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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 47 (OpenAI - 5.2)
Rating:47Neutral
Price Target:
$51.00
▼(-27.45% Downside)
Action:Reiterated
Date:05/14/26
The score is held down primarily by weak financial performance (no recent revenue, persistent losses, and continued cash burn) and a bearish technical trend. Offsetting factors include low leverage and recent capital raises that strengthen liquidity/runway, but valuation signals are not meaningful given the provided P/E and missing dividend yield.
Positive Factors
Improved liquidity from equity raise
The ~$69M April equity raise materially bolsters near-term cash resources, extending runway and reducing immediate refinancing pressure. That funding durability supports continued development of late-stage programs and allows clinical and regulatory milestones to be pursued without forcing near-term dilutive financings.
Negative Factors
No product revenue; persistent losses
Spruce remains a clinical-stage developer with no recurring product revenue and sustained operating losses. Over the medium term, the company's economics hinge entirely on clinical success and partner deals; absent approval, the structural inability to self-fund operations increases execution and financing risk.
Read all positive and negative factors
Positive Factors
Negative Factors
Improved liquidity from equity raise
The ~$69M April equity raise materially bolsters near-term cash resources, extending runway and reducing immediate refinancing pressure. That funding durability supports continued development of late-stage programs and allows clinical and regulatory milestones to be pursued without forcing near-term dilutive financings.
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
Operating fundamentals are weak: revenue recently fell to zero and losses remain sizable, with ongoing cash burn and negative free cash flow. The main offset is a relatively strong balance sheet with low leverage, though equity has eroded and ROE is sharply negative.
Income Statement
18
Very Negative
Balance Sheet
62
Positive
Cash Flow
28
Negative
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue0.000.004.91M10.09M0.000.00
Gross Profit0.000.004.91M10.09M0.000.00
EBITDA-36.84M-38.85M-52.68M-47.37M-45.69M-41.88M
Net Income-37.19M-38.97M-53.04M-47.92M-46.18M-42.29M
Balance Sheet
Total Assets56.17M53.02M45.21M103.95M85.65M126.49M
Cash, Cash Equivalents and Short-Term Investments54.08M48.91M38.75M96.34M79.08M88.97M
Total Debt7.12M736.00K2.77M4.61M6.32M6.53M
Total Liabilities21.52M10.51M16.39M27.44M17.16M15.12M
Stockholders Equity34.65M42.52M28.82M76.51M68.49M111.37M
Cash Flow
Free Cash Flow-29.34M-33.33M-55.96M-33.28M-41.69M-35.97M
Operating Cash Flow-29.33M-33.33M-55.96M-33.27M-41.68M-35.88M
Investing Cash Flow-10.00K0.000.0055.78M23.69M-79.17M
Financing Cash Flow57.81M43.48M-1.62M49.14M-241.00K643.00K

Spruce Biosciences Technical Analysis

Technical Analysis Sentiment
Negative
Last Price70.30
Price Trends
50DMA
60.20
Negative
100DMA
66.00
Negative
200DMA
67.75
Negative
Market Momentum
MACD
-2.43
Positive
RSI
42.60
Neutral
STOCH
23.50
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SPRB, the sentiment is Negative. The current price of 70.3 is above the 20-day moving average (MA) of 55.67, above the 50-day MA of 60.20, and above the 200-day MA of 67.75, indicating a bearish trend. The MACD of -2.43 indicates Positive momentum. The RSI at 42.60 is Neutral, neither overbought nor oversold. The STOCH value of 23.50 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for SPRB.

Spruce Biosciences Risk Analysis

Spruce Biosciences disclosed 74 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
$185.26M-0.96-81.24%-11.87%-86.91%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$157.33M-2.57-220.75%38.59%
50
Neutral
$88.17M-1.77233.93%-61.71%-11.47%
49
Neutral
$85.34M0.20163.88%14.50%
48
Neutral
$63.89M-1.32-35.20%49.30%
47
Neutral
$141.78M-1.83-155.40%-100.00%61.98%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SPRB
Spruce Biosciences
52.70
48.17
1063.36%
IMUX
Immunic
12.30
3.09
33.59%
FBIO
Fortress Biotech
2.78
1.05
60.69%
CLNN
Clene
6.81
4.36
177.96%
DTIL
Precision BioSciences
7.15
2.51
54.09%
IMA
ImageneBio
5.52
-8.28
-60.00%

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...
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: May 14, 2026