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

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ALXO

ALX Oncology Holdings

(NASDAQ:ALXO)

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Underperform 39 (OpenAI - 4o)
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
Pipeline Development
Initiating a Phase 1 trial for ALX2004 marks a significant advancement in ALX Oncology's pipeline, potentially expanding its therapeutic offerings and enhancing long-term growth prospects.
Strategic Leadership
New leadership can provide fresh perspectives and strategic guidance, potentially improving operational effectiveness and aligning the company with long-term growth objectives.
Innovative Product Development
Developing ALX2004 as a first-in-class ADC could position ALX Oncology as a leader in innovative cancer therapies, enhancing its competitive edge and market position.
Negative Factors
Financial Instability
Negative equity indicates financial instability, posing risks to solvency and limiting the company's ability to invest in growth opportunities, potentially hindering long-term success.
Negative Cash Flow
Persistent negative cash flow highlights ongoing liquidity challenges, which could restrict operational capabilities and necessitate external financing, impacting financial sustainability.
Workforce Reduction
While aimed at cost-saving, workforce reductions can disrupt operations and morale, potentially affecting productivity and the company's ability to execute its strategic initiatives effectively.

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:Nov 07, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 05, 2026
Earnings Call Sentiment Positive
The earnings call presented strong clinical results for evorpacept and promising progress for ALX2004. The company is well-funded and advancing its pipeline with optimism. However, there are challenges related to market positioning and historical concerns with ADCs that need addressing.
Q3-2025 Updates
Positive Updates
Evorpacept's Positive Clinical Trial Results
Evorpacept showed a significant benefit in HER2-positive gastric cancer patients with high CD47 expression, achieving a 65% ORR in the treatment arm versus 26% in control, and a median PFS of 18.4 months compared to 7 months in control.
Strong Financial Position
The company reported a total cash balance of $67 million, expected to provide runway into the first quarter of 2027.
ALX2004 Clinical Progress
The EGFR-targeted ADC, ALX2004, is progressing well in clinical trials, with the first dose cohort completed without any DLT and currently dosing in the second cohort.
Negative Updates
Uncertain Market Positioning Post-ENHERTU
There is currently no standard of care for HER2-positive breast cancer patients post-ENHERTU, presenting a challenge for evorpacept's positioning.
Historical Toxicity Concerns for EGFR ADCs
Targeting EGFR with ADCs has historically been challenging due to toxicity issues, which ALX2004 aims to overcome.
Company Guidance
During the Q3 2025 call, the company highlighted key metrics and progress in their clinical programs, notably the ASPEN-06 trial which demonstrated CD47 expression as a predictive biomarker for evorpacept's efficacy in HER2-positive gastric cancer. The trial showed a 41% objective response rate (ORR) in the evorpacept arm versus 27% in the control arm, with CD47 high-expression patients exhibiting a 65% ORR compared to 26% in the control group, underscoring the potential of CD47 as a biomarker. The median progression-free survival (PFS) was 18.4 months in the treatment arm versus 7 months in the control, with an overall survival (OS) of 17 months compared to 10 months in the control arm, highlighting a hazard ratio of 0.39 for PFS and 0.63 for OS. The company's financials were strong, with a cash balance of $67 million, providing a runway into Q1 2027. They are advancing their Phase II breast cancer trial, targeting a 35-40% ORR, and progressing with the ALX2004 EGFR-targeted ADC in Phase I trials, with initial safety data expected in 2026.

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 Revenue0.000.000.000.000.001.18M
Gross Profit0.00-872.00K-836.00K0.00-736.00K107.00K
EBITDA-105.59M-132.25M-158.40M-122.84M-83.42M-43.46M
Net Income-108.01M-134.85M-160.81M-123.48M-83.46M-45.74M
Balance Sheet
Total Assets82.72M147.78M242.55M306.49M380.18M436.05M
Cash, Cash Equivalents and Short-Term Investments60.63M127.76M182.74M266.21M363.67M434.22M
Total Debt4.35M16.98M17.20M10.43M742.00K0.00
Total Liabilities37.92M34.16M52.84M43.02M17.13M6.21M
Stockholders Equity44.80M113.62M189.71M263.46M363.05M429.85M
Cash Flow
Free Cash Flow-97.43M-122.36M-131.64M-90.65M-73.02M-38.32M
Operating Cash Flow-97.21M-121.91M-130.36M-89.22M-68.10M-38.29M
Investing Cash Flow104.54M86.26M44.66M-235.42M-4.92M610.00K
Financing Cash Flow12.00K30.82M59.29M9.86M2.47M462.88M

ALX Oncology Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price1.38
Price Trends
50DMA
1.52
Negative
100DMA
1.10
Positive
200DMA
0.90
Positive
Market Momentum
MACD
-0.08
Positive
RSI
46.85
Neutral
STOCH
42.64
Neutral
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 1.38 is below the 20-day moving average (MA) of 1.48, below the 50-day MA of 1.52, and above the 200-day MA of 0.90, indicating a neutral trend. The MACD of -0.08 indicates Positive momentum. The RSI at 46.85 is Neutral, neither overbought nor oversold. The STOCH value of 42.64 is Neutral, 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
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
49
Neutral
$94.71M-0.50-417.79%-100.00%-42.12%
46
Neutral
$85.26M-1.21
40
Underperform
$80.12M-2.64-63.41%-87.59%11.53%
39
Underperform
$78.18M-0.66-118.95%31.98%
37
Underperform
$106.58M-33.68%69.30%
31
Underperform
$93.54M-247.78%2.26%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALXO
ALX Oncology Holdings
1.38
0.16
13.11%
ADVM
Adverum Biotechnologies
4.29
-2.56
-37.37%
IFRX
InflaRx
1.35
-0.39
-22.41%
QNCX
Quince Therapeutics
1.68
-0.07
-4.00%
ADAG
Adagene
1.83
-0.41
-18.30%
CNTX
Context Therapeutics
1.16
-0.52
-30.95%

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