It's not the "Base octave for pitches" option because other notes are sounding correctly. Trillian has a base octave control too and adjusting that makes no difference, i.e. if I raise it an octave then the same problem occurs only an octave higher.
I've tried various values for the MIDI buffer and also tried whacking my audio buffer up in various increments, but no joy.
In fact trying playback from different positions in the clip creates different kind of note errors. For instance, starting from one particular note results in Sonar playing the note previous to it first (and then it screws up the octave of the note after the next note).
Hmm, Sonar appears to have a problem with Trilian in a way I've never encountered before. I've tried outputting the clip in question to other instruments and it plays fine.