Sucampo Pharmaceuticals, Inc. Jefferies 2015 Healthcare Conference

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Sucampo Pharmaceuticals, Inc. Jefferies 2015 Healthcare Conference June 3, 2015 Peter Greenleaf Chief Executive Officer

Forward-Looking Statements This presentation contains "forward-looking statements" as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements are based on management's current expectations and involve risks and uncertainties, which may cause results to differ materially from those set forth in the statements. The forward-looking statements may include statements regarding product development, product potential, future financial and operating results, and other statements that are not historical facts. The following factors, among others, could cause actual results to differ from those set forth in the forward-looking statements: the impact of pharmaceutical industry regulation and health care legislation; the ability of Sucampo to continue to develop the market for AMITIZA; the ability of Sucampo to develop, commercialize or license existing pipeline products or compounds or license or acquire non-prostone products or drug candidates; Sucampo's ability to accurately predict future market conditions; dependence on the effectiveness of Sucampo's patents and other protections for innovative products; the risk of new and changing regulation and health policies in the U.S. and internationally; the effects of competitive products on Sucampo s products; and the exposure to litigation and/or regulatory actions. No forward-looking statement can be guaranteed and actual results may differ materially from those projected. Sucampo undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise. Forward-looking statements in this presentation should be evaluated together with the many uncertainties that affect Sucampo's business, particularly those mentioned in the risk factors and cautionary statements in Sucampo's most recent Form 10-K as filed with the Securities and Exchange Commission on March 9, 2015 as well as its filings with the Securities and Exchange Commission on Forms 8-K and 10-Q since the filing of the Form 10-K, all of which Sucampo incorporates by reference. 2

Sucampo Overview Sucampo is a global biopharmaceutical company built on the ongoing pursuit of scientific innovation and an unwavering passion for improving the lives of patients Proven track record of successful pharmaceutical product development and approvals Deep management bench with proven experience in new product development AMITIZA is flagship product: differentiated profile in an attractive market with a large unmet need Blue chip partnerships provide global reach and drive outsized revenue growth Robust product pipeline that will build on a strong foundation Strong financial performance: $115M revenue for FY 2014 and $29.5M for Q1 2015, robust balance sheet and cash position 3

Clear Strategy to Methodically Build a Leading Bio/Pharma Company Secure Advance Transform Revenue & Market Value Focus efforts and strengthen overall capabilities Team Development capability Secure and grow AMITIZA revenues Efforts to ensure consistent and sustainable growth Global partnerships Ongoing resolution of patent litigation Optimize investment in current pipeline Life cycle management (LCM) Prioritize or exit programs to maximize return on investment (ongoing) Address capital structure Diversify investor base Continue to strengthen capability in development Execute on pipeline opportunities File LCM programs for regulatory approvals Progress prostones in clinical development to Phase 3 Acquire new development programs to strengthen and accelerate the pipeline Launch AMITIZA LCM programs Launch new pipeline products Sustainable pipeline of drug candidates with near term launch opportunities BD Move to more transformative deals Execute value creation strategy 2014 2015 2017 2018 2021 4

5

AMITIZA is a Unique and Highly-Differentiated Product Most expansive label in constipation market: 3 indications, 3 patient types CIC: Chronic Idiopathic Constipation IBS-C: Irritable Bowel Syndrome with Constipation OIC: Opioid Induced Constipation in Adults (non-cancer) Most experienced product: over 9M prescriptions since 2006 Only product with a dual mechanism of action 1. Increases intestinal fluid secretion 2. Stimulates recovery of mucosal barrier function Key product characteristics Locally-acting Rapid and predictable onset of action Well-tolerated product with established safety profile No black box warning 6

Addressing Large Market with Significant Unmet Need Market MATTY TRx by Category thru Mar 2015 Brand/Generic MATTY TRx thru Mar 2015 Annual: 50M TRx & $4.4B Linaclotide AMITIZA Stool softener with stim (Docusate/ Senna S) Irritantstimulant lax (Ex-Lax, Dulcolax) Bentyl (other IBS) 4% Bulk Fiber (Citrucel, Benefiber) 9% 11% 2% 2% 3% 3% 15% Osmi Prep, PEG preps Saline lax & mineral oil, (Sorbitol & Milk of Mag) Fleet Enemas (1%) Movantik (0%) 22% 28% Miralax, PEGs Stool softener without stimulant laxatives (Colace) Generic Branded Generic 34% 16% 26% 34% 8% Brand 42% 40% Other Brand TRx by Category thru Mar 2015 Bentyl (other symptoms of IBS) AMITIZA Annual: 4M TRx & $2B Linaclotide OTC Market: additional ~$800M annually 7

Accelerating Growth is Evidence of Compelling Value Proposition U.S. (Takeda) Japan (Abbott) 2014 total prescriptions were 1.3M; all-time yearly high 5 year CAGR = 3.5% 7 year CAGR = 6.5% 1,350,000 1,300,000 1,400,000 1,200,000 1,241,304 1,250,000 1,000,000 TRx Scripts 1,200,000 1,150,000 TRx Scripts* 800,000 600,000 489,543 1,100,000 400,000 1,050,000 200,000 7,652 1,000,000 2010 2011 2012 2013 2014 0 2012 2013 2014 TRx Scripts Q1 grew 9% YoY YTD growth 6% Units *Based on Management assumption of 46 capsules per TRx 8

Multiple Levers Will Drive AMITIZA Outsized Growth GEOGRAPHY LABEL EXPANSION BRAND Underpenetrated markets with unsatisfied patients Expanded Takeda agreement Physician Targeting DTC OIC driving 30% of brand sales EXPANDED PARTNERSHIPS/ SECURING FUTURE REVENUE Takeda Net sales revenue split on brand lubiprostone, incl. LCM Agreement with Par Gross profit split on generic lubiprostone PRICE Yearly Increases Gross-to-net cap for Sucampo Takeda global partnership U.S. Canada E.U (new reco s for approval) ROW Mylan Japan Harbin Gloria China New Formulation (2017) Expands market access Broad pediatric population spanning infants to teens (2017/18) Extends runway 9

New Market Opportunities Global prevalence of constipation disorders ranges from 5-18% Canada NDA decision 2H:15 U.K. CIC; OIC under review E.U.* CIC China TBD U.S. CIC, IBS-C and OIC Switzerland CIC and OIC Japan CC Latin America TBD ROW Territories TBD Takeda is #1 GI company world wide Takeda has rights to all markets except Japan (Mylan) and China *Successful completion of MRP in Austria, Belgium, Germany, Italy, Ireland, Luxembourg, Netherlands, and Spain; Ireland, Belgium, Luxembourg, Netherlands, Austria and Germany have issued National Marketing Authorization 10

AMITIZA Life Cycle Management Expand AMITIZA franchise through new formulation and new indication 1. New Formulation Alternate formulation for additional adult and pediatric patients who cannot tolerate capsules, or naso-gastric tube fed patients Incremental opportunity to address the roughly 40% of adults who have difficulty swallowing pills Next step: Phase 3 commence 2H 2015 2. New Pediatric Functional Constipation Indication Constipation is one of the most common gastrointestinal complaints in children US Prevalence: 18% of pediatric population (13.5M) Unmet need: No FDA-approved competition for AMITIZA in pediatric population (black box warning for linaclotide; prucalopride failed in Phase 4) Current formulation: older children (6-17 years) who are able to take the current capsule formulation Alternate formulation: younger children (6 months and above) 11

Pipeline 12

At-A-Glance: Sucampo Pipeline CLINICAL FOCUS STAGE OF CLINICAL DEVELOPMENT TIMELINE TARGETS LEAD COMPOUNDS PHASE1 PHASE 2 PHASE 3 NDA/MAA FILING APPROVAL Lubiprostone Pediatric Functional Constipation (6 years-17 years) Pivotal: LPI 2H 2015 Open-Label: LPI 2H 2015 2016* 2017* Lifecycle Management Lubiprostone Alternate Formulation (Adults) Lubiprostone Alternate Formulation Pediatric Functional Constipation (6 months- 6 years) FPI 2H 2015 LPI 1H 2016 Pivotal: FPI 1H 2016 LPI 1H 2017 Open-Label: FPI 1H 2016 LPI 2H 2016 2H 2016* 2017* 2017* 2018* Clinical Development Cobiprostone Oral Mucositis Cobiprostone NERD FPI 1H 2015 LPI 2H 2016 FPI 2H 2014 LPI 2H 2015 FPI 2017 LPI 2018 FPI 2018 LPI 2018 2018 2019 2020 2021 Received Fast Track Designation for cobiprostone in oral mucositis COMPLETED IN PROGRESS / PROJECTED START 13 *Pending partner/fda discussions

Supplementing Existing Pipeline Commenced assessment of external programs Complement existing product pipeline Leverage current skills and experience of Sucampo Therapeutic areas Platform- and technology- agnostic Orphan and specialist products 14

Financials 15

Key Facts and Financial Summary Financial Highlights for Q1 2015 Total Revenue $29.5M AMITIZA U.S. Net Sales (as reported by Takeda for royalty calculation purposes): $87.5M Net Income $6.4M EPS $0.14 Cash & Equivalents $118.8M Notes Payable $25.8M Financial Highlights for FY 2014 Total Revenue $115.5M AMITIZA U.S. Net Sales (as reported by Takeda for royalty calculation purposes): $331.6M Net Income, excluding special items $17.9M EPS, excluding special items $0.40 2015 Financial Guidance Net Income $25M - $30M EPS $0.55 - $0.65 16

Upcoming Milestones Event Global partnership agreement for AMITIZA Updated on AMITIZA alternate formulation and PFC development Filed AMITIZA for approval in Canada Initiated MRP to secure approval for AMITIZA (CIC) in additional European markets Decision made on ion channel activator program for LSS Cobiprostone NERD Ph. 2 FPI Cobiprostone oral mucositis Ph. 2 FPI Approvals for AMITIZA in additional European markets Lubiprostone alternate formulation Ph. 3 FPI Lubiprostone PFC (6 years 17 years) Ph. 3 LPI (pivotal) Lubiprostone PFC (6 years 17 years) Ph. 3 LPI (open-label) Approval of AMITIZA in Canada Cobiprostone NERD Ph. 2 LPI AMITIZA IND application approval in China Lubiprostone alternate formulation Ph. 3 LPI Lubiprostone PFC (6 months 6 years) Ph. 3 FPI (pivotal) Lubiprostone PFC (6 months 6 years) Ph. 3 FPI (open-label) File lubiprostone alternate formulation for approval in U.S. Cobiprostone oral mucositis Ph. 2 LPI Lubiprostone PFC (6 months 6 years) LPI (open-label) Expected Timing 1H 2015 2H 2015 1H 2016 2H 2016 17

Investment Highlights Lead product with differentiated profile in an attractive market with a large unmet need Blue chip partnerships provide global reach and drive outsized revenue growth Multiple levers available to drive sustainable long term growth Robust product pipeline that will build on a strong foundation Well-defined lifecycle management strategy maximizes franchise value Strong financial performance with robust balance sheet and cash position Deep management bench with proven experience in new product development 18

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