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Corporate Presentation




Roberto Bellini
President and Chief Executive Officer

March 2013
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



                                                                                                    2
Background and Business Model
 Public company (TSX: BLU) based in Montreal, QC
 Focused namely on the development of products in amyloid-
 related fields, principally AA Amyloidosis, an orphan indication
 affecting the kidneys
 Pipeline also includes product candidate for the treatment of
 Alzheimer’s disease



                BUSINESS MODEL
            Focused on building value for clinical
            stage health products in critical unmet
                        medical needs


                                                                    3
Pipeline of Products


PHARMACEUTICALS     DISCOVERY   PRECLINICAL PHASE I   PHASE II   PHASE III   NDA/MAA

KIACTA™
AA amyloidosis


BLU8499
Alzheimer’s
disease

                                                                             COMMERCIA
NUTRACEUTICAL       DISCOVERY   PRECLINICAL PHASE I   PHASE II   PHASE III    -LIZATION

VIVIMIND™
Memory protection




                                                                                          4
KIACTA™
               For AA Amyloidosis, an orphan indication and a
               deadly disease with no treatment

                      Orphan population of ≈50,000 in the USA, Europe
   Market             and Japan with peak annual revenues projected at
 opportunity          $400-600M1
                      1 Independent   market assessment by Frankel Group in April 2009.



                      Phase II/III clinical trial showing statistically
  Clinical
                      significant primary efficacy endpoints
 evidence
                      (p value = 0.025) and clean safety profile

                      Partnership with Auven Therapeutics (previously
 Partnership          known as Celtic Therapeutics) to conduct and
                      finance (>$50M) Phase III Confirmatory Study
                      Marketing approval based on confirming safety
  Phase III
Confirmatory          and efficacy of phase II/III study
   Study              >50% patients recruited
                                                                                          5
AA Amyloidosis – A Rare and Lethal Disease




                                                  AA PROTEIN +                                   REDUCTION IN
                        SERUM AMYLOID A           GLYCOSAMINOGLYCANS   KIACTA blocks             FIBRIL FORMATION
                        PRECURSOR (SAA)           (GAGs)            AA + GAGs interaction        & DEPOSITION
                        PROTEIN

CHRONIC
INFLAMMATION
                      Generates           Converts to
                  cytokine cascade        AA Protein
                  (TNFα / IL-1 / IL-6)                               Systemic Amyloid A Fibril
               and increases SAA levels                               Formation & Deposition

                                                                                                 ORGAN DAMAGE, IN
Rheumatic Conditions                                                                             PARTICULAR TO
Inflammatory Bowel Disease                                                                       KIDNEYS
Chronic Infections                                                                               -Rapid deterioration of
Familial Mediterranean Fever                                                                     kidney function leading to
                                                                                                 dialysis




                                                                                                                         6
KIACTA™ - Targeted Opportunity

                                     Patient population estimated at
                                     34-50,000 in the U.S., EU5 and
                                     Japan1
Diagnosed AA Patients (000s)




                                     Clear pharmacoeconomic
                                     rationale for premium pricing
                                     KIACTA™ peak annual revenues
                                     projected at $400-600M1
                                     (U.S., EU5, Japan)
                                     Orphan Drug Status in the U.S.
                                     and EU provides 7 and 10 years
                                     market exclusivity upon
                                     commercialization, respectively


                                     1Independent   market assessment by Frankel Group in April 2009   7
KIACTA™ - Strategic Partnership


PARTNERSHIP                      FINANCIAL IMPLICATION
 Partnered with private equity    US$10M upfront
 firm Auven Therapeutics
                                  ≥ US$50M in investments by
 Auven Therapeutics funding       Auven Therapeutics
 100% of KIACTA™’s Phase
 III Confirmatory Study           Proceeds of any eventual
                                  transaction expected to be
 Auction process for the          shared 50%-50% between
 commercialization rights of      BELLUS Health and Auven
 KIACTA™ on completion of         Therapeutics
 Phase III Confirmatory Study




                                                               8
KIACTA™ - Robust Clinical Results in Phase II/III
                                                                                                •   Landmark study in AA
Number of Patient Events




                                                                                                    Amyloidosis: 183 patients
                                                                                                    treated for 2 years

                                                                                                •   Composite endpoint based
                                                                                                    on patients reaching events
                                        *                                                           of decreasing kidney
                                                                                                    Graphical
                                                                                                    function or death
                                                                                                  representation of the
                                                                    *                             information in this
                                                                                                • Statistically significant
                                                                                                  primary endpoint (Cox
                                                                                                  table
                                                                                                    Proportional Hazard Ratio;
                                                     *                                              p=0.025)
                                                                                                    •   Cox test takes into account
                                                                                                        event and time to event

                             Composite                      50%                                     •   Most sensitive component
                                            Doubling                    Dialysis/
                           Endpoint (Time                Decrease                   Death               of composite endpoint highly
                                             Serum                       ESRD
                           to First Worse                 Creatine
                                            Creatine                                                    significant (CrCl, p < 0.01)
                               Event)                    CIearance

                      HR         0.58         0.41          0.48           0.54       0.95          •   Clinically meaningful treatment
95% C.I                        0.37, 0.93   0.19,0.86     0.28,0.82     0.22,1.37   0.27,3.29           effect with 42% reduction in
  P value                        0.025       0.019          0.008          0.20       0.94              risk of reaching event


                                                                                                                                          9
KIACTA™ - Phase II/III Key Secondary Endpoints

Kaplan Meier: Time to First Worst Event           Slope of Creatinine Clearance Decline

                                                                                      Months of Treatment




                                                  Mean ∆ CrCl (mL/min/1.73m2)
              KIACTATM
                                                                                                      KIACTATM
              Placebo                                                                                 -10.9 ± 5.1 mL/min/
                                                                                                      1.73 m2/year

                                                                                Placebo
                                                                                -15.6 ± 4.0 mL/min/               ∆= 9.4mL/min/
                                                                                1.73 m2/year                      1.73 m2
                  HR=0.58
                                                                                                                  after 24
                  Wald Chi Square test: p=0.025
                                                                                                                  months
                                                                                                                  p=0.025




    Key secondary endpoints show robust effect of KIACTA™

    Using slope of creatinine clearance decline, calculated delay
    to time to dialysis is ~2 years on KIACTA™ versus placebo

                                                                                                                            10
KIACTA™ - Phase II/III Feedback




  2007 NEJM article published by lead investigators concludes that
  KIACTA™ slows decline of renal function in AA Amyloidosis

  Agreement reached under Special Protocol Assessment with FDA and
  Scientific Advice with EMEA to conduct Phase III Confirmatory Trial
   Marketing approval based on positive result (p value <0.05) from confirmatory study with
   same scope of first phase II/III clinical trial




                                                                                              11
KIACTA™ - Phase III Confirmatory Study
                                              PHASE III
COMPLETED PHASE II/III STUDY                  CONFIRMATORY STUDY
  183 patients in 13 countries                 230 patients in >25 countries

  Statistically significant composite          Composite primary endpoint
  primary endpoint (p=0.025)                   (target p<0.05) based on patients
  principally based on patients                reaching kidney function events:
  reaching kidney function events:
                                                    80% increase serum creatinine
       Doubling serum creatinine
                                                    40% decrease in creatinine
       50% decrease in creatinine                   clearance
       clearance
                                                    Reaching ESRD/dialysis
       Reaching ESRD/dialysis

       Death                                   Event driven trial to conclude on
                                               attainment of 120 events (~90%
  Fixed treatment duration of two              power)
  years

                                Key improvements made to
                                  increase robustness of
                                    confirmatory study
                                                                                    12
KIACTA™ - Study Progress


   Recruitment                               Completion
         >70 sites in >25                       Event driven trial to
         countries actively                     complete on reaching
         recruiting                             120 events
         ~120 patients                          Study expected to be
         enrolled1                              completed in 2017
         Recruitment expected
         to be completed in 1H
         2014

              Patient baseline characteristics and demographics to date are similar
              to those in the first Phase III study
  1   Data as of November 2012                                                        13
VIVIMIND™

                 Nutraceutical for memory protection

                    Health claims include:         VIVIMIND Revenues ($K)
                                             500
 Regulatory         ‘Protects the
                                             400
                    hippocampus’ and
                                             300
                    ‘Enhances cognitive
                                             200
                    function and memory’
                                             100

                                               0
                                                   2010      2011      2012


                    Partnerships for Italy (launched), Canada
                    (launched), South Korea (regulatory), Greece (pre-
Partnerships        launch), Middle East (pre-launch), Taiwan
                    (regulatory) and Israel (regulatory)
                    Pursuing creation of worldwide distributor network


               Growing cash flow positive business
                                                                              14
BLU8499
              Next generation of tramiprosate intended
              for the treatment of Alzheimer's disease


                   Large and growing epidemic currently affecting
  Market           over 30M patients worldwide
opportunity        Represents > $180B in annual costs in the United
                   States alone


                   Evidence of effectiveness of parent compound
  Clinical         tramiprosate in ApoE4+ Alzheimer’s patients
 Evidence
                   Safe and well tolerated in Phase I




                                                                      15
BLU8499 – Asclepios Partnership

                        Partnership with Asclepios Bioresearch in
                        September 2012 to finance development of
                        BLU8499
 Partnership
                        Investment of ~$4M in non-dilutive capital
                        Parties expected to share any future proceeds
                        approximately equally

                        Long term animal toxicity to be completed in
                        2013
Development
                        Phase IIa proof of concept study in mild apoE4+
   Plan
                        Alzheimer’s disease patients
                            Expected to begin in 2014


               Focused development plan to demonstrate
               effectiveness in targeted patient population

                                                                          16
Financial Position and Capital Structure

              Capital Structure
             Basic Shares Outstanding             47M

             Fully Diluted Shares Outstanding1    61M

              Financial Position
             Cash (December 31st, 2012)           >$18M

             Burn Rate (monthly)                  <$300K


   Strategic financing completed with Pharmascience in May 2012
       $17.25M total investment: $8.15M in non-dilutive capital and $9.1M
       for 10.4% stake
   Operations funded into 2018


                                                   1Does   not include stock option grants 17
Governance and Shareholders
Board of Directors      Company / Experience     Management            Title

Dr. Francesco Bellini                                                  President and Chief
                                                 Roberto Bellini
(Chair)                                                                Executive Officer
                                                                       Senior Vice President, Drug
                                                 Dr. Denis Garceau
Franklin Berger                                                        Development

                                                 François Desjardins   Vice President, Finance
Charles Cavell
                                                                       Vice President, Business
                                                 Tony Matzouranis
                                                                       Development
Hélène Fortin            LAROSE FORTIN CA Inc.


Pierre Larochelle
                                                 Shareholder                       Ownership

Donald Olds                                      Bellini Family                     ≈ 30%

Joseph Rus                                       Power Corporation                  ≈ 30%

Dr. Martin Tolar                                 Pharmascience                      ≈ 10%

Roberto Bellini                                  Visium Asset Management            ≈ 10%

                                                                                                     18
Milestones

                              Milestones (12 months)
 Past Execution                Completion of recruitment of   Long Term Value
  Attractive                   KIACTA™ Phase III
  partnership with for         Confirmatory Study             Results of Phase III
  Kiacta                                                      Confirmatory Study
                               Additional KIACTA™             and auction of
  Execution of global          activities:                    KIACTA™
  Kiacta Phase III
                                   Launch of open label       Sale or spin-out of
  Confirmatory Study
                                   extension study            VIVIMIND business
  Cashflow positive
                                   Market and pricing         BLU8499 Phase IIa
  VIVIMIND business
                                   assessment                 study results
  Partnership for
                                   Japan orphan drug
  BLU8499
                                   designation
  Strong balance
                               BLU 8499 Pre-Phase II
  sheet
                               package completion

                               VIVIMIND partnerships

                    Short-term milestones driving long-term value
                                                                                     19
Corporate presentation   march 2013 v final v2

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Corporate presentation march 2013 v final v2

  • 1. Corporate Presentation Roberto Bellini President and Chief Executive Officer March 2013
  • 2. 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 2
  • 3. Background and Business Model Public company (TSX: BLU) based in Montreal, QC Focused namely on the development of products in amyloid- related fields, principally AA Amyloidosis, an orphan indication affecting the kidneys Pipeline also includes product candidate for the treatment of Alzheimer’s disease BUSINESS MODEL Focused on building value for clinical stage health products in critical unmet medical needs 3
  • 4. Pipeline of Products PHARMACEUTICALS DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III NDA/MAA KIACTA™ AA amyloidosis BLU8499 Alzheimer’s disease COMMERCIA NUTRACEUTICAL DISCOVERY PRECLINICAL PHASE I PHASE II PHASE III -LIZATION VIVIMIND™ Memory protection 4
  • 5. KIACTA™ For AA Amyloidosis, an orphan indication and a deadly disease with no treatment Orphan population of ≈50,000 in the USA, Europe Market and Japan with peak annual revenues projected at opportunity $400-600M1 1 Independent market assessment by Frankel Group in April 2009. Phase II/III clinical trial showing statistically Clinical significant primary efficacy endpoints evidence (p value = 0.025) and clean safety profile Partnership with Auven Therapeutics (previously Partnership known as Celtic Therapeutics) to conduct and finance (>$50M) Phase III Confirmatory Study Marketing approval based on confirming safety Phase III Confirmatory and efficacy of phase II/III study Study >50% patients recruited 5
  • 6. AA Amyloidosis – A Rare and Lethal Disease AA PROTEIN + REDUCTION IN SERUM AMYLOID A GLYCOSAMINOGLYCANS KIACTA blocks FIBRIL FORMATION PRECURSOR (SAA) (GAGs) AA + GAGs interaction & DEPOSITION PROTEIN CHRONIC INFLAMMATION Generates Converts to cytokine cascade AA Protein (TNFα / IL-1 / IL-6) Systemic Amyloid A Fibril and increases SAA levels Formation & Deposition ORGAN DAMAGE, IN Rheumatic Conditions PARTICULAR TO Inflammatory Bowel Disease KIDNEYS Chronic Infections -Rapid deterioration of Familial Mediterranean Fever kidney function leading to dialysis 6
  • 7. KIACTA™ - Targeted Opportunity Patient population estimated at 34-50,000 in the U.S., EU5 and Japan1 Diagnosed AA Patients (000s) Clear pharmacoeconomic rationale for premium pricing KIACTA™ peak annual revenues projected at $400-600M1 (U.S., EU5, Japan) Orphan Drug Status in the U.S. and EU provides 7 and 10 years market exclusivity upon commercialization, respectively 1Independent market assessment by Frankel Group in April 2009 7
  • 8. KIACTA™ - Strategic Partnership PARTNERSHIP FINANCIAL IMPLICATION Partnered with private equity US$10M upfront firm Auven Therapeutics ≥ US$50M in investments by Auven Therapeutics funding Auven Therapeutics 100% of KIACTA™’s Phase III Confirmatory Study Proceeds of any eventual transaction expected to be Auction process for the shared 50%-50% between commercialization rights of BELLUS Health and Auven KIACTA™ on completion of Therapeutics Phase III Confirmatory Study 8
  • 9. KIACTA™ - Robust Clinical Results in Phase II/III • Landmark study in AA Number of Patient Events Amyloidosis: 183 patients treated for 2 years • Composite endpoint based on patients reaching events * of decreasing kidney Graphical function or death representation of the * information in this • Statistically significant primary endpoint (Cox table Proportional Hazard Ratio; * p=0.025) • Cox test takes into account event and time to event Composite 50% • Most sensitive component Doubling Dialysis/ Endpoint (Time Decrease Death of composite endpoint highly Serum ESRD to First Worse Creatine Creatine significant (CrCl, p < 0.01) Event) CIearance HR 0.58 0.41 0.48 0.54 0.95 • Clinically meaningful treatment 95% C.I 0.37, 0.93 0.19,0.86 0.28,0.82 0.22,1.37 0.27,3.29 effect with 42% reduction in P value 0.025 0.019 0.008 0.20 0.94 risk of reaching event 9
  • 10. KIACTA™ - Phase II/III Key Secondary Endpoints Kaplan Meier: Time to First Worst Event Slope of Creatinine Clearance Decline Months of Treatment Mean ∆ CrCl (mL/min/1.73m2) KIACTATM KIACTATM Placebo -10.9 ± 5.1 mL/min/ 1.73 m2/year Placebo -15.6 ± 4.0 mL/min/ ∆= 9.4mL/min/ 1.73 m2/year 1.73 m2 HR=0.58 after 24 Wald Chi Square test: p=0.025 months p=0.025 Key secondary endpoints show robust effect of KIACTA™ Using slope of creatinine clearance decline, calculated delay to time to dialysis is ~2 years on KIACTA™ versus placebo 10
  • 11. KIACTA™ - Phase II/III Feedback 2007 NEJM article published by lead investigators concludes that KIACTA™ slows decline of renal function in AA Amyloidosis Agreement reached under Special Protocol Assessment with FDA and Scientific Advice with EMEA to conduct Phase III Confirmatory Trial Marketing approval based on positive result (p value <0.05) from confirmatory study with same scope of first phase II/III clinical trial 11
  • 12. KIACTA™ - Phase III Confirmatory Study PHASE III COMPLETED PHASE II/III STUDY CONFIRMATORY STUDY 183 patients in 13 countries 230 patients in >25 countries Statistically significant composite Composite primary endpoint primary endpoint (p=0.025) (target p<0.05) based on patients principally based on patients reaching kidney function events: reaching kidney function events: 80% increase serum creatinine Doubling serum creatinine 40% decrease in creatinine 50% decrease in creatinine clearance clearance Reaching ESRD/dialysis Reaching ESRD/dialysis Death Event driven trial to conclude on attainment of 120 events (~90% Fixed treatment duration of two power) years Key improvements made to increase robustness of confirmatory study 12
  • 13. KIACTA™ - Study Progress Recruitment Completion >70 sites in >25 Event driven trial to countries actively complete on reaching recruiting 120 events ~120 patients Study expected to be enrolled1 completed in 2017 Recruitment expected to be completed in 1H 2014 Patient baseline characteristics and demographics to date are similar to those in the first Phase III study 1 Data as of November 2012 13
  • 14. VIVIMIND™ Nutraceutical for memory protection Health claims include: VIVIMIND Revenues ($K) 500 Regulatory ‘Protects the 400 hippocampus’ and 300 ‘Enhances cognitive 200 function and memory’ 100 0 2010 2011 2012 Partnerships for Italy (launched), Canada (launched), South Korea (regulatory), Greece (pre- Partnerships launch), Middle East (pre-launch), Taiwan (regulatory) and Israel (regulatory) Pursuing creation of worldwide distributor network Growing cash flow positive business 14
  • 15. BLU8499 Next generation of tramiprosate intended for the treatment of Alzheimer's disease Large and growing epidemic currently affecting Market over 30M patients worldwide opportunity Represents > $180B in annual costs in the United States alone Evidence of effectiveness of parent compound Clinical tramiprosate in ApoE4+ Alzheimer’s patients Evidence Safe and well tolerated in Phase I 15
  • 16. BLU8499 – Asclepios Partnership Partnership with Asclepios Bioresearch in September 2012 to finance development of BLU8499 Partnership Investment of ~$4M in non-dilutive capital Parties expected to share any future proceeds approximately equally Long term animal toxicity to be completed in 2013 Development Phase IIa proof of concept study in mild apoE4+ Plan Alzheimer’s disease patients Expected to begin in 2014 Focused development plan to demonstrate effectiveness in targeted patient population 16
  • 17. Financial Position and Capital Structure Capital Structure Basic Shares Outstanding 47M Fully Diluted Shares Outstanding1 61M Financial Position Cash (December 31st, 2012) >$18M Burn Rate (monthly) <$300K Strategic financing completed with Pharmascience in May 2012 $17.25M total investment: $8.15M in non-dilutive capital and $9.1M for 10.4% stake Operations funded into 2018 1Does not include stock option grants 17
  • 18. Governance and Shareholders Board of Directors Company / Experience Management Title Dr. Francesco Bellini President and Chief Roberto Bellini (Chair) Executive Officer Senior Vice President, Drug Dr. Denis Garceau Franklin Berger Development François Desjardins Vice President, Finance Charles Cavell Vice President, Business Tony Matzouranis Development Hélène Fortin LAROSE FORTIN CA Inc. Pierre Larochelle Shareholder Ownership Donald Olds Bellini Family ≈ 30% Joseph Rus Power Corporation ≈ 30% Dr. Martin Tolar Pharmascience ≈ 10% Roberto Bellini Visium Asset Management ≈ 10% 18
  • 19. Milestones Milestones (12 months) Past Execution Completion of recruitment of Long Term Value Attractive KIACTA™ Phase III partnership with for Confirmatory Study Results of Phase III Kiacta Confirmatory Study Additional KIACTA™ and auction of Execution of global activities: KIACTA™ Kiacta Phase III Launch of open label Sale or spin-out of Confirmatory Study extension study VIVIMIND business Cashflow positive Market and pricing BLU8499 Phase IIa VIVIMIND business assessment study results Partnership for Japan orphan drug BLU8499 designation Strong balance BLU 8499 Pre-Phase II sheet package completion VIVIMIND partnerships Short-term milestones driving long-term value 19