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JP Morgan Healthcare Conference January 2026

ALXO

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ALX is Rapidly Advancing Novel Cancer Treatments

  • Leading CD47 program in development with potential to be next targeted immuno-oncology breakthrough

  • Unique design with inactive Fc differentiated from past attempts to target CD47

  • Demonstrated activity in five combinations to date and a targetable CD47 biomarker

  • Advancing trials in breast cancer and multiple myeloma*

Evorpacept

  • Highly differentiated EGFR ADC now in Ph1 dose escalation in the US

  • Meticulously designed and developed in-

    house to maximize therapeutic window

  • Preclinical data support dose dependent activity and a differentiated safety profile

  • Targeting EGFR-expressing tumors in Ph1 including NSCLC, CRC, HNSCC, and ESCC

ALX2004



* Sanofi-sponsored trial

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ALX Oncology | J.P. Morgan Healthcare Conference 2026

Strong Execution in 2025 Leads to a Catalyst Rich 2026

ASPEN-06 data at SITC '25: 2L gastric study demonstrated a 65% ORR in treatment vs 26% in control in

HER2+ CD47-high patients; mPFS benefit of 18.4m vs 7.0m (HR 0.3G), mOS 17.0m v G.Gm (HR 0.63)

Jazz collaboration: Evo + zanidatamab demonstrated a 56% ORR in HER2+ breast cancer patients with prior Enhertu

Sanofi collaboration: Evo + Sarclisa + dexamethasone in patients with previously treated multiple myeloma advanced from dose escalation into dose optimization

MDACC NHL data: Evo + R2 demonstrated a 100% ORR, G2% CR rate (historical control is ~50%), and a

1-yr PFS rate of G1% in 1L indolent NHL

ALX2004 enters clinic and rapidly progresses through initial dose levels with no dose-limiting toxicities

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ALX Oncology | J.P. Morgan Healthcare Conference 2026

ALX Oncology is Pursuing a Focused Development Plan with Upcoming Catalysts in 2026

M O D A L I T Y

/ T A R G E T P R O G R A M I N D I C A T I O N

E V O R P A C E P T P R O G R A M S

I N D

E N A B L I N G P H A S E 1 P H A S E 2 P H A S E 3 S T A T U S

ASPEN-Breast

Evorpacept, Trastuzumab

+ chemotherapy

ENHERTU®-Experienced HER2-Positive Breast Cancer

Enrolling, interim analysis

anticipated Q3 2026

Anti-cancer Antibodies

SARCLISA® +

Dexamethasone1 + Evorpacept

ASPEN-06

Evorpacept, Trastuzumab, CYRAMZA® + Paclitaxel2

Zanidatamab3 + Evorpacept

RRMM

(Relapsed or Refractory Multiple Myeloma)

2L or 3L Advanced HER2-Overexpressing

Gastric/Gastroesophageal Junction (GEJ)

HER2-Expressing Breast Cancer and Other Cancers

Dose escalation complete, now in dose optimization

Completed,

established POC

Completed,

data presented at

SABCS '24

A L X 2 0 0 4 P R O G R A M

ALX2004

Enrolling,

EGFR ADC

Dose-escalation and expansion

EGFR-Expressing Solid Tumors

Initial safety data 1H

2026

ALX-sponsored trial Completed trial

ALX Oncology retains worldwide rights to evorpacept

1. Sanofi sponsors SARCLISA® clinical trial. 2. Lilly supplies CYRAMZA® for ALX Oncology's ASPEN-06 program 3. Jazz Pharmaceuticals sponsors zanidatamab clinical trial.

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EVORPACEPT

Advancing A Synergistic Approach to Cancer Treatment



Evorpacept Blocks the CD47-SIRPα Interaction, Enhancing the Targeted ADCP of Cancer Cells when Given in Combination with Anti-Cancer Antibodies

SIRP Don't

M A C R O P H A G E

Eat Me

SIRP

Don't

M A C R O P H A G E

Eat Me

SIRP

Evorpacept

M A C R O P H A G E

CD47

CD47 CD47

C A N C E R C E L L

Eat Me

FcγR

C A N C E R C E L L

Target antigen

Anti-cancer antibody

Eat Me

FcγR

C A N C E R C E L L

Target antigen

Anti-cancer antibody



Cancer cells overexpress CD47 in order to evade immune detection

ADCP of anti-cancer antibodies is inhibited by CD47

Evorpacept blocks the "don't eat me"

signal and maximizes anti-cancer activity

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ALX Oncology | J.P. Morgan Healthcare Conference 2026

Evorpacept Is the Only CD47 Blocker with an Inactive Fc Designed to Avoid Toxicities Seen with Conventional Anti-CD47

Conventional anti-CD47 with active Fc

Evorpacept with inactive Fc

SIRP

M A C R O P H A G E

Eat me

R e d B l o o d C e l l

CD47

Fc

Conventional Anti-CD47

Due to CD47's expression on red blood cells, this caused on-target, off-tumor toxicities Inactive Fc spares normal cells minimizing toxicity

8 ALX Oncology | J.P. Morgan Healthcare Conference 2026



Evorpacept's MOA with Anti-Cancer Antibodies has Demonstrated Consistent

evorpacept

+

Herceptin

evorpacept

+

Herceptin

evorpacept

+

Zanidatamab

evorpacept

+

Rituxan

Positive randomized Positive ph1b in

Ph2 in gastric cancer

gastric cancer

Positive ph1b in breast cancer

Positive ph1b in 1L/ 2L NHL

Tolerability and Robust Clinical Activity vs. Conventional Approaches

Evorpacept

Inactive Fc domain

Evo is the only Fc-inactive clinical-stage program and has shown consistent activity and tolerability

Lemzo-

parlimab

TTI-622

TTI-621

Magrolimab

Hematologic Hematologic toxicity signal toxicity signal

Hematologic toxicity signal

Hematologic toxicity signal





Active Fc domain

Conventional CD47 Blockers

Clinical trials of Fc-active programs have been mostly discontinued/ deprioritized

G

ALX Oncology | J.P. Morgan Healthcare Conference 2026

EVORPACEPT

Clinical data with anti-cancer antibodies



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ALX Oncology Holdings Inc. published this content on January 15, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on January 15, 2026 at 20:19 UTC.