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Spruce Biosciences, Inc. (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:
$41.00
▼(-4.83% Downside)
Action:Reiterated
Date:07/28/26
The score is primarily held down by weak financial performance (no recent revenue, ongoing losses, and meaningful cash burn) and bearish technical trend (price below major moving averages). These are partially offset by low leverage on the balance sheet, a modestly neutral valuation signal given a negative P/E, and a positive executive leadership update.
Positive Factors
Clinical leadership
Hiring an experienced CMO with a track record of advancing and launching rare disease therapies strengthens clinical development execution, regulatory strategy, and trial design. Over months this raises the probability of smoother development, clearer regulatory interactions, and stronger partner interest.
Negative Factors
No recent revenue
Absence of recurring product revenue means the business relies entirely on financing and milestones, not commercial cash flow. Over the coming months this keeps the company exposed to capital market cycles and makes long-term sustainability contingent on clinical success or financing events.
Read all positive and negative factors
Positive Factors
Negative Factors
Clinical leadership
Hiring an experienced CMO with a track record of advancing and launching rare disease therapies strengthens clinical development execution, regulatory strategy, and trial design. Over months this raises the probability of smoother development, clearer regulatory interactions, and stronger partner interest.
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., founded in 2014 and situated in Daly City, California, operates as a biopharmaceutical enterprise. Its primary objective is to advance and bring to market innovative treatments, particularly for uncommon endocrine conditi...
How the Company Makes Money
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Spruce Biosciences Financial Statement Overview

Summary
Overall fundamentals are weak due to zero recent revenue, persistent sizable losses, and ongoing cash burn (TTM operating and free cash flow around -$29M). The key offset is a relatively strong balance sheet with low leverage (debt-to-equity ~0.04), which reduces near-term financial risk despite continued equity erosion and sharply negative ROE.
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-36.20M-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 Price43.08
Price Trends
50DMA
49.04
Negative
100DMA
54.85
Negative
200DMA
72.73
Negative
Market Momentum
MACD
-2.35
Positive
RSI
38.46
Neutral
STOCH
37.45
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 43.08 is below the 20-day moving average (MA) of 45.82, below the 50-day MA of 49.04, and below the 200-day MA of 72.73, indicating a bearish trend. The MACD of -2.35 indicates Positive momentum. The RSI at 38.46 is Neutral, neither overbought nor oversold. The STOCH value of 37.45 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
55
Neutral
$103.98M0.81163.88%14.50%
52
Neutral
$64.08M-1.54233.93%-61.71%-11.47%
51
Neutral
$65.43M-1.19-35.20%49.30%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$190.29M-2.34-220.75%38.59%
45
Neutral
$117.88M-1.14-155.40%-100.00%61.98%
42
Neutral
$180.36M-1.91-79.62%-11.87%-86.91%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SPRB
Spruce Biosciences
42.83
33.83
375.89%
IMUX
Immunic
13.97
4.19
42.81%
FBIO
Fortress Biotech
3.13
1.25
66.49%
CLNN
Clene
5.02
1.27
34.09%
DTIL
Precision BioSciences
6.99
2.15
44.42%
IMA
ImageneBio
5.54
-11.06
-66.63%

Spruce Biosciences Corporate Events

Business Operations and StrategyExecutive/Board Changes
Spruce Biosciences Names Adrian Quartel Chief Medical Officer
Positive
Jul 27, 2026
On July 27, 2026, Spruce Biosciences, Inc. appointed Adrian Quartel, M.D., FFPM, as Chief Medical Officer, succeeding Interim Chief Medical Officer Dr. Kirk Ways, who will remain on the board. Quartel brings more than 25 years of global pharmaceut...
Executive/Board ChangesShareholder Meetings
Spruce Biosciences Stockholders Approve Directors and Annual Say-on-Pay
Neutral
May 26, 2026
Spruce Biosciences, Inc. held its 2026 Annual Meeting of Stockholders on May 21, 2026, in a virtual format, with approximately 65.86% of the 1,372,278 eligible shares represented, constituting a quorum for conducting business. Stockholders elected...
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: Jul 28, 2026