0001062993-16-012129.txt : 20161110 0001062993-16-012129.hdr.sgml : 20161110 20161110070518 ACCESSION NUMBER: 0001062993-16-012129 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 12 CONFORMED PERIOD OF REPORT: 20161110 FILED AS OF DATE: 20161110 DATE AS OF CHANGE: 20161110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Trillium Therapeutics Inc. CENTRAL INDEX KEY: 0001616212 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1214 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-36596 FILM NUMBER: 161985958 BUSINESS ADDRESS: STREET 1: 2488 DUNWIN DRIVE CITY: MISSISSAUGA STATE: A6 ZIP: L5L 1J9 BUSINESS PHONE: (416) 595-0627 MAIL ADDRESS: STREET 1: 2488 DUNWIN DRIVE CITY: MISSISSAUGA STATE: A6 ZIP: L5L 1J9 6-K 1 form6k.htm FORM 6-K Trillium Therapeutics Inc. - Form 6-K - Filed by newsfilecorp.com

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

___________________

FORM 6-K

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 OF THE SECURITIES EXCHANGE ACT OF 1934

For the month of November 2016

Commission File Number: 001-36596

___________________

TRILLIUM THERAPEUTICS INC.
(Translation of registrant's name into English)

2488 Dunwin Drive
Mississauga, Ontario L5L 1J9
Canada
(Address of principal executive offices)
___________________

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

Form 20-F [   ]                    Form 40-F [X]

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1)[   ]

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7)[   ]


DOCUMENTS FILED AS PART OF THIS FORM 6-K

See the Exhibit Index hereto.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

  Trillium Therapeutics Inc.
   
   
Date: November 10, 2016
  By: /s/ James Parsons                                         
  Name: James Parsons
  Title: Chief Financial Officer

2


EXHIBIT INDEX

Exhibit Description
   
99.1 Interim Condensed Consolidated Financial Statements for the period ended September 30, 2016
   
99.2 Management’s Discussion and Analysis for the period ended September 30, 2016
   
99.3 Form 52-109F2 - Certification of Interim Filings Full Certificate - CEO
   
99.4 Form 52-109F2 - Certification of Interim Filings Full Certificate - CFO
   
99.5 Press Release dated November 10, 2016


EX-99.1 2 exhibit99-1.htm EXHIBIT 99.1 Trillium Therapeutics Inc. - Exhibit 99.1 - Filed by newsfilecorp.com

 

 

 

 

 

INTERIM CONDENSED
CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE AND NINE MONTHS ENDED
SEPTEMBER 30, 2016 AND 2015

(UNAUDITED)

 

 

2488 Dunwin Drive
Mississauga, Ontario L5L 1J9
www.trilliumtherapeutics.com



TRILLIUM THERAPEUTICS INC.
Interim Condensed Consolidated Statements of Financial Position
Amounts in Canadian Dollars
(Unaudited)

      As at     As at  
  Note   September 30, 2016     December 31, 2015  
      $     $  
               
               
ASSETS              
               
Current              
Cash and cash equivalents     55,550,249     86,770,542  
Amounts receivable 5   448,488     974,822  
Prepaid expenses     846,826     1,181,481  
               
Total current assets     56,845,563     88,926,845  
               
Property and equipment 6   3,229,391     897,390  
Intangible assets 4,7   12,814,582     93,585  
Other assets     110,931     121,648  
               
Total non-current assets     16,154,904     1,112,623  
               
Total assets     73,000,467     90,039,468  
               
LIABILITIES              
               
Current              
Accounts payable and accrued liabilities 8   4,486,373     3,233,749  
Other current liabilities 9   374,952     323,151  
               
Total current liabilities     4,861,325     3,556,900  
               
Loan payable 9   211,655     270,386  
Deferred lease inducement 9   439,985     348,205  
Long-term liability 9   -     60,109  
Other liabilities 9   1,750,000     -  
               
Total non-current liabilities     2,401,640     678,700  
               
Total liabilities     7,262,965     4,235,600  
               
EQUITY              
Common shares 10   103,461,298     103,340,072  
Series I preferred shares 10   7,716,243     7,797,773  
Series II preferred shares 10   24,369,384     24,369,384  
Warrants 10   6,922,323     6,926,019  
Contributed surplus     11,267,636     8,660,355  
Deficit     (87,999,382 )   (65,289,735 )
               
Total equity     65,737,502     85,803,868  
               
Total liabilities and equity     73,000,467     90,039,468  

Commitments and contingencies [note 13]

Approved by the Board and authorized for issue on November 9, 2016:

(signed) Luke Beshar, Director (signed) Henry Friesen, Director

See accompanying notes to the interim condensed consolidated financial statements

- 1 -



TRILLIUM THERAPEUTICS INC.
Interim Condensed Consolidated Statements of Loss and Comprehensive Loss
Amounts in Canadian Dollars
(Unaudited)

      Three months ended     Three months ended     Nine months ended     Nine months ended  
  Note   September 30, 2016     September 30, 2015     September 30, 2016     September 30, 2015  
      $     $     $     $  
                           
EXPENSES                          
                           
Research and development 11   7,719,567     4,954,811     20,526,753     13,684,508  
General and administrative 12   1,031,309     721,549     3,015,718     2,292,806  
                           
Operating expenses     8,750,876     5,676,360     23,542,471     15,977,314  
                           
Finance income     (105,200 )   (172,896 )   (305,671 )   (352,558 )
Finance costs     19,554     21,766     62,673     63,374  
Net foreign currency loss (gain)     (766,686 )   (4,019,251 )   3,090,474     (3,943,274 )
                           
Net finance (income) costs     (852,332 )   (4,170,381 )   2,847,476     (4,232,458 )
                           
Loss before income taxes     7,898,544     1,505,979     26,389,947     11,744,856  
                           
Current income tax expense     3,091     -     9,374     -  
Deferred income tax recovery 4   -     -     (3,689,674 )   -  
                           
Total income taxes     3,091     -     (3,680,300 )   -  
                           
Net loss and comprehensive loss for the period     7,901,635     1,505,979     22,709,647     11,744,856  
                           
Basic and diluted loss per common share 10 (c)   1.01     0.21     2.91     1.84  

See accompanying notes to the interim condensed consolidated financial statements

- 2 -


TRILLIUM THERAPEUTICS INC.
Interim Condensed Consolidated Statements of Changes in Equity
Amounts in Canadian Dollars
(Unaudited)

    Common shares     Series I preferred shares     Series II preferred shares     Warrants     Contributed              
    Number     Amount     Number     Amount     Number     Amount     Number     Amount     surplus     Deficit     Total  
    #     $     #     $     #     $     #         $     $     $  
          (note 10 )         (note 10 )         (note 10 )         (note 10 )                  
                                                                   
                                                                   
Balance, December 31, 2015   7,796,137     103,340,072     53,788,579     7,797,773     1,077,605     24,369,384     106,096,356     6,926,019     8,660,355     (65,289,735 )   85,803,868  
                                                                   
Net loss and comprehensive loss for the period   -     -     -     -     -     -     -     -     -     (22,709,647 )   (22,709,647 )
                                                                   
Transactions with owners of the Company, recognized directly in equity                                            
                                                                   
 Exercise of warrants   3,000     39,696     -     -     -     -     (90,000 )   (3,696 )   -     -     36,000  
Conversion of preferred shares   18,746     81,530     (562,388 )   (81,530 )   -     -     -     -     -     -     -  
 Share-based compensation   -     -     -     -     -     -     -     -     2,607,281     -     2,607,281  
Total transactions with owners of the Company   21,746     121,226     (562,388 )   (81,530 )   -     -     (90,000 )   (3,696 )   2,607,281     -     2,643,281  
Balance, September 30, 2016   7,817,883     103,461,298     53,226,191     7,716,243     1,077,605     24,369,384     106,006,356     6,922,323     11,267,636     (87,999,382 )   65,737,502  

    Common shares     Series I preferred shares     Series II preferred shares     Warrants     Contributed              
    Number     Amount     Number     Amount     Number     Amount     Number     Amount     surplus     Deficit     Total  
    #     $     #     $     #     $     #     $     $     $     $  
          (note 10 )         (note 10 )         (note 10 )         (note 10 )                  
                                                                   
                                                                   
Balance, December 31, 2014   4,427,244     49,505,792     69,504,689     10,076,151     -     -     138,724,781     9,283,332     5,995,055     (50,556,036 )   24,304,294  
                                                                   
Net loss and comprehensive loss for the period   -     -     -     -     -     -     -     -     -     (11,744,856 )   (11,744,856 )
                                                                   
Transactions with owners of the Company, recognized directly in equity                                            
                                                                 
  Shares issued, net of issue costs   1,750,754     39,592,240     -     -     1,077,605     24,369,384     -     -     -     -     63,961,624  
 Exercise of warrants   1,008,928     11,057,295     -     -     -     -     (30,268,151 )   (2,061,637 )   -     -     8,995,658  
 Exercise of stock options   6,666     91,195     -     -     -     -     -     -     (41,200 )   -     49,995  
Conversion of preferred shares   153,333     666,867     (4,600,000 )   (666,867 )   -     -     -     -     -     -     -  
 Share-based compensation   -     -     -     -     -     -     -     -     1,874,308     -     1,874,308  
Total transactions with owners of the Company   2,919,681     51,407,597     (4,600,000 )   (666,867 )   1,077,605     24,369,384     (30,268,151 )   (2,061,637 )   1,833,108     -     74,881,585  
Balance, September 30, 2015   7,346,925     100,913,389     64,904,689     9,409,284     1,077,605     24,369,384     108,456,630     7,221,695     7,828,163     (62,300,892 )   87,441,023  

See accompanying notes to the interim condensed consolidated financial statements

- 3 -



TRILLIUM THERAPEUTICS INC.
Interim Condensed Consolidated Statements of Cash Flows
Amounts in Canadian Dollars
(Unaudited)

      Nine months ended     Nine months ended  
  Note   September 30, 2016     September 30, 2015  
      $     $  
               
OPERATING ACTIVITIES              
Net loss for the period     (22,709,647 )   (11,744,856 )
Adjustments for items not affecting cash              
       Share-based compensation 10   2,607,281     1,874,308  
       Interest accretion 9   49,739     55,490  
       Amortization of intangible assets 7,11   2,718,762     254,511  
       Depreciation of property and equipment 6,11   408,275     85,881  
       Non-cash change in deferred lease inducement 9   1,935     57,684  
       Deferred income tax recovery 4   (3,689,674 )   -  
       Unrealized foreign exchange loss (gain)     2,649,396     (3,982,986 )
      (17,963,933 )   (13,399,968 )
Changes in non-cash working capital balances              
       Amounts receivable     563,220     (472,099 )
       Prepaid expenses     334,655     463,700  
       Accounts payable and accrued liabilities     790,486     (188,825 )
       Other current liabilities     31,914     14,338  
Decrease (increase) in other assets     10,717     (116,450 )
               
Cash used in operating activities     (16,232,941 )   (13,699,304 )
               
INVESTING ACTIVITIES              
Purchase of property and equipment 6   (2,740,276 )   (522,133 )
Acquisition of Fluorinov, net of cash acquired 4   (9,574,833 )   -  
               
Cash used in investing activities     (12,315,109 )   (522,133 )
               
FINANCING ACTIVITIES              
Change in loan payable 9   (86,273 )   (37,487 )
Receipt of deferred lease inducement 9   89,845     212,400  
Change in long-term liability 9   (62,419 )   (25,943 )
Issue of share capital, net of issuance costs 10   36,000     73,007,277  
               
Cash provided by (used in) financing activities     (22,847 )   73,156,247  
               
Impact of foreign exchange rate on cash and cash equivalents     (2,649,396 )   3,982,986  
               
Net increase (decrease) in cash and cash equivalents during the period     (31,220,293 )   62,917,796  
               
Cash and cash equivalents, beginning of period     86,770,542     26,165,056  
               
Cash and cash equivalents, end of period     55,550,249     89,082,852  
               
Supplemental cash flow information              
               
Preferred shares converted to common shares (note 10)     81,530     666,867  

See accompanying notes to the interim condensed consolidated financial statements

- 4 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

1.

Corporate information

   

Trillium Therapeutics Inc. (the “Company” or “Trillium”) is a Canadian public oncology company developing innovative therapies for the treatment of cancer. The Company was incorporated under the laws of the Province of Alberta on March 31, 2004 with nominal share capital and filed Articles of Continuance to change its jurisdiction to Ontario on November 7, 2013. On June 1, 2014, the Company amalgamated with its wholly-owned subsidiary and changed its name from Stem Cell Therapeutics Corp. to Trillium Therapeutics Inc.

   

The Company’s head office is located at 2488 Dunwin Drive, Mississauga, Ontario, L5L 1J9, and it is listed on the Toronto Stock Exchange and on the NASDAQ Stock Market.

   
2.

Basis of presentation


(a)

Statement of compliance

   

These unaudited interim condensed consolidated financial statements have been prepared in compliance with International Accounting Standard 34, Interim Financial Reporting (“IAS 34”). The notes presented in these unaudited interim condensed consolidated financial statements include only significant events and transactions occurring since the Company’s last fiscal year end and are not fully inclusive of all matters required to be disclosed in its annual audited consolidated financial statements.

   

The policies applied in these unaudited interim condensed consolidated financial statements are based on International Financial Reporting Standards (“IFRS”) as issued by the International Accounting Standards Board (“IASB”). The board of directors approved the unaudited interim condensed consolidated financial statements on November 9, 2016. Any subsequent changes to IFRS or their interpretation, that are given effect in the Company’s annual audited consolidated financial statements for the year ending December 31, 2016, could result in a restatement of these unaudited interim condensed consolidated financial statements.

   
(b)

Basis of measurement

   

These unaudited interim condensed consolidated financial statements have been prepared on the historical cost basis, except for held-for-trading financial assets, which are measured at fair value.

   
(c)

Functional and presentation currency

   

These unaudited interim condensed consolidated financial statements are presented in Canadian dollars, which is the Company’s functional currency.

   
(d)

Use of significant estimates and assumptions

   

The preparation of financial statements in conformity with IFRS requires management to make judgments, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets and liabilities, revenue and expenses and the related disclosures of contingent assets and liabilities and the determination of the Company’s ability to continue as a going concern. Actual results could differ materially from these estimates and assumptions. The Company reviews its estimates and underlying assumptions on an ongoing basis. Revisions are recognized in the period in which the estimates are revised and may impact future periods.

   

The areas involving a higher degree of judgment or complexity, or areas where assumptions and estimates are significant to the financial statements, have been set out in Note 2 of the Company’s annual audited consolidated financial statements for the year ended December 31, 2015.

- 5 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

2.

Basis of presentation (continued)

   

Management has applied significant estimates and assumptions to the following:

   

Valuation of share-based compensation and warrants

   

Management measures the costs for share-based compensation and warrants using market-based option valuation techniques. Assumptions are made and estimates are used in applying the valuation techniques. These include estimating the future volatility of the share price, expected dividend yield, expected risk-free interest rate, future employee turnover rates, future exercise behaviours and corporate performance. Such estimates and assumptions are inherently uncertain. Changes in these assumptions affect the fair value estimates of share-based payments and warrants.

   

Intangible assets

   

The Company estimates the useful lives of intangible assets from the date they are available for use in the manner intended by management and periodically reviews the useful lives to reflect management’s intent about developing and commercializing the assets. The Company has determined to amortize the intangible assets acquired on the acquisition of Fluorinov Pharma Inc. (“Fluorinov”) over four years.

   

Valuation of contingent obligations

   

The fair value of contingent consideration on the acquisition of Fluorinov was calculated using a discounted cash flow approach, where a risk-adjusted discount rate was applied to future cash flows. The discount rates used require significant judgments of probabilities of future preclinical and clinical success that are inherently uncertain. The estimate of the potential timing of future events is also uncertain. Changes in these judgments affect the fair value estimates of other liabilities.

   
3.

Significant accounting policies

   

The Company’s significant accounting policies were outlined in the Company’s annual audited consolidated financial statements for the year ended December 31, 2015 and have been applied consistently to all periods presented in these unaudited interim condensed consolidated financial statements. In the opinion of management, all adjustments considered necessary for fair presentation have been included in these unaudited interim condensed consolidated financial statements. These unaudited interim condensed consolidated financial statements should be read in conjunction with the annual audited consolidated financial statements for the year ended December 31, 2015.


(a)

Basis of consolidation

   

These unaudited interim condensed consolidated financial statements include the accounts of the Company and its wholly- owned subsidiaries: Fluorinov from the date of its acquisition on January 26, 2016, and Trillium Therapeutics USA Inc. from its date of incorporation on March 26, 2015.

   

Investments in entities where the Company is exposed, or has rights, to variable returns from its involvement with the investee and has the ability to affect those returns through its power over the investee, are considered subsidiaries due to the control exercised over the investee by the Company. Subsidiaries are fully consolidated from the date at which control is determined to have occurred and are deconsolidated from the date that the Company no longer controls the entity. The financial statements of the subsidiaries are prepared for the same reporting period as the Company using consistent accounting policies. Intercompany transactions, balances and gains and losses on transactions between subsidiaries are eliminated.

- 6 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

3.

Significant accounting policies (continued)


(b)

New standards and interpretations not yet effective

   

IAS 7, Statement of Cash Flows

   

In February 2016, the IASB issued amendments to IAS 7, Statement of Cash Flows (“IAS 7”), which requires entities to provide disclosures that enable investors to evaluate changes in liabilities arising from financing activities, including changes arising from cash flows and non-cash changes. The IAS 7 amendments are effective for annual periods beginning on or after January 1, 2017. The Company does not expect the adoption of this amendment to have a material impact on its unaudited interim condensed consolidated financial statements.

   

IFRS 9, Financial Instruments

   

In October 2010, the IASB published amendments to IFRS 9, Financial Instruments (“IFRS 9”), which provides added guidance on the classification and measurement of financial liabilities. In July 2014, the IASB issued its final version of IFRS 9, which completes the classification and measurement, impairment and hedge accounting phases of the IASB’s project to replace IAS 39, Financial Instruments: Recognition and Measurement. The final standard is mandatorily effective for annual periods beginning on or after January 1, 2018, with earlier application permitted. The Company is reviewing the standard to determine the impact that the adoption of this standard may have on the unaudited interim condensed consolidated financial statements.

   

IFRS 15, Revenue from Contracts with Customers

   

In May 2014, the IASB issued IFRS 15, Revenue from Contracts with Customers (“IFRS 15”), which covers principles for reporting about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. IFRS 15 is effective for annual periods beginning on or after January 1, 2018. Entities will transition following either a full or modified retrospective approach. The Company is reviewing the standard to determine the impact that the adoption of this standard may have on the unaudited interim condensed consolidated financial statements.

   

IFRS 16, Leases

   

In January 2016, the IASB issued IFRS 16, Leases (“IFRS 16”), its new leases standard that requires lessees to recognize assets and liabilities for most leases on their balance sheets. Lessees applying IFRS 16 will have a single accounting model for all leases, with certain exemptions. The new standard will be effective for annual periods beginning on or after January 1, 2019 with limited early application permitted. The Company has not yet begun the process of evaluating the impact of this standard on the unaudited interim condensed consolidated financial statements.

   

Other accounting standards or amendments to existing accounting standards that have been issued, but have future effective dates, are either not applicable or are not expected to have a significant impact on the Company’s unaudited interim condensed consolidated financial statements. The Company assesses the impact of adoption of future standards on its unaudited interim condensed consolidated financial statements, but does not anticipate significant changes in 2016.

- 7 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

4.

Acquisition of Fluorinov

   

On January 26, 2016, Trillium purchased all the issued and outstanding shares of Fluorinov, a private oncology company, to access its proprietary medicinal chemistry platform. The acquisition date fair value of consideration transferred and the fair value of identifiable assets acquired and liabilities assumed are as follows:


      $  
  Fair value of consideration paid:      
                 Cash   10,000,000  
                 Working capital deficiency   (134,089 )
                 Contingent consideration   1,750,000  
      11,615,911  
         
  Assets acquired:      
                 Cash   291,078  
                 Amount due from Fluorinov shareholders   36,886  
                 Acquired technology   15,439,759  
      15,767,723  
         
  Liabilities assumed:      
                 Accounts payable and accrued liabilities   462,138  
                 Deferred tax liabilities   3,689,674  
      4,151,812  
  Net identifiable assets acquired   11,615,911  

The upfront consideration for Fluorinov was $10,000,000 less the working capital deficiency of $134,089. At closing, the Company paid $9,510,554 in cash, applied $250,000 paid in fiscal 2015 as a standstill fee, and held back $150,000 until settlement of the final working capital deficit which was completed in October 2016. The purchase price allocation is preliminary and is subject to change for certain items such as the valuation of intangible assets and finalization of the working capital settlement.

The Company may also incur up to $35 million of future payments contingent on Trillium achieving certain clinical and regulatory milestones with an existing Fluorinov compound. The amount of contingent consideration recognized by the Company as of the acquisition date was $1,750,000 and has been classified as other liabilities on the interim condensed consolidated statement of financial position. The fair value of the contingent consideration was calculated using a discounted cash flow approach, where a risk-adjusted discount rate was applied to future cash flows. Trillium also has an obligation to pay royalty payments on future sales of such compounds.

At Trillium’s discretion, up to 50% of the future contingent payments can be satisfied through the issuance of common shares of Trillium provided that the aggregate number of common shares issuable under such payments will not exceed 1,558,447 common shares unless shareholder approval has first been obtained. In addition, any such future share issuance remains subject to final approval from Trillium’s board of directors and receipt of any requisite approvals under the applicable rules of the Toronto Stock Exchange and the NASDAQ Stock Market. Trillium has also committed to use commercially reasonable efforts to monetize Fluorinov’s central nervous system assets and share 50% of the net proceeds with Fluorinov shareholders.

Cash used in the acquisition was determined as follows:

      $  
  Cash consideration   9,865,911  
  Less cash acquired   291,078  
      9,574,833  

- 8 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

4.

Acquisition of Fluorinov (continued)

   

Acquisition costs incurred by the Company and included in general and administrative expenses for the year ended December 31, 2015 and for the nine months ended September 30, 2016, were approximately $174,671 and $106,887, respectively. From the date of the acquisition to September 30, 2016, Fluorinov contributed revenue of nil and a loss of $5,294,170. If the acquisition had occurred on January 1, 2016, the combined loss for the Company for the nine months ended September 30, 2016 would be $22,766,102.

   

In connection with the acquisition, the Company established deferred tax liabilities related to the acquired identifiable intangible assets and determined that these deferred tax liabilities exceeded the acquired deferred tax assets. This allowed the Company to realize a deferred tax benefit of $3,689,674 by releasing the valuation allowance associated with the Company’s overall deferred tax assets.

   

Under IFRS, the acquisition of Fluorinov was considered a related party transaction as two Company directors were determined to be related parties of Fluorinov. One Company director was a director of Fluorinov and had an ownership position in Fluorinov at the time of acquisition of less than 2%, and the second director was a director of an entity that was a beneficiary of a trust that was a shareholder and debenture holder of Fluorinov. The two directors declared their conflict of interest and abstained from all discussions and decisions concerning the Fluorinov acquisition. Accordingly, the Company determined that the consideration paid on the acquisition was made on terms equivalent to those that prevail in arm’s length transactions.

   
5.

Amounts receivable


      September 30,     December 31,  
      2016     2015  
      $     $  
               
  Government programs receivable   408,162     957,951  
  Other amounts receivable   40,326     16,871  
      448,488     974,822  

- 9 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

6.

Property and equipment


            Computer     Office        
      Lab     equipment     equipment and        
      equipment     and software     leaseholds     Total  
      $     $     $     $  
                           
  Cost                        
  Balance, December 31, 2014   252,076     40,028     20,016     312,120  
  Additions   457,796     57,180     265,406     780,382  
  Balance, December 31, 2015   709,872     97,208     285,422     1,092,502  
  Additions   616,531     138,698     1,985,047     2,740,276  
  Disposals   -     -     (9,381 )   (9,381 )
  Balance, September 30, 2016   1,326,403     235,906     2,261,088     3,823,397  
                           
  Accumulated depreciation                        
  Balance, December 31, 2014   48,089     23,558     5,071     76,718  
  Depreciation   86,577     26,679     5,138     118,394  
  Balance, December 31, 2015   134,666     50,237     10,209     195,112  
  Depreciation   132,521     34,313     241,441     408,275  
  Disposals   -     -     (9,381 )   (9,381 )
  Balance September 30, 2016   267,187     84,550     242,269     594,006  
                           
  Net carrying amounts                        
  December 31, 2015   575,206     46,971     275,213     897,390  
  September 30, 2016   1,059,216     151,356     2,018,819     3,229,391  

7.

Intangible assets


      Total  
      $  
         
         
  Cost      
  Balance, December 31, 2014 and 2015   1,018,037  
  Fluorinov acquisition (note 4)   15,439,759  
  Balance, September 30, 2016   16,457,796  
         
  Accumulated amortization      
  Balance, December 31, 2014   585,104  
  Amortization   339,348  
  Balance, December 31, 2015   924,452  
  Amortization   2,718,762  
  Balance, September 30, 2016   3,643,214  
         
  Net carrying amounts      
  December 31, 2015   93,585  
  September 30, 2016   12,814,582  

- 10 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

8.

Accounts payable and accrued liabilities


      September 30,     December 31,  
      2016     2015  
      $     $  
               
  Trade and other payables   1,767,643     1,401,462  
  Accrued liabilities   2,213,027     1,728,636  
  Due to related parties   505,703     103,651  
      4,486,373     3,233,749  

Amounts due to related parties represent expense reimbursements, accrued vacation payable and directors’ fees payable.

   
9.

Non-current liabilities


(a)

Trillium is indebted to the Federal Economic Development Agency for Southern Ontario under a non-interest bearing contribution agreement and is making monthly repayments of $9,586 through November 2019. As at September 30, 2016 and December 31, 2015, the balance repayable was $354,661 and $440,935, respectively. The loan payable was discounted using an estimated market interest rate of 15%. Interest expense accretes on the discounted loan amount until it reaches its face value at maturity.

   
(b)

As at September 30, 2016 and December 31, 2015, the Company had a deferred lease inducement of $439,985 and $348,205, respectively, for a new facility lease. The inducement benefit will be recognized over the expected term of the lease.

   
(c)

As at September 30, 2016 and December 31, 2015, the Company had a long-term liability of $1,750,000 and nil, respectively, related to contingent consideration on the acquisition of Fluorinov (note 4), and a long-term liability of nil and $60,109, respectively, related to certain discontinued technologies.

   

The current portions of the loan payable and long-term liabilities are included in other current liabilities in the unaudited interim condensed consolidated statements of financial position.


10.

Share capital


(a)

Authorized

   

The authorized share capital of the Company consists of an unlimited number of common shares, Class B shares and First Preferred Shares, in each case without nominal or par value. Common shares are voting and may receive dividends as declared at the discretion of the board of directors. Class B shares are non-voting and convertible to common shares at the holder’s discretion, on a one-for-one basis. Upon dissolution or wind-up of the Company, Class B shares participate rateably with the common shares in the distribution of the Company’s assets. First Preferred Shares have voting rights as decided upon by the board of directors at the time of grant. Upon dissolution or wind-up of the Company, First Preferred Shares are entitled to priority over common and Class B shares.

   

The Company has Series I First Preferred Shares that are non-voting, may receive dividends as declared at the discretion of the board of directors, and are convertible to common shares at the holder’s discretion, on the basis of 30 Series I First Preferred Shares for one common share.

   

The Company has Series II First Preferred Shares that are non-voting, may receive dividends as declared at the discretion of the board of directors, and are convertible to common shares at the holder’s discretion, on the basis of one Series II First Preferred Share for one common share.

- 11 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

10.

Share capital (continued)

   

Holders may not convert Series I or Series II First Preferred Shares into common shares if, after giving effect to the exercise of conversion, the holder and its joint actors would have beneficial ownership or direction or control over common shares in excess of 4.99% of the then outstanding common shares. This limit may be raised at the option of the holder on 61 days’ prior written notice: (i) up to 9.99%, (ii) up to 19.99%, subject to clearance of a personal information form submitted by the holder to the Toronto Stock Exchange, and (iii) above 19.99%, subject to approval by the Toronto Stock Exchange and shareholder approval.


(b) Share capital issued – nine months ended September 30, 2016
   

During the nine months ended September 30, 2016, 3,000 common shares were issued on the exercise of 90,000 warrants for proceeds of $36,000.

   

During the nine months ended September 30, 2016, 562,388 Series I First Preferred Shares were converted into 18,746 common shares.

   

Share capital issued – year ended December 31, 2015

   

On April 7, 2015, the Company completed an underwritten public offering of common shares and non-voting convertible preferred shares in the United States. In the offering, Trillium sold 1,750,754 common shares and 1,077,605 Series II First Preferred Shares at a price of U.S. $19.50 per share, including 228,359 common shares sold pursuant to the full exercise of the underwriters’ option to purchase additional common shares. The gross proceeds to Trillium from this offering were $68,875,067 (U.S. $55,153,000) before deducting offering expenses of $4,913,443.

   

During the year ended December 31, 2015, 1,087,603 common shares were issued on the exercise of 32,628,425 warrants for proceeds of $9,515,154 and 6,666 stock options were exercised for proceeds of $49,995.

   

During the year ended December 31, 2015, 15,716,110 Series I First Preferred Shares were converted into 523,870 common shares.

   
(c)

Weighted average number of common shares

   

The weighted average number of common shares outstanding for the three and nine months ended September 30, 2016 and September 30, 2015 were 7,815,600 and 7,813,824 and 7,345,519 and 6,379,237, respectively. The Company has not adjusted its weighted average number of common shares outstanding in the calculation of diluted loss per share, as any adjustment would be antidilutive.

   
(d)

Warrants

   

The following table shows the number of warrants outstanding, the exercise prices, and the number of common shares issuable on exercise of the warrants and the exercise price per common share for 30 warrants as at September 30, 2016:


                  Number of     Exercise  
                  common shares     price per  
      Number of     Exercise     issuable     common share  
  Expiry dates   warrants     price     on exercise     (30 warrants )
                           
  March 15, 2018   9,123,780   $0.40     304,126   $12.00  
  March 27, 2018   300,000   $0.40     10,000   $12.00  
  December 13, 2018   96,582,576   $0.28     3,219,419   $8.40  
      106,006,356           3,533,545        

- 12 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

10.

Share capital (continued)

   

Changes in the number of warrants outstanding during the nine months ended September 30 were as follows:


            2016           2015  
                           
            Weighted           Weighted  
            average           average  
      Number of     exercise     Number of     exercise  
      warrants     price     warrants     price  
                           
  Balance, beginning of period   106,096,356     $0.29     138,724,781     $0.29  
  Exercised   (90,000 )   0.40     (30,268,151 )   0.30  
                           
  Balance, end of period   106,006,356     $0.29     108,456,630     $0.29  

(e)

Stock option plan

   

The 2016 Stock Option Plan was approved by the Company’s shareholders at the annual meeting held on May 27, 2016. Options granted are equity-settled, have a vesting period of four years and have a maximum term of ten years. The total number of common shares available for issuance under the Company’s 2016 Stock Option Plan is 1,894,501. As at September 30, 2016, the Company was entitled to issue an additional 612,338 stock options under the 2016 Stock Option Plan.

   

Changes in the number of options outstanding during the nine months ended September 30 were as follows:


            2016           2015  
                           
            Weighted           Weighted  
            average           average  
      Number of     exercise     Number of     exercise  
      options     price     options     price  
                           
  Balance, beginning of period   927,834     $14.07     590,141     $9.76  
  Granted   320,459     13.84     126,500     25.00  
  Exercised   -     -     (6,666 )   7.50  
  Forfeited   (12,500 )   28.52     (3,000 )   30.00  
  Expired   (5,418 )   30.00     -     -  
                           
  Balance, end of period   1,230,375     $13.79     706,975     $12.42  
                           
  Options exercisable, end of period   448,127     $11.16     333,927     $ 10.94  

- 13 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

10.

Share capital (continued)

   

The following table reflects stock options outstanding and exercisable as at September 30, 2016:


          Stock options outstanding     Stock options exercisable  
                               
          Weighted average                    
          remaining                    
    Number     contractual life     Weighted average     Number     Weighted average  
Exercise prices   outstanding     (in years)     exercise price     exercisable     exercise price  
                               
$7.50 - $8.34   290,599     7.4   $ 8.12     206,206   $ 8.09  
$10.35 - $12.01   283,127     7.7   $ 10.42     176,085   $ 10.35  
$13.98 - $15.30   307,125     9.6   $ 14.01     4,444   $ 15.30  
$17.00 - $23.44   320,191     8.9   $ 20.40     51,387   $ 22.66  
$28.05 - $30.00   29,333     8.6   $ 28.07     10,005   $ 28.11  
                               
    1,230,375     8.4   $ 13.79     448,127   $ 11.16  

Share-based compensation expense was determined based on the fair value of the options at the date of measurement using the Black-Scholes option pricing model with the weighted average assumptions for the nine months ended September 30 as follows:

      2016     2015  
  Expected option life   6 years     6 years  
  Risk-free interest rate   0.8%     1.5%  
  Dividend yield   0%     0%  
  Expected volatility   82%     85%  

The Black-Scholes option pricing model was developed to estimate the fair value of freely tradable, fully transferable options without vesting restrictions, which significantly differs from the Company’s stock option awards. This model also requires highly subjective assumptions, including future stock price volatility and average option life, which significantly affect the calculated values.

The risk-free interest rate is based on the implied yield on a Government of Canada zero-coupon issue with a remaining term equal to the expected term of the option. Expected volatility was determined using a combination of historical volatilities of a peer group of biotechnology companies and the Company’s own historical volatility. The life of the options is estimated considering the vesting period at the grant date, the life of the option and the average length of time similar grants have remained outstanding in the past. The forfeiture rate is an estimate based on historical evidence and future expectations. The dividend yield was excluded from the calculation since it is the present policy of the Company to retain all earnings to finance operations and future growth.

For the nine months ended September 30, 2016, the Company issued 320,459 stock options with a fair value of $3,081,993 and a weighted average grant date fair value of $9.62. For the nine months ended September 30, 2015, the Company issued 126,500 stock options with a fair value of $2,254,067 and a weighted average grant date fair value of $17.82.

- 14 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

10.

Share capital (continued)


(f)

Deferred Share Unit Plan

   

The shareholders of the Company approved the 2014 Deferred Share Unit Plan (the “2014 DSU Plan”) on May 27, 2014 and the reservation for issuance of up to 66,667 common shares under the plan. DSUs granted are equity-settled. There were 23,011 DSUs issued during the year ended December 31, 2015 and no DSUs issued during the nine months ended September 30, 2016 for payment of directors’ fees. A total of 51,788 DSUs were outstanding as at September 30, 2016.


11.

Research and development

   

Components of research and development expenses for the three months ended September 30 were as follows:


      2016     2015  
      $     $  
               
  Research and development programs, excluding the below items   4,283,082     3,319,494  
  Salaries, fees and short-term benefits   1,481,339     1,258,570  
  Share-based compensation   902,035     361,341  
  Amortization of intangible assets   964,986     84,837  
  Depreciation of property and equipment   196,851     51,735  
  Tax credits   (108,726 )   (121,166 )
      7,719,567     4,954,811  

Components of research and development expenses for the nine months ended September 30 were as follows:

      2016     2015  
      $     $  
               
  Research and development programs, excluding the below items   10,841,677     9,319,256  
  Salaries, fees and short-term benefits   4,472,065     2,976,237  
  Share-based compensation   2,251,913     1,421,320  
  Amortization of intangible assets   2,718,762     254,511  
  Depreciation of property and equipment   408,275     85,881  
  Tax credits   (165,939 )   (372,697 )
      20,526,753     13,684,508  

12.

General and administrative

   

Components of general and administrative expenses for the three months ended September 30 were as follows:


      2016     2015  
      $     $  
               
  General and administrative expenses, excluding the below items   438,306     328,218  
  Salaries, fees and short-term benefits   320,069     347,722  
  Deferred share units for director compensation   135,000     -  
  Share-based compensation   137,934     45,609  
      1,031,309     721,549  

- 15 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

12.

General and administrative (continued)

   

Components of general and administrative expenses for the nine months ended September 30 were as follows:


      2016     2015  
      $     $  
               
  General and administrative expenses, excluding the below items   1,360,377     1,061,057  
  Salaries, fees and short-term benefits   894,973     778,761  
  Deferred share units for director compensation   405,000     300,000  
  Share-based compensation   355,368     152,988  
      3,015,718     2,292,806  

13.

Commitments and contingencies

   

As at September 30, 2016, the Company had obligations to make future payments, representing significant research and development contracts and other commitments that are known and committed in the amount of approximately $7,397,000. These contracts include the clinical research organization agreement for conducting the Phase I trial, and other preclinical and manufacturing activities. The Company also has minimum lease payments relating to operating lease commitments in the amount of $223,000 over the next 12 months, $986,000 from 12 to 60 months, and $1,099,000 thereafter.

   

The Company enters into research, development and license agreements in the ordinary course of business where the Company receives research services and rights to proprietary technologies. Milestone and royalty payments that may become due under various agreements are dependent on, among other factors, clinical trials, regulatory approvals and ultimately the successful development of a new drug, the outcome and timing of which is uncertain. Under the license agreement for SIRPαFc, the Company has future contingent milestones payable of $35,000 related to successful patent grants, $200,000 and $300,000 on the first patient dosed in phase II and III trials respectively, and regulatory milestones on their first achievement totalling $5,000,000.

   

In connection with the acquisition of Fluorinov, the Company is obligated to pay up to $35 million of additional future payments that are contingent upon achieving certain clinical and regulatory milestones with an existing Fluorinov compound. The Company also has an obligation to pay royalty payments on future sales of such compounds.

   

The Company entered into two agreements with Catalent Pharma Solutions in August 2014 pursuant to which Trillium acquired the right to use a proprietary expression system for the manufacture of two SIRPαFc constructs. Consideration for each license includes potential pre-marketing approval milestones of up to U.S. $875,000 and aggregate sales milestone payments of up to U.S. $28.8 million.

   

The Company periodically enters into research and license agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require the Company to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken by or on behalf of the Company. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents the Company from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, the Company has not made any indemnification payments under such agreements and no amount has been accrued in the unaudited interim condensed consolidated financial statements with respect to these indemnification obligations.

- 16 -



TRILLIUM THERAPEUTICS INC.
Notes to the Interim Condensed Consolidated Financial Statements
For the three and nine months ended September 30, 2016 and 2015
Amounts in Canadian Dollars
(Unaudited)

14.

Financial instruments

   
Currency risk
   

The Company is exposed to currency risk related to the fluctuation of foreign exchange rates and the degree of volatility of those rates. Currency risk results mainly from the Company’s expenses and working capital denominated in currencies other than the Canadian dollar, which are primarily in U.S. dollars. As at September 30, 2016 and December 31, 2015, the Company held U.S. dollar cash and cash equivalents in the amount of U.S. $36,644,487 and U.S. $44,547,591 and had U.S. dollar denominated accounts payable and accrued liabilities in the amount of U.S. $1,670,298 and U.S. $1,033,319, respectively. Therefore, a 1% change in the foreign exchange rate would have a net impact on finance costs as at September 30, 2016 and December 31, 2015 of $462,485 and $556,377, respectively.

U. S. dollar expenses for the nine months ended September 30, 2016 and 2015 were approximately U.S. $8,030,000 and U. S. $6,500,000, respectively. Varying the U.S. exchange rate for the nine months ended September 30, 2016 and 2015 to reflect a 5% strengthening of the Canadian dollar would have decreased the net loss by approximately $530,928 and $409,432, respectively, assuming that all other variables remained constant.

- 17 -


EX-99.2 3 exhibit99-2.htm EXHIBIT 99.2 Trillium Therapeutics Inc. - Exhibit 99.2 - Filed by newsfilecorp.com

 

 

 

 

 

MANAGEMENT’S DISCUSSION AND ANALYSIS

FOR THE THREE AND NINE MONTHS ENDED
SEPTEMBER 30, 2016 AND 2015

Dated: November 9, 2016

 

 

2488 Dunwin Drive
Mississauga, Ontario, L5L 1J9
www.trilliumtherapeutics.com



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

ABOUT THIS MANAGEMENT DISCUSSION AND ANALYSIS

All references in this management’s discussion and analysis, or MD&A to “the Company”, “Trillium”, “we”, “us”, or “our” refer to Trillium Therapeutics Inc. and the subsidiaries through which it conducts its business, unless otherwise indicated.

The following MD&A is prepared as of November 9, 2016 for Trillium Therapeutics Inc. for the three and nine months ended September 30, 2016 and 2015, and should be read in conjunction with the unaudited interim condensed consolidated financial statements for the three and nine months ended September 30, 2016 and 2015, and the annual audited consolidated financial statements and accompanying notes for the years ended December 31, 2015 and 2014, which have been prepared by management in accordance with International Financial Reporting Standards, or IFRS as issued by the International Accounting Standards Board, or IASB. Our IFRS accounting policies are set out in note 3 of the annual audited consolidated financial statements for the years ended December 31, 2015 and 2014. All amounts are in Canadian dollars, unless otherwise indicated.

CAUTIONARY STATEMENT ABOUT FORWARD-LOOKING STATEMENTS

This MD&A contains forward-looking statements within the meaning of applicable securities laws. All statements contained herein that are not clearly historical in nature are forward-looking, and the words “anticipate”, “believe”, “expect”, “estimate”, “may”, “will”, “could”, “leading”, “intend”, “contemplate”, “shall” and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements in this MD&A include, but are not limited to, statements with respect to:

  • our expected future loss and accumulated deficit levels;
  • our projected financial position and estimated cash burn rate;
  • our expectations about the timing of achieving milestones and the cost of our development programs;
  • our observations and expectations regarding the relative low binding of SIRPαFc to red blood cells compared to anti-CD47 monoclonal antibodies and proprietary CD47-blocking agents and the potential benefits to patients;
  • our requirements for, and the ability to obtain, future funding on favorable terms or at all;
  • our projections for the SIRPαFc development plan and progress of each of our products and technologies, particularly with respect to the timely and successful completion of studies and trials and availability of results from such studies and trials;
  • our expectations about the differentiated nature and potential for best-in-class product development programs and discovery research capabilities of Fluorinov Pharma Inc., or Fluorinov;
  • our ability to generate future product development programs with improved pharmacological properties and acceptable safety profiles using Fluorinov technology;
  • our expectations about whether various clinical and regulatory milestones with an existing Fluorinov compound will be achieved;
  • our expectations of the final quantum and form of any future contingent milestone payments related to the Fluorinov acquisition;
  • our expectations of the ability to secure the requisite approvals (including TSX and NASDAQ approvals) with respect to the issuance of any common shares in satisfaction of future milestone payments;
  • our expectations about our products’ safety and efficacy;
  • our belief that TTI-621 is able to convert pro-tumor macrophages into efficient anti-tumor effector cells;
  • our expectations regarding our ability to arrange for and scale up the manufacturing of our products and technologies;
  • our expectations regarding the progress, and the successful and timely completion, of the various stages of the regulatory approval process;
  • our ability to secure strategic partnerships with larger pharmaceutical and biotechnology companies;
  • our strategy to acquire and develop new products and technologies and to enhance the safety and efficacy of existing products and technologies;
  • our plans to market, sell and distribute our products and technologies;

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis
  • our expectations regarding the acceptance of our products and technologies by the market;
  • our ability to retain and access appropriate staff, management, and expert advisers;
  • our expectations with respect to existing and future corporate alliances and licensing transactions with third parties, and the receipt and timing of any payments to be made by us or to us in respect of such arrangements; and
  • our strategy with respect to the protection of our intellectual property.

All forward-looking statements reflect our beliefs and assumptions based on information available at the time the assumption was made. These forward-looking statements are not based on historical facts but rather on management’s expectations regarding future activities, results of operations, performance, future capital and other expenditures (including the amount, nature and sources of funding thereof), competitive advantages, business prospects and opportunities.

By its nature, forward-looking information involves numerous assumptions, inherent risks and uncertainties, both general and specific, known and unknown, that contribute to the possibility that the predictions, forecasts, projections or other forward-looking statements will not occur. In evaluating forward-looking statements, readers should specifically consider various factors, including the risks outlined under the heading “Risk Factors” in this MD&A. Some of these risks and assumptions include, among others:

  • substantial fluctuation of losses from quarter to quarter and year to year due to numerous external risk factors, and anticipation that we will continue to incur significant losses in the future;
  • uncertainty as to the Company’s ability to raise additional funding to support operations;
  • our ability to generate product revenue to maintain our operations without additional funding;
  • the risks associated with the development of our product candidates which are at early stages of development;
  • reliance on third parties to plan, conduct and monitor our preclinical studies and clinical trials;
  • our product candidates may fail to demonstrate safety and efficacy to the satisfaction of regulatory authorities or may not otherwise produce positive results;
  • risks related to filing Investigational New Drug applications, or INDs, to commence clinical trials and to continue clinical trials if approved;
  • the risks of delays and inability to complete clinical trials due to difficulties enrolling patients;
  • competition from other biotechnology and pharmaceutical companies;
  • our reliance on the capabilities and experience of our key executives and scientists and the resulting loss of any of these individuals;
  • our ability to successfully integrate the operations of Fluorinov or fully realize the benefits of this or other future acquisitions;
  • our ability to adequately protect our intellectual property and trade secrets;
  • our ability to source and maintain licenses from third-party owners;
  • the risk of patent-related litigation; and
  • our expectations regarding our status as a passive foreign investment company,

all as further and more fully described under the heading “Risk Factors” in this MD&A.

Although the forward-looking statements contained in this MD&A are based upon what our management believes to be reasonable assumptions, we cannot assure readers that actual results will be consistent with these forward looking statements.

Any forward-looking statements represent our estimates only as of the date of this MD&A and should not be relied upon as representing our estimates as of any subsequent date. We undertake no obligation to update any forward-looking statement or statements to reflect events or circumstances after the date on which such statement is made or to reflect the occurrence of unanticipated events, except as may be required by securities legislation.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

BUSINESS

Overview

We are a clinical stage immuno-oncology company developing innovative therapies for the treatment of cancer. Our lead program is a SIRPαFc fusion protein that consists of the extracellular CD47-binding domain of human SIRPα linked to the Fc region of a human immunoglobulin. It is designed to act as a soluble decoy receptor, preventing CD47 from delivering its inhibitory (“do not eat”) signal. Neutralization of the inhibitory CD47 signal enables the activation of macrophage anti-tumor effects by pro-phagocytic (“eat”) signals. Two Phase I clinical trials evaluating SIRPαFc (TTI-621) are ongoing. Trillium also has a proprietary medicinal chemistry platform, using unique fluorine chemistry, which permits the creation of new chemical entities with improved pharmacological properties from validated drugs and drug candidates. Stemming from this platform, our most advanced preclinical program is an orally-available bromodomain inhibitor, followed by an epidermal growth factor receptor antagonist. In addition, a number of compounds directed at undisclosed immuno-oncology targets are currently in the discovery phase.

Our Strategy

Our goal is to become a leading innovator in the field of oncology by targeting immune-regulatory pathways that tumor cells exploit to evade the host immune system.

  • Rapidly advance the clinical development of SIRPαFc. We are conducting a first-in-human Phase I clinical trial of SIRPαFc in patients with relapsed or refractory lymphoma in a dose escalation phase of up to 36 patients, and expect to enroll up to 10 cohorts of 12-15 patients with advanced hematologic malignancies in an expansion phase of the trial after an optimal dose has been determined. We have initiated a second Phase I clinical trial in solid tumors and mycosis fungoides.

  • Expand our SIRPαFc clinical program to include additional cancer indications. Because CD47 is highly expressed by multiple liquid and solid tumors, and high expression is correlated with worse clinical outcomes, we believe SIRPαFc has potential to be effective in a wide variety of cancers. We are planning future clinical development and carrying out preclinical work necessary to select additional, high potential cancer indications.

  • Maximize value of SIRPαFc through scientific collaborations. SIRPαFc has broad potential applicability in various cancer indications, and we believe it is well suited for use as both a monotherapy and in combination with other agents. We plan to continue to selectively and opportunistically pursue scientific collaborations in order to realize the full value proposition of SIRPαFc.

  • Using our proprietary medicinal chemistry platform, build a pipeline of novel oncology products. We have several preclinical and discovery stage assets developed using our proprietary fluorine chemistry platform. We plan to advance these novel oncology products for internal development or out-license.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Our Product Candidates

SIRPαFc (TTI-621)

Our lead program, TTI-621, is a novel SIRPαFc fusion protein that harnesses the innate immune system by blocking the activity of CD47, a molecule whose expression is increased on cancer cells to evade the host immune system. Expressed at high levels on the cell surface of a variety of liquid and solid tumors, CD47 functions as a signal that inhibits the destruction of tumor cells by macrophages via phagocytosis. By blocking the activity of CD47, we believe SIRPαFc has the ability to promote the macrophage-mediated killing of tumor cells in a broad variety of cancers both as a monotherapy and in combination with other immune therapies.

The immune system is the body’s mechanism to identify and eliminate pathogens, and can be divided into the innate immune system and the adaptive immune system. The innate immune system is the body’s first line of defense to identify and eliminate pathogens and consists of proteins and cells, such as macrophages, that identify and provide an immediate response to pathogens. The adaptive immune system is activated by, and adapts to, pathogens, creating a targeted and durable response. Cancer cells often have the ability to reduce the immune system’s ability to recognize and destroy them. We believe SIRPαFc could play an important role in enhancing the innate immune system and importantly, because of its ability to target macrophages, also has an important downstream effect on the adaptive immune system.

SIRPαFc Key Attributes

  • Potential efficacy in a broad range of cancers. SIRPαFc blocks the tumor’s ability to transmit a “do not eat” signal allowing macrophages to destroy tumor cells; a mechanism that we believe could have broad applicability.
  • Potential for use as monotherapy and in combination with other therapies. We intend to develop SIRPαFc as a monotherapy as well as potentially for use in combination with other cancer immuno- therapies.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis
  • Differentiated pharmacokinetic and safety profile. We believe SIRPαFc’s low level of binding to red blood cells lowers the risk of anemia and lowers the loss of drug from circulation. This pharmacokinetic profile potentially allows for lower dosing and an improved safety profile.
  • May enhance both innate and adaptive immune response. SIRPαFc may enhance stimulation of tumor attacking T cells since macrophages, in addition to their role in phagocytosis, can also prime T cells through antigen presentation.

SIRPαFc Clinical Development Plan

We are enrolling patients with advanced hematologic malignancies in a Phase I clinical trial. This two-part clinical trial is designed as a multi-center, open-label Phase Ia/Ib trial, evaluating TTI-621 as a single-agent in patients with relapsed or refractory hematologic malignancies. During the dose escalation phase the safety, tolerability, pharmacokinetics and pharmacodynamics were characterized to determine the optimal dose for subsequent enrollment in the expansion phase. To characterize potential changes in hematologic parameters that might occur with blockade of CD47, the dose-escalation portion of the Phase I trial included lymphoma patients with relatively normal hematologic parameters and acceptable marrow function. On November 2, 2016 Trillium announced the completion of the dose-escalation phase, and will report interim Phase 1a data at the American Society of Hematology (ASH) Annual Meeting in December 2016. A reasonably well-tolerated dose and schedule of SIRPαFc has been established for further study, and now, safety and antitumor activity will be estimated in expansion cohorts of up to 15 patients with advanced hematologic malignancies including indolent B-cell lymphoma, aggressive B-cell lymphoma, T-cell lymphoma, Hodgkin lymphoma, chronic lymphocytic leukemia, multiple myeloma, acute myeloid leukemia, myelodysplastic syndrome and myeloproliferative neoplasms. In a separate expansion cohort, patients with CD20-positive lymphomas will be treated with TTI-621 in combination with rituximab.

In our second multi-center, open-label Phase I trial, TTI-621 will be delivered by intratumoral injection in patients with relapsed and refractory, percutaneously-accessible cancers. Patients will be enrolled in sequential dose cohorts to receive intratumoral injections of TTI-621 that increase in dose and dosing frequency to characterize safety, pharmacokinetics, pharmacodynamics and preliminary evidence of antitumor activity. In addition, detailed evaluation of serial, on-treatment tumor biopsies of both injected and non-injected cancer lesions will help characterize tumor microenvironment changes anticipated with CD47 blockade. We believe the study of TTI-621 in select tumor types could lead to a more thorough understanding of its mechanism of action and could provide insight into the tumor micro-environment before, during and after treatment with TTI-621.

Blocking the CD47 “do not eat” signal using a SIRPαFc decoy receptor

Macrophages are a type of white blood cell that can ingest and destroy (phagocytose) other cells. They are part of the innate immune system that helps to protect the body from infection. More recently, a role for macrophages in the control of tumors has been described.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Macrophage activity is controlled by both positive “eat” and negative “do not eat” signals. Tumor cells may express “eat” signals (e.g., calreticulin) that make themselves visible to macrophages. To counterbalance this increased visibility the tumor cells often express high levels of CD47, which transmits a “do not eat” signal by binding signal regulatory protein alpha, or SIRPα, on the surface of macrophages. We believe that the higher expression of CD47 on the tumor cell helps it evade destruction by the macrophage by overwhelming any activating “eat” signals.

TTI-621 (SIRPαFc) is a protein that consists of the CD47-binding domain of human SIRPα linked to the Fc region of human immunoglobulin G1 (IgG1). It is designed to act as a soluble decoy receptor, preventing CD47 from delivering its inhibitory signal. Neutralization of the inhibitory CD47 signal enables the activation of macrophage anti-tumor effects by the pro-phagocytic “eat” signals. The IgG1 Fc region of TTI-621 may also assist in the activation of macrophages by engaging Fc receptors.

The figure below illustrates how SIRPαFc blocks the CD47 “do not eat” signal and engages activating Fc receptors on macrophages, leading to tumor cell phagocytosis.

In addition to their direct anti-tumor activity, macrophages can also function as antigen-presenting cells and stimulate antigen-specific T cells. Thus it is possible that increasing tumor cell phagocytosis after SIRPαFc exposure may result in enhanced adaptive immunity. In support of this, CD47 antibody blockade has been recently shown to augment antigen presentation and prime an anti-tumor cytotoxic T cell response in immune-competent mice. We recently presented data at the Second CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference demonstrating that TTI-621 can augment antigen-specific T cell responses in vitro. CD47 blockade has also been reported to promote tumor-specific T cell responses through a dendritic cell-based mechanism, although the effect of SIRPαFc on dendritic cells is currently unknown.

SIRPαFc has broad clinical potential

We believe that SIRPαFc has broad clinical potential in both hematological and solid tumors. High expression of the CD47 “do not eat” signal on tumor cells has been observed in AML, MDS, chronic myeloid leukemia, or CML, acute lymphoblastic leukemia, or ALL, diffuse large B cell lymphoma, or DLBCL, chronic lymphocytic leukemia, or CLL, follicular lymphoma, mantle cell lymphoma, marginal zone lymphoma, multiple myeloma and in solid tumors including: bladder, brain, breast, colon, leiomyosarcoma, liver, melanoma, ovarian and prostate. In a number of these cancers high CD47 expression was shown to have negative clinical consequences, correlating with more aggressive disease and poor survival. In normal karyotype AML patients, for example, high CD47 expression was correlated with worse event-free survival (6.8 vs. 17.1 months) and worse overall survival (9.1 vs. 22.1 months) compared to low CD47 expression. These data are consistent with CD47 providing a survival advantage to tumor cells. Furthermore, numerous studies have shown that antibody blockade of CD47 has demonstrated activity in mice engrafted with human tumors.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

In vitro studies with primary tumor samples obtained from AML, MDS, multiple myeloma, B cell-ALL and T-cell ALL demonstrated that SIRPαFc frequently triggered significantly macrophage-mediated tumor cell phagocytosis compared to control treatment. Similar results were observed with tumor cell lines established from patients with B lymphoma and CML.

The figure below shows how SIRPαFc (TTI-621) triggers macrophage-mediated phagocytosis of many different human blood cancer samples.

The p value is a probability value, with values <0.05 considered statistically significant versus control treatment. NS indicates p>0.05, which is considered not statistically significant versus control treatment.

SIRPα – Minimal Red Blood Cell Binding - Competition

SIRPαFc competes directly with CD47 blocking antibodies from Forty Seven Inc. (recently licensed from Stanford University) and Celgene Corporation, both of which have entered early clinical development. Novimmune SA has a bispecific (anti-CD47/anti-CD19) antibody program in preclinical development. Tioma Therapeutics is also developing a CD47 antibody. Alexo Therapeutics is developing mutated, high affinity SIRPα monomers as adjuvants for use with anti-cancer antibodies. Tioma Therapeutics, Alexo Therapeutics and another company, OSE Immunotherapeutics, are in the preclinical phase of development.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We believe that our approach of using SIRPα, the natural binding partner for CD47, may have important advantages over treatment with CD47-specific antibodies. In April 2015, we presented data at the 106th American Association for Cancer Research, or AACR, annual meeting demonstrating that our SIRPαFc fusion proteins exhibit minimal binding to human red blood cells, or RBCs, compared to anti-CD47 monoclonal antibodies.

The figure below shows how SIRPαFc binding to human RBCs (n=43 donors) compares to five CD47-specific antibodies.

While it is acknowledged that TTI-621 binds to human platelets and leukocytes, the very low RBC binding profile of our SIRPαFc proteins may provide three important advantages over CD47 blocking agents. First, there may be a lower risk of experiencing drug-induced anemia with SIRPαFc. Second, SIRPαFc may avoid being removed from circulation by RBCs. Avoiding this “antigen-sink effect” may result in more favourable drug levels compared to agents that bind strongly to RBCs. Third, antibodies that bind RBCs have the potential to interfere with laboratory blood typing tests. The minimal binding of TTI-621 to human RBCs may minimize this interference compared to anti-CD47 antibodies.

Combination Therapy

We believe that SIRPαFc enhancement of macrophage activity, and possibly T cell responses, could be synergistic with other immune-mediated therapies. Published studies conducted by third parties provide evidence that SIRPαFc may be useful in combination with approved anti-cancer antibodies (e.g. Rituxan®, Herceptin®, Campath®, and Erbitux®). Since many cancer antibodies work at least in part by activating cells of the innate immune system, it may be possible to enhance the potency of these agents by blocking the negative “do not eat” CD47 signal that tumor cells deliver to macrophages. We hypothesize that SIRPαFc may act synergistically with other immunological agents, including T cell checkpoint inhibitors (e.g. pembrolizumab and nivolumab), cancer vaccines, oncolytic viruses or chimeric antigen receptor, or CAR T cells.

BET Bromodomain Inhibitor (TTI-281)

Bromodomains recognize and bind to DNA-associated proteins that have been epigenetically modified. These “epigenetic readers” act as scaffolds for the recruitment of proteins involved in the initiation of gene expression. Bromodomain-containing proteins regulate genes that play roles in proliferation, cell cycle progression and apoptosis. Members of the BET (bromodomain and extra-terminal) subfamily have been implicated in controlling the transcription of c-Myc, a proto-oncogene that contributes to the pathogenesis of many cancers but has proven to be difficult to target pharmacologically.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

TTI-281 selectively binds the BET proteins BRD2, BRD3 and BRD4 and is 2-6 fold more potent than a leading bromodomain inhibitor. It is strongly cytotoxic to AML cells but not to normal hematopoietic cells, and reversibly suppresses the expression of c-Myc. TTI-281 has demonstrated oral efficacy in xenograft models of human leukemia and myeloma. TTI-281 is in preclinical development.

EGFR Inhibitor

The epidermal growth factor receptor, or EGFR, is a validated drug target in oncology but the use of EGFR inhibitors has been limited by two factors. First, toxicities can arise from indiscriminate reactivity with off-target proteins. Second, the low central nervous system, or CNS, penetration of existing EGFR inhibitors limits their use for CNS indications such as glioblastoma multiforme and brain metastasis from lung cancer. The incorporation of fluorine into small molecules is known to minimize the formation of highly reactive metabolites and improve blood brain barrier penetration and thus this strategy has the potential to overcome the major limitations of existing EGFR inhibitors.

We have a novel class of highly selective and potent orally available small molecule EGFR inhibitors that exhibit potent in vitro activity comparable to approved EGFR inhibitors and improved brain penetration in multiple animal species. Screening of second- and third-generation brain penetrant EGFR inhibitors is currently in progress as part of our preclinical development program for this product candidate.

Immuno-oncology Targets Using Our Fluorine Chemistry Platform

Our medicinal chemistry platform uses proprietary fluorine-based chemistry to modify specific properties of validated drug candidates to yield new chemical entities. We believe the potency and/or safety of both existing pharmacophores and historically inaccessible chemical structures may be enhanced using our technology. A number of compounds directed at undisclosed immuno-oncology targets are currently in the discovery phase.

Recent Developments

Acquisition of Fluorinov

On January 26, 2016, we acquired all the outstanding shares of Fluorinov, a privately-held oncology company that has developed a proprietary medicinal chemistry platform using unique fluorine chemistry, which permits the creation of new chemical entities from validated drugs and drug candidates with improved pharmacological properties, potentially leading to increased safety and efficacy. We expect Fluorinov’s fluorine-based chemistry platform will provide us with an internal drug discovery engine. Fluorinov also has a preclinical pipeline of oncology assets including potent, orally-available, bromodomain and proteasome inhibitors, as well as epidermal growth factor receptor antagonists with increased uptake in the brain, all of which have potential for best-in-class status.

We anticipate that future cancer treatments will be dominated by combination therapies that may often involve combining biologics and small molecules. The acquisition of our own small molecule platform with opportunity for oral drug delivery may provide us with new drug candidates that we may either develop in-house or out-license. According to Wang et al. Chem Rev. 2014, 114 (4), approximately 25% of all marketed drugs contain fluorine. The benefits of fluorine include blocking sites of metabolism to increase drug half-life and reduce toxicity, lipophilicity that improves oral absorption and blood brain barrier penetration, and electronegativity that alters chemical properties to improve binding and potency. We believe that the Fluorinov acquisition de-risks us and diversifies us for the longer term.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

The acquisition date fair value of consideration transferred and the fair value of identifiable assets acquired and liabilities assumed are as follows:

     
       
Fair value of consideration paid:      
                       Cash   10,000,000  
                       Working capital deficiency   (134,089 )
                       Contingent consideration   1,750,000  
    11,615,911  
       
Assets acquired:      
                       Cash   291,078  
                       Amount due from Fluorinov shareholders   36,886  
                       Acquired technology   15,439,759  
    15,767,723  
       
Liabilities assumed:      
                       Accounts payable and accrued liabilities   462,138  
                       Deferred tax liabilities   3,689,674  
    4,151,812  
Net identifiable assets acquired   11,615,911  

The upfront consideration for Fluorinov was $10,000,000 less the working capital deficiency of $134,089. At closing, the Company paid $9,510,554 in cash, applied $250,000 paid in fiscal 2015 as a standstill fee, and held back $150,000 until settlement of the final working capital deficit which was completed in October 2016.

The Company may also incur up to $35 million of future payments contingent on Trillium achieving certain clinical and regulatory milestones with an existing Fluorinov compound. The amount of contingent consideration recognized by the Company as of the acquisition date was $1,750,000 and has been classified as other liabilities on the interim condensed consolidated statements of financial position. The fair value of the contingent consideration was calculated using a discounted cash flow approach, where a risk-adjusted discount rate was applied to future cash flows. Trillium also has an obligation to pay royalty payments on future sales of such compounds.

At Trillium’s discretion, up to 50% of the future contingent payments can be satisfied through the issuance of common shares of Trillium provided that the aggregate number of common shares issuable under such payments will not exceed 1,558,447 common shares unless shareholder approval has first been obtained. In addition, any such future share issuance remains subject to final approval from Trillium’s board of directors and receipt of any requisite approvals under the applicable rules of the Toronto Stock Exchange and the NASDAQ Stock Market. Trillium has also committed to use commercially reasonable efforts to monetize Fluorinov’s central nervous system assets and share 50% of the net proceeds with Fluorinov shareholders.

Acquisition costs incurred by the Company and included in general and administrative expenses for the year ended December 31, 2015 and for the nine months ended September 30, 2016, were approximately $174,671 and $106,887, respectively. From the date of the acquisition to September 30, 2016, Fluorinov contributed revenue of nil and a loss of $5,294,170. If the acquisition had occurred on January 1, 2016, the combined loss for the Company for the nine months ended September 30, 2016 would be $22,766,102.

In connection with the acquisition, the Company established deferred tax liabilities related to the acquired identifiable intangible assets and determined that these deferred tax liabilities exceeded the acquired deferred tax assets. This allowed the Company to realize a deferred tax benefit of $3,689,674 by releasing the valuation allowance associated with the Company’s overall deferred tax assets.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Under IFRS, the acquisition of Fluorinov was considered a related party transaction as two Company directors were determined to be related parties of Fluorinov. One Company director was a director of Fluorinov and had an ownership position in Fluorinov at the time of acquisition of less than 2%, and the second director was a director of an entity that was a beneficiary of a trust that was a shareholder and debenture holder of Fluorinov. The two directors declared their conflict of interest and abstained from all discussions and decisions concerning the Fluorinov acquisition. Accordingly, the Company determined that the consideration paid on the acquisition was made on terms equivalent to those that prevail in arm’s length transactions.

Collaboration with University Health Network and the Hospital for Sick Children

We entered into a collaboration agreement with University Health Network, or UHN, and the Hospital for Sick Children, or HSC, to fund and undertake a research program entitled " SIRPαFc: Translating Genomics Research Into a Novel Cancer Immunotherapy." This project was approved for funding by Genome Canada under the Genomic Applications Partnership Program. In addition, The Ontario Ministry of Research and Innovation is supporting the project with a grant matching Genome Canada’s contribution, providing the collaboration with a 3-year budget of approximately $3.4 million. This new matching funding will allow us to substantially expand our translational research efforts, focusing primarily on acute myeloid leukemia. Trillium’s contribution to the overall budget of this program is $886,000 in cash and $478,000 in kind over three years.

CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference

At the Second CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference in September 2016 we presented data demonstrating that the increased tumor phagocytosis by macrophages following TTI-621 treatment results in increased presentation of tumor antigen and a more robust T cell response in vitro. These results suggest that CD47 blockade by TTI-621 can activate both the innate and adaptive immune systems.

AACR Presentation

At the 107th Annual Meeting of the AACR in April 2016 we presented data demonstrating that SIRPαFc promotes the phagocytosis of lymphoma cells by diverse types of macrophages. The studies also assessed the impact of macrophage polarizing agents on drug activity and delineated the role of different Fc gamma receptors in promoting tumor cell killing by SIRPαFc. Our data indicate that TTI-621enables all macrophage subsets tested, including M2s, to kill tumor cells. These results suggest that TTI-621 is able to convert otherwise pro-tumor macrophages into efficient anti-tumor effector cells. Rather than ablating M2 macrophages in the tumor microenvironment, these data support using TTI-621 to unleash their tumoricidal function.

Plan of Operations

Our primary focus is the advancement of our Phase I-01 clinical trial of SIRPαFc in patients with advanced hematologic malignancies and our Phase I-02 clinical trial in patients with relapsed and refractory, percutaneously-accessible cancers. We are also planning future clinical trials supported by our preclinical research in solid tumors and in combination studies.

We continue to advance our small molecule compounds for assessment of further internal development or out-license.

Legal Proceedings

To our knowledge, there have not been any legal or arbitration proceedings, including those relating to bankruptcy, receivership or similar proceedings, those involving any third party, and governmental proceedings pending or known to be contemplated, which may have, or have had in the recent past, significant effect on our financial position or profitability.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Also, to our knowledge, there have been no material proceedings in which any director, any member of senior management, or any of our affiliates is either a party adverse to us or any of our subsidiaries or has a material interest adverse to us or any of our subsidiaries.

RESULTS OF OPERATIONS

For the three and nine months ended September 30, 2016 and 2015

Overview

Since inception, we have incurred losses while advancing the research and development of our products. Net loss for the three months ended September 30, 2016 of $7,901,635 was higher than the loss of $1,505,979 for the three months ended September 30, 2015. The net loss was higher due mainly to a lower foreign exchange gain in the 2016 period of $3,252,565 compared to the prior year, and higher research and development expenses of $2,764,756, which included an increase in intangible asset amortization of $880,149 related to the acquisition of Fluorinov intangible assets.

Net loss for the nine months ended September 30, 2016 of $22,709,647 was higher than the loss of $11,744,856 for the nine months ended September 30, 2015. The net loss was higher due mainly to a net foreign currency loss in 2016 of $3,090,474 from holding US denominated cash with a weakening US dollar, compared to a foreign currency gain in the comparable 2015 period of $3,943,274, higher research and development expenses of $6,842,245, which included a higher intangible asset amortization amount of $2,464,251 related mainly to the acquisition of Fluorinov intangible assets. This was partially offset by the recognition of a deferred tax recovery in relation to the acquisition of Fluorinov of $3,689,674 where we released a portion of our income tax valuation adjustment to match a net deferred tax liability that was created on the acquisition of Fluorinov.

Research and Development

Research and development expenses by program for the three and nine months ended September 30, 2016 and 2015 were as follows:

    Three months     Three months     Nine months     Nine months  
    ended     ended     ended     ended  
    September 30,     September 30,     September 30,     September 30,  
    2016     2015     2016     2015  
        $     $     $  
SIRPαFc   5,445,419     4,954,248     15,199,682     13,646,286  
Fluorinov compounds   2,271,660     -     5,294,170     -  
Other   2,488     563     32,901     38,222  
Total(1)   7,719,567     4,954,811     20,526,753     13,684,508  

Note:

(1)

Research and development expenditures in the above table include all direct and indirect costs for the programs, personnel costs, intellectual property related costs net of recoveries including amortization, share- based compensation, and research and development overhead, and is net of government assistance. Research and development overhead costs have been allocated to the programs based mainly on personnel time spent on the programs.

During 2016 and 2015, most of our resources were focused on the development of our SIRPαFc program. For the nine months ended September 30, 2016, SIRPαFc research and development costs were higher than the same period in the prior year due mainly to costs related to the Phase I clinical trial, higher staffing, facility, and share-based compensation costs, and additional funding for preclinical collaborations partially offset by lower preclinical studies and manufacturing costs. As Fluorinov was acquired in January 2016 there are no comparable amounts. For the nine months ended September 30, 2016, Fluorinov research and development expenses included $2,625,177 for amortization of the acquired intangible assets, $931,006 for personnel related costs and $1,737,987 for program and other related costs.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Components of research and development expenses for the three months ended September 30, 2016 and 2015 were as follows:

    2016     2015  
     $     $  
             
Research and development programs excluding the below items   4,283,082     3,319,494  
Salaries, fees and short-term benefits   1,481,339     1,258,570  
Share-based compensation   902,035     361,341  
Amortization of intangible assets   964,986     84,837  
Depreciation of property and equipment   196,851     51,735  
Investment tax credits   (108,726 )   (121,166 )
    7,719,567     4,954,811  

Components of research and development expenses for the nine months ended September 30, 2016 and 2015 were as follows:

    2016     2015  
    $     $  
             
Research and development programs excluding the below items   10,841,677     9,319,256  
Salaries, fees and short-term benefits   4,472,065     2,976,237  
Share-based compensation   2,251,913     1,421,320  
Amortization of intangible assets   2,718,762     254,511  
Depreciation of property and equipment   408,275     85,881  
Investment tax credits   (165,939 )   (372,697 )
    20,526,753     13,684,508  

The increase in research and development program expenses for the three months ended September 30, 2016 over the same period last year was due mainly to higher SIRPαFc clinical trial costs, preclinical work on the bromodomain inhibitor and EGFR inhibitor programs, and additional SIRPαFc preclinical collaborations, partially offset by lower SIRPαFc preclinical toxicology study and manufacturing costs. Salaries, fees and short-term benefits increased in the three months ended September 30, 2016 due to higher staffing and salaries compared to the same period in 2015. Share-based compensation increased due mainly to a higher number of options granted year-to-date in 2016 than in 2015. Amortization of intangible assets increased due mainly to $964,986 of expense for the three months ended September 30, 2016 related to the acquired Fluorinov intellectual property. Depreciation of property and equipment increased due mainly to higher capital purchases for leasehold improvements and lab equipment for our new leased facility in 2016. Tax credits were lower for the three months ended September 30, 2016 compared to the same quarter of 2015 as the Company is ineligible for certain refundable Ontario tax credits in 2016.

The increase in research and development program expenses for the nine months ended September 30, 2016 over the same period last year was due mainly to higher SIRPαFc clinical trial costs, preclinical work on the bromodomain inhibitor and EGFR inhibitor programs, additional SIRPαFc preclinical collaborations, and new facility costs, partially offset by lower SIRPαFc preclinical toxicology study and manufacturing costs. Salaries, fees and short-term benefits increased in the nine months ended September 30, 2016 due to higher staffing and salaries compared to the same period in 2015. Share-based compensation increased due mainly to a higher number of options granted in the nine months ended September 30, 2016 compared to the same period of 2015. Amortization of intangible assets increased due mainly to $2,625,177 of expense for the nine months ended September 30, 2016 related to the acquired Fluorinov intellectual property. Depreciation of property and equipment increased due mainly to higher capital purchases for leasehold improvements and lab equipment for our new leased facility in 2016. Tax credits were lower for the nine months ended September 30, 2016 compared to the same period of 2015 as the Company is ineligible for certain refundable Ontario tax credits in 2016.

- 14 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

General and Administrative

Components of general and administrative expenses for the three months ended September 30, 2016 and 2015 were as follows:

    2016     2015  
    $     $  
             
General and administrative expenses excluding the below items   438,306     328,218  
Salaries, fees and short-term benefits   320,069     347,722  
Deferred share units for director compensation   135,000     -  
Share-based compensation   137,934     45,609  
    1,031,309     721,549  

Components of general and administrative expenses for the nine months ended September 30, 2016 and 2015 were as follows:

    2016     2015  
    $     $  
             
General and administrative expenses excluding the below items   1,360,377     1,061,057  
Salaries, fees and short-term benefits   894,973     778,761  
Deferred share units for director compensation   405,000     300,000  
Share-based compensation   355,368     152,988  
    3,015,718     2,292,806  

General and administrative expenses for the three months ended September 30, 2016 of $438,306 were higher than the comparable prior year period due mainly to higher investor relations expenses and exchange listing fees. Salaries, fees and short-term benefits increased in the three months ended September 30, 2016 compared to the same period in the prior year due to higher administrative staffing. The expense for deferred share units for the three months ended September 30, 2016 was lower than the same period in the prior year due to the timing of granting of compensation to directors. Share-based compensation increased due mainly to a higher number of options granted year-to-date in 2016 compared to 2015.

General and administrative expenses for the nine months ended September 30, 2016 of $1,360,377 were higher than the comparable prior year period due mainly to higher professional fees including expenses related to the acquisition of Fluorinov. Salaries, fees and short-term benefits increased in the nine months ended September 30, 2016 compared to the same period in the prior year due to higher administrative staffing. The expense for deferred share units for the nine months ended September 30, 2016 was lower than the same period in the prior year due to the timing of granting of compensation to directors. Share-based compensation increased due mainly to a higher number of options granted in the nine months ended September 30, 2016 compared to the same period of 2015.

- 15 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Finance income and costs, and foreign exchange gains and losses

Finance income for the three and nine months ended September 30, 2016 was lower than the prior year comparable periods due mainly to lower average cash balances.

Finance costs for the three and nine months ended September 30, 2016 were comparable to the prior year periods. Net foreign exchange gains for the three months ended September 30, 2016 of $766,686 were lower than the gain of $4,019,251 for the prior year comparable period due to lower US dollar appreciation against the Canadian dollar while holding US denominated cash balances. For the nine months ended September 30, 2016 a net foreign currency loss of $3,090,474 was incurred compared to a net foreign currency gain of $3,943,274 for the nine months ended September 30, 2015.

Liquidity and Capital Resources

Cash, working capital, and debt

Since inception, we have financed our operations primarily from sales of equity, proceeds from the exercise of warrants and stock options, and from interest income on funds available for investment. Our primary capital needs are for funds to support our scientific research and development activities including staffing, facilities, manufacturing, preclinical studies and clinical trials, administrative costs and for working capital.

We have experienced operating losses and cash outflows from operations since incorporation, will require ongoing financing in order to continue our research and development activities, and we have not earned significant revenue or reached successful commercialization of our products. Our future operations are dependent upon our ability to finance our cash requirements which will allow us to continue our research and development activities and the commercialization of our products. There can be no assurance that we will be successful in continuing to finance our operations.

On April 7, 2015, we completed an underwritten public offering of common shares and non-voting convertible preferred shares in the United States. In the offering, we sold 1,750,754 common shares and 1,077,605 Series II Non-Voting Convertible First Preferred Shares at a price of U.S. $19.50 per share, including 228,359 common shares sold pursuant to the full exercise of the underwriters’ option to purchase additional common shares.

The gross proceeds from this offering were $68,875,067 (U.S. $55,153,000) before deducting offering expenses of $4,913,443. The Series II Non-Voting Convertible First Preferred Shares sold in the offering are non-voting and are convertible into common shares, on a one-for-one basis (subject to adjustment), at any time at the option of the holder, subject to certain restrictions on conversion. Holders may not convert Series II Non-Voting Convertible First Preferred Shares into common shares if, after giving effect to the exercise of conversion, the holder and its joint actors would have beneficial ownership or direction or control over common shares in excess of 4.99% of the then outstanding common shares. This limit may be raised at the option of the holder on 61 days’ prior written notice: (i) up to 9.99%, (ii) up to 19.99%, subject to clearance of a personal information form submitted by the holder to the Toronto Stock Exchange, and (iii) above 19.99%, subject to approval by the Toronto Stock Exchange and shareholder approval.

On May 29, 2015, we filed a base shelf prospectus with the British Columbia, Alberta, Manitoba, Ontario and Nova Scotia securities commissions in Canada and a Form F-10 registration statement with the United States Securities and Exchange Commission, or SEC, that provides that we may sell under the prospectus from time to time over the following 25 months up to U.S. $100 million, in one or more offerings, of common shares, First Preferred shares, warrants to purchase common shares, or units comprising a combination of common shares, First Preferred shares and/or warrants.

Our cash and cash equivalents and working capital at September 30, 2016 were $55,550,249 and $51,984,238, respectively compared to $86,770,542 and $85,369,945, respectively at December 31, 2015. The decrease in both cash and working capital was due mainly to cash used in operations of approximately $16.2 million, net cash paid on the purchase of Fluorinov of approximately $9.6 million, $2.7 million of capital purchases mainly related to leasehold improvements, laboratory equipment, and furniture for our new office and laboratory facility and a net foreign exchange loss on cash of $2.6 million. Accounts payable and accrued liabilities as at September 30, 2016 of $4,486,373 were higher than the balance of $3,233,749 at December 31, 2015 due mainly to increased research and development expenditures for clinical trials and preclinical collaborations, and timing of payment of director compensation. Amounts receivable as at September 30, 2016 of $448,488 was lower than the amount of $974,822 at December 31, 2015 due to the receipt of federal and Ontario refundable tax credits for the 2015 tax year.

- 16 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Trillium is indebted to the Federal Economic Development Agency for Southern Ontario under a non-interest bearing contribution agreement and is making monthly repayments of $9,586 through November 2019. As at September 30, 2016 and December 31, 2015, the balance repayable was $354,661 and $440,935, respectively. The loan payable was discounted using an estimated market interest rate of 15%. Interest expense accretes on the discounted loan amount until it reaches its face value at maturity.

As at September 30, 2016 and December 31, 2015, we had a deferred lease inducement of $439,985 and $348,205, respectively, for a new facility lease. The inducement benefit will be recognized over the expected term of the lease.

As at September 30, 2016 and December 31, 2015, we had a long-term liability of $1,750,000 and nil, respectively, related to contingent consideration on the acquisition of Fluorinov and a long-term liability of nil and $60,109, respectively, related to certain discontinued technologies.

Cash flows from operating activities

Cash used in operating activities increased to $16,232,941 for the nine months ended September 30, 2016, compared to $13,699,304 for the nine months ended September 30, 2015, due mainly to higher research and development expenses and unrealized foreign exchange losses on cash in the current year, compared to foreign exchange gains on cash in the prior year.

Cash flows from investing activities

Cash used in investing activities totaled $12,315,109 for the nine months ended September 30, 2016, compared to $522,133 for the nine months ended September 30, 2015. The increase was due mainly to the purchase of Fluorinov and capital purchases related to our new laboratory and office facilities.

Cash flows from financing activities

Cash used by financing activities totaled $22,847 for the nine months ended September 30, 2016, compared to cash provided of $73,156,247 for the nine months ended September 30, 2015. The decrease for the nine months ended September 30, 2016 was due mainly to the issuance of share capital in the 2015 period.

Contractual Obligations and Contingencies

We enter into research, development and license agreements in the ordinary course of business where we receive research services and rights to proprietary technologies. Milestone and royalty payments that may become due under various agreements are dependent on, among other factors, clinical trials, regulatory approvals and ultimately the successful development of a new drug, the outcome and timing of which is uncertain.

Under the license agreement for SIRPαFc, we have future contingent milestones payable of $35,000 related to successful patent grants, $200,000 and $300,000 on the first patient dosed in Phase II and III clinical trials respectively, and regulatory milestones on their first achievement totalling $5,000,000.We are also required to pay 20% of any sublicensing revenues to the licensors on the first $50 million of sublicensing revenues, and pay 15% of any sublicensing revenues to the licensors after the first $50 million of sublicensing revenue received.

Under two agreements with Catalent pursuant to which we acquired the right to use a proprietary expression system for the manufacture of two SIRPαFc constructs, we have future contingent milestones on pre-marketing approval of up to U.S. $875,000 and aggregate sales milestone payments of up to U.S. $28.8 million for each agreement.

- 17 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

In connection with our acquisition of all the outstanding shares of Fluorinov, we are obligated to pay up to $35 million of additional future payments that are contingent on us achieving certain clinical and regulatory milestones with an existing Fluorinov compound. We will also have an obligation to pay royalty payments on future sales of such compounds.

We periodically enter into research and license agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require us to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken by or on our behalf. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents us from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, we have not made any indemnification payments under such agreements and no amount has been accrued in our consolidated financial statements with respect to these indemnification obligations.

Other than as disclosed below, we did not have any contractual obligations relating to long-term debt obligations, capital (finance) lease obligations, operating lease obligations, purchase obligations or other long-term liabilities reflected on our balance sheet as at September 30, 2016:

      Payment due by period  
            Less than     1 to 3     3 to 5     More than  
Contractual Obligations(1)(2)     Total     1 year     years     years     5 years  
Long-Term Debt Obligations(3)   $  354,661   $  105,446   $  230,064   $  19,151   $  -  
Operating Lease Obligations(4)     2,308,344     222,643     481,316     505,152     1,099,233  
Purchase Obligations(5)     7,301,199     3,429,470     3,871,729     -     -  
Other Long-Term Liabilities                                
Reflected on our Balance Sheet(6)     2,057,638     307,638     -     1,409,810     340,190  
    $  12,021,842   $  4,065,197   $  4,583,109   $  1,934,113   $  1,439,423  

Notes:

  (1)

Contractual obligations in the above table do not include amounts in accounts payable and accrued liabilities on our balance sheet as at September 30, 2016. Annual technology license fees currently approximating $50,000 are not included in the above table.

  (2)

Contingent milestones under the UHN license agreement and the Catalent expression system agreements are not included in the above table.

  (3)

Amounts due to FedDev repayable in equal monthly installments of $9,586 through November 2019.

  (4)

Includes operating lease obligations for laboratory and office facilities.

  (5)

Purchase obligations include all non-cancellable contracts, and all cancellable contracts with $100,000 or greater remaining committed at the period end including agreements related to the conduct of our TTI-621 Phase I clinical trials, preclinical collaborations and manufacturing activities.

  (6)

Includes $1,750,000 of contingent consideration related to potential future payments of up to $35 million based on the achievement of clinical and regulatory milestones with an existing Fluorinov compound. Amount also includes a liability related to an earlier terminated program.

- 18 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Description of Share Capital

The continuity of the number of our issued and outstanding common and preferred shares for the year ended December 31, 2015, the nine months ended September 30, 2016, and to the date of this MD&A is presented below:

    Number of Series I     Number of Series II     Number of  
    Preferred Shares(1 )   Preferred Shares(2 )   Common Shares  
                   
Balance at December 31, 2014   69,504,689     -     4,427,244  
Issued on exercise of stock options   -     -     6,666  
Issued on exercise of warrants   -     -     1,087,603  
Issued in public offering   -     1,077,605     1,750,754  
Preferred shares converted to common shares   (15,716,110 )   -     523,870  
Balance at December 31, 2015   53,788,579     1,077,605     7,796,137  
Issued on exercise of warrants               3,000  
Preferred shares converted to common shares   (562,388 )   -     18,746  
Balance at September 30, 2016   53,226,191     1,077,605     7,817,883  
Issued on exercise of warrants   -     -     27,301  
Balance at the date of this MD&A   53,226,191     1,077,605     7,845,184  

Notes:

  (1)

Convertible at a ratio of 30 Series I Preferred Shares for one common share.

  (2)

Convertible at a ratio of one Series II Preferred Share for one common share.

Share capital issued – for the nine months ended September 30, 2016

During the nine months ended September 30, 2016, 3,000 common shares were issued on the exercise of 90,000 warrants for proceeds of $36,000.

During the nine months ended September 30, 2016, 562,388 Series I First Preferred Shares were converted into 18,746 common shares.

Share capital issued – for the year ended December 31, 2015

On April 7, 2015, we completed an underwritten public offering of common shares and non-voting convertible preferred shares in the United States. In the offering, we sold 1,750,754 common shares and 1,077,605 Series II Non-Voting Convertible First Preferred Shares at a price of U.S. $19.50 per share, including 228,359 common shares sold pursuant to the full exercise of the underwriters’ option to purchase additional common shares. The gross proceeds from this offering were $68,875,067 (U.S. $55,153,000) before deducting offering expenses of $4,913,443.

During the year ended December 31, 2015, 1,087,603 common shares were issued on the exercise of 32,628,425 warrants for proceeds of $9,515,154 and 6,666 stock options were exercised for proceeds of $49,995.

During the year ended December 31, 2015, 15,716,110 Series I First Preferred Shares were converted into 523,870 common shares.

- 19 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Warrants

The continuity of the number of issued and outstanding warrants for the year ended December 31, 2015, the nine months ended September 30, 2016, and to the date of this MD&A is presented below:

    Number of  
    Warrants  
       
Balance at December 31, 2014   138,724,781  
Exercised   (32,628,425 )
Balance at December 31, 2015   106,096,356  
Exercised   (90,000 )
Balance at September 30, 2016   106,006,356  
Exercised   (819,059 )
Balance at the date of this MD&A   105,187,297  

The following table shows the number of warrants outstanding, the exercise prices, and the number of common shares issuable on exercise of the warrants and the exercise price per common share for 30 warrants at September 30, 2016:

      Number of Exercise
      Common shares Price per
  Number of Exercise Issuable Common Share
Expiry dates Warrants Price on Exercise (30 Warrants)
         
March 15, 2018 9,123,780 $0.40 304,126 $12.00
March 27, 2018 300,000 $0.40 10,000 $12.00
December 13, 2018 96,582,576 $0.28 3,219,419 $8.40
Total 106,006,356   3,533,545  

Our board of directors authorized or ratified the issuances of the warrants set forth in the table above and the issuance of one common share upon the due exercise of every 30 warrants in accordance with its terms and the receipt by us of the designated exercise price payable in respect of the share prior to the time of expiry on the designated expiry date.

Stock Options

The 2016 Stock Option Plan was approved by the Company’s shareholders at the annual meeting held on May 27, 2016. Options granted are equity-settled, have a vesting period of four years and have a maximum term of ten years. The total number of common shares available for issuance under the 2016 Stock Option Plan is 1,894,501. As at September 30, 2016, the Company was entitled to issue an additional 612,338 stock options under the 2016 Stock Option Plan.

- 20 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

The continuity of the number of issued and outstanding stock options for the year ended December 31, 2015, the nine months ended September 30, 2016, and to the date of this MD&A is presented below:

    Number of     Weighted Average  
    Options     Exercise Price  
             
Balance at December 31, 2014   590,141     9.76  
Granted   347,359     21.40  
Exercised   (6,666 )   7.50  
Cancelled/forfeited   (3,000 )   30.00  
Balance at December 31, 2015   927,834     14.07  
Granted   320,459     13.84  
Forfeited   (12,500 )   28.52  
Expired   (5,418 )   30.00  
Balance at September 30, 2016   1,230,375     13.79  
Granted   149,862     9.96  
Balance at the date of this MD&A   1,380,237     $13.38  

Deferred Share Unit Plan

The shareholders of the Company approved the 2014 Deferred Share Unit Plan, or the 2014 DSU Plan, on May 27, 2014 and the reservation for issuance of up to 66,667 common shares under the plan. DSUs granted are equity-settled. There were 23,011 DSUs issued during the year ended December 31, 2015 and no DSUs issued during the nine months ended September 30, 2016 for payment of directors’ fees. A total of 51,788 DSUs were outstanding as at September 30, 2016.

Fully Diluted Share Capital

The number of issued and outstanding common shares, Series I First Preferred Shares, Series II First Preferred Shares, warrants, stock options and DSUs on a fully converted basis as at September 30, 2016 was as follows:

    Number of common  
    share equivalents  
       
Common shares   7,817,883  
Series I First Preferred Shares   1,774,206  
Series II First Preferred Shares   1,077,605  
Warrants   3,533,545  
Stock options   1,230,375  
Deferred share units   51,788  
Total   15,485,402  

- 21 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Trend Information

Historical patterns of expenditures cannot be taken as an indication of future expenditures. The amount and timing of expenditures and therefore liquidity and capital resources vary substantially from period to period depending on the number of research and development programs being undertaken at any one time, the stage of the development programs, the timing of significant expenditures for manufacturing, toxicology and pharmacology studies and clinical trials, and the availability of funding from investors and prospective commercial partners.

Selected Quarterly Financial Information


2016
Q3-2016
$
Q2-2016
$
Q1-2016
$

Revenue - - -  
Research and development expenses 7,719,567 6,428,514 6,378,672
General and administrative expenses 1,031,309 946,892 1,037,517
Net loss for the period 7,901,635 7,603,277 7,204,735  
Basic and diluted net loss per share 1.01 0.97 0.92  
Cash and cash equivalents 55,550,249  60,069,740  65,843,711


2015
Q4-2015
$
Q3-2015
$
Q2-2015
$
Q1-2015
$
Revenue - - - -
Research and development expenses 4,365,583 4,954,811 4,713,316 4,016,381
General and administrative expenses 891,541 721,549 966,438 604,819
Net loss for the period 2,988,843 1,505,979 5,568,564 4,670,313
Basic and diluted net loss per share 0.40 0.21 0.80 0.98
Cash 86,770,542 89,082,852 89,545,097 25,702,189


2014
Q4-2014
$
Q3-2014
$
Q2-2014
$
Q1-2014
$
Revenue - - - -
Research and development expenses 3,834,947 2,089,977 3,105,402 1,565,482
General and administrative expenses 439,846 500,072 1,075,961 561,581
Net loss for the period 4,214,862 2,526,527 4,100,371 2,040,060
Basic and diluted net loss per share 0.97 0.60 0.99 0.50
Cash 26,165,056 27,754,378 30,041,001 31,864,387

Research and development expenses increased from the first quarter of 2014 to the fourth quarter as the SIRPαFc development program progressed and were higher in 2015 due to higher costs associated with IND-enabling toxicology studies, preparing the IND submission and initiating the Phase I clinical trial. Research and development expenses increased in 2016 due to the costs of the Phase I trial and addition of Fluorinov product development. Research and development expenses for the second quarter of 2014 were higher due to higher non-cash share-based compensation and the recognition of an impairment charge on return of the tigecycline rights back to UHN. General and administrative expenses for the second quarter of 2014 were higher due mainly to higher non-cash share-based compensation expenses and costs associated with migrating to the TSX. General and administrative costs for the second quarter of 2015 were higher than the first quarter of 2015 due mainly to the issuance of DSUs for director fees. The net loss for the third and fourth quarters of 2015 were lower due mainly to net foreign exchange gains of $4,019,251 and $2,163,429, respectively, that resulted mainly from holding U.S. denominated cash with a strengthening U.S. dollar exchange rate. The net loss for the first quarter of 2016 was higher due mainly to a net foreign currency loss of $3,554,296 from holding US denominated cash with a weakening US dollar, the addition of intangible asset amortization in the amount of $693,322 on the acquisition of Fluorinov intangible assets and higher research and development spending. This was partially offset by the recognition of a deferred tax recovery in relation to the acquisition of Fluorinov of $3,689,674 where we released a portion of our income tax valuation adjustment to match a net deferred tax liability that was created on the acquisition of Fluorinov. The net losses for the second and third quarters of 2016 were higher due to higher personnel costs, SIRPαFc clinical trial costs, preclinical work on the bromodomain inhibitor and EGFR inhibitor programs, and additional SIRPαFc preclinical collaborations.

- 22 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements that have, or are reasonably likely to have, a current or future effect on our financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that are material to investors.

Quantitative & Qualitative Disclosures About Market Risk

Currency risk

We are exposed to currency risk related to the fluctuation of foreign exchange rates and the degree of volatility of those rates. Currency risk results mainly from the Company’s expenses and working capital denominated in currencies other than the Canadian dollar, which are primarily in U.S. dollars. As at September 30, 2016 and December 31, 2015, we held U.S. dollar cash and cash equivalents in the amount of U.S. $36,644,487 and U.S. $44,547,591 and had U.S. dollar denominated accounts payable and accrued liabilities in the amount of U.S. $1,670,298 and U.S. $1,033,319, respectively. Therefore, a 1% change in the foreign exchange rate would have a net impact on finance costs as at September 30, 2016 and December 31, 2015 of $462,485 and $556,377, respectively.

U.S. dollar expenses for the nine months ended September 30, 2016 and 2015 were approximately U.S. $8,030,000 and U.S. $6,500,000, respectively. Varying the U.S. exchange rate for the nine months ended September 30, 2016 and 2015 to reflect a 5% strengthening of the Canadian dollar would have decreased the net loss by approximately $530,928 and $409,432, respectively, assuming that all other variables remained constant.

Implications of Being an Emerging Growth Company

We are an “emerging growth company” under the U.S. Jumpstart Our Business Startups Act of 2012, or the JOBS Act, and will continue to qualify as an “emerging growth company” until the earliest to occur of: (a) the last day of the fiscal year during which we have total annual gross revenues of $1,000,000,000 (as such amount is indexed for inflation every 5 years by the SEC) or more; (b) the last day of our fiscal year following the fifth anniversary of the date of the first sale of our common shares pursuant to an effective registration statement under the Securities Act; (c) the date on which we have, during the previous 3-year period, issued more than $1,000,000,000 in non-convertible debt; or (d) the date on which we are deemed to be a “large accelerated filer”, as defined in Rule 12b–2 of the Exchange Act.

- 23 -



TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Generally, a company that registers any class of its securities under Section 12 of the Exchange Act is required to include in the second and all subsequent annual reports filed by it under the Exchange Act, a management report on internal control over financial reporting and, subject to an exemption available to companies that meet the definition of a “smaller reporting company” in Rule 12b-2 under the Exchange Act, an auditor attestation report on management’s assessment of the company’s internal control over financial reporting. However, for so long as we continue to qualify as an emerging growth company, we will be exempt from the requirement to include an auditor attestation report in our annual reports filed under the Exchange Act, even if we do not qualify as a “smaller reporting company”. In addition, Section 103(a)(3) of the Sarbanes-Oxley Act of 2002, or the Sarbanes-Oxley Act, has been amended by the JOBS Act to provide that, among other things, auditors of an emerging growth company are exempt from any rules of the Public Company Accounting Oversight Board requiring mandatory audit firm rotation or a supplement to the auditor’s report in which the auditor would be required to provide additional information about the audit and the financial statements of the company.

Any U.S. domestic issuer that is an emerging growth company is able to avail itself of the reduced disclosure obligations regarding executive compensation in periodic reports and proxy statements, and to not present to its shareholders a non-binding advisory vote on executive compensation, obtain approval of any golden parachute payments not previously approved, or present the relationship between executive compensation actually paid and our financial performance. So long as we are a foreign private issuer, we are not subject to such requirements, and will not become subject to such requirements even if we were to cease to be an emerging growth company.

As a reporting issuer under the securities legislation of the Canadian provinces of Ontario, British Columbia, Manitoba, Nova Scotia and Alberta, we are required to comply with all new or revised accounting standards that apply to Canadian public companies. Pursuant to Section 107(b) of the JOBS Act, an emerging growth company may elect to utilize an extended transition period for complying with new or revised accounting standards for public companies until such standards apply to private companies. We have elected not to utilize this extended transition period.

Critical Accounting Estimates

The preparation of financial statements in conformity with IFRS requires management to make judgments, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets and liabilities, revenue and expenses and the related disclosures of contingent assets and liabilities and the determination of the Company’s ability to continue as a going concern. Actual results could differ materially from these estimates and assumptions. The Company reviews its estimates and underlying assumptions on an ongoing basis. Revisions are recognized in the period in which the estimates are revised and may impact future periods.

The areas involving a higher degree of judgment or complexity, or areas where assumptions and estimates are significant to the financial statements have been set out in note 2 of our annual audited consolidated financial statements for the year ended December 31, 2015 and note 2 of our unaudited interim condensed consolidated financial statements for the three and nine months ended September 30, 2016.

Accounting Policies

Our significant accounting policies are outlined in our annual audited consolidated financial statements for the year ended December 31, 2015. This MD&A should be read in conjunction with the annual audited consolidated financial statements for the year ended December 31, 2015.

New standards and interpretations not yet effective

IAS 7, Statement of Cash Flows

In February 2016, the IASB issued amendments to IAS 7, Statement of Cash Flows, or IAS 7, which requires entities to provide disclosures that enable investors to evaluate changes in liabilities arising from financing activities, including changes arising from cash flows and non-cash changes. The IAS 7 amendments are effective for annual periods beginning on or after January 1, 2017. We do not expect the adoption of this amendment to have a material impact on the unaudited interim condensed consolidated financial statements.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

IFRS 9, Financial Instruments

In October 2010, the IASB published amendments to IFRS 9, Financial Instruments, or IFRS 9, which provides added guidance on the classification and measurement of financial liabilities. In July 2014, the IASB issued its final version of IFRS 9, which completes the classification and measurement, impairment and hedge accounting phases of the IASB’s project to replace IAS 39, Financial Instruments: Recognition and Measurement. The final standard is mandatorily effective for annual periods beginning on or after January 1, 2018, with earlier application permitted. We are reviewing the standard to determine the impact that the adoption of this standard may have on the unaudited interim condensed consolidated financial statements.

IFRS 15, Revenue from Contracts with Customers

In May 2014, the IASB issued IFRS 15, Revenue from Contracts with Customers, or IFRS 15, which covers principles for reporting about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. IFRS 15 is effective for annual periods beginning on or after January 1, 2018. Entities will transition following either a full or modified retrospective approach. We are reviewing the standard to determine the impact that the adoption of this standard may have on the unaudited interim condensed consolidated financial statements.

IFRS 16, Leases

In January 2016, the IASB has issued IFRS 16, Leases, or IFRS 16, its new leases standard that requires lessees to recognize assets and liabilities for most leases on their balance sheets. Lessees applying IFRS 16 will have a single accounting model for all leases, with certain exemptions. The new standard will be effective for annual periods beginning on or after January 1, 2019 with limited early application permitted. We have not yet begun the process of evaluating the impact of this standard on the unaudited interim condensed consolidated financial statements.

Other accounting standards or amendments to existing accounting standards that have been issued, but have future effective dates, are either not applicable or are not expected to have a significant impact on our unaudited interim condensed consolidated financial statements. We assess the impact of adoption of future standards on our unaudited interim condensed consolidated financial statements, but do not anticipate significant changes in 2016.

RISK FACTORS

The following information sets forth material risks and uncertainties that may affect our business, including our future financing and operating results and could cause our actual results to differ materially from those contained in forward-looking statements we have made in this MD&A. The risks and uncertainties below are not the only ones we face. Additional risks and uncertainties not presently known to us or that we believe to be immaterial may also adversely affect our business. Further, if we fail to meet the expectations of the public market in any given period, the market price of our common shares could decline. We operate in a highly competitive environment that involves significant risks and uncertainties, some of which are outside of our control.

Risks Related to Our Financial Position and Need for Additional Capital

We expect to incur future losses and we may never become profitable.

We have incurred losses of $22.7 million, $14.7 million and $12.9 million for the nine months ended September 30, 2016 and for the years ended December 31, 2015, and 2014, respectively, and expect to incur an operating loss for the year ending December 31, 2016. We have an accumulated deficit since inception through September 30, 2016 of $88.0 million. We believe that operating losses will continue as we are planning to incur significant costs associated with the clinical development of SIRPαFc. Our net losses have had and will continue to have an adverse effect on, among other things, our shareholders’ equity, total assets and working capital. We expect that losses will fluctuate from quarter to quarter and year to year, and that such fluctuations may be substantial. We cannot predict when we will become profitable, if at all.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We will require additional capital to finance our operations, which may not be available to us on acceptable terms, or at all. As a result, we may not complete the development and commercialization of our product candidates or develop new product candidates.

As a research and development company, our operations have consumed substantial amounts of cash since inception. We expect to spend substantial funds to continue the research, development and testing of our product candidates and to prepare to commercialize products subject to FDA approval in the U.S. and similar approvals in other jurisdictions. We will also require significant additional funds if we expand the scope of our current clinical plans or if we were to acquire any new assets and advance their development. Therefore, for the foreseeable future, we will have to fund all of our operations and development expenditures from cash on hand, equity or debt financings, through collaborations with other biotechnology or pharmaceutical companies or through financings from other sources. We expect that our existing cash and cash equivalents at September 30, 2016 of $55,550,249 will enable us to fund our current operating plan requirements for at least the next twelve months. Additional financing will be required to meet our long term liquidity needs. If we do not succeed in raising additional funds on acceptable terms, we might not be able to complete planned preclinical studies and clinical trials or pursue and obtain approval of any product candidates from the FDA and other regulatory authorities. It is possible that future financing will not be available or, if available, may not be on favorable terms. The availability of financing will be affected by the achievement of our corporate goals, the results of scientific and clinical research, the ability to obtain regulatory approvals, the state of the capital markets generally and with particular reference to drug development companies, the status of strategic alliance agreements and other relevant commercial considerations. If adequate funding is not available, we may be required to delay, reduce or eliminate one or more of our product development programs, or obtain funds through corporate partners or others who may require us to relinquish significant rights to product candidates or obtain funds on less favorable terms than we would otherwise accept. To the extent that external sources of capital become limited or unavailable or available on onerous terms, our intangible assets and our ability to continue our clinical development plans may become impaired, and our assets, liabilities, business, financial condition and results of operations may be materially or adversely affected.

We currently have no product revenue and will not be able to maintain our operations and research and development without additional funding.

To date, we have generated no product revenue and cannot predict when and if we will generate product revenue. Our ability to generate product revenue and ultimately become profitable depends upon our ability, alone or with partners, to successfully develop our product candidates, obtain regulatory approval, and commercialize products, including any of our current product candidates, or other product candidates that we may develop, in-license or acquire in the future. We do not anticipate generating revenue from the sale of products for the foreseeable future. We expect our research and development expenses to increase in connection with our ongoing activities, particularly as we advance our product candidates through clinical trials.

We are exposed to the financial risk related to the fluctuation of foreign exchange rates and the degrees of volatility of those rates.

We may be adversely affected by foreign currency fluctuations. To date, we have been primarily funded through issuances of equity, proceeds from the exercise of warrants and stock options and from interest income on funds available for investment, which are all denominated both in Canadian and U.S. dollars. Also, a growing portion of our expenditures are in U.S. dollars, and we are therefore subject to foreign currency fluctuations which may, from time to time, impact our financial position and results of operations.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Risks Related to Our Business and Our Industry

Our prospects depend on the success of our product candidates which are at early stages of development, and we may not generate revenue for several years, if at all, from these products.

Given the early stage of our product development, we can make no assurance that our research and development programs will result in regulatory approval or commercially viable products. To achieve profitable operations, we, alone or with others, must successfully develop, gain regulatory approval, and market our future products. We currently have no products that have been approved by the U.S. Food and Drug Administration, or FDA, Health Canada, or HC, or any similar regulatory authority. To obtain regulatory approvals for our product candidates being developed and to achieve commercial success, clinical trials must demonstrate that the product candidates are safe for human use and that they demonstrate efficacy. While we have commenced Phase I trials for SIRPαFc, we have not yet completed a Phase I clinical trial or subsequent required clinical trials for any of our product candidates.

Many product candidates never reach the stage of clinical testing and even those that do have only a small chance of successfully completing clinical development and gaining regulatory approval. Product candidates may fail for a number of reasons, including, but not limited to, being unsafe for human use or due to the failure to provide therapeutic benefits equal to or better than the standard of treatment at the time of testing. Unsatisfactory results obtained from a particular study relating to a research and development program may cause us or our collaborators to abandon commitments to that program. Positive results of early preclinical research may not be indicative of the results that will be obtained in later stages of preclinical or clinical research. Similarly, positive results from early-stage clinical trials may not be indicative of favorable outcomes in later-stage clinical trials. We can make no assurance that any future studies, if undertaken, will yield favorable results.

We recently acquired several preclinical and discovery research programs in our acquisition of Fluorinov, including certain assets relating to the treatment of central nervous system disorders. While we conducted extensive due diligence before making this acquisition, our assessment of the Fluorinov technologies may not be accurate. Therefore, our expectations about whether various clinical and regulatory milestones with an existing Fluorinov compound or development of a future program on the Fluorinov development platform will be achieved may not be borne out fully or at all. We have made a commitment to use commercially reasonable efforts to monetize the Fluorinov central nervous system assets and, if successful, to share the net proceeds with the Fluorinov vendors. As this is not a core competency of the Company, our efforts to monetize these assets or any other Fluorinov assets may not be successful. We can make no assurances that toxicology, or other preclinical, studies will yield results that will allow us to proceed with clinical trials in humans.

The early stage of our product development makes it particularly uncertain whether any of our product development efforts will prove to be successful and meet applicable regulatory requirements, and whether any of our product candidates will receive the requisite regulatory approvals, be capable of being manufactured at a reasonable cost or be successfully marketed. If we are successful in developing our current and future product candidates into approved products, we will still experience many potential obstacles such as the need to develop or obtain manufacturing, marketing and distribution capabilities. If we are unable to successfully commercialize any of our products, our financial condition and results of operations may be materially and adversely affected.

We rely and will continue to rely on third parties to plan, conduct and monitor our preclinical studies and clinical trials, and their failure to perform as required could cause substantial harm to our business.

We rely and will continue to rely on third parties to conduct a significant portion of our preclinical and clinical development activities. Preclinical activities include in vivo studies providing access to specific disease models, pharmacology and toxicology studies, and assay development. Clinical development activities include trial design, regulatory submissions, clinical patient recruitment, clinical trial monitoring, clinical data management and analysis, safety monitoring and project management. If there is any dispute or disruption in our relationship with third parties, or if they are unable to provide quality services in a timely manner and at a feasible cost, our active development programs will face delays. Further, if any of these third parties fails to perform as we expect or if their work fails to meet regulatory requirements, our testing could be delayed, cancelled or rendered ineffective.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We rely on contract manufacturers over whom we have limited control. If we are subject to quality, cost or delivery issues with the preclinical and clinical grade materials supplied by contract manufacturers, our business operations could suffer significant harm.

We have limited manufacturing experience and rely on contract manufacturing organizations, or CMOs to manufacture our product candidates for larger preclinical studies and clinical trials. We produce small quantities of our product candidates at bench scale in our laboratory facilities for use in smaller preclinical studies. We rely on CMOs for manufacturing, filling, packaging, storing and shipping of drug product in compliance with current Good Manufacturing Practice, or cGMP, regulations applicable to our products. The FDA ensures the quality of drug products by carefully monitoring drug manufacturers’ compliance with cGMP regulations. The cGMP regulations for drugs contain minimum requirements for the methods, facilities and controls used in manufacturing, processing and packing of a drug product.

We contracted with Catalent for the manufacture of the SIRPαFc protein to supply drug substance for our Phase I clinical trial. The manufacture of recombinant proteins uses well established processes including a protein expression system. Catalent is producing SIRPαFc using their proprietary GPEx® expression system. We believe that Catalent has the capacity, the systems, and the experience to supply SIRPαFc for our Phase I clinical trial and we may consider using Catalent for manufacturing for later clinical trials. However, since the Catalent manufacturing facility where SIRPαFc is being produced was only recently established, it has not been inspected by the FDA. Any manufacturing failures or delays or compliance issues could cause delays in the conduct of SIRPαFc preclinical studies and clinical trials.

There can be no assurances that CMOs will be able to meet our timetable and requirements. We have not contracted with alternate suppliers for SIRPαFc drug substance production in the event Catalent is unable to scale up production, or if Catalent otherwise experiences any other significant problems. If we are unable to arrange for alternative third-party manufacturing sources on commercially reasonable terms or in a timely manner, we may be delayed in the development of our product candidates. Further, contract manufacturers must operate in compliance with cGMP and failure to do so could result in, among other things, the disruption of product supplies. Our dependence upon third parties for the manufacture of our products may adversely affect our profit margins and our ability to develop and deliver products on a timely and competitive basis.

If clinical trials of our product candidates fail to demonstrate safety and efficacy to the satisfaction of regulatory authorities or do not otherwise produce positive results, we would incur additional costs or experience delays in completing, or ultimately be unable to complete, the development and commercialization of our product candidates.

Before obtaining marketing approval from regulatory authorities for the sale of our product candidates, we must conduct preclinical studies in animals and extensive clinical trials in humans to demonstrate the safety and efficacy of the product candidates. Clinical testing is expensive and difficult to design and implement, can take many years to complete and has uncertain outcomes. The outcome of preclinical studies and early clinical trials may not predict the success of later clinical trials, and interim results of a clinical trial do not necessarily predict final results. A number of companies in the pharmaceutical and biotechnology industries have suffered significant setbacks in advanced clinical trials due to lack of efficacy or unacceptable safety profiles, notwithstanding promising results in earlier trials. We do not know whether the clinical trials we may conduct will demonstrate adequate efficacy and safety to result in regulatory approval to market any of our product candidates in any jurisdiction. A product candidate may fail for safety or efficacy reasons at any stage of the testing process. A major risk we face is the possibility that none of our product candidates under development will successfully gain market approval from the FDA or other regulatory authorities, resulting in us being unable to derive any commercial revenue from them after investing significant amounts of capital in multiple stages of preclinical and clinical testing.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

If we experience delays in clinical testing, we will be delayed in commercializing our product candidates, and our business may be substantially harmed.

We cannot predict whether any clinical trials will begin as planned, will need to be restructured, or will be completed on schedule, or at all. Our product development costs will increase if we experience delays in clinical testing. Significant clinical trial delays could shorten any periods during which we may have the exclusive right to commercialize our product candidates or allow our competitors to bring products to market before us, which would impair our ability to successfully commercialize our product candidates and may harm our financial condition, results of operations and prospects. The commencement and completion of clinical trials for our products may be delayed for a number of reasons, including delays related, but not limited, to:

  • failure by regulatory authorities to grant permission to proceed or placing the clinical trial on hold;
  • patients failing to enroll or remain in our trials at the rate we expect;
  • suspension or termination of clinical trials by regulators for many reasons, including concerns about patient safety or failure of our contract manufacturers to comply with cGMP requirements;
  • any changes to our manufacturing process that may be necessary or desired;
  • delays or failure to obtain clinical supply from contract manufacturers of our products necessary to conduct clinical trials;
  • product candidates demonstrating a lack of safety or efficacy during clinical trials;
  • patients choosing an alternative treatment for the indications for which we are developing any of our product candidates or participating in competing clinical trials;
  • patients failing to complete clinical trials due to dissatisfaction with the treatment, side effects or other reasons;
  • reports of clinical testing on similar technologies and products raising safety and/or efficacy concerns;
  • competing clinical trials and scheduling conflicts with participating clinicians;
  • clinical investigators not performing our clinical trials on their anticipated schedule, dropping out of a trial, or employing methods not consistent with the clinical trial protocol, regulatory requirements or other third parties not performing data collection and analysis in a timely or accurate manner;
  • failure of our contract research organizations, or CROs, to satisfy their contractual duties or meet expected deadlines;
  • inspections of clinical trial sites by regulatory authorities or Institutional Review Boards, or IRBs, or ethics committees finding regulatory violations that require us to undertake corrective action, resulting in suspension or termination of one or more sites or the imposition of a clinical hold on the entire study;
  • one or more IRBs or ethics committees rejecting, suspending or terminating the study at an investigational site, precluding enrollment of additional subjects, or withdrawing its approval of the trial; or
  • failure to reach agreement on acceptable terms with prospective clinical trial sites.

Our product development costs will increase if we experience delays in testing or approval or if we need to perform more or larger clinical trials than planned. Additionally, changes in regulatory requirements and policies may occur, and we may need to amend study protocols to reflect these changes. Amendments may require us to resubmit our study protocols to regulatory authorities or IRBs or ethics committees for re-examination, which may impact the cost, timing or successful completion of that trial. Delays or increased product development costs may have a material adverse effect on our business, financial condition and prospects.

We may not be able to file INDs to commence additional clinical trials on the timelines we expect, and even if we are able to, the FDA may not permit us to proceed in a timely manner, or at all.

Prior to commencing clinical trials in the United States for any of our product candidates, we may be required to have an allowed IND for each product candidate and to file additional INDs prior to initiating any additional clinical trials for SIRPαFc. We believe that the data from previous preclinical studies will support the filing of additional INDs, to enable us to undertake additional clinical studies as we have planned. However, submission of an IND may not result in the FDA allowing further clinical trials to begin and, once begun, issues may arise that will require us to suspend or terminate such clinical trials. Additionally, even if relevant regulatory authorities agree with the design and implementation of the clinical trials set forth in an IND, these regulatory authorities may change their requirements in the future. Failure to submit or have effective INDs and commence clinical programs will significantly limit our opportunity to generate revenue.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

If we have difficulty enrolling patients in clinical trials, the completion of the trials may be delayed or cancelled.

As our product candidates advance from preclinical testing to clinical testing, and then through progressively larger and more complex clinical trials, we will need to enroll an increasing number of patients that meet our eligibility criteria. There is significant competition for recruiting cancer patients in clinical trials, and we may be unable to enroll the patients we need to complete clinical trials on a timely basis or at all. The factors that affect our ability to enroll patients are largely uncontrollable and include, but are not limited to, the following:

  • size and nature of the patient population;
  • eligibility and exclusion criteria for the trial;
  • design of the study protocol;
  • competition with other companies for clinical sites or patients;
  • the perceived risks and benefits of the product candidate under study;
  • the patient referral practices of physicians; and
  • the number, availability, location and accessibility of clinical trial sites.

If we are unable to successfully develop companion diagnostics for our therapeutic product candidates, or experience significant delays in doing so, we may not achieve marketing approval or realize the full commercial potential of our therapeutic product candidates.

We may develop companion diagnostics for our therapeutic product candidates. We expect that, at least in some cases, regulatory authorities may require the development and regulatory approval of a companion diagnostic as a condition to approving our therapeutic product candidates. We have limited experience and capabilities in developing or commercializing diagnostics and plan to rely in large part on third parties to perform these functions. We have not begun to develop companion diagnostics for any of our therapeutic product candidates.

Companion diagnostics are subject to regulation by the FDA, HC, and comparable foreign regulatory authorities as medical devices and may require separate regulatory approval or clearance prior to commercialization. If we, or any third parties that we engage to assist us, are unable to successfully develop companion diagnostics for our therapeutic product candidates, or experience delays in doing so, our business may be substantially harmed.

Regulatory approval processes are lengthy, expensive and inherently unpredictable. Our inability to obtain regulatory approval for our product candidates would substantially harm our business.

Our development and commercialization activities and product candidates are significantly regulated by a number of governmental entities, including the FDA, HC, and comparable authorities in other countries. Regulatory approvals are required prior to each clinical trial and we may fail to obtain the necessary approvals to commence or continue clinical testing. We must comply with regulations concerning the manufacture, testing, safety, effectiveness, labeling, documentation, advertising, and sale of products and product candidates and ultimately must obtain regulatory approval before we can commercialize a product candidate. The time required to obtain approval by such regulatory authorities is unpredictable but typically takes many years following the commencement of preclinical studies and clinical trials. Any analysis of data from clinical activities we perform is subject to confirmation and interpretation by regulatory authorities, which could delay, limit or prevent regulatory approval. Even if we believe results from our clinical trials are favorable to support the marketing of our product candidates, the FDA or other regulatory authorities may disagree. In addition, approval policies, regulations, or the type and amount of clinical data necessary to gain approval may change during the course of a product candidate’s clinical development and may vary among jurisdictions. We have not obtained regulatory approval for any product candidate and it is possible that none of our existing product candidates or any future product candidates will ever obtain regulatory approval.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We could fail to receive regulatory approval for our product candidates for many reasons, including, but not limited to:

  • disagreement with the design or implementation of our clinical trials;
  • failure to demonstrate that a product candidate is safe and effective for its proposed indication;
  • failure of clinical trials to meet the level of statistical significance required for approval;
  • failure to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks;
  • disagreement with our interpretation of data from preclinical studies or clinical trials;
  • the insufficiency of data collected from clinical trials of our product candidates to support the submission and filing of a BLA or other submission to obtain regulatory approval;
  • deficiencies in the manufacturing processes or the failure of facilities of CMOs with whom we contract for clinical and commercial supplies to pass a pre-approval inspection; or
  • changes in the approval policies or regulations that render our preclinical and clinical data insufficient for approval.

A regulatory authority may require more information, including additional preclinical or clinical data to support approval, which may delay or prevent approval and our commercialization plans, or we may decide to abandon the development program. If we were to obtain approval, regulatory authorities may approve any of our product candidates for fewer or more limited indications than we request, may grant approval contingent on the performance of costly post-marketing clinical trials, or may approve a product candidate with a label that does not include the labeling claims necessary or desirable for the successful commercialization of that product candidate. Moreover, depending on any safety issues associated with our product candidates that garner approval, the FDA may impose a risk evaluation and mitigation strategy, thereby imposing certain restrictions on the sale and marketability of such products.

We may not achieve our publicly announced milestones according to schedule, or at all.

From time to time, we may announce the timing of certain events we expect to occur, such as the anticipated timing of results from our clinical trials. These statements are forward-looking and are based on the best estimates of management at the time relating to the occurrence of such events. However, the actual timing of such events may differ from what has been publicly disclosed. The timing of events such as initiation or completion of a clinical trial, filing of an application to obtain regulatory approval, or announcement of additional clinical trials for a product candidate may ultimately vary from what is publicly disclosed. These variations in timing may occur as a result of different events, including the nature of the results obtained during a clinical trial or during a research phase, problems with a CMO or a CRO or any other event having the effect of delaying the publicly announced timeline. We undertake no obligation to update or revise any forward-looking information, whether as a result of new information, future events or otherwise, except as otherwise required by law. Any variation in the timing of previously announced milestones could have a material adverse effect on our business plan, financial condition or operating results and the trading price of common shares.

We face competition from other biotechnology and pharmaceutical companies and our financial condition and operations will suffer if we fail to effectively compete.

The biotechnology and pharmaceutical industries are intensely competitive and subject to rapid and significant technological change. Our competitors include large, well-established pharmaceutical companies, biotechnology companies, and academic and research institutions developing cancer therapeutics for the same indications we are targeting and competitors with existing marketed therapies. Many other companies are developing or commercializing therapies to treat the same diseases or indications for which our product candidates may be useful. Although there are no approved therapies that specifically target the CD47 pathway, some competitors use therapeutic approaches that may compete directly with our product candidates. For example, SIRPαFc is in direct competition with CD47 blocking antibodies from Forty Seven Inc., Celgene Corporation, Novimmune SA and others.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Many of our competitors have substantially greater financial, technical and human resources than we do and have significantly greater experience than us in conducting preclinical testing and human clinical trials of product candidates, scaling up manufacturing operations and obtaining regulatory approvals of products. Accordingly, our competitors may succeed in obtaining regulatory approval for products more rapidly than we do. Our ability to compete successfully will largely depend on:

  • the efficacy and safety profile of our product candidates relative to marketed products and other product candidates in development;
  • our ability to develop and maintain a competitive position in the product categories and technologies on which we focus;
  • the time it takes for our product candidates to complete clinical development and receive marketing approval;
  • our ability to obtain required regulatory approvals;
  • our ability to commercialize any of our product candidates that receive regulatory approval;
  • our ability to establish, maintain and protect intellectual property rights related to our product candidates; and
  • acceptance of any of our product candidates that receive regulatory approval by physicians and other healthcare providers and payers.

Competitors have developed and may develop technologies that could be the basis for products that challenge the differentiated nature and potential for best-in-class product development programs and discovery research capabilities of Fluorinov. Some of those products may have an entirely different approach or means of accomplishing the desired therapeutic effect than our product candidates and may be more effective or less costly than our product candidates. The success of our competitors and their products and technologies relative to our technological capabilities and competitiveness could have a material adverse effect on the future preclinical studies and clinical trials of our product candidates, including our ability to obtain the necessary regulatory approvals for the conduct of such clinical trials. This may further negatively impact our ability to generate future product development programs with improved pharmacological properties using Fluorinov technology.

If we are not able to compete effectively against our current and future competitors, our business will not grow and our financial condition and operations will substantially suffer.

We heavily rely on the capabilities and experience of our key executives and scientists and the loss of any of them could affect our ability to develop our products.

The loss of Dr. Niclas Stiernholm, our President and Chief Executive Officer, or other key members of our staff, including Dr. Robert Uger, our Chief Scientific Officer, Dr. Eric Sievers, our Chief Medical Officer, James Parsons, our Chief Financial Officer, Dr. Penka Petrova, our Chief Development Officer, or Dr. Malik Slassi, our Senior Vice President, Discovery Research could harm us. We have employment agreements with Drs. Stiernholm, Uger, Sievers, Petrova and Slassi and Mr. Parsons, although such employment agreements do not guarantee their retention. We also depend on our scientific and clinical collaborators and advisors, all of whom have outside commitments that may limit their availability to us. In addition, we believe that our future success will depend in large part upon our ability to attract and retain highly skilled scientific, managerial, medical, clinical and regulatory personnel, particularly as we expand our activities and seek regulatory approvals for clinical trials. We enter into agreements with our scientific and clinical collaborators and advisors, key opinion leaders and academic partners in the ordinary course of our business. We also enter into agreements with physicians and institutions who will recruit patients into our clinical trials on our behalf in the ordinary course of our business. Notwithstanding these arrangements, we face significant competition for these types of personnel from other companies, research and academic institutions, government entities and other organizations. We cannot predict our success in hiring or retaining the personnel we require for continued growth. The loss of the services of any of our executive officers or other key personnel could potentially harm our business, operating results or financial condition.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Our employees may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements, which could have a material adverse effect on our business.

We are exposed to the risk of employee fraud or other misconduct. Misconduct by employees could include failures to comply with FDA regulations, provide accurate information to the FDA, comply with manufacturing standards we have established, comply with federal and state health-care fraud and abuse laws and regulations, report financial information or data accurately or disclose unauthorized activities to us. In particular, sales, marketing and business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud, kickbacks, self-dealing, and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion, sales commission, customer incentive programs and other business arrangements. Employee misconduct could also involve the improper use of information obtained in the course of clinical trials, which could result in regulatory sanctions and serious harm to our reputation. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions could have a substantial impact on our business and results of operations, including the imposition of substantial fines or other sanctions.

The failure to successfully integrate Fluorinov’s business and operations or fully realize the benefits of this acquisition may adversely affect our future results.

In January 2016, we acquired all of the outstanding capital stock of Fluorinov, a small molecule medicinal chemistry company with preclinical oncology assets and a potential discovery platform. The success of our acquisition of Fluorinov will depend, in part, on our ability to successfully integrate Fluorinov’s business and operations and fully realize the anticipated benefits from combining our business with Fluorinov’s business. However, to realize these anticipated benefits, we must continue the research and development activities previously undertaken by Fluorinov as a stand-alone company. If we are unable to achieve these objectives, the anticipated benefits of our acquisition of Fluorinov may not be realized fully or at all or may take longer to realize than expected.

The process of integrating the Fluorinov business may create unforeseen operating difficulties and expenditures including, but not limited to:

  • the need to implement controls, procedures and policies appropriate for a public company that, prior to its acquisition, Fluorinov may have lacked;
  • potential unknown liabilities associated with the acquired company, including liability for activities of the acquired company before the acquisition, including any violations of laws, rules and regulations, commercial disputes, tax liabilities and other known and unknown liabilities;
  • diverting our management’s attention away from other business concerns, including the continued development of our SIRPαFc clinical program; and
  • the potential loss of key employees of the Fluorinov business, including Dr. Malik Slassi, our Senior Vice President, Discovery Research.

Failure to manage the Fluorinov acquisition effectively may affect our success in executing our business plan and may adversely affect our business, financial condition and results of operations. We may not realize the anticipated benefits of the acquisition, or may not realize them in the time frame expected.

We may expand our business through the acquisition of companies or businesses or by entering into collaborations or by in-licensing product candidates, each of which could disrupt our business and harm our financial condition.

We have in the past and may in the future seek to expand our pipeline and capabilities by acquiring one or more companies or businesses, entering into collaborations, or in-licensing one or more product candidates. Acquisitions, collaborations and in-licenses involve numerous risks, including, but not limited to:

  • substantial cash expenditures;
  • technology development risks;
  • potentially dilutive issuances of equity securities;

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis
  • incurrence of debt and contingent liabilities, some of which may be difficult or impossible to identify at the time of acquisition;
  • difficulties in assimilating the operations of the acquired companies;
  • potential disputes regarding contingent consideration;
  • diverting our management’s attention away from other business concerns;
  • entering markets in which we have limited or no direct experience; and
  • potential loss of our key employees or key employees of the acquired companies or businesses.

We have experience in making acquisitions, entering collaborations, and in-licensing product candidates, however, we cannot provide assurance that any acquisition, collaboration or in-license will result in short-term or long-term benefits to us. We may incorrectly judge the value or worth of an acquired company or business or in-licensed product candidate. In addition, our future success would depend in part on our ability to manage the rapid growth associated with some of these acquisitions, collaborations and in-licenses. We cannot provide assurance that we would be able to successfully combine our business with that of acquired businesses, manage a collaboration or integrate in-licensed product candidates. Furthermore, the development or expansion of our business may require a substantial capital investment by us.

Negative results from clinical trials or studies of others and adverse safety events involving the targets of our products may have an adverse impact on our future commercialization efforts.

From time to time, studies or clinical trials on various aspects of biopharmaceutical products are conducted by academic researchers, competitors or others. The results of these studies or trials, when published, may have a significant effect on the market for the biopharmaceutical product that is the subject of the study. The publication of negative results of studies or clinical trials or adverse safety events related to our product candidates, or the therapeutic areas in which our product candidates compete, could adversely affect our share price and our ability to finance future development of our product candidates, and our business and financial results could be materially and adversely affected.

We face the risk of product liability claims, which could exceed our insurance coverage and produce recalls, each of which could deplete our cash resources.

We are exposed to the risk of product liability claims alleging that use of our product candidates caused an injury or harm. These claims can arise at any point in the development, testing, manufacture, marketing or sale of our product candidates and may be made directly by patients involved in clinical trials of our product candidates, by consumers or healthcare providers or by individuals, organizations or companies selling our products. Product liability claims can be expensive to defend, even if the product or product candidate did not actually cause the alleged injury or harm.

Insurance covering product liability claims becomes increasingly expensive as a product candidate moves through the development pipeline to commercialization. We currently maintain clinical trial liability insurance coverage of $10 million. However, there can be no assurance that such insurance coverage is or will continue to be adequate or available to us at a cost acceptable to us or at all. We may choose or find it necessary under our collaborative agreements to increase our insurance coverage in the future. We may not be able to secure greater or broader product liability insurance coverage on acceptable terms or at reasonable costs when needed. Any liability for damages resulting from a product liability claim could exceed the amount of our coverage, require us to pay a substantial monetary award from our own cash resources and have a material adverse effect on our business, financial condition and results of operations. Moreover, a product recall, if required, could generate substantial negative publicity about our products and business, inhibit or prevent commercialization of other products and product candidates or negatively impact existing or future collaborations.

In addition, some of our licensing and other agreements with third parties require or might require us to maintain product liability insurance. If we cannot maintain acceptable amounts of coverage on commercially reasonable terms in accordance with the terms set forth in these agreements, the corresponding agreements would be subject to termination, which could have a material adverse impact on our operations.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Risks Related to Intellectual Property

If we are unable to adequately protect and enforce our intellectual property, our competitors may take advantage of our development efforts or acquired technology and compromise our prospects of marketing and selling our key products.

We control two patent families relating to SIRPα. One family relates to the use of SIRPα to treat cancer. The other family relates our drug as a composition of matter, SIRPαFc.

More recently, we acquired the patent portfolio of Fluorinov, which embraces patent filings that cover eleven different inventions. With the exception of one process scheme, these patent filings each claim a family of small molecule drugs as compositions of matter, together with claims for their production and their medical uses. These drugs target cancer for the most part, and some related medical end-uses.

Our success will depend in part upon our ability to protect our intellectual property and proprietary technologies and upon the nature and scope of the intellectual property protection we receive. For example, some of our patent portfolio covers primarily methods of medical use but not compositions of matter. The ability to compete effectively and to achieve partnerships will depend on our ability to develop and maintain proprietary aspects of our technology and to operate without infringing on the proprietary rights of others. The presence of such proprietary rights of others could severely limit our ability to develop and commercialize our products, to conduct our existing research and could require financial resources to defend litigation, which may be in excess of our ability to raise such funds. There is no assurance that our pending patent applications or those that we intend to acquire will be approved in a form that will be sufficient to protect our proprietary technology and gain or keep any competitive advantage that we may have or, once approved, will be upheld in any post-grant proceedings brought by any third parties. The European patent granted to UHN and licensed exclusively to Trillium has been opposed by two groups. Trillium’s rights are enforceable during these proceedings. A negative outcome could have an impact on our patent position in Europe.

The patent positions of pharmaceutical companies can be highly uncertain and involve complex legal, scientific and factual questions for which important legal principles remain unresolved. Patents issued to us or our respective licensors may be challenged, invalidated or circumvented. To the extent our intellectual property, including licensed intellectual property, offers inadequate protection, or is found to be invalid or unenforceable, we are exposed to a greater risk of direct competition. If our intellectual property does not provide adequate protection against our competitors’ products, our competitive position could be adversely affected, as could our business, financial condition and results of operations. Both the patent application process and the process of managing patent disputes can be time consuming and expensive, and the laws of some foreign countries may not protect our intellectual property rights to the same extent as do the laws of Canada and the United States.

We will be able to protect our intellectual property from unauthorized use by third parties only to the extent that our proprietary technologies, key products, and any future products are covered by valid and enforceable intellectual property rights including patents or are effectively maintained as trade secrets, and provided we have the funds to enforce our rights, if necessary.

If we lose our licenses from third-party owners we may be unable to continue a substantial part of our business.

We are party to licenses that give us rights to intellectual property that is necessary or useful for a substantial part of our business. Pursuant to our exclusive license agreement with UHN and the Hospital for Sick Children, or HSC, under which we license certain patent rights for our key products and their uses, we are required to use commercially reasonable efforts to commercialize products based on the licensed rights and pay certain royalties and sublicensing revenue to UHN and HSC. These licenses require that we pay development milestone payments, regulatory milestone payments, royalties on net sales, and sublicensing revenues, as well as annual maintenance fees.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We have also entered into agreements allowing us to manufacture SIRPαFc using Catalent’s proprietary GPEx® expression system. The consideration includes payments at the time we successfully reach a series of development and sales milestones. We may also enter into licenses in the future to access additional third-party intellectual property.

If we fail to pay annual maintenance fees, development and sales milestones, or it is determined that we did not use commercially reasonable efforts to commercialize licensed products, we could lose our licenses which could have a material adverse effect on our business and financial condition.

We may require additional third-party licenses to effectively develop and manufacture our key products and are currently unable to predict the availability or cost of such licenses.

A substantial number of patents have already been issued to other biotechnology and pharmaceutical companies. To the extent that valid third-party patent rights cover our products or services, we or our strategic collaborators would be required to seek licenses from the holders of these patents in order to manufacture, use or sell these products and services, and payments under them would reduce our profits from these products and services. We are currently unable to predict the extent to which we may wish or be required to acquire rights under such patents, the availability and cost of acquiring such rights, and whether a license to such patents will be available on acceptable terms or at all. There may be patents in the U.S. or in foreign countries or patents issued in the future that are unavailable to license on acceptable terms. Our inability to obtain such licenses may hinder or eliminate our ability to manufacture and market our products.

Changes in patent law and its interpretation could diminish the value of patents in general, thereby impairing our ability to protect our product candidates.

As is the case with other biotechnology and pharmaceutical companies, our success is heavily dependent on intellectual property rights, particularly patents. Obtaining and enforcing patents in the biopharmaceutical industry involves technological and legal complexity, and obtaining and enforcing biopharmaceutical patents is costly, time-consuming and inherently uncertain. The U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope of patent protection available in certain circumstances or weakening the rights of patent owners in certain situations. In addition to increasing uncertainty with regard to our and our licensors’ or collaborators’ ability to obtain patents in the future, this combination of events has created uncertainty with respect to the value of patents, once obtained. Depending on decisions by the U.S. Congress, the federal courts, and the U.S. Patent and Trademark Office, or USPTO, the laws and regulations governing patents could change in unpredictable ways that would weaken our and our licensors’ or collaborators’ ability to obtain new patents or to enforce existing patents and patents we and our licensors or collaborators may obtain in the future.

Recent patent reform legislation could increase the uncertainties and costs surrounding the prosecution of our and our licensors’ or collaborators’ patent applications and the enforcement or defense of our or our licensors’ or collaborators’ issued patents. On September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law. The Leahy-Smith Act includes a number of significant changes to U.S. patent law. These include provisions that affect the way patent applications are prosecuted and may also affect patent litigation. The USPTO recently developed new regulations and procedures to govern administration of the Leahy-Smith Act, and many of the substantive changes to patent law associated with the Leahy-Smith Act, and in particular, the first to file provisions, only became effective on March 16, 2013. Accordingly, it is not clear what, if any, impact the Leahy-Smith Act will have on the operation of our business. However, the Leahy-Smith Act and its implementation could increase the uncertainties and costs surrounding the prosecution of our or our licensors’ or collaborators’ patent applications and the enforcement or defense of our or our licensors’ or collaborators’ issued patents, all of which could have a material adverse effect on our business and financial condition.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Litigation regarding patents, patent applications, and other proprietary rights may be expensive, time consuming and cause delays in the development and manufacturing of our key products.

Our success will depend in part on our ability to operate without infringing the proprietary rights of third parties. The pharmaceutical industry is characterized by extensive patent litigation. Other parties may have, or obtain in the future, patents and allege that the use of our technologies infringes these patent claims or that we are employing their proprietary technology without authorization.

In addition, third parties may challenge or infringe upon our existing or future patents. Proceedings involving our patents or patent applications or those of others could result in adverse decisions regarding:

  • the patentability of our inventions relating to our key products; and/or
  • the enforceability, validity, or scope of protection offered by our patents relating to our key products.

If we are unable to avoid infringing the patent rights of others, we may be required to seek a license, defend an infringement action, or challenge the validity of the patents in court. Regardless of the outcome, patent litigation is costly and time consuming. In some cases, we may not have sufficient resources to bring these actions to a successful conclusion. In addition, if we do not obtain a license, develop or obtain non-infringing technology, fail to defend an infringement action successfully or have infringed patents declared invalid, we may:

  • incur substantial monetary damages;
  • encounter significant delays in bringing our key products to market; and/or
  • be precluded from participating in the manufacture, use or sale of our key products or methods of treatment requiring licenses.

Even if we are successful in these proceedings, we may incur substantial costs and divert management time and attention in pursuing these proceedings, which could have a material adverse effect on us.

Our reliance on third parties requires us to share our trade secrets, which increases the possibility that a competitor will discover them.

Because we rely on third parties to develop our products, we must share trade secrets with them. We seek to protect our proprietary technology in part by entering into confidentiality agreements and, if applicable, material transfer agreements, collaborative research agreements, consulting agreements or other similar agreements with our collaborators, advisors, employees and consultants prior to beginning research or disclosing proprietary information. These agreements typically restrict the ability of our collaborators, advisors, employees and consultants to publish data potentially relating to our trade secrets. Our academic collaborators typically have rights to publish data, provided that we are notified in advance and may delay publication for a specified time in order to secure our intellectual property rights arising from the collaboration. In other cases, publication rights are controlled exclusively by us, although in some cases we may share these rights with other parties. We also conduct joint research and development programs which may require us to share trade secrets under the terms of research and development collaboration or similar agreements. Despite our efforts to protect our trade secrets, our competitors may discover our trade secrets, either through breach of these agreements, independent development or publication of information including our trade secrets in cases where we do not have proprietary or otherwise protected rights at the time of publication. A competitor’s discovery of our trade secrets may impair our competitive position and could have a material adverse effect on our business and financial condition.

Risks Related to Our Common Shares

Our common share price has been volatile in recent years, and may continue to be volatile.

The market prices for securities of biopharmaceutical companies, including ours, have historically been volatile. In the nine months ended September 30, 2016, our common shares traded on the TSX at a high of $21.45 and a low of $9.01 per share. In the year ended December 31, 2015, our common shares traded on the TSX at a high of $37.27 and a low of $10.50 per share. A number of factors could influence the volatility in the trading price of our common shares, including changes in the economy or in the financial markets, industry related developments, the results of product development and commercialization, changes in government regulations, and developments concerning proprietary rights, litigation and cash flow. Our quarterly losses may vary because of the timing of costs for manufacturing, preclinical studies and clinical trials. Also, the reporting of adverse safety events involving our products and public rumors about such events could cause our share price to decline or experience periods of volatility. Each of these factors could lead to increased volatility in the market price of our common shares. In addition, changes in the market prices of the securities of our competitors may also lead to fluctuations in the trading price of our common shares.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We have never paid dividends and do not expect to do so in the foreseeable future.

We have not declared or paid any cash dividends on our common or preferred shares to date. The payment of dividends in the future will be dependent on our earnings and financial condition in addition to such other factors as our board of directors considers appropriate. Unless and until we pay dividends, shareholders may not receive a return on their shares. There is no present intention by our board of directors to pay dividends on our shares.

We may issue additional common shares to the former shareholders of Fluorinov as a result of our satisfaction of certain milestones, resulting in share ownership dilution.

Under the terms of our agreements with Fluorinov and its former shareholders, at our discretion up to 50% of any future contingent payments can be satisfied through the issuance of our common shares, provided that the aggregate number of common shares issuable under such payments will not exceed 1,558,447 common shares, which amount represented 19.99% of the outstanding common shares at the time of execution of the acquisition, unless shareholder approval has first been obtained.

Issuing additional common shares to the former shareholders of Fluorinov in satisfaction of contingent consideration dilutes the ownership interests of holders of our common shares on the dates of such issuances. If we are unable to realize the strategic, operational and financial benefits anticipated from our acquisition of Fluorinov, our shareholders may experience dilution of their ownership interests in our company upon any such future issuances of our common shares without receiving any commensurate benefit.

Future sales or issuances of equity securities and the conversion of outstanding securities to common shares could decrease the value of the common shares, dilute investors’ voting power, and reduce our earnings per share.

We may sell additional equity securities in future offerings, including through the sale of securities convertible into equity securities, to finance operations, acquisitions or projects, and issue additional common shares if outstanding warrants or stock options are exercised, or preferred shares are converted to common shares, which may result in dilution. See the information in the section of this MD&A entitled “Description of Share Capital” for details of our outstanding securities convertible into common shares. We filed a base shelf prospectus with securities commissions in Canada and a Form F-10 registration statement with the SEC on May 29, 2015 that provides that we may sell under the prospectus from time to time over the following 25 months up to U.S. $100 million, in one or more offerings, of common shares, First Preferred shares, warrants to purchase common shares, or units comprising a combination of common shares, First Preferred shares and/or warrants. Subject to receipt of any required regulatory approvals, subscribers of the December 2013 private placement who purchased a minimum of 10% of the securities sold under the offering received rights to purchase our securities in future financings to enable each such shareholder to maintain their percentage holding in our common shares for so long as the subscriber holds at least 10% of the outstanding common shares on a fully-diluted basis. Shareholders who do not have this future financing participation right may be disadvantaged in participating in such financings.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

Our board of directors has the authority to authorize certain offers and sales of additional securities without the vote of, or prior notice to, shareholders. Based on the need for additional capital to fund expected expenditures and growth, it is likely that we will issue additional securities to provide such capital. Such additional issuances may involve the issuance of a significant number of common shares at prices less than the current market price for our common shares.

Sales of substantial amounts of our securities, or the availability of such securities for sale, as well as the issuance of substantial amounts of our common shares upon conversion of outstanding convertible equity securities, could adversely affect the prevailing market prices for our securities and dilute investors’ earnings per share. A decline in the market prices of our securities could impair our ability to raise additional capital through the sale of securities should we desire to do so.

We are likely a “passive foreign investment company,” which may have adverse U.S. federal income tax consequences for U.S. shareholders.

U.S. investors should be aware that we believe we were classified as a passive foreign investment company, or PFIC, during the tax years ended December 31, 2015 and 2014, and based on current business plans and financial expectations, we expect that we will be a PFIC for the current tax year and may be a PFIC in future tax years. If we are a PFIC for any year during a U.S. shareholder’s holding period of our common shares, then such U.S. shareholder generally will be required to treat any gain realized upon a disposition of our common shares, or any so-called “excess distribution” received on our common shares, as ordinary income, and to pay an interest charge on a portion of such gain or distributions, unless the shareholder makes a timely and effective “qualified electing fund” election, or QEF Election, or a “mark-to-market” election with respect to our shares. A U.S. shareholder who makes a QEF Election generally must report on a current basis its share of our net capital gain and ordinary earnings for any year in which we are a PFIC, whether or not we distribute any amounts to our shareholders. A U.S. shareholder who makes the mark-to-market election generally must include as ordinary income each year the excess of the fair market value of the common shares over the shareholder’s adjusted tax basis therein. Each U.S. shareholder should consult its own tax advisors regarding the PFIC rules and the U.S. federal income tax consequences of the acquisition, ownership and disposition of our common shares.

It may be difficult for non-Canadian investors to obtain and enforce judgments against us because of our Canadian incorporation and presence.

We are a corporation existing under the laws of the Province of Ontario, Canada. Several of our directors and officers, and several of the experts are residents of Canada, and all or a substantial portion of their assets, and a substantial portion of our assets, are located outside the United States. Consequently, although we have appointed an agent for service of process in the United States, it may be difficult for holders of our securities who reside in the United States to effect service within the United States upon those directors and officers, and the experts who are not residents of the United States. It may also be difficult for holders of our securities who reside in the United States to realize in the United States upon judgments of courts of the United States predicated upon our civil liability and the civil liability of our directors, officers and experts under the United States federal securities laws. Investors should not assume that Canadian courts (i) would enforce judgments of United States courts obtained in actions against us or such directors, officers or experts predicated upon the civil liability provisions of the United States federal securities laws or the securities or “blue sky” laws of any state or jurisdiction of the United States or (ii) would enforce, in original actions, liabilities against us or such directors, officers or experts predicated upon the United States federal securities laws or any securities or “blue sky” laws of any state or jurisdiction of the United States. In addition, the protections afforded by Canadian securities laws may not be available to investors in the United States.

If there are substantial sales of our common shares, the market price of our common shares could decline.

Sales of substantial numbers of our common shares could cause a decline in the market price of our common shares. Any sales by existing shareholders or holders who exercise their warrants or stock options may have an adverse effect on our ability to raise capital and may adversely affect the market price of our common shares.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

We are an “emerging growth company,” and we cannot be certain if the reduced reporting requirements applicable to emerging growth companies will make our common shares less attractive to investors.

We are an “emerging growth company,” as defined in the JOBS Act. For as long as we continue to be an emerging growth company, we may take advantage of exemptions from various reporting requirements that are applicable to other public companies that are not emerging growth companies, including not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in our periodic reports and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and shareholder approval of any golden parachute payments not previously approved. We could be an emerging growth company for up to five years, although circumstances could cause us to lose that status earlier. We cannot predict if investors will find our common shares less attractive because we may rely on these exemptions. If some investors find our common shares less attractive as a result, there may be a less active trading market for our common shares and our share price may be more volatile.

Any failure to maintain an effective system of internal controls may result in material misstatements of our consolidated financial statements or cause us to fail to meet our reporting obligations or fail to prevent fraud; and in that case, our shareholders could lose confidence in our financial reporting, which would harm our business and could negatively impact the price of our common shares.

Effective internal controls are necessary for us to provide reliable financial reports and prevent fraud. If we fail to maintain an effective system of internal controls, we might not be able to report our financial results accurately or prevent fraud; and in that case, our shareholders could lose confidence in our financial reporting, which would harm our business and could negatively impact the price of our common shares. While we believe that we have sufficient personnel and review procedures to allow us maintain an effective system of internal controls, we cannot provide assurance that we will not experience potential material weaknesses in our internal control. Even if we conclude that our internal control over financial reporting provides reasonable assurance regarding the reliability of financial reporting and the preparation of consolidated financial statements for external purposes in accordance with International Financial Reporting Standards, as issued by the International Accounting Standards Board, because of its inherent limitations, internal control over financial reporting may not prevent or detect fraud or misstatements. Failure to implement required new or improved controls, or difficulties encountered in their implementation, could harm our results of operations or cause us to fail to meet our future reporting obligations.

If we fail to timely achieve and maintain the adequacy of our internal control over financial reporting, we may not be able to produce reliable financial reports or help prevent fraud. Our failure to achieve and maintain effective internal control over financial reporting could prevent us from complying with our reporting obligations on a timely basis, which could result in the loss of investor confidence in the reliability of our consolidated financial statements, harm our business and negatively impact the trading price of our common shares.

As a foreign private issuer, we are not subject to certain United States securities law disclosure requirements that apply to a domestic United States issuer, which may limit the information which would be publicly available to our shareholders.

As a foreign private issuer, we are not required to comply with all the periodic disclosure requirements of the Exchange Act, and therefore, there may be less publicly available information about us than if we were a United States domestic issuer. For example, we are not subject to the proxy rules in the United States and disclosure with respect to our annual meetings will be governed by Canadian requirements.

Our charter documents and certain Canadian legislation could delay or deter a change of control, limit attempts by our shareholders to replace or remove our current management and limit the market price of our common shares.

Our authorized preferred shares are available for issuance from time to time at the discretion of our board of directors, without shareholder approval. Our articles grant our board of directors the authority to determine the special rights and restrictions granted to or imposed on any unissued series of preferred shares, and those rights may be superior to those of our common shares. Further, the Investment Canada Act subjects any acquisition of control of a company by a non-Canadian to government review if the value of the assets as calculated pursuant to the legislation exceeds a threshold amount or in other circumstances determined at the discretion of the Canadian government. A reviewable acquisition may not proceed unless the relevant minister is satisfied that the investment is likely to be of net benefit to Canada and the Canadian government is satisfied that no other important concerns arise from the acquisition of control. Any of the foregoing could prevent or delay a change of control and may deprive or limit strategic opportunities to our shareholders to sell their shares.

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TRILLIUM THERAPEUTICS INC.
Management’s Discussion and Analysis

DISCLOSURE CONTROLS AND INTERNAL CONTROLS OVER FINANCIAL REPORTING

We have implemented a system of internal controls that we believe adequately protects our assets and is appropriate for the nature of our business and the size of our operations. Our internal control system was designed to provide reasonable assurance that all transactions are accurately recorded, that transactions are recorded as necessary to permit preparation of financial statements in accordance with IFRS, and that our assets are safeguarded.

These internal controls include disclosure controls and procedures designed to ensure that information required to be disclosed by us is accumulated and communicated as appropriate to allow timely decisions regarding required disclosure.

Internal control over financial reporting means a process designed by or under the supervision of the Chief Executive Officer and the Chief Financial Officer to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with IFRS as issued by the IASB. The internal controls are not expected to prevent and detect all misstatements due to error or fraud.

There were no changes in our internal control over financial reporting that occurred during the three months ended September 30, 2016 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting. As at September 30, 2016, we have assessed the effectiveness of our internal control over financial reporting and disclosure controls and procedures using the Committee of Sponsoring Organizations of the Treadway Commission’s 2013 framework. Based on their evaluation, the Chief Executive Officer and the Chief Financial Officer have concluded that these controls and procedures are effective.

ADDITIONAL INFORMATION

Additional information for Trillium can be found on SEDAR at www.sedar.com, on EDGAR at www.sec.gov/edgar.shtml.

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EX-99.3 4 exhibit99-3.htm EXHIBIT 99.3 Trillium Therapeutics Inc. - Exhibit 99.3 - Filed by newsfilecorp.com

FORM 52-109F2
CERTIFICATION OF INTERIM FILINGS
FULL CERTIFICATE

I, Niclas Stiernholm, Chief Executive Officer of Trillium Therapeutics Inc., certify the following:

1.

Review: I have reviewed the interim financial report and interim MD&A (together, the “interim filings”) of Trillium Therapeutics Inc. (the “issuer”) for the interim period ended September 30, 2016.

       
2.

No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the interim filings do not contain any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement not misleading in light of the circumstances under which it was made, with respect to the period covered by the interim filings.

       
3.

Fair presentation: Based on my knowledge, having exercised reasonable diligence, the interim financial report together with the other financial information included in the interim filings fairly present in all material respects the financial condition, financial performance and cash flows of the issuer, as of the date of and for the periods presented in the interim filings.

       
4.

Responsibility: The issuer’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as those terms are defined in National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings, for the issuer.

       
5.

Design: Subject to the limitations, if any, described in paragraphs 5.2 and 5.3, the issuer’s other certifying officer and I have, as at the end of the period covered by the interim filings

       
(a)

designed DC&P, or caused it to be designed under our supervision, to provide reasonable assurance that

       
(i)

material information relating to the issuer is made known to us by others, particularly during the period in which the interim filings are being prepared; and

       
(ii)

information required to be disclosed by the issuer in its annual filings, interim filings or other reports filed or submitted by it under securities legislation is recorded, processed, summarized and reported within the time periods specified in securities legislation;

       
(b)

designed ICFR, or caused it to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with the issuer’s GAAP.

       
5.1

Control framework: The control framework the issuer’s other certifying officer and I used to design the issuer’s ICFR is the Internal Control – Integrated Framework (COSO 2013 Framework) published by The Committee of Sponsoring Organizations of the Treadway Commission.

       
5.2

N/A

       
5.3

N/A

       
6.

Reporting changes in ICFR: The issuer has disclosed in its interim MD&A any change in the issuer’s ICFR that occurred during the period beginning on July 1, 2016 and ended on September 30, 2016 that has materially affected, or is reasonably likely to materially affect, the issuer’s ICFR.

Date: November 10, 2016

(signed) “Niclas Stiernholm”
Niclas Stiernholm
Chief Executive Officer


EX-99.4 5 exhibit99-4.htm EXHIBIT 99.4 Trillium Therapeutics Inc. - Exhibit 99.4 - Filed by newsfilecorp.com

FORM 52-109F2
CERTIFICATION OF INTERIM FILINGS
FULL CERTIFICATE

I, James Parsons, Chief Financial Officer of Trillium Therapeutics Inc., certify the following:

1.

Review: I have reviewed the interim financial report and interim MD&A (together, the “interim filings”) of Trillium Therapeutics Inc. (the “issuer”) for the interim period ended September 30, 2016.

       
2.

No misrepresentations: Based on my knowledge, having exercised reasonable diligence, the interim filings do not contain any untrue statement of a material fact or omit to state a material fact required to be stated or that is necessary to make a statement not misleading in light of the circumstances under which it was made, with respect to the period covered by the interim filings.

       
3.

Fair presentation: Based on my knowledge, having exercised reasonable diligence, the interim financial report together with the other financial information included in the interim filings fairly present in all material respects the financial condition, financial performance and cash flows of the issuer, as of the date of and for the periods presented in the interim filings.

       
4.

Responsibility: The issuer’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (DC&P) and internal control over financial reporting (ICFR), as those terms are defined in National Instrument 52-109 Certification of Disclosure in Issuers’ Annual and Interim Filings, for the issuer.

       
5.

Design: Subject to the limitations, if any, described in paragraphs 5.2 and 5.3, the issuer’s other certifying officer and I have, as at the end of the period covered by the interim filings

       
(a)

designed DC&P, or caused it to be designed under our supervision, to provide reasonable assurance that

       
(i)

material information relating to the issuer is made known to us by others, particularly during the period in which the interim filings are being prepared; and

       
(ii)

information required to be disclosed by the issuer in its annual filings, interim filings or other reports filed or submitted by it under securities legislation is recorded, processed, summarized and reported within the time periods specified in securities legislation;

       
(b)

designed ICFR, or caused it to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with the issuer’s GAAP.

       
5.1

Control framework: The control framework the issuer’s other certifying officer and I used to design the issuer’s ICFR is the Internal Control – Integrated Framework (COSO 2013 Framework) published by The Committee of Sponsoring Organizations of the Treadway Commission.

       
5.2

N/A

       
5.3

N/A

       
6.

Reporting changes in ICFR: The issuer has disclosed in its interim MD&A any change in the issuer’s ICFR that occurred during the period beginning on July 1, 2016 and ended on September 30, 2016 that has materially affected, or is reasonably likely to materially affect, the issuer’s ICFR.

Date: November 10, 2016

(signed) “James Parsons”
James Parsons
Chief Financial Officer


EX-99.5 6 exhibit99-5.htm EXHIBIT 99.5 Trillium Therapeutics Inc.: Exhibit 99.5 - Filed by newsfilecorp.com

FOR IMMEDIATE RELEASE NASDAQ:TRIL
  TSX: TR

TRILLIUM REPORTS THIRD QUARTER 2016 FINANCIAL RESULTS AND
PROVIDES CORPORATE UPDATE

  • Additional clinical data from TTI-621 Phase 1a trial to be presented at 2016 American Society of Hematology (ASH) annual meeting in December
  • Phase 1 trial with TTI-621 in solid tumors open for enrollment
  • Cash totaled $55.6 million (CDN) as of September 30, 2016

TORONTO, November 10, 2016 — Trillium Therapeutics Inc. (Nasdaq: TRIL; TSX: TR), a clinical stage immuno-oncology company developing innovative therapies for the treatment of cancer, today provided a corporate update and reported financial results for the three and nine months ended September 30, 2016.

“Over the last several months, we’ve continued to advance our lead drug candidate, TTI-621, in the clinic,” said Niclas Stiernholm, president and CEO of Trillium Therapeutics. “We established a well-tolerated dose of TTI-621 in first part of the Phase 1a/1b trial in relapsed or refractory hematologic malignancies and look forward to presenting data at next month’s ASH meeting. We are now in the multi-cohort expansion portion of the trial, seeking to further characterize safety and preliminary antitumor activity of TTI-621 in multiple cancer types. We will also evaluate the agent in combination with rituximab in patients with CD20-positive lymphomas. Separately, we are commencing the Phase 1 clinical trial of TTI-621 in solid tumors and mycosis fungoides.”

Corporate Update

  • In November, the Phase 1b dose expansion cohorts in the TTI-621 trial in patients with advanced hematologic malignancies were opened for enrollment. Two additional expansion cohorts were added, including a combination therapy of TTI-621 and rituximab in patients with CD20-positive lymphomas.
  • Trillium’s abstract for its upcoming presentation at the 2016 ASH Annual Meeting, to be held December 3-6 in San Diego, provided initial clinical data on 11 patients from the TTI-621 hematologic malignancy Phase 1 trial. A larger initial set of Phase 1a data will be presented on December 3 at the ASH meeting.

  • The dose escalation phase of Trillium’s solid tumor Phase 1 trial of TTI-621 delivered by intratumoral injection in patients with relapsed and refractory, percutaneously- accessible cancers was opened for enrollment. This study could lead to a more thorough understanding of the mechanism of action of TTI-621 and could provide insight into the tumor micro-environment before, during and after treatment with TTI- 621.

Third Quarter 2016 Financial Results
(Amounts in Canadian dollars)

As of September 30, 2016, Trillium had cash of $55.6 million. For the nine months ended September 30, 2016, the company used $16.2 million of cash for operations; $9.6 million for the acquisition of Fluorinov; and used $2.7 million for capital purchases related to its new office and laboratory facility.

Net loss for the nine months ended September 30, 2016 of $22.7 million compared to a loss of $11.7 million for the nine months ended September 30, 2015. The net loss was higher due mainly to a net foreign currency loss in 2016 of $3,090,474 from holding U.S. denominated cash with a weakening US dollar, compared to a foreign currency gain in the comparable 2015 period of $3,943,274, higher research and development expenses of $6,842,245, which included a higher intangible asset amortization amount of $2,464,251 related mainly to the acquisition of Fluorinov intangible assets. This was partially offset by the recognition of a deferred tax recovery in relation to the acquisition of Fluorinov of $3.7 million.

About Trillium Therapeutics

Trillium Therapeutics Inc. is a clinical stage immuno-oncology company developing innovative therapies for the treatment of cancer. The company’s lead program, SIRPaFc (TTI-621), is a fusion protein that consists of the CD47-binding domain of human SIRPa linked to the Fc region of a human immunoglobulin (IgG1). It is designed to act as a soluble decoy receptor, preventing CD47 from delivering its inhibitory (“do not eat”) signal. Neutralization of the inhibitory CD47 signal enables the activation of macrophage anti-tumor effects by pro-phagocytic (“eat”) signals. A Phase 1 clinical trial (NCT02663518) evaluating SIRPaFc is ongoing in advanced hematologic malignancies, and a second Phase 1 trial is underway in solid tumors (NCT02890368). Trillium also has a proprietary medicinal chemistry platform, using unique fluorine chemistry, which permits the creation of new chemical entities from validated drugs and drug candidates with improved pharmacological properties. Stemming from this platform, the company’s most advanced preclinical program is an orally-available bromodomain inhibitor, followed by an epidermal growth factor receptor antagonist with increased uptake in the brain. In addition, a number of compounds directed at undisclosed immuno-oncology targets are currently in the discovery phase.

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For more information visit: www.trilliumtherapeutics.com

Caution Regarding Forward-Looking Information

This press release may contain forward-looking statements, which reflect Trillium’s current expectation regarding future results, events or developments. These forward-looking statements involve risks and uncertainties that may cause actual results, events or developments to be materially different from any future results, events or developments expressed or implied by such forward-looking statements. Such risks and uncertainties are described in the company’s ongoing quarterly and annual reporting. Except as required by applicable securities laws, Trillium undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

Neither TSX nor its Regulation Services Provider (as that term is defined in the policies of the TSX) accepts responsibility for the adequacy or accuracy of this release.

Contact:
James Parsons
Chief Financial Officer
Trillium Therapeutics Inc.
416-595-0627 x232
james@trilliumtherapeutics.com
www.trilliumtherapeutics.com

Mark Corbae
Canale Communications for Trillium Therapeutics
619-849-5375
mark@canalecomm.com

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