Alx Oncology Holdings  logo

Alx Oncology Holdings (ALXO)

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ADVISORIES YOU CAN VERIFY
QUALITY SIGNAL
2-STAR RATING
PASS
LAST CLOSE
$1.39
09/28/2026
(24-hour delay)

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*as per simulation (see disclosures)
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Upturn Advisory & Investor View for ALXO

09/28/2026: ALXO (2-star) is currently NOT-A-BUY. Pass it for now.

ALX Oncology is a clinical-stage biotechnology company developing evorpacept, a therapeutic candidate designed to block the CD47 checkpoint pathway to fight cancer. The company's main strength lies in its proprietary platform, which aims to provide a safer and more effective immune response than current alternatives. Its primary growth story centers on positive clinical trial outcomes that could validate its drug for major cancer indications. However, the company faces significant risks, including the binary nature of clinical results, high cash burn, and intense competition from large pharmaceutical firms. It best suits risk-tolerant investors who monitor clinical trial data as the key development catalyst.

How to Read the Upturn Advisory

The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.

Company fundamentals, valuation, risks, and news provide supporting context about the business.

Investor Fit

Investor styleFitWhy
Growth investorMixed fitThe company offers high-growth potential linked to clinical breakthroughs but involves substantial binary risk.
Momentum investorStrong fit while signal remains positiveThis stock often responds sharply to clinical data releases, which can trigger momentum-based trading cycles.
Value investorWeak fitThe lack of current earnings or commercial revenue makes standard value metrics inapplicable.
Dividend investorWeak fitThe company is in an intensive growth phase and does not pay dividends.
Low-risk investorWeak fitClinical-stage biotech investments carry high volatility and are unsuitable for conservative portfolios.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityHighClinical trial results can cause significant, rapid swings in share price.
Valuation riskMedium / highValuation is highly speculative and based on future clinical expectations.
Competition risk (Immuno-oncology)HighLarger pharmaceutical companies are aggressively pursuing similar pathways.
Business qualityMediumThe company has a focused science-led strategy but lacks a commercial track record.
Dividend incomeLow / noneInvestors should expect zero income from this asset.
Execution riskHighSuccess depends entirely on the outcomes of complex and lengthy clinical development programs.

Price Behavior

Rolling Over
PRICE PATH

Rolling Over

The price momentum is slowing down and beginning to turn downward.

Highly Choppy
PRICE STABILITY

Highly Choppy

The stock has experienced frequent, large price swings that make its near-term movement less predictable.

Analysis of Past Performance

Type Stock
Historic Profit 73.24%
Avg. Invested days 26
Today’s Advisory PASS
Upturn Advisory Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 2.0
Stock Returns Performance Upturn Returns Performance icon 4.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 09/28/2026

Upturn Scorecard

Upturn Star Rating

★★★★★
ALXO receives a 3-star rating, supported by solid analyst coverage. The rating is constrained by weak unit economics, and weak price momentum.

Company Fundamentals

★★★★★
ALXO has moderate overall fundamentals (3 stars), with moderate financial health, moderate growth momentum, and solid ownership. In FY2025 versus FY2024, solid earnings growth (+24.6%) is partially offset by soft cash generation (FCF margin 0.0%), slightly negative revenue growth (+0.0%), soft profitability (net margin 0.0%).

Financial Health Rating

★★★★★
ALXO's financial health is supported by strong efficiency, including operating-expense and cost-of-revenue discipline (opex 0.0% of revenue). Profitability is weak (1 stars), which helps explain the 3-star overall score.

Growth Momentum Score

★★★★★
Free-cash-flow growth is ALXO's strongest growth driver at +31.1% FY2025 versus FY2024 (solid, 4 stars). By comparison, earnings growth (+24.6%, solid) is also solid, while revenue growth (+0.0%, slightly negative) holds the profile back, so recent growth is not broad-based across the business.

Ownership

★★★★★
Institutional ownership is 84.6% and approximately 68.5% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership is only 0.89%, which materially reduces the ownership score.

Top 5 Institutional Investors

RA Capital Management, LLC 9.41%
venBio Partners LLC 9.32%
Redmile Group, LLC 5.35%
Blackstone Inc 4.21%
Driehaus Capital Management LLC 4.15%

Unit Economics (Per $1K Revenue)

★★★★★
ALXO generates approximately $0 of gross profit, $-0 of operating income, and $-0 of free cash flow for every $1,000 of revenue. Based on FY2025 results. Weak margins explain the 1-star rating, with weak cash conversion and weak capital efficiency.

Economic Dimensions

★★★★★
Effective Tax Rate: 0.00%

Quantitative Style Profile

★★★★★
ALXO has a liquid, relatively low-volatility profile. Weak momentum is the primary drawback, while soft valuation.

Style Classification

Quality Focused

Low VolatilitySmall / Mid Cap RiskShort Squeeze RiskHighly Liquid / Institution-Friendly

Key Highlights

Company Size Small-Cap Stock
Market Capitalization 181.14M USD
Price to earnings Ratio -
1Y Target Price 4.6
Price to earnings Ratio -
1Y Target Price 4.6
Volume (30-day avg) 936.8K shares
Beta 0.4
52 Weeks Range 1.05 - 2.66
Updated Date 09/27/2026
52 Weeks Range 1.05 - 2.66
Updated Date 09/27/2026
Dividends yield (FY) -
Basic EPS (TTM) -1.15

How Company Makes Money

Business areaWhat it includesRetail investor read
Clinical DevelopmentResearch and development of oncology candidates for potential licensing or future commercialization.The company is currently burning cash to develop a drug and does not yet generate sales.
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Valuation

Trailing PE -
Forward PE -
Enterprise Value 71.98M
Price to Sales(TTM) 5085.96
Enterprise Value 71.98M
Price to Sales(TTM) 5085.96
Enterprise Value to Revenue 4287.72
Enterprise Value to EBITDA -2.35
Shares Outstanding 138.28M
Shares Floating 94.73M
Shares Outstanding 138.28M
Shares Floating 94.73M
Percent Insiders 0.89
Percent Institutions 84.62

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Financial Metrics

🧭 Investment Snapshot

Total Revenue (Scale)

Information icon Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.

Net Income (Profit)

Information icon Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.

Free Cash Flow (Cash Strength)

Information icon Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.

📈 Growth & Strength

Operating Income (Core Profit)

Information icon Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.

EBITDA (Cash Earnings)

Information icon Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.

Gross Profit (Unit Profitability)

Information icon Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.

🛡️ Financial Safety

Cash (Liquidity Buffer)

Information icon Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.

Total Debt (Leverage Risk)

Information icon Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.

Net Working Capital (Short-Term Health)

Information icon Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.

🧱 Balance Sheet Strength

Stockholder Equity (Net Worth)

Information icon Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.

Total Assets (Asset Base)

Information icon The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.

Income Before Tax (Pre-Tax Earnings)

Information icon Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.

⚙️ Cost & Drag Factors

Cost of Revenue (Production Cost)

Information icon Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.

Total Operating Expenses (Operating Cost)

Information icon Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.

Income Tax Expense (Tax Drag)

Information icon Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.

About Alx Oncology Holdings 

Exchange NASDAQ
Headquarters South San Francisco, CA, United States
IPO Launch date 2020-07-17
CEO & Director Mr. Jason W. Lettmann
Sector Healthcare
Industry Biotechnology
Full time employees 48
Full time employees 48

ALX Oncology Holdings Inc., a clinical-stage immuno-oncology company, focuses on developing therapies for cancer patients in the United States. The company's lead product candidate is Evorpacept, a CD47 blocking therapeutic biologic development as a combination therapy with other anti-cancer agents, including ASPEN-06, under phase 2 clinical study for treating Gastric/GEJ cancer. It has collaboration agreement for Evorpacept combination programs comprising Jazz Pharmaceuticals plc for zanidatamab, under phase 1b/2 trial for the treatment of breast cancer and other solid tumors; HER2 with an ADC, fam-trastuzumab deruxtecan-nxki, under phase 1 trial for the treatment of patients with breast cancer; ALX2004, under phase 1 clinical trial for treating solid tumors; MD Anderson Cancer Center with rituximab and lenalidomide for the treatment of patients with indolent and aggressive NHL; and Sanofi with isatuximab and dexamethasone, under phase 1/2 trial for the treatment of patients with relapsed or refractory multiple myeloma. It has license agreements with Board of Trustees of Leland Stanford Junior University. The company was incorporated in 2015 and is headquartered in South San Francisco, California.