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Spruce Biosciences, Inc. Common Stock (SPRB)

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Upturn Advisory Summary
12/05/2025: 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 -92.29% | Avg. Invested days 32 | Today’s Advisory WEAK BUY |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 85.62M 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 12/8/2025 |
52 Weeks Range 4.28 - 240.00 | Updated Date 12/8/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) -84.32 |
Earnings Date
Report Date 2025-11-17 | When - | Estimate -0.215 | Actual -14.58 |
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 76297896 | Price to Sales(TTM) 122.84 |
Enterprise Value 76297896 | Price to Sales(TTM) 122.84 | ||
Enterprise Value to Revenue 109.47 | Enterprise Value to EBITDA -0.23 | Shares Outstanding 1070370 | Shares Floating 659498 |
Shares Outstanding 1070370 | Shares Floating 659498 | ||
Percent Insiders 8.02 | Percent Institutions 41.05 |
Upturn AI SWOT
Spruce Biosciences, Inc. Common Stock

Company Overview
History and Background
Spruce Biosciences, Inc. is a biotechnology company founded in 2004, focused on developing therapies for rare genetic diseases. A significant milestone was its initial public offering (IPO) in August 2020. The company has evolved by concentrating its efforts on a specific area of rare endocrine disorders.
Core Business Areas
- Rare Genetic Diseases: Spruce Biosciences is dedicated to developing small molecule therapeutics for rare genetic diseases, with a primary focus on congenital adrenal hyperplasia (CAH) and other rare endocrine disorders. Their lead candidate aims to address the underlying hormonal imbalances associated with these conditions.
Leadership and Structure
Spruce Biosciences is led by a management team with expertise in biotechnology and drug development. The exact current leadership and detailed organizational structure are subject to change and would typically be found in their investor relations materials or SEC filings.
Top Products and Market Share
Key Offerings
- Tirzoyan (SP-02): Tirzoyan is Spruce Biosciences' lead product candidate, a small molecule inhibitor of steroidogenesis for the treatment of congenital adrenal hyperplasia (CAH). Market share data is not yet applicable as it is in clinical development. Competitors in the CAH space include treatments that manage the hormonal imbalances, but Tirzoyan aims to offer a more targeted approach. Specific competitors depend on the exact phase of development and approved indications, but companies with pipelines in rare endocrine disorders would be relevant.
Market Dynamics
Industry Overview
The rare genetic disease therapeutics market is characterized by high unmet medical needs, significant scientific innovation, and substantial investment. Companies in this space often focus on highly specialized niches with the potential for Orphan Drug designations, which can provide market exclusivity and incentives. The regulatory pathway can be complex, but successful development can lead to significant therapeutic impact and commercial opportunity.
Positioning
Spruce Biosciences is positioned as a developer of targeted therapies for rare endocrine disorders, particularly congenital adrenal hyperplasia (CAH). Their competitive advantage lies in their focused scientific approach to addressing the root causes of these diseases with novel small molecules. The company aims to be a leader in a specific, underserved therapeutic area.
Total Addressable Market (TAM)
The Total Addressable Market (TAM) for treatments addressing rare endocrine disorders, such as CAH, is estimated to be in the hundreds of millions to billions of dollars, depending on the specific conditions and geographic scope. Spruce Biosciences, by focusing on CAH and potentially other related rare endocrine disorders, is targeting a significant but specialized segment of the broader rare disease market. Their positioning is to capture a substantial portion of this niche market with their specialized therapies.
Upturn SWOT Analysis
Strengths
- Focused therapeutic area in rare genetic endocrine disorders.
- Lead product candidate (Tirzoyan) targeting a significant unmet need in CAH.
- Experienced management team in biotechnology.
- Potential for Orphan Drug designation and market exclusivity.
Weaknesses
- Reliance on a single lead product candidate in clinical development.
- Limited historical financial performance and profitability due to early stage.
- Need for significant capital to fund ongoing clinical trials and development.
- Challenges in patient recruitment for rare disease clinical trials.
Opportunities
- Advancement of Tirzoyan through clinical trials and potential regulatory approval.
- Expansion of pipeline to other rare endocrine disorders.
- Partnerships or collaborations for further development and commercialization.
- Growing interest and investment in the rare disease therapeutic space.
Threats
- Clinical trial failures or delays.
- Regulatory hurdles and rejections from health authorities.
- Competition from other companies developing similar or alternative therapies.
- Funding challenges and market volatility impacting stock price and capital raising.
Competitors and Market Share
Key Competitors
- Teva Pharmaceutical Industries Ltd. (TEVA)
- Pfizer Inc. (PFE)
- Novartis AG (NVS)
Competitive Landscape
Spruce Biosciences faces competition from established pharmaceutical companies that may have broader portfolios and resources. Their advantage lies in their specialized focus on rare endocrine disorders, aiming to develop highly targeted therapies. However, larger competitors may have the capacity to develop similar or alternative treatments, or acquire companies in the space. Differentiation will be key.
Growth Trajectory and Initiatives
Historical Growth: Spruce Biosciences' historical growth has been characterized by its progression through research and development stages, successful completion of preclinical studies, and advancement into clinical trials. The company has also grown through its initial public offering and subsequent capital raises.
Future Projections: Future growth projections for Spruce Biosciences are highly dependent on the successful clinical development and regulatory approval of its lead product candidate, Tirzoyan, for congenital adrenal hyperplasia (CAH). Analyst estimates would focus on potential peak sales, market penetration, and the timeline for commercialization, as well as the potential for pipeline expansion.
Recent Initiatives: Recent initiatives likely include the progression of clinical trials for Tirzoyan, potential strategic partnerships, and ongoing efforts to strengthen their scientific and operational capabilities. Specific initiatives are detailed in their investor presentations and SEC filings.
Summary
Spruce Biosciences is a clinical-stage biopharmaceutical company focused on rare endocrine disorders, with its lead candidate targeting CAH. While it holds promise for an unmet medical need, its reliance on a single drug in development and significant R&D costs present financial risks. Success hinges on clinical trial outcomes and regulatory approvals, with potential threats from competition and funding challenges.
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Sources and Disclaimers
Data Sources:
- Company's SEC Filings (10-K, 10-Q)
- Investor Presentations
- Biotechnology industry reports
- Financial news and analysis websites
Disclaimers:
This information is for informational purposes only and does not constitute investment advice. Financial data and market information are subject to change and may not be exhaustive. Investors should conduct their own due diligence before making any investment decisions.
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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