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ALX Oncology Reports Second Quarter 2026 Financial Results and Provides Corporate Update

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ALX Oncology (Nasdaq: ALXO) reported second quarter 2026 results and a corporate update. Cash, cash equivalents and investments were $153.4 million as of June 30, 2026, and the company believes this will fund planned operations through the first half of 2028. GAAP net loss for Q2 2026 was $18.0 million, or $(0.13) per share, versus $25.9 million, or $(0.49) per share, a year earlier, driven mainly by a $4.9 million reduction in R&D expenses and no repeat of a prior-year lease impairment.

Enrollment in the Phase 2 ASPEN-09-Breast trial of evorpacept in HER2-positive metastatic breast cancer remains on track, with topline data from 80 patients expected in mid-2027. New exploratory Phase 1b/2 data with evorpacept plus zanidatamab in heavily pre-treated metastatic breast cancer showed promising, durable responses, particularly in ccHER2-positive, high CD47-expression patients. The Phase 1 trial of ALX2004, an EGFR-targeted ADC, continues to enroll, with initial safety data expected in 2H 2026. In June, ALX Oncology refinanced its existing $10 million debt with HSBC Ventures USA, gaining access to a term loan facility of up to $50 million, and appointed Scott Garland as Board Chairman and Michael Listgarten as General Counsel.

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Positive

  • Cash and investments $153.4M at June 30, 2026; runway into 1H 2028
  • GAAP net loss improved to $18.0M from $25.9M year over year
  • R&D expenses down to $13.1M from $18.0M, mainly lower legacy trial costs
  • HSBC term loan facility up to $50M, with $20M additional draw capacity through June 2028
  • ASPEN-09-Breast Phase 2 enrollment on track; topline data from 80 patients mid-2027
  • ALX2004 Phase 1 dose-escalation enrolling; initial safety data expected 2H 2026
  • Total stockholders’ equity increased to $136.2M from $26.0M at December 31, 2025

Negative

  • GAAP net loss $18.0M in Q2 2026; accumulated deficit $758.7M
  • Loss on early debt extinguishment $0.9M recorded in the quarter
  • Interest expense $0.3M and other expense $0.3M continue to weigh on results
  • Weighted-average shares increased to 135.6M from 53.4M, indicating significant dilution year over year

News Explained

The June refinancing replaced ALX Oncology’s prior debt with a secured term-loan facility of up to $50 million; $10 million is uncommitted, while the company may draw up to an additional $20 million through June 2028 at its discretion.

Market Context

Tag-matched earnings events had a 4.09% average move across five observations. That record places th...
Analysis

Tag-matched earnings events had a 4.09% average move across five observations. That record places this update within a mixed historical response pattern; the principal risk remains clinical execution, alongside sourced Net Selling insider sentiment.

Key Figures

ASPEN-09-Breast topline population: 80 patients ALX2004 safety data timing: 2H 2026 Cash, equivalents and investments: $153.4 million +5 more
8 metrics
ASPEN-09-Breast topline population 80 patients Phase 2 trial; topline data expected mid-2027
ALX2004 safety data timing 2H 2026 Phase 1 dose-escalation trial
Cash, equivalents and investments $153.4 million As of June 30, 2026
Planned operations funding First half of 2028 Based on cash, cash equivalents and investments
R&D expenses $13.1 million Three months ended June 30, 2026, versus $18.0 million prior year
GAAP net loss $18.0 million; $0.13 per share Three months ended June 30, 2026
Additional debt availability Up to $20 million Available at the company's discretion through the end of June 2028
Term loan facility Up to $50 million Secured multi-tranche facility aggregate principal amount

Previous Earnings Reports

5 past events · Latest: May 08 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 08 Q1 earnings report Positive +11.2% Clinical progress, financing, and extended operating runway accompanied first-quarter results.
Feb 27 Q4 earnings report Positive -10.2% Clinical advances, financing, and extended runway accompanied fourth-quarter and annual results.
Nov 07 Q3 earnings report Positive +16.9% Positive clinical data and pipeline progress accompanied third-quarter financial results.
Aug 12 Q2 earnings report Positive +7.4% Biomarker findings, trial updates, and improved quarterly loss accompanied second-quarter results.
May 08 Q1 earnings report Negative -4.9% FDA feedback limited registration prospects despite financing and pipeline development updates.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-matched earnings history showed three aligned positive reactions and two divergences, indicating mixed responses to quarterly updates.

Key Terms

biomarker-driven, antibody-drug conjugate, dose-escalation, non-gaap financial measures
4 terms
biomarker-driven medical
"further validate a biomarker-driven development strategy for evorpacept"
An approach where medical decisions—like choosing patients for a treatment or designing a clinical trial—are guided by measurable biological signs (such as a gene change, protein level, or imaging result). For investors, biomarker-driven programs can raise the odds of clinical success, shrink development costs and speed regulatory review by targeting therapies to the people most likely to benefit, much like using a map to find the best route instead of driving aimlessly.
antibody-drug conjugate medical
"a novel antibody-drug conjugate (ADC) for the treatment of"
An antibody-drug conjugate is a targeted medicine that combines an antibody, which can identify specific cells, with a powerful drug designed to destroy those cells. This approach allows for precise treatment, minimizing damage to healthy tissue. For investors, developments in this area can signal advances in cancer therapies and potential growth opportunities in the biotech sector.
dose-escalation medical
"continues in the dose-escalation portion of the Phase 1 trial"
Dose-escalation is the part of an early-stage clinical trial where researchers gradually increase a drug’s dose in small groups of participants to find the safest and most effective amount. Think of it like turning up the volume slowly to find the sweet spot: investors watch these results closely because they reveal safety risks, potential effectiveness, and how quickly a drug can move to later trials or approval, all of which affect the development timeline and commercial prospects.
non-gaap financial measures financial
"We supplement our consolidated financial statements presented on a GAAP basis"
Non-GAAP financial measures are numbers companies use to show their financial performance that exclude certain expenses or income. They help investors see how the company might perform without one-time costs or other unusual items, giving a different perspective from official reports. However, since they can be adjusted, they don’t always tell the full story and should be looked at alongside standard financial figures.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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– On track for mid-2027 topline data readout from 80 patients in the Phase 2 ASPEN-09-Breast clinical trial evaluating evorpacept in combination with trastuzumab and chemotherapy in HER2-positive metastatic breast cancer –

– Presented encouraging Phase 1b/2 breast cancer data at ESMO Breast Cancer 2026 that further validate a biomarker-driven development strategy for evorpacept –

– Strong enrollment momentum in Phase 1 clinical trial of ALX2004 in EGFR expressing solid tumors with initial safety data on-track for 2H 2026 –

– Strengthened leadership team with the appointments of Scott Garland as Chairman of the Board of Directors and Michael Listgarten as General Counsel –

SOUTH SAN FRANCISCO, Calif., Aug. 06, 2026 (GLOBE NEWSWIRE) -- ALX Oncology Holdings Inc. ("ALX Oncology," Nasdaq: ALXO), a clinical-stage biotechnology company advancing a pipeline of novel therapies designed to treat cancer and extend patients’ lives, today reported financial results for the second quarter ended June 30, 2026, and provided a corporate update.

"We continue to execute against our strategy with discipline and focus, advancing both of our clinical programs toward meaningful value-creating milestones," said Jason Lettmann, Chief Executive Officer of ALX Oncology. "Enrollment in our ASPEN-09-Breast trial remains on track as we work toward a topline data readout from 80 patients in mid-2027, while ALX2004 continues to advance through dose escalation with initial safety data expected later this year. The encouraging clinical data we presented at ESMO Breast Cancer further strengthens our confidence in evorpacept’s biomarker-driven strategy, while ALX2004 continues to advance as a differentiated EGFR-targeted ADC built around a clinically validated target with broad applicability across multiple EGFR-expressing solid tumors. Together, these programs highlight the breadth of our pipeline. Combined with our strong balance sheet, an experienced leadership team, and multiple upcoming catalysts, we believe ALX is well-positioned to advance innovative therapies for cancer patients while creating long-term value for shareholders."

ALX Oncology Q2 2026 Highlights and Recent Developments

Evorpacept

  • In May, ALX Oncology presented new data at ESMO Breast Cancer 2026 from exploratory analyses of its Phase 1b/2 clinical trial evaluating the Company’s investigational CD47-inhibitor evorpacept in combination with Jazz Pharmaceuticals’ zanidatamab (ZIIHERA®). The new data demonstrated promising and durable responses in heavily pre-treated metastatic breast cancer (mBC) patients previously treated with ENHERTU® (fam-trastuzumab deruxtecan-nxki), particularly among patients with centrally confirmed HER2-positive (ccHER2-positive) disease and high CD47 expression.
  • Enrollment in the ongoing ASPEN-09-Breast Phase 2 trial evaluating evorpacept in combination with trastuzumab remains on track, with topline data from 80 patients expected in mid-2027.

ALX2004

  • Enrollment continues in the dose-escalation portion of the Phase 1 trial of ALX2004, a novel antibody-drug conjugate (ADC) for the treatment of epidermal growth factor receptor (EGFR)-expressing solid tumors, and is on track to report safety data in the second half of 2026.

Corporate Update

  • In June, the Company strengthened its leadership team and Board of Directors with the appointments of Scott Garland as Chairman of the Board and Michael Listgarten as General Counsel. A Board member since 2022, Mr. Garland brings more than three decades of biopharmaceutical commercial, operational, and strategic leadership experience, while Mr. Listgarten adds deep expertise in legal affairs, corporate governance, and business development, with a proven track record of guiding biopharmaceutical companies through critical stages of growth and transformation. Together, these appointments reinforce ALX's leadership foundation and enhance the company's ability to execute on its strategic priorities, capitalize on future opportunities, and support long-term growth.
  • Also in June, ALX Oncology strengthened its balance sheet by refinancing its existing $10 million debt with HSBC Ventures USA Inc. and securing the ability to draw up to an additional $20 million at the Company’s discretion through the end of June 2028. The Loan Agreement in totality provides for a secured multi-tranche term loan facility in an aggregate principal amount of up to $50 million, of which $10 million is uncommitted. This new debt facility replaces the Company’s prior loan and security agreement with Oxford Finance LLC and Silicon Valley Bank, significantly lowering ALX Oncology’s cost of capital, enhances financial flexibility and supports the continued advancement of the Company’s clinical portfolio.

Second Quarter 2026 Financial Results

  • Cash, Cash Equivalents and Investments: Cash, cash equivalents and investments as of June 30, 2026, were $153.4 million. The Company believes its cash, cash equivalents and investments are sufficient to fund planned operations through the first half of 2028.
  • Research and Development (“R&D”) Expenses: R&D expenses consist primarily of clinical and development costs related to the development of the Company’s current product candidates, evorpacept and ALX2004, and R&D personnel-related expenses, including stock-based compensation. R&D expenses for the three months ended June 30, 2026 were $13.1 million compared to $18.0 million for the prior-year period, or a decrease of $4.9 million. This decrease was primarily attributable to a decrease of $4.8 million in clinical and development costs, reflecting lower expenses associated with legacy trials, partially offset by continued investment in evorpacept ASPEN-09 Phase 2 trial and ALX2004 Phase 1 study.
  • General and Administrative (“G&A”) Expenses: G&A expenses consist primarily of administrative personnel-related expenses, including stock-based compensation and other costs such as legal and other professional fees, patent filing and maintenance fees, and insurance. G&A expenses for the three months ended June 30, 2026 were $5.1 million compared to $5.5 million for the prior year period, or a decrease of $0.4 million. This decrease was primarily attributable to a decrease in $0.4 million in corporate legal and patent costs.
  • Net loss: GAAP net loss was ($18.0) million for the three months ended June 30, 2026, or ($0.13) per basic and diluted share, as compared to a GAAP net loss of ($25.9) million for the three months ended June 30, 2025, or ($0.49) per basic and diluted share. The lower net loss is primarily attributed to lower R&D expenses as well absence of the $3.2 million lease impairment charge recorded in the three months ended June 30, 2025 related to leased lab space following the workforce reduction in preclinical research in March 2025. Non-GAAP net loss was ($14.3) million for the three months ended June 30, 2026, as compared to a non-GAAP net loss of ($20.6) million for the three months ended June 30, 2025. A reconciliation of GAAP to non-GAAP financial results can be found at the end of this news release.

ZIIHERA® and ENHERTU® are the registered trademarks of their respective owners.

About ALX Oncology
ALX Oncology (Nasdaq: ALXO) is a clinical-stage biotechnology company advancing a pipeline of novel therapies designed to treat cancer and extend patients’ lives. ALX Oncology’s lead therapeutic candidate, evorpacept, has demonstrated potential to serve as a cornerstone therapy upon which the future of immuno-oncology can be built. Evorpacept is currently being evaluated across multiple ongoing clinical trials in a wide range of cancer indications. ALX Oncology’s second pipeline candidate, ALX2004, is a novel EGFR-targeted antibody-drug conjugate with a differentiated mechanism of action. A Phase 1, dose-escalation trial of ALX2004 is ongoing in patients with EGFR-expressing solid tumors. More information is available at www.alxoncology.com and on LinkedIn and X.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements that involve substantial risks and uncertainties. Forward-looking statements include statements regarding future results of operations and financial position, business strategy, product candidates, planned preclinical studies and clinical trials, results of clinical trials, research and development costs, regulatory approvals, timing and likelihood of success, plans and objectives of management for future operations, as well as statements regarding industry trends. Such forward-looking statements are based on ALX Oncology’s beliefs and assumptions and on information currently available to it on the date of this press release. Forward-looking statements may involve known and unknown risks, uncertainties and other factors that may cause ALX Oncology’s actual results, performance or achievements to be materially different from those expressed or implied by the forward-looking statements. These and other risks are described more fully in ALX Oncology’s filings with the Securities and Exchange Commission (SEC), including ALX Oncology’s Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and other documents ALX Oncology files with the SEC from time to time. Except to the extent required by law, ALX Oncology undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.

ALX ONCOLOGY HOLDINGS INC.
Consolidated Statements of Operations
(unaudited)
(in thousands, except share and per share amounts)

  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2026  2025  2026  2025 
Operating expenses:            
Research and development $13,138  $18,022  $26,744  $41,910 
General and administrative  5,133   5,451   10,493   13,383 
Lease termination (gain) and impairment charge  (238)  3,175   (238)  3,175 
Total operating expenses  18,033   26,648   36,999   58,468 
Loss from operations  (18,033)  (26,648)  (36,999)  (58,468)
Interest income  1,508   1,106   2,690   2,589 
Interest expense  (285)  (405)  (616)  (811)
Other expense, net  (257)  (2)  (69)  (13)
Loss on debt extinguishment  (904)     (904)   
Net loss $(17,971) $(25,949) $(35,898) $(56,703)
Net loss per share, basic and diluted $(0.13) $(0.49) $(0.30) $(1.05)
Weighted-average shares of common stock used to compute net loss per shares, basic and diluted  135,639,684   53,445,631   120,097,125   54,031,176 
                 


Consolidated Balance Sheet Data
(unaudited)
(in thousands)

  June 30,  December 31, 
  2026  2025 
Cash, cash equivalents and investments $153,376  $48,284 
Total assets $160,550  $59,046 
Total liabilities $24,363  $33,065 
Accumulated deficit $(758,715) $(722,817)
Total stockholders’ equity $136,187  $25,981 
         


GAAP to Non-GAAP Reconciliation
(unaudited)
(in thousands)

  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2026  2025  2026  2025 
GAAP net loss, as reported $(17,971) $(25,949) $(35,898) $(56,703)
Adjustments:            
Stock-based compensation expense  2,683   2,136   5,192   7,352 
Accretion of term loan discount and issuance costs  66   69   134   136 
Lease termination (gain) and impairment charge  (238)  3,175   (238)  3,175 
Loss on disposal of fixed asset  246      246    
Loss on early debt extinguishment  904      904    
Total adjustments  3,661   5,380   6,238   10,663 
Non-GAAP net loss $(14,310) $(20,569) $(29,660) $(46,040)
                 

Use of Non-GAAP Financial Measures

We supplement our consolidated financial statements presented on a GAAP basis by providing additional measures which may be considered "non-GAAP" financial measures under applicable SEC rules. We believe that the disclosure of these non-GAAP financial measures provides our investors with additional information that reflects the amounts and financial basis upon which our management assesses and operates our business. These non-GAAP financial measures are not in accordance with generally accepted accounting principles and should not be viewed in isolation or as a substitute for reported, or GAAP, net loss, and are not a substitute for, or superior to, measures of financial performance performed in conformity with GAAP.

"Non-GAAP net loss" is not based on any standardized methodology prescribed by GAAP and represents GAAP net loss adjusted to exclude stock-based compensation expense and accretion of term loan discount and issuance costs. Non-GAAP financial measures used by ALX Oncology may be calculated differently from, and therefore may not be comparable to, non-GAAP measures used by other companies.

Investor Relations Contact:
Kevin Lui
Director, Investor Relations
Precision AQ
kevin.lui@precisionaq.com

Media Contact:
Genevieve Britton
Senior Director, Public Relations
Precision AQ
genevieve.britton@precisionaq.com


FAQ

How did ALX Oncology (NASDAQ: ALXO) perform financially in Q2 2026?

ALX Oncology reported a GAAP net loss of $18.0 million, or $(0.13) per share, in Q2 2026. According to ALX Oncology, this compares to a net loss of $25.9 million, or $(0.49) per share, in Q2 2025, mainly due to lower R&D expenses.

What is ALX Oncology’s cash runway and liquidity position as of June 30, 2026 (ALXO)?

ALX Oncology held $153.4 million in cash, cash equivalents and investments at June 30, 2026. According to ALX Oncology, this capital is expected to fund planned operations through the first half of 2028, supported by increased total assets of $160.6 million and equity of $136.2 million.

What are the key clinical milestones for evorpacept reported by ALX Oncology in August 2026?

The ASPEN-09-Breast Phase 2 trial of evorpacept in HER2-positive metastatic breast cancer is on track for topline data from 80 patients in mid-2027. According to ALX Oncology, new exploratory Phase 1b/2 data with evorpacept plus zanidatamab showed promising, durable responses in heavily pre-treated metastatic breast cancer.

What progress has ALX Oncology reported for its ALX2004 EGFR-targeted ADC program (ALXO)?

ALX Oncology is enrolling patients in a Phase 1 dose-escalation trial of ALX2004 for EGFR-expressing solid tumors. According to ALX Oncology, enrollment momentum is strong and initial safety data from this first-in-human study are expected in the second half of 2026, subject to trial progress.

How did ALX Oncology’s operating expenses change in Q2 2026 compared to Q2 2025?

Total operating expenses declined to $18.0 million in Q2 2026 from $26.6 million a year earlier. According to ALX Oncology, R&D decreased by $4.9 million to $13.1 million and G&A fell to $5.1 million, also reflecting the absence of a prior lease impairment.

What are the terms of ALX Oncology’s new HSBC Ventures loan facility announced in June 2026?

ALX Oncology refinanced its existing $10 million debt with HSBC Ventures USA and gained access to a secured term loan facility of up to $50 million. According to ALX Oncology, the agreement allows drawing up to an additional $20 million at its discretion through June 2028 and lowers its cost of capital.

What leadership changes did ALX Oncology (ALXO) announce in its Q2 2026 update?

ALX Oncology appointed Scott Garland as Chairman of the Board and Michael Listgarten as General Counsel in June 2026. According to ALX Oncology, Garland brings over three decades of biopharmaceutical leadership, while Listgarten adds extensive legal, governance and business development experience to support the company’s growth plans.