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Spruce Biosciences, Inc. Common Stock (SPRB)

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Upturn Advisory Summary
12/22/2025: SPRB (1-star) has a low Upturn Star Rating. Not recommended to BUY.
1 Year Target Price $209.5
1 Year Target Price $209.5
| 0 | Strong Buy |
| 0 | Buy |
| 5 | Hold |
| 0 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -92.02% | Avg. Invested days 33 | Today’s Advisory WEAK BUY |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 84.28M USD | Price to earnings Ratio - | 1Y Target Price 209.5 |
Price to earnings Ratio - | 1Y Target Price 209.5 | ||
Volume (30-day avg) 5 | Beta 3.51 | 52 Weeks Range 4.28 - 240.00 | Updated Date 12/22/2025 |
52 Weeks Range 4.28 - 240.00 | Updated Date 12/22/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -84.32 |
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin - | Operating Margin (TTM) -7100% |
Management Effectiveness
Return on Assets (TTM) -76.92% | Return on Equity (TTM) -167.93% |
Valuation
Trailing PE - | Forward PE - | Enterprise Value 74959933 | Price to Sales(TTM) 120.92 |
Enterprise Value 74959933 | Price to Sales(TTM) 120.92 | ||
Enterprise Value to Revenue 107.55 | Enterprise Value to EBITDA -0.23 | Shares Outstanding 1070370 | Shares Floating 652465 |
Shares Outstanding 1070370 | Shares Floating 652465 | ||
Percent Insiders 8.5 | Percent Institutions 41.05 |
Upturn AI SWOT
Spruce Biosciences, Inc. Common Stock

Company Overview
History and Background
Spruce Biosciences, Inc. (NASDAQ: SPRB) is a late-stage biotechnology company focused on developing novel therapeutics for rare endocrine disorders. Founded in 2004, the company has achieved significant milestones in its clinical development programs, particularly in congenital adrenal hyperplasia (CAH). Spruce Biosciences emerged from its private stages with a focus on addressing unmet medical needs in specific genetic conditions.
Core Business Areas
- Rare Endocrine Disorders Therapeutics: Spruce Biosciences is primarily engaged in the discovery, development, and commercialization of treatments for rare endocrine disorders. Their focus is on understanding the underlying genetic causes of these conditions and developing targeted therapies to improve patient outcomes.
Leadership and Structure
Spruce Biosciences is led by a management team with expertise in biotechnology and drug development. The organizational structure is typical of a clinical-stage biopharmaceutical company, with departments dedicated to research and development, clinical operations, regulatory affairs, and business development.
Top Products and Market Share
Key Offerings
- Tirzepatide (formerly SPR001) for Congenital Adrenal Hyperplasia (CAH): Tirzepatide is Spruce Biosciences' lead product candidate, currently in late-stage clinical development for the treatment of congenital adrenal hyperplasia (CAH). CAH is a group of rare genetic disorders that affect the adrenal glands. Tirzepatide aims to address the hormonal imbalances associated with CAH, specifically reducing the need for high-dose corticosteroids and their associated side effects. There is no direct market share data available for this pre-commercial product, but the market for CAH treatments is significant within the rare disease space. Competitors in the broader rare endocrine disorder space include various pharmaceutical companies developing treatments for specific conditions, though direct competition for tirzepatide in CAH is still evolving.
Market Dynamics
Industry Overview
The rare endocrine disorder market is a specialized segment of the pharmaceutical industry characterized by a high unmet medical need, significant scientific innovation, and often orphan drug designations providing market exclusivity. Companies in this space focus on genetic diseases with small patient populations but high treatment costs.
Positioning
Spruce Biosciences is positioned as a developer of targeted therapies for rare endocrine disorders, aiming to be a leader in specific indications like CAH. Their competitive advantage lies in their focused research, understanding of disease biology, and clinical development of novel molecules addressing the root causes of these conditions.
Total Addressable Market (TAM)
The total addressable market for rare endocrine disorders is substantial and growing, driven by advances in genetic understanding and diagnostics. While specific TAM figures for CAH are niche, the broader rare disease market is valued in the billions of dollars. Spruce Biosciences is positioned to capture a significant portion of the market for CAH with its lead candidate, assuming successful clinical development and regulatory approval.
Upturn SWOT Analysis
Strengths
- Focused pipeline on rare endocrine disorders with high unmet medical need.
- Late-stage clinical development of lead candidate tirzepatide for CAH.
- Experienced management team with biopharmaceutical development expertise.
- Potential for orphan drug designation providing market exclusivity.
Weaknesses
- Reliance on a single lead product candidate for near-term revenue.
- Clinical trial risks and regulatory hurdles.
- Limited financial resources compared to larger biopharmaceutical companies.
- Commercialization expertise may need to be developed or acquired.
Opportunities
- Addressing a significant unmet medical need in CAH.
- Potential for label expansion to other rare endocrine disorders.
- Partnerships or collaborations with larger pharmaceutical companies.
- Advancements in gene therapy and precision medicine.
Threats
- Failure to achieve primary endpoints in ongoing clinical trials.
- Regulatory delays or rejections.
- Competition from other companies developing treatments for CAH or related disorders.
- Changes in healthcare policy and reimbursement.
Competitors and Market Share
Key Competitors
- No direct competitors with approved products for CAH exist at this time, as Spruce Biosciences' tirzepatide is a novel approach in late-stage development.
- Companies developing treatments for rare endocrine disorders in general can be considered indirect competitors or potential partners.
Competitive Landscape
Spruce Biosciences currently holds a leading position in the specific development of tirzepatide for CAH, as it is a novel therapeutic candidate in late-stage trials. The competitive landscape is characterized by the absence of approved alternatives for this specific indication, presenting a significant opportunity. However, the landscape can change rapidly with new scientific discoveries and emerging therapies.
Growth Trajectory and Initiatives
Historical Growth: Historically, Spruce Biosciences' growth has been driven by its progress in advancing its pipeline, securing funding, and achieving regulatory milestones. This is a typical trajectory for a biopharmaceutical company focused on novel drug development.
Future Projections: Future projections for Spruce Biosciences are heavily dependent on the success of tirzepatide in its ongoing clinical trials and subsequent regulatory approvals. Analyst estimates would focus on potential peak sales of tirzepatide and the value of its pipeline.
Recent Initiatives: Recent initiatives likely include advancing tirzepatide through Phase 3 trials for CAH, engaging with regulatory bodies, and potentially exploring partnerships or collaborations to support its development and eventual commercialization.
Summary
Spruce Biosciences is a clinical-stage biotechnology company with a strong focus on developing a novel therapy for rare endocrine disorders, particularly CAH. Its lead candidate, tirzepatide, shows promise, and the company holds a strong position in this niche market due to the lack of approved alternatives. However, the company faces significant risks associated with clinical trial outcomes, regulatory approvals, and its reliance on a single product candidate. Future success hinges on successful development and commercialization, and the company must carefully manage its financial resources.
Similar Stocks
Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Company Investor Relations Presentations
- Biopharmaceutical Industry Reports
- ClinicalTrials.gov
- Financial Data Aggregators
Disclaimers:
This analysis is based on publicly available information and is intended for informational purposes only. It does not constitute financial or investment advice. Investors should conduct their own due diligence and consult with a qualified financial advisor before making any investment decisions. Market share data for pre-commercial products is indicative and subject to change. Competitor lists and market share comparisons may not be exhaustive.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Spruce Biosciences, Inc. Common Stock
Exchange NASDAQ | Headquaters South San Francisco, CA, United States | ||
IPO Launch date 2020-10-09 | CEO & Director Dr. Javier Szwarcberg M.D., M.P.H. | ||
Sector Healthcare | Industry Biotechnology | Full time employees 9 | Website https://sprucebio.com |
Full time employees 9 | Website https://sprucebio.com | ||
Spruce Biosciences, Inc. is a biopharmaceutical company focused on developing and commercializing novel therapies for neurological disorders. The company develops TA-ERT, a fusion protein comprised of recombinant human alpha-N-acetylglucosaminidase, which is an enzyme replacement therapy for patients with Sanfilippo Syndrome Type B. It also develops Tildacerfont for treating a highly debilitating mental disorder characterized by depressed mood with cognitive-affective and somatic changes, including anhedonia, weight alterations, and altered sleeping patterns. In addition, the company develops SPR202 for the treatment of Congenital Adrenal Hyperplasia (CAH), a chronic and potentially life-threatening rare disease with no cure, and SPR204, a monoclonal antibody antagonist for Post-Bariatric Hypoglycemia. The company has a license agreement with Eli Lilly and Company to research, develop, and commercialize various pharmaceutical compounds. It also has a collaboration and license agreement with Kaken Pharmaceutical Co. Ltd. to develop, manufacture, and commercialize Tildacerfont for the treatment of CAH in Japan. Spruce Biosciences, Inc. was incorporated in 2014 and is headquartered in South San Francisco, California.

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