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ALXO.O NASDAQ Biotechnology

Alxo.O

$1,91
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Mcap
78,0M USD
P/E
EV / Rev
Div yield
Op margin
ROE
-46,9 %
Net margin
Debt / equity
0,04
Beta
52w range
Volume
Day range
Prev close
$1,94
Open
Next earnings
2026-10-28
Ex-dividend
TR 1Y
About

ALX Oncology Holdings Inc. is a clinical-stage biopharmaceutical company focused on developing novel therapies for cancer patients, currently generating no revenue as it advances its pipeline through research and development phases.

Business. ALX Oncology Holdings Inc. is a clinical-stage biopharmaceutical company focused on developing novel therapies for cancer patients, currently generating no revenue as it advances its pipeline through research and development phases.

Classification85 %
SectorHealth Care
Industry groupBiotechnology
Generated · model-assisted
Sell-side consensus
BUY7 analysts
6 buy1 hold0 sell
Avg 12m price target4,60

Analyst recommendations

7 analysts · consensus Buy
Buy6
Hold1
Sell0
12-month price target
4,60
Consensus of sell-side coverage.
Upcoming events
  • EarningsQ3 2026 earnings (expected)2026-10-28 · estimated
See all catalysts →

At a glance

Score
not yet scored
Valuation
valuation pending
Analysts
Buy
7 analysts · indicative
Ownership
BlackRock Institutional Trust Company, N.A.
largest disclosed fund holder
Profitability
-46,9 %
return on equity
Quality
not yet scored

What drives this business

The watch-list the newsroom runs for this company — derived from its sector path, sharpened layer by layer. Not investment advice.

— missing data

News & coverage

0
  • No recent newsroom coverage mentioning ALXO.
  • Sector rotation

    Sector1D1Mvs mkt
    Materials+2,3 %+6,6 %+1,7 %
    Communication Services+2,2 %−5,5 %+1,6 %
    Energy+0,6 %+3,3 %+0,0 %
    Health Care · THIS SECTOR+0,6 %−0,8 %+0,0 %
    Information Technology+0,6 %+6,7 %+0,0 %
    Consumer Discretionary+0,4 %+7,6 %−0,2 %
    Financials−0,3 %−2,8 %−0,9 %
    Consumer Staples−0,4 %+2,5 %−1,0 %
    Real Estate−0,7 %+10,9 %−1,3 %
    Industrials−1,9 %−3,1 %−2,5 %
    Utilities−1,9 %+28,2 %−2,5 %

    Developing storylines

    No tracked sagas currently linked to ALXO.O. Browse all sagas →

    Analysis

    AI analysis
    Generated · analysis pipeline · tier hybrid · as of 2026-08-04 ↑ At a glance

    Opportunity

    — missing data

    Upcoming catalysts

    Scheduled public events. Informational only — not investment advice.

    • Company
    • EarningsQ3 2026 earnings (expected)2026-10-28 · estimated
    • Macro
    • Rate decisionBank of England rate decision (press conf.)2026-08-06 · GB
    • Rate decisionReserve Bank of Australia rate decision (press conf.)2026-08-12 · AU
    • Rate decisionNorges Bank rate decision (press conf.)2026-08-20 · NO
    • Rate decisionSveriges Riksbank rate decision (press conf.)2026-09-03 · SE
    • Rate decisionBank of Canada rate decision (press conf.)2026-09-09 · CA
    • Rate decisionEuropean Central Bank rate decision (press conf.)2026-09-10 · EU
    • Macro & political
    • ElectionSE Swedish Election2026-09-14 · SE
    • ElectionUS U.S. Midterms2026-11-03 · US
    • ElectionFR French Legislative2027-06-01 · FR

    Pre-earnings brief

    — missing data

    Signals & dispatch

    peak dispatch · —

    Composite-score breakdown

    Synthesis

    Business

    ALX Oncology Holdings Inc. is a clinical-stage biopharmaceutical company focused on developing novel therapies for cancer patients, currently generating no revenue as it advances its pipeline through research and development phases.

    Classification85 %
    SectorHealth Care
    Industry groupBiotechnology
    AI synthesis
    GENERATED

    ALX Oncology Holdings Inc. maintains a conservative capital structure characterized by minimal leverage and a strong equity base relative to its liabilities. The company reports total assets of $306.5 million against total liabilities of $43.0 million, resulting in a debt-to-equity ratio of 0.04, which indicates negligible long-term debt exposure. Long-term debt stands at $9.4 million, while cash and equivalents total $48.8 million, providing a liquidity buffer against operating cash outflows. The current market capitalization is $78.0 million, with a price-to-book ratio of 0.3, suggesting the market values the company at a significant discount to its tangible book value. This valuation metric, combined with a negative EV/EBITDA of -0.30, reflects the pre-revenue status of the business and the market's pricing of its development risks rather than current earnings power.

    Profitability metrics are deeply negative, consistent with a clinical-stage biotechnology firm that has not yet commercialized any products. The company reports zero revenue, with an operating income of -$127.4 million and a net income of -$123.5 million for the latest period. Return on equity is -46.87%, and return on assets is -40.29%, highlighting the substantial capital consumption required to fund research and development activities. Without revenue generation, the company cannot be compared to cohort medians on profitability ratios such as gross margin or operating margin, as these metrics are undefined or non-comparable for pre-revenue entities. The primary economic driver is the successful progression of its drug candidates through clinical trials, which would eventually transition the company from cash burn to revenue generation.

    Segment and geographic revenue data are not applicable as the company reports zero revenue across all segments and regions. The business model is entirely dependent on the success of its internal research and development pipeline, with no diversified revenue streams from product sales, licensing, or collaborations currently contributing to the top line. Consequently, there is no revenue concentration risk in the traditional sense, but rather a total concentration of value in the intellectual property and clinical data associated with its drug candidates. The lack of revenue diversification means that the company's financial health is directly tied to the binary outcomes of its clinical trials and potential regulatory approvals.

    Growth trajectory analysis is limited by the absence of historical revenue data, as the company has not yet generated sales. The financial snapshot indicates a significant operating cash flow outflow of -$89.2 million, with capital expenditures of $1.4 million, reflecting the heavy investment in R&D infrastructure and clinical trial costs. The shares outstanding remain stable at approximately 40.9 million for both basic and diluted measures, indicating no recent significant dilution from stock-based compensation or equity issuances in the latest period. The negative cash flow is expected to continue until the company achieves commercialization milestones or secures additional funding through partnerships or capital markets.

    Risk assessment indicates low liquidity risk and low dilution risk, with no immediate filing-based flags detected for liquidity or dilution concerns. However, the fundamental business risk remains high due to the pre-revenue status and the inherent uncertainties of drug development. The company's ability to continue operations depends on its cash reserves of $48.8 million and its ability to raise additional capital if necessary. The low debt-to-equity ratio mitigates financial distress risk, but the negative returns on equity and assets underscore the ongoing capital intensity of the business model.

    Recent observations include analyst estimates suggesting a mean price target of $4.60, with a median target of $4.00, indicating a potential upside from the current market price of $1.91. The mean recommendation is 2.00, with one strong buy, five buy, and one hold rating, reflecting a generally positive sentiment among analysts despite the lack of revenue. News event observations indicate system-level reconciler activities but no specific corporate actions or clinical trial results disclosed in the provided data. The absence of recent negative news or filing flags supports the low risk assessment, although the company's future performance will be heavily influenced by upcoming clinical data readouts and regulatory interactions.

    Key takeaways
    • ALX Oncology is a pre-revenue biopharma company with zero revenue and significant operating losses of -$127.4 million.
    • The balance sheet is strong with $48.8 million in cash and minimal debt, resulting in a debt-to-equity ratio of 0.04.
    • Market valuation is depressed with a P/B ratio of 0.3, trading at a discount to book value.
    • Analyst sentiment is positive with a mean price target of $4.60, suggesting potential upside from the current $1.91 price.
    • No immediate liquidity or dilution risks are flagged, but the company faces high execution risk in its R&D pipeline.

    Bull / Bear case

    analysis pipeline
    — missing data

    In focus — financials by report

    Quarterly
    Annual
    QUARTERLYFiled 2026-05-08
    Q1 2026 · Quarter highlights
    Open report →

    Operating income +40,4% YoY; Net income +41,7% YoY.

    Revenue
    Operating income-$19.0M+40,4 % YoY
    Net income-$17.9M+41,7 % YoY
    Free cash flow-$17.6M+41,9 % YoY
    EPS
    Operating cash flow-$18.6M+24,4 % YoY
    Financials
    Income statement
    Revenue
    Gross profit
    Operating income-$19.0M
    Net income-$17.9M
    Balance sheet
    Total assets$178.3M
    Total liabilities$27.0M
    Total equity$151.3M
    Cash & equivalents$32.3M
    Long-term debt$9.8M
    Cash flow
    Operating cash flow-$18.6M
    CapEx-$50.0k
    Free cash flow-$17.6M
    SBC
    Highlights
    • Operating income +40,4% YoY
    • Net income +41,7% YoY
    • Free cash flow +41,9% YoY

    Valuation TTM

    Market price
    $1,91
    Market cap
    $78.0M
    Enterprise value
    $38.6M
    P/E
    Non-GAAP P/E
    EV / Revenue
    EV / Op income
    EV / OCF
    P / B
    0.3x
    P / Tangible book
    0.3x
    Tangible book
    $263.5M
    Net cash
    $39.4M
    Current ratio
    Debt / equity
    0.0
    ROA
    -40.3%
    ROE
    -46.9%
    Cash conversion
    72.0%
    CapEx / revenue
    SBC / revenue
    Dilution ratio
    0.0%

    Revenue by segment

    Market share

    — missing data

    Business relationships

    — missing data

    Supply chain

    — missing data

    Peer comparison

    — missing data

    Market position

    Stress test

    — missing data

    Predictor forecast

    Next quarternear-term
    Earnings · next quarterconf 45 %
    EPS
    Consensus EPS
    -0,61
    Predicted surprise
    +0,00
    Beat probability
    45 %
    Analysts
    7
    Other metrics
    Revenue
    no estimate
    Segment revenue
    no estimate
    Margin
    no estimate
    Segment margin
    no estimate
    as of 2026-08-03 · Earnings Surprise V1
    Period note: consensus is not fiscal-period-aligned at source — read as consensus vs the last reported actual, not a calibrated same-quarter surprise.
    Full fiscal year~1 year ahead
    Full fiscal year · our forecast vs guidance vs consensus
    MetricOur forecastGuidanceConsensus
    EPSno estimateno estimate-0,61
    Revenueno estimateno estimate0 USD
    Operating incomeno estimateno estimate-82,2M USD
    Full-year consensus mean (period as reported by source) · consensus in USD. Company-level full-year forecast and management guidance are not yet modelled at scale — shown as "no estimate", never inferred.
    Probabilistic model output — not investment advice. · generated 2026-08-04

    Options

    — missing data

    Short squeeze

    — missing data

    Earnings-call key lines

    — missing data

    Consensus distribution

    sell-side coverage
    Recommendation distribution7 analysts
    Strong buy1
    Buy5
    Hold1
    Sell0
    Strong sell0
    12-month price target$4,60 · Median $4,00
    Low $4,00High $6,00
    Operating income · consensus-82,2M USD
    EPS surprise
    −170,7 %
    reported vs consensus · miss

    Estimate revisions

    consensus EPS · 26-week trend
    — missing data

    Sell-side observations

    Low$4,00
    Mean$4,60
    Median$4,00
    High$6,00
    Spot$1,91
    +140.8 %implied to mean12-month sell-side price targets · ▲ spot

    Themes

    — missing data

    ESG

    — missing data

    Risk factors

    Dilution riskLow
    Liquidity riskLow
    Filing-based flags
    • No immediate filing-based liquidity or dilution flags were detected.

    Benchmarks vs cohort

    ROE-46,9 %Below median
    D/E0,04Below median
    Cash Conv0,72Below median

    Corporate actions / M&A

    — missing data

    FX exposure

    — missing data

    Comparable transactions

    — missing data

    Derivatives & instruments

    Derivative transactions

    Net acquired 4 431 783 sh16 grants11 insiders
    • Knight Jeff E.Chief Dev & Operating Officer · Stock option (right to buy) → Common StockAcquired 800 000 @ $1,68grant · 2026-04-16
    • Klencke BarbaraChief Medical Officer · Stock option (right to buy) → Common StockAcquired 100 000 @ $1,68grant · 2026-04-16
    • Klencke BarbaraChief Medical Officer · Stock option (right to buy) → Common StockAcquired 700 000 @ $2,07grant · 2026-03-03
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Stock option (right to buy) → Common StockAcquired 912 000 @ $1,48grant · 2026-01-26
    • Pinto ShellySVP, FINANCE AND CAO · Stock option (right to buy) → Common StockAcquired 192 000 @ $1,48grant · 2026-01-26
    • Shantharam HarishChief Financial Officer · Stock option (right to buy) → Common StockAcquired 303 000 @ $1,48grant · 2026-01-26
    • GOODMAN COREY SDirector, 10% owner · Stock Option (right to buy) → Common StockAcquired 40 400 @ $1,32grant · 2026-01-20
    • Sandler Alan B.Director · Stock option (right to buy) → Common StockAcquired 10 100 @ $1,32grant · 2026-01-20
    • Curran Daniel J.Director · Stock Option (right to buy) → Common StockAcquired 16 833 @ $1,32grant · 2026-01-20
    • Takimoto Chris HDirector · Stock option (right to buy) → Common StockAcquired 40 400 @ $1,32grant · 2026-01-20
    • Hemrajani RekhaDirector · Stock option (right to buy) → Common StockAcquired 40 400 @ $1,32grant · 2026-01-20
    • Garland J. ScottDirector · Stock option (right to buy) → Common StockAcquired 40 400 @ $1,32grant · 2026-01-20
    • Shantharam HarishChief Financial Officer · Employee Stock Option (right to buy) → Common StockAcquired 198 750 @ $1,70grant · 2025-10-14
    • Pinto ShellySVP, FINANCE AND CAO · Employee Stock Option (right to buy) → Common StockAcquired 140 000 @ $1,70grant · 2025-10-14
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Employee Stock Option (right to buy) → Common StockAcquired 597 500 @ $1,70grant · 2025-10-14
    • Klencke BarbaraDirector · Stock option (right to buy) → Common StockAcquired 300 000 @ $1,05grant · 2025-09-17

    Actions

    Ask Handelsavisen

    — missing data
    Data sources
    • Reference data
    • Market data cache
    • Issuer disclosures
    • Public news
    • Earnings transcripts
    • Consensus estimates
    • ESG data
    How metrics are computed
    • Cash Conversion Ratio
      operating_cash_flow / net_income
    • Market Price
      input from market-data provider (delayed close or quote-shim mid)
    • Net Cash
      cash_and_equivalents + short_term_investments - short_term_debt - long_term_debt
    • Return On Equity
      net_income / total_equity
    • Market Cap
      market_price * shares_outstanding_diluted
    • Debt To Equity
      (short_term_debt + long_term_debt) / total_equity
    Source documents
    • ALX ONCOLOGY HOLDINGS INC Market data — financials · 2026-08-03
    • reconciler_enqueue (reconciler) on ALXO.O · 2026-08-03
    • ALX Oncology Holdings Inc Market data — analyst estimates · 2026-08-03
    • ALX Oncology Holdings Inc Market data — ESG · 2026-08-03

    Ownership & reference

    Top holders

    • BlackRock Institutional Trust Company, N.A.Investment Managers · as of 2024-06-300,00 %$16M
    • UBS Financial Services, Inc.Investment Managers · as of 2026-03-310,00 %$2M
    • Nuveen LLCInvestment Managers · as of 2024-12-310,00 %$0M
    • Geode Capital Management, L.L.C.Investment Managers · as of 2026-03-310,00 %$1M
    • Goldman Sachs Asset Management, L.P.Investment Managers · as of 2026-03-310,00 %$0M
    • Northern Trust Investments, Inc.Investment Managers · as of 2026-03-310,00 %$0M
    • Vanguard Capital Management, LLCInvestment Managers · as of 2025-12-310,00 %$2M
    • State Street Investment Management (US)Investment Managers · as of 2026-03-310,00 %$0M
    • Morgan Stanley Smith Barney LLCInvestment Managers · as of 2026-03-310,00 %$0M
    • Invesco QQQ TrustFunds · as of 2026-03-310,00 %$0M
    • FMR LLCInstitutional Investor · as of 2026-03-310,00 %$0M
    • PNC Investments LLCInvestment Managers · as of 2026-03-310,00 %$0M

    Insider activity

    Net buying3 buys · 5 sellsnet $5,1M4 insiders · last 365d
    • Wong ShellySVP, FINANCE AND CAO · Common StockSold 1 404 @ $2,04$3K · 2026-07-01
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Common StockSold 12 311 @ $2,17$27K · 2026-03-19
    • Pinto ShellySVP, FINANCE AND CAO · Common StockSold 903 @ $2,17$2K · 2026-03-19
    • Pinto ShellySVP, FINANCE AND CAO · Common StockSold 565 @ $2,27$1K · 2026-02-18
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Common StockOther 2 201 @ $2,27$5K · 2026-02-17
    • GOODMAN COREY SDirector, 10% owner · Common StockBought 3 184 713 @ $1,57$5,0M · 2026-02-02
    • Pinto ShellySVP, FINANCE AND CAO · Common StockSold 3 925 @ $1,11$4K · 2026-01-06
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Common StockBought 71 163 @ $1,08$77K · 2025-09-17
    • Lettmann JasonDirector, CHIEF EXECUTIVE OFFICER · Common StockBought 21 070 @ $1,07$22K · 2025-09-16

    Short positioning

    7.5Mshares short+18.1% vs prior
    6.59days to cover
    54.8%short of daily vol
    10.0Kfails-to-deliver
    as of 2026-07-15 · short-interest report (free)

    Geographic breakdown

    — missing data
    Listings · one canonical issuer all listings resolve to the canonical
    ALXO.OCanonical
    NASDAQ · USD

    Intel & risk

    PredictorBeat prob45 %Surprise+0,00Full forecast →
    peak dispatch · —
    OSINT findings
    Dilution riskLow
    Liquidity riskLow
    No immediate filing-based liquidity or dilution flags were detected.

    Evidence & claims

    From filings & derived data
    — missing data

    The Thread

    Everything we know, in order
    2026-10-28EVENTUpcomingQ3 2026 earnings (expected) estimated date
    2026-07-01INSIDERWong Shelly sold 1.4k sh — SVP, FINANCE AND CAO ~$3k
    2026-06-11FILING8-K filing →
    2026-05-08 08:00 UTCEARNINGSQuarterly results — Q1 2026 Net USD -17.9M
    2026-05-08FILING10-Q filing →
    2026-05-08FILING8-K filing →
    2026-04-20FILINGDEF 14A filing →
    2026-04-16 00:00 UTCINSIDER2 insider transactions — 2026-04 2 derivative
    2026-04-16INSIDERKnight Jeff E. acquired 800.0k sh Stock option (right to buy) — Chief Dev & Operating Officer
    2026-04-16INSIDERKlencke Barbara acquired 100.0k sh Stock option (right to buy) — Chief Medical Officer
    2026-04-13FILING8-K filing →
    2026-03-19 00:00 UTCINSIDER3 insider transactions — 2026-03 1 derivative
    2026-03-19INSIDERLettmann Jason sold 12.3k sh — Director, CHIEF EXECUTIVE OFFICER ~$27k
    2026-03-19INSIDERPinto Shelly sold 903 sh — SVP, FINANCE AND CAO ~$2k
    2026-03-09FILING10-K filing →
    2026-03-03INSIDERKlencke Barbara acquired 700.0k sh Stock option (right to buy) — Chief Medical Officer
    2026-02-27 08:06 UTCEARNINGSQuarterly results — Q4 2025 Net USD -22.8M
    2026-02-27 08:06 UTCEARNINGSAnnual results — FY 2026 Net USD -101.7M
    2026-02-27FILING8-K filing →
    2026-02-18 00:00 UTCINSIDER3 insider transactions — 2026-02 · net buy $5.0M
    2026-02-18INSIDERPinto Shelly sold 565 sh — SVP, FINANCE AND CAO ~$1k
    2026-02-17INSIDERLettmann Jason transacted 2.2k sh — Director, CHIEF EXECUTIVE OFFICER ~$5k
    2026-02-02INSIDERGOODMAN COREY S bought 3.18M sh — Director, 10% owner ~$5.00M
    2026-01-30FILING424B5 filing →
    2026-01-30FILING8-K filing →
    2026-01-30FILING8-K filing →
    2026-01-26 00:00 UTCINSIDER10 insider transactions — 2026-01 9 derivative
    2026-01-26INSIDERShantharam Harish acquired 303.0k sh Stock option (right to buy) — Chief Financial Officer
    2026-01-26INSIDERLettmann Jason acquired 912.0k sh Stock option (right to buy) — Director, CHIEF EXECUTIVE OFFICER
    2026-01-26INSIDERPinto Shelly acquired 192.0k sh Stock option (right to buy) — SVP, FINANCE AND CAO
    2026-01-21FILING8-K filing →
    2026-01-20INSIDERHemrajani Rekha acquired 40.4k sh Stock option (right to buy) — Director
    2026-01-20INSIDERTakimoto Chris H acquired 40.4k sh Stock option (right to buy) — Director
    2026-01-20INSIDERCurran Daniel J. acquired 16.8k sh Stock Option (right to buy) — Director
    2026-01-20INSIDERSandler Alan B. acquired 10.1k sh Stock option (right to buy) — Director
    2026-01-20INSIDERGarland J. Scott acquired 40.4k sh Stock option (right to buy) — Director
    2026-01-20INSIDERGOODMAN COREY S acquired 40.4k sh Stock Option (right to buy) — Director, 10% owner
    2026-01-06INSIDERPinto Shelly sold 3.9k sh — SVP, FINANCE AND CAO ~$4k
    2025-11-07 08:15 UTCEARNINGSQuarterly results — Q3 2025 Net USD -22.1M
    2025-11-07FILING10-Q filing →
    Showing the 40 most recent of 57 entries.
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    Sources filings · IR · transcripts · market data · tier hybrid · as of 2026-08-04 Reference data · Issuer disclosures · Public news · Earnings transcripts · Consensus estimates · ESG data Premium coverage