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Corporate Presentation (TSX: BLU)
Roberto Bellini
President and Chief Executive Officer
Twitter: @rbellini
Spring 2015
Forward Looking Statements
2
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
3
30 million
people in the United States have a RARE disease.
Source: NIH: National Institutes of Health Office of Rare Diseases
4
Only about 5%
of these people have a specific therapy
to treat their disease.
5
85-90%of rare diseases are serious or life threatening.
Regulatory advantage
Premium pricing
Market protection
Smaller clinical trials
Efficient commercialization
strategies
6
Small patient numbers, BIG opportunity
7
At BELLUS, we are focused on developing drugs for rare
diseases starting with conditions that affect the kidneys.
Business plan fully funded through key milestones
OVERVIEW KEY FINANCIALS
Shareholder Information
8
Public company (TSX: BLU)
based in Montreal, QC
Developing drugs for rare
diseases
Late-stage product pipeline with
fully funded business plan
Shares outstanding
(Fully Diluted): 65M
Cash (12/31/14): $12.3M
Burn rate (monthly): <$300K
Late stage pipeline focused on developing innovative drugs for rare
diseases
Pipeline of Products
Shigamab
sHUS
DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III
KIACTA™
AA amyloidosis
MARKET
AL amyloidosis
KIACTA™
Sarcoidosis
9
Lead Phase III Product Candidate
10
A rare and deadly
kidney disease with
no specific treatment
FOR AMYLOID A (AA)
AMYLOIDOSIS
Disease and Mechanism of Action
11
CHRONIC
INFLAMMATION
SERUM AMYLOID A
PRECURSOR (SAA)
PROTEIN
AA PROTEIN +
GLYCOSAMINOGLYCANS
(GAGs)
ORGAN DAMAGE, IN
PARTICULAR TO
KIDNEYS LEADING TO
DIALYSIS
REDUCTION IN
FIBRIL FORMATION
& DEPOSITION
Converts to
AA Protein
Generates
cytokine cascade
(TNFα / IL-1 / IL-6)
and increases SAA levels
Rheumatic Conditions
Inflammatory Bowel Disease
Chronic Infections
Familial Mediterranean Fever
KIACTA™ blocks
AA + GAGs interaction
Systemic Amyloid A Fibril
Formation & Deposition
Patient Population
Source: Navigant Consulting 2014
10,000-
15,000
potential KIACTATM
patients in the United
States and Europe
MARKET RESEARCH
Navigant Consulting conducted
extensive primary and secondary
research including more than 60
interviews with treating physicians
and key opinion leaders in the
United States and Europe
12
PRICING
Orphan drug designation granted with
market protection in the U.S. (7 years),
Europe and Japan (10 years)
Intellectual property to 2026
PROTECTION
Disease with large unmet medical need
and no specific treatment
Clear pharmaco-economic
rationale due to high cost of kidney
disease
Premium pricing for comparative rare
disease drugs
Market Considerations
KIACTA is well positioned to achieve premium pricing in line with
comparable rare disease drugs 13
Drug
U.S.
Patients
Disease Price
Vyndaqel 1,500
Transthyretin amyloid
polyneuropathy
$200K
Gattex 9,500 Short Bowel Syndrome $295K
Kalydeco
1,350
Cystic Fibrosis (G551D
mutation)
$335K
Procysbi
500 Nephropathic cystinosis $250K
Juxtapid 3,000
Familial
hypercholesterolemia
$250K
Jakafi
1,500 Splenomegaly $87K
COMPARABLES
Increasing Number of Orphan Drug Launches…
14
0
20
40
60
80
100
120
2006-2008 2009-2011 2012-2014
Rare Disease Non-Rare Disease
U.S. Drug Launches of New Molecular Entities
Source: IMS
…Grabbing Increasing Share of Pharma Market
15
Experienced and knowledgeable partner working on lead project
Funding 100% of KIACTA™ project
including studies in AA Amyloidosis
and Sarcoidosis
≥ US$70M in investments
Overall proceeds of exit expected
to be shared 50-50
KIACTA™ to be sold through
auction process either prior to, or
after, Phase III Confirmatory Study
results
Investment bank Lazard engaged
to explore sale of KIACTA™
Auven Therapeutics Partnership for KIACTA™
BUSINESS PLANAUVEN PARTNERSHIP
16
0
5
10
15
20
25
30
35
40
45
50
Placebo
KIACTA
Composite
Endpoint (Time to
First Worse
Event)
Doubling
Serum
Creatinine
50%
Decrease
Creatinine
CIearance
Dialysis/
ESRD
NumberofWorseEvents
17
*
*
**
Strong Clinical Results in Phase II/III Study
Landmark study in AA
amyloidosis: 183 patients
treated for 2 years
Important benefits for
patients on drug:
Statistically significant
reduction in number and
risk of reaching
worsening kidney event
Important delay in
reaching dialysis
*p<0.05
**p<0.01
Clean safety profile without any important differences
between groups in Phase II/III study 18
KIACTA™ – Clean Safety Profile
98%
36%
23%
93%
42%
25%
0%
20%
40%
60%
80%
100%
AEs SAEs Disc due to AEs
%ofPatients
KIACTA
Placebo
19
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
Study enrolled with 260 patients
Trial concludes when 120 of 230 patients
reach event of kidney function
deterioration
More than two thirds of the events have
been reached
Study completion expected in 2016
Phase III Confirmatory Study
20
New KIACTA™ Indication - Sarcoidosis
INDICATION
DEVELOPMENT
Chronic sarcoidosis, a rare
disease that causes lung scarring
and decreased lung function
No specific treatment
Agreement with Mount Sinai Hospital
New York to start Phase 2 proof-of-
concept study in 2015
21
Second Rare Disease Product Candidate
22
A rare disease
primarily affecting
the kidneys of
children
FOR STEC RELATED
HEMOLYTIC UREMIC
SYNDROME (SHUS),
SHIGAMABSHIGAMAB
Disease Course and Mechanism of Action
E. COLI INGESTION
GUT COLONIZATION AND
SECRETION OF TOXIN
INTO BLOODSTREAM
TOXIN MAY BE CARRIED
BY PMNs IN
BLOODSTREAM
SYMPTOMS: BLOODY
DIARRHEA
SHIGAMAB BINDING
NEUTRALIZES TOXIN
WHICH IS THEN
ELIMINATED
Shigamab
Antibody
Day -4 Day 0 Day 4 Day 8
TOXIN BINDS TO GB3
RECEPTORS ON KIDNEY
LEADING TO STEC-HUS.
OUTCOMES:
-CHRONIC KIDNEY DISEASE /
HYPERTENSION: 40%
-ENCEPHALOPATHY / DEATH: 5%
-RESOLUTION: 55%
23
90%
SPONTANEOUS
RESOLUTION
10%
SHIGAMAB TREATMENT
Shigamab Overview
24
NEXT STEPS (12 MONTHS)
MARKET OPPORTUNITY
CLINICAL
Proof-of-concept for treatment of sHUS in animal models
Meetings with regulators to agree on development plan
2,000-3,000 estimated annual cases of sHUS in developed
countries, principally children
$100-200 million annual sales opportunity
Safe and well tolerated in target pediatric population
Shareholder Ownership
Bellini Family ≈ 30%
Power Corporation ≈ 30%
Pharmascience ≈ 10%
Governance and Shareholders
25
Board of Directors Company / Experience
Dr. Francesco Bellini
(Chair)
Franklin Berger
Charles Cavell
Hélène Fortin
Pierre Larochelle
Murielle Lortie
Joseph Rus
Dr. Martin Tolar
Roberto Bellini
Management Title
Roberto Bellini
President and Chief
Executive Officer
Dr. Denis Garceau
Senior Vice President, Drug
Development
François Desjardins Vice President, Finance
Tony Matzouranis
Vice President, Business
Development
LAROSE FORTIN CA Inc.
25
KEY STATS
Shareholder Information
Price (52-week range): $0.44-$1.80
Daily Volume: 20K (3 month avg)
0
50,000
100,000
150,000
200,000
250,000
300,000
$0.00
$0.20
$0.40
$0.60
$0.80
$1.00
$1.20
$1.40
$1.60
$1.80
$2.00
Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep 2014 Oct 2014 Nov 2014 Dec 2014 Jan 2015
BLU 1-YR STOCK PERFORMANCE (TSX)
Price Volume
RESEARCH COVERAGE
Bloom Burton (D. Martin) - $3.00
Hybridan (D. Nathan) - $6.00
Zacks (J. Napodano) - $2.50
2626
Potential KIACTA™ exit
Continue executing KIACTA™ for AA
Amyloidosis plan:
Completion of recruitment
Launch of open label extension
study
Market assessment
Progress rare disease pipeline projects:
IND filing for KIACTA Phase 2 for
Sarcoidosis
Animal studies to support
Shigamab Phase II
Focused on achieving short term milestones that drive long term
value for shareholders
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
12 Month Milestones
27
Bellus corporate presentation march 23

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Bellus corporate presentation march 23

  • 1. Corporate Presentation (TSX: BLU) Roberto Bellini President and Chief Executive Officer Twitter: @rbellini Spring 2015
  • 2. Forward Looking Statements 2 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
  • 3. 3 30 million people in the United States have a RARE disease. Source: NIH: National Institutes of Health Office of Rare Diseases
  • 4. 4 Only about 5% of these people have a specific therapy to treat their disease.
  • 5. 5 85-90%of rare diseases are serious or life threatening.
  • 6. Regulatory advantage Premium pricing Market protection Smaller clinical trials Efficient commercialization strategies 6 Small patient numbers, BIG opportunity
  • 7. 7 At BELLUS, we are focused on developing drugs for rare diseases starting with conditions that affect the kidneys.
  • 8. Business plan fully funded through key milestones OVERVIEW KEY FINANCIALS Shareholder Information 8 Public company (TSX: BLU) based in Montreal, QC Developing drugs for rare diseases Late-stage product pipeline with fully funded business plan Shares outstanding (Fully Diluted): 65M Cash (12/31/14): $12.3M Burn rate (monthly): <$300K
  • 9. Late stage pipeline focused on developing innovative drugs for rare diseases Pipeline of Products Shigamab sHUS DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III KIACTA™ AA amyloidosis MARKET AL amyloidosis KIACTA™ Sarcoidosis 9
  • 10. Lead Phase III Product Candidate 10 A rare and deadly kidney disease with no specific treatment FOR AMYLOID A (AA) AMYLOIDOSIS
  • 11. Disease and Mechanism of Action 11 CHRONIC INFLAMMATION SERUM AMYLOID A PRECURSOR (SAA) PROTEIN AA PROTEIN + GLYCOSAMINOGLYCANS (GAGs) ORGAN DAMAGE, IN PARTICULAR TO KIDNEYS LEADING TO DIALYSIS REDUCTION IN FIBRIL FORMATION & DEPOSITION Converts to AA Protein Generates cytokine cascade (TNFα / IL-1 / IL-6) and increases SAA levels Rheumatic Conditions Inflammatory Bowel Disease Chronic Infections Familial Mediterranean Fever KIACTA™ blocks AA + GAGs interaction Systemic Amyloid A Fibril Formation & Deposition
  • 12. Patient Population Source: Navigant Consulting 2014 10,000- 15,000 potential KIACTATM patients in the United States and Europe MARKET RESEARCH Navigant Consulting conducted extensive primary and secondary research including more than 60 interviews with treating physicians and key opinion leaders in the United States and Europe 12
  • 13. PRICING Orphan drug designation granted with market protection in the U.S. (7 years), Europe and Japan (10 years) Intellectual property to 2026 PROTECTION Disease with large unmet medical need and no specific treatment Clear pharmaco-economic rationale due to high cost of kidney disease Premium pricing for comparative rare disease drugs Market Considerations KIACTA is well positioned to achieve premium pricing in line with comparable rare disease drugs 13 Drug U.S. Patients Disease Price Vyndaqel 1,500 Transthyretin amyloid polyneuropathy $200K Gattex 9,500 Short Bowel Syndrome $295K Kalydeco 1,350 Cystic Fibrosis (G551D mutation) $335K Procysbi 500 Nephropathic cystinosis $250K Juxtapid 3,000 Familial hypercholesterolemia $250K Jakafi 1,500 Splenomegaly $87K COMPARABLES
  • 14. Increasing Number of Orphan Drug Launches… 14 0 20 40 60 80 100 120 2006-2008 2009-2011 2012-2014 Rare Disease Non-Rare Disease U.S. Drug Launches of New Molecular Entities Source: IMS
  • 15. …Grabbing Increasing Share of Pharma Market 15
  • 16. Experienced and knowledgeable partner working on lead project Funding 100% of KIACTA™ project including studies in AA Amyloidosis and Sarcoidosis ≥ US$70M in investments Overall proceeds of exit expected to be shared 50-50 KIACTA™ to be sold through auction process either prior to, or after, Phase III Confirmatory Study results Investment bank Lazard engaged to explore sale of KIACTA™ Auven Therapeutics Partnership for KIACTA™ BUSINESS PLANAUVEN PARTNERSHIP 16
  • 17. 0 5 10 15 20 25 30 35 40 45 50 Placebo KIACTA Composite Endpoint (Time to First Worse Event) Doubling Serum Creatinine 50% Decrease Creatinine CIearance Dialysis/ ESRD NumberofWorseEvents 17 * * ** Strong Clinical Results in Phase II/III Study Landmark study in AA amyloidosis: 183 patients treated for 2 years Important benefits for patients on drug: Statistically significant reduction in number and risk of reaching worsening kidney event Important delay in reaching dialysis *p<0.05 **p<0.01
  • 18. Clean safety profile without any important differences between groups in Phase II/III study 18 KIACTA™ – Clean Safety Profile 98% 36% 23% 93% 42% 25% 0% 20% 40% 60% 80% 100% AEs SAEs Disc due to AEs %ofPatients KIACTA Placebo
  • 19. 19 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
  • 20. Study enrolled with 260 patients Trial concludes when 120 of 230 patients reach event of kidney function deterioration More than two thirds of the events have been reached Study completion expected in 2016 Phase III Confirmatory Study 20
  • 21. New KIACTA™ Indication - Sarcoidosis INDICATION DEVELOPMENT Chronic sarcoidosis, a rare disease that causes lung scarring and decreased lung function No specific treatment Agreement with Mount Sinai Hospital New York to start Phase 2 proof-of- concept study in 2015 21
  • 22. Second Rare Disease Product Candidate 22 A rare disease primarily affecting the kidneys of children FOR STEC RELATED HEMOLYTIC UREMIC SYNDROME (SHUS), SHIGAMABSHIGAMAB
  • 23. Disease Course and Mechanism of Action E. COLI INGESTION GUT COLONIZATION AND SECRETION OF TOXIN INTO BLOODSTREAM TOXIN MAY BE CARRIED BY PMNs IN BLOODSTREAM SYMPTOMS: BLOODY DIARRHEA SHIGAMAB BINDING NEUTRALIZES TOXIN WHICH IS THEN ELIMINATED Shigamab Antibody Day -4 Day 0 Day 4 Day 8 TOXIN BINDS TO GB3 RECEPTORS ON KIDNEY LEADING TO STEC-HUS. OUTCOMES: -CHRONIC KIDNEY DISEASE / HYPERTENSION: 40% -ENCEPHALOPATHY / DEATH: 5% -RESOLUTION: 55% 23 90% SPONTANEOUS RESOLUTION 10% SHIGAMAB TREATMENT
  • 24. Shigamab Overview 24 NEXT STEPS (12 MONTHS) MARKET OPPORTUNITY CLINICAL Proof-of-concept for treatment of sHUS in animal models Meetings with regulators to agree on development plan 2,000-3,000 estimated annual cases of sHUS in developed countries, principally children $100-200 million annual sales opportunity Safe and well tolerated in target pediatric population
  • 25. Shareholder Ownership Bellini Family ≈ 30% Power Corporation ≈ 30% Pharmascience ≈ 10% Governance and Shareholders 25 Board of Directors Company / Experience Dr. Francesco Bellini (Chair) Franklin Berger Charles Cavell Hélène Fortin Pierre Larochelle Murielle Lortie Joseph Rus Dr. Martin Tolar Roberto Bellini Management Title Roberto Bellini President and Chief Executive Officer Dr. Denis Garceau Senior Vice President, Drug Development François Desjardins Vice President, Finance Tony Matzouranis Vice President, Business Development LAROSE FORTIN CA Inc. 25
  • 26. KEY STATS Shareholder Information Price (52-week range): $0.44-$1.80 Daily Volume: 20K (3 month avg) 0 50,000 100,000 150,000 200,000 250,000 300,000 $0.00 $0.20 $0.40 $0.60 $0.80 $1.00 $1.20 $1.40 $1.60 $1.80 $2.00 Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep 2014 Oct 2014 Nov 2014 Dec 2014 Jan 2015 BLU 1-YR STOCK PERFORMANCE (TSX) Price Volume RESEARCH COVERAGE Bloom Burton (D. Martin) - $3.00 Hybridan (D. Nathan) - $6.00 Zacks (J. Napodano) - $2.50 2626
  • 27. Potential KIACTA™ exit Continue executing KIACTA™ for AA Amyloidosis plan: Completion of recruitment Launch of open label extension study Market assessment Progress rare disease pipeline projects: IND filing for KIACTA Phase 2 for Sarcoidosis Animal studies to support Shigamab Phase II Focused on achieving short term milestones that drive long term value for shareholders 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 12 Month Milestones 27