Alx Oncology Holdings, Inc. ((ALXO)) has held its Q3 earnings call. Read on for the main highlights of the call.
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Alx Oncology Holdings, Inc. recently held an earnings call that was marked by a generally optimistic sentiment, driven by strong clinical results for its lead drug candidates, evorpacept and ALX2004. The company is well-funded and making significant strides in its pipeline, although it faces challenges in market positioning and historical concerns with antibody-drug conjugates (ADCs).
Evorpacept’s Positive Clinical Trial Results
Evorpacept has shown promising results in clinical trials, particularly for HER2-positive gastric cancer patients with high CD47 expression. The treatment arm achieved a 65% objective response rate (ORR) compared to 26% in the control group, with a median progression-free survival (PFS) of 18.4 months versus 7 months in the control. These findings underscore the potential of evorpacept as a significant treatment option in this patient population.
Strong Financial Position
Alx Oncology reported a robust financial standing with a total cash balance of $67 million, which is expected to support the company’s operations into the first quarter of 2027. This financial stability provides a solid foundation for the company to continue advancing its clinical programs and pipeline development.
ALX2004 Clinical Progress
The EGFR-targeted ADC, ALX2004, is making headway in its clinical trials. The first dose cohort was completed without any dose-limiting toxicities (DLT), and the second cohort is currently being dosed. This progress is a positive indicator of ALX2004’s potential to overcome historical toxicity challenges associated with targeting EGFR.
Uncertain Market Positioning Post-ENHERTU
Despite the promising clinical results, Alx Oncology faces challenges in market positioning for evorpacept, especially for HER2-positive breast cancer patients post-ENHERTU. The lack of a standard of care in this space presents both a challenge and an opportunity for the company to establish evorpacept as a viable treatment option.
Historical Toxicity Concerns for EGFR ADCs
Targeting EGFR with ADCs has historically posed toxicity challenges. However, ALX2004 aims to address these issues, and the initial clinical trial results are encouraging. The company remains focused on overcoming these historical concerns to ensure the safety and efficacy of its treatments.
Forward-Looking Guidance
During the earnings call, Alx Oncology provided forward-looking guidance, highlighting the ASPEN-06 trial’s success in demonstrating CD47 expression as a predictive biomarker for evorpacept’s efficacy. The company is also advancing its Phase II breast cancer trial, aiming for a 35-40% ORR, and progressing with the ALX2004 EGFR-targeted ADC in Phase I trials, with initial safety data expected in 2026. These developments indicate a strategic focus on expanding the clinical applications of their pipeline.
In summary, Alx Oncology Holdings, Inc.’s earnings call reflected a positive outlook with strong clinical results and a solid financial position. While challenges in market positioning and historical ADC concerns remain, the company’s advancements in its pipeline and strategic guidance suggest a promising future. Investors and stakeholders will be keenly watching how Alx Oncology navigates these challenges and capitalizes on its opportunities in the coming years.

