ALX Oncology Holdings Inc

ALX Oncology Holdings Inc is a clinical-stage biotechnology company developing immuno-oncology therapies for cancer, headquartered in South San Francisco, California. Its pipeline is centered on evorpacept (ALX148), a CD47 blocker designed to enhance macrophage-mediated tumor cell clearance while aiming to avoid hematologic toxicities seen with other CD47 approaches. The company is also advancing ALX2004, an EGFR-targeted antibody-drug conjugate (ADC) built from an in-house linker-payload platform, which entered first-in-human Phase 1 dosing in 2025. ALX Oncology has no products approved for marketing and has not generated revenue from product sales, with operations focused on R&D, clinical trials, and manufacturing scale-up for clinical supply.

2.07

2.07

— ALX Oncology Holdings Inc
%
Evorpacept (CD47 blocker) program65% Clinical development of evorpacept across Phase 1/2 studies, including combination regimens with targeted antibodies and chemotherapy.
ALX2004 (EGFR ADC) program20% First-in-human clinical development of an EGFR-targeted ADC using an in-house antibody and proprietary linker-payload design.
Early pipeline & collaborations (e.g., ALTA-002)10% Earlier-stage programs including partnered assets such as ALTA-002 (TRAAC) combining a SIRPα antibody with a TLR9 agonist.
Platform and enabling capabilities5% R&D and CMC capabilities supporting antibody engineering, linker-payload development, and clinical supply manufacturing scale-up.

ALX Oncology is not yet commercial and therefore does not have traditional product customers; its near-term "customers"...

  • Clinical trial sites (hospitals/academic centers)primary

    Administer evorpacept and ALX2004 under protocols; critical for enrollment, safety monitoring, and data generation.

  • Investigator-sponsored trial (IST) partnerssecondary

    Academic institutions sponsor studies (e.g., UC San Diego) to explore new combinations/indications that can expand clinical evidence.

  • Future commercial providers and prescribersemerging

    Oncologists and infusion centers would adopt therapies based on efficacy/safety and guideline placement if approvals are obtained.

  • Future third-party payorsemerging

    Public and private payors would influence access via coverage, prior authorization, and rebate/price reporting requirements post-approval.

ALX Oncology is headquartered in South San Francisco, California and operates primarily through U.S...

  • Headquarters in South San Francisco, California (U.S. operating base)
  • FDA IND filings/clearances indicate U.S.-centered regulatory pathway
  • Multi-center trials imply distributed site footprint (not quantified)
  • No product revenue; geography driven by trial and vendor locations
  • Potential future expansion tied to global trial strategy and approvals

The company’s strategy is to advance evorpacept as a next-generation CD47 checkpoint inhibitor positioned for...

01
Progress evorpacept through Phase 2 combination studiesshort-term

Clinical efficacy and safety data in defined tumor settings drive partnering, pivotal trial design, and eventual approval prospects.

02
Establish an ADC development engine around ALX2004medium-term

A differentiated ADC platform can create multiple follow-on candidates and diversify dependence on a single asset.

03
Expand pipeline via collaborations and early programsmedium-term

Partnered programs can broaden immuno-oncology approaches while sharing scientific and development risk.

ALX Oncology faces binary clinical development risk because its value is concentrated in investigational assets,...

critical

Substantial dependence on evorpacept (ALX148) clinical success

The company is substantially dependent on its lead candidate, which remains in clinical development and has not completed a pivotal trial.

Scope
Pipeline concentration and binary trial outcomes
Materiality
high
high

Ongoing losses and need to raise additional capital

The company has incurred significant net losses, expects continued losses, and will require substantial additional capital that may not be available on favorable terms.

Scope
Financing/dilution and potential program curtailment
Materiality
high
high

Competitive displacement and changing standard of care

Newly approved therapeutics in immuno-oncology could change treatment paradigms, negatively impacting trial design and prospects for evorpacept and ALX2004.

Scope
Clinical differentiation and enrollment feasibility
Materiality
medium
medium

Regulatory and agency operational disruptions

Disruptions at the FDA or other agencies could hinder timely review and approval activities on which development depends.

Scope
Development timelines and approval uncertainty
Materiality
medium
Clinical and contract manufacturing accruals (CMOs)
Affects reported R&D expense, accrued liabilities, and quarterly comparability

: 11/08/2026