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Corporate Presentation (TSX: BLU)
Winter 2014

Roberto Bellini
President and Chief Executive Officer
Twitter: @rbellini
30 million

people in the United States have a RARE disease.

Source: NIH: National Institutes of Health Office of Rare Diseases

2
Only about 5%
of these people have a specific therapy
to treat their disease.

3
85-90%

of rare diseases are serious or life threatening.
4
Small patient numbers, BIG opportunity

Regulatory advantage
Premium pricing
Market protection
Smaller clinical trials
Efficient commercialization
strategies

5
At BELLUS, we are focused on developing drugs for rare
diseases starting with conditions that affect the kidneys.

6
Executing on Plan
2013
Lead rare disease program,
KIACTA™ for AA amyloidosis in
Phase III Confirmatory Study :
Recruitment on target
Japan orphan drug
designation
Expand rare disease pipeline
Acquisition of Shigamab
for STEC-HUS
Research partnership for
AL amyloidosis
Divestiture of non-core assets
Maintain financial health

2014
Continue executing KIACTA™
plan:
Completion of recruitment
Launch of open label
extension study
Market and pricing
assessment
Progress pipeline projects:
Animal studies to support
Shigamab Phase II
Pre-clinical proof of
concept for AL amyloidosis
Continued financial stewardship

Fruitful 2013 leading into important milestones in 2014
7
Shareholder Information
OVERVIEW

CAPITAL STRUCTURE

Public company (TSX: BLU)
based in Montreal, QC

Shares outstanding
(Fully Diluted): 65M

Developing drugs for rare
diseases

Cash (09/30/13): ~$16M

Late-stage product pipeline with
fully funded business plan

Burn rate (monthly): <$300K
Shareholder makeup:
70% institutional, 30% retail

Business plan fully funded through KIACTA™ exit
8
Pipeline of Products

DISCOVERY

PRECLINICAL

PHASE I

PHASE II

PHASE III

MARKET

KIACTA™
AA amyloidosis
Shigamab
sHUS
AL amyloidosis

Late stage pipeline focused on developing innovative drugs for rare
diseases
9
Lead Phase III Product Candidate

FOR AMYLOID A (AA)
AMYLOIDOSIS
A rare and deadly
kidney disease with
no specific treatment

10
Disease and Mechanism of Action

SERUM AMYLOID A
PRECURSOR (SAA)
PROTEIN

AA PROTEIN +
GLYCOSAMINOGLYCANS
KIACTA™ blocks
AA + GAGs interaction
(GAGs)

REDUCTION IN
FIBRIL FORMATION
& DEPOSITION

CHRONIC
INFLAMMATION
Generates
cytokine cascade
(TNFα / IL-1 / IL-6)
and increases SAA levels

Rheumatic Conditions
Inflammatory Bowel Disease
Chronic Infections
Familial Mediterranean Fever

Converts to
AA Protein
Systemic Amyloid A Fibril
Formation & Deposition

ORGAN DAMAGE, IN
PARTICULAR TO
KIDNEYS LEADING TO
DIALYSIS

11
Market
MARKET PROTECTION
Orphan drug designation granted
with market protection in the U.S. (7
years), Europe and Japan (10 years)
Formulation (Dosing Schedule) and
Methods for Treating Amyloidosis
with expiry in 2026
5 year patent extension can be
applied to provide protection until
2031

MARKET SIZE
KIACTA™ peak annual revenues
projected at $500 million
Clear pharmacoeconomic
rationale due to high cost of kidney
disease
Premium pricing for comparative
rare disease drugs

Independent market assessment currently underway and to be
completed by Q1 2014
12
Strategic Partnership
PARTNERSHIP

FINANCIALS

With global fund Auven
Therapeutics, a private equity
group specialized in drug
development project
financing

US$10M in upfront by Auven
Therapeutics

Auven Therapeutics funding
100% of KIACTA™’s Phase
III Confirmatory Study

Proceeds of exit expected to
be shared 50-50

≥ US$50M in investments by
Auven Therapeutics

Partnership to fund Phase III Confirmatory Study with significant
upside for BELLUS shareholders
13
Strong Clinical Results in First Phase III Study

50
Placebo

45

KIACTA

Number of Worse Events

40
35
30

Landmark study in AA
amyloidosis: 183 patients
treated for 2 years
Important benefits for
patients on drug:

*

25

Statistically significant
reduction in number and
risk of reaching
worsening kidney event

**

20
15

*

10

Important delay in
reaching dialysis

5
0

Composite
Endpoint (Time to
First Worse
Event)

Doubling
Serum
Creatine

50%
Decrease
Creatine
CIearance

Dialysis/
ESRD

*p<0.05
**p<0.01

14
Regulatory
New England Journal of
Medicine publication
concludes that KIACTATM
slows decline of renal
function in AA
amyloidosis

Agreement reached in
U.S., Europe, Japan to
conduct Phase III
Confirmatory Study
Approval based on
achieving comparable
result of first Phase III
Study

15
Phase III Confirmatory Study

Study enrolling 230 patients total
with ~200 patients enrolled
Event driven trial to complete when
120 of 230 patients reach event of
kidney function deterioration
Study completion expected in 2016

16
Second Rare Disease Product Candidate

SHIGAMAB

FOR STEC RELATED
HEMOLYTIC UREMIC
SYNDROME (SHUS),
A rare disease
primarily affecting
the kidneys of
children

17
Disease Course and Mechanism of Action
SHIGAMAB TREATMENT
SHIGAMAB BINDING
NEUTRALIZES TOXIN
WHICH IS THEN
ELIMINATED

GUT COLONIZATION AND
SECRETION OF TOXIN
INTO BLOODSTREAM

TOXIN MAY BE CARRIED
BY PMNs IN
BLOODSTREAM
SYMPTOMS: BLOODY
DIARRHEA

Shigamab
Antibody

E. COLI INGESTION
10%

90%
TOXIN BINDS TO GB3
RECEPTORS ON KIDNEY
LEADING TO STEC-HUS.
OUTCOMES:
-CHRONIC KIDNEY DISEASE /
HYPERTENSION: 40%
-ENCEPHALOPATHY / DEATH: 5%
-RESOLUTION: 55%

SPONTANEOUS
RESOLUTION

Day -4

Day 0

Day 4

Day 8

18
Shigamab Overview
MARKET OPPORTUNITY
2,000-3,000 estimated annual cases of sHUS in developed
countries, principally children
$100-200 million annual sales opportunity

PRE-CLINICAL AND CLINICAL
Treatment with Shigamab led to significantly increased survival in
STEC animal model
Safe and well tolerated in target pediatric population

NEXT STEPS (12 MONTHS)
Proof of concept for treatment of sHUS in animal models
Meetings with regulators to agree on development plan

Potential for partnership in 18-24 months
19
Research Program

DRUG CANDIDATES

RESEARCH PROJECT FOR
AMYLOID LIGHT-CHAIN
(AL) AMYLOIDOSIS,
A rare and deadly
blood disorder

20
AL Amyloidosis Project Overview
PARTNERSHIP
Partnership with Amorchem, a Montreal-based venture fund, to
finance research project
Objective: identify and develop drug candidates for AL amyloidosis
to pre-clinical proof-of-concept

DISEASE
AL amyloidosis is a blood disorder that leads to the formation of
toxic amyloid fibrils and plaques
Treatment options are limited leading to death in most cases
2,000-3,000 new cases are reported each year in the United States

Potential for pre-clinical proof-of-concept within 12 months
21
Governance and Shareholders
Board of Directors

Company / Experience

Management

Title

Roberto Bellini

Hélène Fortin
Pierre Larochelle

Vice President, Finance

Tony Matzouranis

Charles Cavell

Senior Vice President, Drug
Development

François Desjardins

Franklin Berger

President and Chief
Executive Officer

Dr. Denis Garceau

Dr. Francesco Bellini
(Chair)

Vice President, Business
Development

LAROSE FORTIN CA Inc.

Shareholder

Ownership

Bellini Family
Donald Olds
Joseph Rus

≈ 30%

Power Corporation

≈ 30%

Pharmascience

≈ 10%

Dr. Martin Tolar
Roberto Bellini

22
Milestones
2014 Milestones
Past Execution
Attractive partnership
for KIACTA™
Execution of global
KIACTA™ Phase III
Confirmatory Study
Expansion of rare
disease pipeline
Strong balance sheet
and clean capital
structure

Continue executing KIACTA™
plan:
Completion of recruitment
Launch of open label
extension study
Market and pricing
assessment

Long Term Value
KIACTA™ exit and
results of Phase III
Confirmatory Study
Shigamab partnership
or proof-of -concept
Phase II study results

Progress pipeline projects:
Animal studies to support
Shigamab Phase II
Pre-clinical proof of
concept for AL amyloidosis

Short-term milestones driving long-term value
23
Forward Looking Statement
Certain statements contained in this presentation, other than statements of fact that are
independently verifiable at the date hereof, may constitute forward-looking statements. Such
statements, based as they are on the current expectations of management, inherently involve
numerous risks and uncertainties, known and unknown, many of which are beyond BELLUS
Health Inc.'s control. Such risks include but are not limited to: the ability to obtain financing
immediately in current markets, the impact of general economic conditions, general conditions
in the pharmaceutical and/or nutraceuticals industry, changes in the regulatory environment in
the jurisdictions in which the BELLUS Health Group does business, stock market volatility,
fluctuations in costs, and changes to the competitive environment due to consolidation,
achievement of forecasted burn rate, and that actual results may vary once the final and
quality-controlled verification of data and analyses has been completed.
Consequently, actual future results may differ materially from the anticipated results expressed
in the forward-looking statements. The reader should not place undue reliance, if any, on any
forward-looking statements included in this news release. These statements speak only as of
the date made and BELLUS Health Inc. is under no obligation and disavows any intention to
update or revise such statements as a result of any event, circumstances or otherwise, unless
required by applicable legislation or regulation. Please see the Company’s public fillings
including the Annual Information Form of BELLUS Health Inc. for further risk factors that might
affect the BELLUS Health Group and its business

24
BLU Corporate Presentation Highlights Rare Disease Focus

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BLU Corporate Presentation Highlights Rare Disease Focus

  • 1. Corporate Presentation (TSX: BLU) Winter 2014 Roberto Bellini President and Chief Executive Officer Twitter: @rbellini
  • 2. 30 million people in the United States have a RARE disease. Source: NIH: National Institutes of Health Office of Rare Diseases 2
  • 3. Only about 5% of these people have a specific therapy to treat their disease. 3
  • 4. 85-90% of rare diseases are serious or life threatening. 4
  • 5. Small patient numbers, BIG opportunity Regulatory advantage Premium pricing Market protection Smaller clinical trials Efficient commercialization strategies 5
  • 6. At BELLUS, we are focused on developing drugs for rare diseases starting with conditions that affect the kidneys. 6
  • 7. Executing on Plan 2013 Lead rare disease program, KIACTA™ for AA amyloidosis in Phase III Confirmatory Study : Recruitment on target Japan orphan drug designation Expand rare disease pipeline Acquisition of Shigamab for STEC-HUS Research partnership for AL amyloidosis Divestiture of non-core assets Maintain financial health 2014 Continue executing KIACTA™ plan: Completion of recruitment Launch of open label extension study Market and pricing assessment Progress pipeline projects: Animal studies to support Shigamab Phase II Pre-clinical proof of concept for AL amyloidosis Continued financial stewardship Fruitful 2013 leading into important milestones in 2014 7
  • 8. Shareholder Information OVERVIEW CAPITAL STRUCTURE Public company (TSX: BLU) based in Montreal, QC Shares outstanding (Fully Diluted): 65M Developing drugs for rare diseases Cash (09/30/13): ~$16M Late-stage product pipeline with fully funded business plan Burn rate (monthly): <$300K Shareholder makeup: 70% institutional, 30% retail Business plan fully funded through KIACTA™ exit 8
  • 9. Pipeline of Products DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III MARKET KIACTA™ AA amyloidosis Shigamab sHUS AL amyloidosis Late stage pipeline focused on developing innovative drugs for rare diseases 9
  • 10. Lead Phase III Product Candidate FOR AMYLOID A (AA) AMYLOIDOSIS A rare and deadly kidney disease with no specific treatment 10
  • 11. Disease and Mechanism of Action SERUM AMYLOID A PRECURSOR (SAA) PROTEIN AA PROTEIN + GLYCOSAMINOGLYCANS KIACTA™ blocks AA + GAGs interaction (GAGs) REDUCTION IN FIBRIL FORMATION & DEPOSITION CHRONIC INFLAMMATION Generates cytokine cascade (TNFα / IL-1 / IL-6) and increases SAA levels Rheumatic Conditions Inflammatory Bowel Disease Chronic Infections Familial Mediterranean Fever Converts to AA Protein Systemic Amyloid A Fibril Formation & Deposition ORGAN DAMAGE, IN PARTICULAR TO KIDNEYS LEADING TO DIALYSIS 11
  • 12. Market MARKET PROTECTION Orphan drug designation granted with market protection in the U.S. (7 years), Europe and Japan (10 years) Formulation (Dosing Schedule) and Methods for Treating Amyloidosis with expiry in 2026 5 year patent extension can be applied to provide protection until 2031 MARKET SIZE KIACTA™ peak annual revenues projected at $500 million Clear pharmacoeconomic rationale due to high cost of kidney disease Premium pricing for comparative rare disease drugs Independent market assessment currently underway and to be completed by Q1 2014 12
  • 13. Strategic Partnership PARTNERSHIP FINANCIALS With global fund Auven Therapeutics, a private equity group specialized in drug development project financing US$10M in upfront by Auven Therapeutics Auven Therapeutics funding 100% of KIACTA™’s Phase III Confirmatory Study Proceeds of exit expected to be shared 50-50 ≥ US$50M in investments by Auven Therapeutics Partnership to fund Phase III Confirmatory Study with significant upside for BELLUS shareholders 13
  • 14. Strong Clinical Results in First Phase III Study 50 Placebo 45 KIACTA Number of Worse Events 40 35 30 Landmark study in AA amyloidosis: 183 patients treated for 2 years Important benefits for patients on drug: * 25 Statistically significant reduction in number and risk of reaching worsening kidney event ** 20 15 * 10 Important delay in reaching dialysis 5 0 Composite Endpoint (Time to First Worse Event) Doubling Serum Creatine 50% Decrease Creatine CIearance Dialysis/ ESRD *p<0.05 **p<0.01 14
  • 15. Regulatory New England Journal of Medicine publication concludes that KIACTATM slows decline of renal function in AA amyloidosis Agreement reached in U.S., Europe, Japan to conduct Phase III Confirmatory Study Approval based on achieving comparable result of first Phase III Study 15
  • 16. Phase III Confirmatory Study Study enrolling 230 patients total with ~200 patients enrolled Event driven trial to complete when 120 of 230 patients reach event of kidney function deterioration Study completion expected in 2016 16
  • 17. Second Rare Disease Product Candidate SHIGAMAB FOR STEC RELATED HEMOLYTIC UREMIC SYNDROME (SHUS), A rare disease primarily affecting the kidneys of children 17
  • 18. Disease Course and Mechanism of Action SHIGAMAB TREATMENT SHIGAMAB BINDING NEUTRALIZES TOXIN WHICH IS THEN ELIMINATED GUT COLONIZATION AND SECRETION OF TOXIN INTO BLOODSTREAM TOXIN MAY BE CARRIED BY PMNs IN BLOODSTREAM SYMPTOMS: BLOODY DIARRHEA Shigamab Antibody E. COLI INGESTION 10% 90% TOXIN BINDS TO GB3 RECEPTORS ON KIDNEY LEADING TO STEC-HUS. OUTCOMES: -CHRONIC KIDNEY DISEASE / HYPERTENSION: 40% -ENCEPHALOPATHY / DEATH: 5% -RESOLUTION: 55% SPONTANEOUS RESOLUTION Day -4 Day 0 Day 4 Day 8 18
  • 19. Shigamab Overview MARKET OPPORTUNITY 2,000-3,000 estimated annual cases of sHUS in developed countries, principally children $100-200 million annual sales opportunity PRE-CLINICAL AND CLINICAL Treatment with Shigamab led to significantly increased survival in STEC animal model Safe and well tolerated in target pediatric population NEXT STEPS (12 MONTHS) Proof of concept for treatment of sHUS in animal models Meetings with regulators to agree on development plan Potential for partnership in 18-24 months 19
  • 20. Research Program DRUG CANDIDATES RESEARCH PROJECT FOR AMYLOID LIGHT-CHAIN (AL) AMYLOIDOSIS, A rare and deadly blood disorder 20
  • 21. AL Amyloidosis Project Overview PARTNERSHIP Partnership with Amorchem, a Montreal-based venture fund, to finance research project Objective: identify and develop drug candidates for AL amyloidosis to pre-clinical proof-of-concept DISEASE AL amyloidosis is a blood disorder that leads to the formation of toxic amyloid fibrils and plaques Treatment options are limited leading to death in most cases 2,000-3,000 new cases are reported each year in the United States Potential for pre-clinical proof-of-concept within 12 months 21
  • 22. Governance and Shareholders Board of Directors Company / Experience Management Title Roberto Bellini Hélène Fortin Pierre Larochelle Vice President, Finance Tony Matzouranis Charles Cavell Senior Vice President, Drug Development François Desjardins Franklin Berger President and Chief Executive Officer Dr. Denis Garceau Dr. Francesco Bellini (Chair) Vice President, Business Development LAROSE FORTIN CA Inc. Shareholder Ownership Bellini Family Donald Olds Joseph Rus ≈ 30% Power Corporation ≈ 30% Pharmascience ≈ 10% Dr. Martin Tolar Roberto Bellini 22
  • 23. Milestones 2014 Milestones Past Execution Attractive partnership for KIACTA™ Execution of global KIACTA™ Phase III Confirmatory Study Expansion of rare disease pipeline Strong balance sheet and clean capital structure Continue executing KIACTA™ plan: Completion of recruitment Launch of open label extension study Market and pricing assessment Long Term Value KIACTA™ exit and results of Phase III Confirmatory Study Shigamab partnership or proof-of -concept Phase II study results Progress pipeline projects: Animal studies to support Shigamab Phase II Pre-clinical proof of concept for AL amyloidosis Short-term milestones driving long-term value 23
  • 24. Forward Looking Statement Certain statements contained in this presentation, other than statements of fact that are independently verifiable at the date hereof, may constitute forward-looking statements. Such statements, based as they are on the current expectations of management, inherently involve numerous risks and uncertainties, known and unknown, many of which are beyond BELLUS Health Inc.'s control. Such risks include but are not limited to: the ability to obtain financing immediately in current markets, the impact of general economic conditions, general conditions in the pharmaceutical and/or nutraceuticals industry, changes in the regulatory environment in the jurisdictions in which the BELLUS Health Group does business, stock market volatility, fluctuations in costs, and changes to the competitive environment due to consolidation, achievement of forecasted burn rate, and that actual results may vary once the final and quality-controlled verification of data and analyses has been completed. Consequently, actual future results may differ materially from the anticipated results expressed in the forward-looking statements. The reader should not place undue reliance, if any, on any forward-looking statements included in this news release. These statements speak only as of the date made and BELLUS Health Inc. is under no obligation and disavows any intention to update or revise such statements as a result of any event, circumstances or otherwise, unless required by applicable legislation or regulation. Please see the Company’s public fillings including the Annual Information Form of BELLUS Health Inc. for further risk factors that might affect the BELLUS Health Group and its business 24