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ALX Oncology Holdings (ALXO)
NASDAQ:ALXO
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ALX Oncology Holdings (ALXO) AI Stock Analysis

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ALXO

ALX Oncology Holdings

(NASDAQ:ALXO)

Rating:39Underperform
Price Target:
ALX Oncology Holdings faces significant financial hurdles due to ongoing losses and negative cash flow, reflected in its low financial performance score. The technical analysis indicates a bearish trend with the stock trading below major moving averages. The valuation is challenging due to a negative P/E ratio and lack of dividends. Recent corporate events offer some hope with new leadership appointments, though offset by workforce reductions. Overall, the challenges outweigh the positive aspects, resulting in a low overall stock score.
Positive Factors
Clinical Development
ALX Oncology is updating the design of its Phase 2 ASPEN-Breast study to enable a CD47 and HER2 biomarker-driven strategy, which could enhance the trial's effectiveness.
Market Opportunity
Data suggests that 50-70% of HER2+ breast cancer patients overexpress CD47, representing a large market opportunity for ALX Oncology if the study is successful.
Negative Factors
Financial Prioritization
ALX has decided not to move forward with the planned Phase 1 ASPEN-CRC study, indicating a need to better prioritize cash resources.
Study Design Challenges
The single-arm design of the new study may make the data more difficult to interpret compared to the prior plan for a randomized control trial.

ALX Oncology Holdings (ALXO) vs. SPDR S&P 500 ETF (SPY)

ALX Oncology Holdings Business Overview & Revenue Model

Company DescriptionALX Oncology Holdings Inc. (ALXO) is a clinical-stage immuno-oncology company focusing on the development of therapies designed to enhance the immune system's ability to eliminate cancer. The company's main product candidate, evorpacept (also known as ALX148), is a CD47-blocking therapeutic aimed at preventing cancer cells from evading the immune system. ALX Oncology operates within the biotechnology and pharmaceutical sectors, targeting various solid tumors and hematologic malignancies.
How the Company Makes MoneyALX Oncology primarily makes money through partnerships and collaborations with other pharmaceutical companies, aiming to co-develop and commercialize its lead product candidate, evorpacept. Revenue is also generated from milestone payments and licensing fees associated with these partnerships. Additionally, the company may earn income from grants or funding to support its research and development activities. As a clinical-stage company, ALX Oncology's revenue model is heavily reliant on the successful progress and eventual approval of its therapies, leading to potential future sales.

ALX Oncology Holdings Earnings Call Summary

Earnings Call Date:Aug 12, 2025
(Q2-2025)
|
% Change Since: 88.71%|
Next Earnings Date:Nov 06, 2025
Earnings Call Sentiment Positive
The earnings call reflects a generally positive outlook with significant advances in clinical programs, especially with the CD47 biomarker-driven strategy that shows promise for targeted oncology approaches. The extension of the cash runway and progress in partnered studies further strengthen the company's position. However, challenges remain in defining specific biomarker cutoffs and addressing unmet needs in HER2-positive breast cancer. Overall, the call suggests optimism for future developments.
Q2-2025 Updates
Positive Updates
Significant Advances in Clinical Programs
The company made significant advances in both the evorpacept and ALX2004 clinical programs, including new data from the ASPEN-06 trial showing CD47 expression as a key predictive biomarker for clinical response with evorpacept.
CD47 Biomarker-Driven Strategy
Analysis indicates patients with high CD47 expression benefit significantly more from evorpacept, leading to a modified Phase II clinical trial in breast cancer with a CD47 and HER2 biomarker-driven strategy.
Financial Guidance and Cash Runway Extension
The company has extended its cash runway guidance into Q1 2027, solidly positioning it to achieve multiple value-enhancing data milestones in the coming years.
Progress with Partnered Studies
The UMBRELLA study with Sanofi evaluating evorpacept with SARCLISA and dexamethasone in multiple myeloma is now complete, moving to dose optimization.
Negative Updates
Challenges in HER2-Positive Breast Cancer
There is a high unmet need in HER2-positive breast cancer as the changing frontline standard of care drives opportunity in patients who have progressed on ENHERTU and other HER2-directed therapies.
Uncertainty in Biomarker Cutoff
The company has not yet predefined the specific cutoff for CD47 expression in the upcoming breast cancer study, which could impact future clinical trial design and outcomes.
Company Guidance
During the Q2 2025 earnings call, the company provided several key updates and metrics regarding its ongoing clinical programs and financial outlook. The ASPEN-06 trial showed that CD47 expression is a predictive biomarker, significantly enhancing the clinical response to evorpacept in patients with high CD47 expression, with an observed overall response rate (ORR) of 65% compared to 26% in the control group. This finding has led to a modification in the Phase II breast cancer trial to a CD47 and HER2 biomarker-driven strategy. Financially, the company extended its cash runway guidance into Q1 2027, which is expected to support multiple upcoming data milestones. The company also announced that its novel EGFR-targeted antibody-drug conjugate, ALX2004, is set to enter clinical trials. Additionally, the completion of the Phase I/II UMBRELLA study with partner Sanofi was highlighted, with plans to move forward with dose optimization. These strategic updates are part of a focused development strategy aimed at leveraging the predictive power of CD47 to enhance therapeutic outcomes in oncology.

ALX Oncology Holdings Financial Statement Overview

Summary
ALX Oncology Holdings exhibits significant financial challenges, with no revenue generation and persistent losses. The negative equity and cash flow issues highlight a need for strategic change to improve its financial health and operational effectiveness.
Income Statement
25
Negative
The company has been unable to generate revenue since 2020, reflecting a challenge in monetizing its operations. This lack of revenue leads to negative profit margins, with a consistent net loss over the years. The absence of revenue growth and negative EBIT and EBITDA margins indicate significant operational challenges.
Balance Sheet
35
Negative
The company's equity is negative, which is a red flag for financial stability. Although debt levels are low, the negative stockholders' equity suggests underlying financial struggles. The equity ratio is negative, indicating more liabilities than assets, which poses a risk to solvency.
Cash Flow
30
Negative
The company consistently reports negative free cash flow, showing cash outflows exceed inflows, especially concerning operating activities. This negative trend in cash flow from operations highlights ongoing liquidity challenges. Despite occasional positive financing cash flow, it hasn't translated into improved operational cash performance.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue868.00K0.000.000.000.001.18M
Gross Profit-192.00K-872.00K-836.00K-1.47M-736.00K107.00K
EBITDA-115.34M-132.25M-158.40M-121.95M-83.47M-43.46M
Net Income-116.57M-134.85M-160.81M-123.48M-83.46M-45.74M
Balance Sheet
Total Assets95.32M147.78M242.55M306.49M380.18M436.05M
Cash, Cash Equivalents and Short-Term Investments79.31M127.76M182.74M266.21M363.67M434.22M
Total Debt3.04M9.90M17.20M10.43M742.00K0.00
Total Liabilities30.91M34.16M52.84M43.02M17.13M6.21M
Stockholders Equity64.42M113.62M189.71M263.46M363.05M429.85M
Cash Flow
Free Cash Flow-105.81M-122.36M-131.64M-90.65M-73.02M-38.32M
Operating Cash Flow-105.49M-121.91M-130.36M-89.22M-68.10M-38.29M
Investing Cash Flow108.84M86.26M44.66M-235.42M-4.92M610.00K
Financing Cash Flow422.00K30.82M59.29M9.86M2.47M462.88M

ALX Oncology Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price1.17
Price Trends
50DMA
0.57
Positive
100DMA
0.54
Positive
200DMA
0.94
Positive
Market Momentum
MACD
0.12
Negative
RSI
75.53
Negative
STOCH
81.44
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ALXO, the sentiment is Positive. The current price of 1.17 is above the 20-day moving average (MA) of 0.72, above the 50-day MA of 0.57, and above the 200-day MA of 0.94, indicating a bullish trend. The MACD of 0.12 indicates Negative momentum. The RSI at 75.53 is Negative, neither overbought nor oversold. The STOCH value of 81.44 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ALXO.

ALX Oncology Holdings Risk Analysis

ALX Oncology Holdings disclosed 84 risk factors in its most recent earnings report. ALX Oncology Holdings reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

ALX Oncology Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
54
Neutral
$56.55M-1738.36%-35.29%45.18%
51
Neutral
$7.88B-0.12-39.83%2.18%21.38%-1.56%
50
Neutral
$249.86M-93.85%-40.16%78.28%
50
Neutral
$43.44M-85.45%61.15%54.71%
41
Neutral
$35.46M-312.77%61.18%
40
Underperform
$8.51M-67.73%-2.06%64.86%
39
Underperform
$55.16M-104.21%39.60%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALXO
ALX Oncology Holdings
1.17
-1.40
-54.47%
TVRD
Tvardi Therapeutics
28.05
14.74
110.74%
VYNE
VYNE Therapeutics
0.33
-1.52
-82.16%
CLNN
Clene
5.66
0.07
1.25%
PYPD
PolyPid
3.50
-0.10
-2.78%
GBIO
Generation Bio
6.45
-21.25
-76.71%

ALX Oncology Holdings Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
ALX Oncology Announces Workforce Reduction and Leadership Change
Negative
Mar 5, 2025

On February 28, 2025, ALX Oncology Holdings Inc. announced a 30% reduction in its workforce as part of a strategy to prioritize its pipeline, focus on clinical development, and preserve cash. This reduction, expected to be completed by May 2025, will incur estimated expenses of $2.2 million primarily related to research and preclinical development. Additionally, the company’s President and Chief Scientific Officer, Jaume Pons, Ph.D., will depart in April 2025 as a result of this workforce reduction. Dr. Pons will receive severance benefits and will enter a consulting agreement to assist with the transition.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Apr 22, 2025