preparation  of  therapeutics  for  clinical  trials  or  commercial  sale,  including  our  existing  contract  manufacturers  for  our  drug  candidates,  are  subject  to  extensive  regulation.
Components  of  a  finished  therapeutic  product  approved  for  commercial  sale  or  used  in  late-stage  clinical  trials  must  be  manufactured  in  accordance  with  cGMP  and  equivalent  foreign  standards.  These
regulations govern manufacturing processes and procedures (including record-keeping) and the implementation and operation of quality systems to control and assure the quality of investigational products and
products approved for sale. Poor control of production processes can lead to the introduction of adventitious agents or other contaminants, or to inadvertent changes in the properties or stability of our drug
candidates that may not be detectable in final product testing. The development, manufacture, supply, and distribution of our drug candidates is highly regulated and technically complex. We, along with our
third-party providers, must comply with all applicable regulatory requirements of the FDA and foreign authorities.

Regulatory authorities also may, at any time following approval of a drug product for sale, audit our manufacturing facilities or those of our third-party contractors. If any such inspection or audit identifies a
failure to comply with applicable regulations or if a violation of our product specifications or applicable regulations occurs independent of such an inspection or audit, we or the relevant regulatory authority
may require remedial measures that may be costly and/or time-consuming for us or a third party to implement and that may include the temporary or permanent suspension of a clinical trial or commercial
sales or the temporary or permanent closure of a facility. Any such remedial measures imposed upon us or third parties with whom we contract could materially harm our business. If we or any of our third-
party  manufacturers  fail  to  maintain  regulatory  compliance,  the  FDA  can  impose  regulatory  sanctions  including,  among  other  things,  refusal  to  approve  a  pending  application  for  a  new  drug  product  or
biological product or revocation of a pre-existing approval. As a result, our business, financial condition, and results of operations may be materially harmed.

We may not be successful in establishing development and commercialization collaborations which could adversely affect, and potentially prohibit, our ability to develop our drug candidates.

Because  developing  pharmaceutical  products,  conducting  clinical  trials,  obtaining  regulatory  approval,  establishing  manufacturing  capabilities  and  marketing  approved  products  are  expensive,  we  are
exploring collaborations with third parties outside of the United States that have more resources and experience. In situations where we enter into a development and commercial collaboration arrangement for
a drug candidate, we may also seek to establish additional collaborations for development and commercialization in territories outside of those addressed by the first collaboration arrangement for such drug
candidate. There are a limited number of potential partners, and we expect to face competition in seeking appropriate partners. If we are unable to enter into any development and commercial collaborations
and/or sales and marketing arrangements on acceptable terms, if at all, we may be unable to successfully develop and seek regulatory approval for our drug candidates and/or effectively market and sell future
approved drug products, if any, in all of the territories outside of the United States where it may otherwise be valuable to do so.

We may not be successful in maintaining development and commercialization collaborations, and any partner may not devote sufficient resources to the development or commercialization of our drug
candidates or may otherwise fail in development or commercialization efforts, which could adversely affect our ability to develop certain of our drug candidates and our financial condition and operating
results.

Even  if  we  are  able  to  establish  collaboration  arrangements,  any  such  collaboration  may  not  ultimately  be  successful,  which  could  have  a  negative  impact  on  our  business,  results  of  operations,  financial
condition and prospects. If we partner with a third party for development and commercialization of a drug candidate, we can expect to relinquish some or all of the control over the future success of that drug
candidate  to  the  third  party.  It  is  possible  that  a  partner  may  not  devote  sufficient  resources  to  the  development  or  commercialization  of  our  drug  candidate  or  may  otherwise  fail  in  development  or
commercialization efforts, in which event the development and commercialization of such drug candidate could be delayed or terminated, and our business could be substantially harmed. In addition, the terms
of any collaboration or other arrangement that we establish may not prove to be favorable to us or may not be perceived as favorable, which may negatively impact the trading price of our common shares. In
some cases, we may be responsible for continuing development of a product candidate or research program under a collaboration, and the payment we receive from our partner may be insufficient to cover the
cost of this development. Moreover, collaborations and sales and marketing arrangements are complex and time consuming to negotiate, document and implement, and they may require substantial resources
to maintain.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We are subject to a number of additional risks associated with our dependence on collaborations with third parties, the occurrence of which could cause our collaboration arrangements to fail. Conflicts may
arise  between  us  and  our  partners,  such  as  conflicts  concerning  the  interpretation  of  clinical  data,  the  achievement  of  milestones,  the  interpretation  of  financial  provisions  or  the  ownership  of  intellectual
property developed during the collaboration. If any such conflicts arise, a partner could act in its own self-interest, which may be adverse to our interests. Any such disagreement between us and a partner could
result in one or more of the following, each of which could delay or prevent the development or commercialization of our drug candidates and harm our business:

•reductions in the payment of royalties or other payments we believe are due pursuant to the applicable collaboration arrangement;

•actions taken by a partner inside or outside our collaboration which could negatively impact our rights or benefits under our collaboration; and

•unwillingness on the part of a partner to keep us informed regarding the progress of its development and commercialization activities or to permit public disclosure of the results of those activities.

Risks related to Tax

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  (as  defined  below)  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 2021 taxable year and may
be classified as a PFIC for our current taxable year and possibly subsequent years. Each current or potential investor who is a U.S. Holder should consult his, her or its own tax advisor regarding the U.S.
federal, 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 of a PFIC.

The rules governing PFICs can have adverse tax effects on U.S. shareholders, which effects may be mitigated by making certain elections for U.S. federal income tax purposes, which elections may or may not
be available. If we are a PFIC in any year, a U.S. shareholder in such year will be required to file an annual information return with the IRS on IRS Form 8621 regarding distributions received on their common
shares, any gain realized on disposition of such common shares and any other information required by such form. Additionally, if we are classified as a PFIC in any taxable year with respect to which a U.S.
shareholder owns common shares, we generally will continue to be treated as a PFIC with respect to such U.S. shareholder in all succeeding taxable years, regardless of whether we continue to meet the tests
described above, unless the U.S. shareholder makes a “deemed sale election.”

We may not be able to use our net operating loss carry forwards to offset future taxable income for Canadian or U.S. federal income tax purposes.

At March 31, 2022, Acasti Pharma U.S. had net operating loss carry forwards (“NOLs”) for U.S. federal income tax purposes of approximately $12 million, which have no expiry.

Acasti Pharma U.S. underwent an “ownership change” within the meaning of Section 382 of the Code as a result of the merger, and therefore Acasti Pharma U.S. may become subject to an annual limit on the
amount of NOLs that may be used to offset future taxable income of Acasti Pharma U.S. for U.S. federal income tax purposes. Such annual limit is generally equal to the product of (i) the total value of the loss
company’s (in this case, Acasti Pharma U.S.) outstanding equity immediately prior to an “ownership change” (subject to certain adjustments); and (ii) the applicable federal long-term tax-exempt interest rate
for the month that includes the “ownership change”.

At March 31, 2022, we had NOLs for Canadian federal income tax purposes of approximately $119.4 million, which expire at various dates through 2042. The extent to which we can utilize any or all of our
NOLs will depend on many factors, including the jurisdiction applicable to any of our future taxable revenue.

Our ability to use NOLs will also depend on the amount of taxable income generated in future periods. The NOLs may expire before we can generate sufficient taxable income to use the NOLs.

The IRS may not agree that we should be treated as a foreign corporation for U.S. federal tax purposes.

Although we are incorporated in Quebec, Canada, the Internal Revenue Service (the "IRS") may assert that we should be treated as a U.S. corporation (and, therefore, a U.S. tax resident) for U.S. federal tax
purposes pursuant to Section 7874 of the U.S. Internal Revenue Code of 1986, as amended (the "Code"). For U.S. federal tax purposes, a corporation generally is considered a tax resident in the jurisdiction of
its  organization  or  incorporation.  Because  we  are  an  entity  incorporated  in  Canada,  we  would  generally  be  classified  as  a  foreign  corporation  (and,  therefore,  not  a  U.S.  tax  resident)  for  U.S.  federal  tax
purposes. Section 7874 of the Code provides an exception under which a foreign corporation may, in certain circumstances, be treated as a U.S. corporation for U.S. federal tax purposes.

Under Section 7874, if (1) former Grace shareholders owned (within the meaning of Section 7874) 80% or more (by vote or value) of our ordinary shares after the merger by reason of holding Grace common
stock  (such  ownership  percentage,  the  "Section  7874  ownership  percentage"),  and  (2)  our  "expanded  affiliated  group"  did  not  have  "substantial  business  activities"  in  Canada  ("the  substantial  business
activities test"), we will be treated as a U.S. corporation for U.S. federal tax purposes. If the Section 7874 ownership percentage of the former Grace shareholders after the merger was less than 80% but greater
than or equal to 60%, and the substantial business activities test was not met, we and our U.S. affiliates may, in some circumstances, be subject to certain adverse U.S. federal income tax provisions (which,
among other things, could limit their ability to utilize certain U.S. tax attributes such as NOLs to offset U.S. taxable income or gain resulting from certain transactions). The application of these rules could
result in significant additional U.S. tax liability and limit our ability to restructure or access cash earned by certain of our non-U.S. subsidiaries, in each case, without incurring substantial U.S. tax liabilities.

Based on the terms of the merger, the rules for determining share ownership under Section 7874 and certain factual assumptions, we believe that former Grace shareholders owned (within the meaning of
Section 7874) less than 60% (by both vote and value) of our ordinary shares after the merger by reason of holding shares of Grace common stock. Therefore, under current law, we believe that we should not
be treated as a U.S. corporation for U.S. federal tax purposes and that Section 7874 should otherwise not apply to us or our affiliates as a result of the merger with Grace.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Relating to Our Common Shares

We do not expect to pay any cash dividends for the foreseeable future.

The continued operation and expansion of our business will require substantial funding. Accordingly, we do not anticipate that we will pay any cash dividends on our common shares for the foreseeable future.
Any  determination  to  pay  dividends  in  the  future  will  be  at  the  discretion  of  our  board  of  directors  and  will  depend  upon our  results  of  operations,  financial  condition,  contractual  restrictions,  restrictions
imposed by applicable law and other factors our board of directors deems relevant.

The price of our common shares may be volatile.

Market prices for securities of pharmaceutical companies can fluctuate significantly. 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 announcement of results of clinical trials we conduct, or changes in the development status of our drug candidates; results or delays of pre-
clinical and clinical studies by us or others; any delay in our regulatory filings for our drug 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 our drug candidates or
drug products; our access to financial resources, 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  common  shares.  The  price  of  our  common  shares  has  fluctuated  significantly  in  the  past  and  there  can  be  no  assurance  that  the  market  price  of  our  common  shares  will  not  experience  significant
fluctuations in the future.

In  addition,  securities  of  pharmaceutical  companies  often  experience  extreme  price  and  volume  fluctuations  that  are  unrelated  or  disproportionate  to  the  operating  performance  of  those  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  pharmaceutical  companies  following  periods  of  volatility  in  the  market  price  of  their  securities.  This  type  of  litigation,  if  instituted  against  us,  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 drug  candidates.

We will need to raise additional capital in the future in order to fully execute on our business plan. We may seek additional capital through a combination of public and private equity offerings, debt financings,
and non-dilutive 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. We have in place an “at-the-market” sales agreement where we
may issue and sell from time-to-time common shares having an aggregate offering price of up to $75,000,000. 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 drug candidates, or grant licenses on terms unfavorable to us.

The market price of our common shares could decline if our operating results fall below the expectations of investors or fluctuate.

Our  net  losses  and  expenses  may  fluctuate  significantly  and  any  failure  to  meet  financial  or  clinical  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. The market price of our common shares has fluctuated significantly in the past and may continue to
do so. Some of the factors that could cause the market price for our common shares 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;

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

•the timing of regulatory responses, submissions, and approvals;

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

•the outcome of any litigation;

•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 drug products to the market in a manner that generates anticipated revenues;

36

 
 
 
 
 
 
 
 
 
 
•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;

•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 drug candidates receives regulatory, or fails to receive approval, market acceptance and demand for such drug candidates;

•regulatory developments affecting our drug 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 our common shares to fluctuate substantially. We believe that quarterly comparisons of our financial results for a company at our stage of operation 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 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  positive  or  negative  industry  or  competitor  news;  extent  of  analyst  coverage;
lessening in trading volume and general market interest in our common shares; the size of our public float; our access to funding; and any event resulting in a delisting of our common shares.

If we fail to meet applicable listing requirements, the NASDAQ Stock Market or the TSX Venture Exchange ( “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.

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 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 drug candidates, 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 periodic disclosure obligations. There can be no assurance that investors who buy or sell common shares 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.

We are a  “smaller reporting company” under the SEC ’s disclosure rules and have elected to comply with the reduced disclosure requirements applicable to smaller reporting companies.

We are a “smaller reporting company” under the SEC’s disclosure rules, meaning that we have either:

•a public float of less than $250 million; or

•annual revenues of less than $100 million during the most recently completed fiscal year; and

•no public float; or

•a public float of less than $700 million.

37

 
 
 
 
 
 
 
 
 
 
 
 
 
As a smaller reporting company, we are permitted to comply with scaled-back disclosure obligations in our SEC filings compared to other issuers, including with respect to disclosure obligations regarding
executive compensation in our periodic reports and proxy statements. We have elected to adopt the accommodations available to smaller reporting companies. Until we cease to be a smaller reporting company,
the scaled-back disclosure in our SEC filings will result in less information about our company being available than for other public companies that are not smaller reporting companies.

If investors consider our common shares less attractive as a result of our election to use the scaled-back disclosure permitted for smaller reporting companies, there may be a less active trading market for our
common shares and our share price may be more volatile.

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 we are 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 the trading price for our common shares may be negatively affected.

We are a Qu ébec incorporated company headquartered in Canada, and U.S. investors may be unable to enforce certain judgments against us.

We are a company existing under the Business Corporations Act (Québec). Some of our directors and officers are residents of Canada, and certain 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 our 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.

38

 
 
 
 
 
 
Item 1B. Unresolved Staff Comments

Not applicable.

Item 2. Properties

Our head office and operations are located at 3009 boul. de la Concorde East, Suite 102, Laval, Québec, Canada H7E 2B5 and our research and development and quality control laboratories are located at
Espace Lab, 2650 Maximilien-Chagnon, Sherbrooke, Québec, Canada, J1E 0M8 and 685 US Highway One, North Brunswick, NJ 08902. We currently lease our office and laboratory space. We do not own
our own manufacturing facility to produce CaPre; however, we do own the proprietary equipment for producing the related active pharmaceutical ingredient, or API, and drug product.

Item 3. Legal Proceedings

In the ordinary course of business, we are at times subject to various legal proceedings and disputes, including the proceedings specifically discussed below. We assess our liabilities and contingencies in
connection with outstanding legal proceedings utilizing the latest information available. Where it is probable that we will incur a loss and the amount of the loss can be reasonably estimated, we record a
liability in our consolidated financial statements. These legal reserves may be increased or decreased to reflect any relevant developments on a quarterly basis. Where a loss is not probable or the amount of
loss  is  not  estimable,  we  do  not  accrue  legal  reserves.  While  the  outcome  of  legal  proceedings  is  inherently  uncertain,  based  on  information  currently  available  and  available  insurance  coverage,  our
management believes that it has established appropriate legal reserves. Any incremental liabilities arising from pending legal proceedings are not expected to have a material adverse effect on our financial
position, results of operations, or cash flows. However, it is possible that the ultimate resolution of these matters, if unfavorable, may be material to our financial position, results of operations, or cash flows.

Litigation Related to the Merger

In connection with the Grace merger, four stockholder lawsuits have been filed:

(i)in the United States District Court for the Southern District of New York, captioned  Bisel v. Acasti Pharma Inc. et al., Case No. 1:21-cv-06051 (the “Bisel Complaint”);

(ii)in the United States District Court for the District of Delaware, captioned  Dawson v. Acasti Pharma Inc. et al., Case No. 1:21-cv-01039 (the “Dawson Complaint”);

(iii)in the United States District Court for the Eastern District of New York, captioned  Weir v. Acasti Pharma Inc. et al., Case No. 1:21-cv-04151 (the “Weir Complaint”); and

(iv)in the United States District Court for the Southern District of New York, captioned Castaldo v. Acasti Pharma Inc. et al., Case No. 1:21-cv-06567 (the “Castaldo Complaint”) (together with the
Bisel Complaint, the Dawson Complaint and the Weir Complaint, as well as any amended Complaints filed in any of these actions, the “Complaints”));

The Complaints generally allege that our public disclosures pertaining to the Grace merger omitted material facts in purported violation of Section 14(a) of the Exchange Act and Rule 14a-9 promulgated
thereunder, and further that members of our Board of Directors are liable for those purported omissions under Section 20(a) of the Exchange Act. The relief sought in the Complaints includes, among other
things to enjoin the consummation of the merger pending disclosure of sufficient information, to award damages purportedly caused by the alleged omissions, and to award plaintiffs’ attorneys’ fees and other
costs.

The Dawson and Weir Complaints have been voluntarily dismissed without prejudice. The Bisel and Castaldo Complaints have been consolidated. The plaintiffs amended their Complaint in the consolidated
action on October 1, 2021, to assert their claims on a class wide basis. The court appointed Plaintiff Castaldo as Lead Plaintiff for the putative class in the consolidated action. Castaldo filed an amended
Complaint by February 4, 2022. Acasti filed a motion to dismiss on February 25, 2022.

It is possible that additional lawsuits asserting similar claims could be filed. We strongly believe the allegations in the Complaints are frivolous and without merit, and are vigorously defending against them.

Item 4. Mine Safety Disclosures

Not applicable.

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Item 5. Market for Registrant’s Common Equity, Related Shareholder Matters and Issuer Purchases of Equity Securities Market Information

Our common shares are traded on The Nasdaq Capital Market and the TSX Venture Exchange under the symbol “ACST.”

PART II

Holders

As of June 21, 2022, there were 39 holders of record of our common shares. The actual number of our shareholders is greater than this number of record holders because most of our shareholders are beneficial
owners whose shares are held in street name by brokers and other nominees.

Dividends

We do not anticipate paying any cash dividend on our common shares in the foreseeable future. We presently intend to retain any 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.

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,  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 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.

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.

40

 
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. 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. A U.S. Holder's initial tax basis in the common shares generally will equal the U.S. dollar cost of such common shares. 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.

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 if:

•at least 75% of its gross income for the taxable year is “passive” income (referred to as the “income test”); or

•at least 50% of the average value of its assets held during the taxable year 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 depends on the relative values of certain categories of assets and the relative amount of certain kinds of income for a taxable year. 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
taxable year that ended on March 31, 2022 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

41

 
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 consequences.

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 his, her or its particular
circumstances, information reporting required if we were treated as a PFIC and the availability of any election that may be available to the U.S. 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”).

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 SEC, (b) the national market system established pursuant to section 11A of the Exchange Act, 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

42

 
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  foreign  currency  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. Any gain from the sale or other taxable disposition of the common shares by a U.S. Holder generally will constitute U.S. source income. 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.

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,  certifies  that  the  U.S.  Holder  is  not  subject  to  backup
withholding and otherwise complies with the applicable requirements of the backup withholding rules.

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.

Recent Sales of Unregistered Securities

None.

Issuer Repurchases of Equity Securities

None.

Item 6. Reserved

Not applicable.

43

 
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operation

The  following  discussion  should  be  read  in  conjunction  with  our  consolidated  financial  statements  and  notes  thereto  found  elsewhere  in  this  annual  report.  This  annual  report  contains  forward-looking
statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. These statements are subject to risks and uncertainties that could cause actual results and events to differ materially
from those expressed or implied by such forward-looking statements. For a detailed discussion of these risks and uncertainties, see Item 1A, “Risk Factors” of this annual report. We caution readers not to
place undue reliance on these forward-looking statements, which reflect management’s analysis only as of the date of this annual report. We undertake no obligation to update forward-looking statements
which reflect events or circumstances occurring after the date of this annual report, unless required by applicable securities laws.

Introduction

This management’s discussion and analysis, or 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, 2022 and for
the twelve-month periods then ended. This MD&A explains the material variations in our operations, financial position and cash flows for the years ended March 31, 2022 and 2021.

Market  data  and  certain  industry  data  and  forecasts  included  in  this  MD&A  were  obtained  from  internal  corporation  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  Item  1.A  “Risk  Factors”  in  this  annual  report.  While  we  believe  our  internal
business, research is reliable and the market definitions we use in this MD&A are appropriate, neither our business research nor the definitions we use have been verified by any independent source.

This MD&A, approved by the Board of Directors on June 21, 2022, should be read in conjunction with our audited consolidated financial statements for the year ended March 31, 2022, and 2021. Our audited
financial statements were prepared in accordance with generally accepted accounting principles issued by the Financial Accounting Standards Board in the United States, or GAAP. All amounts appearing in
this MD&A for the period-by-period discussions are in thousands of U.S. dollars, except share and per share amounts or unless otherwise indicated.

Basis of Presentation of the Financial Statements

Our consolidated financial statements, which include the accounts of our subsidiaries AIAG and Acasti Pharma US, have been prepared in accordance with GAAP and the rules and regulations of the SEC
related to annual reports filed on Form 10-K. All intercompany transactions and balances are eliminated on consolidation.

Our assets as at March 31, 2022, include cash and cash equivalents and short-term investments totalling $43.7 million and intangible assets and goodwill totalling $83.1 million. Our current liabilities total $3.3
million as at March 31, 2022 and are comprised primarily of amounts due to or accrued for creditors.

Comparative Financial Information for the years ended March 31, 2022 and 2021

Net loss
Basic and diluted loss per share
Total assets
1
Working capital
Total non-current liabilities
Total shareholders’ equity

March 31,

2022  

$    
(9,819 )  
(0.27 )  

128,620  
42,271  
17,090  
108,270  

Year ended

March 31,

2021  

$    
(19,678 )  
(1.33 )  

62,458  
60,793  
5,219  
55,660  

Increase (Decrease)  
$  
(9,859 )
(1.06 )
66,162  
(18,522 )
11,871  
52,610  

1.

Working capital is calculated by subtracting total current liabilities of $3,260 at March 31, 2022 ($1,579 at March 31, 2021) from total current assets of $45,531 at March 31, 2022 ($62,372 at March 31, 2021). Because there is no standard method

endorsed by GAAP, the results may not be comparable to similar measurements presented by other public companies.

Results of Operations

Comparison of the year ended March 31, 2022, and 2021

The following table summarizes our results of operations for the year ended March 31, 2022 and 2021:

44

 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenue

Operating expenses
Cost of sales of products
Research and development expenses, net of government assistance
General and administrative expenses
Sales and marketing expenses
Impairment of Intangible assets
Impairment of Equipment
Impairment of Other assets and prepaids
Loss from operating activities

Financial income (expenses)
Income tax recovery

Net loss

Net Loss

Year ended

March 31,

2022  

$    
—  

March 31,

2021  
$  
196  

Increase (Decrease)  
$  
(196 )

—  
5,559  
9,263  
518  
—  
—  
249  
(15,589 )  

5,122  
648  

(9,819 )  

76  
4,173  
5,521  
1,142  
3,706  
1,584  
413  
(16,419 )  

(3,259 )  
—  

(19,678 )  

(76 )
1,386  
3,742  
(624 )
(3,706 )
(1,584 )
(164 )
(830 )

8,381  
648  

(9,859 )

The net loss of $9,819 or $0.27 per share for the year ended March 31, 2022, decreased by $9,859 from the net loss of $19,678 or $1.33 per share for the year ended March 31, 2021.

Revenue and cost of sales of products

In October 2020, we entered into a short term agreement with the Centre Integre Universitaire et des services sociaux de L’Estrie – Centre hospitalier Universitaire de Sherbrooke to start producing and selling
viral transport medium tubes to be utilized in testing related to the COVID-19 pandemic, for which we generated revenues of $196 for the year ended March 31, 2021. We did not engage in any production
and sales under this agreement during the year ended March 31, 2022.

Research and development expenses

Research and development expenses consist primarily of:

•fees paid to external service providers such as clinical research organizations and contract manufacturing organizations related to clinical trials, including contractual obligations for clinical
development, clinical sites, manufacturing and scale-up, and formulation of clinical drug supplies;

•fees paid to contract service providers related to drug discovery efforts including chemistry and biology services;

•patent-related services; and

•salaries and related expenses for personnel, including expense related to stock options.

We record research and development expenses as incurred.

Our research and development during the year ended March 31, 2022 was focused primarily on our clinical development programs GTX 104, GTX 102, and GTX 101 drug candidates, which were acquired in
the Grace merger on August 27, 2021. Research and development expenses during the year ended March 31, 2021, related to the completion of our TRILOGY Phase 3 clinical program for CaPre.

The following table summarizes our research and development expenses:

Research and development expenses

Third-party contract research expenses:

Clinical development programs:

GTX 104  
GTX 102
GTX 101  
Other third-party contract research expenses  

Professional fees
Other research and development costs
Government grants & tax credits
Total third-party research and development expenses
Salaries and benefits
Stock-based compensation
Depreciation and amortization
Total

1

March 31,

2022  

$    

Year ended    
March 31,

2021  

$    

Increase (Decrease)  
$  

1,796  

61    

538  
724  
317  
236  
(577 )  
3,095  
2,017  
447  
—  
5,559  

—  
—  
—  
917  
467  
188  
(127 )  
1,445  
1,459  
353  
916  
4,173  

1,796  
61  
538  
(193 )
(150 )
48  
(450 )
1,650  
558  
94  
(916 )
1,386  

1  Total  third-party  research  and  development  expenses  is  calculated  before  salaries,  depreciation,  amortization  and  stock-based  compensation.  Because  there  is  no  standard  method  endorsed  by  GAAP,  the  results  may  not  be  comparable  to  similar
measurements presented by other public companies.

45

 
  
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total  third-party  research  and  development  expenses  before  salaries  and  benefits,  depreciation,  amortization  and  stock-based  compensation  expenses  for  the  year  ended  March  31,  2022,  totalled  $3,095
compared to $1,445 for the year ended March 31, 2021. This resulted in an increase $1,650 related mostly to the initiation of clinical development programs GTX 104, GTX 102 and GTX 101, which we
acquired through the merger with Grace.

Third-party contract research expenses related to GTX 104 amounted to $1,796 from the date our acquisition of Grace as our PK bridging study was initiated and progressed. Third party contract research
expenses of $61 related to GTX 102 are a related to the progression of CMC phase 1 work. Third party contract research expenses of $538 related to GTX 101 were mostly related to non-clinical studies and
CMC non-clinical work. The program related increases for GTX 104, GTX 102 and GTX 101 were offset by a decrease of $193, related to other third-party contract research expenses. These expenses related
to non-clinical outside services and IP legal costs to support and maintain our patents for our three clinical programs GTX 104, GTX 102 and GTX 101 drug candidates. Other third-party contract research
expenses for the year end March 31, 2021, related to expenses incurred through the completion and termination of the TRILOGY phase 3 clinical program.

The increase of third party-contract research expenses of were offset by a decrease of $150 of professional fees and an increase of $450 in tax research credits. Salaries and benefits increased by $558 to
$2,017 for the year ended March 31, 2022, from $1,459 for the year ended March 31, 2021. The increase is related to additional R&D headcount since the date of the Grace merger, as well as the renewal of
our employee incentive bonus program. Government tax credits increased by $450 due to the increased government credit eligible research activities related to our clinical programs GTX 104, GTX 102 and
GTX 101.

   General and administrative expenses

General and administrative expenses consisted primarily of salaries and related benefits, including share-based compensation, related to our executive, finance, legal, and support functions. Other general and
administrative expenses include professional fees for auditing, tax, consulting, rent and utilities and insurance.

General and administrative expenses

Salaries and benefits
Professional fees
Other
General and administrative expense before stock-based compensation and depreciation 
Stock-based compensation
Depreciation
Total

1

March 31,

2022  

$    

1,745  
5,199  
1,477  
8,421  
842  
—  
9,263  

Year ended    
March 31,

2021  
$  
1,321  
2,337  
1,027  
4,685  
828  
8  
5,521  

Increase (Decrease)  
$  
424  
2,862  
450  
3,736  
14  
(8 )
3,742  

1 General and administrative sub-total expenses is calculated before stock-based compensation and depreciation. Because there is no standard method endorsed by GAAP, the results may not be comparable to similar measurements presented by other
public companies.

General and administrative expenses totalled $8,421 before stock-based compensation and depreciation expense for the year ended March 31, 2022, and increased by $3,736 from $4,685 for the year ended
March 31, 2021. This increase was a result of increased legal, tax, accounting and other professional fees related to the Grace merger, and the renewal of our at-the-market program. In addition, salaries and
benefits increased by $424 due to the accruals related to the renewal of our employee incentive bonus program.

Sales and marketing

Sales and marketing expenses consist primarily of salaries and related benefits, including share-based compensation, related to our commercial functions.

Sales and marketing expenses

Salaries and benefits
Professional fees
Other
Sales and Marketing expenses before stock-based compensation
Stock-based compensation
Total

1

Year ended

March 31,

2022  

$    

271  
83  
116  
470  
48  
518  

March 31,

2021  
$  
1,050  
75  
24  
1,149  

(7 )  

1,142  

Increase (Decrease)  
$  
(779 )
8  
92  
(679 )
55  
(624 )

1 Sales and marketing sub-total expenses is calculated before stock-based compensation. Because there is no standard method endorsed by GAAP, the results may not be comparable to similar measurements presented by other public companies.

Sales and marketing expenses before stock-based compensation expense were $470 for the year ended March 31, 2022, compared to $1,149 for the year ended March 31, 2021. The decrease of $679 was
mostly due to a reduction in salaries of $779 due to a reduction in headcount associated with the CaPre program.

Aggregate stock-based compensation expense decreased by $163 to $1,337, for the year ended March 31, 2022, as compared to $1,174 for the year ended March 31, 2021. This increase was due to the timing
of the stock options granted during the year ended March 31, 2022 and year ended March 31, 2021.

Aggregate depreciation and amortization expense decreased by $924 for the year ended March 31, 2022, to nil as compared to $924 for the year ended March 31, 2021. This decrease was due to the impact of
equipment being classified as held for resale during the year ended March 31, 2021 and no subsequent additional depreciation being recognized.

46

 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
  
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
   
   
 
 
 
 
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 (all amounts in the table below give effect to the 1-for-8 share consolidation we completed on August 31, 2021):

Class A shares, voting, participating and without par value
Stock options granted and outstanding
May 2018 Canadian public offering of warrants exercisable at CAD$10.48 until May 9, 2023
December 2017 U.S. public offering of warrants exercisable at US$10.08 until December 19, 2022
December 2017 U.S. public offering broker warrants exercisable at US$10.10 until December 27, 2022
February 2017 Canadian public offering of warrants exercisable at CAD$17.20 until February 21, 2022

Total fully diluted shares

Cash Flows and Financial Condition between the years ended March 31, 2022 and March 31, 2021

Summary

March 31,

2022  

Number
outstanding  
44,288,183  
2,989,381  
824,218  
884,120  
32,390  
—  

49,018,292  

March 31,

2021  

Number
outstanding  
26,046,950  
911,871  
824,218  
884,120  
32,390  
215,491  

28,915,040  

As at March 31, 2022, cash and cash equivalents totalled $30,339, a net decrease of $20,603 compared to cash and cash equivalents totalling $50,942 at March 31, 2021. During the year ended March 31,
2021, we received net proceeds of approximately $59.3 million from our at the market (ATM) program. During the year ended March 31, 2022, we did not have financing activities and used existing cash
balances for operations purposes.

Operating activities

During the years ended March 31, 2022 and 2021, our operating activities used cash of $17,234 and $14,319 respectively.

Investing activities

During the years ended March 31, 2022 and 2021, we used cash of $3,522 and $9,858 respectively due primarily to the acquisition of investments offset by the maturity of investments.

Financing activities

During the year ended March 31, 2022, our financing activities provided cash totalling nil, compared to cash generated of $59,490 due to proceeds from the sale of shares under our ATM, program.

ATM Program

On June 29, 2020, we entered into an amended and restated sales agreement (the “Sales Agreement”) with B. Riley FBR, Inc., Oppenheimer & Co. Inc. and H.C. Wainwright & Co., LLC (collectively, the
“Agents”) to amend our ATM program. Under the terms of the Sales Agreement, which has a three-year term, we may issue and sell from time-to-time common shares having an aggregate offering price of up
to $75,000,000 through the Agents. Subject to the terms and conditions of the Sales Agreement, the Agents will use their commercially reasonable efforts to sell the common shares from time to time, based
upon  our  instructions.  We  have  no  obligation  to  sell  any  of  the  common  shares  and  may  at  any  time  suspend  sales  under  the  Sales Agreement.  We  and  the Agents  may  terminate  the  Sales Agreement  in
accordance with its terms. Under the terms of the Sales Agreement, we have provided the Agents with customary indemnification rights and the Agents will be entitled to compensation at a commission rate
equal to 3.0% of the gross proceeds from each sale of the common shares.

On November 10, 2021, we filed a prospectus supplement relating to our ATM program to restore available capacity to $75,000,000. The common shares sold under the ATM 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. The volume and timing of sales under the ATM program, if any, will be
determined at the sole discretion of our board of directors and management.

During  the  year  ended  March  31,  2022,  no  common  shares  were  sold  under  the ATM  program.  During  the  year  ended  March  31,  2021,  14.7  million  common  shares  were  sold  for  total  net  proceeds  of
approximately $59.3 million with related commissions, legal expenses and costs amounting to $2 million. The common shares were sold at the prevailing market prices, which resulted in an average price of
$4.16 per share. Accordingly, proportional costs of $18 related to the common shares sold have been reclassified from deferred financings costs to equity. Total costs incurred relating to the ATM were initially
recorded as deferred financing costs in the consolidated balance sheet. During the year ended March 31, 2021, the remaining balance of the costs incurred of $264 were written off to financing expenses.

47

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Financial Position

The following table details the significant changes to the statements of financial position as at March 31, 2022, compared to the prior fiscal year end at March 31, 2021:

Accounts
Cash and cash equivalents
Investments
Receivables
Assets held for sale

Prepaid expenses
Right of use asset
Intangible assets
Goodwill
Trade and other payables
Lease liability
Derivative warrant liabilities
Deferred tax liability

Increase
(Decrease) $

    Comments

(20,603 )   See cash flow statement

Increase in cash available to invest
  Timing of reimbursement of sales taxes

3,533  
18  
(166 )  

377  
229  
69,810  
12,964  
1,663  
209  

Impairment of RKO and Foreign exchange
Renewal of insurance contract and other prepaid expenses (advances to US vendors) offset by 
impairment of prepaid RKO

  Adjustment to the net present value of lease contract for Sherbrooke
  Related to acquisition of Grace (IPR&D)
  Related to acquisition of Grace
  Timing of payments net of accruals
  Future obligations offset by payment of lease liability

(5,209 )   Change in fair value of derivative warrants
  Related to acquisition of Grace
16,889  

See the statement of changes in equity in our financial statements for details of changes to the equity accounts since March 31, 2021.

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, term deposits and high-interest savings accounts, which are issued and held with Canadian chartered banks, highly rated promissory notes issued by government bodies
and commercial paper. We hold cash denominated in both U.S. and Canadian dollars. Funds received in U.S. dollars from equity financings are invested as per our treasury policy in U.S. dollar investments and
converted to Canadian dollars as appropriate to fulfil operational requirements and funding.

Acquisition of Grace

On August 27, 2021, we completed the acquisition of Grace Therapeutics. In connection with the share-for-share noncash transaction, Grace was merged with a new wholly owned subsidiary of Acasti and
became a wholly owned subsidiary of Acasti. Grace was subsequently renamed Acasti Pharma US Inc. As a result of the merger, we acquired Grace’s entire therapeutic pipeline consisting of three unique
clinical stage and multiple pre-clinical stage assets supported by an intellectual property portfolio consisting of more than 40 granted and pending patents in various jurisdictions worldwide. Under the terms of
the merger, each issued and outstanding share of Grace common stock was automatically converted into the right to receive Acasti common shares equal to the equity exchange ratio set forth in the merger
agreement.

Consideration for Acquisition

A total of 18,241,233 common shares of Acasti were issued to Grace stockholders as consideration for the acquisition.

Total common shares issued
Acasti share price (closing share price on August 27, 2021)
Fair value of common shares issued

$
$

18,241,233  
3.3344  
60,824  

Our  acquisition  of  Grace  has  been  accounted  for  as  a  business  combination  using  the  acquisition  method  of  accounting.  This  acquisition  method  requires,  among  other  things,  that  assets  acquired,  and
liabilities assumed in a business combination be recognized at their fair values as of the acquisition date. The valuation of assets acquired, and liabilities assumed was finalized during the fourth quarter of the
year ended March 31, 2022.

Measurement period adjustments to the preliminary purchase price allocation during 2022 included (i) an increase to intangible assets of $4,602; (ii) an increase to Goodwill of $12,964; (iii) an increase to
deferred tax liability of $17,536; and (iv) other individually insignificant adjustments to identifiable net assets of $30. The adjustments primarily resulted from the completion of the valuation of the intangible
assets based on facts and circumstances that existed as of the acquisition date and did not result from intervening events subsequent to such date.

The following table summarizes the final fair value of assets acquired and liabilities assumed as of the acquisition date:

Assets acquired and liabilities assumed
Cash and equivalents
Prepaid expenses and other current assets
Intangible assets – in-process research and development
Goodwill
Accounts payable and accrued expenses
Deferred tax liability
Total assets acquired and liabilities assumed

$  

90  
74  
69,810  
12,964  
(4,578 )
(17,536 )
60,824  

Intangible assets of $69,810 relate to the value of in-process research and development (“IPR&D”) related to Grace’s therapeutic pipeline, consisting of three unique clinical stage programs/assets. The value
of which has been attributed as follows:

48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Intangible assets – in-process research and development
GTX 104
GTX 102
GTX 101
Total

$  

27,595  
31,908  
10,307  
69,810  

Goodwill of $12,964 was calculated as the excess of the consideration transferred over the net assets recognized and represents the future economic benefits arising from the other assets acquired that could not
be individually identified and separately recognized.

Acquired In-Process Research and Development

In a business combination, the fair value of IPR&D acquired is capitalized and accounted for as indefinite-lived intangible assets, and not amortized until the underlying project receives regulatory approval, at
which point the intangible assets will be accounted for as a definite-lived intangible assets or discontinued. If discontinued, the intangible asset will be written off. R&D costs incurred after the acquisition are
expensed as incurred.

The estimated fair values of identifiable intangible assets were determined using the multi-period excess earnings method, which is a valuation methodology that provides an estimate of the fair value of an
asset  based  on  market  participant  expectations  of  the  cash  flows  that  an  asset  would  generate  over  its  remaining  useful  life.  The  significant  assumptions  used  in  the  valuation  are  the  discount  rate,  the
probability of clinical success of research and development programs, obtaining regulatory approval and forecasted net sales.

Goodwill and indefinite-lived assets are not amortized but are subject to an impairment review annually and more frequently when indicators of impairment exist. An impairment of goodwill could occur if the
carrying amount of a reporting unit exceeds the fair value of that reporting unit. An impairment of indefinite-lived intangible assets would occur if the fair value of the intangible asset is less than the carrying
value.

Acquisition-related  expenses,  which  were  comprised  primarily  of  regulatory,  financial  advisory  and  legal  fees,  totalled  $3.2  million  for  the  year  ended  March  31,  2022,  and  were  included  in  general  and
administrative expenses in the condensed consolidated interim statements of earnings. The net loss attributed to Grace in the consolidated statement of loss for the year ended March 31, 2022, since the date of
acquisition is immaterial.

Pro Forma Financial Information

The following table presents the unaudited pro forma combined results of operations of Acasti and Grace for the year ended March 31, 2022, as if the acquisition of Grace had occurred on April 1, 2020:

Net loss

Assets Held for Sale

We determined to actively market for sale Other assets and Equipment and have met the criteria for classification of assets held for sale:

Other assets (a)
Equipment (b)

a. Other Assets

Year ended March 31, 

2022  
$  
(13,734 )

March 31, 2022  
$  
195  
407  
602  

March 31, 2021  
$  
387  
381  
768  

Other assets represent krill oil (RKO) held by us that was expected to be used in the conduct of R&D activities and commercial inventory scale up related to the development and commercialization of our
previous drug candidate, CaPre. Given that the development of CaPre will no longer be pursued, we expect to sell this reserve. The other asset is being recorded at the fair value less costs to sell, which has
resulted in an impairment loss of $249 (2021- $413). Management’s estimate of the fair value of the RKO less cost -to sell, is based primarily on estimated market prices obtained from an appraiser specialized
in the krill oil market. These projections are based on Level 3 inputs of the fair value hierarchy and reflect management’s best estimate of market participants’ pricing of the assets as well as the general
condition of the asset. The total impairment loss recognized, includes amounts paid for krill oil in advance, but not yet received and was recorded as a prepaid asset.

b. Equipment

March 31, 2022

Furniture and office equipment
Computer equipment
Laboratory equipment
Production equipment

Cost, net of impairment

$    
17  
94  
585  
1,179  
1,875  

Accumulated
depreciation    
$    
(5 )  
(6 )  
(435 )  
(1,022 )  
(1,468 )  

Net book

value  
$  
12  
88  
150  
157  
407  

49

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
   
  
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
March 31, 2021

Furniture and office equipment
Computer equipment
Laboratory equipment
Production equipment

Cost

$    
17  
148  
756  
2,538  
3,459  

Accumulated
depreciation    
$    
(5 )  
(30 )  
(436 )  
(1,023 )  
(1,494 )  

Impairment

Net book

loss    
$    
—  
(54 )  
(171 )  
(1,359 )  
(1,584 )  

value  
$  
12  
64  
149  
156  
381  

For the year ended March 31, 2021, depreciation expense was $143 and was included in research and development expenses. Equipment is made up of laboratory, production, computer and office equipment
that was utilized in the development of CaPre. Given that the development of CaPre will no longer be pursued by the Corporation, it is expected to sell this equipment. Similar, to how the intangible assets are
treated,  the  announcement  of  the  outcomes  of  the  TRILOGY  clinical  trials  resulted  in  an  impairment  trigger  for  the  laboratory  and  production  equipment.  The  impairment  loss  is  based  on  management’s
estimate of the fair value of the equipment less cost -to sell, which is based primarily on estimated market prices obtained from brokers specialized in selling used equipment. These projections are based on
Level 3 inputs of the fair value hierarchy and reflect the management’s best estimate of market participants’ pricing of the assets as well as the general condition of the assets.

Derivative Warrant Liabilities

A total of 1,369,937 warrants were issued as part of our May 2018 public offering in Canada and recognized as derivative warrant liabilities with a fair value at inception of $3,323. As of March 31, 2022, the
derivative warrant liability for the remaining 824,218 warrants totalled $10, which represents the fair value of these warrants as at March 31, 2022. The weighted average fair value of the warrants issued in
the May 2018 public offering in Canada was determined to be CAD $3.10 per warrant at inception and approximately CAD $0.02 (US $0.01) per warrant as at March 31, 2022.

On  December  27,  2017,  1,225,366  warrants  were  issued  as  part  of  our  U.S.  public  offering  and  recognized  as  derivative  warrant  liabilities  with  a  fair  value  at  inception  of  $4,548.  The  December  2017
warrants are derivative warrant liabilities for accounting purposes due to the currency of the exercise price (US$) being different from our Canadian dollar functional currency. As of  March 31, 2022, the
derivative  warrant  liability  for  the  remaining  884,120warrants  totalled  nil,  which  represents  the  fair  value  of  these  warrants  as  at March  31,  2022.  The  weighted  average  fair  value  of  the  December  2017
warrants issued was determined to be CAD $4.77 per warrant at inception and approximately nil per warrant as at March 31, 2022.

The variance in the fair value of both existing derivative warrant liabilities as at March 31, 2022, is mostly due to the fluctuations in our share price and the dilution factor. During the year ended March 31,
2022, no warrants were exercised.

Contractual Obligations and Commitments

As at March 31, 2022, our contractual liabilities totalled $3,461 of which $3,260 was due within 1 year, and $10 related to derivative warrant liabilities that are expected to be settled in common shares.

A summary of our contractual obligations at March 31, 2022, is as follows:

Contractual Obligations and commitments

Trade and other payables
Operating lease obligations
RKO supply agreement
Total

Research and Development Contracts and Contract Research Organizations Agreements

Total

$    

3,156  
326  
2,800  
6,282  

Less than

1 year  

$    

3,156  
103  
2,800  
6,059  

1-3 years  

$    

223  
—  
223  

More than

3 years  
$  

—  
—  
—  

We utilize contract manufacturing organizations, for the development and production of clinical materials and contract research organizations to perform services related to our clinical trials. Pursuant to the
agreements with these contract manufacturing organizations and contract research organizations, we have either the right to terminate the agreements without penalties or under certain penalty conditions. As
such, the amount of commitments is excluded from the above table.

Leases

On March 14, 2022, we renewed the lease agreement effective April 1, 2022 for our research and development and quality control laboratory facility located in Sherbrooke, Québec, resulting in a commitment
of $556 over a 24 months base lease term and 48 months additional lease renewal term. This is not reflected in table above as it is effective April 1, 2022.

On February 25, 2022, we renewed the lease agreement effective March 1, 2022, for our research and development and quality control laboratory facility located in North Brunswick, New Jersey, resulting in
an obligation of $303 over a 36 months lease term. As at March 31, 2022, the remaining balance of the obligation amounted to $326.

RKO Supply Agreement

On October 25, 2019, we signed a supply agreement with Aker Biomarine Antartic.  (“Aker”) to purchase raw krill oil product for a committed volume of commercial starting material for CaPre for a total
fixed value of $3.1 million. As at March 31, 2022, the remaining balance of the commitment with Aker amounts to $2.8 million. As of March 31, 2022 the remaining balance of the krill oil product has not
been made available for delivery by the supplier under the terms of the supply agreement, therefore no liability has been recorded. Acasti no longer has any planned use for the raw krill oil product for its own
operating purposes and therefore we would seek to sell the product upon receipt. There is uncertainty whether we can recover value from the raw krill oil product and we expect we may incur a loss on this
contract in the near term.

50

 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Off-Balance Sheet Arrangements

As of the date of this annual report, we do not have any off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial
condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that are material to investors.

Use of Estimates and Measurement of Uncertainty

The preparation of our financial statements in conformity with GAAP requires management to make estimates and assumptions that affect 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 management 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.

Estimates  and  assumptions  include  the  measurement  of  derivative  warrant  liabilities,  stock-based  compensation,  assets  held  for  sale,  acquisition  of  Grace  valuation  of  intangibles  and  the  RKO  supply
agreement. Estimates and assumptions are also involved in measuring the accrual of services rendered with respect to research and development expenditures at each reporting date and determining which
research and development expenses qualify for research and development tax credits and in what amounts. We recognize the tax credits once we have 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. Estimates and assumptions are also utilized in the assessment of impairment of
deferred financing costs, equipment, and intangibles.

Critical Accounting Policies

Valuation of Intangible Assets

In a business combination, the fair value of IPR&D acquired is capitalized and accounted for as indefinite-lived intangible assets, and not amortized until the underlying project receives regulatory approval, at
which point the intangible assets will be accounted for as definite-lived intangible assets or discontinued. If discontinued, the intangible assets will be written off. R&D costs incurred after the acquisition are
expensed as incurred.

The estimated fair values of identifiable intangible assets were determined using the multi-period excess earnings method, which is a valuation methodology that provides an estimate of the fair value of an
asset based on market participant expectations of the cash flows an asset would generate over its remaining useful life. The projected discounted cash flow models used to estimate the fair value of assets of our
IPR&D reflect significant assumptions and are level 3 unobservable data regarding the estimates a market participant would make in order to evaluate a drug development asset, including the following:

•Probability of clinical success of research and development and obtaining regulatory approval;

•Forecasted net sales from up-front and milestone payments, royalties and product sales; and

•A discount rate reflecting our weighted average cost of capital and specific risk inherent in the underlying assets.

Based on our valuation assumptions described above, as at the date of acquisition, varying the discount rate would result in the following range in value attributable to each IPR&D intangible asset, related to
Grace’s therapeutic pipeline, assuming that all other variables remain constant.

Discount assumption

19.5%
19.2% (discount rate used in valuation)
19.0%

GTX 104  

GTX 102  

GTX 101  

$  
26,842  
27,595  
28,371  

$  
30,564  
31,908  
33,305  

$  
9,460  
10,307  
11,009  

Total  

$  
66,867  
69,810  
72,685  

The valuation of our acquired IPR&D has significant measurement uncertainty given the lack of historical data on which to base assumptions. We engaged a third party valuation firm to assist us with the
valuation of the IPR&D. Assumptions are difficult to make accurately and were mainly derived from life science studies, industry data, and peer company information that our management believes represent
appropriate comparable data.

Goodwill and indefinite-lived assets are not amortized but are subject to an impairment review annually and more frequently when indicators of impairment exist. An impairment of goodwill could occur if the
carrying amount of a reporting unit exceeds the fair value of that reporting unit. An impairment of indefinite-lived intangible assets would occur if the fair value of the intangible asset is less than the carrying
value.

We test goodwill for impairment by first assessing qualitative factors to determine whether it is more likely than not that the fair value is less than its carrying amount. If we conclude it is more likely than not
that fair value of the reporting unit is less than its carrying amount, a quantitative impairment test is performed. We test indefinite-lived intangible assets for impairment by first assessing qualitative factors to
determine  whether  it  is  more  likely  than  not  that  the  fair  value  is  less  than  its  carrying  amount.  If  we  conclude  it  is  more  likely  than  not  that  the  fair  value  is  less  than  its  carrying  amount,  a  quantitative
impairment test is performed. There were no triggering events from the date of acquisition of Grace to the end of the year. Our annual impairment test will be performed in the third quarter of the fiscal year.

Measurement of Assets Held for Sale and RKO Supply Agreement

Assets that are classified as held for sale are measured at the lower of their carrying amount or fair value less expected selling costs (“estimated selling price”) with a loss recognized to the extent that the
carrying  amount  exceeds  the  estimated  selling  price.  The  classification  is  applicable  at  the  date  upon  which  the  sale  of  assets  is  probable,  and  the  assets  are  available  for  immediate  sale  in  their  present
condition. Assets, once classified as held for sale, are not subject to depreciation or amortization and both the assets and any liabilities directly associated with the assets held for sale are classified as current in
our consolidated balance sheets. Subsequent changes to the estimated

51

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
selling price of assets held for sale are recorded as gains or losses to the consolidated statements of income wherein the recognition of subsequent gains is limited to the cumulative loss previously recognized.

In  addition,  there  is  judgement  and  potential  for  loss  regarding  the  recognition  and  measurement  of  our  RKO  supply  agreement  with Aker  to  purchase  raw  krill  oil  product  for  a  committed  volume  of
commercial starting material for CaPre for a total fixed value of $3.1 million, which is described in more detail in note 20(a) of our financial statements found elsewhere in this annual report.

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 risk relating to cash, cash equivalents and marketable securities, which
we manage 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.

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

Furthermore, a portion of our cash and cash equivalents and marketable securities are denominated in U.S. dollars, further exposing us to fluctuations in the value of the U.S. dollar in relation to the Canadian
dollar.

The following table provides an indication of our significant foreign exchange currency exposures at the following dates:

Denominated in

Cash and cash equivalents
Investments
Trade and other payables

The following exchange rates are those applicable to the following periods and dates:

CAD$ per US$
CAD$ per Euro

March 31,
2022

US

$  

35,079  
14,872  
(2,130 )  
47,821  

March 31,
2022

Euro  

—  
—  
(79 )  
(79 )  

March 31,
2021

US

$  

58,176  
9,475  
(687 )  

66,964  

March 31,
2021

Euro  

—  
—  
(2,141 )
(2,141 )

Average  

Reporting  

Average  

Reporting  

1.2536  
1.4569  

1.2505  
1.3836  

1.3212  
1.5409  

1.2562  
1.4736  

Based on our foreign currency exposures noted above, varying the above foreign exchange rates to reflect a 5% strengthening of the U.S. 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

An assumed 5% weakening of the foreign currencies would have an equal but opposite effect on the basis that all other variables remained constant.

Interest Rate Risk

March 31,

2022  
$  

3,129  

March 31,

2021  
$  

4,048  

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, 2022 and March
31, 2021 was as follows:

Cash and cash equivalents
Investments

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 our short-term investments is limited because these investments have short-term maturities and are held to maturity.

52

 
 
 
 
 
 
 
 
 
 
 
  
 
   
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
   
 
  
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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. 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
We have considered recent accounting pronouncements and concluded that they are either not applicable to our business or that the effect is not expected to be material to our consolidated financial statements
as a result of future adoption.

53

 
 
 
 
Item 7A. Quantitative and Qualitative Disclosure About Market Risk

Information relating to quantitative and qualitative disclosures about market risks is detailed in “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operation.”

Item 8. Financial Statements and Supplementary Data

See our consolidated financial statements beginning on page F-1 of this annual report on Form 10-K.

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A. 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 chief executive officer (“CEO”) and chief financial officer (“CFO”), 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, 2022, our existing disclosure controls and procedures were effective. It should be noted that while the CEO and CFO 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 CFO, 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 our 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,
2022.  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, 2022, 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 year ended March 31, 2022 that have materially affected, or are reasonably likely to materially affect, our internal
controls over financial reporting. The merger resulted in Grace being included in our current control environment over financial reporting as at the date of the completion of the business combination.

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 9B. Other Information

None.

Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

None.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
Item 10. Directors, Executive Officers and Corporate Governance

PART III

The information required by this Item is included in the Company’s 2022 Proxy Statement to be filed with the SEC within 120 days after March 31, 2022 in connection with the solicitation of proxies for the
Company’s 2022 annual meeting of shareholders, and is incorporated herein by reference.

Item 11. Executive Compensation Summary of our Compensation Programs

The information required by this Item is included in the Company’s 2022 Proxy Statement to be filed with the SEC within 120 days after March 31, 2022 in connection with the solicitation of proxies for the
Company’s 2022 annual meeting of shareholders, and is incorporated herein by reference.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters Equity Compensation Plan Information

The information required by this Item is included in the Company’s 2022 Proxy Statement to be filed with the SEC within 120 days after March 31, 2022 in connection with the solicitation of proxies for the
Company’s 2022 annual meeting of shareholders, and is incorporated herein by reference.

Item 13. Certain Relationships and Related Transactions and Director Independence Related Transactions

The information required by this Item is included in the Company’s 2022 Proxy Statement to be filed with the SEC within 120 days after March 31, 2022 in connection with the solicitation of proxies for the
Company’s 2022 annual meeting of shareholders, and is incorporated herein by reference.

Item 14. Principal Accounting Fees and Services Audit Fees

The information required by this Item is included in the Company’s 2022 Proxy Statement to be filed with the SEC within 120 days after March 31, 2022 in connection with the solicitation of proxies for the
Company’s 2022 annual meeting of shareholders, and is incorporated herein by reference.

55

 
 
 
 
 
Item 15. Exhibits, Financial Statement Schedules

PART IV

(a)(1) Financial Statements—The financial statements included in Item 8 are filed as part of this annual report on Form 10-K.
(a)(2) Financial Statement Schedules—All schedules have been omitted because they are not applicable or required, or the information required to be set forth therein is included in the consolidated Financial
Statements or notes thereto included in Item 8 of this annual report on Form 10-K.
(a)(3) Exhibits—The exhibits required by Item 601 of Regulation S-K are listed in paragraph (b) below.
(b) Exhibits—The exhibits listed on the Exhibit Index below are filed herewith or are incorporated by reference to exhibits previously filed with the SEC.

Item 16. Form 10-K Summary

None.

56

 
 
 
EXHIBITS INDEX

Exhibit No.

  Description

2.1

3.1

3.2

3.2

3.3

4.1

4.2

4.3

4.4

4.5

4.6

10.1

10.2

10.3

10.4

10.5

10.6

23.1

31.1

31.2

32.1

32.2

  Agreement and Plan of Merger dated as of May 7, 2021 among Acasti Pharma Inc., Acasti Pharma U.S., Inc. and Grace Therapeutics Inc. (incorporated by reference to Exhibit 2.1 from 

Form 8-K filed with the SEC on May 7, 2021)

  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)

  Articles of Amendment (incorporated by reference to Exhibit 3.1 from Form 8-K filed with the SEC on August 27, 2021)

  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)

  Description of Securities

  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)

  Acasti Pharma Inc., Equity Incentive Plan, as amended August 27, 2020.

  Acasti Pharma Inc., Stock Option Plan, as amended June 24, 2021.

  Employment Agreement with Jan D’Alvise, dated May 11, 2015 (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 Ford dated September 23, 2021.  

  Consent of KPMG LLP, an Independent Registered Public Accounting Firm.

  Certification of Chief Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934.

  Certification of Chief Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934.

  Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

  Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS

  Inline XBRL Instance Document

101.SCH

  Inline XBRL Taxonomy Extension Schema Document

101.CAL

  Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF

  Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB

  Inline XBRL Taxonomy Extension Label Linkbase Document

57

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
101.PRE

  Inline XBRL Taxonomy Extension Presentation Linkbase Document

104

  Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

58

 
 
 
 
 
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

SIGNATURES

Dated: June 21, 2022

ACASTI PHARMA INC.

By:
Name:

 /s/ Janelle D’Alvise
Janelle D’Alvise
Title: President and Chief Executive Officer and
Director (Principal Executive Officer)

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

Signature

/s/ Janelle D’Alvise
 Janelle D’Alvise

/s/ Brian Ford
Brian Ford

/s/ Dr. Roderick N. Carter
Dr. Roderick N. Carter

/s/ Jean-Marie (John) Canan
Jean-Marie (John) Canan

/s/ Donald Olds
 Donald Olds

/s/Vimal Kavuru
Vimal Kavuru

/s/William Haseltine
William Haseltine

    /s/Michael L.Derby
Michael L.Derby

Title

Date

  President and Chief Executive Officer and Director

(Principal Executive Officer)

  Chief Financial Officer

(Principal Financial Officer and Principal Accounting Officer)

  Director

  Director

  Director

  Director

  Director

  Director

59

June 21, 2022

June 21, 2022 

June 21, 2022

June 21, 2022

June 21, 2022

June 21, 2022

June 21, 2022

June 21, 2022

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.

Consolidated Financial Statements

For the years ended March 31, 2022 and 2021

Consolidated Balance Sheets
Consolidated Statements of Loss and Comprehensive Loss
Consolidated Statements of Changes in Shareholders’ Equity
Consolidated Statements of Cash Flows
Notes to the Consolidated Financial Statements

F-1

F-4
F-5
F-6
F-7
F-8

 
 
 
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Report of Independent Registered Public Accounting Firm

To the Shareholders and Board of Directors of Acasti Pharma Inc.:

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheets of Acasti Pharma Inc. (the "Company") as of March 31, 2022 and 2021, the related consolidated statements of loss and
comprehensive  loss,  changes  in  shareholders’  equity,  and  cash  flows  for  the  years  ended  March  31,  2022  and  2021,  and  the  related  notes  (collectively,  the  "consolidated  financial
statements"). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company as of March 31, 2022 and 2021, and the results
of its operations and its cash flows for the years ended March 31, 2022 and 2021, in conformity with U.S. generally accepted accounting principles.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated 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
consolidated 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.

Our audits included performing procedures to assess the risks of material misstatement of the consolidated 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 consolidated 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 consolidated financial statements.
We believe that our audits provide a reasonable basis for our opinion.

Critical Audit Matter

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  consolidated  financial  statements  that  was  communicated  or  required  to  be
communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging,
subjective, or complex judgments. The communication of a critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are
not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

KPMG LLP, an Ontario limited liability partnership and member firm of the KPMG global organization of independent 
member firms affiliated with KPMG International Limited, a private English company limited by guarantee. KPMG 
Canada provides services to KPMG LLP.

F-2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Page 2

Valuation of in-process research and development intangible assets

As discussed in Note 4 to the consolidated financial statements, on August 27, 2021, the Corporation completed its acquisition of all outstanding equity interests in Grace Therapeutics Inc.
The acquisition has been accounted for as a business combination using the acquisition method of accounting. The fair value of the purchase price was allocated to the assets acquired and
liabilities assumed at their respective fair values. Intangible assets of $69,810 relate to the value of in-process research and development (“IPR&D”). Management estimated the fair value of
the  IPR&D  intangible  assets  using  a  multi-period  excess  earnings  method.  The  significant  assumptions  used  in  the  valuation  are  the  discount  rate,  the  probability  of  clinical  success  of
research and development programs and obtaining regulatory approval, and forecasted net sales.

We identified the assessment of the fair value of the IPR&D intangible assets as a critical audit matter. This required a high degree of auditor judgment and an increased extent of effort when
performing procedures due to the measurement uncertainty related to the significant assumptions and the selection of the valuation methodology.

The following are the primary procedures we performed to address this critical audit matter. We evaluated the design of an internal control related to the valuation of IPR&D intangible assets
process  including  the  significant  assumptions  used  in  the  valuation.  We  compared  the  assumptions  related  to  probability  of  clinical  success  of  research  and  development  programs  and
obtaining regulatory approval to third-party data regarding clinical trial success rates. We assessed the forecasted net sales by comparing them to certain peer companies and/or industry
data. We involved valuation professionals with specialized skills and knowledge, who assisted in:

•evaluating the valuation methodology by comparing to methodologies commonly used to value IPR&D intangible assets

•developing an independent range of discount rates and comparing it to the discount rate selected by management.

We have served as the Company’s auditor since 2009.

Montréal, Québec
June 21, 2022

F-3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Consolidated Balance Sheets

(Expressed in thousands of U.S. dollars except share data)
Assets

Current assets:

Cash and cash equivalents
Short- term investments
Receivables
Assets held for sale
Prepaid expenses
Total current assets

Right of Use Asset
Intangible assets
Goodwill
Total assets

Liabilities and Shareholders’ equity
Current liabilities:

Trade and other payables
Lease liability

Total current liabilities

Derivative warrant liabilities
Lease Liability
Deferred tax liability

Total liabilities

Shareholders’ Equity:
Common shares
Additional paid-in capital
Accumulated other comprehensive loss
Accumulated deficit
Total Shareholder’s equity

Commitments and contingencies
Total liabilities and shareholders’ equity

The accompanying notes are an integral part of these consolidated financial statements

F-4

Notes

March 31, 2022  

$    

March 31, 2021  
$  

6  
5  
8  

4  
4  

10  

11, 12(b)    

4    

12  
12  

20  

30,339  
13,322  
548  
602  
720  
45,531  

315  
69,810  
12,964  
128,620  

3,156  
104  
3,260  

10  
191  
16,889  

20,350  

257,990  
12,154  
(6,037 )  
(155,837 )  
108,270  

50,942  
9,789  
530  
768  
343  
62,372  

86  
—  
—  
62,458  

1,493  
86  
1,579  

5,219  
—  
—  

6,798  

197,194  
10,817  
(6,333 )
(146,018 )
55,660  

128,620  

62,458  

 
 
 
 
 
 
 
 
 
   
 
 
   
 
   
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
  
 
 
   
 
   
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
ACASTI PHARMA INC.
Consolidated Statements of Loss and Comprehensive Loss

(Expressed in thousands of U.S. dollars except share data)
Revenues
Revenues from product sales

Operating Expenses
Cost of sales of products

Research and development expenses, net of government assistance
General and administrative expenses
Sales and marketing
Impairment of Intangible assets
Impairment of Equipment
Impairment of Other assets and prepaid
Loss from operating activities
Financial income (expenses)
Loss before income tax recovery

Income tax recovery
Net loss and total comprehensive loss

Basic and diluted loss per share

Notes

Year ended March 

Year ended March 

31, 2022    
$    

—    

—    
(5,559 )  
(9,263 )  
(518 )  
—  
—  
(249 )  
(15,589 )  
5,122  
(10,467 )  

648  
(9,819 )  

(0.27 )  

31, 2021  
$  

196  

(76 )
(4,173 )
(5,521 )
(1,142 )
(3,706 )
(1,584 )
(413 )
(16,419 )
(3,259 )
(19,678 )

—  
(19,678 )

(1.33 )

13  

9  

7  
8  
8  

14  

18  

16  

Weighted average number of shares outstanding

36,841,762  

14,828,232  

The accompanying notes are an integral part of these consolidated financial statements

F-5

 
 
  
 
 
   
 
   
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
 
 
 
ACASTI PHARMA INC.
Consolidated Statements of Changes in Shareholders’ Equity
(Expressed in thousands of U.S. dollars except share data)

Balance, March 31, 2021
Net loss and total comprehensive loss for the period
Cumulative translation adjustment
Stock based compensation
Common shares issued in relation to merger with Grace via 
share-for-share, net
Balance at March 31, 2022

Common Shares

Notes  

Number  

26,046,950  
—  
—  
—  

18,241,233  
44,288,183  

15  

4  

Common Shares

Notes

Number  

Balance, March 31, 2020
Net loss and total comprehensive loss for the period
Cumulative translation adjustment
Warrants exercised
Net proceeds from shares issued under the at-the-market 
(ATM) program
Stock based compensation
Balance at March 31, 2021

11, 12  

12(b)  

The accompanying notes are an integral part of these consolidated financial statements

11,276,187  
—  
—  
27,872  

14,715,596  
27,295  
26,046,950  

F-6

Additional
Paid-in
Capital

$    

10,817  
—  
—  
1,337  

—  
12,154  

Additional
Paid-in
Capital

$    

9,797  
—  
—  
(91 )    

—  
1,111  
10,817  

Accumulated
other
comprehensive

loss    
$    

(6,333 )    
—  
296  
—  

Deficit    
$    

(146,018 )    
(9,819 )    
—  
—  

Total  
$  
55,660  
(9,819 )
296  
1,337  

—  
(6,037 )    

—  

(155,837 )    

60,796  
108,270  

Accumulated
other
comprehensive

loss    
$    

(7,887 )    
—  
1,554  
—  

—  
—  
(6,333 )    

Deficit    
$    

(126,340 )    
(19,678 )    
—  
—  

—  
—  

(146,018 )    

Total  
$  
12,994  
(19,678 )
1,554  
183  

59,336  
1,271  
55,660  

Dollar    
$    

197,194  
—  
—  
—  

60,796  
257,990  

Dollar    
$    

137,424  
—  
—  
274  

59,336  
160  
197,194  

 
 
 
 
     
 
   
 
   
 
   
 
 
 
 
 
   
  
 
 
 
 
 
 
 
 
 
   
 
 
 
   
   
 
 
   
 
 
 
   
   
   
 
 
   
 
 
 
   
   
   
   
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
   
   
   
   
 
 
   
 
 
 
   
   
 
 
 
     
 
   
 
   
 
   
 
 
 
 
 
   
  
 
 
 
 
 
 
 
   
 
 
 
   
   
 
   
 
 
 
   
   
   
 
   
 
 
 
   
   
   
   
 
 
 
 
   
   
   
 
 
 
 
   
   
   
   
 
   
 
 
 
   
   
   
   
 
   
 
 
 
   
   
 
ACASTI PHARMA INC.
Consolidated Statements of Cash Flows

(Expressed in thousands of U.S. dollars except share data)
Cash flows used in operating activities:

Net loss for the year
Adjustments:

Amortization of intangible assets
Depreciation of equipment
Impairment of intangible assets
Impairment of Equipment
Impairment of other assets and prepaids
Stock-based compensation expense
Change in fair value of warrant liabilities
Write off-of deferred financing costs of at-the-market (ATM) program
Income tax recovery
Unrealized  foreign exchange loss

Changes in non-cash working capital items
Net cash used in operating activities

Cash flows from (used in) investing activities:

Acquisition of equipment
Acquisition of short-term investments
Maturity of short-term investments
Net cash used in investing activities

Cash flows from (used in) financing activities:
Net proceeds from shares issued under the at-the-market (ATM) program

Deferred financing costs
Proceeds from exercise of warrants
Proceeds from exercise of stock options
Net cash from financing activities

Effect of exchange rate fluctuations on cash and cash equivalents
Translation effect on cash and cash equivalents related to reporting currency

Net (decrease) increase in cash and cash equivalents

Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year
Cash and cash equivalents are comprised of:
Cash
Cash equivalents

F-7

Notes

7
8
7
8
8
15
11

18

17

6

Year ended March 31, 

Year ended March 

2022    

$    

31, 2021  

$  

(9,819 )  

(19,678 )

—  
—  
—  
—  
249  
1,337  
(5,197 )  
—  
(648 )  
(370 )  
(2,786 )  
(17,234 )  

—  

(34,929 )  
31,407  
(3,522 )  

—  
—  
—  
—  
—  

26  
127  

(20,603 )  

50,942  
30,339  

30,339  
—  

781  
143  
3,706  
1,584  
413  
1,174  
2,426  
264  

814  
(5,946 )
(14,319 )

(69 )
(9,810 )
21  
(9,858 )

59,332  
(143 )
183  
118  
59,490  

6,329  
(4,940 )

36,702  

14,240  
50,942  

38,406  
12,536  

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACASTI PHARMA INC.
Notes to the Consolidated Financial Statements
(Expressed in thousands of U.S. dollars except share data)

1. Nature of Operations

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 3009 boul. de la Concorde East, Suite 102, Laval, Québec, Canada H7E 2B5.

In January 2020 and August 2020, the Corporation released Phase 3 TRILOGY clinical study results for the Corporation’s  lead  drug  candidate,  CaPre.  The  TRILOGY  studies  did  not  meet  the  primary
endpoint which resulted in the Corporation’s Board of Directors deciding not to proceed with a filing of an NDA with the FDA. With the completion of the TRILOGY studies beginning in the second half of
fiscal 2021, marketing and research and development activities and expenses were reduced while management undertook a strategic review, and some CaPre related equipment and other assets were and
continue to be classified as held for sale as they are expected to be sold.

In August 2021, the Corporation completed the acquisition via a share-for-share merger of Grace Therapeutics, Inc. (“Grace”) a privately held emerging biopharmaceutical company focused on developing
innovative drug delivery technologies for the treatment of rare and orphan diseases. The post-merger Corporation is focused on building a late-stage specialty pharmaceutical company specializing in rare
and orphan diseases and focused on developing and commercializing products that improve the standard of care using novel drug delivery technologies. The Corporation seeks to apply new proprietary
formulations to existing pharmaceutical compounds to achieve enhanced efficacy, faster onset of action, reduced side effects, more convenient delivery and increased patient compliance; all of which could
result in improved patient outcomes. The active pharmaceutical ingredients chosen by the Corporation for further development may be already approved in the target indication or could be repurposed for
use in new indications.

The Corporation has incurred operating losses and negative cash flows from operations in each year since its inception. The Corporation expects to incur significant expenses and continued operating losses
for the foreseeable future. The Corporation expects its expenses will increase substantially in connection with its ongoing activities, particularly as it advances clinical development for the first three drug
candidates in the Corporation’s pipeline; continues to engage contract manufacturing organizations (“CMOs”) to manufacture its clinical study materials and to ultimately develop large-scale manufacturing
capabilities  in  preparation  for  commercial  launch;  seeks  regulatory  approval  for  its  product  candidates;  and  adds  personnel  to  support  its  product  development  and  future  product  launch  and
commercialization.

The Corporation does not expect to generate revenue from product sales unless and until it successfully completes drug development and obtains regulatory approval, which the Corporation expects will take
several years and is subject to significant uncertainty. To date, the Corporation has financed its operations primarily through public offerings and private placements of its common shares, warrants and
convertible debt and the proceeds from research tax credits. Until such time that the Corporation can generate significant revenue from product sales if ever, it will require additional financing, which is
expected to be sourced from a combination of public or private equity or debt financings or other non-dilutive sources, which may include fees, milestone payments and royalties from collaborations with
third parties. Arrangements with collaborators or others may require the Corporation to relinquish certain rights related to its technologies or drug product candidates. Adequate additional financing may not
be available to the Corporation on acceptable terms, or at all. The Corporation’s inability to raise capital as and when needed would have a negative impact on its financial condition and its ability to pursue
its business strategy.

The  Corporation  remains  subject  to  risks  similar  to  other  development  stage  companies  in  the  biopharmaceutical  industry,  including  compliance  with  government  regulations,  protection  of  proprietary
technology, dependence on third party contractors and consultants and potential product liability, among others.

Reverse stock split

On August 26, 2021, the shareholders of the Corporation approved a resolution to undertake a reverse split of the common stock within a range of 1-6 to 1-8 with such specific ratio to be approved by the
Acasti Board. All references in these financial statements to number of common shares, warrants and options, price per share and weighted average number of shares outstanding prior to the reverse split
have been adjusted to reflect the approved reverse stock split of 1-8, which was made effective on August 31, 2021, on a retrospective basis as of the earliest period presented.

2. Summary of significant accounting policies

Basis of presentation

These consolidated financial statements of Acasti Pharma Inc., which include the accounts of its subsidiary have been prepared in accordance with U.S. GAAP. All intercompany transactions and balances
are eliminated on consolidation.

Use of estimates

The preparation of the financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect 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 management 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.

Estimates  and  assumptions  include  the  measurement  of  derivative  warrant  liabilities  ( note 11 ) stock-based compensation ( note 15))  assets  held  for  sale  (notes  8)  the  supply  contract  (note  20(a))  and
acquisition  of  Grace  and  valuation  of  intangibles  (note  4).  Estimates  and  assumptions  are  also  involved  in  measuring  the  accrual  of  services  rendered  with  respect  to  research  and  developments
expenditures at each reporting date, are determining which research and development expenses qualify for research and development 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.

Functional and reporting currency

The Corporation’s functional currency is the Canadian dollar. The effects of exchange rate fluctuations on translating foreign currency monetary assets and liabilities into Canadian dollars are included in
the statement of loss and comprehensive loss as foreign exchange gain/loss. Expense transactions are translated into the U.S. dollar reporting currency at the average exchange rate during the period, and
assets and liabilities are translated at end of period exchange rates, except for equity transactions, which are translated at historical exchange rates.

F-8

 
 
 
 
 
 
 
 
 
 
 
Cash and Cash Equivalents

Cash and cash equivalents comprise cash balances and highly liquid investments purchased with original maturities of three months or less. Cash and cash equivalents consist of term deposits held at the
bank and recorded at cost, which approximates fair value.

Investments

The Corporation’s investments consist of term deposits and are classified as held-to-maturity securities. These investments are recorded at amortized cost. Investments with original maturities exceeding
three months and less than one year are categorized as short-term.

Receivables

Receivables are classified at amortized cost and recorded at the outstanding amount net of any provisions for uncollectible amount.

Deferred Financing Costs

Deferred  financing  costs  consists  of  fees  charged  by  underwriters,  attorneys,  accountants,  and  other  fees  directly  attributable  to  future  issuances  of  shares.  Provided  these  costs  are  determined  to  be
recoverable, these costs are deferred and charged subsequently against the gross proceeds of the related equity transaction when it occurs. If at such time, the Corporation deems that these costs are no
longer recoverable, they will be expensed as a component of finance expenses.

Assets held for sale

Assets that are classified as held for sale are measured at the lower of their carrying amount or fair value less expected selling costs (“estimated selling price”) with a loss recognized to the extent that the
carrying amount exceeds the estimated selling price. The classification is applicable at the date upon which the sale of assets is probable, and the assets are available for immediate sale in their present
condition. Assets once classified as held for sale, are not subject to depreciation or amortization and both the assets and any liabilities directly associated with the assets held for sale are classified as
current in the Corporation’s Consolidated Balance Sheets. Subsequent changes to the estimated selling price of assets held for sale are recorded as gains or losses to the Consolidated Statements of Income
wherein the recognition of subsequent gains is limited to the cumulative loss previously recognized.

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 operating expenses in the Consolidated Statement of Loss and Comprehensive Loss.

(ii)Subsequent costs

The costs of the day-to-day servicing of equipment are recognized in profit or loss as incurred.

(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

Method  
Declining balance  
Declining balance  
Declining balance  
Declining balance  

20 % 

10 % 

Rate

to    
30 % 
30 % 
to    

30 %

30 %

Depreciation methods, useful lives and residual values are reviewed periodically and adjusted prospectively if appropriate.

Goodwill and Intangible assets - acquired in-process research and development

In a business combination, the fair value of in-process research and development (“IPR&D”) acquired is capitalized and accounted for as indefinite-lived intangible assets, and not amortized until the
underlying project receives regulatory approval, at which point the intangible assets will be accounted for as definite-lived intangible assets and amortized over the remaining useful life or discontinued. If
discontinued, the intangible asset will be written off. Research and development (“R&D”) costs incurred after the acquisition are expensed as incurred.

The estimated fair values of identifiable intangible assets were determined using the multi-period excess earnings method, which is a valuation methodology that provides an estimate of the fair value of
an  asset  based  on  market  participant  expectations  of  the  cash  flows  an  asset  would  generate  over  its  remaining  useful  life.  The  significant  assumptions  used  in  the  valuation  are  the  discount  rate,  the
probability of clinical success of research and development programs, obtaining regulatory approval and forecasted net sales.

Goodwill and indefinite-lived assets are not amortized but are subject to an impairment review annually and more frequently when indicators of impairment exist. An impairment of goodwill could occur
if the carrying amount of a reporting unit exceeds the fair value of that reporting unit. An impairment of indefinite-lived intangible assets would occur if the fair value of the intangible asset is less than the
carrying value.

F-9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
   
 
   
 
 
 
 
 
 
 
 
 
The Corporation tests its goodwill for impairment by first assessing qualitative factors to determine whether it is more likely than not that the fair value is less than its carrying amount. If the Corporation
concludes it is more likely than not that fair value of the reporting unit is less than its carrying amount, a quantitative impairment test is performed.

The Corporation tests indefinite-lived intangible assets for impairment by first assessing qualitative factors to determine whether it is more likely than not that the fair value is less than its carrying amount.
If the Corporation concludes it is more likely than not that the fair value is less than it's carrying amount, a quantitative impairment test is performed. There were no triggering events from the date of
acquisition of Grace to the end of the year with respect to goodwill and indefinite-lived intangible assets. The Corporation's annual impairment test will be performed in the third quarter of the fiscal year.

An impairment of $3,706 was recognized in the year ended  March 31, 2021. The Corporation no longer has recognized amortizable patents and licenses.

Amortization group

Amortization is calculated over the cost of the intangible asset less its residual value. 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

Subsequent expenditure:

Period (years)

20  
8 to 14  

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.

Impairment of Long-Lived Assets

The Corporation reviews the recoverability of its long-lived assets whenever events or changes in circumstances indicate that it is carrying amount may not be recoverable. The carrying amount is first
compared with the undiscounted cash flows. If the carrying amount is higher than the sum of undiscounted cash flows, then the Corporation determines the fair value of the underlying asset group. Any
impairment loss to be recognized is measured as the difference by which the carrying amount of the asset group exceeds the estimated fair value of the asset group. An impairment of $1,584 for equipment
was recognized in the year ended March 31, 2021.

Research and Development Costs

Research  and  developments  expenditures  are  expensed  as  incurred.  These  costs  primarily  consist  of  employees’  salaries  and  benefits  related  to  research  and  development  activities,  contractors  and
consultants that conduct the Corporation’s clinical trials, independent auditors and consultants to perform investigation activities on behalf of the Corporation, laboratory material and small equipment,
clinical trial materials, stock-based compensation expense, and other non-clinical costs and regulatory fees. Advance payments for goods and services that will be used in future research and development
are recognized in prepaids or other assets and are expensed when the services are performed, or the goods are used.

Stock based compensation

The Corporation has in place a stock option plan for directors, officers, employees, and consultants of the Corporation, with grants under the stock option plan approved by the Corporation’s Board of
Directors. The plan provides for the granting of options to purchase Common Shares and the exercise price of each option equals the closing trading price of Common Shares on the day prior to the grant.
The terms and conditions for acquiring and exercising options are set by the Corporation’s Board of Directors in accordance with and subject to the terms and conditions of the stock option plan. The
Corporation  measures  the  cost  of  such  awards  based  on  the  fair  value  of  the  award  at  grant  date,  net  of  estimated  forfeiture,  and  recognizes  stock-based  compensation  expense  in  the  Consolidated
Statements of Loss and Comprehensive Loss on a graded vesting basis over the requisite service period. The requisite service period equals the vesting periods of the awards. The fair value of options is
estimated for each tranche of an award that vests on a graded basis. The fair value of options is estimated using the Black-Scholes option pricing model, which uses various inputs including estimated fair
value  of  the  Common  Shares  at  the  grant  date,  expected  term,  estimated  volatility,  risk-free  interest  rate  and  expected  dividend  yields  of  the  Common  Shares.  The  Corporation  applies  an  estimated
forfeiture rate derived from historical employee termination behaviour. If the actual forfeitures differ from those estimated by management, adjustment to compensation expense may be required in future
periods.

Non-employee stock-based compensation transactions in which the Corporation receives goods or services as consideration for its own equity instruments are accounted for as stock-based compensation
transactions. The Corporation establishes the fair value at the grant date for non-employee awards and measures the fair value based on the fair value of equity instruments issued. The fair value of a non-
employee award is estimated using the Black-Scholes option pricing model, which uses various inputs including estimated fair value of the Common Shares at the grant date, contractual term, estimated
volatility, risk-free interest rate and expected dividend yields of the Common Shares.

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.

Leases

At the inception of an arrangement, the Corporation determines whether the arrangement is or contains a lease based on the unique facts and circumstances present in the arrangement. Operating lease
liabilities and their corresponding right-of-use assets are initially recorded based on the present value of lease payments over the expected remaining lease term. Certain adjustments to the right-of-use
asset may be required for items such as incentives received. The interest rate implicit in lease contracts is typically not readily determinable. As a result, the Corporation utilizes its incremental borrowing
rate to discount lease payments, which reflects the fixed rate at which the Corporation could borrow on a collateralized basis the amount of the lease payments in the same currency, for a similar term, in a
similar economic environment. .

F-10

 
 
 
 
 
 
 
 
 
 
The Corporation has elected not to recognize leases with an original term of one year or less on the balance sheet. The Corporation typically only includes an initial lease term in its assessment of a lease
arrangement. Options to renew a lease are not included in the Corporation’s assessment unless there is reasonable certainty that the Corporation will renew. The Corporation’s lease expense is recognized
in research and development expenses. The Corporation does not have financing leases.

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 (tax base) of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes.
Deferred tax assets and liabilities are measured at the tax rate expected to apply when the underlying asset or liability is realised (settled) based on the rates that are enacted at the reporting date. Deferred
tax  assets  and  liabilities  are  offset  if  the  Corporation  has  the  right  to  set  off  the  amount  owed  by  with  the  amount  owed  by  the  other  party,  the  Corporation  intends  to  set  off  and  the  offset  right  is
enforceable at law. A deferred tax asset is recognized for unused tax losses and tax credits, reduced by a valuation allowance to the extent that it is more likely than not that some portion or all of the
deferred tax asset will not be realized.

Earnings per share

The Corporation presents basic and diluted earnings per share ( EPS) data for its Common Shares. Basic EPS is calculated by dividing the profit or loss attributable to the holders of Common Shares by the
weighted average number of Common Shares outstanding during the year. Diluted EPS is determined by adjusting the profit or loss attributable to the holders of Common Shares and the weighted average
number of Common Shares outstanding adjusted for the effects of all dilutive potential Common Shares, which comprise warrants and share options granted to employees.

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 patent portfolio and licensed rights. The majority of the Corporation’s assets are located in Canada and the United States, while
one production unit, which is classified as an asset held for sale, with a carrying value of $157 (March 31, 2021  - $ 156), is located in France at a third-party contract manufacturing facility.

Derivative financial instruments

The Corporation has issued warrants of which some are accounted for as 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 financial expenses.

Other equity instruments

Warrants that do not meet the definition of a liability instrument are recognized in equity as additional paid in capital.

Fair Value Measurements

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, short-term investments and trade and other payables) approximate their
fair value given the short-term nature of these instruments. The Corporation measured its derivative warrant liabilities at fair value on a recurring basis using level 3 inputs.

3. Recent Accounting Pronouncements

The  Corporation  has  considered  recent  accounting  pronouncements  and  concluded  that  they  are  either  not  applicable  to  the  business  or  that  the  effect  is  not  expected  to  be  material  to  the  consolidated
financial statements as a result of future adoption.

4. Acquisition of Grace

On August  27,  2021,  the  Corporation  completed  its  acquisition  of  all  outstanding  equity  interests  in  Grace  Therapeutics  Inc,  via  a  merger.  Grace,  based  in  New  Jersey  and  organized  under  the  laws  of
Delaware, was a rare and orphan disease specialty pharmaceutical company.

In connection with the share-for-share noncash transaction, Grace was merged with a new wholly owned subsidiary of Acasti and became a subsidiary of Acasti. As a result, Acasti acquired Grace’s entire
therapeutic pipeline consisting of three unique clinical stage and multiple pre-clinical stage assets supported by an intellectual property portfolio consisting of various granted and pending patents in various
jurisdictions worldwide. Under the terms of the acquisition, each issued and outstanding share of Grace common stock was automatically converted into the right to receive Acasti common shares equal to
the equity exchange ratio set forth in the merger agreement.

F-11

 
 
 
 
 
 
 
Consideration for acquisition

A total of  18,241,233 common shares of Acasti have been issued to Grace stockholders as consideration for the acquisition.

Total common shares issued
Acasti share price (closing share price on August 27, 2021)
Fair value of common shares issued

$
$

18,241,233  
3.3344  
60,824  

The acquisition of Grace has been accounted for as a business combination using the acquisition method of accounting. The fair value of the purchase price was allocated to the assets acquired and liabilities
assumed at their respective fair values. Management estimated the fair value of the IPR&D intangible assets using a multi-period excess earnings method. The significant assumptions used in the valuation
are the discount rate, the probability of clinical success of research and development programs, obtaining regulatory approval and forecasted net sales. This acquisition method requires, among other things,
that assets acquired, and liabilities assumed in a business combination be recognized at their fair values as of the acquisition date. The valuation of assets acquired, and liabilities assumed has been finalized
during the fourth quarter of 2022.

Measurement period adjustments to the preliminary purchase price allocation during 2022 included (i) an increase to intangible assets of $ 4,602; (ii) an increase to goodwill of $ 12,964; (iii) an increase to
deferred tax liability of $17,536; and (iv) other individually insignificant adjustments to identifiable net assets of $ 30. The measurement period of adjustments primarily resulted from the completion of the
valuation of the intangible assets based on facts and circumstances that existed as of the acquisition date and did not result from intervening events subsequent to such date.

The following table summarizes the final fair value of assets acquired and liabilities assumed as of the acquisition date:

Assets acquired and liabilities assumed
Cash and equivalents
Prepaid expenses and other current assets
Intangible assets – in-process research and development
Goodwill
Accounts payable and accrued expenses
Deferred tax liability
Total assets acquired and liabilities assumed

$  

90  
74  
69,810  
12,964  
(4,578 )
(17,536 )
60,824  

Intangible assets of $69,810 relate to the value of IPR&D, related to Grace’s therapeutic pipeline, consisting of three unique clinical stage programs/assets supported by intellectual property, the value of
which has been attributed as follows:

Intangible assets – in-process research and development
GTX 104
GTX 102
GTX 101
Total

$  

27,595  
31,908  
10,307  
69,810  

Management estimated the fair value of the IPR&D intangible assets using a multi-period excess earnings method. The significant assumptions used in the valuation are the discount rate, the probability of
clinical success of research and development programs, obtaining regulatory approval and forecasted net sales.

Goodwill of $ 12,964 was calculated as the excess of the consideration transferred over the net assets recognized and represents the future economic benefits arising from the other assets acquired that could
not be individually identified and separately recognized. A deferred tax liability of $ 17,536 related to the identified intangible assets resulted.

Acquisition-related expenses, which were comprised primarily of regulatory, financial advisory and legal fees, totalled $ 3.2 million for the year ended  March 31, 2022 and were included in general and
administrative expenses in the consolidated statements of loss and comprehensive loss. The net loss attributed to Grace in the consolidated statement of income (loss), since the date of acquisition is $1,505.

Pro forma financial information

The following table presents the unaudited pro forma combined results of Acasti and Grace for the year ended March 31, 2022, as if the acquisition of Grace had occurred on April 1, 2020:

Net loss

Year ended March 31, 

2022  
$  
(13,734 )

The unaudited pro forma condensed combined financial information was prepared using the acquisition method of accounting and was based on the historical financial information of Acasti and Grace. The
unaudited pro forma financial information is not necessarily indicative of what the consolidated results of operations would have been had the acquisition been completed on April 1, 2020. In addition, the
unaudited pro forma financial information is not a projection of future results of operations of the combined company, nor does it reflect the realization of any synergies or cost savings associated with the
acquisition.

F-12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
   
 
 
5. Receivables

Sales tax receivables
Government assistance
Interest receivable
Other receivables
Total receivables

6. Short-term Investments

Notes

9  

March 31, 2022  
$  
184  
353  
11  
—  
548  

March 31, 2021  
$  
160  
339  
13  
18  
530  

The Corporation holds various short term investments with maturities greater than 3 months at the time of purchase as follows:

Term deposits issued in US currency earning interest at 0.20% and maturing on April 1, 2022
Term deposits issued in CAD currency earning interest at ranges between 0.50% and 0.58% and maturing on various dates from April 1, 2022 to 
March 30,2023

Total short-term investments

7. Impairment loss Intangible assets

March 31, 2022  
$  
11,893  

March 31, 2021  
$  
7,542  

1,429  

13,322  

2,247  

9,789  

In prior years, the Corporation entered into agreements with Neptune Wellness Solutions Inc. ("Neptune") pursuant to which the Corporation obtained a license and exercised its option under the license
agreement to pay in advance future royalties payable to Neptune. This license allowed the Corporation to exploit the intellectual property rights in order to conduct clinical trials for its CaPre drug candidate.
During the second quarter of fiscal 2021, the Corporation released its Phase 3 clinical programs data and its failure to meet its primary endpoints, and the resulting decision to not file an NDA to obtain FDA
approval for CaPre and therefore undertook an analysis to determine the fair value of the intangible asset.

In assessing the magnitude of any impairment of the license the Corporation considered all available evidence, including (i) significant adverse impact from business climate due to the Phase 3 clinical
program’s failure to meet its primary endpoints, and the resulting decision to not file an NDA to obtain FDA approval for CaPre, and the resulting internal forecasts that no cash flows from the use of the
license was possible, and (ii) management’s estimate that a market place participant would place minimal to no value on the license if it were to be sold on its own or in combination with other assets,
recognized or not, which is a level 3 measurement in the fair value hierarchy which included unobservable inputs. Accordingly, an impairment loss of $3,706 was recognized in the second quarter of the year
ended March 31, 2021, which represents the totality of the intangible assets net book value prior to the impairment trigger. For the year ended March 31, 2021 amortization expense, prior to the impairment
was $781 and was included in research and development expenses.

8. Assets held for sale

During the period the Corporation committed to a plan and is actively marketing for sale Other assets and Equipment and has met the criteria for classification of assets held for sale:

Other assets (a)
Equipment (b)

a. Other assets

March 31, 2022  
$  
195  
407  
602  

March 31, 2021  
$  
387  
381  
768  

Other  assets  represent  krill  oil  (RKO)  held  by  the  Corporation  that  was  expected  to  be  used  in  the  conduct  of  R&D  activities  and  commercial  inventory  scale  up  related  to  the  development  and
commercialization of the CaPre drug. Given that the development of CaPre will no longer be pursued, the Corporation is expected to sell this reserve. The other asset is being recorded at the fair value less
costs to sell, which has resulted in an impairment loss of $249 (2021 - $ 413). Management’s estimate of the fair value of the RKO less cost -to sell, is based primarily on estimated market prices obtained
from an appraiser specialized in the krill oil market. These projections are based on Level 3 inputs of the fair value hierarchy and reflect management’s best estimate of market participants’ pricing of the
assets as well as the general condition of the asset. The total impairment loss recognized, includes amounts paid for krill oil in advance, but not yet received and was recorded as a prepaid.

b. Equipment

March 31, 2022

Furniture and office equipment
Computer equipment
Laboratory equipment
Production equipment

  Cost, net of impairment

$    
17  
94  
585  
1,179  
1,875  

Accumulated
depreciation    
$    
(5 )  
(6 )  
(435 )  
(1,022 )  
(1,468 )  

Net book

value  
$  
12  
88  
150  
157  
407  

F-13

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
   
  
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
March 31, 2021

Furniture and office equipment
Computer equipment
Laboratory equipment
Production equipment

Cost

$    
17  
148  
756  
2,538  
3,459  

Accumulated
depreciation    
$    
(5 )  
(30 )  
(436 )  
(1,023 )  
(1,494 )  

Impairment

Net book

loss    
$    
—  
(54 )  
(171 )  
(1,359 )  
(1,584 )  

value  
$  
12  
64  
149  
156  
381  

For  the  year  ended  March  31,  2021,  depreciation  expense  was  $ 143  and  was  included  in  research  and  development  expenses.  Equipment  is  made  up  of  Laboratory,  Production,  Computer  and  Office
equipment that was utilized in the development of CaPre. Given that the development of CaPre will no longer be pursued, the Corporation is expected to sell this equipment. Similarly, to the intangible
assets, the announcement of the outcomes of the TRILOGY clinical trials resulted in an impairment trigger for the laboratory and production equipment. The impairment loss is based on management’s
estimate of the fair value of the equipment less cost -to sell, which is based primarily on estimated market prices obtained from brokers specialized in selling used equipment. These projections are based on
Level 3 inputs of the fair value hierarchy and reflect the Corporations best estimate of market participants’ pricing of the assets as well as the general condition of the assets.

9. Government assistance

Investment tax credit

March 31, 2022  
$  
353  

March 31, 2021  
$  
339  

Government assistance is comprised of a government grant from the Canadian federal government and research and development investment tax credits receivable from the Quebec 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.  For  the  years  ended  March  31,  2022  and  2021,  the  Corporation  recorded  $577  and  $ 127,  respectively,  as  a  reduction  of  research  and  development  expenses  in  the
Consolidated Statements of Loss and Comprehensive Loss.

The amounts recorded as receivables are subject to a government tax audit and the final amounts received may differ from those recorded. Unrecognized Canadian federal tax credits may be used to reduce
future Canadian federal income tax and expire as follows:

 2029
 2030
 2031
 2032
 2033
 2034
 2035
 2036
 2037
 2038
 2039
 2040
 2041
 2042

$  
9  
23  
36  
345  
353  
348  
415  
229  
252  
259  
355  
370  
146  
191  
3,331  

In September 2019, the Corporation was awarded up to CAD $ 750 in non-dilutive and non-repayable funding from the National Research Council of Canada Industrial Research Assistance Program (NRC
IRAP)  to  apply  towards  eligible  research  and  development  disbursements  of  the  Corporation’s  unique  commercial  production  platform  for  CaPre. As  at  March  31,  2022  and  2021   the  Corporation  has
claimed nil and $ 79 in connection with this program, which has been recorded as a reduction of research and development expenses in the Consolidated Statements of Loss and Comprehensive Loss.

In October 2020, the Corporation received correspondence from the NRC IRAP that the eligible amount awarded to the Corporation for non-dilutive and non-repayable funding was reduced from up to
CAD $750 to up to CAD $ 326.

10. Trade and other payables

Trade payables
Accrued liabilities and other payables
Employee salaries and benefits payable
Total trade and other payables

11. Derivative warrant liabilities

March 31, 2022  
$  
1,678  
296  
1,182  
3,156  

March 31, 2021  
$  
115  
607  
771  
1,493  

In connection with the Canadian public offering of units consisting of common shares and warrants that closed on May 9, 2018, the Corporation issued a total of  1,369,937 warrants. Each warrant entitles the
holder thereof to acquire one common share at an exercise price of CAD $ 10.48 at any time until May 9, 2023. The warrants issued are derivative warrant liabilities given the warrant indenture contains
certain contingent provisions that allow for cash settlement.

In connection with the U.S. public offering units consisting of common shares and warrants that closed on December 27, 2017, the Corporation issued a total of  1,225,366 warrants. Each warrant entitles the
holder thereof to acquire one common share at an exercise price of $ 10.08 at any time until December 27, 2022. The warrants issued are derivative warrant liabilities given the currency of the exercise price
is different from the Corporation’s functional currency.

F-14

 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 year
Change in fair value
Translation effect
Balance – end of year

Fair value per warrant issuable

Warrants issued May 2018
March 31,

March 31,

Warrants issued December 27, 2017

March 31,

March 31,

2022  
$  
2,597  
(2,580 )  
(7 )  
10  

0.01  

2021    
$    

1,146  
1,252  
199  
2,597  

3.15  

2022  
$  
2,622  
(2,622 )  
—  
—  

—  

2021  
$  
1,247  
1,174  
201  
2,622  

2.97  

The fair value of the derivative warrant liabilities was estimated using the Black-Scholes option pricing model and based on the following assumptions:

Exercise price
Share price
Risk-free interest
Contractual life (years)
Expected volatility

Warrant liabilities issued
May 2018

Warrant liabilities issued
December 27, 2017

March 31,

2022  
$  

CAD $10.48    
CAD $1.54    
2.39 % 
1.11  
81.56 % 

March 31,

2021    
$    
CAD $10.48    
CAD $6.08    
1.39 % 
2.11  
156.00 % 

March 31,

2022  
$  

USD $10.08    
USD $1.22    
2.41 % 
0.74  
85.94 % 

March 31,

2021  
$  
USD $10.08  
USD $4.80  
0.92 %
1.74  
171.12 %

The Corporation measured its derivative warrant liabilities at fair value on a recurring basis. These financial liabilities were measured using level 3 inputs (see Note 11) .

As at March 31, 2022 , 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 have a nominal impact.

12. Capital and other components of equity

a. Common Shares

Authorized capital stock

Unlimited number of shares

➣Class A shares (Common Shares), voting ( one vote per share), participating and without par value.

➣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 per share. 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 CAD $0.80 per share, subject to certain
conditions. There are none issued and outstanding.

➣Class C shares, non-voting, non-participating, without par value and maximum annual non-cumulative dividend of  5% on the amount paid per share. 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 CAD $0.20 per share, subject to certain conditions. There are
none issued and outstanding.

➣Class D and E shares, they are non-voting, non-participating, without par value and maximum monthly non-cumulative dividend between  0.5% and 2% on the amount paid per share. 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 none issued and outstanding.

“At-the-market” sales agreement

On February 14, 2019, the Corporation entered into an “at-the-market” (ATM) sales agreement with B. Riley FBR, Inc. (“B. Riley”) pursuant to which the Common Shares may be sold from time to time for
aggregate gross proceeds of up to $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 has a  3-year term and requires the Corporation to pay between  3% and 4% commission to B. Riley based on
volume of sales made.

On June 29, 2020, the Corporation entered into an amended and restated sales agreement (the Sales Agreement) with B. Riley, Oppenheimer& Co. Inc. and H.C. Wainwright & Co., LLC (collectively, the
“Agents”) to amend the existing ATM program. Under the terms of the Sales Agreement, which has a three-year term, the Corporation may issue and sell from time to time its common shares (the Shares)
having an aggregate offering price of up to US $75,000,000 through the Agents. Subject to the terms and conditions of the Sales Agreement, the Agents will use their commercially reasonable efforts to sell
the Shares from time to time, based upon the Corporation’s instructions. The Corporation has no obligation to sell any of the Shares and may at any time suspend sales under the Sales Agreement. The
Corporation  and  the  Agents  may  terminate  the  Sales  Agreement  in  accordance  with  its  terms.  Under  the  terms  of  the  Sales  Agreement,  the  Corporation  has  provided  the  Agents  with  customary
indemnification rights and the Agents will be entitled to compensation, at a commission rate equal to 3.0% of the gross proceeds from each sale of the Shares.

On November 10, 2021, the Corporation filed a prospectus supplement relating to its at-the-market program with B. Riley, Oppenheimer& Co. Inc. and H.C. Wainwright & Co., LLC acting as agents. Under
the terms of the ATM Sales Agreement and the prospectus supplement, the Corporation may issue and sell from time-to-time common shares having an aggregate offering price of up to $75,000,000 through
the agents. 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. The volume
and timing of sales under the ATM program, if any, will be determined at the sole discretion of the Corporation’s board of directors and management. Costs incurred relating to prospectus supplement were
$198 and are included

F-15

 
 
  
 
   
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
in General and administrative expenses. For the year ended March 31, 2022 , no common shares were sold under the ATM program.

For the year ended March 31, 2021 , $14.7 million common shares were sold for total net proceeds of approximately $ 59.3 million. Commission, legal and costs related to share sale amounted to $ 2.0 million.
The shares were sold at the prevailing market prices, which resulted in an average price of approximately $4.16 per share. Accordingly, proportional costs of $ 18 related to the common shares sold, were
reclassified from deferred financings costs to equity. Total costs incurred to register the Sales Agreements were initially recorded as deferred financing costs in the Consolidated Balance Sheet. As at March
31, 2021, the remaining balance of the costs incurred of $264 were written off to financing expenses.

b. Warrants

The warrants of the Corporation are composed of the following:

Liability
May 2018 public offering warrants 2018 (i)
Series December 2017 U.S. public offering warrants 2017 (ii)

Equity
Public offering warrants

Public offering U.S. broker warrants December 2017 (iii)
Public offering warrants February 2017 (iv)

March 31, 2022  

March 31, 2021  

Number
outstanding  

824,218  
884,120  
1,708,338  

32,390  
—  
32,390  

Amount  
$  

10  
—  
10  

161  
—  
161  

Number
outstanding  

824,218  
884,120  
1,708,338  

32,390  
215,491  
247,881  

Amount  
$  

2,597  
2,622  
5,219  

161  
631  
792  

(i) Warrants to acquire one common share at an exercise price of CAD $ 10.48, expiring on May 9, 2023.
(ii) Warrants to acquire one common share at an exercise price of $ 10.08, expiring on December 27, 2022 .
(iii) Warrants to acquire one common share at an exercise price of $ 10.10, expiring on December 19, 2022.
(iv) Warrants to acquire one common share at an exercise price of CAD $ 17.20, expired on February 21, 2022.

During the year ended March 31, 2022 , no warrants were exercised. During the year ending March 31, 2021,  222,975 broker warrants offered as part of the May 2018 public offering were exercised at a
price of $0.83 per Common Share of the Company, resulting in $ 183 of cash proceeds.

13. Revenues

In October 2020, the Corporation entered into an agreement with the Centre Integre Universitaire et des services sociaux de L’Estrie - Centre hospitalier Universitaire de Sherbrooke to start producing and
selling Viral transport medium tubes to be utilized in testing related to the Covid-19 pandemic. Revenue is recognized when the product is received by the customer.

   14. Net financial income (expenses)

Foreign exchange gain (loss)
Write-off of deferred financing fees related to at-the-market (ATM) program
Interest income
Other income
Change in fair value of warrant liabilities

Financial income (expenses)

15. Stock based compensation

At March 31, 2021, the Corporation has the following stock-based compensation arrangement:

a. Corporation stock option plan

March 31, 2022  
$  
(299 )  
—  
77  
147  
5,197  

March 31, 2021  
$  
(676 )
(264 )
107  
—  
(2,426 )

5,122  

(3,259 )

The Corporation has in place a stock option plan for directors, officers, employees, and consultants of the Corporation. An amendment of the stock option plan was approved by shareholders on August 26,
2021. The amendment provides for an change to the existing limits for Common Shares reserved for issuance under the Stock Option Plan.

The Stock Option 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 common shares 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  shall  not  exceed  10%  of  the  aggregate  number  of  issued  and  outstanding  shares  of  the  Corporation.  This  resulted  in  an  increase  from 1,816,735  representing 15%  of  the  issued  and
outstanding common shares as of August 26, 2020, to 4,428,818 representing 10% of the issued and outstanding common shares as of March 31, 2022 . 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 monthly basis over a period of at least twelve (12) 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 Common 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

F-16

 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
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, March 31, 2020
Granted
Exercised
Forfeited
Expired
Outstanding, March 31, 2021
Granted
Exercised
Forfeited
Expired
Outstanding, March 31, 2022

Exercisable at end of year

Weighted average fair value of the options granted to employees and directors of the Corporation-

Compensation expense recognized under the stock option plan is summarized as follows:

Research and development expenses
General and administrative expenses
Sales and marketing expenses

Number of

options  

1,241,611  
—  

(30,220 )  
(299,520 )  

—  
911,871  
2,115,400  
—  

(37,890 )  

—  
2,989,381  

989,911  

Weighted average

exercise price  
CAD $  
7.97  
—  
4.93  
7.16  
—  
8.33  
2.04  
—  
4.00  
—  
3.94  

Weighted average
grant date
fair value  
CAD $  
6.62  
—  
3.73  
5.90  
—  
6.96  
1.75  
—  
3.06  
—  
3.32  

7.45  

6.19  

March 31, 2022  
1.75  

March 31, 2021  
—  

March 31, 2022  
$  
447  
842  
48  
1,337  

March 31, 2021  
$  
353  
828  
(7 )
1,174  

As  of  March  31,  2022,  there  was  C AD $1,794  (March 31, 2021– CAD $ 476)  of  total  unrecognized  compensation  cost,  related  to  non-vested  share  options,  which  is  expected  to  be  recognized  over  a
remaining weighted average vesting period of 1.36 years (March 31, 2021 - 1.03 years).

A summary of the non-vested stock option activity and related information for the Corporation’s stock options granted is as follows:

Non- vested, March 31, 2021
Options granted
Options vested
Options forfeited and cancelled
Non- vested, March 31, 2022

Number of

options  
283,637  
2,115,400  
(369,672 )  
(29,895 )  

1,999,470  

Weighted average
grant date fair value
CAD ($)

5.97  
1.75  
4.15  
1.93  
1.91  

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 (years)
Expected volatility

F-17

March 31, 2022  
Weighted average- CAD  
$1.75 CAD  

$2.04 CAD

—  
1.48 %
5.77 %
120.65 %

 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following tables summarize information about activities within the stock option plan:

Exercise
price CAD
$
$
$
$
$
$
$
$
$

1.64  
1.85  
3.16  
5.21  
8.21  
11.37  
12.85  
13.69  
15.05  

—  
—  
—  
—  
—  
—  
—  
—  
—  

$
$
$
$
$
$
$
$
$

1.84  
3.15  
5.20  
8.20  
11.36  
12.84  
13.68  
15.04  
38.40  

Stock-based compensation payment transactions and broker warrants

March 31, 2022

Weighted average
remaining contractual
life

Number of options
outstanding

Number of options
exercisable

9.88  
9.62  
8.00  
6.26  
7.04  
1.11  
4.90  
5.20  
1.05  
8.62  

37,500  
2,050,399  
298,376  
190,819  
206,445  
65,625  
13,542  
90,313  
36,362  
2,989,381  

—  
190,701  
211,095  
190,819  
191,454  
65,625  
13,542  
90,313  
36,362  
989,911  

The  fair  value  of  stock-based  compensation  transactions  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 for a duration equal to the weighted average life of the instruments, life based on the average of the vesting and contractual
periods  for  employee  awards  as  minimal  prior  exercises  of  options  in  which  to  establish  historical  exercise  experience;  contractual  life  for  broker  warrants),  and  the  risk-free  interest  rate  (based  on
government bonds). Service and performance conditions attached to the transactions, if any, are not considered in determining fair value. The expected life of the stock options 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.

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 ( RSUs), performance share units, restricted shares,
deferred share units and other stock-based awards, subject to restricted conditions as may be determined by the Board of Directors. There were no such awards outstanding as of March 31, 2022, and March
31, 2021, and no stock-based compensation was recognized for the period ended  March 31, 2022 and March 31, 2021 .

16. 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, as the Corporation has incurred losses in each of the periods
presented. All outstanding options, RSUs and warrants could potentially be dilutive in the future.

17. Supplemental cash flow disclosure

a. Changes in working capital items:

Receivables
Prepaid expenses
Trade and other payables
Other assets
Total changes in working capital items

18. Income taxes

Income tax (recovery) expense:

Current tax (recovery) expense
Deferred tax (recovery) expense
Income tax (recovery) expense

March 31, 2022  
$  
(18 )  
(380 )  
(2,388 )  
—  
(2,786 )  

March 31, 2021  
$  
58  
672  
(6,701 )
25  
(5,946 )

March 31, 2022  
$  
—  
(648 )  
(648 )  

March 31, 2021  
$  
—  
—  
—  

F-18

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Reconciliation of effective tax rate:

Loss before income taxes
Basic combined Canadian statutory income tax rate 1
Computed income tax recovery
Increase resulting from:

Difference in foreign tax rates
Non-deductible stock-based compensation
Non-deductible change in fair value of warrants
Non-deductible transaction costs
Non-refundable Federal ITC
Change in valuation allowance
Other – Foreign exchange

Other
Total tax (recovery) expense

1 The Canadian combined statutory income tax rate has decreased due to a reduction in the provincial statutory income tax rate.

Net deferred income tax assets as of March 31, 2022, and 2021 were comprised of the following:

Deferred tax assets
Tax losses carried forward
Research and development expenses
Property, plan and equipment
Financing expenses
Licenses
Tax credit carry forwards
Other temporary differences
Deferred tax assets
Deferred tax liabilities
Property, plan and equipment and intangible assets
Deferred tax liabilities
Valuation allowance
Net deferred tax liabilities

March 31, 2022  
$  

(10,467 )  
26.50 % 
(2,774 )  

(77 )  
354  
(1,377 )  
697  
(349 )  
2,864  
12  
2  
(648 )  

March 31, 2021  
$  
(19,678 )
26.50 %
(5,215 )

—  
311  
643  
—  
—  
4,271  
(10 )
—  
—  

March 31, 2022  
$  

March 31, 2021  
$  

35,683  
5,828  
688  
674  
118  
3,331  
80  
46,402  

(20,890 )  
(20,890 )  
(42,401 )  
(16,889 )  

28,753  
5,424  
933  
1,167  
—  
2,968  
86  
39,331  

—  
—  
(39,331 )
—  

As at March 31, 2022, 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
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
No expiry
Total

Research and development expenses, without time limitation

Unrecognized tax benefits

Federal

$    

571  
1,301  
1,656  
1,809  
1,483  
2,877  
3,675  
4,394  
6,465  
400  
13,866  
32,399  
23,558  
13,988  
10,910  

119,352  

21,127  

Provincial

  March 31, 2022  
United States  
$  

$    

571  
1,296  
1,650  
1,792  
1,460  
2,877  
3,565  
4,394  
6,366  
396  
13,811  
32,356  
23,421  
13,988  
10,910  

118,854  

23,125  

13,288  
13,288  

The  Corporation  does  not  expect  a  significant  change  to  the  amount  of  unrecognized  tax  benefits  over  the  next  12  months.  However,  any  adjustments  arising  from  certain  ongoing  examinations  by  tax
authorities could alter the timing or amount of taxable income or deductions, of the allocation of income among tax jurisdictions, and these adjustments could differ from the amount accrued. The Corporation’s
federal and provincial income tax returns filed for all years remain subject to examination by the taxation authorities.

F-19

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
   
   
  
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
19. Financial instruments

a. Concentration of credit risk

Financial instruments that potentially subject the Corporation to a concentration of credit risk consist primarily of cash and cash equivalents and investments. Cash and cash equivalents and investments are
all invested in accordance with the Corporation’s Investment Policy with the primary objective being the preservation of capital and the maintenance of liquidity, which is managed 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. Foreign 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 Corporations functional currency of the Canadian dollar. Fluctuations related to foreign exchange rates could cause unforeseen
fluctuations  in  the  Corporation's  operating  results.  The  Corporation  does  not  use  derivative  instruments  to  hedge  exposure  to  foreign  exchange  risk.  The  fluctuation  of  the  U.S.  dollar  in  relation  to  the
Canadian dollar and other foreign currencies will consequently have an impact upon the Corporation’s net loss.

The operating results and financial position of the Corporation are reported in U.S. dollars (reporting currency) in the Corporation’s financial statements.

c. Liquidity risk

Liquidity risk is the risk that the Corporation will encounter difficulty in meeting the obligations associated with its financial liabilities that are settled  by  delivering  cash  or  another  financial  asset.  The
Corporation manages liquidity risk through the management of its capital structure and financial leverage. 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. The Corporation currently does not have long-term
debt nor arranged committed sources of financing and is operating via use of existing cash and short-term investment balances. Refer to Note 1 – Nature of Operations.

The Corporation’s financial liabilities obligations include trade and other payables, which fall due within the next 12 months in addition to the warrant derivatives that fall due beyond 12 months and are
likely to be settled by the Corporation’s equity.

20. Commitments and contingencies

Research and development contracts and contract research organizations agreements

We utilize contract manufacturing organizations, for the development and production of clinical materials and contract research organizations to perform services related to our clinical trials. Pursuant to the
agreements with these contract manufacturing organizations and contract research organizations, we have either the right to terminate the agreements without penalties or under certain penalty conditions.

Supply contract

On October 25, 2019, the Corporation signed a supply agreement with Aker Biomarine Antartic.  (“Aker”) to purchase raw krill oil product for a committed volume of commercial starting material for CaPre
for a total fixed value of $3.1 million. As at March 31, 2022 , the remaining balance of the commitment with Aker amounts to $ 2.8 million. As of March 31, 2022, the remaining balance of the raw krill oil
product has not been made available for delivery by the supplier under the terms of the supply agreement, therefore no liability has been recorded. Acasti no longer has any planned use for the raw krill oil
product for its own operating purposes and therefore would seek to sell the product upon receipt. There is uncertainty as to whether the Corporation can recover value from the raw krill oil product and
expects it may incur a loss on this contract in the near term.

Sherbrook Lease

On  March  14,  2022,  we  renewed  the  lease  agreement  effective April  1,  2022,  for  our  research  and  development  and  quality  control  laboratory  facility  located  in  Sherbrooke,  Québec,  resulting  in  a
commitment of $556 over a  24 months base lease term and  48 months additional lease renewal term. As this is effective subsequent to year-end the renewal is not recorded in the financial statements.

Legal proceedings and disputes

In the ordinary course of business, the Corporation is at times subject to various legal proceedings and disputes. The Corporation assesses its liabilities and contingencies in connection with outstanding legal
proceedings utilizing the latest information available. Where it is probable that the Corporation will incur a loss and the amount of the loss can be reasonably estimated, the Corporation records a liability in
its consolidated financial statements. These legal contingencies may be adjusted to reflect any relevant developments. Where a loss is not probable or the amount of loss is not estimable, the Corporation
does not accrue legal contingencies. While the outcome of legal proceedings is inherently uncertain, based on information currently available, management believes that it has established appropriate legal
reserves. Any incremental liabilities arising from pending legal proceedings are not expected to have a material adverse effect on the Corporation’s financial position, results of operations, or cash flows.
However, it is possible that the ultimate resolution of these matters, if unfavorable, may be material to the Corporation’s financial position, results of operations, or cash flows. No reserves or liabilities have
been accrued as at March 31, 2022.

21. Subsequent events

Functional currency

On April  1,  2022,  the  Corporation’s  functional  currency  was  changed  from  the  Canadian  dollar  to  the  US  dollar.  This  change  will  be  reflected  prospectively  in  the  Corporation’s  financial  statements
beginning with the first quarter of fiscal 2023.

Common shares

Subsequent to March 31, 2022, the Corporation sold an additional  151,575 common shares for net proceeds of approximately $146 (gross proceeds of $ 151) under the ATM program.

F-20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DESCRIPTION OF ACASTI PHARMA INC.’S SECURITIES REGISTERED PURSUANT TO SECTION 12 OF THE SECURITIES EXCHANGE ACT OF 1934

The  following  summary  sets  forth  certain  material  terms  and  provisions  of  Acasti  Pharma  Inc.’s  (the  “Company”,  “Acasti”,  “our”,  “we”)  securities  that  are
registered under Section 12 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The following description is a summary and does not purport to be a
complete description of the rights and preferences of our securities. It is subject to, and qualified in its entirety by reference to our Articles of Incorporation dated and Articles
of Amendment dated August 27, 2021 (together, the “ Articles”), and our General By-Law (our “By-laws”), each of which is incorporated by reference as an exhibit to the
Annual Report on Form 10-K of which this exhibit is a part, and the applicable provisions of the Business Corporations Act (Québec) (“QBCA”). We encourage you to read
our Articles, our Bylaws and the QBCA for additional information.

As of the end of the period covered by the Annual Report on Form 10-K of which this exhibit forms a part, the only class of securities of the Company registered

under Section 12 of the Exchange Act was Acasti’s Class A Shares (the “Common Shares”).

DESCRIPTION OF COMMON STOCK

Authorized Common Stock

We are authorized to issue an unlimited number of Common Shares.

Rights of Common Stock

Holders of Common Shares are entitled to receive notice of any meetings of shareholders, to attend and to cast one vote per Common Share at all such meetings. Holders of
Common Shares do not have cumulative voting rights with respect to the election of directors and, accordingly, holders of a majority of the Common Shares entitled to vote in
any election of directors may elect all directors standing for election.

Our Common Shares do not carry any pre-emptive, subscription, redemption, retraction, conversion or exchange rights, nor do they contain any cancellation, surrender, sinking
or purchase fund provisions, nor provisions permitting or restricting the issuance of additional securities or requiring a holder of Common Shares to contribute additional capital.

Without Par Value

Our Common Shares are without par value.

Dividends

Under the QBCA and our By-laws, dividends may be declared at the discretion of the Acasti board of directors. Acasti may pay dividends unless there are reasonable grounds
for believing that (i) Acasti is insolvent, or (ii) the payment of the dividend would render Acasti insolvent. The Articles provide that the holders of Common Shares shall be
entitled  to  receive  any  dividends  declared  by  the Acasti  board  of  directors  and Acasti  shall  pay  dividends  thereon,  as  and  when  declared  by  the Acasti  board  of  directors,
according to the order of priority applicable to the classes of shares set out in the Articles.

Listing

Our Common Shares are listed on the Nasdaq Capital Market and the TSX Venture Exchange under the symbol “ACST”.

Transfer Agent and Registrar

The transfer agent and registrar for our Common Shares is Computershare Trust Company of Canada.

 
 
 
 
 
 
ACASTI PHARMA INC.

STOCK OPTION PLAN

THIS PLAN adopted October 8, 2008, amended on April 29, 2009, March 1, 2011, May 22, 2013, October 5, 2015, May 11, 2016, June 8, 2017, July 27, 2018, April 15,
2019, March 31, 2020, August 27, 2020 and June 24, 2021.

ARTICLE 1
DEFINITIONS AND INTERPRETATION

1.1 Definitions. Where used in this Plan, unless there is something in the subject matter or context inconsistent therewith, the following terms will have the meanings set forth
below:

(a)

(b)

“Associate” has the meaning ascribed to it in the Securities Act.

“Board” means the board of directors of the Corporation, or any duly appointed committee thereof to which the board of directors of the Corporation has 
delegated the power to administer and grant Options under this Plan, as constituted from time to time.

(c)

“Cause” means, with respect to a particular Employee:

(i)

“cause” as such term is defined in the written employment agreement between the Corporation and the Employee; or

(ii)

in the event there is no written employment agreement between the Corporation and the Employee or “cause” is not defined in the written employment 
agreement between the Corporation and the Employee, the usual meaning of cause under the laws of the Province of Québec.

(d)

“Change of Control” means:

(i)

a consolidation, reorganization, amalgamation, merger, acquisition or other business combination (or a plan of arrangement in connection with any of the 
foregoing), other than solely involving the Corporation and any one or more of its Associates, with respect to which all or substantially all of the Persons 
who were the beneficial owners of the Shares and other securities of the Corporation immediately prior to such consolidation, reorganization, 
amalgamation, merger, acquisition, business combination or plan of arrangement do not, following the completion of such consolidation, reorganization, 
amalgamation, merger, acquisition, business combination or plan of arrangement, beneficially own, directly or indirectly, more than 50% of the resulting 
voting rights (on a fully-diluted basis) of the Corporation or its successor;

(ii)

a resolution is adopted to wind-up, dissolve or liquidate the Corporation;

(iii)

the sale, exchange or other disposition to a person other than an Affiliate of the Corporation of all or substantially all of the Corporation’s assets; or

(iv)

a change in the composition of the Board, which occurs at a single meeting of the shareholders of the Corporation or upon the execution of a 
shareholders’ resolution, such that individuals who are members of the Board immediately prior to such meeting or resolution cease to constitute a 
majority of the Board, without the Board, as constituted immediately prior to such meeting or resolution, having approved of such change;

(e)

(f)

“Code” has the meaning given in Section 7.1 of this Plan.

“Company” means, unless specifically indicated otherwise, a corporation, incorporated association or organization, body corporate, partnership, trust, 
association, or other entity other than an individual.

Table of Contents

S-2

 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
(g)

“Consultant” means a person, other than an Employee or Director of the Corporation, or a Company, who:

(i)

provides on a bona fide basis consulting, technical, management or other services to the Corporation or a Subsidiary of the Corporation under a written 
contract;

(ii)

possesses technical, business, management or other expertise of value to the Corporation or a Subsidiary of the Corporation;

(iii)

(iv)

in the reasonable opinion of the Corporation, spends or will spend a significant amount of time and attention on the business and affairs of the 
Corporation or a Subsidiary of the Corporation; and

has a relationship with the Corporation or a Subsidiary of the Corporation that enables the individual to be knowledgeable about the business and affairs 
of the Corporation.

“Corporation” means Acasti Pharma Inc., and includes any successor corporation thereto.

“Director” means a member of the board of directors of the Corporation or a member of the board of directors of a Subsidiary of the Corporation to whom 
stock options may be granted in reliance on a prospectus exemption under applicable Securities Laws.

“Effective Date” means the effective date of this Plan, as amended, being October 8, 2008.

“Employee” means an individual who:

(h)

(i)

(j)

(k)

(i)

(ii)

is considered an employee of the Corporation or a Subsidiary of the Corporation under the Income Tax Act (Canada) (i.e., for whom income tax, 
employment insurance and CPP deductions must be made at source);

works full-time for the Corporation or a Subsidiary of the Corporation providing services normally provided by an employee and who is subject to the 
same control and direction by the Corporation or a Subsidiary of the Corporation over the details and methods of work as an employee of the 
Corporation, but for whom income tax deductions are not made at source; or

(iii) works for the Corporation or a Subsidiary of the Corporation on a continuing and regular basis for a minimum amount of time per week providing 

services normally provided by an employee and who is subject to the same control and direction by the Corporation or a Subsidiary of the Corporation 
over the details and methods of work as an employee of the Corporation, but for whom income tax deductions are not made at source.

(l)

“Exchange” means the TSX Venture Exchange and, where the context permits, any other exchange on which the Shares are or may be listed from time to time.

(m)

“Exercise Notice” means the notice respecting the exercise of an Option, in the form set out in the Option Agreement, duly executed by the Option Holder.

(n)

(o)

(p)

“Exercise Period” means the period during which a particular Option may be exercised and, subject to earlier termination in accordance with the terms hereof, 
is the period from and including the Grant Date through to and including the Expiry Date.

“Exercise Price” means the price per Share at which Shares may be purchased under an Option duly granted under this Plan, as determined in accordance with 
Section 4.3 of this Plan and, if applicable, adjusted in accordance with Section 3.5 of this Plan.

“Expiry Date” means the date determined in accordance with Section 4.2 of this Plan and after which a particular Option cannot be exercised and is deemed to 
be null and void and of no further force or effect.

(q)

“Grant Date” means the date on which the Board grants a particular Option.

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(r)

“Insider” means an “insider” as defined by the Exchange from time to time in its rules and regulations.

  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
(s)

(t)

(u)

(v)

(w)

(x)

(y)

(z)

“ISOs” has the meaning given in Section 7.1 of this Plan.

“Market Price” at any date in respect of the Shares shall be the closing price of such Shares on the Exchange (and if listed on more than one stock exchange, 
then the highest of such closing prices) on the last Business Day prior to the Grant Date (or, if such Shares are not then listed and posted for trading on the 
Exchange, on such stock exchange in Canada on which the Shares are listed and posted for trading as may be selected for such purpose by the Board). In the 
event that such Shares did not trade on such Business Day, the Market Price shall be the average of the bid and asked prices in respect of such Shares at the 
close of trading on such date. In the event that such Shares are not listed and posted for trading on any stock exchange, the Market Price shall be the fair market 
value of such Shares as determined by the Board in its sole discretion;

“Option” means an option to acquire Shares granted to a Director, Employee or Consultant of the Corporation, or any Subsidiary of the Corporation pursuant to 
this Plan.

“Option Agreement” means an agreement, in the form substantially similar as that set out in Schedule “A” hereto, evidencing an Option granted under this 
Plan.

“Option Holder” means a Director, Employee or Consultant or former Director, Employee or Consultant, to whom an Option has been granted and who 
continues to hold an unexercised and unexpired Option or, where applicable, the Personal Representative of such person.

“Plan” means this stock option plan, as may be amended from time to time.

“Person” means a Company or an individual.

“Personal Representative” means:

(i)

(ii)

in the case of a deceased Option Holder, the executor or administrator of the deceased duly appointed by a court or public authority having jurisdiction to 
do so; and

in the case of an Option Holder who, for any reason, is unable to manage his or her affairs, the individual entitled by law to act on behalf of such Option 
Holder.

(aa)

“QBCA” means the Business Corporations Act (Québec), as amended, or such other successor legislation which may be enacted, from time to time.

(bb)

“Regulatory Authorities” means the Exchange and any other organized trading facilities on which the Corporation’s Shares are listed and all securities 
commissions or similar securities regulatory bodies having jurisdiction over the Corporation.

(cc)

“Re-Organization Event” has the meaning given in Section 3.5 of this Plan.

(dd)

“Securities Act” means the Securities Act (Québec), as amended, or such other successor legislation as may be enacted, from time to time.

(ee)

(ff)

“Securities Laws” means securities legislation, securities regulation and securities rules, as amended, and the policies, notices, instruments and blanket orders 
in force from time to time that govern or are applicable to the Corporation or to which it is subject, including, without limitation, the Securities Act.

“Share” means one (1) common share without par value in the capital stock of the Corporation as constituted on the Effective Date or, in the event of an 
adjustment contemplated by Section 3.5 of this Plan, such other shares or securities to which an Option Holder may be entitled upon the due exercise of an 
Option as a result of such adjustment.

(gg)

“Subsidiary” means a subsidiary as defined in the QBCA.

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(hh)

“Termination Date” means:

 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
(i)

(ii)

(iii)

(iv)

in the case of the resignation of the Option Holder as an Employee of the Corporation, the date that the Option Holder provides notice of his or her 
resignation as an Employee of the Corporation to the Corporation;

in the case of the termination of the Option Holder as an Employee of the Corporation by the Corporation for any reason other than death, the effective 
date of termination set out in the Corporation’s notice of termination of the Option Holder as an Employee of the Corporation to the Option Holder;

in the case of the termination of the written contract of the Option Holder to provide consulting services to the Corporation, the effective date of 
termination set out in any notice provided by one of the parties to the written contract to the other party; or

the effective date of termination of a Director, Employee or Consultant pursuant to an order made by any Regulatory Authority having jurisdiction to so 
order.

(ii)

“U.S. Taxpayer” has the meaning given in Section 7.1 of this Plan.

1.2 Choice of Law. This Plan is established under and the provisions of this Plan will be subject to and interpreted and construed in accordance with the laws of the Province of
Québec.

1.3 Headings. The headings used herein are for convenience only and are not to affect the interpretation of this Plan.

ARTICLE 2
PURPOSE AND ADMINISTRATION

2.1 Purpose. The purpose of this Plan is to provide the Corporation with a share-related mechanism to attract, retain and motivate qualified Directors, Employees and
Consultants of the Corporation, and any Subsidiary of the Corporation, to reward such of those Directors, Employees and Consultants as may be granted Options under this Plan
by the Board from time to time for their contributions toward the long term goals and success of the Corporation and to enable and encourage such Directors, Employees and
Consultants to acquire Shares as long term investments and proprietary interests in the Corporation.

2.2 Administration. This Plan will be administered by the Board. The Board may make, amend and repeal at any time and from time to time such regulations not inconsistent
with this Plan as it may deem necessary or advisable for the proper administration and operation of this Plan and such regulations will form part of this Plan. The Board may
delegate to any director or other senior officer or employee of the Corporation such administrative duties and powers as it may see fit.

2.3 Board Powers. The Board shall have the power, where consistent with the general purpose and intent of this Plan and subject to the specific provisions of this Plan to,
amongst other things:

(a)

(b)

(c)

(d)

establish policies and to adopt rules and regulations for carrying out the purposes, provisions and administration of this Plan;

interpret and construe this Plan and to determine all questions arising out of this Plan or any Option, and any such interpretation, construction or determination 
made by the Board shall be final, binding and conclusive for all purposes;

determine the number of Shares reserved for issuance by each Option;

determine the Exercise Price of each Option;

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(e)

determine the time or times when Options will be granted and exercisable;

  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
(f)

(g)

determine if the Shares which are issuable on the due exercise of an Option will be subject to any restrictions upon the due exercise of such Option; and

prescribe the form of the instruments and certificates relating to the grant, exercise and other terms of Options.

2.4 Board Discretion. The Board may, in its discretion, require as conditions to the grant or exercise of any Option that the Option Holder shall have:

(a)

(b)

represented, warranted and agreed in form and substance satisfactory to the Corporation that the Option Holder is acquiring and will acquire such Option and the 
Shares to be issued upon the exercise thereof for his, her or its own account, for investment and not with a view to or in connection with any distribution, that 
the Option Holder has had access to such information as is necessary to enable him, her or it to evaluate the merits and risks of such investment and that the 
Option Holder is able to bear the economic risk of holding such Shares for an indefinite period;

agreed to restrictions on transfer in form and substance satisfactory to the Corporation and to an endorsement on any option agreement or certificate 
representing the Shares making appropriate reference to such restrictions; and

(c)

agreed to indemnify the Corporation in connection with the foregoing.

2.5 Board Requirements. Any Option granted under this Plan shall be subject to the requirement that, if at any time counsel to the Corporation shall determine that the listing,
registration or qualification of the Shares issuable upon due exercise of such Option upon any securities exchange or under any Securities Laws of any jurisdiction, or the
consent or approval of Regulatory Authority, is necessary as a condition of, or in connection with, the grant or exercise of such Option or the issuance or purchase of Shares
thereunder, such Option may not be accepted or exercised in whole or in part unless such listing, registration, qualification, consent or approval shall have been effected or
obtained on conditions acceptable to the Board. Nothing herein shall be deemed to require the Corporation to apply for or to obtain such listing, registration, qualification,
consent or approval.

2.6 Interpretation. The interpretation by the Board of any of the provisions of this Plan and any determination by it pursuant thereto will be final and conclusive and will not be
subject to any dispute by any Option Holder. No member of the Board or any individual acting pursuant to authority delegated by it hereunder will be liable for any action or
determination in connection with this Plan made or taken in good faith and each member of the Board and each such individual will be entitled to indemnification with respect to
any such action or determination in the manner provided for by the Corporation.

ARTICLE 3
GRANT OF OPTIONS

3.1 Board to Issue Shares. The Shares to be issued to Option Holders upon the exercise of Options will be previously authorized but unissued Shares in the capital stock of the
Corporation.

3.2 Participation. The Board will, from time to time and in its sole discretion, determine (i) those Directors, Employees, Consultants (and, when applicable, to a Company
wholly owned by any such Director, Employee or Consultant), if any, to whom Options are to be granted based upon certain participation criteria, which criteria include but are
not limited to functions within the Corporation, or any Subsidiary of the Corporation, seniority or actual and future contributions to the success of to the Corporation, or any
Subsidiary of the Corporation, and (ii) the number of Options to be granted to such Directors, Employees or Consultants. The Board may only grant options to an Employee or
Consultant if such Employee or Consultant is a bona fide Employee or Consultant of

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the Corporation or a Subsidiary of the Corporation, as the case may be. The Board may, in its sole discretion, grant the majority of the Options to Insiders of the Corporation.
However, in no case will the grant of Options under this Plan, together with any proposed or previously existing security based compensation arrangement, result in (in each
case, as determined on the Grant Date):

(a)

(b)

the grant to any one Consultant of the Corporation, or any Subsidiary of the Corporation, within any twelve (12) month period, of Options reserving for issuance 
a number of Shares exceeding in the aggregate two percent (2%) of the Corporation’s issued and outstanding Shares (on a non-diluted basis); or

the grant, within any twelve (12) month period, to all Directors, Employees and/or Consultants of the Corporation (or any Subsidiary of the Corporation) 
conducting investor relations services, of Options reserving for issuance a number of Shares exceeding in the aggregate two percent (2%) of the Corporation’s 
issued and outstanding Shares (on a non-diluted basis), calculated at the date an option is granted to any such Person.

3.3 Number of Shares Reserved. Subject to adjustment as provided for in Section 3.4 of this Plan and any subsequent amendment to this Plan, the aggregate number of Shares
reserved for issuance and which will be available for purchase pursuant to Options granted under this Plan, together with any proposed or previously existing security based
compensation arrangement, shall not exceed ten (10%) percent of the aggregate number of issued and outstanding Shares of the Corporation, from time to time. Subject to the
provisions and restrictions of this Plan, if any Option is cancelled, expired or otherwise terminated for any reason whatsoever, the number of Shares in respect of which Option
is cancelled, expired or otherwise terminated for any reason whatsoever, as the case may be, will ipso facto again be immediately available for purchase pursuant to Options
granted under this Plan.

3.4 Adjustments. If, prior to the complete exercise of an Option, the Shares are consolidated, subdivided, converted, exchanged or reclassified or in any way substituted for
(collectively, a “Re-Organization Event”), an Option, to the extent that it has not been exercised, will be adjusted by the Board in accordance with such Re-Organization
Event in the manner the Board deems appropriate and equitable. No fractional Shares will be issued upon the exercise of the Options and accordingly, if as a result of the Re-
Organization Event, an Option Holder would become entitled to a fractional Share, such Option Holder will have the right to purchase only the next lowest whole number of
Shares and no payment or other adjustment will be made with respect to the fractional interest so disregarded.

3.5 Notification of Grant. Following the approval by the Board of the granting of an Option, the Board will notify the Option Holder in writing of the award and will enclose
with such notice the Option Agreement representing the Option so granted.

3.6 Copy of Plan. Each Option Holder, concurrently with the notice of the award of the Option, will, upon written request, be provided with a copy of this Plan, and a copy of
any amendment to this Plan will be promptly provided by the Board to each Option Holder.

3.7 Limitation. This Plan does not give any Option Holder that is a Director the right to serve or continue to serve as a Director of the Corporation, does not give any Option
Holder that is an Employee the right to be or to continue to be employed by the Corporation and does not give any Option Holder that is a Consultant the right to be or continue
to be retained or engaged by the Corporation as a consultant for the Corporation.

ARTICLE 4
TERMS AND CONDITIONS OF OPTIONS

4.1 Term of Option. Subject to Section 4.2, the Expiry Date of an Option will be the date so fixed by the Board at the time the particular Option is granted, provided that such
date will be no later than the tenth (10th) anniversary of the Grant Date of such Option.

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4.2 Termination of Option. Subject to such other terms or conditions that may be attached to Options granted hereunder, an Option Holder may exercise an Option in whole or
in part at any time or from time to time during the Exercise Period. Any Option or part thereof not exercised within the Exercise Period will terminate and become null, void and
of no effect as of 5:00 p.m. (Montréal time) on the Expiry Date. The Expiry Date of an Option will be the earlier of the date so fixed by the Board at the time the Option is
granted and the date established, if applicable, in subsections (a) to (c) below:

(a)

Death, Disability or Retirement of Option Holder

In the event that the Option Holder should die, become disabled or retire from the Corporation while he or she is still an Employee (if he or she holds his or

her Option as an Employee) or in the event that the Option Holder should die or become disable while he or she is still a Director (if he or she holds his or her Option as a
Director) or a Consultant (if he or she holds his or her Option as a Consultant), the Expiry Date will be the first anniversary of the Option Holder’s date of death, disability or
retirement, as applicable. In addition, in the event that the Option Holder should die or become disabled, the vesting schedule of such Option Holder’s Option shall
automatically accelerate such that there shall be a full and immediate vesting and entitlement to exercise the relevant Option concurrently with the date upon which such event
occurs.

(b)

Ceasing to Hold Office as Director

In the event that the Option Holder holds his or her Option as a Director of the Corporation and such Option Holder ceases to be a Director of the Corporation

(including by reason of death or disability) the Expiry Date of the Option will be the first anniversary following the date the Option Holder ceases to be a Director of the
Corporation unless the Option Holder ceases to be a Director of the Corporation as a result of:

(i)

ceasing to meet the qualifications of a director set forth the QBCA; or

(ii)

an ordinary resolution having been passed by the shareholders of the Corporation pursuant to the QBCA; or

(iii)

an order made by any Regulatory Authority having jurisdiction to so order,

in which case the Expiry Date will be the date the Option Holder ceases to be a Director of the Corporation.

(c)

Ceasing to be an Employee or Consultant

In the event that the Option Holder holds his or her Option as an Employee or Consultant of the Corporation and such Option Holder ceases to be an Employee or Consultant of
the Corporation other than by reason of death, disability or retirement, as applicable in accordance with Section 4.2(a), the Expiry Date of the Option will not exceed the
ninetieth (90th) day following the Termination Date or, if the Employee or Consultant provides investor relations services, the thirtieth (30th) day following the Termination
Date, unless the Option Holder:

(i)

(ii)

ceases to be an Employee of the Corporation as a result of termination for Cause; or

ceases to be an Employee or Consultant of the Corporation as a result of an order made by any Regulatory Authority having jurisdiction to so order,

in which case the Expiry Date will be the Termination Date.

(d)

Bankruptcy

In the event that an Option Holder commits an act of bankruptcy or any proceeding is commenced against an Option Holder under the Bankruptcy and Insolvency Act (Canada)
or other applicable bankruptcy or insolvency legislation in force at the time of such bankruptcy or insolvency, the Expiry Date of the Option will be the date immediately
preceding the date on which such Option Holder commits such act of bankruptcy.

 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
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Notwithstanding anything contained in this Plan, with the exception of Section 5.5, in no case will an Option be exercisable after the tenth (10th) anniversary of the Grant Date
of the Option.

4.3 Exercise Price. The price at which an Option Holder may purchase a Share upon the exercise of an Option (the “Exercise Price”) will be determined by the Board and set
forth in the Option Agreement issued in respect of such Option and, in any event, will not be less than the Market Price of the Corporation’s Shares calculated as of the Grant
Date. Notwithstanding anything else contained in this Plan, in no case will the Market Price be less than the minimum prescribed by each of the organized trading facilities as
would apply to the Grant Date in question.

4.4 Vesting. Subject to Section 4.2(a), the date or dates on and after which a particular Option, or part thereof, may be exercised will be determined by the Board and set forth in
the Option Agreement issued in respect of such Option; provided that:

(a)

(b)

all Options granted to a Director will be vested gradually and evenly over a period of at least twelve (12) months, on a monthly basis; and

all Options granted to an Employee will be vested gradually and evenly over a period of at least thirty-six (36) months, on a quarterly basis.

4.5 Additional Terms. Subject to all applicable Securities Laws of all applicable Regulatory Authorities, the Board may attach other terms and conditions to the grant of a
particular Option, such terms and conditions to be referred to in the Option Agreement at the time of grant. These terms and conditions may include, but are not necessarily
limited to, the following:

(c)

(d)

(e)

(f)

providing that an Option expires on a date other than as provided for herein;

providing that a portion or portions of an Option vest after certain periods of time or upon the occurrence of certain events, or expire after certain periods of 
time or upon the occurrence of certain events;

providing that an Option be exercisable immediately, in full, notwithstanding that it has vesting provisions, upon the occurrence of certain events, such as a 
friendly or hostile take-over bid for the Corporation; and

providing that an Option issued to, held by or exercised by an Option Holder who is a citizen or resident of the United Sates of America, and otherwise meeting 
the statutory requirements, be treated as an “Incentive Stock Option” as that term is defined for purposes of the United States of America Internal Revenue 
Code of 1986, as amended.

4.6 Non-Transferability of Options. The Options granted hereunder are not assignable, transferable or negotiable (whether by operation of law or otherwise) and may not be
assigned or transferred, provided however that the Personal Representative of an Option Holder may, to the extent permitted by Section 5.1 of this Plan, exercise the Option
within the Exercise Period. Upon any attempt to assign, transfer, negotiate, pledge, hypothecate or otherwise dispose of or transfer an Option contrary to this Section 4.6 of this
Plan, or upon the levy of any attachment or similar process upon an Option, the Option and all rights, benefits and privileges arising thereunder or therefrom, at the sole
discretion and election of the Board, shall cease and terminate and be of no further force or affect whatsoever.

4.7 No Rights as Shareholders. An Option Holder shall not have any rights as a shareholder of the Corporation with respect to any of the Shares covered by such Option until
the date of issuance of a certificate for Shares upon the due exercise of such Option, in full or in part, and then only with respect to the Shares represented by such certificate or
certificates. Without in any way limiting the generality of the foregoing, no adjustment shall be made for dividends or other rights for which the record date is prior to the date
such share certificate is issued.

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ARTICLE 5
EXERCISE OF OPTION

5.1 Exercise of Option. An Option may be exercised only by the Option Holder or the Personal Representative of the Option Holder. Subject to the provisions of this Plan, an
Option Holder or the Personal Representative of an Option Holder may exercise an Option in whole or in part at any time or from time to time during the Exercise Period up to
5:00 p.m. (Montréal time) on the Expiry Date by delivering to the Secretary of the Corporation an Exercise Notice indicating the number of Shares to be purchased pursuant to
the exercise of the Option, the applicable Option Agreement and a certified cheque or bank draft payable to “Acasti Pharma Inc.” in an amount equal to the aggregate Exercise
Price of the Shares to be purchased pursuant to the exercise of the Option.

5.2 Withholding Taxes. In addition to the other conditions on exercise set forth in this Plan, the exercise of each Option granted under this Plan is subject to the satisfaction of
all applicable withholding taxes or other withholding liabilities as the Corporation may determine to be necessary or desirable in respect of such exercise. The Corporation will
require that an Option Holder pay to the Corporation, in addition to, and in the same manner as, the Exercise Price, such amount as the Corporation is obliged to remit to the
relevant taxing authority in respect of the exercise of the Option.

5.3 Issue of Share Certificates. As soon as practicable following the receipt of (i) the Exercise Notice and the certified cheque or bank draft referred to in Section 5.1, and (ii)
any amounts payable under Section 5.2, the Board will cause to be delivered to the Option Holder the Shares so purchased in certificated or uncertificated form. If the number
of Shares so purchased is less than the number of Shares subject to the Option Agreement, the Option Holder will surrender the Option Agreement to the Corporation and the
Board will forward a new Option Agreement to the Option Holder concurrently with delivery of the Shares for the balance of Shares available under the Option.

5.4 Condition of Issue. The Options and the issue of Shares by the Corporation pursuant to the exercise of Options are subject to the terms and conditions of this Plan and
compliance with the rules and policies of all applicable Regulatory Authorities to the granting of such Options and to the issuance and distribution of such Shares, and to all
applicable Securities Laws. The Option Holder agrees to comply with all such laws, regulations, rules and policies and agrees to furnish to the Corporation any information,
reports or undertakings required to comply with and to fully cooperate with the Corporation in complying with such laws, regulations, rules and policies. Notwithstanding any of
the provisions contained in this Plan or in any Option, the Corporation’s obligation to issue Shares to an Option Holder pursuant to the exercise of any Option granted under the
Plan shall be subject to:

(a)

(b)

(c)

completion of such registration or other qualification of such Shares or obtaining approval of such Regulatory Authority as the Corporation shall determine to 
be necessary or advisable in connection with the authorization, issuance or sale thereof;

the admission of such Shares to listing on any stock exchange on which the Shares may then be listed;

the receipt from the Option Holder of such representations, warranties, agreements and undertakings, as the Corporation determines to be necessary or advisable 
in order to safeguard against the violation of the Securities Laws of any jurisdiction; and

(d)

the satisfaction of any conditions on exercise prescribed pursuant to this Plan.

5.5 Blackout Period. If an Option expires during, or within five business days after, a trading black-out period imposed by the Corporation to restrict trades in the Corporation’s
securities, then, notwithstanding any other provision of the Plan, the Option shall expire ten business days after the trading black-out period is lifted by the Corporation, subject
to the maximum period of time during which an Option is exercisable under Sections 7.3 of this Plan.

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ARTICLE 6
AMENDMENT AND TERMINATION

6.1 Amendment Without Shareholder Approval. Subject to the prior approval of the Exchange, The Board may amend, suspend or discontinue the Plan, and amend or
discontinue any Options granted under the Plan, at any time without shareholder approval. Without limiting the foregoing, the Board is specifically authorized to amend the
terms of the Plan, and the terms of any Options granted under the Plan, without obtaining shareholder approval, to:

(a)

(b)

(c)

(d)

(e)

(f)

amend the vesting provisions to the extent permitted under the rules and regulations of the Exchange;

amend the termination provisions, except as otherwise provided in Section 6.3 (b) hereof;

amend the eligibility requirements of eligible Directors, Employees or Consultants which would have the potential of broadening or increasing Insider 
participation;

add any form of financial assistance;

amend a financial assistance provision which is more favorable to Directors, Employees or Consultants;

add a deferred or restricted share unit or any other provision which results in Directors, Employees or Consultants receiving securities while no cash 
consideration is received by the Corporation; and

(g)

make other amendments of a housekeeping nature or to comply with the requirements of any Regulatory Authority.

6.2 Amendment with Shareholder Approval. Notwithstanding Section 6.1, no amendments to the Plan to:

(a)

(b)

(c)

(d)

increase the number of Shares reserved for issuance under the Plan (including a change from a fixed maximum number of shares to a fixed maximum 
percentage of Shares);

change the manner of determining the Exercise Price; or

amend the amending provisions of Sections 6.1 to 6.3 of this Plan; or

change the employees (or class of employees) eligible to receive options under this Plan

shall be made without obtaining approval of the shareholders in accordance with the requirements of the Exchange.

6.3 Amendment of Insider Options. Notwithstanding Section 6.1, no amendments to granted Options to:

(a)

(b)

reduce the Exercise Price for the benefit of Insiders; or

extend the termination date for the benefit of Insiders, other than in accordance with Section 5.4 hereof;

shall be made without obtaining approval of the shareholders, or approval of the disinterested shareholders for amendments under Section 6.3 (a), in accordance with the
requirements of the Exchange; and no action shall be taken with respect to granted Options without the consent of the Option Holder, unless the Board determines that such
action does not materially alter or impair such Option.

6.4 Options Granted Prior to Termination. No amendment, suspension or discontinuance of the Plan or of any granted Option may contravene the requirements of the
Exchange or any securities commission or regulatory body to which the Plan or the Corporation is now or may hereafter be subject to. Termination of the Plan shall not affect
the ability of the Board to exercise the powers granted to it hereunder with respect to Options granted under the Plan prior to the date of such termination.

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6.5 Retrospective Amendment. The Board may from time to time retrospectively amend this Plan and, with the consent of the affected Option Holders, retrospectively amend
the terms and conditions of any Options that have been previously granted.

 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
6.6 Change of Control. Notwithstanding anything contained to the contrary in this Plan or in any resolution of the Board in implementation thereof:

(a)

in the event of a proposed Change of Control of the Corporation, the Corporation shall have the right, upon written notice thereof to each Option Holder holding 
Options under the Plan, to permit the exercise of all such Options within the twenty (20) day period next following the date of such notice and to determine that 
upon the expiration of such twenty (20) day period, all rights of the Option Holders to such Options or to exercise same (to the extent not theretofore exercised) 
shall ipso facto terminate and cease to have further force or effect whatsoever;

(b)

in the event of a Change of Control of the Corporation where a notice by the Corporation was not sent to Option Holders in accordance with Section 6.6(a),

(i)

(ii)

all of the Option Holder’s Options will immediately vest on the date of such event. In such event, all Options so vested will be exercisable from such 
date until their respective expiry dates, subject to the terms of any employment agreement or other contractual arrangement between the Option Holder 
and the Corporation. For greater certainty, upon a Change of Control, Option Holders shall not be treated any more favourably than holders of Shares 
with respect to the consideration that the Option Holders would be entitled to receive for their Shares; and

if the Option Holder elects to exercise its Options following a Change of Control, such Option Holder shall be entitled to receive, and shall accept, in lieu 
of the number of Shares which such Option Holder was entitled upon such exercise, the kind and amount of shares and other securities, property or cash 
which such Option Holder could have been entitled to receive as a result of such Change of Control, on the effective date thereof, had such Option 
Holder been the registered holder of the number of Shares to which such Option Holder was entitled to purchase upon exercise of such Options.

6.7 Extension of Expiration Date, Non-Applicability of Termination of Employment Provisions. Subject to the rules of any relevant Regulatory Authority and Securities
Laws, the Board may, by resolution:

(a)

(b)

extend the Expiration Date of any Option, but shall not, in the event of any such advancement or extension, be under any obligation to advance or extend the 
date on or by which Options may be exercised by any other Option Holder; and

decide that any of the provisions hereof concerning the effect of termination of the Option Holder’s employment shall not apply to any Option Holder for any 
reason acceptable to the Board.

Notwithstanding the provisions of Sections 6.6 and 6.7, should changes be required to the Plan by any Regulatory Authority of any jurisdiction to which this

Plan or the Corporation now is or hereafter becomes subject, such changes shall be made to the Plan as are necessary to conform with such requirements and, if such changes are
approved by the Board, the Plan, as amended, shall be filed with the records of the Corporation and shall remain in full force and effect in its amended form as of and from the
date of its adoption by the Board.

6.8 Regulatory Authority Approval. This Plan and any amendments hereto are subject to all necessary approvals of the applicable Regulatory Authorities.

6.9 Agreement. The Corporation and every Option granted hereunder will be bound by and subject to the terms and conditions of this Plan. By accepting an Option granted
hereunder, the Option Holder has expressly agreed with the Corporation to be bound by the terms and conditions of this Plan.

S-12

Table of Contents
6.10 Effective Date of Plan. Upon approval by the shareholders of the Corporation in accordance with the QBCA, and by acceptance by the Exchange (if the Shares are listed
or posted on an Exchange and such acceptance is required), the amendments to this Plan made on May 11, 2016 shall be deemed to be effective as of the Effective Date. Any
Options granted prior to such approval and acceptance(s), that exceed the previous number of Options

 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
available for grant, shall be conditional upon such approval and acceptance(s) being given and no such Options may be exercised unless such approval and acceptance is given.

6.11 Governing Law. This Plan and all matters to which reference is made herein shall be governed by and interpreted in accordance with the laws of the Province of Québec
and the federal laws of Canada applicable therein.

 
EXECUTION VERSION

THIS EMPLOYMENT AGREEMENT (the “ Agreement”) is made this 1st day of [September] 2021 between ACASTI PHARMA INC.
(the “Company”) and BRIAN FORD (the “Employee”) (collectively referred to as the “Parties”)

EXECUTIVE EMPLOYMENT AGREEMENT

RECITALS:

A.The Employee has valuable finance and accounting skills and general business experience which will be of assistance to the Company in
managing and developing its business.

B.The  Company  has  offered  the  Employee  employment  on  the  terms  set  out  in  this  Agreement,  and  the  Employee  has  accepted  the
Company’s offer, effective on the Effective Date (as defined below).

THEREFORE, the Parties agree as follows:

SECTION 1: DUTIES AND RESPONSIBILITIES

1.1Position

Starting on September 13, 2021 (the “Effective Date”), the Employee will be employed full-time by the Company as its Chief Financial
Officer (“CFO”). The Employee will carry out those duties, responsibilities and reporting requirements which are ordinarily expected of a
CFO, and such other reasonable duties as may from time to time be assigned by the CEO or the Board of Directors. The Employee will be
covered under the Company’s Director and Officer (“D&O”) insurance policy, subject to the terms and conditions set out in such policy.
The Company will also indemnify the Employee in accordance with the Company’s General By-Laws.

1.2Full Time and Attention and Duty of Loyalty

The  Employee  shall  devote  full  working  time  and  attention  in  the  performance  of  the  Employee’s  duties  with  the  Company  and  its
affiliates. While an employee of the Company, the Employee will not, without obtaining the prior written consent of the Company, assume
any other employment or engage in any other business, occupation or directorship, other than as a director of boards of directors for (i)
charitable organizations or (ii) industry organizations related to the business of the Company. The Employee is a fiduciary of the Company
and shall act at all times in the Company’s best interests.

1.3Location

The  Employee’s  office  shall  be  remote.  It  is  the  expectation  of  the  Company  that  the  Employee  will  operate  out  of  the  Company’s
headquarters in the Laval, Quebec area at least once per month (post-COVID 19 restrictions being lifted).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
- 2 -

1.4Compliance with Rules and Policies

The Employee will comply with all Company rules and policies provided or made available to him, including the Code of Conduct and
Insider Trading policy. The Company may, from time to time, amend, alter, change, delete or establish new rules and policies (collectively,
the “Revised Policies”) to meet the business needs of the Company. The Employee agrees that, immediately upon receiving notice of and
access to such Revised Policies, the Employee’s employment will be governed by such Revised Policies.

SECTION 2: REMUNERATION

1.1Base Salary

The  Employee  will  be  paid  an  annualized  salary  in  the  amount  of  CDN  $350,000  (the  “Base Salary”),  payable  in  accordance  with  the
Company’s payroll practices, as may be amended from time to time. Future increases in Base Salary (if any) will be at the sole discretion
of the Board.

1.2Signing Bonus

A  signing  bonus  in  the  amount  of  CDN  $17,500  will  be  paid  to  the  Executive  as  soon  as  practicable  following  the  execution  of  this
Agreement.

1.3Annual At-Risk Incentive Compensation

(a)The  Employee  will  be  eligible  to  earn  an  annual  bonus  (the  “Bonus”)  based  on  the  achievement  of  metrics  and  goals
established and evaluated by the Board, in its sole discretion. The maximum Bonus will be up to 40% of Base Salary and will be
based on performance targets set by the Board. The calculated bonus in the first year will be subject to proration based on date of
hire. There is no representation that a Bonus will be paid in any given year or that a Bonus in one year will be comparable to
another  year  and  under  no  circumstances  is  the  Bonus  to  be  considered  part  of  the  Employee’s  Base  Salary  or  other  regular
employment income.

(b)The  Bonus,  if  any,  will  be  paid  when  the  Company  normally  pays  such  Bonuses,  and  should  be  no  later  than  60  days
following each applicable fiscal year end. If prior to the year end, the Employee’s active employment with the Company ceases
at the Employee’s discretion, no Bonus will be paid. If, however, the Employee has received notice of termination, other than for
cause, the Employee will still be eligible to earn a Bonus, pro-rated to the number of months of active employment completed by
the Employee during that fiscal year, based on the achievement of metrics and goals established and evaluated by the Board, in
its sole discretion, for that fiscal year.

1.4Stock Options

(a)The Employee shall be eligible to participate in the Company’s Stock Option Plan, as approved by the Board and as amended
from time to time (the “Stock Option

 
 
 
 
 
 
 
 
 
 
 
 
 
 
- 3 -

Plan”). The vesting of stock options (“Options”), and the subsequent exercise of such Options shall be governed in all
respects by the Stock Option Plan and the grant documents.

(b)The Employee will be eligible to receive a hire-on grant, and subsequent annual option grants at the Board’s discretion. The
quantum  of  such  grants  shall  be  set  by  the  Board  of  Directors,  in  its  discretion,  having  regard  to  Company  practice  and
performance and the provisions of the Stock Option Plan, as amended from time to time.

1.6Benefits

The Employee will be eligible to participate in the Company’s employee benefit plans which are offered to other Canadian employees of
the  Company  (the  “Benefit  Plans”),  subject  to  the  terms  and  conditions  set  out  in  the  Benefit  Plan  policies.  The  Company  regularly
reviews the Benefit Plans, as well as its insurance carriers, and accordingly, reserves the right to amend or discontinue the Benefit Plans
and change its carriers when deemed appropriate and without advance notice to the Employee.

1.7Vacation

The Employee’s annual vacation entitlement will be four (4) weeks per year. Such entitlement will be prorated for the calendar year in
which the Employee commences employment and for any other year of partial employment. The Employee is required to arrange vacation
time to suit the needs of the Company. Vacation entitlements, including treatment of unused vacation time, shall be in accordance with the
Company’s vacation policy.

1.8Reimbursement of Expenses

(a)The  Company  agrees  to  reimburse  the  Employee  for  any  reasonable  out  of  pocket  expenses  incurred  in  the  course  of
performing his employment duties. Reimbursement will be conditional upon the Employee providing an itemized account and
receipts. The Company may also provide the Employee with a credit card for such purposes and to facilitate the same.

(b)The Company shall also reimburse the Employee for the following expenses:

(i)Travel expenses for business travel in accordance with the Company’s travel expense and reimbursement policy;

(ii)Business laptop; and

(iii)Any  other  reasonable  business  expenses  as  covered  in  the  Company’s  board  approved  budget  (for  example,  this
could include taking a consultant to lunch, or attendance at a conference).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
- 4 -

SECTION 3: TERMINATION OF EMPLOYMENT

The Employee or the Company may end the Employee’s employment as described below. The Employee will always receive all
accrued compensation, vacation pay and benefits up to his last day of employment.

(a)If the Employee decides to resign his employment, the Employee will give at least 8 weeks of written notice to the Company.
The Company may, at any time during the resignation notice period, relieve the Employee from all or any of your duties for all or
part of the remainder of the resignation notice period. This may include a requirement that the Employee stay away from all or
any of the Company’s premises and/or will not be provided with any work and/or will have no business contact with all or any of
the Company’s agents, employees, customers, clients, distributors and suppliers. Whether or not the Employee is relieved of any
duties during the resignation notice period, the Employee will be paid his Base Salary and other benefits, his employment will
not be terminated by any removal of duties, his employment will continue during the resignation notice period and the Employee
will continue to be bound by his obligations under this Agreement. The Employee will not disclose his resignation without the
prior  approval  of  the  Company.  The  Company  will  comply  with  all  requirements  of  the  applicable  employment  standards
legislation.

(b)The  Company  may  terminate  Employee’s  employment  with  cause  by  complying  with  only  the  applicable  minimum
requirements  of  the Employment  Standards  Act,  2000 (Ontario)  (the  “ESA”)  in  respect  of  the  termination  of  his  employment
(including, without limitation, all requirements under such legislation in respect of notice, termination and severance pay, wages,
benefits and vacation pay). Benefits will only continue during any period required by the ESA.

(c)The Company may terminate Employee’s employment without cause by providing the Employee, subject to Employee signing
and returning a full and final release to the Company for any payment or benefit which exceeds the minimum requirements of the
ESA, with:

(i)a payment equal to 6 months of Base Salary, plus two months of Base Salary for each completed year of service, up
to a maximum of 12 months in total, if such termination does not occur within the period set out in Section 3(c)(ii); or

(ii)a payment equal to 12 months of Base Salary in the event that such termination occurs within 3 months following a
Change of Control (as such term is defined in the Stock Option Plan).

In either case, the Company will continue Employee’s benefit coverage for the minimum period required by the ESA.

(d)The  Employee  and  the  Company  intend  to  and  will  comply  with  all  requirements  of  the  ESA,  including  with  respect  to
employment benefits continuation.

 
 
 
 
 
 
 
 
 
 
 
- 5 -

(e)The termination arrangements set out in this section fully satisfy the Company’s and all affiliates’ obligations to the Employee
in respect of the termination of the Employee’s employment and Employee will not be entitled to further notice of termination,
severance pay, incentive compensation, damages or other compensatory payments under common law, civil law or contract.

(f)In the event of the termination of the Employee’s employment for any reason, the Employee must return immediately and in
good condition all Company property, including, without limitation, all computers and other equipment or systems that may from
time to time be issued to you. The Employee must deliver to the Company any files or data on his personal computer hardware or
software and thereafter permanently destroy such property so that it is irretrievable. The Employee must provide the Company
with  all  passwords  to  any  equipment,  systems  or  files  or  data  the  Employee  delivers  to  the  Company.  Upon  request  from  the
Company, the Employee will immediately resign from any and all director or officer positions he may hold with the Company or
its affiliates.

1.1Non-Disparagement

SECTION 4: EMPLOYEE COVENANTS

The Employee shall not assist with, engage in or authorize the making or publishing of written or oral statements or remarks which are
disparaging, deleterious or damaging to the integrity, reputation or goodwill of the Company, any affiliates, and/or their management.

The Company shall not assist with, engage in or authorize the making or publishing of written or oral statements or remarks which are
disparaging, deleterious or damaging to the integrity, reputation or goodwill of the Employee.

1.2Confidential Information and Intellectual Property

The Employee shall sign and be bound by the standard Company’s Confidentiality and Intellectual Property Agreement attached hereto as
Schedule “A”.

1.3Non-Competition

The  Employee  will  not,  either  while  employed  with  the  Company  or  for  a  period  of  twelve  (12)  months  subsequent  to  the  Employee’s
termination of employment for any reason, without the Company’s express written consent, either as an individual, or in conjunction with
any other person, firm, corporation, or other entity, whether acting as a principal, agent, professional, manager, executive, consultant or
similar capacity, engage in or in any way be concerned with any competitor of the Company within Canada or the United States. For the
purposes  of  this  Section  and  Section  4.3,  a  competitor  of  the  Company  is  any  business  engaged  in  the  development,  manufacturing  or
commercialization of pharmaceutical drugs and applications for the treatment of rare and orphan diseases. Should the Company business
cease given it has not been able to fund its continued operations, then this section 4.3 will no longer be applicable.

 
 
 
 
 
 
 
 
 
 
 
 
 
- 6 -

1.4Non-Solicitation and Non-Interference

The  Employee  will  not,  either  while  employed  with  the  Company  or  for  a  period  of  twelve  (12)  months  subsequent  to  the  Employee’s
termination of employment for any reason, without the Company’s express written consent, either as an individual, or in conjunction with
any other person, firm, corporation, or other entity, whether acting as a principal, agent, manager, executive, consultant or similar capacity,
within  Canada  and  the  United  States  or  any  other  country  in  which  the  Company  carries  on  a  business  for  which  the  Employee  had
responsibilities in last five (5) years of employment, solicit, attempt to solicit, or communicate in any way with any employees or full-time
consultants  of  the  Company  for  the  purpose  of  having  such  employees  employed  or  in  any  way  engaged  by  another  person,  firm,
corporation, or other entity.

1.5Acknowledgement

Due to the sensitive nature of the Employee’s position and the special access that the Employee will have to the Company’s confidential
information and intellectual property, the Employee will be in a position to irreparably harm the Company should the Employee (either
during  the  Employee’s  term  of  employment  with  the  Company,  or  subsequent  to  the  termination  of  such  employment)  enter  into
competition  with  the  Company  (directly  or  indirectly)  or  otherwise  make  use  of  the  specialized  knowledge,  contacts  and  connections
obtained during the Employee’s employment to the detriment of the Company. The Employee acknowledges that the unauthorized use or
disclosure of such information could irreparably damage the Company’s interests if made available to a competitor, or if used against the
Company for competitive purposes. The Employee agrees that the covenants and restrictions contained in this Section 4 are reasonable and
valid in terms of time, scope of activities and geographical limitations and understands and agrees that they are vital consideration for the
purposes  of  the  Company  entering  into  this Agreement.  Competition  in  this  section  will  be  considered  as  defined  in  section  4.3.  The
Employee  further  acknowledges  that  a  breach  on  any  of  his  obligations  under  Section  4  shall  entitle  the  Company  to  seek  interim,
interlocutory and permanent interim injunctive relief without proof of actual damages, specific performance or other equitable remedy in
addition to any other relief to which the Company may be entitled.

1.1Eligibility to Perform Services

SECTION 5: GENERAL

The Employee hereby represents and warrants that the Employee is not bound by any agreement, including any restrictive covenants, that
may  restrict  the  Employee  from  accepting  employment  with  the  Company  and  performing  the  duties  assigned  to  him  pursuant  to  this
agreement.

1.2Severability

If,  in  any  jurisdiction,  any  provision  of  this  Agreement  or  its  application  to  either  Party  or  circumstance  is  restricted,  prohibited  or
unenforceable, the provision shall, as to that jurisdiction, be ineffective only to the extent of the restriction, prohibition or unenforceability
without invalidating the remaining provisions of this Agreement and without affecting the validity or enforceability of such provision in
any other jurisdiction, or without affecting its application to other parties or circumstances.

 
 
 
 
 
 
 
 
 
 
 
- 7 -

1.3Entire Agreement

This Agreement, including the attached schedules and the agreements and other documents referenced in this Agreement, constitute the
entire  agreement  between  the  Parties  in  respect  of  the  employment  of  the  Employee,  and  supersede  and  replace  any  and  all  prior
agreements, understandings, representations, negotiations and discussions, whether express or implied, oral or written, pre-contractual or
otherwise.

1.4Legal Advice

The Employee acknowledges that the Employee has read and understands the terms and conditions contained in this Agreement, and that
the Company has provided a reasonable opportunity for the Employee to seek independent legal advice prior to executing this Agreement.

1.5Successors and Assigns

This Agreement  will  be  binding  upon  and  inure  to  the  benefit  of  the  Company  and  any  successor  to  the  Company,  including  without
limitation any persons acquiring directly or indirectly all or substantially all of the business or assets of the Company whether by purchase,
merger, consolidation, reorganization or otherwise (and such successor will thereafter be deemed the “Company” for the purposes of this
Agreement), but will not otherwise be assignable, transferable or delegable by the Company

1.6Survival of provisions

Section 4 of this Agreement shall survive the termination of this Agreement and the termination of the Employee’s employment for any
reason and the obligation set out therein shall remain binding upon the Employee.

1.7Governing Law

This Agreement is a contract made under and shall be governed by and construed in accordance with, the laws of the Province of Ontario
and the federal laws of Canada applicable in the Province of Ontario.

1.8Currency and Withholding

Unless otherwise specified, all references to money amounts are to the lawful currency of Canada. All payments made by the Company to
the Employee or for the benefit of the Employee shall be less applicable withholdings and deductions.

1.9Interpretation and Language

The  language  used  in  this Agreement  shall  be  deemed  to  be  the  language  chosen  by  the  Parties  to  express  their  mutual  intent,  and  the
Agreement shall be interpreted without regard to any presumption or other rule requiring interpretation of the Agreement more strongly
against the Party causing it to be drafted.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
- 8 -

It is the intention of Employee and the Company to comply with the ESA. Accordingly, this Agreement shall (a) not be interpreted as in
any way waiving or contracting out of the ESA; and
(b) be interpreted to achieve compliance with the ESA. This Agreement contains the parties’ mutual understanding and there shall be no
presumption of strict interpretation against either party. It is understood and agreed that all provisions of this Agreement are subject to all
applicable  minimum  requirements  under  the  ESA.  In  the  event  that  the  ESA  provides  for  superior  entitlements  upon  termination  of
employment or otherwise (“statutory entitlements”) than provided for under this Agreement, the Company shall provide Employee with
his statutory entitlements in substitution for his rights under this Agreement.

1.10Acceptance

By  execution  of  this  document,  the  Employee  acknowledges  that  he  has  read,  understands  and  accepts  these  terms  and  conditions  of
employment.  He  further  understands  that  his  salary,  benefits,  job  title  and  job  duties  may  change  from  time  to  time  without  a  written
modification of this agreement.

(signatures follow on the next page)

 
 
 
 
 
 
- 9 -

IN WITNESS OF WHICH the Parties have duly executed this Agreement:

ACASTI PHARMA INC.

By:

Name: Jan D’Alvise
Title: President and CEO

Brian Ford
Employee

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXECUTION VERSION

SCHEDULE A CONFIDENTIALITY OF

INFORMATION

AND OWNERSHIP OF PROPRIETARY PROPERTY AGREEMENT

THIS CONFIDENTIALITY OF INFORMATION AND OWNERSHIP OF
PROPRIETARY PROPERTY AGREEMENT is entered into as of the date set out below and is between ACASTI PHARMA INC. (the
“Company”) and BRIAN FORD (the “Worker”).

BACKGROUND:

A.The Company may give, has given and will give the Worker access to proprietary or confidential information of the Company and its
affiliates and subsidiaries (if any) (the “Company Group”),  including  information  that,  by  its  nature  or  by  the  nature  of  its  disclosure,
would reasonably be considered to be proprietary or confidential to the Company Group (which information is collectively referred to in
this Agreement as “Confidential Information”). For greater certainty, Confidential Information includes all employee, customer or client
personal  information,  technical  data,  unpublished  know-how,  techniques,  records,  formulae,  processes,  sketches,  photographs,  plans,
drawings, specifications, samples, reports, manuals, documents, prototypes, hardware, software and other equipment, working materials,
findings, inventions and ideas, whether patentable or not, whether they be trade secrets or not and whether they be in written, graphic, oral,
electronic or any other form, that are now or hereafter owned, licensed or otherwise acquired by the Company Group.

B.The Worker may develop, conceive, generate or contribute to, in the course of employment or engagement with the Company, alone
and/or jointly with others, tangible and intangible property relating to actual or anticipated business and research and development of the
Company  Group,  or  that  is  suggested  by  or  result  from  work  performed  for  or  on  behalf  of  the  Company  Group,  in  any  fields,  which
property includes software, hardware, know- how, designs, techniques, documentation and other material regardless of the form or media
in or on which it is stored, some or all of which property may be protected by patents, copyrights, trade secrets, trade-marks, industrial
designs or mask works or any common law, civil law or statutory right anywhere in the world (which tangible and intangible property is
collectively referred to in this Agreement as “Proprietary Property”).

NOW,  THEREFORE, in  consideration  of  the  Worker’s  employment  or  engagement  with  the  Company  and  other  good  and  valuable
consideration, the receipt and sufficiency of which is acknowledged by the Worker, the parties agree as follows:

1.The Worker, both during and after employment or engagement with the Company, shall not disclose or use any Proprietary Property or
Confidential  Information  except  in  the  course  of  carrying  out  authorized  activities  on  behalf  of  the  Company  or  except  as  expressly
authorized by the Company in writing. The Worker may, however, use or disclose Confidential Information that:

(a)is or becomes public, other than through a breach of this Agreement; or

 
 
 
 
 
 
 
 
 
 
- 11 -

(b)is known to the Worker prior to employment or engagement by the Company and with respect to which the Worker does not
have any obligation of confidentiality; or

(c)is required to be disclosed, or the disclosure of which to regulators is protected, by law, whether under an order of a court or
government tribunal, statutory provision or other legal process, provided that, where such disclosure is required of the Worker,
the Worker informs the Company of such requirement as soon as the Worker becomes aware of the requirement and in sufficient
time to allow the Company to take such steps as are lawfully available to the Company to avoid or limit such disclosure by the
Worker.

3.The Worker, both during and after employment or engagement with the Company, shall not disclose or use any trade secrets, confidential
information or proprietary property of a third party obtained by the Worker during the course of or as result of employment or engagement
with the Company, except as expressly authorized by the Company or such third party in writing.

4.All right, title and interest in and to Proprietary Property (including the Proprietary Property described in paragraph 7 below), as between
the  Worker  and  the  Company,  belongs  to  the  Company  and  the  Worker  has  no  rights  in  any  such  Proprietary  Property.  For  greater
certainty,  all  right,  title  and  interest  (including  any  intellectual  property  rights)  in  and  to  all  Proprietary  Property  that  the  Worker  may
acquire in the course of employment or engagement with the Company are hereby assigned to the Company. The Worker agrees to make
full  disclosure  to  the  Company  of  and  to  properly  document  each  development  of  any  Proprietary  Property,  and  to  provide  written
documentation  describing  such  Proprietary  Property  to  the  Company,  promptly  after  its  creation.  At  the  request  and  expense  of  the
Company,  both  during  and  after  employment  or  engagement  with  the  Company,  the  Worker  shall  do  all  acts  necessary  and  sign  all
documentation necessary in order to assign all right, title and interest in and to the Proprietary Property to the Company and to enable the
Company to register patents, copyrights, trade-marks, mask works, industrial designs and such other protections as the Company deems
advisable anywhere in the world. The Worker irrevocably designates and appoints the Company and its duly authorized officers and agents
as the Worker’s agent and attorney-in-fact, to act for and in the Worker’s behalf and stead to execute and file any such instruments and
papers and to do all other lawfully permitted acts to further the application for, prosecution, issuance, maintenance or transfer of patents,
copyrights,  trade-marks,  mask  works,  industrial  designs  and  such  other  protections  related  to  the  Proprietary  Property.  This  power  of
attorney is coupled with an interest and shall not be affected by the Worker’s subsequent incapacity or death.

5.If,  during  and  in  the  course  of  employment  or  engagement  with  the  Company,  the  Worker  develops  any  Proprietary  Property  that  is
protected by copyright, the Worker hereby waives unconditionally any “moral rights” the Worker may have in such Proprietary Property.

6.If any part of the services or Proprietary Property or information provided hereunder is based on, incorporates, or is an improvement or
derivative  of,  or  cannot  be  reasonably  and  fully  made,  used,  reproduced,  distributed  and  otherwise  exploited  without  using  or  violating
technology or intellectual property rights owned by or licensed to the Worker (or

 
 
 
 
 
 
 
 
- 12 -

any  person  involved  in  the  services)  and  not  assigned  hereunder,  the  Worker  hereby  grants  the  Company  and  its  successors  a
perpetual,  irrevocable,  worldwide  royalty-free,  non-  exclusive,  sublicensable  right  and  license  to  exploit  and  exercise  all  such
technology  and  intellectual  property  rights  in  support  of  the  Company’s  exercise  or  exploitation  of  the  services,  Proprietary
Property,  other  work  or  information  performed  or  provided  hereunder,  or  any  assigned  rights  (including  any  modifications,
improvements and derivatives of any of them).

6.The  Worker,  both  during  and  after  employment  or  engagement  with  the  Company,  shall  not  make  any  unauthorized  use  of  the
Company’s computer systems, communications networks, databases or files. The Worker shall adhere to all Company policies regarding
the use of such computer systems, communications networks, databases or files.

7.All notes, data, tapes, reference items, sketches, drawings, memoranda, records, documentation and other material regardless of the form
or  media  in  or  on  which  it  is  stored,  that  is  in  or  comes  into  the  possession  or  control  of  the  Worker,  and  that  is  in  any  way  obtained,
conceived,  developed,  generated  or  contributed  to  by  the  Worker,  alone  and/or  jointly  with  others  in  the  course  of  or  as  a  result  of  the
Worker’s employment or engagement with the Company, is and remains Confidential Information and/or Proprietary Property within the
meaning of this Agreement.

8.The Worker shall return or destroy, as directed by the Company, Confidential Information or Proprietary Property to the Company upon
request  by  the  Company  at  any  time,  and  upon  the  cessation  of  employment  or  engagement  with  the  Company,  regardless  of  how  that
cessation  occurs.  Such  return  or  destruction  shall  include  all  originals  and  all  copies  of  the  Confidential  Information  and  Proprietary
Property, in whatever medium or form, that is then in the control or possession of the Worker. Upon request by the Company, the Worker
shall certify, by way of affidavit or statutory declaration, that all such Confidential Information and Proprietary Property has been returned
or  destroyed,  as  applicable.  Both  during  and  after  employment  or  engagement  with  the  Company,  the  Worker  shall  not  make  or  retain
copies of the Confidential Information or Proprietary Property in the Worker’s possession or control, except for the purpose of carrying out
authorized activities on behalf of the Company or except as expressly authorized by the Company in writing. For information stored in
electronic form:

(a)the  Worker  shall  be  deemed  to  have  returned  it  when  the  Worker  transmits  an  electronic  copy  to  Company  and  thereafter
destroys it per (b) below; and

(b)the Worker shall be deemed to have destroyed it when the Worker performs a commercially reasonable “delete” function with
respect to all of its copies of information, notwithstanding that such information may be forensically recoverable or restored from
backups (provided always that if, at any time, the Worker performs or permits such recovery or restoration, the Worker shall treat
such recovered or restored information as Confidential Information hereunder at all times).

9.The Worker shall not use unauthorized software on the Company’s equipment during the course of employment or engagement with the
Company. Furthermore, the Worker shall not incorporate into or link with the Confidential Information or Proprietary Property, any

 
 
 
 
 
 
 
 
 
- 13 -

third-party intellectual property (including third party software, images, works or materials, third party patents or trade secrets,
and open source software) without first (a) disclosing same to the Company together with the license therefor from such third
party, and (b) receiving authorization from the Company for such incorporation or linkage.

10.During the Worker’s employment or engagement with the Company, the Worker shall not make use of or in any manner communicate
to the Company any confidential information of any third party (including former employers of the Worker) that may be in or may come
into  the  Worker’s  possession  or  control,  other  than  confidential  information  disclosed  to  the  Worker  in  his,  her  or  its  capacity  as  a
representative of the Company.

11.The Worker shall, if requested from time to time by the Company, execute such further agreements as to confidentiality and proprietary
rights as the Company requires to protect confidential information or proprietary property.

12.Regardless  of  any  changes  in  role,  responsibilities,  compensation  or  otherwise,  including  cessation  of  the  Worker’s  employment  or
engagement  with  the  Company  (regardless  of  how  that  cessation  occurs),  the  Worker  shall  continue  to  be  subject  to  the  terms  and
conditions of this Agreement and any other(s) executed pursuant to paragraph 11 above.

13.The Worker’s sole and exclusive remedy for any breach of this Agreement by the Company is limited to monetary damages and the
Worker shall not make any claim in respect of any rights to or interest in any Confidential Information or Proprietary Property. The Worker
hereby waives, relinquishes and conveys to the Company any and all claims of any nature whatsoever, which the Worker now or hereafter
has for infringement of any proprietary rights assigned to the Company. The Worker acknowledges that it would be difficult to compute
the monetary loss to the Company arising from a breach or threatened breach of this Agreement by the Worker and that, accordingly, the
Company  shall  be  entitled  to  specific  performance,  injunctive  or  other  equitable  relief  in  addition  to  or  instead  of  monetary  damages,
without the necessity of establishing that monetary damages would be inadequate.

14.The Worker’s employment or engagement with the Company is subject to the terms and conditions of this Agreement. This Agreement
shall enure to the benefit of the Company and its successors and assigns and be binding on the Worker and the Worker’s heirs, attorneys,
guardians, estate trustees, executors, trustees and permitted assigns.

15.This Agreement  is  a  contract  made  under  and  shall  be  governed  by  and  construed  in  accordance  with  the  laws  of  the  Province  of
Québec and the federal laws of Canada applicable therein.

16.If any provision of this Agreement is held by a court of competent jurisdiction to be invalid or unenforceable, that provision is to be
deleted and the other provisions remain in effect and are valid and enforceable to the fullest extent permitted by law.

17.The  Worker  and  the  Company  each  intend  and  agree  that  in  this Agreement,  the  terms  “ employment”  and  “engagement”  shall  be
deemed  to  include  any  period  of  time  prior  to  the  Worker’s  execution  of  this Agreement  and/or  prior  to  the  formal  execution  of  any
employment or consulting agreement or contract for services relating to the employment or engagement, during which period of time and
in connection with or in contemplation of

 
 
 
 
 
 
 
- 14 -

such employment or engagement, the Worker provided services to or performed work of any kind for the Company Group or for
the benefit of the Company Group.

18.The Worker confirms that he or she had the opportunity to confer with an independent legal advisor if he or she so wished, in advance
of signing this Agreement. The Worker further confirms that he or she has read this Agreement and the Worker accepts and agrees to be
bound by its terms.

19.The headings herein are for convenience only and do not interpret this Agreement, the word “including” or “include”, when following
any general statement or term, is not to be construed as limiting the general statement or term to the specific items or matters set forth or to
similar items or matters, but rather as permitting the general statement or term to refer to all other items or matters that could reasonably
fall within its broadest possible scope, and the word “or” does not imply an exclusive relationship between the matters being connected.

20.The Worker hereby authorizes the Company to notify the Worker’s future employers (or other necessary third parties) of the terms of
this Agreement and the Worker’s responsibilities hereunder.

21.This Agreement,  and  the  agreements  and  other  documents  required  to  be  delivered  pursuant  to  this Agreement,  constitute  the  entire
agreement  between  the  Company  and  the  Worker  and  set  out  all  the  covenants,  promises,  warranties,  representations,  conditions  and
agreements  between  the  Company  and  the  Worker  in  connection  with  the  subject  matter  of  this  Agreement  and  supersede  all  prior
agreements, understandings, negotiations and discussions, whether oral or written, pre-contractual or otherwise.

[Signature page follows]

 
 
 
 
 
 
 
 
 
- 15 -

DATED September 23, 2021 .

BRIAN FORD

ACASTI PHARMA INC.

By:

Name: Jan D’Alvise

Title: President and CEO

 
 
 
 
 
 
 
 
 
 
 
- 15 -

DATED

itle: President and CEO

BRIAN FORD

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
- 9 -

IN WITNESS OF WHICH the Parties have duly executed this Agreement:

Title: President and CEO

Brian Ford

Employee

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
KPMG LLP
600 de Maisonneuve Blvd West
Suite 1500, Tour KPMG
Montréal (Québec) H3A 0A3
Tel. 514-840-2100
Fax. 514-840-2187
www.kpmg.ca

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the registration statements (No. 333-191383 and No. 333-227476) on Form S-8 and (No. 333-239538) on Form
S-3 of Acasti Pharma Inc. of our report dated June 21, 2022, with respect to the consolidated balance sheets of Acasti Pharma Inc. as of March 31, 2022 and
2021, the related consolidated statements of loss and comprehensive loss, changes in shareholders’ equity and cash flows for the years ended March 31, 2022
and 2021, and the related notes.

Montréal, Québec
June 21, 2022

© 2022 KPMG LLP, an Ontario limited liability partnership and a member firm of the KPMG global organization of independent member firms affiliated with KPMG International Limited, a private English company limited by guarantee. All rights reserved

 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Janelle D’Alvise, certify that:

1. I have reviewed this Annual Report on Form 10-K 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(s) 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 registrant 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 registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the
registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over
financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s

auditors and the audit committee of the registrant’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 registrant’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  registrant’s  internal  control  over  financial

reporting.

Date: June 21, 2022

/s/ Janelle D’Alvise
Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
CERTIFICATION
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Brian Ford, certify that:

1.I have reviewed this Annual Report on Form 10-K 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(s) 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 registrant 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 registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the
registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over
financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s

auditors and the audit committee of the registrant’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 registrant’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  registrant’s  internal  control  over  financial

reporting.

Date: June 21, 2022

/s/ Brian Ford
Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
SECTION 906 CERTIFICATION

Exhibit 32.1

Pursuant to section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States Code) in connection with the Annual
Report  on  Form  10-K  of Acasti  Pharma  Inc.  for  the  annual  period  ended  March  31,  2022,  as  filed  with  the  Securities  and  Exchange  Commission  on  the  date  hereof  (the
“Report”), the undersigned officer hereby certifies, to such officer’s knowledge, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Acasti Pharma Inc.

/s/ Janelle D’Alvise
Name: 
Title:
Date:

Janelle D’Alvise
Chief Executive Officer
June 21, 2022

This certification accompanies the Report pursuant to §906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002,
be deemed “filed” by Acasti Pharma Inc. for purposes of §18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section.

 
 
 
 
 
  
  
 
 
 
 
 
 
 
SECTION 906 CERTIFICATION

Exhibit 32.2

Pursuant to section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of title 18, United States Code) in connection with the Annual
Report  on  Form  10-K  of Acasti  Pharma  Inc.  for  the  annual  period  ended  March  31,  2022,  as  filed  with  the  Securities  and  Exchange  Commission  on  the  date  hereof  (the
“Report”), the undersigned officer hereby certifies, to such officer’s knowledge, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Acasti Pharma Inc.

/s/ Brian Ford
Name: 
Title:
Date:

Brian Ford
Chief Financial Officer
 June 21, 2022

This certification accompanies the Report pursuant to §906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002,
be deemed “filed” by Acasti Pharma Inc. for purposes of §18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section.