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Amended Exhibit 4

 

 
  SECOND QUARTERLY FINANCIAL REPORT—MAY 31, 2002    
  

President's Letter  

To our Shareholders:  

        While the global health care sector is experiencing widespread negative sentiment which has hurt Cardiome's present valuation, I am proud
of our accomplishments as an organization this quarter. We have demonstrated that we can attract significant financial resources and experienced senior management, and that we can quickly advance our
products through clinical development towards partnering and commercialization.

        With
a long term view of the markets, it is worth noting that drug, biotech and health care stocks have outperformed the industrial sector with a seven-year annualized return
of 22.3% vs industrials at 14.9% (January 3, 1995- July 2, 2002). We expect that biopharmaceutical companies with innovative products will continue to outperform
pharmaceutical stocks in the coming years. Patent protection, attractive profit margins and an aging population represent compelling reasons to stay focused in this sector for the long term. Over the
past two years we have built a product-focused organization, creating innovative therapies for the challenges and opportunities presented by an enormous cardiovascular marketplace. 

A Strong Cardiovascular Company, A First-Class Team  

        A public offering financing completed in March 2002 raised $30,908,061 for Cardiome to advance its clinical drug candidates, RSD1235 and oxypurinol,
further through clinical trials towards commercialization. The support received from the investment community in this oversubscribed financing is strong endorsement of Cardiome's strategic plan. 

        In
May 2002, Cardiome appointed Alan Moore, Ph.D., to its management staff as Executive VP, Clinical Development and Regulatory Affairs. With 23 years of clinical
development and senior management expertise, and a track record of developing and filing an NDA for Procter & Gamble's lead antiarrhythmic compound, Azimilide, Dr. Moore lends his
valuable experience to our management team. 

Advancing Arrhythmia Projects  

        On July 10, 2002, subsequent to quarter-end, Cardiome announced it had completed dosing patients in its Phase II
proof-of-efficacy clinical trial with RSD1235, its lead antiarrhythmic drug candidate. The placebo-controlled study is designed to determine the ability of
intravenously-administered doses of RSD1235 to terminate recent-onset atrial fibrillation. The Company will announce the results of the study after completion of patient follow ups, audits of study
sites and analysis of the database expected in September 2002. 

        After
receiving notice that development partner AstraZeneca does not plan to proceed with the clinical development of RSD1122, Cardiome has regained development responsibility for the
compound. Cardiome will evaluate the AstraZeneca pre-clinical data and, following consultation with its Board of Directors and Scientific Advisory Board, decide future plans for the
pre-clinical drug candidate. 

Treatments for CHF and Gout  

        In the Paralex transaction, Cardiome acquired rights to the application of xanthine oxidase inhibitors to specific indications, including congestive heart failure
and symptomatic hyperuricemia (gout). 

        Cardiome
will be commencing Phase II trials of oxypurinol in congestive heart failure in the upcoming months. The Phase II trial is on track to begin first patient dosing in the fourth
quarter, following the filing of an Investigational New Drug application with the FDA. 

        Cardiome
announced in May 2002 that it had exercised an option to develop oxypurinol as an alternative treatment for the 2% of patients with symptomatic hyperuricemia (gout) who
are intolerant to allopurinol, the first-line therapy for gout. Four million patients are treated for gout worldwide. Cardiome is currently evaluating the appropriate strategy for NDA
submission to treat these allopurinol-intolerant gout patients. The assets held by Cardiome relating to gout strengthen the proprietary position and data package for the company's CHF program. 

        In
the remaining quarters of 2002, we look forward to announcing the results of our Phase II trial with RSD1235. We also look forward to reporting progress in our development programs
with oxypurinol. 

Respectfully, 

"Bob Rieder"  

Robert
Rieder
 President & CEO    July 25, 2002  

 RESULTS OF OPERATIONS  

        For the three months ended May 31, 2002, the Company recorded a net loss of $4,062,499 ($0.15 per common share), compared to a net loss of $2,596,191
($0.25 per common share) for the same quarter in the preceding fiscal year ("fiscal 2001"). On a year-to-date basis, the Company posted a net loss of $5,824,330 ($0.31 per
common share) for the six months ended May 31, 2002, compared to a net loss of $3,514,634 ($0.34 per common share) for the same period in 2001. The increase of operating loss was primarily due
to the expanded research and development activities in the Company's ongoing cardiac arrhythmia programs as well as the additions of the congestive heart failure ("CHF") program and the gout program,
as a result of its acquisition of Paralex, Inc. as described in Note 4 to the interim financial statements included herein. The increase of operating loss was also attributed to the
increased business development and investor relations activities as described below.

 

Revenue

  

        Effective June 1, 2001, the Company changed its accounting policy for recognizing license fees to be consistent with U.S. GAAP, as clarified by Staff
Accounting Bulletin 101 ("SAB 101") Revenue Recognition in Financial Statements, which was issued by the U.S. Securities and Exchange Commission in
December 1999. License fees, which consist of initial upfront fees and milestone payments are deferred and amortized into revenue on a straight-line basis over the term of the
relevant license or
related underlying product development period if the Company has future involvement or obligation to perform under the arrangement. Previously, the Company recognized upfront license fees and
milestone payments as earned in accordance with the terms of the related agreement which was generally the period the payment was received. This change has been applied retroactively and all prior
periods reported prior to the adoption of SAB101 have been adjusted accordingly. 

        Revenue for the second quarter ended May 31, 2002 increased to $259,303, compared to $177,490 for the same quarter in fiscal 2001. On a year to date basis, the Company generated a
lower cumulative total revenue at $324,744 for the six-month period ended May 31, 2002, compared to $432,850 for the same period in 2001.

 

        Research collaborative and licensing revenue decreased to $37,805 and $75,610 for the quarter and the six-month period ended May 31, 2002, compared to $53,162 and
$121,416 for the same periods in fiscal 2001 respectively. No collaborative research, milestone or licensing revenue was received during the quarter and the six-month period ended
May 31, 2002, except the deferred revenue related to upfront license fees from AstraZeneca A.B. ("AstraZeneca") was amortized into revenue.

 

        Grant income declined to $15,000 and $26,000 for the quarter and the six-month period ended May 31, 2002, compared to $24,006 and $81,443 for the same periods in
fiscal 2001 respectively. The decline was mainly due to the end of grant payments from the Science Council of BC of $65,437 in April 2001.

 

        Interest and other income increased to $206,498 for the quarter ended May 31, 2002, compared to $100,322 for the same quarter in fiscal 2001. On a year to date basis, interest and
other income was $223,134 for the six month period ended May 31, 2002 compared to $229,991 for the same period in fiscal 2001. The increase for the quarter ended May 31, 2002 was due to
higher average cash and short term investment balances resulting from the public equity offering in March 2002.

 

        Subsequent
to the quarter ended May 31, 2002, effective June 18, 2002, the Company's license agreement with AstraZeneca related to RSD1122 was terminated at no financial
obligation from either party. AstraZeneca returned all rights and pre-clinical data associated with RSD1122 in July 2002. The remaining deferred revenue associated with this license
agreement will be recognized in the quarter ended August 31, 2002. The Company is currently evaluating whether or not to carry out and fund further research and development on this compound. 

        The
Company currently has no revenues from product sales or licensing of products and/or technology to third parties. We anticipate that future revenues will consist primarily of
licensing fees, 

research and development payments, milestone payments and royalties from existing and future licensing and collaborative agreements with other pharmaceutical companies. 

Research and Development Expenditures

  

        Research and development expenditures increased to $2,522,742 in the second quarter in 2002, compared to $2,154,134 in the same quarter in fiscal 2001. The
Company accumulated a total research and development expenditure of $3,757,602 for the six-month period ended May 31, 2002, compared to $2,841,392 for the same period in 2001. The
increases in research and development expenditures for both the quarter and the six-month period ended May 31, 2002, compared to the same periods in fiscal 2001, were mainly due to
the newly acquired CHF program and gout program, and the expanded activities in its ongoing cardiac arrhythmia programs.

 

        Specifically, the increase of approximately $369,000 in research and development expenditures for the quarter ended May 31, 2002 was attributed to the increase of investment in
the RSD1235 program, the CHF project, and the gout project by approximately $488,000, $321,000, and $91,000 respectively; these increases were offset by a decline of spending in the discontinued
projects by approximately $531,000. On a year to date basis, the increase of approximately $917,000 in cumulative research and development expenditure for the six month period ended May 31,
2002 was attributed to the increase of spending in the RSD1235 program, the CHF project, and the gout project by approximately $603,000, $401,000, and $96,000 respectively; these increases were offset
by a decline of spending in the discontinued projects by approximately $183,000.

 

        The
Company expects higher level of research and development expenditure for the remainder of fiscal year ending November 30, 2002 as compared to those incurred in fiscal 2001. A
significant portion of the research and development expenditure will be incurred for the full patient enrolment in the Phase II clinical trial of RSD1235, in the initiation of clinical trial of the
newly acquired congestive heart failure program, in the maintenance of the gout program, and in research activities related to the Kv1.5 program. 

        Subsequent
to the quarter ended May 31, 2002, the Company announced that it has completed dosing of patients in its Phase II proof-of-efficacy clinical
trial with its atrial antiarrhythmic drug candidate RSD1235. The placebo-controlled study is designed to determine the ability of intravenously administered doses of RSD1235 to terminate recent-onset
atrial fibrillation. The Company will announce the results of the study after completion of patient follow ups, audits of study sites and analysis of the database expected in September 2002. 

General and Administration Expenses

  

        General and administration expenses for the current quarter increased to $1,055,272, as compared to $478,679 in the same quarter of 2001. The Company accumulated
a total general and administration expenditure of $1,541,416 for the six-month period ended May 31, 2002, compared to $835,156 for the same period in 2001. The increase in general
and administration expenses for the quarter ended

May 31, 2002 was mainly due to the increase of spending in business operations of approximately $451,000 and investor relations activities of approximately $110,000. On a year to date basis,
the increase was primarily due to the higher expenditures incurred for general business operations and investor relations activities by approximately $499,000 and $176,000 respectively. The Company
expects higher level of general and administration expenditure to support its increased business activities for the remainder of fiscal year ending November 30, 2002 as compared to those
incurred in fiscal 2001.

Amortization

 

        Amortization for the second quarter increased to $843,788, compared to $140,868 in the same quarter of 2001. The Company recorded $950,056 of amortization for the
six-month period ended May 31, 2002, compared to $270,936 for the same period in 2001. The increase was mainly due to the capital assets and technology acquired in the current
quarter. 

LIQUIDITY AND CAPITAL RESOURCES  

        The Company's activities during the six months ended May 31, 2002 were financed mainly by its working capital carried forward from the preceding fiscal
year and the net proceeds collected from a recent public offering of units. On March 8, 2002, the Company successfully completed a public offering of 9,309,657 units (the "Units") of the
Company at a price of $3.32 per Unit for gross proceeds of $30,908,061, as described in Note 5 to the interim financial statement included herein. At May 31, 2002, the Company had
working capital of $23,639,009 as compared to $3,523,091 at November 30, 2001. The Company had available cash reserves, comprised of cash, cash equivalents and short-term
investments, of $24,804,269 at May 31, 2002 as compared to $4,183,580 at November 30, 2001.

        Capital
expenditures incurred during the quarter ended May 31, 2002 were $438,388, including a total investment of $401,030 for the expansion of intellectual property rights and a
total acquisition cost of $37,358 in capital assets. The cumulative capital expenditure for the six months ended May 31, 2002 was $501,901 with $404,761 of this investment in the expansion of
intellectual property. 

CARDIOME PHARMA CORP.
  Continued under the laws of Canada  

CONSOLIDATED BALANCE SHEETS

(Unaudited—expressed in Canadian Dollars)  

	 
	 	As at
	 
	 
	 	May 31,

2002
	 	November 30,

2001
	 
	ASSETS	 	 	 	 	 	 	 
	Current	 	 	 	 	 	 	 
	 	Cash and cash equivalents	 	$	874,560	 	$	1,381,750	 
	 	Short-term investments	 	 	23,929,709	 	 	2,801,830	 
	 	Accounts receivable and prepaid expenses	 	 	690,535	 	 	247,211	 
	 	 	
	 	
	 
	 	 	 	25,494,804	 	 	4,430,791	 
	Capital assets	 	 	424,920	 	 	302,583	 
	License, patents and technology	 	 	31,023,611	 	 	1,536,249	 
	 	 	
	 	
	 
	 	 	$	56,943,335	 	$	6,269,623	 
	 	 	
	 	
	 
	
LIABILITIES AND SHAREHOLDERS' EQUITY	
 	
 	

 	
 	
 	

 	
 
	Current	 	 	 	 	 	 	 
	 	Accounts payable and accrued liabilities	 	$	1,831,372	 	$	907,700	 
	 	Current portion of obligations under capital leases	 	 	24,423	 	 	—	 
	 	 	
	 	
	 
	 	 	 	1,855,795	 	 	907,700	 
	Obligations under capital leases	 	 	49,074	 	 	—	 
	Deferred revenue	 	 	1,272,764	 	 	1,348,374	 
	 	 	
	 	
	 
	Total Liabilities	 	 	3,177,633	 	 	2,256,074	 
	 	 	
	 	
	 
	
Shareholders' Equity	
 	
 	

 	
 	
 	

 	
 
	Share Capital (Note 5)	 	 	 	 	 	 	 
	 	Authorized	 	 	 	 	 	 	 
	 	 	An unlimited number of common shares without par value	 	 	 	 	 	 	 
	 	Issued	 	 	 	 	 	 	 
	 	 	10,308,962 at November 30, 2001	 	 	 	 	 	32,251,393	 
	 	 	28,308,098 at May 31, 2002	 	 	88,709,876	 	 	 	 
	Special warrants	 	 	—	 	 	966,000	 
	Contributed surplus	 	 	1,276,266	 	 	1,192,266	 
	Deficit	 	 	(36,220,440	)	 	(30,396,110	)
	 	 	
	 	
	 
	 	 	 	53,765,702	 	 	4,013,549	 
	 	 	
	 	
	 
	 	 	$	56,943,335	 	$	6,269,623	 
	 	 	
	 	
	 

On behalf of the Board:  

	"Bob Rieder"	 	"Michael Walker"
	

    
	
 	

    

	Robert Rieder, Director	 	Michael J. A. Walker, Director

CARDIOME PHARMA CORP.  

CONSOLIDATED STATEMENTS OF LOSS AND DEFICIT

(Unaudited—expressed in Canadian Dollars)  

	 
	 	For the Three Months ended

May 31,
	 	For the Six Months ended

May 31,

	 
	 	2002
	 	2001
	 	2002
	 	2001

	Revenue	 	 	 	 	 	 	 	 	 	 	 	 
	 	Research collaborative and licensing	 	$	37,805	 	$	53,162	 	$	75,610	 	$	121,416
	 	Grant income	 	 	15,000	 	 	24,006	 	 	26,000	 	 	81,443
	 	Interest and other income	 	 	206,498	 	 	100,322	 	 	223,134	 	 	229,991
	 	 	
	 	
	 	
	 	

	 	 	 	259,303	 	 	177,490	 	 	324,744	 	 	432,850
	 	 	
	 	
	 	
	 	

	
Expenses	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 	
 	

 
	 	Research and development	 	 	2,522,742	 	 	2,154,134	 	 	3,757,602	 	 	2,841,392
	 	General and administration	 	 	1,055,272	 	 	478,679	 	 	1,541,416	 	 	835,156
	 	Amortization	 	 	843,788	 	 	140,868	 	 	950,056	 	 	270,936
	 	 	
	 	
	 	
	 	

	 	 	 	4,421,802	 	 	2,773,681	 	 	6,249,074	 	 	3,947,484
	 	 	
	 	
	 	
	 	

	Loss before income taxes	 	 	4,162,499	 	 	2,596,191	 	 	5,924,330	 	 	3,514,634
	Future income tax recovery	 	 	(100,000	)	 	—	 	 	(100,000	)	 	—
	 	 	
	 	
	 	
	 	

	Net loss for the period	 	 	4,062,499	 	 	2,596,191	 	 	5,824,330	 	 	3,514,634
	Deficit, beginning of period	 	 	32,157,941	 	 	24,156,668	 	 	30,396,110	 	 	22,810,225
	Adjustment for future income taxes	 	 	—	 	 	—	 	 	—	 	 	428,000
	 	 	
	 	
	 	
	 	

	Deficit, end of period	 	$	36,220,440	 	$	26,752,859	 	$	36,220,440	 	$	26,752,859
	 	 	
	 	
	 	
	 	

	
Net loss per common share	
 	
$	

0.15	
 	
$	

0.25	
 	
$	

0.31	
 	
$	

0.34
	 	 	
	 	
	 	
	 	

	
Weighted average number of outstanding shares	
 	
 	

27,568,207	
 	
 	

10,303,962	
 	
 	

18,785,901	
 	
 	

10,303,962
	 	 	
	 	
	 	
	 	

CARDIOME PHARMA CORP.  

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited—expressed in Canadian Dollars)  

	 
	 	For the Three Months ended

May 31,
	 	For the Six Months ended

May 31,
	 
	 
	 	2002
	 	2001
	 	2002
	 	2001
	 
	Operating Activities	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	Loss for the period	 	$	(4,062,499	)	$	(2,596,191	)	$	(5,824,330	)	$	(3,514,634	)
	 	Add: Non-cash items	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	Foreign exchange gain	 	 	(5,921	)	 	—	 	 	(5,921	)	 	—	 
	 	 	Stock-based compensation	 	 	84,000	 	 	—	 	 	84,000	 	 	—	 
	 	 	Future income tax recovery	 	 	(100,000	)	 	—	 	 	(100,000	)	 	—	 
	 	 	Amortization	 	 	843,788	 	 	140,868	 	 	950,056	 	 	270,936	 
	 	 	
	 	
	 	
	 	
	 
	 	 	 	(3,240,632	)	 	(2,455,323	)	 	(4,896,195	)	 	(3,243,698	)
	 	

Changes in non-cash working capital components	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 
	 	 	Accounts receivable and prepaid expenses	 	 	(417,028	)	 	496,689	 	 	(443,324	)	 	60,418	 
	 	 	Accounts payable and accrued liabilities	 	 	62,508	 	 	(246,355	)	 	387,267	 	 	(460,695	)
	 	 	Deferred revenue	 	 	(37,805	)	 	(37,806	)	 	(75,610	)	 	(75,612	)
	 	 	
	 	
	 	
	 	
	 
	Cash used in operating activities	 	 	(3,632,957	)	 	(2,242,795	)	 	(5,027,862	)	 	(3,719,587	)
	 	 	
	 	
	 	
	 	
	 
	
Financing Activities	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 
	 	Share capital issued, net	 	 	28,237,255	 	 	—	 	 	27,959,974	 	 	—	 
	 	Repayment on obligations under capital leases	 	 	(3,920	)	 	(11,592	)	 	(3,920	)	 	(22,921	)
	 	Repayment on long-term debt (Note 4)	 	 	(724,574	)	 	(18,892	)	 	(724,574	)	 	(37,283	)
	 	 	
	 	
	 	
	 	
	 
	Cash provided by (used in) financing activities	 	 	27,508,761	 	 	(30,484	)	 	27,231,480	 	 	(60,204	)
	 	 	
	 	
	 	
	 	
	 
	
Investing Activities	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 	
 	

 	
 
	 	Acquisition of Paralex, Inc. (Note 4)	 	 	(676,087	)	 	—	 	 	(1,081,028	)	 	—	 
	 	Purchase of capital assets	 	 	(37,358	)	 	(5,756	)	 	(97,140	)	 	(36,861	)
	 	License, patents and technology	 	 	(401,030	)	 	(18,199	)	 	(404,761	)	 	(101,869	)
	 	Purchase of short-term investments	 	 	(23,782,984	)	 	(4,601,474	)	 	(23,788,516	)	 	(7,936,268	)
	 	Sale of short-term investments	 	 	285,316	 	 	3,930,721	 	 	2,660,637	 	 	9,722,216	 
	 	 	
	 	
	 	
	 	
	 
	Cash provided by (used in) investing activities	 	 	(24,612,143	)	 	(694,708	)	 	(22,710,808	)	 	1,647,218	 
	 	 	
	 	
	 	
	 	
	 
	
Decrease in cash and cash equivalents during the period	
 	
 	

(736,339	
)	
 	

(2,967,987	
)	
 	

(507,190	
)	
 	

(2,132,573	
)
	Cash and cash equivalents, beginning of period	 	 	1,610,899	 	 	4,082,893	 	 	1,381,750	 	 	3,247,479	 
	 	 	
	 	
	 	
	 	
	 
	Cash and cash equivalents, end of period	 	$	874,560	 	$	1,114,906	 	$	874,560	 	$	1,114,906	 
	 	 	
	 	
	 	
	 	
	 
	Supplemental Disclosure:

Capital assets acquired under capital leases	 	$	77,418	 	$	—	 	$	77,418	 	$	—	 
	 	 	
	 	
	 	
	 	
	 

CARDIOME PHARMA CORP.  

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited—expressed in Canadian Dollars)  

1.    BASIS OF PRESENTATION  

        The accompanying unaudited interim consolidated financial statements have been prepared in accordance with Canadian generally accepted accounting principles for
interim financial information consistent with the Company's most recent annual audited consolidated financial statements for the year ended November 30, 2001. These interim financial statements
and notes do not include all disclosures required for annual financial statements and should be read in conjunction with the annual audited consolidated financial statements of the Company included in
the Company's annual report. 

        In
the opinion of management, all material adjustments (including reclassification and normal recurring adjustments) necessary to present fairly the financial position, results of
operations and cash flows have been made. Interim financial results are not necessarily indicative of financial results for the full year. 

        The
continuation of the Company's research and development activities and the commercialization of the targeted therapeutic products are dependent upon the Company's ability to
successfully complete its research and development programs and finance its cash requirements through a combination of equity financing and payments from potential strategic partners. 

2.    PRINCIPLES OF CONSOLIDATION  

        The accompanying interim consolidated financial statements include the accounts of Cardiome Pharma Corp., its wholly-owned Canadian subsidiaries, Rhythm-Search
Developments Ltd. and Atriven Cardiology Inc., and its wholly-owned United States subsidiary, Paralex, Inc. Significant intercompany accounts and transactions have been eliminated
on consolidation. 

        With
respect to the Company's integrated foreign subsidiary, monetary assets and liabilities are translated into Canadian dollars using the exchange rate at the balance sheet date.
Revenue and
expense items are translated at the average exchange rate in the period. Exchange gains and losses are included in the determination of net income (loss). 

3.    CHANGE IN ACCOUNTING PRINCIPLES  

 [a] Income taxes  

        Effective December 1, 2000, the Company adopted the new recommendations of The Canadian Institute of Chartered Accountants with respect to accounting for
income taxes. The change has been applied retroactively and, as permitted, the comparative financial statements have not been restated. The change in accounting policy resulted in an increase in
future tax assets, a decrease in technology, an increase in future tax liabilities and an increase in the deficit at December 1, 2000 of $428,000 and a reduction in amortization expense and net
loss for the six months ended May 31, 2002 and May 31, 2001 of $51,360. Before the adoption of the new recommendations, income tax expense was determined using the deferral method of tax
allocation. 

 [b] Revenue recognition  

        Effective June 1, 2001, the Company changed its accounting policy for recognizing license fees to be consistent with U.S. GAAP, as clarified by Staff
Accounting Bulletin 101 ("SAB 101") Revenue Recognition in Financial Statements, which was issued by the U.S. Securities and Exchange Commission in
December 1999. License fees, which consist of initial upfront fees and milestone payments are deferred and amortized into revenue on a straight-line basis over the term of the
relevant license or related underlying product development period if the Company has future involvement or obligation to perform under such arrangement. Previously, the Company recognized upfront
license fees and 

milestone payments as earned in accordance with the terms of the related agreement which was generally the period the payment was received. 

        This
change was applied retroactively and prior periods have been restated with the following effect: 

	 
	 	As Originally Reported
	 	As Restated
	 
	 
	 	3 months ended

May 31, 2001

$
	 	6 months ended

May 31, 2001

$
	 	3 months ended

May 31, 2001

$
	 	6 months ended

May 31, 2001

$
	 
	Research collaborative, licensing and option fees	 	15,356	 	45,804	 	53,162	 	121,416	 
	

Loss for the period	
 	

(2,633,997	
)	

(4,090,246	
)	

(2,596,191	
)	

(3,514,634	
)
	

Net loss per common share	
 	

(0.26	
)	

(0.40	
)	

(0.25	
)	

(0.34	
)
	

Deferred revenue	
 	

—	
 	

—	
 	

1,423,988	
 	

1,423,988	
 
	

Deficit	
 	

(25,328,873	
)	

(25,328,873	
)	

(26,752,859	
)	

(26,752,859	
)
	 	 	
	 	
	 	
	 	
	 

 [c] Loss per common share  

        Effective September 1, 2001, the Company adopted the new recommendations of the Canadian Institute of Chartered Accountants Section 3500 ("Earnings
per share") with respect to the calculation of loss per common share. This change has been applied retroactively and had no impact on the quarter and six-month period ended May 31,
2001. 

4.    BUSINESS COMBINATION  

        On March 8, 2002, the Company acquired 100% of the outstanding common shares of Paralex, Inc. ("Paralex"), a development stage enterprise that had
not commenced commercial operations. The acquisition provides the Company with certain intellectual property rights, under a license from the John Hopkins University, relating to the use of oxypurinol
and other related compounds called xanthine oxidase inhibitors for treatment of congestive heart failure ("CHF"), other cardiovascular disorders and neuromuscular disease. The acquisition also provide
the Company with the rights, under a license from ILEX Oncology, Inc., to oxypurinol clinical data, drug supply and know-how and an option on rights to oxypurinol, for the treatment
of gout, a metabolic disease. The Company issued 8,203,396 common shares in exchange for all of the outstanding shares of Paralex.

 

        The
acquisition has been accounted for using the purchase method of accounting and accordingly the results of operations have been included in the consolidated statement of loss and
deficit from the date of acquisition. 

        The
purchase price has been allocated to the fair value of Paralex's identifiable net assets and liabilities in accordance with the purchase method as follows: 

	 
	 	$

	Assets acquired:	 	 
	Cash	 	624
	Other assets	 	560,368
	Technology	 	29,480,201
	 	 	

	Total assets acquired	 	30,041,193
	 	 	

	Less liabilities assumed:	 	 
	Accounts payable and accrued liabilities	 	355,502
	Long-term debt	 	723,111
	Future tax liability	 	100,000
	 	 	

	Total liabilities assumed	 	1,178,613
	 	 	

	Net assets acquired	 	28,862,580
	 	 	

	

Consideration given:	
 	

 
	8,203,396 common shares	 	27,563,400
	Transaction costs	 	1,299,180
	 	 	

	Total consideration	 	28,862,580
	 	 	

        The
allocation of the purchase price reflected in the interim consolidated financial statements is based on the financial position of Paralex as at March 7, 2002. The purchase
price allocation reflects the fair value, at the acquisition date, of the assets acquired and liabilities assumed based upon the Company's evaluation of such assets and liabilities following the
closing of the acquisition. The Company has not completed the valuation relating to the final purchase price allocation and accordingly when completed may result in an adjustment to the preliminary
allocation reflected herein. In these interim consolidated financial statements, the excess of the consideration given over the fair value of the net liabilities assumed has been reflected as
technology in the interim consolidated balance sheet. 

        Technology
is being amortized on a straight-line basis over ten years. Subsequent to the closing of the acquisition, Paralex's long-term debt was repaid with the
proceeds of the Company's equity financing which was closed in March 2002. 

        As
a result of the acquisition, the Company assumed the following financial commitments of Paralex, Inc.: 

	[i]
	Pursuant
to a license agreement, the Company is responsible for the payment of royalties based on a percentage of revenue and subject to certain minimum annual
royalties commencing at US$5,000 and increasing over the next five years to US$100,000 per annum. The Company also has an obligation to develop and introduce certain licensed products into commercial
markets as soon as it is practicable. The agreement sets out certain milestones that need to be met in ensuring that this occurs. 

In
addition, the Company is required to obtain US$3 million of financing within 11 months and US$5 million of financing within 18 months of the agreement
[commitment met in March 2002]. 

The
patent agreement may be terminated if either party fails to perform or breaches any of its obligations under the agreement. Furthermore, the Company may terminate the agreement for 

any reason upon giving 60 days' written notice. Unless otherwise terminated, the agreement expires upon the expiration of the last issued patent. 

	[ii]
	In
June 2001, and as amended in December 2001, the Company entered into a license and option agreement with ILEX Oncology, Inc. ("ILEX")
comprising a license and sublicense for the exclusive worldwide rights for the development and commercialization of certain oxypurinol compounds held by ILEX. As part of the agreement, ILEX granted
the Company an exclusive one year option to acquire ownership of and full rights to use certain data sublicensed by ILEX from a third party. Under the terms of the agreement, the Company agreed to pay
ILEX an initial fee of US$250,000 [paid in January 2002], upon execution of the agreement and a further US$250,000 upon the exercise of the option [option
exercised and payment made in May 2002]. The Company further agreed to pay ILEX additional milestone payments of up to US$8 million based on the completion of phase II
clinical trials, FDA approval of the first new drug application and FDA approval for marketing and commercialization of the product. The Company has also agreed to pay royalties based on future net
sales. Unless otherwise terminated, the license agreement will terminate upon the expiration of ILEX's obligation to pay royalties under its original license agreement.

	[iii]
	In
May 2001, the Company entered into a consulting agreement with Cardiosciences Consulting Inc., whereby Cardiosciences Consulting Inc.
will provide consulting services for US$100,000 per year, from January 1, 2002 through December 31, 2005. 

5.    SHARE CAPITAL  

        Effective March 8, 2002, the Company consolidated its share capital on a four for one basis. All share capital, options, warrants, and per share amounts
have been retroactively restated to reflect this share consolidation. 

        On
March 8, 2002, the Company continued under the Canada Business Corporations Act and altered its authorized capital from 200,000,000 common shares without par value to an
unlimited number of common shares without par value. 

	(a)
	Issued and Outstanding

	 
	 	Number of Common Shares
	 	Amount

	Balance as at November 30, 2001	 	10,308,962	 	$	32,251,393
	 	Issued upon conversion of special warrants(1)	 	458,583	 	 	864,927
	 	Issued for cash upon public offering(2)	 	9,309,657	 	 	27,953,156
	 	Issued for cash upon exercise of options	 	27,500	 	 	77,000
	 	Issued for the acquisition of Paralex, Inc.	 	8,203,396	 	 	27,563,400
	 	 	
	 	

	Balance as at May 31, 2002	 	28,308,098	 	$	88,709,876
	 	 	
	 	

	(1)
	On
October 10, 2001, the Company completed a private placement of 458,583 special warrants at a price of $2.40 each for total gross proceeds of $1,100,600. Each special warrant
was convertible into one common share of the Company and one half of one common share purchase warrant, for no additional consideration. Each full purchase warrant entitles the holder to acquire one
common share at $3.20 expiring October 10, 2003. In connection with the private placement, the Company paid a cash commission of $28,042 and legal and professional fees of $207,631, and granted
16,691 agent's warrants to the agent of this financing. Each agent's warrant entitles the holder to purchase one common share at $2.40 per share until October 10, 2003.

	(2)
	On
March 8, 2002, the Company completed a public offering of 9,309,657 units (the "Units") of the Company at a price of $3.32 per unit for total gross proceeds of $30,908,061
(the "Offering"). Each Unit was converted into one common share in the capital of the Company and one quarter of one common share purchase warrant (a "Warrant") of the Company. One whole Warrant 

entitles
the holder to purchase one common share of the Company at $6.64 expiring March 7, 2004. In connection with the public offering, the Company paid a cash commission of $2,163,564 and
legal and professional fees of $791,341. In addition, the Company granted brokers' warrants ("Brokers' Warrants") to purchase 930,966 Units at a price of $3.80 per Unit until March 8, 2004 to
the lead agents of the public offering. 

	(b)
	Share Purchase Warrants

	(i)
	As
at May 31, 2002 common share purchase warrants were outstanding as follows: 

	Date of Expiry
 
	 	Exercise

Price
	 	Number of Warrants
	 
	June 5, 2002	 	$	6.40	 	44,643	(1)
	February 9, 2004 to 2007(2)	 	 	(2	)	187,500	 
	October 10, 2003	 	$	2.40	 	16,691	 
	October 10, 2003	 	$	3.20	 	229,292	 
	March 7, 2004	 	$	6.64	 	2,327,414	 
	March 7, 2004	 	$	3.80	 	930,966	 
	March 7, 2004	 	$	6.64	 	232,741	 
	 	 	
	 	
	 
	Balance as at May 31, 2002	 	 	 	 	3,969,247	 
	 	 	 	 	 	
	 

	(1)
	These
warrants expired on June 5, 2002.

	(2)
	See
note 5(b) (ii) 

	(ii)
	In
August 2001, the Company entered into a consulting agreement with a third party. The agreement expired on February 9, 2002. The Company
was required to pay a monthly retainer fees of U.S.$5,000 during the term of the agreement and a fee based on the percentage of the consideration received by the Company from equity investments and/or
partnering transactions facilitated by the consultant and issue additional warrants, as described in the agreement. In addition, the Company agreed to grant, subject to regulatory approval, 187,500
retainer warrants, which vested on February 9, 2002 with the following terms. 

	Number of warrants #
 
	 	Exercise price

US$
	 	Date of expiry

	75,000	 	2.40	 	February 9, 2004 [i]
	25,000	 	4.80	 	February 9, 2004 [i]
	25,000	 	8.00	 	February 9, 2004 [i] and [ii]
	37,500	 	2.40	 	February 9, 2007 [iii]
	12,500	 	4.80	 	February 9, 2007 [iii]
	12,500	 	8.00	 	February 9, 2007 [ii] and [iii]
	
	 	 	 	 
	187,500	 	 	 	 
	
	 	 	 	 

        Compensation
expense which was estimated using the Black Scholes Pricing Model, in the amount of $84,000 has been recorded as an expense and an increase in contributed surplus in the
consolidated financial statements for the six months ended May 31, 2002. 

	[i]
	The
expiry date of these warrants may be extended through February 9, 2007 if certain milestones are achieved before
August 9, 2003, as described in the consulting agreement.

	[ii]
	In
February 2002, the exercise price of these warrants was decreased from $9.00 to $8.00.

	[iii]
	In
February 2002, the expiry date of these warrants was accelerated from February 9, 2009 to February 9,
2007. 

	(c)
	Stock Options

        On
May 27, 2002, the shareholders of the Company approved amendments to the 2001 Stock Option Plan which increased the number of common shares issuable under the plan to
5,500,000. 

        As
at May 31, 2002, the Company had 3,553,188 stock options outstanding, of which 1,994,813 were exercisable, at a weighted average exercise price of $3.67 per common share and
expiring at various dates from July 31, 2002 to May 16, 2009. 

	 
	 	Weighted

Average

Exercise Price
	 	Number of

Stock Options

Outstanding
	 
	Balance, November 30, 2001	 	$	4.37	 	1,079,688	 
	 	Options granted	 	$	3.28	 	2,634,125	 
	 	Options exercised	 	$	2.80	 	(27,500	)
	 	Options expired/forfeited	 	$	5.17	 	(133,125	)
	 	 	
	 	
	 
	Balance, May 31, 2002	 	$	3.54	 	3,553,188	 
	 	 	
	 	
	 

	(d)
	Commitment to issue shares

        Under
the terms of a licensing agreement, the Company has agreed to issue 50,000 common shares to the licensor upon the achievement of certain milestones. As at May 31, 2002,
these milestones had not been achieved. 

6.    SUBSEQUENT EVENT  

        Effective June 18, 2002, the Company's license agreement with AstraZeneca A.B. ("AstraZeneca") related to RSD1122 was terminated at no financial obligation
from either party. AstraZeneca returned all rights and pre-clinical data associated with RSD1122 in July 2002. The remaining deferred revenue associated with this license agreement
will be recognized in the quarter ended August 31, 2002. The Company is currently evaluating whether or not to carry out and fund further research and development on this compound. 

7.    SEGMENTED INFORMATION  

        The Company operates primarily in one business segment with all of its assets and operations located in Canada. All of the Company's revenues are generated in
Canada. During the three and six months periods ended May 31, 2002, 100% of research collaborative and licensing revenue was derived from one collaborator in Sweden [three month
period ended May 31, 2001 - 71% and 29% from one collaborator in each of Sweden and United States, respectively; six month period ended May 31,
2001 - 87% and 13% from one collaborator in each of Sweden and United States, respectively]. 

8.    RECONCILIATION OF GENERALLY ACCEPTED ACCOUNTING PRINCIPLES  

        The Company prepares its consolidated financial statements in accordance with Canadian generally accepted accounting principles ("Canadian GAAP"), which, as
applied in these consolidated financial statements, conform in all material respects to United States generally accepted accounting principles ("U.S. GAAP"), except for the differences below as more
fully described in Note 16 to the annual consolidated financial statements of November 30, 2001. 

        Material
variations impacting the unaudited Consolidated Statements of Loss and Deficit under U.S. GAAP would be as follows: 

	 
	 	3 months ended May 31,
	 	6 months ended August 31,
	 
	 
	 	2002

$
	 	2001

$
	 	2002

$
	 	2001

$
	 
	Loss for the period, Canadian GAAP	 	(4,062,499	)	(2,596,191	)	(5,824,330	)	(3,514,634	)
	Amortization of other assets	 	(25,680	)	(25,680	)	(51,360	)	(51,360	)
	Adjustment for stock-based compensation	 	 	 	 	 	 	 	 	 
	—employees	 	—	 	(12,000	)	—	 	(16,000	)
	—non-employees	 	(44,081	)	(3,597	)	(68,299	)	(18,643	)
	 	 	
	 	
	 	
	 	
	 
	Loss for the period, U.S. GAAP before cumulative effect of change in accounting policy	 	(4,132,260	)	(2,637,468	)	(5,943,989	)	(3,600,637	)
	Cumulative effect of change in accounting policy	 	—	 	—	 	—	 	(1,499,598	)
	 	 	
	 	
	 	
	 	
	 
	Loss for the period, U.S. GAAP	 	(4,132,260	)	(2,637,468	)	(5,943,989	)	(5,100,235	)
	Reclassification adjustment for unrealized gains on short-term investments	 	(8,584	)	(56,080	)	(29,591	)	(117,662	)
	Unrealized gains on investments	 	59,094	 	39,058	 	59,094	 	66,991	 
	 	 	
	 	
	 	
	 	
	 
	Comprehensive loss for the period, U.S. GAAP	 	(4,081,750	)	(2,654,490	)	(5,914,486	)	(5,150,906	)
	 	 	
	 	
	 	
	 	
	 
	Loss for the period, U.S. GAAP	 	(4,081,750	)	(2,654,490	)	(5,914,486	)	(5,150,906	)
	 	 	
	 	
	 	
	 	
	 
	

Weighted average number of common shares outstanding, U.S. GAAP	
 	

27,568,207	
 	

10,303,962	
 	

18,785,901	
 	

10,303,962	
 
	 	 	
	 	
	 	
	 	
	 
	Loss per common share, U.S. GAAP	 	(0.15	)	(0.26	)	(0.31	)	(0.50	)
	 	 	
	 	
	 	
	 	
	 
	Loss per common share, U.S. GAAP:	 	 	 	 	 	 	 	 	 
	Before change in accounting policy	 	(0.15	)	(0.26	)	(0.31	)	(0.35	)
	Change in accounting policy	 	—	 	—	 	—	 	(0.15	)
	 	 	
	 	
	 	
	 	
	 
	Loss per common share, U.S. GAAP	 	(0.15	)	(0.26	)	(0.31	)	(0.50	)
	 	 	
	 	
	 	
	 	
	 

        Material
variations in balance sheet accounts under U.S. GAAP are as follows: 

	 
	 	May 31

2002

$
	 	November 30

2001

$
	 
	Cash and cash equivalents	 	878,770	 	1,385,101	 
	Short-term investments	 	23,984,593	 	2,828,070	 
	License, patents and technology	 	31,297,531	 	1,861,529	 
	Share capital	 	87,424,876	 	30,966,393	 
	Accumulated other comprehensive income	 	59,094	 	29,591	 
	Contributed surplus	 	3,463,815	 	3,311,516	 
	Deficit	 	(36,849,069	)	(30,905,080	)

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Exhibit 10.1    
  

 
 

CONSENT OF ERNST & YOUNG LLP
  INDEPENDENT CHARTERED ACCOUNTANTS    
  

        We consent to the reference to our firm under the caption "Experts" in the Registration Statement (Form F-3 No. 333-85922)
and in the related Prospectus of Cardiome Pharma Corp. (the "Company") for the registration of 9,620,988 common shares and to the incorporation by reference therein of our reports
[a] dated February 8, 2002 (except as to note 19[a] and 19[c] which is as of March 8, 2002 and
note 19[e] which is as of March 28, 2002) and our Comments of Auditor for US Readers on Canada-US Reporting Differences (which contains an explanatory
paragraph describing conditions that raise substantial doubt about the company's ability to continue as a going concern as described in Note 1 to the consolidated financial statements) dated
February 8, 2002 with respect to the consolidated financial statements of the Company for the year ended November 30, 2001; and [b] dated December 21, 2001
with respect to the financial statements of Paralex, Inc. for the period from January 26, 2001 (date of incorporation) to November 30, 2001, included in the Company's Annual
Report (Form 20-F/A) filed with the Securities and Exchange Commission.

	Vancouver, Canada,

April 28, 2003.	 	Chartered Accountants

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Exhibit 10.1

CONSENT OF ERNST & YOUNG LLP INDEPENDENT CHARTERED ACCOUNTANTS

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