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a new class of non-opioid analgesic in Phase 3


             WEX Pharmaceuticals Inc.
       Bin Huang, President & CEO    April 2010
Forward looking Statement

This presentation contains forward-looking statements which involve
known and unknown risks, uncertainties and other facts which may
cause the actual results, performance or achievements of the Company, or
industry results, to be materially different from any future results,
performance or achievements expressed or implied by such forward-
looking statements. The Company does not expect to update forward-
looking statements continually as conditions change. Investors are referred
to the full discussion of risk factors associated with the Company’s
business contained in the Company’s Annual Information Form filed with
securities regulatory authorities dated February 15, 2010.




                                                                              2
$7B   opioids*
      the Gold Standard for
moderate to severe pain relief
                    *2005 global sales




                                         3
But opioids have limitations


                                  • Side effects
                                     – Respiratory
                                     – GI

RISKS
with prescribing, administering
                                     – CNS
                                     – Others
& taking opioids:                 • Ineffective
                                  • Tolerance
                                  • Addiction

                                                     4
Cancer pain is a vivid example




1  in
        of all cancer patients
        require opioids to
        manage pain                      1
                                         in

4                  fail opioid therapy

                                         4    5
there is no good alternative to

      opioids!
                              6
Reformulation is not the answer

• MS Contin®

• OxyContin®

• DURAGESIC®   All the same concerns remain:
• Remoxy®

• FENTORA®
               a reformulated opioid is
• AVINZA®      still an opioid!
• Actiq®




                                               7
Tetrodotoxin:
a NEW class of NON opioid analgesic



                                      8
Tetrodotoxin (TTX)

• >80 issued and pending           • No opioid-like side effects
  patents                             – Non addictive
                                      – No tolerance
• Blocks VGSC (voltage gated
  sodium channels) on              • Long duration of action
  neurons associated with             – 2-3 weeks
  persistent pain
                                   • Rapid onset of pain relief
• 2000x more potent than              – 20 minutes
  morphine
                                   • Significant activity in
• Highly specific to pain fibers     neuropathic pain

                                   • Safe and well-tolerated
                                                                   9
TTX is safe


• >200 patients treated to date in Canadian trials
• 5 trials completed
• Well-tolerated in single and multiple doses
  (up to 4X per day, 4-7 days of treatment)
• Mild, short lasting side effects (numbness, tingling)
• Intramuscular administration comparable
  to subcutaneous
                                                          10
TTX efficacy signals in cancer pain

               Phase IIa                                      Phase IIb

 •   Open label, dose escalation,              •   Randomized, double-blind placebo
     multicentre trial                             controlled, multicentre trial
 •   24 patients                               •   77 patients
 •   Severe cancer pain inadequately           •   Moderate to severe unrelieved cancer
     controlled with opioids                       pain despite best available treatment
                                               •   Primary endpoint: proportion of patients
                                                   achieving >30% pain intensity reduction




55% of treatments resulted in pain reduction       Trial terminated at interim analysis
             8-15 day duration                       42% treated vs. 31% placebo
                                                      (not statistically significant)
                                                                                          11
Phase IIb                                            Phase IIb
CTA Submitted             IMMPACT paper             Interim Results



    2004                      2005                       2006




            “Physical and emotional functioning
             and participant reports of global
             improvements should also be included
             among the six core domains”

                                 - IMMPACT paper

                                                                      12
Strong efficacy signal using IMMPACT guidelines

Original Endpoint                     TTX=38                      42%

>30% decrease in pain intensity    Placebo=39               31%           p=0.425



                                   Non statistically significant trend

Composite Endpoint
based on IMMPACT guidelines           TTX=38                             45%
>30% decrease in pain intensity
OR                                 Placebo=39         21%                 p=0.043
>50% decrease in opioid use
AND                                Robust analgesic effect
>30% increase in quality of life

                                                                               13
Ongoing Phase III trial

 •   Multicentre, randomized, double-blind, placebo-controlled trial
 •   Moderate to severe inadequately controlled cancer-related pain
 •   120 patients planned
 •   Primary endpoint: Composite endpoint based on IMMPACT guidelines
 •   Interim results expected Q3 2010



  Screening                                                   Follow up/
Randomization     Baseline      Treatment       Follow up     Open label
-28 to -7 days   -7 to 0 days   1 to 4 days   5, 8, 15 days    >15 days



                                                                          14
Strong efficacy signals in neuropathic pain


             Composite Endpoint
                                     Robust analgesic effect
     based on IMMPACT guidelines




                                        TTX=22                 44%
  Neuropathic pain subset analysis
                                     Placebo=28       18%




                                                                     15
Phase II trial in planning


• Chemotherapy-induced
  neuropathic pain

• Common following combined
                                  What is
  treatment with a platinum and   neuropathic pain?
  a taxane
                                  • Shooting, burning pain
• Health Canada – no objection
  letter March 2009
                                  • Limits dosing of
                                    chemotherapy
• File U.S. protocol Q4 2010

                                                             16
Multiple data events

                   Clarity Events              Data Events

       Phase III
  Cancer-related       Q3 10                       H2 11
            pain      Interim                   Final results
                     analysis



       Phase II
 Chemotherapy-        Q4 10         Q3 11          Q2 12
        induced     Submit U.S.      Interim    Final results
neuropathic pain     protocol       analysis


                                                                17
TTX in the cancer pain landscape




                                   18
Tetrodotoxin manufacturing


                       • API manufactured
                         by wholly-owned
                         Chinese subsidiary

                       • Finished product
                         manufactured by
                         Sandoz Canada
  Source: Pufferfish



                                              19
Financial Highlight


Symbol                    WXI

Cash (January 2010)       $39M

Monthly burn rate         $800,000

Shares o/s                442 million

Major shareholder (89%)   CK Life Sciences Int’l., Inc.

                                                     20
CK Life Sciences International

Hong Kong Stock
Exchange            Stock Code: 00775

                    $20M Private Placement, October 2007
Investment in WEX
                    $34M as part of Rights Offering, January 2010

Business areas      Pharmaceutical / Nutraceutical / Agriculture

Revenue             USD350M (2009)



         TTX is the most advanced drug candidate
       in CKLS’ pipeline of pharmaceutical products
                                                                    21
Management and Clinical Investigators
Bin Huang, PhD, MBA                                Neil Hagen MD, FRCPC
President and CEO                                  Lead Investigator
Former CEO of GeneHarbor (HK) and Cytovax,         Division Chief, Division of Palliative Medicine,
VP BD Monsanto Canada                              Calgary; Professor, Faculty of Medicine,
                                                   University of Calgary
Kwong Choo, CGA
CFO, VP Finance & Admin                            Bernard Lapointe, MD, FRCPC
20 years international experience in finance and   Co-lead Investigator
accounting                                         Associate Professor, Oncology, McGill
                                                   (Jewish General Hospital); 2007 Canadian Hospice
Larry Gontovnick, PhD                              Palliative Care Award of Excellence
Vice President, R&D
Over 20 years experience in drug development;      Patrick du Souich, MD, PhD
Former Sr. Director clinical development, GSK      Medical Monitor
                                                   Professor and Chairman, Dept of Pharmacology,
Anh Ho Ngoc, PhD                                   Faculty of Medicine, University of Montreal;
Director, Regulatory Affairs                       Chairman, Division of Clinical Pharmacology of
Over 20 years pharma industry                      IUPHAR
experience; 3 years at Health Canada

                                                                                                      22
No narcotic
How large
                            side effects?
would the


       $7B  opioid market
                be with…    Less risk of
                            tolerance or
                            addiction?
                                            23
700,000
                                     chemo-induced
                   1,420,000        neuropathic pain
                  cancer pain
                                       (700,000*)
                   (350,000*)
                                                                 368,000
                                                              painful diabetic
                                                                neuropathy
       130,000
post herpetic neuralgia




                    Tetrodotoxin       *WEX’s target market
Initial indication prevalence in North America
                                                                                 24
Follow on indication prevalence in North America
a new class of non-opioid analgesic in Phase 3


             WEX Pharmaceuticals Inc.
                Corporate Presentation April 2010

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Wex Pharma - Investor Presentation

  • 1. a new class of non-opioid analgesic in Phase 3 WEX Pharmaceuticals Inc. Bin Huang, President & CEO April 2010
  • 2. Forward looking Statement This presentation contains forward-looking statements which involve known and unknown risks, uncertainties and other facts which may cause the actual results, performance or achievements of the Company, or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward- looking statements. The Company does not expect to update forward- looking statements continually as conditions change. Investors are referred to the full discussion of risk factors associated with the Company’s business contained in the Company’s Annual Information Form filed with securities regulatory authorities dated February 15, 2010. 2
  • 3. $7B opioids* the Gold Standard for moderate to severe pain relief *2005 global sales 3
  • 4. But opioids have limitations • Side effects – Respiratory – GI RISKS with prescribing, administering – CNS – Others & taking opioids: • Ineffective • Tolerance • Addiction 4
  • 5. Cancer pain is a vivid example 1 in of all cancer patients require opioids to manage pain 1 in 4 fail opioid therapy 4 5
  • 6. there is no good alternative to opioids! 6
  • 7. Reformulation is not the answer • MS Contin® • OxyContin® • DURAGESIC® All the same concerns remain: • Remoxy® • FENTORA® a reformulated opioid is • AVINZA® still an opioid! • Actiq® 7
  • 8. Tetrodotoxin: a NEW class of NON opioid analgesic 8
  • 9. Tetrodotoxin (TTX) • >80 issued and pending • No opioid-like side effects patents – Non addictive – No tolerance • Blocks VGSC (voltage gated sodium channels) on • Long duration of action neurons associated with – 2-3 weeks persistent pain • Rapid onset of pain relief • 2000x more potent than – 20 minutes morphine • Significant activity in • Highly specific to pain fibers neuropathic pain • Safe and well-tolerated 9
  • 10. TTX is safe • >200 patients treated to date in Canadian trials • 5 trials completed • Well-tolerated in single and multiple doses (up to 4X per day, 4-7 days of treatment) • Mild, short lasting side effects (numbness, tingling) • Intramuscular administration comparable to subcutaneous 10
  • 11. TTX efficacy signals in cancer pain Phase IIa Phase IIb • Open label, dose escalation, • Randomized, double-blind placebo multicentre trial controlled, multicentre trial • 24 patients • 77 patients • Severe cancer pain inadequately • Moderate to severe unrelieved cancer controlled with opioids pain despite best available treatment • Primary endpoint: proportion of patients achieving >30% pain intensity reduction 55% of treatments resulted in pain reduction Trial terminated at interim analysis 8-15 day duration 42% treated vs. 31% placebo (not statistically significant) 11
  • 12. Phase IIb Phase IIb CTA Submitted IMMPACT paper Interim Results 2004 2005 2006 “Physical and emotional functioning and participant reports of global improvements should also be included among the six core domains” - IMMPACT paper 12
  • 13. Strong efficacy signal using IMMPACT guidelines Original Endpoint TTX=38 42% >30% decrease in pain intensity Placebo=39 31% p=0.425 Non statistically significant trend Composite Endpoint based on IMMPACT guidelines TTX=38 45% >30% decrease in pain intensity OR Placebo=39 21% p=0.043 >50% decrease in opioid use AND Robust analgesic effect >30% increase in quality of life 13
  • 14. Ongoing Phase III trial • Multicentre, randomized, double-blind, placebo-controlled trial • Moderate to severe inadequately controlled cancer-related pain • 120 patients planned • Primary endpoint: Composite endpoint based on IMMPACT guidelines • Interim results expected Q3 2010 Screening Follow up/ Randomization Baseline Treatment Follow up Open label -28 to -7 days -7 to 0 days 1 to 4 days 5, 8, 15 days >15 days 14
  • 15. Strong efficacy signals in neuropathic pain Composite Endpoint Robust analgesic effect based on IMMPACT guidelines TTX=22 44% Neuropathic pain subset analysis Placebo=28 18% 15
  • 16. Phase II trial in planning • Chemotherapy-induced neuropathic pain • Common following combined What is treatment with a platinum and neuropathic pain? a taxane • Shooting, burning pain • Health Canada – no objection letter March 2009 • Limits dosing of chemotherapy • File U.S. protocol Q4 2010 16
  • 17. Multiple data events Clarity Events Data Events Phase III Cancer-related Q3 10 H2 11 pain Interim Final results analysis Phase II Chemotherapy- Q4 10 Q3 11 Q2 12 induced Submit U.S. Interim Final results neuropathic pain protocol analysis 17
  • 18. TTX in the cancer pain landscape 18
  • 19. Tetrodotoxin manufacturing • API manufactured by wholly-owned Chinese subsidiary • Finished product manufactured by Sandoz Canada Source: Pufferfish 19
  • 20. Financial Highlight Symbol WXI Cash (January 2010) $39M Monthly burn rate $800,000 Shares o/s 442 million Major shareholder (89%) CK Life Sciences Int’l., Inc. 20
  • 21. CK Life Sciences International Hong Kong Stock Exchange Stock Code: 00775 $20M Private Placement, October 2007 Investment in WEX $34M as part of Rights Offering, January 2010 Business areas Pharmaceutical / Nutraceutical / Agriculture Revenue USD350M (2009) TTX is the most advanced drug candidate in CKLS’ pipeline of pharmaceutical products 21
  • 22. Management and Clinical Investigators Bin Huang, PhD, MBA Neil Hagen MD, FRCPC President and CEO Lead Investigator Former CEO of GeneHarbor (HK) and Cytovax, Division Chief, Division of Palliative Medicine, VP BD Monsanto Canada Calgary; Professor, Faculty of Medicine, University of Calgary Kwong Choo, CGA CFO, VP Finance & Admin Bernard Lapointe, MD, FRCPC 20 years international experience in finance and Co-lead Investigator accounting Associate Professor, Oncology, McGill (Jewish General Hospital); 2007 Canadian Hospice Larry Gontovnick, PhD Palliative Care Award of Excellence Vice President, R&D Over 20 years experience in drug development; Patrick du Souich, MD, PhD Former Sr. Director clinical development, GSK Medical Monitor Professor and Chairman, Dept of Pharmacology, Anh Ho Ngoc, PhD Faculty of Medicine, University of Montreal; Director, Regulatory Affairs Chairman, Division of Clinical Pharmacology of Over 20 years pharma industry IUPHAR experience; 3 years at Health Canada 22
  • 23. No narcotic How large side effects? would the $7B opioid market be with… Less risk of tolerance or addiction? 23
  • 24. 700,000 chemo-induced 1,420,000 neuropathic pain cancer pain (700,000*) (350,000*) 368,000 painful diabetic neuropathy 130,000 post herpetic neuralgia Tetrodotoxin *WEX’s target market Initial indication prevalence in North America 24 Follow on indication prevalence in North America
  • 25. a new class of non-opioid analgesic in Phase 3 WEX Pharmaceuticals Inc. Corporate Presentation April 2010