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ALXO vs AMGN vs EXEL vs CRL vs IQV

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
ALXO
ALX Oncology Holdings Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$100M
5Y Perf.-94.3%
AMGN
Amgen Inc.

Drug Manufacturers - General

HealthcareNASDAQ • US
Market Cap$177.59B
5Y Perf.+34.5%
EXEL
Exelixis, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$11.74B
5Y Perf.+100.1%
CRL
Charles River Laboratories International, Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$8.98B
5Y Perf.-8.6%
IQV
IQVIA Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$30.32B
5Y Perf.+12.8%

ALXO vs AMGN vs EXEL vs CRL vs IQV — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
ALXO logoALXO
AMGN logoAMGN
EXEL logoEXEL
CRL logoCRL
IQV logoIQV
IndustryBiotechnologyDrug Manufacturers - GeneralBiotechnologyMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$100M$177.59B$11.74B$8.98B$30.32B
Revenue (TTM)$0.00$37.24B$2.38B$4.03B$16.63B
Net Income (TTM)$-108M$7.80B$833M$-185M$1.39B
Gross Margin71.5%71.6%24.9%26.1%
Operating Margin31.6%39.4%11.8%13.9%
Forward P/E14.7x14.0x16.4x14.1x
Total Debt$17M$54.60B$173M$3.07B$16.17B
Cash & Equiv.$18M$9.13B$482M$214M$1.98B

ALXO vs AMGN vs EXEL vs CRL vs IQVLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

ALXO
AMGN
EXEL
CRL
IQV
StockJul 20May 26Return
ALX Oncology Holdin… (ALXO)1005.7-94.3%
Amgen Inc. (AMGN)100134.5+34.5%
Exelixis, Inc. (EXEL)100200.1+100.1%
Charles River Labor… (CRL)10091.4-8.6%
IQVIA Holdings Inc. (IQV)100112.8+12.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: ALXO vs AMGN vs EXEL vs CRL vs IQV

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: EXEL leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. ALX Oncology Holdings Inc. is the stronger pick specifically for growth and revenue expansion and recent price momentum and sentiment. AMGN also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
ALXO
ALX Oncology Holdings Inc.
The Growth Leader

ALXO is the #2 pick in this set and the best alternative if growth and momentum is your priority.

  • 28.6% revenue growth vs CRL's -0.9%
  • +286.3% vs IQV's +16.5%
Best for: growth and momentum
AMGN
Amgen Inc.
The Income Pick

AMGN ranks third and is worth considering specifically for income & stability and growth exposure.

  • Dividend streak 15 yrs, beta 0.60, yield 2.9%
  • Rev growth 9.9%, EPS growth 88.2%, 3Y rev CAGR 11.8%
  • Beta 0.60 vs CRL's 1.52
  • 2.9% yield; 15-year raise streak; the other 4 pay no meaningful dividend
Best for: income & stability and growth exposure
EXEL
Exelixis, Inc.
The Long-Run Compounder

EXEL carries the broadest edge in this set and is the clearest fit for long-term compounding and sleep-well-at-night.

  • 8.3% 10Y total return vs IQV's 166.5%
  • Lower volatility, beta 0.80, Low D/E 8.0%, current ratio 3.56x
  • PEG 0.27 vs AMGN's 5.01
  • Beta 0.80, current ratio 3.56x
Best for: long-term compounding and sleep-well-at-night
CRL
Charles River Laboratories International, Inc.
The Healthcare Pick

CRL lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
IQV
IQVIA Holdings Inc.
The Value Angle

Among these 5 stocks, IQV doesn't own a clear edge in any measured category.

Best for: healthcare exposure
See the full category breakdown
CategoryWinnerWhy
GrowthALXO logoALXO28.6% revenue growth vs CRL's -0.9%
ValueEXEL logoEXELLower P/E (14.0x vs 14.1x), PEG 0.27 vs 0.35
Quality / MarginsEXEL logoEXEL35.1% margin vs CRL's -4.6%
Stability / SafetyAMGN logoAMGNBeta 0.60 vs CRL's 1.52
DividendsAMGN logoAMGN2.9% yield; 15-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)ALXO logoALXO+286.3% vs IQV's +16.5%
Efficiency (ROA)EXEL logoEXEL30.5% ROA vs ALXO's -130.6%, ROIC 32.1% vs -71.8%

ALXO vs AMGN vs EXEL vs CRL vs IQV — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

ALXOALX Oncology Holdings Inc.

Segment breakdown not available.

AMGNAmgen Inc.
FY 2025
Other Products
20.6%$7.3B
Prolia
12.5%$4.4B
Repatha
8.5%$3.0B
Otezla
6.4%$2.3B
ENBREL
6.3%$2.2B
EVENITY
5.9%$2.1B
XGEVA
5.9%$2.1B
Other (8)
33.9%$12.0B
EXELExelixis, Inc.
FY 2025
Product, Gross
64.9%$3.0B
Product
45.7%$2.1B
License
4.6%$214M
Collaboration
4.3%$197M
Service
-0.4%$-17,053,000
Product, Sales Discounts And Allowances
-19.2%$-889,003,000
CRLCharles River Laboratories International, Inc.
FY 2025
Discovery and Safety Assessment
59.8%$2.4B
Research Models and Services
21.1%$846M
Manufacturing Support
19.1%$766M
IQVIQVIA Holdings Inc.
FY 2025
Research And Development Solutions
54.5%$8.9B
Technology And Analytics Solutions
40.6%$6.6B
Contract Sales And Medical Solutions
4.8%$788M

ALXO vs AMGN vs EXEL vs CRL vs IQV — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLEXELLAGGINGIQV

Income & Cash Flow (Last 12 Months)

EXEL leads this category, winning 6 of 6 comparable metrics.

AMGN and ALXO operate at a comparable scale, with $37.2B and $0 in trailing revenue. EXEL is the more profitable business, keeping 35.1% of every revenue dollar as net income compared to CRL's -4.6%. On growth, EXEL holds the edge at +10.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
RevenueTrailing 12 months$0$37.2B$2.4B$4.0B$16.6B
EBITDAEarnings before interest/tax-$111M$15.6B$958M$757M$3.5B
Net IncomeAfter-tax profit-$108M$7.8B$833M-$185M$1.4B
Free Cash FlowCash after capex-$97M$8.6B$918M$391M$2.7B
Gross MarginGross profit ÷ Revenue+71.5%+71.6%+24.9%+26.1%
Operating MarginEBIT ÷ Revenue+31.6%+39.4%+11.8%+13.9%
Net MarginNet income ÷ Revenue+20.9%+35.1%-4.6%+8.3%
FCF MarginFCF ÷ Revenue+23.1%+38.7%+9.7%+16.1%
Rev. Growth (YoY)Latest quarter vs prior year+5.8%+10.0%+1.2%+8.4%
EPS Growth (YoY)Latest quarter vs prior year+29.3%+4.4%+43.6%-160.0%+15.0%
EXEL leads this category, winning 6 of 6 comparable metrics.

Valuation Metrics

EXEL leads this category, winning 4 of 7 comparable metrics.

At 16.6x trailing earnings, EXEL trades at a 28% valuation discount to AMGN's 23.1x P/E. Adjusting for growth (PEG ratio), EXEL offers better value at 0.32x vs AMGN's 7.86x — a lower PEG means you pay less per unit of expected earnings growth.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
Market CapShares × price$100M$177.6B$11.7B$9.0B$30.3B
Enterprise ValueMkt cap + debt − cash$100M$223.1B$11.4B$11.8B$44.5B
Trailing P/EPrice ÷ TTM EPS-0.72x23.12x16.62x-62.52x22.79x
Forward P/EPrice ÷ next-FY EPS est.14.74x13.96x16.42x14.06x
PEG RatioP/E ÷ EPS growth rate7.86x0.32x0.56x
EV / EBITDAEnterprise value multiple14.08x12.68x12.98x12.97x
Price / SalesMarket cap ÷ Revenue4.83x5.06x2.24x1.86x
Price / BookPrice ÷ Book value/share0.86x20.60x6.03x2.81x4.67x
Price / FCFMarket cap ÷ FCF21.92x13.90x17.31x14.78x
EXEL leads this category, winning 4 of 7 comparable metrics.

Profitability & Efficiency

EXEL leads this category, winning 6 of 9 comparable metrics.

AMGN delivers a 89.4% return on equity — every $100 of shareholder capital generates $89 in annual profit, vs $-2 for ALXO. EXEL carries lower financial leverage with a 0.08x debt-to-equity ratio, signaling a more conservative balance sheet compared to AMGN's 6.31x. On the Piotroski fundamental quality scale (0–9), AMGN scores 7/9 vs ALXO's 2/9, reflecting strong financial health.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
ROE (TTM)Return on equity-2.4%+89.4%+40.2%-5.7%+22.1%
ROA (TTM)Return on assets-130.6%+8.6%+30.5%-2.5%+4.7%
ROICReturn on invested capital-71.8%+14.8%+32.1%+6.3%+8.7%
ROCEReturn on capital employed-84.8%+16.0%+35.0%+8.1%+11.0%
Piotroski ScoreFundamental quality 0–927744
Debt / EquityFinancial leverage0.15x6.31x0.08x0.95x2.44x
Net DebtTotal debt minus cash-$589,000$45.5B-$309M$2.9B$14.2B
Cash & Equiv.Liquid assets$18M$9.1B$482M$214M$2.0B
Total DebtShort + long-term debt$17M$54.6B$173M$3.1B$16.2B
Interest CoverageEBIT ÷ Interest expense-64.62x5.02x6.38x3.10x
EXEL leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

EXEL leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in EXEL five years ago would be worth $18,403 today (with dividends reinvested), compared to $288 for ALXO. Over the past 12 months, ALXO leads with a +286.3% total return vs IQV's +16.5%. The 3-year compound annual growth rate (CAGR) favors EXEL at 34.4% vs ALXO's -32.7% — a key indicator of consistent wealth creation.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
YTD ReturnYear-to-date+62.6%+1.2%+6.0%-10.1%-20.7%
1-Year ReturnPast 12 months+286.3%+22.8%+25.5%+32.8%+16.5%
3-Year ReturnCumulative with dividends-69.5%+51.9%+142.8%-4.2%-5.9%
5-Year ReturnCumulative with dividends-97.1%+46.2%+84.0%-46.9%-23.8%
10-Year ReturnCumulative with dividends-93.8%+156.4%+833.5%+119.2%+166.5%
CAGR (3Y)Annualised 3-year return-32.7%+15.0%+34.4%-1.4%-2.0%
EXEL leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — AMGN and EXEL each lead in 1 of 2 comparable metrics.

AMGN is the less volatile stock with a 0.60 beta — it tends to amplify market swings less than CRL's 1.52 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXEL currently trades 93.1% from its 52-week high vs ALXO's 70.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
Beta (5Y)Sensitivity to S&P 5001.44x0.60x0.80x1.52x1.33x
52-Week HighHighest price in past year$2.66$391.29$49.62$228.88$247.05
52-Week LowLowest price in past year$0.40$261.43$33.76$131.30$134.65
% of 52W HighCurrent price vs 52-week peak+70.3%+84.1%+93.1%+79.5%+72.3%
RSI (14)Momentum oscillator 0–10064.039.467.657.258.5
Avg Volume (50D)Average daily shares traded927K2.5M2.7M806K1.6M
Evenly matched — AMGN and EXEL each lead in 1 of 2 comparable metrics.

Analyst Outlook

AMGN leads this category, winning 1 of 1 comparable metric.

Analyst consensus: ALXO as "Buy", AMGN as "Buy", EXEL as "Buy", CRL as "Buy", IQV as "Buy". Consensus price targets imply 113.9% upside for ALXO (target: $4) vs -1.1% for EXEL (target: $46). AMGN is the only dividend payer here at 2.87% yield — a key consideration for income-focused portfolios.

MetricALXO logoALXOALX Oncology Hold…AMGN logoAMGNAmgen Inc.EXEL logoEXELExelixis, Inc.CRL logoCRLCharles River Lab…IQV logoIQVIQVIA Holdings In…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$4.00$350.76$45.71$205.43$225.63
# AnalystsCovering analysts738323644
Dividend YieldAnnual dividend ÷ price+2.9%
Dividend StreakConsecutive years of raises1512
Dividend / ShareAnnual DPS$9.45
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+8.1%+4.0%+4.1%
AMGN leads this category, winning 1 of 1 comparable metric.
Key Takeaway

EXEL leads in 4 of 6 categories (Income & Cash Flow, Valuation Metrics). AMGN leads in 1 (Analyst Outlook). 1 tied.

Best OverallExelixis, Inc. (EXEL)Leads 4 of 6 categories
Loading custom metrics...

ALXO vs AMGN vs EXEL vs CRL vs IQV: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is ALXO or AMGN or EXEL or CRL or IQV a better buy right now?

For growth investors, Amgen Inc.

(AMGN) is the stronger pick with 9. 9% revenue growth year-over-year, versus -0. 9% for Charles River Laboratories International, Inc. (CRL). Exelixis, Inc. (EXEL) offers the better valuation at 16. 6x trailing P/E (14. 0x forward), making it the more compelling value choice. Analysts rate ALX Oncology Holdings Inc. (ALXO) a "Buy" — based on 7 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — ALXO or AMGN or EXEL or CRL or IQV?

On trailing P/E, Exelixis, Inc.

(EXEL) is the cheapest at 16. 6x versus Amgen Inc. at 23. 1x. On forward P/E, Exelixis, Inc. is actually cheaper at 14. 0x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Exelixis, Inc. wins at 0. 27x versus Amgen Inc. 's 5. 01x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.

03

Which is the better long-term investment — ALXO or AMGN or EXEL or CRL or IQV?

Over the past 5 years, Exelixis, Inc.

(EXEL) delivered a total return of +84. 0%, compared to -97. 1% for ALX Oncology Holdings Inc. (ALXO). Over 10 years, the gap is even starker: EXEL returned +833. 5% versus ALXO's -93. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — ALXO or AMGN or EXEL or CRL or IQV?

By beta (market sensitivity over 5 years), Amgen Inc.

(AMGN) is the lower-risk stock at 0. 60β versus Charles River Laboratories International, Inc. 's 1. 52β — meaning CRL is approximately 153% more volatile than AMGN relative to the S&P 500. On balance sheet safety, Exelixis, Inc. (EXEL) carries a lower debt/equity ratio of 8% versus 6% for Amgen Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — ALXO or AMGN or EXEL or CRL or IQV?

By revenue growth (latest reported year), Amgen Inc.

(AMGN) is pulling ahead at 9. 9% versus -0. 9% for Charles River Laboratories International, Inc. (CRL). On earnings-per-share growth, the picture is similar: Amgen Inc. grew EPS 88. 2% year-over-year, compared to -1555. 0% for Charles River Laboratories International, Inc.. Over a 3-year CAGR, EXEL leads at 12. 9% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — ALXO or AMGN or EXEL or CRL or IQV?

Exelixis, Inc.

(EXEL) is the more profitable company, earning 33. 7% net margin versus -3. 6% for Charles River Laboratories International, Inc. — meaning it keeps 33. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: EXEL leads at 37. 6% versus 0. 0% for ALXO. At the gross margin level — before operating expenses — EXEL leads at 96. 4%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is ALXO or AMGN or EXEL or CRL or IQV more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, Exelixis, Inc. (EXEL) is the more undervalued stock at a PEG of 0. 27x versus Amgen Inc. 's 5. 01x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Exelixis, Inc. (EXEL) trades at 14. 0x forward P/E versus 16. 4x for Charles River Laboratories International, Inc. — 2. 5x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ALXO: 113. 9% to $4. 00.

08

Which pays a better dividend — ALXO or AMGN or EXEL or CRL or IQV?

In this comparison, AMGN (2.

9% yield) pays a dividend. ALXO, EXEL, CRL, IQV do not pay a meaningful dividend and should not be held primarily for income.

09

Is ALXO or AMGN or EXEL or CRL or IQV better for a retirement portfolio?

For long-horizon retirement investors, Amgen Inc.

(AMGN) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 60), 2. 9% yield, +156. 4% 10Y return). Both have compounded well over 10 years (AMGN: +156. 4%, ALXO: -93. 8%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between ALXO and AMGN and EXEL and CRL and IQV?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: ALXO is a small-cap quality compounder stock; AMGN is a mid-cap quality compounder stock; EXEL is a mid-cap deep-value stock; CRL is a small-cap quality compounder stock; IQV is a mid-cap quality compounder stock. AMGN pays a dividend while ALXO, EXEL, CRL, IQV do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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