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Medicenna Therapeutics

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FY2019 Annual Report · Medicenna Therapeutics
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Management’s Discussion and Analysis 

For the Year Ended March 31, 2019 

DATE OF REPORT:   June 24, 2019 

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MANAGEMENT’S DISCUSSION AND ANALYSIS 

The following management’s discussion and analysis (“MD&A”) has been prepared as of June 24, 2019 and 
should be  read  in  conjunction  with  the  consolidated audited  financial  statements of  Medicenna  Therapeutics 
Corp.  (“Medicenna”,  the  “Company”,  “we”,  “our”,  “us”  and  similar  expressions).  The  unaudited  condensed 
consolidated interim financial statements and related notes of Medicenna, were prepared in accordance with 
International Financial Reporting Standards (“IFRS”) and all dollar amounts are expressed in Canadian dollars 
unless otherwise noted. 

FORWARD-LOOKING STATEMENTS 

This  MD&A  contains  forward-looking  statements  within  the  meaning  of  applicable  securities  laws.  These 
statements involve known and unknown risks, uncertainties and other factors which may cause the actual results, 
performance  or  achievements  of  the  Company,  or  industry  results,  to  be  materially  different  from  any  future 
results, performance or achievements expressed or implied by such forward-looking statements.  All statements 
contained  herein  that  are  not  clearly  historical  in  nature  are  forward-looking,  and  the  words  such  as  “plan”, 
“expect”,  “is  expected”,  “budget”,  “scheduled”,  “estimate”,  “forecast”,  “contemplate”,  “intend”,  “anticipate”,  or 
“believe”  or  variations  (including  negative  variations)  of  such  words  and  phrases,  or  statements  that  certain 
actions, events or results “may”, “could”, “would”, “might”, “shall” or “will” be taken, occur or be achieved 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 the Company’s: 

requirements for, and the ability to obtain, future funding on favorable terms or at all; 

• 
•  business strategy; 
•  expected future loss and accumulated deficit levels; 
•  projected financial position and estimated cash burn rate; 
•  expectations about the timing of achieving milestones and the cost of the Company’s development 

programs; 

•  observations and expectations regarding the effectiveness of MDNA55 and the potential benefits to 

patients; 

•  expectations of securing Breakthrough Therapy Designation, accelerated approval or expedited 

approvals in major markets; 
regarding the completion of enrolment of the Company’s Phase 2b clinical trial; 

• 
•  expectations about the timing with respect to commencement of additional clinical trials; 
•  expectations about the Company’s products safety and efficacy; 
• 

the Company’s ability to maintain compliance with its agreement with the Cancer Prevention Research 
Institute of Texas (“CPRIT”) and collect any remaining funding;  

•  expectations regarding the Company’s ability to arrange for the manufacturing of the Company’s 

products and technologies; 

•  expectations regarding the progress and successful and timely completion of the various stages of the 

regulatory approval process; 

•  ability to secure strategic partnerships with larger pharmaceutical and biotechnology companies;  
•  strategy to acquire and develop new products and technologies and to enhance the safety and efficacy 

of existing products and technologies; 

•  plans to market, sell and distribute the Company’s products and technologies; 
•  expectations regarding the acceptance of the Company’s products and technologies by the market; 
•  ability to retain and access appropriate staff, management, and expert advisers; 
•  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 the Company or to the Company in 
respect of such arrangements; and 

•  strategy and ability with respect to the protection of the Company’s intellectual property. 

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all  as  further  and  more  fully  described  under  the  section  of  this  MD&A  titled  “Risk  Factors”.  Although  the 
Company has attempted to identify important factors that could cause actual actions, events or results to differ 
materially from those described in forward-looking statements, there may be other factors that cause actions, 
events or results to differ from those anticipated, estimated or intended. 

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

Any forward-looking statements represent the Company’s estimates only as of the date of this MD&A and should 
not  be  relied  upon  as  representing  the  Company’s  estimates  as  of  any  subsequent  date.  The  Company 
undertakes  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 laws. 

All references in this MD&A to “the Company”, “Medicenna”, “we”, “us”, or “our” refer to Medicenna Therapeutics 
Corp. and the subsidiaries through which it conducts its business, unless otherwise indicated. 

COMPANY OVERVIEW  

Medicenna  Therapeutics  Corp.  is  the  company  resulting  from  a  “three-cornered”  amalgamation  involving  A2 
Acquisition Corp (“A2”), 1102209 B.C. Ltd., a wholly-owned subsidiary of A2 and Medicenna Therapeutics Inc. 
(“MTI”), a privately held clinical stage biotechnology company. A2 was formed by articles of incorporation under 
the Business Corporations Act (Alberta) (“ABCA”) on February 2, 2015, and following its initial public offering, 
was  a  “capital  pool  company”  listed  on  the  Toronto  Stock  Exchange  Venture  (“TSXV”).  As  a  capital  pool 
company, A2 had  no assets  other  than  cash and  did not  carry  on any operations other  than  identifying  and 
evaluating opportunities for the acquisition of an interest in assets or businesses for the completion of a qualifying 
transaction.  

In  February  2015,  the  Company  received  notice  that  it  had  been  awarded  a  grant  by  CPRIT  whereby  the 
Company is eligible to receive up to US$14,100,000 on eligible expenditures over a three year period related to 
the development of the Company’s phase 2b clinical program for MDNA55.   

On March 1, 2017, A2 completed its qualifying transaction in accordance with the policies of the TSXV by way 
of a reverse takeover of A2 by the shareholders of MTI (the “Qualifying Transaction”). In connection with the 
Qualifying Transaction, A2 changed its name to Medicenna Therapeutics Corp.  and completed a consolidation 
of its share capital on the basis of one post-consolidation common share for every 14 pre-consolidation common 
shares (the “Consolidation”).  

On August 2, 2017, Medicenna graduated from the TSXV to the Toronto Stock Exchange (“TSX”). On November 
13, 2017, Medicenna continued under the Canada Business Corporations Act. 

Medicenna has three wholly owned subsidiaries: MTI, Medicenna Biopharma Inc. (Delaware) and Medicenna 
Biopharma Inc. (British Columbia). 

Medicenna is a clinical stage immuno-oncology company developing novel, highly selective versions of IL-2, IL-
4 and IL-13 tunable cytokines, called “Superkines”. These Superkines can be developed either on their own as 
short or long-acting therapeutics or fused with cell killing proteins in order to generate Empowered Cytokines™ 
(“ECs”) that precisely deliver potent toxins to the cancer cells without harming healthy cells. Medicenna’s mission 
is  to  become  the  leader  in  the  development  and  commercialization  of  targeted  ECs  and  Superkines  for  the 
treatment of a broad range of cancers. The Company seeks to achieve its goals by drawing on its expertise, and 
that of world-class collaborators, in order to develop a unique set of druggable Superkines. Compared to naturally 
occurring cytokines - that bind to multiple receptor types on many cell types - Superkines are engineered with 
unique specificity toward defined target cell subsets to enable precise activation or inhibition of relevant immune 

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cells in order to improve therapeutic efficacy and safety. Superkines can also be fused with other types of proteins 
such as antibodies to generate novel “immunocytokines” or combined with other treatment modalities such as 
checkpoint inhibitors, CAR-T cells or oncolytic viruses to stimulate tumor-killing immune cells or overcome the 
immunosuppressive tumor micro-environment. 

MDNA55, Medicenna’s lead EC has recently completed enrollment in a Phase 2b clinical trial for the treatment 
of recurrent glioblastoma (“rGBM”), the most common and uniformly fatal form of brain cancer. It is a fusion of a 
circularly  permuted  version  of  interleukin  4  (“IL-4”),  fused  to  a  potent  fragment  of  the  bacterial  toxin, 
Pseudomonas exotoxin and is designed to preferentially target tumor cells that over-express the interleukin-4 
receptor (“IL-4R”). MDNA55 has now been studied in 5 clinical trials in 132 patients, including 112 patients with 
rGBM, in which it has shown indications of superior efficacy when compared to the current standard of care. 
MDNA55 has secured Orphan Drug Status from the United States Food and Drug Administration (“FDA”) and 
the European Medicines Agency (“EMA”) as well as Fast Track Designation from the FDA for the treatment of 
rGBM and other types of high grade glioma.  

Medicenna announced on April 30, 2019 that patient enrollment was complete in the Phase 2b clinical trial of 
MDNA55 after treating 46 patients with rGBM. Medicenna announced preliminary top-line data from the study 
on June 18, 2019 as described below. The Company plans to have an End of Phase 2 (“EOP2”) meeting with 
the FDA in the second half of 2019 and will have 12 month survival data on all patients in the study in early 2020. 
In addition, Medicenna plans to initiate a Phase 2 clinical trial with MDNA55 for the treatment of newly diagnosed 
GBM in the second half of 2019. 

Complementing Medicenna’s lead clinical asset (MDNA55), the Company has built a deep pipeline of promising 
pre-clinical  candidates.  These  include  a  library  of  Superkines  such  as  IL-2  agonists  (“MDNA109”),  IL-2 
antagonists  (“MDNA209”),  dual  IL-4/IL-13  antagonists  (“MDNA413”)  and  IL-13  Superkine  (“MDNA132”)  in-
licensed  from  Leland  Stanford  Junior  University  (“Stanford”).  The  most  advanced  of  these  programs  is 
MDNA109,  which  is  in  pre-clinical  development  and  is  the  only  engineered  IL-2  Superkine  designed  to 
specifically target CD122 (IL-2Rβ) with high affinity without CD25 dependency. Unlike native IL-2, MDNA109 
potently stimulates effector T cells, reverses Natural Killer (NK) cell anergy and acts with exceptional synergy 
when combined with checkpoint inhibitors. Data was presented on MDNA109 and the lead candidate selected 
in June 2019 as described below. 

ACHIEVEMENTS & HIGHLIGHTS  

The following are the achievements and highlights for the year ending March 31, 2019 through to the date hereof: 

•  On June 18, 2019, Dr. Fahar Merchant presented results from the Phase 2b MDNA55 clinical trial which 
recently completed enrollment (N=46) at the Inaugural Immuno-Oncology Pharma Congress in Boston, MA.  
The  presentation  highlighted  disease  control  in  up  to  83%  of  the  patients  according  to  iRANO  criteria 
(immunotherapy Response Assessment in Neuro-Oncology) which measures tumor response relative to the 
largest  tumor  size post-treatment  (nadir). In  addition,  safety  data  from  the Phase  2b  clinical trial  show a 
similar safety profile to previous MDNA55 trials, with no systemic toxicities, no clinically significant laboratory 
abnormalities and no drug-related deaths.   

•  On June 20, 2019, Medicenna presented a poster entitled “Engineering a long-acting CD122 biased IL-2 
superkine  displaying  potent  anti-tumoral  responses”.  The  presentation  by  Dr.  Moutih  Rafei,  Associate 
Professor,  Department  of  Pharmacology  and  Physiology,  Université  de  Montreal  highlighted  that 
MDNA109-LA when combined with checkpoint inhibitors (a) demonstrated durable tumor control with strong 
memory response; (b) blunted Treg activity by abolishing CD25 binding while enhancing activation of naïve 
CD8 T cells and NK cells (responsible for attacking tumor cells) and (c) attained long term tumor control with 
fewer treatment cycles and a less frequent dosing regimen.  

•  On June 3, 2019 we announced a poster entitled “MDNA55: A Locally Administered IL4 Guided Toxin as a 
Targeted  Treatment  for  Recurrent  Glioblastoma” presented at  the 55th  Annual  Meeting  of  the  American 
Society of Clinical Oncology (ASCO) being held in Chicago, IL.  The presentation by Dr. Dina Randazzo of 

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Duke  University  School  of  Medicine  and  a  Principal  Investigator,  focused  on  the  development  of  a  new 
biomarker test for the interleukin-4 receptor (IL4R) that may enable better selection and superior treatment 
outcomes for patients with rGBM.   

•  On May 1, 2019, December 5, 2018 and August 10, 2018, Medicenna received amounts of US$757,940, 

US$1.2 million and US$1.2 million, respectively, from CPRIT for reimbursement of past expenses. 

•  On April 30, 2019, we announced completion of enrolment in the MDNA55 Phase 2b clinical study for the 

treatment of rGBM. 

•  On  February  7,  2019,  Dr.  John  H.  Sampson,  MD,  PhD,  (Robert  H.  and  Gloria  Wilkins  Distinguished 
Professor and Chair of Neurosurgery at Duke University in Durham, NC) presented new clinical study results 
on MDNA55. Dr. Sampson outlined that following a single treatment with MDNA55 at the low dose, (a) the 
IL4R positive (high) group showed a meaningful increase in median overall survival (“mOS”) of 15.2 months 
when compared to 8.5 months in the IL4R negative (low) group, (b) survival rates at 6, 9, and 12 months 
were 100%, 67% and 55% in the IL4R positive group versus 73%, 40%, and 30%, in the IL4R negative 
group, (c) irrespective of IL4R expression, mOS was 11.8 months in all patients with an overall survival rate 
of 89% at 6 months, 59% at 9 months and 46% at 12 months, substantially exceeding landmark mOS and 
survival rates reported for approved drugs for rGBM. 

•  On  February  6,  2019,  Dr.  Moutih  Rafei,  PhD,  (Associate  Professor,  Department  of  Pharmacology  and 
Physiology, Université de Montreal) presented new results on MDNA109 and its long acting variants. The 
presentation  outlined  that  MDNA109  (a)  is  an  engineered  IL-2  Superkine  exhibiting  1000-fold  enhanced 
affinity toward the CD122 receptor, (b) has best-in-class potency toward cancer killing effector T cells, (c) 
was not immunogenic in-vivo and (d) potently synergized with anti-PD-1 or anti-CTLA-4 checkpoint inhibitors 
to eliminate tumors in the majority of tumor-bearing mice.  

•  On  December  21,  2018,  the  Company  completed  a  public  offering  and  issued  4,000,000  units  for  gross 

proceeds of $4,000,000. 

•  On November 16, 2018, Medicenna presented an update on intratumoral delivery of MDNA55 using MRI-

guided convective delivery at the 23rd Annual Meeting of the Society for Neuro-Oncology. 

•  On November 9, 2018, Medicenna presented an update on preliminary pre-clinical results on MDNA109 at 
the 33rd Annual Meeting of the Society for Immunotherapy of Cancer (“SITC”) held in Washington, DC. 
•  On October 22, 2018, the Company presented results and participated in a poster discussion session at the 
European  Society  for  Medical  Oncology  (“ESMO”)  congress  held  in  Munich.  Based  on  interim  data  from 
patients  treated  at  low  doses  implemented  during  the  first  half  of  the  Phase  2b  study  of  MDNA55,  the 
presentation highlighted the benefits of using of advanced imaging modalities in order to help tumor response 
evaluation and identify pseudo-progression in some patients which ultimately translates into tumor shrinkage, 
and potential treatment benefit. 

•  On August 28, 2018, Medicenna presented preliminary pre-clinical results on MDNA109 at the Sixth Annual 
Immuno-Oncology Summit held in Boston, MA. The poster presentation highlighted data comparing efficacy 
and pharmacokinetics of MDNA109 and long-acting variants of MDNA109 in mouse models.   

FINANCING UPDATE 

Year ended March 31, 2019 

On  December  21,  2018,  the  Company  closed  a  short-form  prospectus  offering  of  4,000,000  units  for  gross 
proceeds  of  $4,000,000  (the  “Offering”).  Each  unit  consisted  of  one  common  share  of  the  Company  (each, 
a “Common Share”) and one-half common share purchase warrant of the Company (each full common share 
purchase warrant, a “Unit Warrant”). Each Unit Warrant entitles the holder to purchase one Common Share, at 
an exercise price of $1.20 per Common Share until December 21, 2023. In the context of the Offering, Medicenna 
issued  4,000,000  Common  Shares,  2,000,000  Unit  Warrants  and  280,000  broker  warrants  as  partial 
consideration for the services provided by the agents in connection with the Offering (the “Broker Warrants”). 

The total costs associated with the transaction were $643,686, including an amount of $91,000 which represents 
the estimated fair value of the Broker Warrants. Each Broker Warrant is exercisable for one Common Share at 
a price of $1.20 per Common Share until December 21, 2020.  

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Year ended March 31, 2018 

During the year ended March 31, 2018, 164,447 common share purchase warrants and 100,356 options were 
exercised for total cash proceeds of $469,393. In addition to the cash proceeds received, the original fair value 
related to these common share purchase warrants and options of $369,068 was transferred from contributed 
surplus to share capital. This resulted in a total amount of $838,461 credited to share capital. 

Escrowed Securities  

In connection with the initial public offering of A2 and pursuant to an escrow agreement dated June 8, 2015, an 
aggregate of 714,285 Common Shares were placed in escrow.  

In connection with the Qualifying Transaction and pursuant to an escrow agreement dated March 1, 2017, an 
additional 15,600,000 Common Shares were placed into escrow.  

Pursuant to the policies of the TSX, all shares held in escrow were released during the year ended March 31, 
2019. 

RESEARCH & DEVELOPMENT UPDATE 

MDNA55 
Excluding the recently completed Phase 2b clinical study, MDNA55 has been studied in previous clinical trials 
under two Investigational New Drug Applications (“IND”) for the treatment of rGBM, high grade glioma and non-
CNS solid tumors. In these earlier studies, MDNA55 showed promising clinical results from 72 patients including 
66 adult patients with rGBM following a single intra-tumoral infusion. It has secured Orphan Drug Status from 
the FDA and the EMA as well as Fast Track Designation from the FDA. 

Since  the  above  mentioned  clinical  trials,  there  have  been  many  improvements  to  the  convection  enhanced 
delivery (“CED”) technology, a drug delivery technique for localized administration of MDNA55 into brain tumors. 
This includes use of newly developed techniques for high precision placement of catheters into the tumor bed 
as  well  as  novel  stepped  design  catheters  that  prevent  backflow  and  leakage  of  MDNA55  during  treatment. 
Furthermore,  by  co-infusion  of  a  magnetic  resonance  imaging  (“MRI”)  contrast  agent  with  MDNA55,  drug 
distribution can be monitored in real-time in order to achieve maximum coverage of the tumor bed and the tumor 
margins. Unlike previous clinical trials, early data from the MDNA55 Phase 2b clinical trial presented in October 
and November 2017, show that each of these improvements facilitates more accurate targeting and superior 
distribution of MDNA55 to regions of active tumor growth as well as the margins around the tumor. Medicenna 
has obtained an exclusive license from the National Institute of Health (“NIH”) to patents covering CED and the 
use of a surrogate tracer for real-time monitoring of MDNA55 delivery and distribution.  

Phase 2b Study Outline for Glioblastoma at First or Second Recurrence or Progression 
The Phase 2b trial with MDNA55 using enhanced CED delivery is a multi-center, open-label, single-arm study 
in up to 52 subject and at least 46 intent to treat (ITT) patients, with first or second recurrence or progression of 
GBM after surgery or radiotherapy ± adjuvant therapy or other experimental therapies. 

The primary endpoint of the study is median Overall Survival (mOS) comparing a null survival rate of 8.0 months 
(based on historical control) with an alternative pursue rate of 11.5 months (1-sided alpha = 0.10 and 80% power 
for  46  ITT  subjects).  The  secondary  endpoint  is  objective  response  rate  (ORR)  assessed  by  the  modified 
Response Assessment in Neuro-Oncology (mRANO)-based criteria incorporating advanced imaging modalities 
according to a null response rate of 6% with alternative pursue rate of 18% (1-sided alpha = 0.10 and 80% power 
for at  least  35  subjects  evaluable  for  response). IL4R  expression  levels  in  tumor  biopsies and their  potential 
impact on patient outcomes following treatment with MDNA55, were and are being retrospectively evaluated. 

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Phase 2b Study Update 
In April 2017, we treated the first rGBM patient in the Phase 2b clinical trial of MDNA55 and enrolled patients at 
eight clinical sites across the United States with enrolment in the study (46 ITT patients) completed in April 2019.  

While  the  Company previously  targeted  completion of  the  Phase  2b  by  not  later  than Q4 2018,  the protocol 
amendments  announced  in  September  2017  and  May  2018,  and  described  below,  resulted  in  slower  than 
anticipated patient recruitment. 

On September 28, 2017 we announced that based on encouraging drug distribution and safety data observed 
we implemented an amended protocol incorporating enhanced drug delivery procedure which was used for the 
treatment of the remaining patients. The amended protocol allowed higher doses and volumes of MDNA55 as 
well as an increase in the total expected study size – from 43 patients under the original protocol to up to 52 total 
planned  patients.  This  protocol  amendment  was  based  on  a  planned  safety  analysis  following  a  unanimous 
recommendation from MDNA55’s Safety Review Committee. Of the up to 52 patients to be treated in the study 
we  required  at  least  46  of  those  patients  to  be  evaluable  for  survival  and  at  least  35  subjects  evaluable  for 
response.  We met our threshold enrolment requirements in April 2019 with 46 patients treated. 

On October 10, 2017, clinical data was presented by Principal investigator John H. Sampson MD, PhD, (Robert 
H. and Gloria Wilkins Distinguished Professor and Chair of Neurosurgery at Duke University in Durham, NC) at 
the 2017 Congress of Neurological Surgeons (Boston, MA), demonstrating successful delivery in rGBM patients 
and a reassuring safety profile for MDNA55. Furthermore, the data showed that a substantially higher proportion 
of the target tissue was being covered then in previous similar trials. In some cases, close to 100% of the tumor 
and the 1cm margin around it (at risk for tumor spread) had been successfully covered. 

Additional clinical data from the Phase 2b rGBM clinical trial of MDNA55 were presented at the 22nd Annual 
Meeting  of  the  Society  of  Neuro-Oncology  (“SNO”)  held  in  San  Francisco  in  November  2017.    Dr.  Krystof 
Bankiewicz,  MD,  PhD,  Professor  in  Residence  of  Neurological  Surgery  at  the  University  of  California  San 
Francisco, provided an update on drug distribution and safety data from the first 15 patients treated in the study. 
The oral and poster presentations at the SNO conference outlined that through a process of real-time image 
guided delivery together with the ability to monitor and adjust infusion parameters, drug delivery was dramatically 
improved with significant enhancement in target coverage. A previous CED study in rGBM, without the advances 
implemented  by  Medicenna,  [ref:  J  Neurosurg.  2010  Aug;113(2):301-9],  was  able  to  achieve,  on  average, 
coverage of only 20% of the target volume. In contrast, in the current study, a comparable estimate for coverage 
of the tumor and a 1cm high-risk margin around it showed approximately 65% coverage with the figure rising to 
75% for the tumor area alone, with some patients achieving near 100% coverage of the target volume.  

It  was  reported  on  May  2,  2018  that  half  the  patients  in  the  study  had  been  recruited  and  the  data  to  date 
demonstrated solid safety results and early signals of efficacy based on the findings of the Safety Review and 
Clinical Advisory Committees, comprised of key opinion leaders and study investigators. Following the Safety 
Review,  Medicenna  amended  the  protocol  at  the  recommendation  of  clinical  advisors  to  further  improve  the 
chances  for  demonstrating  increased  therapeutic  benefit  for  patients.    The  amendment  allowed  the 
implementation  of  optimal  methodologies  including  more  personalized  dosing  based  on  the  tumor  load, 
incorporation  of  advanced  imaging  modalities  to  measure  treatment  responses  more  reliably,  use  of  sub-
therapeutics dose of Avastin in patients that could not tolerate steroid use to control edema and inflammation  
and allowing investigators to administer a second dose of MDNA55 where appropriate. 

Review of some patients who had been withdrawn from the study, believing that their disease had progressed, 
found that the apparent increases in tumor volumes, seen on brain scans, were, in fact, due to tissue necrosis, 
inflammation and edema. This is a known effect of immunotherapeutic agents such as MDNA55, called pseudo-
progression, which poses a challenge to patient retention, management and data interpretation. When evaluating 
images  from  such  patients,  using  multi-modal  imaging,  Medicenna  found  evidence  of  biological  activity  of 
MDNA55  suggesting  that  these  patients  were  benefiting  from  the  treatment,  and  in  multiple  cases  following 
withdrawal  from  the  study,  surgical  resection  showed  significant  tumor  necrosis.  This  amendment  allowed  a 
biopsy  and/or  advanced  multi-modal  imaging  to more  accurately  discriminate  between necrosis/inflammation 
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and true disease progression. It is believed these tools could encourage subjects to remain in the study, where 
appropriate, giving time for the pseudo-progression to resolve and increase the likelihood of clinical responses.  

Following the amended protocol as announced on May 2, 2018 and after receiving the necessary regulatory and 
site approvals patient enrolment was resumed at the established maximum tolerated dose (“MTD”) which was 
not to exceed 240µg.  

The protocol amendments announced September 28, 2017 and May 2, 2018 resulted in increased timelines for 
completion of the MDNA55 Phase 2b clinical trial due to an increase in the original number of patients as well 
as delays in patient recruitment while the necessary regulatory reviews and approvals were completed. 

On October 22, 2018, the Company presented results and participated in a poster discussion session at the 
ESMO Congress held in Munich. Based on interim data from patients treated at low doses implemented during 
the first half of the Phase 2b study of MDNA55, the presentation highlighted the benefits of using of advanced 
imaging modalities in order to help tumor response evaluation and identify pseudo-progression in some patients 
which ultimately translates into tumor shrinkage, and potential treatment benefit. 

On October 31, 2018, Medicenna provided an interim update from the ongoing Phase 2b clinical trial of MDNA55 
for the treatment of rGBM. These results were superseded by data reported on February 7, 2019 as described 
below. 

On February 7, 2019 Medicenna presented new clinical study results in a podium presentation entitled, “The IL4 
Receptor as a Biomarker and Immunotherapeutic Target for Glioblastoma: Preliminary Evidence with MDNA55, 
a  Locally  Administered  IL-4  Guided  Toxin”  by  John  H.  Sampson,  MD,  PhD,  Robert  H.  and  Gloria  Wilkins 
Distinguished Professor and Chair of Neurosurgery at Duke University during the 5th Annual Immuno-Oncology 
360o Conference held in New York, NY. Following treatment with MDNA55 at the low dose, the IL4R positive 
group showed a remarkable increase in mOS of 15.2 months when compared to 8.5 months in the IL4R negative 
group. Survival rates at 6, 9, and 12 months were 100%, 67% and 55% versus 73%, 40%, and 30%, in the IL4R 
positive  and  negative  groups,  respectively.  In  addition,  Dr.  Sampson  presented  that  irrespective  of  IL4R 
expression, mOS was 11.8 months in all patients following a single treatment with MDNA55 at the low dose with 
an overall survival rate of 89% at 6 months, 59% at 9 months and 46% at 12 months, substantially exceeding 
landmark  mOS  and  survival  rates  reported  for  approved  drugs  for  rGBM  (mOS  is  8  months  for  Avastin  and 
Lomustine and survival rates at 6, 9 and 12 months are 62%, 38%, 26% and 65%, 43%, 30%, respectively). In 
these participants, patients with IL4R positive tumors showed a faster time to relapse (10.3 months) following 
initial diagnosis of GBM when compared to patients with low to no expression of IL4R (16.7 months) supporting 
published research showing that the Type 2 IL4R is a key biomarker for more aggressive forms of GBM. 

On April 30, 2019 we announced that enrolment in the study was complete with 46 evaluable patients. 

On  June  3,  2019  we  announced  a  poster  entitled  “MDNA55:  A  Locally  Administered  IL4  Guided  Toxin  as  a 
Targeted Treatment for Recurrent Glioblastoma” presented at the 55th Annual Meeting of the American Society 
of  Clinical  Oncology  (ASCO)  being  held  in  Chicago,  IL.    The  presentation  by  Dr.  Dina  Randazzo  of  Duke 
University School of Medicine and a Principal Investigator, focused on the development of a new biomarker test 
for  the  interleukin-4  receptor  (IL4R)  that  may  enable  better  selection  and  superior  treatment  outcomes  for 
patients with rGBM.  This data was subsequently updated at the World Pharma Conference described below. 

On June 18, 2019, Dr. Fahar Merchant presented results from the Phase 2b MDNA55 clinical trial which recently 
completed  enrollment  (N=46)  at  the  Inaugural  Immuno-Oncology  Pharma  Congress  in  Boston,  MA.    The 
presentation highlighted disease control in up to 83% of the patients according to iRANO criteria (immunotherapy 
Response Assessment in Neuro-Oncology) which measures tumor response relative to the largest tumor size 
post-treatment (nadir). Use of advanced imaging techniques (such as perfusion and diffusion MRI) was able to 
show underlying tissue response amidst inflammation and edema in some subjects.   In addition, safety data 
from the Phase 2b clinical trial show a similar safety profile to previous MDNA55 trials, with no systemic toxicities, 
no clinically significant laboratory abnormalities and no drug-related deaths.   

8 

 
 
 
 
 
 
 
 
 
 
Medicenna plans to have an End of Phase 2 (“EOP2”) meeting with the FDA in the second half of 2019 to discuss 
the results of the MDNA55 Phase 2b clinical study and the development pathway forward, including the possibility 
of seeking accelerated approval in patients with IL4R positivity which is considered to display a more aggressive 
form of rGBM.  Medicenna expects to have twelve month survival data on all patients in the study by Q1 2020. 

As  at  March  31,  2019,  direct  costs  related  to  the  research  and  development  of  MDNA55  represented 
approximately $3.8 million. The Company expects the completion of clinical development of MDNA55 (Phase 3 
clinical  trial),  if  undertaken,  to  last  until  at  least  2021,  with  a  projected  aggregate  cost  of  approximately  $75 
million, incremental to the current cash on hand. It is anticipated that following the successful completion of the 
Phase 2b clinical trial and a successful EOP2 meeting with the FDA the Company will license the program to 
one or more partners who would continue the Phase 3 clinical development of MDNA55 as well as prepare the 
program for commercialization. Additional time and capital will also be required to obtain pre-market approval for 
MDNA55 in the United States and Canada and to complete business development, marketing and other pre-
commercialization  activities  related  to  the  commercial  launch  of  MDNA55.  In  addition  to  development  and 
regulatory approval of MDNA55, the Company and/or its partner may also have to develop and commercialize 
a companion diagnostic to measure IL4R expression prior to treatment with MDNA55. See “Risk Factors” below.  

Superkine and Empowered Cytokine Platforms 

IL-2 Superkines    
IL-2 was one of the first effective immunotherapies developed to treat cancer due to its proficiency at expanding 
T cells, the central players in cell-mediated immunity. Originally discovered as a growth factor for T cells, IL-2 
can also drive the generation of activated immune cells, immune memory cells, and immune tolerance. 

In contrast, IL-2 induced overstimulation of immune cells can lead to an imbalance in the ratio of effector and 
regulatory T cells, resulting in autoimmune diseases. 

Part of the reason for this is due to the nature of the IL-2 receptor. 

The IL-2 receptor is composed of three different subunits, IL-2Rα (also known as CD25), IL-2Rβ (CD122) and 
IL-2Rγ (CD132). The arrangement of these different proteins determines the response to IL-2 signaling. 

The  IL-2β  and  IL-2γ  components  together  make a  receptor  capable  of binding IL-2,  but  only  moderately  so. 
When all three components are together, including IL-2Rα, the receptor binds IL-2 with a much higher affinity. 
This complete receptor is usually found on regulatory T cells, which dampen an ongoing immune response. The 
lower affinity receptor, composed of just the IL-2β and IL-2γ components, is more often found on “naive” immune 
cells, which are awaiting instructions before seeking out cancer cells. 

Altering IL-2’s propensity for binding these receptors could encourage greater immune cell activation or block 
the function of regulatory cells. 

Medicenna’s  MDNA109  and  MDNA209  take  advantage  of  this  dynamic  by  binding  to  specific  receptors  and 
either activating or blocking them. 

MDNA109 is an enhanced version of IL-2 that binds up to 1000 times more effectively to IL-2Rβ, thus greatly 
increasing its ability to activate and proliferate the immune cells needed to fight cancer. Because it preferentially 
binds IL-2Rβ and not the receptor containing IL-2Rα, MDNA109 drives effector T cell responses over regulatory 
T cells.  Additionally, MDNA109 reverses Natural Killer (NK) cell anergy and acts with exceptional synergy when 
combined with checkpoint inhibitors.  

On August 2, 2018, we announced preliminary pre-clinical data on MDNA109, the only IL-2 in development with 
high affinity to CD122 to boost cancer fighting T cells, showing that fusions of MDNA109 with inactive protein 
scaffolds are long-acting and provide the convenience of easier dosing without sacrificing its safety and efficacy.  
9 

 
 
 
 
 
 
  
  
  
 
  
  
 
On February 6, 2019 the Company presented new results on MDNA109 and its long acting variants in a podium 
presentation  entitled,  “Putting  Pedal  to  the  Metal:  Combining  IL-2  Superkine  (MDNA109)  with  Checkpoint 
Inhibitors”  by  Moutih  Rafei,  PhD,  Associate  Professor,  Department  of  Pharmacology  and  Physiology, 
Université de Montreal at the 5th Annual Immuno-Oncology 360° Meeting in New York, NY.  

The  results  presented demonstrated that  MDNA109 exhibited 1000-fold  enhanced  affinity  toward the  CD122 
receptor and best-in-class potency toward cancer killing effector T cells. When tested in vivo, MDNA109 was not 
immunogenic and led to potent delay in the growth of pre-established B16F10 melanoma tumors compared to 
IL-2.  Likewise, significant delay in the growth of pre-established MC38 and CT-26 colon cancer was observed 
in  syngeneic  mice  receiving  MDNA109,  whereas  its  co-administration  with  anti-PD1  checkpoint  inhibitor 
eliminated tumors in 90% of MC38 tumor-bearing mice. Furthermore, MDNA109 in combination with anti-CTLA-
4 antibody, complete responses were observed in a majority of mice in the CT26 model. When cured animals 
were  re-challenged  on  the  counter-lateral  flank  with  CT26  tumor  cells,  tumor  growth  was  blocked  at  the 
secondary site clearly suggesting the generation of potent memory responses. Additional results on long-acting 
MDNA109  variants  with  impaired  CD25  binding  demonstrated  abrogation  of  regulatory  T  cell  activation  at 
therapeutic doses in order to mitigate peripheral side effects, which are dependent on CD25 binding.     

Medicenna presented a poster entitled “Engineering a long-acting CD122 biased IL-2 superkine displaying potent 
anti-tumoral  responses”  at  the  Inaugural  Immuno-Oncology  Pharma  Congress,  held  from  June  18-20,  2019 
during World Pharma Week in Boston, MA. Highlights from the presentation by Dr. Moutih Rafei included the 
following:  A)  When  MDNA109-LA  was  co-administered  with  the  immune-checkpoint  blocker  anti-cytotoxic  T-
Lymphocyte-Associated Protein (CTLA)4 in a colon cancer mouse model, 67% of animals with pre-established 
tumors remained tumor-free for over 100 days. When these animals received a second and third re-challenge of 
the tumor without further treatment, 100% and 75% remained tumor free, respectively, demonstrating a strong 
memory response. B) A long-acting variant, MDNA109-LA1, engineered to mitigate Treg activation by abolishing 
binding to the CD25 had 50-fold decreased Treg activity and 6-fold higher activity towards naïve CD8 T cells for 
an overall 300-fold preferential activation of cancer killing T cells than recombinant IL-2. C) In addition, binding 
affinity studies using surface plasmon resonance confirmed absence of CD25 binding by MDNA109-LA1. D) To 
further validate the potency of MDNA109-LA1 mice with pre-established aggressive B16F10 melanoma tumors 
showed potent tumor control with a weekly dosing schedule.  

MDNA209 can be used to induce the opposite effect. This Superkine mimics the shape of IL-2 and also binds 
500  to  1,000  times  effectively  to  IL-2Rβ.  But  rather  than  triggering  IL-2  signaling,  MDNA209  acts  as  an 
antagonist, blocking the receptor and preventing it from transmitting the signal. This could be used for diseases 
such as autoimmune disorders where it is essential to prevent T cells from becoming activated and attacking 
healthy tissue.  Development timelines for MDNA209 have yet to be established. 

As  preparing,  submitting,  and  advancing  applications  for  regulatory  approval,  developing  products  and 
processes and clinical trials are sometimes complex, costly, and time consuming processes, an estimate of the 
future costs related to the development of MDNA109 and MDNA209 is not reasonable at this time. 

IL-4 and IL-13 Superkines 
Medicenna’s IL-4 and IL-13 Superkines are engineered versions of wild type cytokines which possess enhanced 
affinity and selectivity for either the Type 1 or Type 2 IL4R.  This selectivity is achieved through mutations of the 
IL-4 or IL-13 proteins to enhance affinity for binding to specific IL4R subunits.  Additional mutations have also 
been engineered to modulate their bioactivity, resulting in Superkines with enhanced signaling (super-agonists) 
or the ability to block signaling (super-antagonists). 

One  promising  IL-13  Superkine  antagonist  is  MDNA413.    Compared  to  wild type IL-13,  MDNA413  has been 
engineered to have 2,000-fold higher selectivity for the Type 2 IL4R and which potently blocks IL-4 and IL-13 
signaling (Moraga et al, 2015).  Blocking of Type 2 IL4R by MDNA413 may be relevant not only for targeting 
solid  tumors  that  overexpress  this  receptor,  but  also  for  Th2-mediated  diseases  such  as  atopic  dermatitis, 
asthma  and  idiopathic  pulmonary  fibrosis.  With  commercial  validation  of  the  IL-4/IL-13  axis  as  an  effective 
10 

 
 
 
 
 
 
 
 
 
therapeutic  target  for  atopic  dermatitis  and  asthma,  Medicenna  believes  a  topical  or  aerosol  formulation  of 
MDNA413 may be an important differentiated product compared to a blocking antibody (DupixentÒ: Regeneron 
Pharmaceuticals  and  Sanofi)  recently  approved  by  the  FDA  for  the  treatment  of  moderate  to  severe  atopic 
dermatitis. DupixentÒ is administered by subcutaneous injection every other week. Development timelines for 
MDNA413 have yet to be established. 

Another promising IL-13 Superkine is MDNA132.  Unlike MDNA413, MDNA132 is an IL-13 ligand that has been 
engineered to increase affinity for IL13R alpha2 overexpressed on certain solid tumors while exhibiting sharply 
decreased affinity for IL13R alpha1.  Medicenna believes MDNA132 has superior targeting compared to other 
IL-13  variants  in  development,  and  is  an  attractively  differentiated  targeting  domain  for  inclusion in  new  and 
exciting field of immuno-oncology based on the CAR-T platform. Development timelines for MDNA132 have yet 
to be established. 

As  preparing,  submitting,  and  advancing  applications  for  regulatory  approval,  developing  products  and 
processes and clinical trials are sometimes complex, costly, and time consuming processes, an estimate of 
the future costs related to the development of MDNA413 and MDNA132 is not reasonable at this time. 

IL-4 and IL-13 Empowered Cytokines 
As part of the CPRIT funded project, Medicenna had initially been pursuing development of MDNA57 (a fully 
human version of MDNA55) designed to specifically target solid tumors that express the Type 2 IL4R. Being fully 
human, we expect MDNA57 to be less or non-immunogenic allowing multi-cycle systemic administration. Use of 
IL-4 or IL-13 Superkines, licensed from Stanford, as targeting domains may provide a higher degree of selectivity 
and  therefore  much  better  safety  and  efficacy  profile.  Development  timelines  for  MDNA57  have  yet  to  be 
established with priority allocated to MDNA55 and MDNA109. After review of the competitive activity within our 
industry,  it  became  apparent  that  we  should  focus  our  non-CPRIT  funds  for  our  early  stage  assets  to  the 
development of MDNA109 rather than MDNA57 (as originally intended). As such, limited work has been done 
on MDNA57 to date.  

As  preparing,  submitting,  and  advancing  applications  for  regulatory  approval,  developing  products  and 
processes and clinical trials are sometimes complex, costly, and time consuming processes, an estimate of the 
future costs related to the development of MDNA57 is not reasonable at this time. 

SELECTED FINANCIAL INFORMATION  

General and Administration 
Research and Development 
Net Loss 
Basic and Diluted Loss per Share 
Total Assets 
Non-current Financial Liabilities 
Total Liabilities 

2019 
$ 
1,709,286 
3,017,997 
(4,708,031) 
(0.18) 
5,187,428 
174,432 
2,570,871 

2018 
$ 
2,334,684 
5,090,146 
(7,465,452) 
(0.31) 
4,374,582 
336,971 
2,212,757 

2017 
$ 
1,684,671 
4,229,110 
(7,631,265) 
(0.45) 
14,483,227 
477,000 
7,826,486 

We have not earned revenue in any of the previous fiscal years, other than income from interest earned on our cash 
balances.   

For the year ended March 31, 2019, we reported a net loss of $4,727,283 or $0.18 per share compared to a loss of 
$7,465,452 or $0.30 per share for the year ended March 31, 2018.  The decrease in net loss in the year ended 
March  31,  2019  compared  with  the  year  ended  March  31,  2018  was  primarily  a  result  of  lower  general  and 
administrative expenses due to reduced stock based compensation expenses, lower professional fees and listing 

11 

 
 
 
 
 
 
 
 
 
 
 
 
costs associated with the TSX graduation and OTC listing in the prior year as well as lower travel, and salary costs 
resulting  from  overall  cost  containment.    In  addition,  research  and  development  expenses  were  reduced  in  the 
current  year  due  to  lower  consulting  and  CRO  costs  related  to  the  ongoing  MDNA55  clinical  trial  for  which 
recruitment completed shortly after year end as well as lower discovery costs associated with work completed in the 
prior year and reduced salary and travel costs resulting from cost containment measures.  

RESULTS OF OPERATIONS FOR THE YEAR ENDING MARCH 31, 2019 

Research and Development Expenses 

Chemistry, manufacturing and controls  
Regulatory 
Discovery and pre-clinical 
Research & Development Warrant 
Clinical 
Salaries and benefits 
Licensing, patent legal fees and royalties 
Stock based compensation 
CPRIT grant claimed on eligible expenses 
Other research and development expenses 

Year ended March 31, 

2019 
$ 
399,994 
48,105 
805,477 
710,574 
3,710,789 
1,190,142 
783,458 
435,439 
(5,140,039) 
74,058 
3,017,997 

2018 
$ 
197,646 
192,448 
1,136,582 
947,432 
4,787,093 
1,353,527 
437,642 
658,655 
(5,016,479) 
395,600 
5,090,146 

Research and development (“R&D”) expenses of $3,017,997 were incurred during the year ended March 31, 2019, 
compared with $5,090,146 incurred in the year ended March 31, 2018. The decrease in the expenses in the year 
ended March 31, 2019 can be primarily attributed to: 

•  Deceased regulatory costs due to the timing of expenditures and the protocol amendments incurred in 

the prior year. 

•  Reduced discovery and pre-clinical expenses due to work ongoing and completed in the prior year related 

to the development of MDNA57. 

•  Lower clinical trial costs due to reduced consulting costs, clinical supplies and CRO fees due to nearing 

the end of the clinical study and general cost containment. 

•  Reduced salaries and benefits due to lower headcount and overall cost containment measures. 
•  Lower stock based compensation expense due to the timing of option grants in the current year. 
•  A reduction in other R&D expenses due to reduced travel and employee recruitment expenses.  

The above reductions were offset by the following increases: 

•  Chemistry, manufacturing and controls costs related to MDNA109 program development. 
•  Higher licensing fees, patent costs, royalties and consulting expenses associated with pipeline review 

and program prioritization. 

Expenses incurred that were eligible for reimbursement from the CPRIT grant totaled $5,140,039 in the year 
ended March 31, 2019 compared with $5,016,479 in the year ended March 31, 2018.  

12 

 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
General and Administrative Expenses 

Depreciation expense 
Stock based compensation 
Facilities and operations 
Legal, professional and finance 
Salaries and benefits 
Other expenses 
CPRIT grant claimed on eligible expenses 

Year ended March 31, 

2019 
$ 
6,818 
563,180 
162,995 
166,277 
676,952 
639,252 
(506,188) 
1,709,286 

2018 
$ 
9,704 
958,377 
225,840 
332,706 
761,995 
717,702 
(671,640) 
2,334,684 

General and administrative (“G&A”) expenses of $1,709,286 were incurred during the year ended March 31, 2019, 
compared with $2,334,684 during the year ended March 31, 2018.  The decrease in G&A expenses year over year 
is attributed primarily to the following factors: 

•  Lower stock based compensation costs due to timing of grants as well as a lower value of option grants 

in the current year. 

•  Reduced legal, professional and finance expenses in the current year periods due to expenses related 
to the graduation from the TSXV to TSX as well as the OTC listing incurred in the prior year periods. 

•  Lower salary and benefit costs due to headcount reductions. 
•  Lower ‘other’ expenses due to reduced travel costs, and listing fees incurred on the TSX graduation in 

the prior year. 

Expenses incurred that were eligible for reimbursement from the CPRIT grant totaled $506,188 in the year ended 
March 31, 2019 compared with $671,640 in the year ended March 31, 2018.  

SUMMARY OF QUARTERLY FINANCIAL RESULTS 

Mar. 31 
2019 

$ 

Dec. 31 
2018 

$ 

Sept. 30 
2018 

$ 

June 30 
2018 

$ 

March 31 
2018 

$ 

Dec. 31 
2017 

$ 

Sept. 30 
2017 

$ 

June 30 
2017 

$ 

Revenue 

- 

- 

- 

- 

- 

- 

- 

- 

General and administration 

414,154 

437,218 

443,363 

414,551 

440,454 

824,007 

632,132 

438,091 

Research and development 

661,314 

1,275,896 

445,814 

634,973 

864,005 

1,351,703 

1,069,648 

1,804,790 

Net loss 

(1,049,074) 

(1,723,081) 

(897,659) 

(1,038,217) 

(1,310,506) 

(2,181,022) 

(1,718,252) 

(2,255,672) 

Basic and diluted loss per 
share 

Total assets 

Total liabilities 

(0.04) 

(0.07) 

(0.04) 

(0.04) 

(0.05) 

(0.09) 

(0.07) 

(0.09) 

5,187,428 

6,017,780 

3,408,806 

3.644,480 

4,374,582 

6,838,585 

9,904,455 

12,465,849 

2,570,871 

2,512,414 

2,173,528 

2,000,746 

2,212,757 

4,534,080 

6,323,242 

7,593,559 

R&D  expenses  fluctuate  quarter  over  quarter  based  on  the  amount  of  expenditures  eligible  for  CPRIT 
reimbursement in the period as well as the pace of the clinical trial enrollment during the period. Research and 
development  costs  in  the  quarter  ended  December  31,  2018  were  higher  than  prior  periods  due  to  patient 
treatment costs and a lower CPRIT reimbursement in the quarter.  During the three months ended June 30, 2017 
and  December  31,  2017  the  CPRIT  expenses  eligible  for  offset  were  smaller  than  comparable  quarter  and 
therefore expenses were higher than comparable periods.  

13 

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
G&A expenses are lower in the current four quarters compared with the prior year quarters due to a reduction in 
salaries and legal fees as well as lower stock based compensation costs.  The increase in the quarter ended 
December 31, 2017 related to costs associated with stock option grants issued to general and administrative 
employees and directors during that quarter. 

Results for the Three Months ended March 31, 2019  

Research and Development Expenses 

Chemistry, manufacturing and controls 
Regulatory 
Discovery and pre-clinical 
Research & Development Warrant 
Clinical 
Salaries and benefits 
Licensing, patent legal fees and royalties 
Stock based compensation 
CPRIT grant claimed on eligible expenses 
Other research and development expenses 

Three months ended 
March 31 

2019 
$ 
97,866 
21,968 
170,452 
- 
1,029,379 
268,932 
213,381 
139,503 
(1,315,746) 
35,579 
661,314 

2018 
$ 
- 
68,903 
303,774 
236,858 
1,229,054 
201,660 
190,325 
215,785 
(1,682,055) 
99,701 
864,005 

R&D expenses of $661,314 were incurred during the three months ended March 31, 2019, compared with $864,005 
incurred in the three months ended March 31, 2018.  The decrease in expenses in the three months ended March 
31, 2019 can be attributed to: 

•  Reduced discovery  and  pre-clinical expenses  due  to  work  completed  in  the  prior  year,  relating  to  the 

development of MDNA57. 

•  Lower clinical trial costs due to reduced consulting costs, clinical supplies and CRO fees due to nearing 

the end of the clinical study and general cost containment. 

•  Lower stock based compensation expense due to reduced option grants in the current year. 
•  Fully expensed research and development warrant, resulting in no related cost in the current period. 

These reductions were offset by a lower reimbursement of expenses from CPRIT of $1,315,746 in the current 
year period compared with $1,682,055 in the same period in the prior year due to overall spending reductions 
as well as the timing of claims.  Salaries and benefits were higher in the current year period resulting from a 
bonus  accrual  reversed  in  the  prior  period  and  increased  chemistry,  manufacturing  and  controls  costs  are 
associated with the MDNA109 program development. 

14 

 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
General and Administrative Expenses 

Depreciation expense 
Stock based compensation 
Facilities and operations 
Legal, professional and finance 
Salaries and benefits 
Other expenses 
CPRIT grant claimed on eligible expenses 

Three months ended 
March 31 

2019 
$ 
1,704 
96,966 
49,161 
30,455 
168,204 
184,581 
(116,917) 
414,154 

2018 
$ 
1,705 
258,589 
60,697 
49,025 
87,244 
129,746 
(146,552) 
440,454 

In the three months ended March 31, 2019, G&A expenses of $414,154 were incurred compared with $440,454 
during the three months ended March 31, 2018.  The decrease in G&A expenses period over period is attributed 
primarily due to lower stock based compensation costs due to timing of grants as well as a lower value of option 
grants in the current year periods.  This reduction was offset by higher salaries and benefits resulting from a 
bonus  accrual  reversed  in  the  prior  period  and  increased  other  expenses  pertaining  to  investor  relations 
expenses  in  the  current  year period.   In addition,  reimbursement  of expenses  from  CPRIT  were  lower  in the 
current year period compared with the same period in the prior year. 

LIQUIDITY AND CAPITAL RESOURCES 

Since  inception,  the  Company  has  devoted  its  resources  to  funding  R&D  programs,  including  securing 
intellectual property rights and licenses, conducting discovery research, manufacturing drug supplies, initiating 
preclinical  and  clinical  studies,  submitting  regulatory  dossiers  and  providing  administrative  support  to  R&D 
activities,  which  has  resulted  in  an  accumulated  deficit  of  $22,789,651  as  of  March  31,  2019.  With  current 
revenues  only  consisting  of  interest  earned  on  excess  cash,  losses  are  expected  to  continue  while  the 
Company’s R&D programs are advanced. 

We  currently  do not earn  any  revenues  from our  drug  candidates and  are therefore  considered  to  be  in  the 
development stage.  As required, the Company will continue to finance its operations through the sale of equity 
or pursue non-dilutive funding sources available to the Company in the future. The continuation of our research 
and development activities and the commercialization of MDNA55 is dependent upon our ability to successfully 
finance and complete our research and development programs through a combination of equity financing and 
revenues from strategic partners. We have no current sources of revenues from strategic partners.  

Management has forecasted that the Company’s current level of cash will not be sufficient to execute its current 
planned expenditures for the next 12 months without further financing being obtained.  Management believes 
that  it  will  complete one  or  more  of these arrangements  in  sufficient time  to continue  to execute  its  planned 
expenditures.  However, there can be no assurance that the capital will be available as necessary to meet these 
continuing expenditures, or if the capital is available, that it will be on terms acceptable to the Company.  The 
issuance of Common Shares by the Company could result in significant dilution in the equity interest of existing 
shareholders.  There can be no assurance that the Company will be able to obtain sufficient financing to meet 
future operational needs  which  may  result  in the  delay,  reduction  or  discontinuation of  ongoing development 
programs. As a result, there is a substantial doubt as to whether the Company will be able to continue as a going 
concern and realize its assets and pay its liabilities as they fall due. 

15 

 
 
 
  
 
 
 
 
 
 
 
 
 
 
CASH POSITION 

At March 31, 2019, we had a cash balance of $2,370,976 compared to $3,938,734 at March 31, 2018. We invest 
cash  in  excess of  current  operational  requirements  in  highly  rated and  liquid  instruments.  Working  capital  at 
March 31, 2019 was $2,709,784 (March 31, 2018: $2,410,772).  In addition, we have US$2.3 million remaining 
available under the CPRIT grant to be used towards the development of MDNA55.  

We do not expect to generate positive cash flow from operations for the foreseeable future due to additional R&D 
expenses,  including  expenses  related  to  drug  discovery,  preclinical  testing,  clinical  trials,  chemistry, 
manufacturing and controls (“CMC”) and operating expenses associated with supporting these activities. It is 
expected that negative cash flow from operations will continue until such time, if ever, that we receive regulatory 
approval to commercialize any of our products under development and/or royalty or milestone revenue from any 
such products should they exceed our expenses. 

CONTRACTUAL OBLIGATIONS 

As of March 31, 2019, we have the following obligations to make future payments, representing contracts and 
other commitments that are known and committed: 

 Contractual obligations 

Payments Due by Period 

Less than 
1 year 

1-3 years 

3-5 years 

Total 

Patent licensing costs, minimum annual royalties per 
license agreements 

$ 66,500  $ 172,900  $ 532,000  $ 771,400 

Liquidity event payment 

$ 174,432  $ 174,432 

$ 0  $ 348,864 

The Company utilizes temporary office space with terms of less than one year. 

The Company cannot reasonably estimate future royalties which may be due upon the regulatory approval of 
MDNA55.   

CPRIT assistance 

In  February  2015,  the  Company  received  notice  that  it  had  been  awarded  a  grant  by  CPRIT  whereby  the 
Company is eligible to receive up to US$14,100,000 on eligible expenditures over a three year period related to 
the development of  the  Company’s phase  2b  clinical  program for  MDNA55.    On  an  ongoing  basis,  we  must 
demonstrate that the expenditures are eligible using CPRIT’s criteria, show proof that we have 50% matching 
funds  available,  that  development  milestones  have  been  achieved  and  that  best  efforts  have  been  made  to 
establish  substantial  project  related  expenses  within  the  state  of  Texas.  In  October  2017  the  Company  was 
granted  a  one-year  extension  to  the  grant  allowing  expenses  to  be  claimed  over  a  four  year  period  ending 
February  28,  2019  and  on  February  4,  2019  the  Company  was  granted  an  additional  six  month  extension 
allowing expense to be claimed until August 31, 2019. 

Of the US$14.1 million grant approved by CPRIT, Medicenna has received US$10.8 million from CPRIT as of 
June 24, 2019.  The Company is eligible to receive the remaining US$3.3 million upon the achievement of certain 
criteria as determined by CPRIT, from time to time.  There can be no assurances that the balance of such grants 
will be received from CPRIT. 

The amount receivable at March 31, 2019 represents funds spent on grant expenditures, but not yet reimbursed, 
of this amount US$757,940 was received subsequent to the year end.  

16 

 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ongoing program funding from CPRIT is subject to a number of conditions including the satisfactory achievement 
of milestones that must be met to release additional CPRIT funding, proof the Company has raised 50% matching 
funds and that best efforts have been made to establish substantial project related expenses within the state of 
Texas. If the Company is found to have used any grant proceeds for purposes other than intended, is in violation 
of the terms of the grant, or relocates the majority of its project related operations outside of the state of Texas, 
then the Company may be required to repay any grant proceeds received. There can be no assurances that the 
Company will continue to meet the necessary CPRIT criteria or that CPRIT will continue to advance additional 
funds to the Company. 

Intellectual Property  

The Company has entered into various license agreements with respect to accessing intellectual property in the 
form of filed and issued patents. In order to maintain these agreements, the Company is obligated to pay certain 
costs based on timing or certain milestones within the agreements, the timing of which is uncertain. These costs 
include ongoing license fees, patent prosecution and maintenance costs, royalty and other milestone payments. 
As at March 31, 2019, the Company is obligated to pay the following:  

•  Patent licensing costs due within 12 months totaling $66,500. 
•  Patent licensing costs, including the above, due within the next five years totaling $705,000. 
•  Project milestone payments, assuming continued success in the development programs, of uncertain 

timing totaling US$2,800,000 and an additional US$2,000,000 in sales milestones. 

•  A liquidity payment of $174,432 due in 2019 and $174,432 due in 2020 to the NIH which represents the 

remaining payments resulting from the Company’s liquidity event in March 2017. 

As part of these license agreements, the Company has committed to make certain royalty payments based on 
net sales to the NIH and Stanford. 

OFF-BALANCE SHEET ARRANGEMENTS  

The Company has no material undisclosed off-balance sheet arrangements that have, or are reasonably likely 
to have, a current or future effect on our results of operations, financial condition, revenues or expenses, liquidity, 
capital expenditures or capital resources that is material to investors. 

TRANSACTIONS WITH RELATED PARTIES 

Key management personnel, which consists of the Company’s officers (Dr. Fahar Merchant, President and Chief 
Executive  Officer,  Ms.  Elizabeth  Williams,  Chief  Financial  Officer,  and  Ms.  Rosemina  Merchant,  Chief 
Development Officer) and directors, received the following compensation for the following periods: 

Salaries and Wages 
Board Fees 

Stock Option Expense 
Related Party Rent 

Three months ended 
March 31 

Year ended 
March 31 

2019 

$ 

222,937 
35,278 

180,247 
2,093 

440,555 

2018 

$ 

249,607 
35,780 

355,830 
6,134 

647,351 

2019 

$ 

891,748 
141,466 

786,121 
21,515 

1,840,850 

2018 

$ 

1,101,891 
121,472 

1,282,374 
21,332 

2,527,069 

17 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As at March 31, 2019, the Company had trade and other payables in the normal course of business, owing to 
directors and officers of $380,328 (2018: $222,228) related to deferred salaries, board fees and accrued vacation 
($107,249 in deferred salaries, included in amounts earned). 

The Company paid $21,515 (2018: $21,332) in office rent to Aries Biologics Corp, a company controlled by the 
Chief Executive Officer (Dr. Fahar Merchant) and Chief Development Officer (Ms. Rosemina Merchant) of the 
Company.  This  transaction  was  in  the  normal  course  of  business  and  has  been  measured  at  the  exchange 
amount, which is the amount of consideration established and agreed to by the related parties. 

NEW STANDARDS, AMENDMENTS AND INTERPRETATIONS ADOPTED DURING FISCAL 2019 

The following IFRS pronouncement has been adopted during 2019: 

The  Company  has  adopted  new  accounting  standard  IFRS  9  -  Financial  Instruments,  effective  for  the 
Company’s annual period beginning April 1, 2018. The adoption of IFRS 9 did not result in any changes to the 
classification, measurement or carrying amounts of the Company’s existing financial instruments on transition 
date.  

The  new  standard  brings  together  the  classification  and  measurement,  impairment  and  hedge  accounting 
phases of the IASB’s project to replace IAS 39 - Financial instruments: recognition and measurement. The 
standard  retains  but  simplifies  the  mixed  measurement  model  and  establishes  two  primary  measurement 
categories for financial assets: amortized cost and fair value.  

The Company continues to classify and measure its cash at fair value through profit or loss with changes in fair 
value recognized in profit or loss as they arise (“FVTPL”).  Other receivables and government grant receivables 
are classified initially at FVTPL, and subsequently at amortized cost using the effective interest rate method. 
Accounts  payable  and  accrued  liabilities  and  license  fee  payable  are  classified  and  measured  as  financial 
liabilities, initially at FVTPL, and subsequently at amortized cost using the effective interest rate method. 

ACCOUNTING PRONOUNCEMENTS FOR FUTURE ADOPTION  

IFRS  16,  Leases  IFRS  16  is  a  new  standard  that  sets  out  the  principles  for  recognition,  measurement, 
presentation, and disclosure of leases including guidance for both parties to a contract, the lessee and the lessor. 
The new standard eliminates the classification of leases as either operating or finance leases as is required by 
IAS  17  and  instead  introduces  a  single  lessee  accounting  model.  IFRS  16  is  effective  for  annual  periods 
beginning on or after January 1, 2019. The Company does not have any leases and has therefore determined 
that this standard will not have an impact on its unaudited interim condensed consolidated financial statements.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES 

Accounting policies are described in note 2 of the audited consolidated financial statements. 

The Company makes estimates and assumptions about the future that affect the reported amounts of assets 
and  liabilities.  Estimates  and  judgments  are  continually  evaluated  based  on  historical  experience  and  other 
factors, including expectations of future events that are believed to be reasonable under the circumstances. In 
the future, actual experience may differ from these estimates and assumptions. The effect of a change in an 
accounting estimate is recognized prospectively by including it in comprehensive income in the period of the 
change, if the change affects that period only, or in the period of the change and future periods, if the change 
affects  both.  Significant  assumptions  about  the  future  and  other  sources  of  estimation  uncertainty  that 
management has made at the statement of financial position date, that could result in a material adjustment to 
the carrying amounts of assets and liabilities include: 

18 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Fair value of financial instruments 

Where the fair value of financial assets and financial liabilities recorded in the consolidated statements of financial 
position  cannot  be  derived  from  active  markets,  they  are  determined  using  valuation  techniques  including 
discounted cash flow models. The inputs to these models are taken from observable markets where possible, 
but where this is not feasible, a degree of judgment is required in establishing fair values. 

The  judgments  include  considerations  of  inputs  such  as  liquidity  risk,  credit  risk  and  volatility.  Significant 
management judgment is necessary. Changes in assumptions about these factors could affect the reported fair 
value of financial instruments 

Deferred taxes 

The determination of deferred income tax assets or liabilities requires subjective assumptions regarding future 
income tax rates and the likelihood of utilizing tax carry-forwards. Changes in these assumptions could materially 
affect the recorded amounts, and therefore do not necessarily provide certainty as to their recorded values. 

Share-based payments and compensation 

The  Company  applies  estimates  with  respect  to  the  valuation  of  shares  issued  for  non-cash  consideration. 
Common Shares are valued at the fair value of the equity instruments granted at the date the Company receives 
the goods or services. 

The Company measures the cost of equity-settled transactions with employees by reference to the fair value of 
the equity  instruments at  the date  at  which  they are  granted.  Estimating  fair  value for  share-based  payment 
transactions requires determining the most appropriate valuation model, which is dependent on the terms and 
conditions  of  the grant.  This estimate  also  requires  determining  the  most  appropriate  inputs  to  the  valuation 
model including the fair value of the underlying Common Shares, the expected life of the share option, volatility 
and dividend yield and making assumptions about them. The fair value of the underlying Common Shares are 
assessed as the most recent issuance price per Common Share for cash proceeds. 

USE OF PROCEEDS 

The following table provides an update on the anticipated use of proceeds raised in the December 2018 equity 
offering along with amounts actually expended. As of March 31, 2019, the following expenditures have been 
incurred: 

Item 

Amount to 
Spend 

Spent to Date 

Adjustments 

Remaining to Spend 

Patient treatment costs 

$  1,500,000 

$ 656,966 

(900,000)1 

Clinical trial overhead costs 

750,000 

372,424 

- 

500,000 

377,381 

450,000 

- 

377,576 

572,619 

Salaries and intellectual 
property costs 

General corporate and 
working capital purposes 

950,000 

315,484 

450,000 

1,084,516 

Total 

$ 3,700,000 

$ 1,722,255 

$ - 

$2,034,711 

1.  Original use of proceeds assumed treatment of 52 patients in the study to reach an evaluable patient population of 46 patients.  

Only 46 patients were required to be treated in order to achieve 46 evaluable patients and as such a portion of the costs have 
been relocated to ‘salaries and intellectual property costs’ and ‘general corporate and working capital’ 

19 

 
 
 
 
 
 
 
 
 
FINANCIAL INSTRUMENTS 

(a)  Fair value  
The Company’s financial instruments recognized on the consolidated statements of financial position consist of 
cash, other receivables, accounts payable and accrued liabilities, deferred government grants and license fee 
payable. The fair value of these instruments, approximate their carry values due to their short-term maturity. 

Classification of financial instruments 

Financial  instruments  measured  at  fair  value  on  the  statement  of  financial  position  are  summarized  into  the 
following fair value hierarchy levels: 

Level 1: quoted prices (unadjusted) in active markets for identical assets or liabilities. 

Level 2: inputs other than quoted prices included within Level 1 that are observable for the asset or 
liability 

Level 3: inputs for the asset or liability that are not based on observable market data (unobservable 
inputs). 

The  Company  classifies  its  financial  assets  and  liabilities  depending  on  the  purpose  for  which  the  financial 
instruments were acquired, their characteristics, and management intent as outlined below: 

Cash  is  measured using Level 1  inputs and  changes  in  fair  value are  recognized  through  profit  or  loss,  with 
changes in fair value being recorded in net earnings at each period end. 

Government grant  receivables and  other  receivables have  been  classified  as  loans and  receivables  and are 
measured at amortized cost less impairments. 

Accounts payable and accrued liabilities have been classified as financial liabilities. 

The  Company  has  exposure  to  the  following  risks  from  its  use  of  financial  instruments:  credit,  interest  rate, 
currency and liquidity risk. The Company reviews its risk management framework on a quarterly basis and makes 
adjustments as necessary. 

(b) Financial risk management 
We have exposure to credit risk, liquidity risk and market risk. Our Board of Directors has the overall responsibility 
for  the  oversight  of  these  risks  and  reviews  our  policies  on  an  ongoing  basis  to  ensure  that  these  risks  are 
appropriately managed. 

i. 

Credit risk 

Credit risk arises from the potential that a counterparty will fail to perform its obligations. The financial 
instruments that are exposed to concentrations of credit risk consist of cash and cash equivalents. 

The Company attempts to mitigate the risk associated with cash and cash equivalents by dealing only 
with major Canadian financial institutions with good credit ratings. 

ii. 

Interest rate risk 

Interest rate risk is the risk that the fair values and future cash flows of the Company will fluctuate because 
of changes in market interest rates. The Company believes that its exposure to interest rate risk is not 
significant. 

iii. 

Liquidity risk 

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they fall due. 
The Company currently settles all of its financial obligations out of cash. The ability to do so relies on the 
Company  maintaining  sufficient  cash  in  excess  of  anticipated  needs.  As at  March  31,  2019,  the 
Company’s liabilities consist of trade and other payables that have contracted maturities of less than one 
year.   

20 

 
 
 
 
 
 
iv. 

Currency risk 

Currency risk is the risk that future cash flows of a financial instrument will fluctuate because of changes 
in foreign exchange rates. The Company is exposed to currency risk from employee costs as well as the 
purchase  of  goods  and services  primarily  in  the United  States  and  the  cash balances held  in  foreign 
currencies. Fluctuations in the US dollar exchange rate could have a significant impact on the Company’s 
results. Assuming all other variables remain constant, a 10% depreciation or appreciation of the Canadian 
dollar against the US dollar would result in an increase or decrease in loss and comprehensive loss for 
the year ended March 31, 2019 of $69,000 (March 31, 2018 - $88,000). 

Balances in foreign currencies are as follows: 

 Cash  
 Accounts payable and accrued liabilities 
 Deferred government grant receivable 

March 31, 2019 
$ 
118,440  

 (1,430,518)    
1,831,337 

March 31, 2018  
$ 
2,115,262  
(1,429,909)  
- 

519,259  

 685,353  

(c) Managing Capital 

The Company’s objectives, when managing capital, are to safeguard cash as well as maintain financial liquidity 
and flexibility in order to preserve its ability to meet financial obligations and deploy capital to grow its businesses.  

The Company’s financial strategy is designed to maintain a flexible capital structure consistent with the objectives 
stated above and to respond to business growth opportunities and changes in economic conditions. In order to 
maintain  or  adjust  its  capital  structure,  the  Company  may  issue  shares  or  issue  debt  (secured,  unsecured, 
convertible and/or other types of available debt instruments). 

There  were no  changes  to the  Company’s  capital  management  policy during  the  year.    The  Company  is not 
subject to any externally imposed capital requirements. 

RISKS AND UNCERTAINTIES  
An investment in the Common Shares involves a high degree of risk and should be considered speculative. An 
investment in the Common Shares should only be undertaken by those persons who can afford the total loss of 
their investment. Investors should carefully consider the risks and uncertainties set forth below, as well as other 
information  described  elsewhere  in  this  MD&A.  The  risks  and  uncertainties  below  are  not  the  only  ones  the 
Company faces. Additional risks and uncertainties not presently known to Medicenna or that Medicenna believes 
to be immaterial may also adversely affect Medicenna’s business. If any of the following risks occur, Medicenna’s 
business, financial condition and results of operations could be seriously harmed and you could lose all or part 
of your investment. Further, if Medicenna fails to meet the expectations of the public market in any given period, 
the market price of the Common Shares could decline. Medicenna operates in a highly competitive environment 
that involves significant risks and uncertainties, some of which are outside of Medicenna’s control. 

Risks Related to the Company’s Business and the Company’s Industry 

The Company has no sources of product revenue and will not be able to maintain operations and research and 
development without sufficient funding. 

The Company has no sources of product revenue and cannot predict when or if it will generate product revenue. 
The Company’s ability to generate product revenue and ultimately become profitable depends upon its ability, 
alone  or  with  partners,  to  successfully  develop  the  product  candidates,  obtain  regulatory  approval,  and 
commercialize products, including any of the current product candidates, or other product candidates that may 
be developed, in-licensed or acquired in the future. The Company does not anticipate generating revenue from 

21 

 
 
 
  
 
  
 
 
 
 
the sale of products for the foreseeable future. The Company expects research and development expenses to 
increase in connection with ongoing activities, particularly as MDNA55 is advanced through clinical trials and 
MDNA109 is advanced towards the clinic. 

The Company will require significant additional capital resources to expand its business, in particular the further 
development of its proposed products. Advancing its product candidates or acquisition and development of any 
new products or product candidates will require considerable resources and additional access to capital markets. 
In addition, the Company’s future cash requirements may vary materially from those now expected. 

The  Company  can  potentially  seek  additional  funding  through  corporate  collaborations  and  licensing 
arrangements,  through  public  or  private  equity  or  debt  financing,  or  through  other  transactions.  However,  if 
clinical trial results are neutral or unfavourable, or if capital market conditions in general, or with respect to life 
sciences companies such as Medicenna, are unfavourable, the Company’s ability to obtain significant additional 
funding on acceptable terms, if at all, will be negatively affected. Additional financing that it may pursue may 
involve the sale of the Common Shares or financial instruments that are exchangeable for, or convertible into, 
the  Common  Shares,  which  could  result  in  significant  dilution  to  its  shareholders.  If  sufficient  capital  is  not 
available, the Company may be required to delay the implementation of its business strategy, which could have 
a material adverse effect on its business, financial condition, prospects or results of operations. 

The Company is highly dependent upon certain key personnel and their loss could adversely affect the its ability 
to achieve its business objective. 

The  loss  of  Dr.  Fahar  Merchant,  the  President  and  Chief  Executive  Officer,  Rosemina  Merchant,  the  Chief 
Development  Officer  or  other  key  members  of  the  scientific  and  operating  staff  could  harm  the  Company.  
Employment agreements exist with Dr. Merchant and Ms. Merchant, although such employment agreements do 
not guarantee their retention. The Company also depends on scientific and clinical collaborators and advisors, 
all of whom have outside commitments that may limit their availability. In addition, the Company believes that 
future success will depend in large part upon its ability to attract and retain highly skilled scientific, managerial, 
medical,  clinical  and  regulatory  personnel.  Agreements  have  been  entered  into  with  scientific  and  clinical 
collaborators and advisors, key opinion leaders and academic partners in the ordinary course of business as 
well as with physicians and institutions who will recruit patients into the MDNA55 clinical trial. Notwithstanding 
these arrangements, there is significant competition for these types of personnel from other companies, research 
and academic institutions, government entities and other organizations. The loss of the services of any of the 
executive officers or other key personnel could potentially harm the Company’s business, operating results or 
financial condition. 

If  the  Company  breaches  any  of  the  agreements  under  which  it  licenses  rights  to  product  candidates  or 
technology from third parties, it can lose license rights that are important to its business. The Company’s current 
license agreements may not provide an adequate remedy for breach by the licensor. 

The  Company  is  developing  MDNA55,  MDNA109  and  other  earlier  stage  pre-clinical  and  discovery  drug 
candidates pursuant to license agreements with NIH and Stanford (collectively, the “Licensors”). The Company 
is subject to a number of risks associated with its collaboration with the Licensors, including the risk that the 
Licensors may terminate the license agreement upon the occurrence of certain specified events. The license 
agreement  requires,  among  other  things,  that  the  Company  makes  certain  payments  and  use  reasonable 
commercial efforts to meet certain clinical and regulatory milestones. If the Company fails to comply with any of 
these obligations or otherwise breach this or similar agreements, the Licensors or any future licensors may have 
the right to terminate the license in whole. The Company can also suffer the consequences of non-compliance 
or breaches by Licensors in connection with the license agreements. Such non-compliance or breaches by such 
third parties can in turn result in breaches or defaults under the Company’s agreements with other collaboration 
partners, and the Company can be found liable for damages or lose certain rights, including rights to develop 
and/or commercialize a product or product candidate. Loss of the Company’s rights to the licensed intellectual 
property or any similar license granted to it in the future, or the exclusivity rights provided therein, can harm the 
Company’s financial condition and operating results. 

22 

 
 
 
 
 
Clinical drug development involves a lengthy and expensive process with an uncertain outcome, and results of 
earlier studies and trials may not be predictive of future trial results and the Company’s product candidates may 
not have favourable results in later trials or in the commercial setting. 

Clinical  testing  is  expensive  and  can  take  many  years  to  complete,  and  its  outcome  is  inherently  uncertain. 
Failure can occur at any time during the clinical trial process. The results of pre-clinical studies and early clinical 
trials may not be predictive of the results of later-stage clinical trials. Success in pre-clinical or animal studies 
and early clinical trials does not ensure that later large-scale efficacy trials will be successful nor does it predict 
final results. Favourable results in early trials may not be repeated in later trials.  There is no assurance the FDA, 
EMA or other similar government bodies will view the results as the Company does or that any future trials of its 
proposed products for other indications will achieve positive results. Product candidates in later stages of clinical 
trials may fail to show the desired safety and efficacy traits despite having progressed through pre-clinical studies 
and initial clinical trials.  

The Company will be required to demonstrate through larger-scale clinical trials that any potential future product 
is safe and effective for use in a diverse population before it can seek regulatory approvals for commercial sale 
of  its  product.  There  is  typically  an  extremely  high  rate  of  attrition  from  the  failure  of  product  candidates 
proceeding through clinical and post-approval trials. If MDNA55 fails to demonstrate sufficient safety and efficacy 
in  the  recently  completed  or  future  clinical  trials,  the  Company’s  operations  and  financial  condition  will  be 
adversely impacted. 

The Company is subject to the restrictions and conditions of the CPRIT agreement. Failure to comply with the 
CPRIT agreement may adversely affect the Company’s financial condition and results of operations. 

The Company has obtained a grant from CPRIT to fund a portion of its operations to date. The CPRIT grant is 
subject to the Company’s compliance with the scope of work outlined in the CPRIT agreement and demonstration 
of its progress towards achievement of the milestones set forth in the CPRIT agreement. If the Company fails to 
comply with the terms of the CPRIT agreement, it may not receive the remaining tranches of the CPRIT grant or 
it may be required to reimburse some or the entire CPRIT grant. Further, the CPRIT grant may only be applied 
to a limited number of allowable expenses. Failure to obtain the remaining tranches of the CPRIT grant or being 
required to reimburse all or a portion of the CPRIT grant may cause a halt or delay in ongoing operations, which 
may adversely affect the Company’s financial condition and operating results. 

If  the  Company’s  competitors  develop  and  market  products  that  are  more  effective  than  its  existing  product 
candidates or any products that it may develop, or obtain marketing approval before the it does, its products may 
be rendered obsolete or uncompetitive. 

Technological competition from pharmaceutical companies, biotechnology companies and universities is intense 
and is expected to increase. Many of the Company’s competitors and potential competitors have substantially 
greater  product  development  capabilities  and  financial,  scientific,  marketing  and  human  resources  than  the 
Company does. Our future success depends in part on our ability to maintain a competitive position, including 
our  ability  to  further  progress  MDNA55  and  MDNA109  through  the  necessary  pre-clinical  and  clinical  trials 
towards regulatory approval for sale and commercialization. Other companies may succeed in commercializing 
products earlier than we are able to commercialize our products or they may succeed in developing products 
that are more effective than our products. While the Company will seek to expand its technological capabilities 
in order to remain competitive, there can be no assurance that developments by others will not render its products 
non-competitive or that the Company or its licensors will be able to keep pace with technological developments. 
Competitors  have  developed  technologies  that  could  be  the  basis  for  competitive  products.  Some  of  those 
products may have an entirely different approach or means of accomplishing the desired therapeutic effect than 
the Company’s products and may be more effective or less costly than its products. In addition, other forms of 
medical treatment may offer competition to the products. The success of the Company’s competitors and their 
products and technologies relative to its technological capabilities and competitiveness could have a material 
adverse  effect  on  the  future  pre-clinical  and  clinical  trials  of  its  products,  including  its  ability  to  obtain  the 
necessary regulatory approvals for the conduct of such trials.  

23 

 
 
 
The Company relies and will continue to rely on third parties to plan, conduct and monitor preclinical studies and 
clinical trials, and their failure to perform as required could cause substantial harm to the Company’s business. 

The  Company  relies  and  will  continue  to  rely  on  third  parties  to  conduct  a  significant  portion  of  clinical 
development and planned preclinical 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 the Company’s relationship with third parties, or if the Company is unable to provide quality services in a timely 
manner and at a feasible cost, any active development programs could face delays. Further, if any of these third 
parties fails to perform as expected or if their work fails to meet regulatory requirements, testing could be delayed, 
cancelled or rendered ineffective. 

The Company relies on contract manufacturers over whom the Company has limited control. If the Company is 
subject to quality, cost or delivery issues with the preclinical and clinical grade materials supplied by contract 
manufacturers, business operations could suffer significant harm. 

The  Company  has  limited  manufacturing  experience  and  relies  on  contract  development  and  manufacturing 
organizations (“CDMOs”), to manufacture MDNA55 for clinical trials and MDNA109 for pre-clinical development.  
The Company relies on CDMOs for manufacturing, filling, packaging, storing and shipping of drug product in 
compliance with current good manufacturing practices (“cGMP”), regulations applicable to its 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. The Company currently has sufficient 
quantity of MDNA55 to complete the planned clinical studies. The Company plans to utilize CDMO’s which are 
licensed by both the FDA and EMA. 

There can be no assurances that the CDMOs selected will be able to meet future timetables and requirements. 
If  the  Company  is  unable  to  arrange  for  alternative  third-party  manufacturing  sources  on  commercially 
reasonable  terms  or  in  a  timely  manner,  it  may  delay  the  development  of  the  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. The Company’s dependence upon third parties for the manufacture of 
its  products  may  adversely  affect  profit  margins  and  ability  to  develop  and  deliver  products  on  a  timely  and 
competitive basis. 

The Company’s future success is dependent primarily on the regulatory approval of a single product. 

The  Company does  not  have  any  products  that  have  gained  regulatory  approval.  Currently,  its  only  clinical 
product candidate is MDNA55. As a result, the Company’s near-term prospects,  including  its ability  to  finance 
its operations and  generate  revenue,  are substantially dependent on its ability to  obtain regulatory approval 
for,  and,  if  approved,  to  successfully  commercialize  MDNA55  in  a  timely  manner.  The  Company  cannot 
commercialize MDNA55 or other future product candidates in the United States without first obtaining regulatory 
approval  for  the  product  from  the  FDA;  similarly,  it  cannot  commercialize  MDNA55  or  other  future  product 
candidates  outside  of  the  United  States  without  obtaining  regulatory  approval  from  comparable  foreign 
regulatory  authorities.  Although  MDNA55  has  received  Orphan  Drug  (FDA,  EMA)  and  Fast  Track  (FDA) 
designations,  there  can  be  no  assurance  regulatory  approval  will  be  granted.  Before  obtaining  regulatory 
approvals for  the  commercial  sale  of  MDNA55  or  other  future  product  candidates  for a  target  indication,  the 
Company must  demonstrate  with  substantial  evidence  gathered  in  pre-clinical  and  clinical  studies  to  the 
satisfaction  of  the  relevant regulatory authorities,  that  the product  candidate  is  safe  and  effective  for  use 
for  that  target  indication  and  that  the  manufacturing facilities, processes and controls are adequate. Many of 
these  factors  are  beyond  the  Company’s  control.  If  the  Company,  or  its  potential  commercialization 
collaborators,  are  unable  to  successfully  commercialize  MDNA55,  the  Company  may  not  be  able  to  earn 
sufficient revenues to continue its business. 

24 

 
 
 
 
 
 
 
MDNA55 is in the mid stages of clinical development and MDNA109 in pre-clinical development and, as a result, 
the Company will be unable to predict whether it will be able to profitably commercialize its product. 

The  Company  has  not  received  regulatory approval  for  the  sale of  MDNA55  in any  market. Accordingly,  the 
Company has not generated any revenues from product sales. A substantial commitment of resources to conduct 
clinical  trials  and  for  additional  product  development  will  be  required  to  commercialize  all  of  our  product 
candidates. There can be no assurance that MDNA55, MDNA109 or any of our other product candidates will 
meet applicable regulatory standards, be capable of being produced in commercial quantities at reasonable cost 
or  be  successfully  marketed,  or  that  the  investment  made  by  the  Company  in  the  commercialization  of  the 
products will be recovered through sales, license fees or related royalties. 

The  Company  will  be  subject  to  extensive  government  regulation  that  will  increase  the  cost  and  uncertainty 
associated with gaining final regulatory approval of its product candidates. 

Securing  final  regulatory approval  for the  manufacture  and  sale  of human  therapeutic  products  in the  United 
States,  Canada  and  other  markets  is  a  long and  costly  process  that  is  controlled  by  that  particular  country’s 
national regulatory agency. Approval in the United States, Canada, or Europe does not assure approval by other 
national  regulatory  agencies,  although  often  test  results  from  one  country  may  be  used  in  applications  for 
regulatory  approval  in  another  country.  Other  national  regulatory  agencies  have  similar  regulatory  approval 
processes, but each is different. 

Prior  to  obtaining final  regulatory  approval  to  market a drug  product,  every national  regulatory  agency  has a 
variety  of  statutes  and  regulations  which  govern  the  principal  development  activities.  These  laws  require 
controlled research and testing of products, government review and approval of a submission containing pre-
clinical  and  clinical  data  establishing  the  safety and efficacy of  the product  for each use sought, approval of 
manufacturing facilities including adherence to cGMP during production and storage and control of marketing 
activities,  including advertising and  labelling.  There  can be no  assurance  that  MDNA55  or  MDNA109  will  be 
successfully  commercialized  in  any  given  country.  There  can  be  no  assurance  that  the  Company’s  licensed 
products will prove to be safe and effective in clinical trials under the standards of the regulations in the various 
jurisdictions or receive applicable regulatory approvals from applicable regulatory bodies. 

Negative results from clinical trials or studies of third parties and adverse safety events involving the targets of 
the Company’s products may have an adverse impact on 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  the  Company’s  product 
candidates, or the therapeutic areas in which the Company’s product candidates compete, could adversely affect 
the share price and ability to finance future development of the Company’s product candidates, and the business 
and financial results could be materially and adversely affected. 

If the Company is unable to enroll subjects in clinical trials, it will be unable to complete these trials on a timely 
basis. 

Patient enrollment, a significant factor in the timing of clinical trials, is affected by many factors including  the  size 
and  nature  of  the  patient  population,  the  proximity  of  subjects  to  clinical  sites,  the eligibility  criteria  for  the 
trial,  the  design  of  the  clinical  trial,  ability  to  obtain  and  maintain  patient consents, risk that enrolled subjects 
will  drop  out  before  completion,  competing  clinical  trials  and  clinicians’  and  patients’  perceptions  as  to  the 
potential advantages of the drug being studied in relation to other  available  therapies,  including any  new  drugs 
that  may  be  approved  for  the  indications  the Company is investigating. Furthermore, the Company relies on 
Contract Research Organizations (“CROs”) and clinical trial sites to  ensure  the  proper  and  timely  conduct  of 
its  clinical  trials,  and  while  it has  agreements  governing their committed activities, the Company has limited 
influence over their actual performance. 

25 

 
 
 
 
 
If the Company experiences delays in the completion or termination of any clinical trial of its proposed products 
or any  future  product  candidates,  the  commercial  prospects of  its  product  candidates  will  be harmed  and its 
ability  to  generate  product  revenues  from  any  of  these  product  candidates  will  be  delayed.  In  addition,  any 
delays  in  completing  clinical  trials  will  increase  costs,  slow  down  product  candidate  development  and 
approval process  and  can  shorten any  periods  during  which  the  Company  may  have  the  exclusive  right  to 
commercialize  its  product  candidates  or  allow  its  competitors  to  bring  products  to market  before  it does.  
Delays can further jeopardize  the Company’s  ability  to  commence  product  sales,  which  will  impair  its ability 
to  generate  revenues  and  may  harm  the  business,  results  of  operations,  financial  condition  and cash flows 
and  future  prospects.    In  addition,  many  of  the  factors  that  can  cause  a  delay  in  the  commencement  or 
completion  of  clinical  trials  may  also  ultimately  lead  to  the  denial  of  regulatory approval of its proposed 
products or its future product candidates. 

The Company faces the risk of product liability claims, which could exceed its insurance coverage and produce 
recalls, each of which could deplete cash resources. 

The Company is exposed to the risk of product liability claims alleging that use of its product candidate MDNA55 
caused  an  injury  or  harm.  These  claims  can  arise  at  any  point  in  the  development,  testing,  manufacture, 
marketing or sale of product candidates and may be made directly by patients involved in clinical trials of product 
candidates,  by  consumers  or  healthcare  providers  or  by  individuals,  organizations  or  companies  selling  the 
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. Currently the Company maintains clinical trial liability 
insurance coverage of $5 million. However, there can be no assurance that such insurance coverage is or will 
continue to be adequate or available at a cost acceptable to the Company or at all. The Company may choose 
or find it necessary under its collaborative agreements to increase the insurance coverage in the future but 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  the  coverage,  require  payment  of  a  substantial  monetary  award  from  the  Company’s  cash 
resources  and  have  a  material  adverse  effect on  the  business,  financial  condition and  results  of operations. 
Moreover,  a  product  recall,  if  required,  could  generate  substantial  negative  publicity  about  the  products  and 
business,  inhibit or prevent  commercialization of other products and  product  candidates or negatively  impact 
existing or future collaborations. 

The Company may not achieve its publicly announced milestones according to schedule, or at all. 

From  time to  time,  the  Company  may  announce the  timing  of  certain events expected  to occur,  such  as  the 
anticipated timing of results from 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 ability to recruit patients in a clinical trial in a timely 
manner, the nature of results obtained during a clinical trial or during a research phase, problems with a CDMO 
or  a  CRO,  or  any  other  event  having  the  effect  of  delaying  the  publicly  announced  timeline.  The  Company 
undertakes  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 the business plan, financial condition 
or operating results and the trading price of the Common Shares. 

26 

 
 
 
 
 
 
 
Changes in government regulations, although beyond the Company’s control, could have an adverse effect on 
the Company’s business. 

The Company depends upon the validity of its licenses and access to the data for the timely completion of clinical 
research.  Any  changes  in  the  drug  development  regulatory  environment  or  shifts  in  political  attitudes  of  a 
government are beyond the Company’s control and may adversely affect its business. The Company’s business 
may also be affected in varying degrees by such factors as government regulations with respect to intellectual 
property, regulation or export controls. Such changes remain beyond the Company’s control and the effect of 
any such changes cannot be predicted. These factors could have a material adverse effect on the Company’s 
ability to further develop its licensed products. 

The Company’s significant shareholders may have material influence over its governance and operations. 

Dr. Fahar Merchant and Ms. Rosemina Merchant (collectively, the “Merchants”), hold a controlling interest in the 
Company’s  outstanding  Common  Shares  on  a  fully  diluted  basis.  For  as  long  as  the  Merchants  maintain  a 
significant  interest  in  the  Company,  they  may  be  in  a  position  to  affect  the  Company’s  governance  and 
operations.  In addition, the Merchants may have significant influence over the passage of any resolution of the 
Company’s  shareholders  (such  as  those  that  would be  required  to  amend  the  constating documents or  take 
certain other corporate actions) and may, for all practical purposes, be able to ensure the passage of any such 
resolution by voting for it or prevent the passage of any such resolution by voting against it.  The effect of this 
influence  may  be  to  limit  the  price  that  investors  are  willing  to  pay  for  the  Common  Shares.  In  addition,  the 
potential  that  The  Merchants  may  sell  their  Common  Shares  in  the  public  market  (commonly  referred  to  as 
“market overhang”), as well as any actual sales of such Common Shares in the public market, could adversely 
affect the market price of the Common Shares. 

The Company’s discovery and development processes involve use of hazardous and radioactive materials which 
may result in potential environmental exposure. 

The Company’s discovery and development processes involve the controlled use of hazardous and radioactive 
materials. The Company is subject to federal, provincial, state and local laws and regulations governing the use, 
manufacture,  storage,  handling  and  disposal  of  such  materials  and  certain  waste  products.  Although  the 
Company believes that the current safety procedures for handling and disposing of such materials comply with 
the standards prescribed by such laws and regulations, the risk of accidental contamination or injury from these 
materials cannot be completely eliminated. In the event of such an accident, the Company could be held liable 
for any damages that result and any such liability could exceed the Company’s resources. The Company is not 
specifically  insured  with  respect  to  this  liability.  Although  the  Company  believes  that  the  Company  is  in 
compliance in all material respects with applicable environmental laws and regulations and currently does not 
expect to make material capital expenditures for environmental control facilities in the near-term, there can be 
no assurance that the Company will not be required to incur significant costs to comply with environmental laws 
and regulations in the future, or that the operations, business or assets will not be materially adversely affected 
by current or future environmental laws or regulations. 

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

The Company plans to develop companion diagnostics for its therapeutic product candidates. It is expected that, 
at  least  in  some  cases,  regulatory  authorities  may  require  the  development  and  regulatory  approval  of  a 
companion diagnostic as a condition to approving a therapeutic product candidate. The Company has limited 
experience and capabilities in developing or commercializing diagnostics and plans to rely in large part on third 
parties to perform these functions. The Company does not currently have any agreement in place with any third 
party to develop or commercialize companion diagnostics for any of its therapeutic product candidates. 

27 

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

Significant  disruption  in  availability  of  key  components  for  ongoing  clinical  studies  could  considerably  delay 
completion of potential clinical trials, product testing and regulatory approval of potential product candidates.  

The Company relies on third parties to supply ingredients and excipients for the manufacture and formulation of 
its  drugs,  catheters  required  to  deliver  the drug  to  the brain as  well  as  imaging  software  to  accurately place 
catheters in the tumour (each, a “Component” and collectively the “Components”). Each of the suppliers of these 
Components  in  turn  need  to  comply  with  regulatory  requirements.  Any  significant  disruption  in  supplier 
relationships could harm the Company’s business. Any significant delay in the supply of a Component, for a 
potential ongoing clinical study could considerably delay completion of potential clinical trials, product testing 
and regulatory approval of potential product candidates. If the Company or its suppliers are unable to purchase 
these  Components  after  regulatory  approval  has  been  obtained  for  the  product  candidates,  or  the  suppliers 
decide not to manufacture these Components or provide support for any of the Components, clinical trials or the 
commercial launch of that product candidate would be delayed or there would be a shortage in supply, which 
would impair the ability to generate revenues from the sale of the product candidates. It may take several years 
to establish an alternative source of supply for such Components and to have any such new source approved 
by the FDA and other regulatory agencies. 

Risks Related To Intellectual Property And Litigation 

The Company’s success depends upon its ability to protect its intellectual property and its proprietary technology. 

The Company’s success depends, in part, on its ability and its licensors’ ability to obtain patents, maintain trade 
secrets protection and operate without infringing on the proprietary rights of third parties or having third parties 
circumvent its rights. Certain licensors and the institutions that they represent, and in certain cases, have filed 
and  are  actively  pursuing  certain  applications  for  Canadian  and  foreign  patents.  The  patent  position  of 
pharmaceutical  and  biotechnology  firms  is  uncertain  and  involves  complex  legal  and  financial  questions  for 
which, in some cases, certain important legal principles remain unresolved. There can be no assurance that the 
patent applications made in respect of the owned or licensed products will result in the issuance of patents, that 
the term of a patent will be extendable after it expires in due course, that the licensors or the institutions that they 
represent will develop additional proprietary products that are patentable, that any patent issued to the licensors 
or the Company will provide it with any competitive advantages, that the patents of others will not impede its 
ability to do business or that third parties will not be able to circumvent or successfully challenge the patents 
obtained in respect of the licensed products. The cost of obtaining and maintaining patents is high. Furthermore, 
there can be no assurance that others will not independently develop similar products which duplicate any of the 
licensed products or, if patents are issued, design around the patent for the product. There can be no assurance 
that the Company’s processes or products or those of its licensors do not or will not infringe upon the patents of 
third parties or that the scope of its patents or those of its licensors will successfully prevent third parties from 
developing similar and competitive products. 

Much of the Company’s know-how and technology may not be patentable, though it may constitute trade secrets. 
There can be no assurance, however, that the Company will be able to meaningfully protect its trade secrets. To 
help  protect  its  intellectual  property  rights  and  proprietary  technology,  the  Company  requires  employees, 
consultants, advisors and collaborators to enter into confidentiality agreements. There can be no assurance that 
these  agreements  will  provide  meaningful  protection  for  its  intellectual  property  rights  or  other  proprietary 
information in the event of any unauthorized use or disclosure. 

The Company’s potential involvement in intellectual property litigation could negatively affect its business. 

28 

 
 
Its future success and competitive position depends in part upon its ability to maintain the its intellectual property 
portfolio. There can be no assurance that any patents will be issued on any existing or future patent applications. 
Even if such patents are issued, there can be no assurance that any patents issued or licensed to the Company 
will not be challenged. The Company’s ability to establish and maintain a competitive position may be achieved 
in  part  by prosecuting  claims  against others  who  it  believes are  infringing  its  rights  and  by defending  claims 
brought by others who believe that the Company is infringing their rights. In addition, enforcement of its patents 
in foreign jurisdictions will depend on the legal procedures in those jurisdictions. Even if such claims are found 
to be invalid, the Company’s involvement in intellectual property litigation could have a material adverse effect 
on  its  ability  to out-license  any products  that are  the  subject  of such  litigation.  In addition,  its  involvement  in 
intellectual property litigation could result in significant expense, which could materially adversely affect the use 
or  licensing  of  related  intellectual  property  and  divert  the  efforts  of  its  valuable  technical  and  management 
personnel from their principal responsibilities, whether or not such litigation is resolved in its favour. 

The Company’s reliance on third parties requires it to share its trade secrets, which increases the possibility 
that a competitor will discover them.  

Because the Company relies on third parties to develop its products, it must share trade secrets with them. The 
Company seeks to protect its 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 its collaborators, advisors, employees and consultants prior to beginning research or 
disclosing proprietary information. These agreements typically restrict the ability of the Company’s collaborators, 
advisors, employees and consultants to publish data potentially relating to the Company’s trade secrets. The 
Company’s academic collaborators typically have rights to publish data, provided that the Company is notified 
in advance and may delay publication for a specified time in order to secure its intellectual property rights arising 
from the collaboration. In other cases, publication rights are controlled exclusively by the Company, although in 
some  cases  it  may  share  these  rights  with  other  parties.  The  Company  also  conducts  joint  research  and 
development programs which may require it to share trade secrets under the terms of research and development 
collaboration or similar agreements. Despite the Company’s efforts to protect its trade secrets, its competitors 
may  discover  its  trade  secrets,  either  through  breach  of  these  agreements,  independent  development  or 
publication of information including its trade secrets in cases where the Company does not have proprietary or 
otherwise protected rights at the time of publication. A competitor’s discovery of the Company’s trade secrets 
may  impair  its  competitive  position  and  could  have  a  material  adverse  effect  on  its  business  and  financial 
condition.  

Product liability claims are an inherent risk of the Company’s business, and if the Company’s clinical trial and 
product liability insurance prove inadequate, product liability claims may harm its business. 

Human therapeutic products involve an inherent risk of product liability claims and associated adverse publicity. 
There can be no assurance that the Company will be able to obtain or maintain product liability insurance on 
acceptable terms or with adequate coverage against potential liabilities. Such insurance is expensive, difficult to 
obtain  and  may  not  be  available  in  the  future  on  acceptable  terms,  or  at  all.  An  inability  to  obtain  sufficient 
insurance coverage on reasonable terms or to otherwise protect against potential product liability claims could 
have a material adverse effect on the Company’s business by preventing or inhibiting the commercialization of 
its  products,  licensed and owned,  if a  product  is withdrawn  or  a product  liability  claim  is brought against  the 
Company. 

Other Risks  

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

The market prices for securities of biotechnology companies, including ours, have historically been volatile. In 
the year ended March 31, 2019, our common shares traded on the TSX at a high of $2.30 and a low of $0.68 
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 
29 

 
 
 
 
proprietary rights, litigation and cash flow. Our quarterly losses may vary because of the timing of costs for clinical 
trials, manufacturing and preclinical studies. Also, the reporting of clinical data or the lack thereof, 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. 

Future  sales  or  issuances  of  equity  securities  or  the  conversion  of  securities  into  Common  Shares  could 
decrease the value of the Common Shares, dilute investors’ voting power, and reduce earnings per share. 

The Company 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 securities are converted into Common Shares, which may result in dilution.  

The  Company’s  board  of  directors  will  have  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 the Company will issue additional securities to provide such 
capital. 

Sales of substantial amounts of securities, or the availability of such securities for sale, as well as the issuance 
of  substantial  amounts  of  Common  Shares  upon  conversion  or  exchange  of  outstanding  convertible  or 
exchangeable securities, could adversely affect the prevailing market prices for securities and dilute investors’ 
earnings per share. A decline in the future market prices of the Company’s securities could impair its ability to 
raise additional capital through the sale of securities should it desire to do so. 

In  the  past,  following  periods  of  volatility  in  the  market  price  of  a  company’s  securities,  shareholders  have 
instituted class action securities litigation against those companies. Such litigation, if instituted, could result in 
substantial  costs  and  diversion  of  management  attention  and  resources,  which  could  significantly  harm  the 
Company’s profitability and reputation. 

The  market price  for  the  Common  Shares  may also be  affected  by  the  Company’s ability  to  meet  or  exceed 
expectations of analysts or investors. Any failure to meet these expectations, even if minor, may have a material 
adverse effect on the market price of the Common Shares.  

The Company is subject to foreign exchange risk relating to the relative value of the United States dollar.  

A  material  portion  of  the  Company’s  expenses  are  denominated  in  United  States  dollars.  As  a  result,  the 
Company is subject to foreign exchange risks relating to the relative value of the Canadian dollar as compared 
to the United States dollar. A decline in the Canadian dollar would result in an increase in the actual amount of 
its expenses and adversely impact financial performance.  

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

Effective internal controls are necessary to provide reliable financial reports and prevent fraud. If there is a failure 
to maintain an effective system of internal controls, the Company might not be able to report financial results 
accurately or prevent fraud; and in that case, shareholders could lose confidence in the Company’s financial 
reporting, which would harm the business and could negatively impact the price of the common shares. While 
the Company believes that it will have sufficient personnel and review procedures to maintain an effective system 
of internal controls, no assurance can be provided that potential material weaknesses in internal control could 
arise. Even  if  it  is  concluded  that the  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 IFRS, as issued by the International Accounting Standards Board (“IASB”), because 
30 

 
 
 
 
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 results of operations or cause a failure to meet future reporting obligations. 

Any future profits will likely be used for the continued growth of the business and products and will not be used 
to pay dividends on the issued and outstanding shares. 

The Company will not pay dividends on the issued and outstanding Common Shares in the foreseeable future. 
If the Company generates any future earnings, such cash resources will be retained to finance further growth 
and current operations. The board of directors will determine if and when dividends should be declared and paid 
in the future based on the Company’s financial position and other factors relevant at the particular time. Until the 
Company pays dividends, which it may never do, a shareholder will not be able to receive a return on his or her 
investment in the Common Shares unless such Common Shares are sold. In such event, a shareholder may 
only be able to sell his, her or its Common Shares at a price less than the price such shareholder originally paid 
for them, which could result in a significant loss of such shareholder’s investment. 

The Company may pursue other business opportunities in order to develop its business and/or products.  

From  time  to  time,  the  Company  may  pursue  opportunities  for  further  research  and  development  of  other 
products.  The  Company’s  success  in  these  activities  will  depend  on  its  ability  to  identify  suitable  technical 
experts, market needs, and effectively execute any such research and development opportunities. Any research 
and development would be accompanied by risks as a result of the use of business efforts and funds. In the 
event that the Company chooses to raise debt capital to finance any such research or development opportunities, 
its leverage will be increased. There can be no assurance that the Company would be successful in overcoming 
these risks or any other problems encountered in connection with any research or development opportunities.  

Generally,  a  litigation  risk  exists  for any  company  that  may  compromise  its  ability  to  conduct  the Company’s 
business. 

All industries are subject to legal claims, with and without merit. Defense and settlement costs can be substantial, 
even  with  respect  to  claims  that  have no  merit. Due  to  the  inherent  uncertainty  of  the  litigation process,  the 
resolution of any particular legal proceeding could have a material adverse effect on the Company’s business, 
prospects, financial condition and results of operations.  

The Company’s success depends on its ability to effectively manage its growth. 

The Company may be subject to growth-related risks including pressure on its internal systems and controls. 
The Company’s ability to manage its growth effectively will require the Company to continue to implement and 
improve its operational and financial systems and to expand, train and manage its employee base. Inability to 
deal  with  this  growth  could  have  a  material  adverse  impact  on  its  business,  operations  and  prospects.  The 
Company may experience growth in the number of its employees and the scope of its operating and financial 
systems, resulting in increased responsibilities for its personnel, the hiring of additional personnel and, in general, 
higher levels of operating expenses. In order to manage its current operations and any future growth effectively, 
the Company will also need to continue to implement and improve its operational, financial and management 
information systems and to hire, train, motivate, manage and retain its employees. There can be no assurance 
that the Company will be able to manage such growth effectively, that its management, personnel or systems 
will be adequate to support its operations or that the Company will be able to achieve the increased levels of 
revenue commensurate with the increased levels of operating expenses associated with this growth. 

The Company is likely a “passive foreign investment company,” which may have adverse United States federal 
income tax consequences for United States shareholders.  

United  States  investors  should  be  aware  that  the  Company  believes  it  was  classified  as  a  passive  foreign 
investment  company  (“PFIC”),  during  the  tax  years  ended  March  31,  2019  and  2018,  and  based  on  current 
business plans and financial expectations, the Company expects that it will be a PFIC for the current tax year 
and may be a PFIC in future tax years. If the Company is a PFIC for any year during a United States shareholder’s 
31 

 
 
 
holding period of the Common Shares, then such United States shareholder generally will be required to treat 
any gain realized upon a disposition of the Common Shares, or any so-called “excess distribution” received on 
the 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  (“QEF  Election”),  or  a 
“mark-to-market” election with respect to the Common Shares. A United States shareholder who makes a QEF 
Election  generally  must  report  on  a  current  basis  its  share  of  the  Company’s  net  capital  gain  and  ordinary 
earnings for any year in which the Company is a PFIC, whether or not the Company distribute any amounts to 
its shareholders. A United States 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 United States shareholder should consult its own tax advisors regarding the 
PFIC rules and the United States federal income tax consequences of the acquisition, ownership and disposition 
of the Common Shares. 

It may be difficult for non-Canadian investors to obtain and enforce judgments against the Company because 
of the Company’s Canadian incorporation and presence. 

The  Company  is  a  corporation  existing  under  the  laws  of  Canada.  Several  of  the  Company’s  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 the Company’s assets, are located outside the United States. Consequently, although 
the Company has appointed an agent for service of process in the United States, it may be difficult for holders 
of the Company’s 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  the  Company’s  securities  who  reside  in  the  United  States  to  realize  in  the  United  States  upon 
judgments of courts of the United States predicated upon the Company’s civil liability and the civil liability of the 
Company’s 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 
the  Company  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 the  Company  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. 

DISCLOSURE CONTROLS AND INTERNAL CONTROL OVER FINANCIAL REPORTING  

The Company has implemented a system of internal controls that it believes adequately protects the assets of 
the Company and is appropriate for the nature of its business and the size of its operations. The 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  the  Company  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 year ended March 31, 2019 
that  have  materially  affected,  or  are  reasonably  likely  to  materially  affect,  our  internal  control  over  financial 
reporting.  

32 

 
 
 
 
 
 
 
 
As of March 31, 2019, the Company’s management has 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. 

OTHER MD&A REQUIREMENTS 

Outstanding Share Data 

As at the date of this report, the Company has the following securities outstanding: 

Common Shares 
Warrants 
Stock Options 
Total 

Number 
28,802,792 
4,920,428 
3,325,000 
37,048,220 

For a detailed summary of the outstanding securities convertible into, exercisable or exchangeable for voting or 
equity securities of Medicenna as at March 31, 2019, refer to Notes, 8, 9 & 10 in the audited 2019 annual financial 
statements of the Company.  

Additional information relating to the Company, including the Company’s annual information form in respect of 
fiscal year 2019, is available under the Company’s profile on SEDAR at www.sedar.com. 

33 

 
 
 
 
 
 
 
 
 
 
Consolidated financial statements of 

Medicenna Therapeutics Corp. 

(Expressed in Canadian Dollars) 

For the years ended March 31, 2019 and 2018

 
 
 
 
 
 
 
 
 
 
 
INDEPENDENT AUDITOR’S REPORT 

To the Shareholders of 
Medicenna Therapeutics Corp. 

Opinion 

We  have  audited  the  accompanying  consolidated  financial  statements  of  Medicenna  Therapeutics  Corp.  (the  “Company”), 
which  comprise  the  consolidated  statements  of  financial  position  as  at  March  31,  2019  and  2018,  and  the  consolidated 
statements of operations, cash flows and changes in shareholders’ equity for the years then ended, and notes to the consolidated 
financial statements, including a summary of significant accounting policies.  

In  our  opinion,  these  consolidated  financial  statements  present  fairly,  in  all  material  respects,  the  financial  position  of  the 
Company as at March 31, 2019 and 2018, and its financial performance and its cash flows for the years then ended in accordance 
with International Financial Reporting Standards (“IFRS”). 

Basis for Opinion 

We conducted our audits in accordance with Canadian generally accepted auditing standards. Our responsibilities under those 
standards are further described in the Auditor's Responsibilities for the Audit of the Consolidated Financial Statements section 
of our report. We are independent of the Company in accordance with the ethical requirements that are relevant to our audit of 
the consolidated financial statements in Canada, and we have fulfilled our other ethical responsibilities in accordance with 
these requirements. We believe that the audit evidence we have obtained in our audits is sufficient and appropriate to provide 
a basis for our opinion. 

Material Uncertainty Related to Going Concern 

We draw attention to Note 2 of the consolidated financial statements, which describes matters and conditions that indicate the 
existence of a material uncertainty that may cast significant doubt on the Company’s ability to continue as a going concern. 
Our opinion is not modified in respect of this matter. 

Other Information 

Management is responsible for the other information. The other information obtained at the date of this auditor's report includes 
Management’s Discussion and Analysis and Annual Information Form. 

Our opinion on the consolidated financial statements does not cover the other information and we do not express any form of 
assurance conclusion thereon. 

In connection with our audit of the consolidated financial statements, our responsibility is to read the other information and, in 
doing so, consider whether the other information is materially inconsistent with the consolidated financial statements or our 
knowledge obtained in the audit, or otherwise appears to be materially misstated. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We obtained Management’s Discussion and Analysis and Annual Information Form prior to the date of this auditor’s report. 
If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are 
required to report that fact. We have nothing to report in this regard. 

Responsibilities of Management and Those Charged with Governance for the Consolidated Financial Statements 

Management is responsible for the preparation and fair presentation of the consolidated financial statements in accordance with 
IFRS, and for such internal control as management determines is necessary to enable the preparation of consolidated financial 
statements that are free from material misstatement, whether due to fraud or error. 

In preparing the consolidated financial statements, management is responsible for assessing the Company's ability to continue 
as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting 
unless management either intends to liquidate the Company or to cease operations, or has no realistic alternative but to do so. 

Those charged with governance are responsible for overseeing the Company's financial reporting process. 

Auditor's Responsibilities for the Audit of the Consolidated Financial Statements 

Our objectives are to obtain reasonable assurance about whether the consolidated financial statements as a whole are free from 
material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable 
assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with Canadian generally 
accepted auditing standards will always detect a material misstatement when it exists. Misstatements can arise from fraud or 
error  and  are  considered  material  if,  individually  or  in  the  aggregate,  they  could  reasonably  be  expected  to  influence  the 
economic decisions of users taken on the basis of these consolidated financial statements. 

As part of an audit in accordance with Canadian generally accepted auditing standards, we exercise professional judgment and 
maintain professional skepticism throughout the audit. We also: 

 

Identify and assess the risks of material misstatement of the consolidated financial statements, whether due to fraud 
or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and 
appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud 
is  higher  than  for  one  resulting  from  error,  as  fraud  may  involve  collusion,  forgery,  intentional  omissions, 
misrepresentations, or the override of internal control. 

  Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate 
in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal 
control. 

  Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related 

disclosures made by management. 

  Conclude on the appropriateness of management's use of the going concern basis of accounting and, based on the 
audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant 
doubt on the Company's ability to continue as a going concern. If we conclude that a material uncertainty exists, we 
are required to draw attention in our auditor's report to the related disclosures in the consolidated financial statements 
or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained 
up to the date of our auditor's report. However, future events or conditions may cause the Company to cease to continue 
as a going concern. 

  Evaluate  the  overall  presentation,  structure  and  content  of  the  consolidated  financial  statements,  including  the 
disclosures, and whether the consolidated financial statements represent the underlying transactions and events in a 
manner that achieves fair presentation. 

  Obtain sufficient appropriate audit evidence regarding the financial information of the entities or business activities 
within  the  Company  to  express  an  opinion  on  the  consolidated  financial  statements.  We  are  responsible  for  the 
direction, supervision and performance of the group audit. We remain solely responsible for our audit opinion.  

 
 
 
 
 
 
 
 
 
 
 
 
 
We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the 
audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit. 

We also provide those charged with governance with a statement that we have complied with relevant ethical requirements 
regarding independence, and to communicate with them all relationships and other matters that may reasonably be thought to 
bear on our independence, and where applicable, related safeguards. 

The engagement partner on the audit resulting in this independent auditor’s report is Grant P. Block. 

Vancouver, Canada 

June 24, 2019 

“DAVIDSON & COMPANY LLP” 

Chartered Professional Accountants 

 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp.
Consolidated Statements of Financial Position
(Expressed in Canadian Dollars)

March 31, 2019

March 31, 2018

$

$

2,370,976

258,423

2,444,285

32,539
5,106,223

81,205
-

3,938,734

187,108

-

160,716
4,286,558

86,152

1,872

5,187,428

4,374,582

2,396,439

2,396,439

174,432

2,570,871

1,875,786

1,875,786

336,971

2,212,757

16,615,648

8,633,395

157,165

14,302,195

5,790,341

150,909

(22,789,651)

(18,081,620)

2,616,557

5,187,428

2,161,825

4,374,582

as at 

Assets
Current assets

Cash 

Prepaids and deposits 

Government grant receivable (Note 11)

Other receivables 

Intangible assets (Note 12)

Fixed assets

Liabilities
Current liabilities

Accounts payable and accrued liabilities (Note 7)

License fee payable (Note 12)

Shareholders' Equity

Common shares (Note 8)

Contributed surplus (Notes 9 and 10)

Accumulated other comprehensive income

Deficit

Nature of business (Note 1)

Subsequent events (Note 16)

Approved by the Board

/s/ Albert Beraldo

Director

/s/ Chandra Panchal

Director

The accompanying notes are an integral part of these consolidated financial statements. 

1 

 
 
 
 
      
      
         
         
      
                
           
         
      
      
           
           
                
             
      
      
      
      
      
      
         
         
      
      
     
     
      
      
         
         
    
    
      
      
      
      
Medicenna Therapeutics Corp.
Consolidated Statements of Operations
(Expressed in Canadian Dollars)

Operating expenses

General and administration (Note 15)
Research and development (Note 15)

Year ended                

Year ended                

March 31, 
2019
$

1,709,286
3,017,997

March 31, 
2018
$

2,334,684
5,090,146

Total operating expenses

4,727,283

7,424,830

Interest income
Foreign exchange (gain) loss 

Net loss for the year
Cummulative translation adjustment
Comprehensive loss for the year

(102)
(19,150)
(19,252)

(4,708,031)
6,256
(4,701,775)

(3,291)
43,913
40,622

(7,465,452)
(63,321)
(7,528,773)

Basic and diluted loss per share for the year

(0.18)

(0.31)

Weighted average number of common shares 
outstanding (Note 8(c))

25,674,027

24,367,789

The accompanying notes are an integral part of these consolidated financial statements. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
           
           
           
           
           
           
                   
                
              
               
          
          
                 
              
          
          
                  
                  
         
         
Year ended
March 31, 
2019
$

Year ended
March 31, 
2018
$

(4,708,031)

(7,465,452)

Medicenna Therapeutics Corp.
Consolidated Statements of Cash Flows
(Expressed in Canadian Dollars)

Operating activities
Net loss for the year
Items not involving cash

Depreciation
Stock based compensation
R&D warrant expense
Government grant expense recoveries
Unrealized foreign exchange
Changes in non-cash working capital
Other receivables and deposits
Accounts payable and accrued liabilities

Investing activities

Long term license fee payable

Financing activities

Government grant received (Note 11)
Units issued for cash
Warrant and option exercises

Effect of foreign exchange on cash

Net increase (decrease) in cash 
Cash, beginning of year
Cash, end of year

Other non-cash transactions
Broker warrants issued
Warrants issued
Share issuance costs accrued through
accounts payable and accrued liabilities

The accompanying notes are an integral part of these consolidated financial statements. 

6,818
998,619
710,574
(5,646,227)
(82,419)

56,862
626,799
(8,037,005)

(354,458)
(354,458)

3,242,073
3,579,910
-
6,821,983

31,722

(1,567,758)
3,938,734
2,370,976

$                   
$              

91,000
1,042,861

$                 

102,596

9,704
1,617,032
947,432
(5,688,119)
3,612

(439)
451,878
(10,124,352)

(140,029)
(140,029)

-
-
469,393
469,393

(304,393)

(10,099,381)
14,038,115
3,938,734

-
-

-

3 

 
 
 
 
 
 
 
               
              
                      
                     
                   
               
                   
                  
               
              
                    
                     
               
            
                     
                 
               
            
                
             
                
               
Medicenna Therapeutics Corp.
Consolidated Statements of Changes in Shareholders' Equity
(Expressed in Canadian Dollars)

Balance, March 31, 2017

Stock based compensation 

Research and development w arrant amortization

Warrant and option exercises

Net loss and comprehensive loss

Balance, March 31, 2018

Stock based compensation 

Research and development w arrant amortization

Issued on financing (Note 8(b))

Net loss and comprehensive loss

Balance, March 31, 2019

 Common shares issued and 
outstanding 

 Contributed 
Surplus 

Number

Amount

$

24,313,334

13,463,734

-

-

264,803

-

-

-

838,461

-

$

3,594,945

1,617,032

947,432

(369,068)

-

24,578,137

14,302,195

5,790,341

-

-

-

-

998,619

710,574

4,000,000

2,313,453

1,133,861

-

-

-

28,578,137

16,615,648

8,633,395

 Accumulated 
other 
comprehensive 
income 

Deficit

 Total 
shareholders' 
equity  

$

214,230

$

$

(10,616,168)

6,656,741

-

-

-

-

-

-

1,617,032

947,432

469,393

(63,321)

150,909

(7,465,452)

(7,528,773)

(18,081,620)

2,161,825

-

-

-

-

-

-

998,619

710,574

3,447,314

6,256

157,165

(4,708,031)

(4,701,775)

(22,789,651)

2,616,557

The accompanying notes are an integral part of these consolidated financial statements.

                                   4 

 
 
                                                                                          
 
 
     
     
       
              
                
       
                      
                      
       
                          
                                  
       
                      
                      
          
                          
                                  
          
          
          
         
                          
                                  
          
                      
                      
                      
               
                  
     
     
     
       
              
                
       
                      
                      
          
                          
                                  
          
                      
                      
          
                          
                                  
          
       
       
       
                          
                                  
       
                      
                      
                      
                  
                  
     
     
     
       
              
                
       
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

1. 

Nature of business  

Medicenna Therapeutics Corp. (“Medicenna” or the "Company") was incorporated as A2 Acquisition Corp. 
(“A2”) under the Alberta Business Corporations Act on February 2, 2015 and was classified as a Capital 
Pool Corporation ("CPC") as defined in Policy 2.4 of the TSX Venture Exchange Inc. (the "Exchange") 
Corporate  Finance  Manual.  On  March  1,  2017,  the  Company  completed  a  qualifying  transaction  with 
Medicenna  Therapeutics  Inc.  (“MTI.”)  and  the  name  of  the  Company  was  changed  to  Medicenna 
Therapeutics Corp. (the “Transaction”).  MTI has been identified for accounting purposes as the acquirer, 
and accordingly the entity is considered to be a continuation of MTI and the net assets of A2 at the date 
of the Transaction are deemed to have been acquired by MTI. These consolidated financial statements 
include  the  results  of  operations  of  Medicenna  from  March  1,  2017.  On  August  2,  2017  Medicenna 
graduated  to  the  main  board  of  the  Toronto  Stock  Exchange.  On  November  13,  2017,  Medicenna 
continued under the Canadian Business Corporations Act. 

Medicenna has three wholly owned subsidiaries, Medicenna Therapeutics Inc. (“MTI”) (British Columbia), 
Medicenna  Biopharma  Inc.  (“MBI”)  (Delaware)  and  Medicenna  Biopharma  Inc.  (“MBIBC”).  (British 
Columbia). 

The  Company's  principal  business  activity  is  the  development  and  commercialization  of  Empowered 
Cytokines and Superkines for the treatment of cancer. 

As at March 31, 2019, the head office is located at 2 Bloor St W, 7th Floor, Toronto, Ontario, Canada, and 
the registered office is located at 181 Bay Street, Suite 2100, Toronto, Ontario, Canada. 

2. 

Significant accounting policies 

a)  Basis of Measurement and statement of compliance 

These  consolidated  financial  statements  have  been  prepared  in  accordance  with  International 
Financial Reporting Standards (“IFRS”) as issued by the International Accounting Standards Board 
(“IASB”) and the Interpretations of the International Financial Reporting and Interpretations Committee 
(“IFRIC”). 

The consolidated financial statements have been prepared on a historical cost basis except for certain 
financial assets measured at fair value. In addition, these consolidated financial statements have been 
prepared using the accrual basis of accounting, except for cash flow information. 

The  functional  currency  of  an  entity  and  its  subsidiary  is  the  currency  of  the  primary  economic 
environment in which the entity operates. The functional currency of the parent company, MTI and 
MBIMC is the Canadian dollar and the functional currency of MBI is the US dollar and the presentation 
currency of the Company is the Canadian dollar. 

The  consolidated  financial  statements  were  approved  by  the  Company’s  Board  of  Directors  and 
authorized for issue on June 24, 2019. 

b)  Going Concern 

These  consolidated financial  statements  have  been  prepared  in  accordance  with  IFRS  accounting 
principles applicable to a going concern using the historical cost basis. 

Management has forecasted that the Company’s current level of cash will not be sufficient to execute 
its current planned expenditures for the next 12 months without further financing being obtained.  The 
Company is currently in discussion with several potential investors and partners to provide additional 
funding.  Management believes that it will complete one or more of these arrangements in sufficient 
time to continue to execute its planned expenditures.  However, there can be no assurance that the 
capital  will  be  available  as  necessary  to  meet  these  continuing  expenditures,  or  if  the  capital  is 
available, that it will be on terms acceptable to the Company.  The issuance of common shares by the 
Company could result in significant dilution in the equity interest of existing shareholders.  There can 
be no assurance that the Company will be able to obtain sufficient financing to meet future operational 
needs which may result in the delay, reduction or discontinuation of ongoing development programs.  

5 

 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

2. 

Significant accounting policies cont’d 

As a result, there is a substantial doubt as to whether the Company will be able to continue as a going 
concern and realize its assets and pay its liabilities as they fall due. 

These  consolidated  financial  statements  do  not  reflect  the  adjustments  that  would  be  necessary 
should the Company be unable to continue as a going concern and therefore be required to realize 
its assets and settle its liabilities and commitments in other than the normal course of business and 
at  amounts  different  from  those  in  the  accompanying  consolidated  financial  statements.    Such 
amounts could be material. 

c)  Principles of Consolidation  

These consolidated financial statements include the accounts of the Company and its wholly-owned 
Subsidiaries  MTI,  MBI  and  MBIBC  (British  Columbia,  Inactive).  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. 

d)  Foreign currency 

Transactions in foreign currencies are translated to the functional currency at the rate on the date of 
the transactions. Monetary assets and liabilities denominated in foreign currencies are retranslated at 
the spot rate of exchange as at the reporting date.  All differences are taken to profit or loss. Non-
monetary items that are measured in terms of historical cost in a foreign currency are translated using 
the exchange rate as at the date of the initial transaction. Non-monetary items measured at fair value 
in  a  foreign  currency  are  translated  using  the  exchange  rate  at  the  date  when  the  fair  value  was 
determined. 

On translation of the entities whose functional currency is other than the Canadian dollar, revenues 
and expense are translated at the exchange rates approximately those in effect on the date of the 
transactions.  Assets and liabilities are translated at the spot rate of exchange as at the reporting date.  
Exchange gains and losses, including results of retranslation, are recorded in other comprehensive 
income. 

e)  Cash 

Cash consists of amounts held in banks with maturities less than three months at inception. Interest 
from cash is recorded on an accrual basis. The Company does not have any cash equivalents. 

f)  Research and development costs 

Expenditures on research and development activities, undertaken with the prospect of gaining new 
scientific  or  technical  knowledge  and  understanding,  are  recognized  in  profit  or  loss  as  incurred. 
Investment tax credits related to current expenditures are included in the determination of net income 
as the expenditures are incurred when there is reasonable assurance they will be realized. 

Development activities involve a plan or design for the production of new or substantially improved 
products and processes. Development expenditures are capitalized only if development costs can be 
measured reliably, the product or process is technically and commercially feasible, future economic 
benefits  are  probable,  and  the  Company  intends  to  and  has  sufficient  resources  to  complete 
development and to use or sell the asset. These criteria will be deemed by the Company to have been 
met when revenue is received by the Company and a determination that it has sufficient resources to 
market and sell its product offerings. Upon a determination that the criteria to capitalize development 
expenditures have been met, the expenditures capitalized will include the cost of materials, direct  

6 

 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

2. 

Significant accounting policies cont’d 

labour and overhead costs that are directly attributable to preparing the asset for its intended use. 
Other development expenditures will be expensed as incurred. 

Capitalized development expenditures will be measured at cost less accumulated amortization and 
accumulated impairment losses. No development costs have been capitalized to date. 

g)  Government assistance  

Government  grants,  including  grants  from  similar  bodies,  consisting  of  investment  tax  credits  are 
recorded as a reduction of the related expense or cost of the asset acquired. Government grants are 
recognized when there is reasonable assurance that the Company has met the requirements of the 
approved grant program and there is reasonable assurance that the grant will be received. 

Research grants that compensate the Company for expenses incurred are recognized in profit, or loss 
in reduction thereof on a systematic basis in the same years in which the expenses are recognized.  

Grants that compensate the Company for the cost of an asset are recognized in profit or loss on a 
systematic basis over the useful life of the asset. 

h) 

Intangible assets 

The Company owns certain patents, intellectual property licenses and options to acquire intellectual 
property. The Company expenses patent costs, including license fees and other maintenance costs, 
until such time as the Company has certainty over the future recoverability of the intellectual property 
at which time it capitalizes the costs incurred. The Company capitalizes costs directly related to the 
acquisition of existing license patents. 

The Company does not hold any intangible asset with an indefinite life. 

Intangible  assets  with  finite  lives  are  amortized  over  the  useful  economic  life  and  assessed  for 
impairment  whenever  there  is  an  indication  that  the  intangible  asset  may  be  impaired.  The 
amortization method and amortization period of an intangible asset with a finite life is reviewed at least 
annually.  Changes  in  the  expected  useful  life  or  the  expected  pattern  of  consumption  of  future 
economic  benefits  embodied  in  the  asset  is  accounted  for  by  changing  the  amortization  period  or 
method,  as  appropriate,  and  are  treated  as  changes  in  accounting  estimates.  The  amortization 
expense on intangible assets with finite lives is recognized in general and administrative expenses. 

Amortization is recognized in profit or loss on a straight-line basis over the estimated useful lives of 
intangible assets from the date they are available for use to August 31, 2035. 

i) 

Income taxes 

Current tax and deferred tax are recognized in the Company’s profit and loss, except to the extent 
that  it  relates  to  a  business  combination  or  items  recognized  directly  in  equity  or  in  net  loss  and 
comprehensive loss. 

Current income taxes are recognized for the estimated taxes payable or receivable on taxable income 
or loss for the current year and any adjustment to income taxes payable in respect of previous years. 
Current  income  taxes  are  determined  using  tax  rates  and  tax  laws  that  have  been  enacted  or 
substantively enacted by the period end date. 

Deferred tax assets and liabilities are recognized where the carrying amount of an asset or liability 
differs from its tax base, except for taxable temporary differences arising on the initial recognition of 
goodwill and temporary differences arising on the initial recognition of an asset or liability in a  

7 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

2. 

Significant accounting policies cont’d 

transaction  which  is  not  a  business  combination  and  at  the  time  of  the  transaction  affects  neither 
accounting nor taxable profit or loss. 

Recognition  of  deferred  tax  assets  for  unused  tax  losses,  tax  credits  and  deductible  temporary 
differences  is  restricted  to  those  instances  where  it  is  probable  that  future  taxable  profit  will  be 
available against which the deferred tax assets can be utilized. At the end of each reporting period, 
the Company reassesses unrecognized deferred tax assets. The Company recognizes a previously 
unrecognized deferred tax asset to the extent that it has been probable that future taxable profit will 
allow the deferred tax asset to be recovered. 

j)  Basic and diluted loss per common share 

Basic  loss  per  share  is  computed  by  dividing  the  loss  available  to  common  shareholders  by  the 
weighted average number of common shares outstanding during the year. The computation of diluted 
earnings per share assumes the conversion, exercise or contingent issuance of securities only when  
such conversion, exercise or issuance would have a dilutive effect on earnings per share. The dilutive 
effect  of  convertible  securities  is  reflected  in  diluted  earnings  per  share  by  application  of  the  “if 
converted” method. The dilutive effect of outstanding options and warrants and their equivalents is 
reflected in diluted earnings per share. Since the Company has losses, the exercise of outstanding 
options has not been included in this calculation as it would be anti-dilutive. 

k)  Equipment  

The Company’s fixed assets comprise of computer equipment for use in general and administrative  
and research activities. 

Depreciation is recognized using the straight-line method based on an expected life of the assets 

Computer equipment 

2 years 

Impairment of long-lived assets: 

The Company’s long-lived assets are reviewed for indications of impairment at the date of preparing 
each statement of financial position. If indication of impairment exists, the asset’s recoverable amount 
is estimated. 

An impairment loss is recognized when the carrying value of an asset, or its cash-generating unit, 
exceeds its recoverable amount. A cash-generating unit is the smallest identifiable group of assets 
that generates cash inflows that are largely independent of cash inflows from other assets or groups 
of assets. For the purpose of impairment testing, the Company determined it has one cash-generating 
unit. The recoverable amount is the greater of the asset’s fair value less cost to sell and value in use. 

l)  Stock-based compensation 

The  Company  has  a  stock-based  compensation  plan  (the  "Plan")  available  to  officers,  directors, 
employees  and  consultants  with  grants  under  the  Plan  approved  by  the  Company's  Board  of 
Directors. Under the Plan, the exercise price of each option equals the closing trading price of the 
Company's  stock  on  the  day  prior  to  the  grant  or  a  higher  price  as  determined  by  the  Board  of 
Directors.  Vesting  is  provided  for  at  the  discretion  of  the  Board  of  Directors  and  the  expiration  of 
options is to be not greater than 10 years from the date of grant. The Company uses the fair value-
based method of accounting for employee awards granted under the Plan. The Company calculates 
the fair value of each stock option grant using the Black Scholes option pricing model at the grant 
date. The stock-based compensation cost of the options is recognized as stock-based compensation 
8 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

2. 

Significant accounting policies cont’d 

expense  over  the  relevant  vesting  period  of  the  stock  options  using  an  estimate  of  the  number  of 
options that will eventually vest. 

Stock options awarded to non-employees are accounted for at the fair value of the goods received or 
the services rendered. The fair value is measured at the date the Company obtains the goods or the 
date the counterparty renders the service. If the fair value of the goods or services cannot be reliably 
measured, the fair value of the options granted will be used. 

m)  Share Capital 

Common  shares  are  classified  as  equity.  Incremental  costs  directly  attributable  to  the  issue  of 
common shares are recognized as a reduction of equity.  

The Corporation has adopted a relative fair value method with respect to the measurement of shares 
and warrants issued as private placement units. The relative fair value method allocates value to each 
component on a pro-rata basis, based on the fair value of the components calculated independently 
of one another. The Company measures the fair value of the warrant component of the unit using the 
Black-Scholes  option  pricing  model.  The  unit  value  is  then  allocated,  pro-rata,  between  the  two 
components, with the fair value attributed to the warrants being recorded to contributed surplus. 

n)  Financial Instruments 

Financial assets and liabilities are recognized when the Company becomes a party to the contractual 
provisions of the instrument. Financial assets are derecognized when the rights to receive cash flows 
from the assets have expired or have been transferred and the Company has transferred substantially 
all risks and rewards of ownership. 

Financial assets and liabilities are offset and the net amount is reported in the consolidated statement 
of financial position when there is a legally enforceable right to offset the recognized amounts and 
there is an intention to settle on a net basis, or realize the asset and settle the liability simultaneously.  

The  Company  recognizes  financial  instruments  based  on  their  classification.  Depending  on  the 
financial instruments’ classification, changes in subsequent measurements are recognized in net loss 
and comprehensive loss.  

The Company has implemented the following classifications:  

•  Cash  and  cash  equivalents,  government  grant  receivable  and  amounts  receivable  are 
classified  as  amortized  cost  (previously  loans  and  receivables).  After  their initial fair value 
measurement, they are measured at amortized cost using the effective interest method; and  

•  Accounts payable and accrued liabilities are classified as other amortized cost (previously 
financial liabilities). After their initial fair value measurement, they are measured at amortized 
cost using the effective interest method.  

Impairment of financial assets  

The Company applies the simplified method of the expected credit loss model required under IFRS 
9. Under this method, the Company estimates a lifetime expected loss allowance for all receivables. 
Receivables are written off when there is no reasonable expectation of recovery.  

If there is objective evidence that an impairment loss has been incurred, the amount of the loss is 
measured as the difference between the asset’s carrying amount and the present value of estimated 
future cash flows. The present value of the estimated future cash flows is discounted at the financial 
asset’s original effective interest rate.  

9 

 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

2. 

Significant accounting policies cont’d 

o)  Employee benefits 

Short-term employee benefit obligations are measured on an undiscounted basis and are expensed 
as the related service is provided. A liability is recognized for the amount expected to be paid in short-
term  cash  bonuses  if  the  Company  expects  to  pay  these  amounts  as  approved  by  the  Board  of 
Directors as a result of past services provided by the employee and the obligation can be estimated 
reliably. 

p)  Provisions 

A  provision  is  recognized  if,  as  a  result  of  a  past  event,  the  Company  has  a  present  legal  or 
constructive obligation that can be estimated reliably, and it is probable that an outflow of economic 
benefits will be required to settle the obligation. Provisions are assessed by discounting the expected 
future cash flows at a pre-tax rate that reflects current market assessments of the time value of money  
and  the  risks  specific  to  the  liability.  The  unwinding  of  the  discount  on  provisions  is  recognized  in 
finance costs. A provision for onerous contracts is recognized when the unavoidable costs of meeting 
the obligations under the contract exceed the economic benefits expected to be received under it. The 
provision is measured at the present value of the lower of the expected cost of terminating the contract 
and the expected net cost of continuing with the contract. 

3. 

Key sources of estimation uncertainty 

The  preparation  of  consolidated  financial  statements  requires  management  to  make  estimates  and 
assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets 
and liabilities at the date of the consolidated financial statements and the reported amounts of revenue 
and expenses during the reporting period. Actual results could differ from those estimates. Estimates and 
underlying  assumptions  are  reviewed  on  an  ongoing  basis.  Revisions  to  accounting  estimates  are 
accounted for prospectively. 

The key sources of estimation uncertainty that have a significant risk of causing material adjustment to 
the carrying amounts of assets and liabilities are discussed below: 

Deferred taxes 

The determination of deferred income tax assets or liabilities requires subjective assumptions regarding 
future income tax rates and the likelihood of utilizing tax carry-forwards. Changes in these assumptions 
could materially affect the recorded amounts, and therefore do not necessarily provide certainty as to their 
recorded values. 

Valuation of stock-based compensation and warrants 

Management measures the costs for stock-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 stock-based compensation 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. 

Functional currency 

Management  considers  the  determination  of  the  functional  currency  of  the  Company  a  significant 
judgment.  Management has used its judgment to determine the functional currency that  most faithfully 
represents the economic effects of the underlying transactions, events and conditions and considered  

10 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

3. 

Key sources of estimation uncertainty cont’d 

various factors including the currency of historical and future expenditures and the currency in which funds 
from financing activities are generated. A Company’s functional currency is only changed when there is a 
material change in the underlying transactions, events and conditions. 

4. 

Accounting standards 

The following IFRS pronouncement has been adopted during 2019: 

The  Company  has  adopted  new  accounting  standard  IFRS  9  -  Financial  Instruments,  effective  for  the 
Company’s annual period beginning April 1, 2018. The adoption of IFRS 9 did not result in any changes 
to the classification, measurement or carrying amounts of the Company’s existing financial instruments 
on transition date.  

The new standard brings together the classification and measurement, impairment and hedge accounting 
phases of the IASB’s project to replace IAS 39 - Financial instruments: recognition and measurement. The 
standard retains but simplifies the mixed measurement model and establishes two primary measurement 
categories for financial assets: amortized cost and fair value.  

The Company continues to classify and measure its cash at fair value through profit or loss with changes 
in fair value recognized in profit or loss as they arise (“FVTPL”).  Other receivables and government grant 
receivables are classified initially at FVTPL, and subsequently at amortized cost using the effective interest 
rate method. Accounts payable and accrued liabilities are classified and measured as financial liabilities, 
initially at FVTPL, and subsequently at amortized cost using the effective interest rate method. 

The following IFRS pronouncements have been issued but are not yet effective: 

IFRS 16, Leases.  In January 2016 the IASB issued IFRS 16 Leases (“IFRS 16”) which requires lessees 
to  recognize  assets  and  liabilities  for  most  leases  on  their  statements  of  financial  position.  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 does not have any leases with a term greater than one year and 
has determined that the adoption of IFRS16 will not impact the financial statements on April 1, 2019. 

5.     Capital disclosures 

The Company’s objectives, when managing capital, are to safeguard cash as well as maintain financial 
liquidity and flexibility in order to preserve its ability to meet financial obligations and deploy capital to grow 
its businesses.  

The Company’s financial strategy is designed to maintain a flexible capital structure consistent with the 
objectives  stated  above  and  to  respond  to  business  growth  opportunities  and  changes  in  economic 
conditions. In order to maintain or adjust its capital structure, the Company may issue shares or issue debt 
(secured, unsecured, convertible and/or other types of available debt instruments). 

There were no changes to the Company’s capital management policy during the year.  The Company is 
not subject to any externally imposed capital requirements. 

6.     Financial risk management 

(a)  Fair value 

The Company’s financial instruments recognized on the consolidated statements of financial position 
consist of cash, government grant receivable, other receivables, and accounts payable and accrued 
liabilities. The fair value of these instruments, approximate their carrying  values due to their short-
term maturity. 

Classification of financial instruments 

Financial instruments measured at fair value on the statement of financial position are summarized 
into the following fair value hierarchy levels: 

11 

 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

6.    

Financial risk management cont’d 

Level 1: quoted prices (unadjusted) in active markets for identical assets or liabilities. 

Level 2: inputs other than quoted prices included within Level 1 that are observable for the asset 
or liability 

Level  3:  inputs  for  the  asset  or  liability  that  are  not  based  on  observable  market  data 
(unobservable inputs). 

The  Company  classifies  its financial  assets  and  liabilities  depending  on  the  purpose  for  which  the 
financial instruments were acquired, their characteristics, and management intent as outlined below: 

Cash is measured using Level 1 inputs and changes in fair value are recognized through profit or loss, 
with changes in fair value being recorded in net earnings at each period end. 

Other receivables are measured at amortized cost less impairments. 

Accounts  payable  and  accrued  liabilities,  deferred  government  grants  and  license fee  payable  are 
measured at amortized cost. 

The Company has exposure to the following risks from its use of financial instruments: credit, interest 
rate, currency and liquidity risk. The Company reviews its risk management framework on a quarterly 
basis and makes adjustments as necessary. 

(b)  Credit risk 

Credit risk arises from the potential that a counterparty will fail to perform its obligations. The financial 
instruments that are exposed to concentrations of credit risk consist of cash and cash equivalents. 

The Company manages credit risk associated with its cash by maintaining minimum standards of R1-
med or A-high investments and the Company invests only in highly rated Canadian corporations which 
are capable of prompt liquidation. 

(c)  Interest rate risk 

Interest rate risk is the risk that the fair values and future cash flows of the Company will fluctuate 
because of changes in market interest rates. The Company believes that its exposure to interest rate 
risk is not significant. 

(d)  Liquidity risk 

Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they fall 
due. The Company currently settles all of its financial obligations out of cash. The ability to do so relies 
on the Company maintaining sufficient cash in excess of anticipated needs (refer to Note 2 (b)). As at 
March 31, 2019, the Company’s liabilities consist of accounts payable and accrued liabilities that have 
contracted maturities of less than one year. 

(e)  Currency risk 

Currency  risk  is  the  risk  that  future  cash  flows  of  a  financial  instrument  will  fluctuate  because  of 
changes in foreign exchange rates. The Company is exposed to currency risk from employee costs 
as well as the purchase of goods and services primarily in the United States and cash balances held 
in foreign currencies. Fluctuations in the US dollar exchange rate could have a significant impact on 
the  Company’s  results.  Assuming  all  other  variables  remain  constant,  a  10%  depreciation  or 
appreciation of the Canadian dollar against the US dollar would result in an increase or decrease in 
loss  and  comprehensive  loss  for  the  year  ended  March  31,  2019  of  $69,305  (March  31,  2018  - 
$88,000).  

12 

 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

6.    

Financial risk management cont’d 

Balances in US dollars are as follows: 

 Cash  
 Accounts payable and accrued liabilities 
 Deferred government grant receivable (note 11) 

7.  

Accounts payable and accrued liabilities 

 Trade payables 

 Accrued liabilities 

8.  

Share capital 

Authorized 

Unlimited common shares 

a)  MTI Shareholders 

March 31, 2019 
$ 
118,440  

 (1,430,518)    
1,831,337 
519,259  

 March 31, 2018  
$ 
2,115,262  
(1,429,909)  
-  
685,353  

March 31, 2019 

March 31, 2018  

$ 

802,025  

1,594,414    

2,396,439  

$ 

877,300  

998,486  

1,875,786  

On March 1, 2017, the company completed the Transaction resulting in the issuance of 16,249,999 
common shares to the former shareholders of MTI. 

b)  Equity Issuances 

Year ended March 31, 2018 

During the year ended March 31, 2018, 164,447 warrants and 100,356 options were exercised for 
cash proceeds of $469,393.  In addition to the cash proceeds received, the original fair value related 
to these warrants and options of $369,068 was transferred from contributed surplus to share capital. 
This resulted in a total amount of $838,461 credited to share capital. 

Year ended March 31, 2019 

On December 21, 2018, the Company closed a short-form prospectus offering of 4,000,000 units for 
gross proceeds of $4,000,000. Each unit consisted of one common share of the Company and one-
half  common  share  purchase  warrant  of  the  Company.  Each  full  warrant  entitles  the  holder  to 
purchase one common share, for five years after the closing of the offering, at an exercise price of 
$1.20 per common share.  The Company issued 4,000,000 common shares, 2,000,000 warrants and 
280,000 broker warrants in connection with this transaction.  

The total costs associated with the transaction were approximately $643,686, including the $91,000 
which  represented  the  fair  value  of  the  brokers'  services  provided  as  part  of  the  offering  and 
compensated by warrants. Each such broker warrant is exercisable for one common share at a price 
of $1.20 per share for a period of 24 months following the closing of the Offering. The Company has 
allocated the net proceeds of the offering to the common shares and the common share purchase  

13 

 
 
 
 
  
 
  
 
  
 
  
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

8.  

Share capital cont’d 

warrants based on their estimated relative fair values. Based on relative fair values, $2,404,453 of the 
net proceeds were allocated to the common shares and $1,042,861 to the common share purchase 
warrants. 

c)  Calculation of loss per share 

Loss per common share is calculated using the weighted average number of common shares 
outstanding.  For years ended March 31, 2019 and 2018 the calculation was as follows: 

Common shares issued and outstanding, beginning of year  

 24,578,137  

24,313,334 

Effect of warrants and options exercised 

Common shares issued during the year (Note 8(b)) 

Weighted average shares outstanding, end of year  

Common shares issued and outstanding, end of year 

-  

54,455 

1,095,890 

- 

25,674,027 

24,367,789 

  28,578,137 

24,578,137 

2019 

2018 

The effect of any potential exercise of the Company's stock options and warrants outstanding during  
the period has been excluded from the calculation of diluted loss per common share as it would be anti- 
dilutive. 

9.     Warrants 

Year ended March 31, 2018 

There were no warrants issued in the year ending March 31, 2018. 

Year ended March 31, 2019 

As  part  of  the  short-form  prospectus  offering  closed  on  December  21,  2018,  2,000,000  warrants  and 
280,000 broker warrants were issued, exercisable at $1.20 per share at any time up to December 21, 2023 
and with a fair value of $746,000 and $91,000 respectively.  

Warrant continuity: 

Balance outstanding at March 31, 2017 

Warrants exercised during the year 

Warrants expired during the year 

Balance outstanding at March 31, 2018  

Warrants expired during the period 

Common share purchase warrants issued in the financing (Note 8(b)) 

Broker warrants issued in the financing (Note 8(b)) 

Balance outstanding and exercisable at March 31, 2019 

Number of 
Warrants 
3,294,105 

(164,447) 

(55,616) 

 3,074,042  

(208,959) 

2,000,000 

280,000 

5,145,083 

Weighted average 
exercise price 
$ 2.00 

2.00 

2.00 

$ 2.00  

2.00 

1.20 

1.20 

$ 1.65 

As at March 31, 2019, the incentive warrants issued on January 1, 2017 have been fully amortized and a 
total  of  $1,894,860  has  been  recognized  in  contributed  surplus  representing  the  fair  value  of  these 
warrants.  During the year ended March 31, 2019, the Company recognized $710,574 to research and 
development warrant expense (2018 - $947,430). 

14 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

9.     Warrants cont’d 

At  March  31,  2019,  warrants  were  outstanding  and  exercisable,  enabling  holders  to  acquire  common 
shares as follows: 

Number of 
Warrants 

Exercise 
Price  

Expiry Date 

1,379,083 
1,288,000 
198,000 
280,000 
2,000,000 
5,145,083 

$ 
 2.00  
 2.00  
 2.00  
1.20 
1.20 

January 1, 2021 
March 1, 2021 
April 5, 2021 
December 21, 2020 
December 21, 2023 

10.   Stock options 

Year ended March 31, 2018 

On September 21, 2017 the shareholders of the Company voted in favour of a new stock option plan 
compliant with the policies of the Toronto Stock Exchange governing options which may be granted to 
directors, officers, employees and consultants of the Company to purchase up to a maximum of 15% of 
the total number of outstanding common shares, estimated at 4,286,000 options as at March 31, 2019. 
Options are granted at the fair market value of the common shares on the closing trading price of the 
Company’s stock on the day prior to the grant if the grant is made during the trading day or the closing 
trading price on the day of grant if the grant is issued after markets have closed or at a higher price at the 
discretion of the Board of Directors. Options vest at various rates (immediate to three years) and have a 
maximum term of 10 years. 

During the year ended March 31, 2018 the Company granted 700,000 stock options exercisable at $2.01 
per share, 200,000 stock options exercisable at $2.88 per share, 125,000 stock options exercisable at 
$2.00 per share and 125,000 options exercisable at $2.40 per share.  950,000 stock options vest 50% 
after one year, 25% after two years and 25% after three years and have a ten-year life.  200,000 stock 
options vest 50% on issuance and 50% after one year, and have a five year life. 

Year ended March 31, 2019 

During the year ended March 31, 2019 the Company granted 200,000 stock options exercisable at $1.09 
per share, with a 5-year life. The options vested 25% on issue on September 1, 2018, 25% on December 
1, 2018, 25% on March 1, 2019 and 25% on June 1, 2019.  The Company granted an additional 1,175,000 
options  on  February  14,  2019  at  an  exercise  price  of  $1.00.    200,000  of  these  options  vested  50% 
immediately and 50% will vest on February 14, 2020.  These options have a 5-year life.  The remaining 
975,000 options vest 50% after one year, 25% after two years and 25% after three years and have a ten-
year life.   

15 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

10.   Stock options cont’d 

Stock option transactions for the years ended March 31, 2018 and 2019 are set forth below: 

Balance outstanding at March 31, 2017 
Granted 
Exercised 
Expired  
Forfeited 
Balance outstanding at March 31, 2018 
Granted 
Exercised 
Expired  
Forfeited 
Balance outstanding at March 31, 2019 

Number of 
options 

Weighted 
average 
exercise 
price 
1,291,657  $            1.97 
1,150,000  $            2.20 
1.40 
(100,356) 
1.40 
(41,301) 
(125,000) 
2.40 
2,175,000  $            2.11 
1,375,000  $            1.01 
- 
- 
- 
- 
(275,000) 
1.85 
3,275,000  $            1.67 

The following table summarizes information about stock options outstanding at March 31, 2019: 

Exercise 
Prices 

Options Outstanding 
Weighted 
average 
remaining 
contractual 
life 

Weighted 
average 
exercise 
price 

Options 

$ 

Years 

$ 

Options Exercisable 

Options   

Weighted 
average 
exercise 
price 

$ 

         1.00  

1,175,000 

         1.09  

   100,000  

         2.00  

1,100,000 

         2.01  

   700,000  

      2.88 

200,000 

3,275,000 

9.03 

0.17 

7.88 

8.48 

3.62 

7.93 

        1.00  

                     -                 -    

        1.09  

           100,000  

         1.09  

        2.00  

           825,000  

         2.00  

        2.01  

           350,000  

         2.01  

     2.88 

200,000 

    2.88 

        1.67  

      1,475,000  

         2.06  

The following assumptions were used in the Black-Scholes option-pricing model to determine the fair value 
of stock options granted during the year: 

Exercise price 
Grant date share price 
Risk free interest rate 
Expected life of options 
Expected volatility 
Expected dividend yield 
Forfeiture rate 
Weighted average fair value of  

March 31, 2019  

March 31, 2018 

$1.00-1.09  
$0.80- 1.09  
1.5 - 3.0%   
2.5-5 years  
100-116% 
- 
0-15% 

$2.00-2.88 
$2.00-2.88 
0.65-1.75% 
5 years 
80-100% 
- 
0-15% 

options granted during the year 

$0.61 

$1.61 

16 

 
 
 
 
 
 
 
 
 
  
  
  
  
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

11.  Government assistance  

CPRIT assistance 

In February 2015, the Company received notice that it had been awarded a grant by the Cancer Prevention 
Research Institute of Texas (“CPRIT”) whereby the Company is eligible to receive up to US$14,100,000 
on eligible expenditures over a three year period related to the development of the Company’s phase 2b 
clinical program for MDNA55.  In October 2017 the Company was granted a one year extension to the 
grant allowing expenses to be claimed over a four year period ending February 28, 2019.  On February 4, 
2019 the Company was approved for a further six month extension ending August 31, 2019. 

Ongoing  program  funding  from  CPRIT  is  subject  to  a  number  of  conditions  including  the  satisfactory 
achievement of milestones that must be met to release additional CPRIT funding, proof the Company has 
raised 50% matching funds and maintaining substantial functions of the Company related to the project 
grant in Texas as well as using Texas-based subcontractor and collaborators wherever possible. There 
can be no assurances that the Company will continue to meet the necessary CPRIT criteria, satisfactorily 
achieve milestones, or that CPRIT will continue to advance additional funds to the Company. 

If the Company is found to have used any grant proceeds for purposes other than intended, is in violation 
of the terms of the grant, or relocates its operations outside of the state of Texas, then the Company is 
required to repay any grant proceeds received. 

Under the terms of the grant, the Company is also required to pay a royalty to CPRIT, comprised of 3-5% 
of revenues until aggregate royalty payments equal 400% of the grant funds received at which time the 
ongoing royalty will be 0.5%. 

During the year ended March 31, 2019, the Company received $3,242,073 (2018 - $Nil).  The amount 
receivable  at  March  31,  2019  of  $2,444,285  (US  $1,831,337),  represents  funds  spent  on  grant 
expenditures, but not yet reimbursed.   

12.    Commitments  

Intellectual Property 

On August 21, 2015, the Company exercised its right to enter into two license agreements (the “Stanford 
License Agreements”) with the Board of Trustees of the Leland Stanford Junior University (“Stanford”).  In 
connection with this licensing agreement the Company issued 649,999 common shares with a value of 
$98,930 to Stanford and affiliated inventors. The value of these shares has been recorded as an intangible  
asset that is being amortized over the life of the underlying patents.  As at March 31, 2019, the Company’s 
intangible assets have a remaining capitalized netbook value of $81,205 (March 31, 2018 - $86,152). 

The Company has entered into various license agreements with respect to accessing patented technology. 
In order to maintain these agreements, the Company is obligated to pay certain costs based on timing or 
certain milestones within the agreements, the timing of which is uncertain. These costs include ongoing 
license  fees,  patent  prosecution  and  maintenance  costs,  royalty  and  other  milestone  payments.  As  at 
March 31, 2019, the Company is obligated to pay the following: 

•  Patent licensing costs due within 12 months totaling $66,500. 
•  Patent licensing costs, including the above, due within the next five years totaling $705,000. 
•  Project milestone payments, assuming continued success in the development programs, of uncertain 

timing totaling US$2,800,000 and an additional US$2,000,000 in sales milestones. 

•  A liquidity payment of $174,432 due in 2019 and $174,432 due in 2020 to the National Institute of 

Health (“NIH”) which represents the remaining payments resulting from the Company’s liquidity event 
in March 2017. 

17 

 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

12.    Commitments cont’d 

 Contractual obligations 

Less than    
1 year 

1-3 years 

3-5 years 

Total 

Patent licensing costs, minimum annual royalties 
per license agreements 

$ 66,500 

$ 172,900 

$ 532,000 

$ 771,400 

Liquidity event payment (1) 

$ 174,432 

$ 174,432 

$ 0 

$ 348,864 

(1)  During the year ended March 31, 2019, the Company adjusted $174,432 from license fee payables 
to accounts payable and accrued liabilities.  This amount remains in accrued liabilities at March 31, 
2019. 

13.  Related party disclosures 

(a)  Key management personnel 

Key management personnel, which consists of the Company’s officers (President and Chief Executive 
Officer, Chief Financial Officer, and Chief Development Officer) and directors, earned the following 
compensation for the following periods: 

 Salaries and wages  

 Board fees 

 Stock option expense 

 Related party rent 

2019 

$ 

891,748 

141,466 

786,121 

21,515 

2018 

$ 

1,101,891 

121,472 

1,282,374 

21,332 

1,840,850 

2,527,069 

During the year ended March 31, 2019, the Company paid $21,515 (2018: $21,332) in office rent to 
Aries Biologics Corp, a company controlled by the CEO and CDO of the Company.   

This  transaction  was  in  the  normal  course  of  business  and  has  been  measured  at  the  exchange 
amount, which is the amount of consideration established and agreed to by the related parties. 

(b)  Amounts payable to related parties 

As at March 31, 2019, the Company had trade and other payables in the normal course of business, 
owing to directors and officers of $380,328 (2018: $222,228) related to deferred salary, board fees 
and accrued vacation ($107,249 in deferred salaries, included in amounts earned). 

18 

 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

14. 

Income taxes 

a)  Provision for Income Tax 

A reconciliation of income taxes at statutory rates with the reported taxes is as follows: 

Loss before income taxes 

Tax rate 

Expected tax recovery 

Change in statutory rates and foreign exchange rates 

Permanent differences 

Share issuance costs 

Change in unrecognized deductible temporary difference 

Total income tax expense (recovery) 

2019 

$ 

 2018  

$ 

(4,708,031) 

(7,465,452) 

27.0% 

26.5% 

(1,271,000) 

(1,978,000) 

(9,000) 

270,000 

(149,000) 

1,159,000 

- 

200,000 

673,000 

- 

1,105,000 

- 

b)  Deferred Income Tax 

The significant components of the Company’s deferred tax assets that have not been included on the 
consolidated statement of financial position are as follows: 

Non-capital losses carry-forward 

Property and equipment 

Share issuance costs 

Unrecognized deferred tax asset 

Net deferred tax assets 

2019 

$ 

 2018  

$ 

4,299,000 

          3,040,000 

50,000 

               49,000 

249,000 

             200,000 

4,393,000 

          3,289,000 

(4,393,000) 

        (3,289,000) 

- 

- 

The significant components of the Company’s temporary differences, unused tax credits and unused tax 
losses that have not been included in the consolidated statements of financial position are as follows: 

Type 

Non-capital losses carry-forward 

Property and equipment 

Share issuance costs 

Amount 

Expiry 

$ 15,755,000 

2034-2039 

186,000 

922,000 

N/A 

2040-2043 

19 

 
 
 
  
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medicenna Therapeutics Corp. 
Notes to the consolidated financial statements  
For the Years Ended March 31, 2019 and 2018 
(Expressed in Canadian Dollars) 

15.  Components of Expenses 

General and Administration Expenses 

   Depreciation expense 

   Stock based compensation 

   Facilities and operations 

   Legal, professional and finance 

   Salaries and benefits 

   Other expenses 

   CPRIT grant claimed in eligible expenses (Note 11) 

Research and Development Expenses 

   Chemistry, manufacturing and controls 

   Regulatory 

   Discovery and pre-clinical 

   Research and development warrant 

   Clinical 

   Salaries and benefits 

   Licensing, patent, legal fees and royalties 

   Stock based compensation 

   CPRIT grant claimed on eligible expenses (Note 11) 

   Other research and development expenses  

2019 

$ 

6,818 

563,180 

162,995 

166,277 

676,952 

639,252 

2018 

$ 

9,704 

958,377 

225,840 

332,706 

761,995 

717,702 

(506,188) 

1,709,286 

(671,640) 

2,334,684 

2019 

2018 

399,994 

48,105 

805,477 

710,574 

3,710,789 

1,190,142 

783,458 

435,439 

197,646 

192,448 

1,136,582 

947,432 

4,787,093 

1,353,527 

437,642 

658,655 

(5,140,039) 

(5,016,479) 

74,058 

395,600 

3,017,997 

5,090,146 

16. 

Subsequent Events 

Subsequent  to  the  year  end,  on  May  1,  2019,  Medicenna  received  a  US$757,940  (CD$1.02  million) 
reimbursement of past expenses from CPRIT.  This amount was shown as receivable as of March 31, 
2019. 

In  June  2019,  224,655  common  share  purchase  warrants  were  exercised  for  an  equivalent  number  of 
common shares for total proceeds to the Company of $269,586. 

20