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Spruce Biosciences (SPRB)
NASDAQ:SPRB
US Market
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Spruce Biosciences (SPRB) AI Stock Analysis

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SPRB

Spruce Biosciences

(NASDAQ:SPRB)

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Neutral 45 (OpenAI - 5.2)
Rating:45Neutral
Price Target:
$50.00
▼(-28.88% Downside)
Action:ReiteratedDate:04/23/26
The score is held down primarily by weak financial performance (no recent revenue, ongoing losses, and continued cash burn) and a technically weak price trend below key moving averages. Corporate events provide a partial offset through improved funding and supportive pipeline/regulatory updates, while valuation support is limited due to losses and no indicated dividend yield.
Positive Factors
Disease-modifying clinical data (TA-ERT)
Robust multi-year data showing durable biomarker normalization and preserved cognitive/motor function supports first-in-class, disease-modifying positioning for MPS IIIB. If replicated in pivotal studies, this creates a sustainable clinical moat and durable commercial upside in an ultra-rare indication with no approved therapies.
Negative Factors
No product revenues and persistent losses
The firm lacks recurring product revenue and continues to post substantial operating losses, driving negative free cash flow. Over the medium term this necessitates capital markets access to fund operations, increasing dilution risk and making long-term viability contingent on successful approval or partnerships.
Read all positive and negative factors
Positive Factors
Negative Factors
Disease-modifying clinical data (TA-ERT)
Robust multi-year data showing durable biomarker normalization and preserved cognitive/motor function supports first-in-class, disease-modifying positioning for MPS IIIB. If replicated in pivotal studies, this creates a sustainable clinical moat and durable commercial upside in an ultra-rare indication with no approved therapies.
Read all positive factors

Spruce Biosciences (SPRB) vs. SPDR S&P 500 ETF (SPY)

Spruce Biosciences Business Overview & Revenue Model

Company Description
Spruce Biosciences, Inc., a biopharmaceutical company, focuses on developing and commercializing novel therapies for rare endocrine disorders. The company engages in developing tildacerfont, a non-steroidal therapy to enhance disease control and r...
How the Company Makes Money
As a clinical-stage biotechnology company, Spruce Biosciences has not had a stable, recurring revenue base from marketed products; its operations have primarily been funded through external financing rather than product revenue (e.g., raising capi...

Spruce Biosciences Financial Statement Overview

Summary
Overall financials are pressured by collapsed revenue (down to $0 in 2025), persistent large operating losses, and ongoing negative free cash flow despite improvement in 2025 versus 2024. The balance sheet benefits from low leverage, but equity and assets have eroded materially, keeping funding risk elevated.
Income Statement
18
Very Negative
Balance Sheet
56
Neutral
Cash Flow
22
Negative
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue0.004.91M10.09M0.000.00
Gross Profit-21.00K4.91M10.09M0.000.00
EBITDA-36.51M-52.68M-47.37M-45.69M-41.88M
Net Income-38.97M-53.04M-47.92M-46.18M-42.29M
Balance Sheet
Total Assets53.02M45.21M103.95M85.65M126.49M
Cash, Cash Equivalents and Short-Term Investments48.91M38.75M96.34M79.08M88.97M
Total Debt736.00K2.77M4.61M6.32M6.53M
Total Liabilities10.51M16.39M27.44M17.16M15.12M
Stockholders Equity42.52M28.82M76.51M68.49M111.37M
Cash Flow
Free Cash Flow-33.33M-55.96M-33.28M-41.69M-35.97M
Operating Cash Flow-33.33M-55.96M-33.27M-41.68M-35.88M
Investing Cash Flow0.000.0055.78M23.69M-79.17M
Financing Cash Flow43.48M-1.62M49.14M-241.00K643.00K

Spruce Biosciences Technical Analysis

Technical Analysis Sentiment
Positive
Last Price70.30
Price Trends
50DMA
63.42
Positive
100DMA
73.79
Negative
200DMA
61.96
Positive
Market Momentum
MACD
1.32
Negative
RSI
57.06
Neutral
STOCH
75.51
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SPRB, the sentiment is Positive. The current price of 70.3 is above the 20-day moving average (MA) of 65.30, above the 50-day MA of 63.42, and above the 200-day MA of 61.96, indicating a bullish trend. The MACD of 1.32 indicates Negative momentum. The RSI at 57.06 is Neutral, neither overbought nor oversold. The STOCH value of 75.51 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for SPRB.

Spruce Biosciences Risk Analysis

Spruce Biosciences disclosed 76 risk factors in its most recent earnings report. Spruce Biosciences reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Spruce Biosciences Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
52
Neutral
$178.04M-1.14-96.96%-50.12%-368.74%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$136.62M-0.86-1197.81%27.88%
50
Neutral
$68.31M-2.21240.83%-41.52%42.50%
45
Neutral
$150.02M-1.71-203.99%-100.00%45.32%
45
Neutral
$66.33M-0.74-33.97%47.28%
44
Neutral
$71.49M-6.4815.86%9.69%98.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SPRB
Spruce Biosciences
55.52
50.03
911.29%
IMUX
Immunic
10.03
-1.67
-14.27%
FBIO
Fortress Biotech
2.22
0.47
26.86%
CLNN
Clene
5.80
2.80
93.33%
DTIL
Precision BioSciences
6.90
1.18
20.63%
IMA
ImageneBio
5.93
-8.71
-59.49%

Spruce Biosciences Corporate Events

Business Operations and StrategyPrivate Placements and Financing
Spruce Biosciences Prices Equity Offering to Raise Capital
Positive
Apr 22, 2026
On April 20, 2026, Spruce Biosciences entered into an underwriting agreement with a syndicate led by Leerink Partners, Guggenheim Securities and Oppenheimer to sell 1,150,000 shares of common stock at $50.00 per share and 50,000 pre-funded warrant...
Business Operations and StrategyExecutive/Board ChangesFinancial DisclosuresPrivate Placements and Financing
Spruce Biosciences Ends Kaken Collaboration, Refocuses Pipeline
Positive
Mar 20, 2026
On March 16, 2026, Spruce Biosciences agreed with Kaken Pharmaceutical to terminate their January 2023 collaboration covering tildacerfont for congenital adrenal hyperplasia in Japan, effective March 31, 2026, ending all licenses and rights and el...
Business Operations and StrategyExecutive/Board ChangesFinancial DisclosuresPrivate Placements and Financing
Spruce Biosciences Updates ATM Agreement, Strengthens Leadership Team
Positive
Mar 9, 2026
On March 9, 2026, Spruce Biosciences entered a new open market sale agreement with Jefferies to allow at-the-market issuances of common stock under an existing shelf registration, replacing a prior 2022 sales agreement and providing additional fin...
Business Operations and StrategyProduct-Related Announcements
Spruce Biosciences Highlights Promising Long-Term Tralesinidase Data
Positive
Feb 5, 2026
On February 5, 2026, Spruce Biosciences reported long-term clinical data presented at the 22nd Annual WORLDSymposium showing that its investigational tralesinidase alfa enzyme replacement therapy (TA-ERT) produced rapid and durable reductions in h...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Apr 23, 2026