10x Insights
Loading account…
Companies / Health Care / Spruce Biosciences, Inc.
SPRB

Spruce Biosciences, Inc.

Health CarePharmaceutical Preparations
Ticker SPRBSOUTH SAN FRANCISCO, CAFiscal year ends DecemberBook value per share $43.96Diluted shares 1.9M

Spruce Biosciences, Inc. (Nasdaq: SPRB) is a biopharmaceutical company developing therapies for neurological and endocrine disorders with significant unmet medical need. Its lead candidate, tralesinidase alfa enzyme replacement therapy (TA-ERT), is being developed for MPS IIIB, a rare genetic disease, and is… From the company’s description.

In fiscal 2025, Spruce Biosciences, Inc. reported a net loss of $38.97M. Operations used $33.33M in cash.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$0.00MFY2025
−100.0% year over year
0.00%FY2025
$-38.97MFY2025
+26.5% year over year
Last 12 mo $-51.35M
-91.65%FY2025
+92.4 percentage points
Last 12 mo -61.33%
Cash & financing
$-33.33MFY2025
+40.4% year over year
Last 12 mo $-42.62M
$-33.33MFY2025
+40.4% year over year
Last 12 mo $-42.62M
0.00FY2025
Was 0.06× a year earlier
Last 12 mo 0.08
766.6KFY2025
−98.1% year over year
Last 12 mo 1.9M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What Spruce Biosciences, Inc. does

In the company’s own words

Spruce Biosciences, Inc. (Nasdaq: SPRB) is a biopharmaceutical company developing therapies for neurological and endocrine disorders with significant unmet medical need. Its lead candidate, tralesinidase alfa enzyme replacement therapy (TA-ERT), is being developed for MPS IIIB, a rare genetic disease, and is administered directly into the cerebrospinal fluid. The company also develops tildacerfont, an oral CRF1 receptor antagonist studied with the Cortibon genetic selection tool for major depressive disorder, and SPR202, an anti-CRH antibody licensed for congenital adrenal hyperplasia and other indications. Spruce has no commercialized products and is preparing for a potential U.S. regulatory submission for TA-ERT; its MDD study of tildacerfont was discontinued in 2026. It operates as a single biopharmaceutical business, with no reportable operating segments identified in the available business description. Founded in 2016, Spruce expanded its portfolio through a 2024 acquisition of Allievex’s licensed enzyme-replacement therapy programs and a 2025 license for SPR202.

Company details
Sector
Health Care
Industry (SIC)
Pharmaceutical Preparations
Headquarters
SOUTH SAN FRANCISCO, CA
Fiscal year end
December
CIK
1683553
SIC
2834

Financial performance, year by year

Fiscal 2020–2025 · USD
$-59.35M$-40.41M$-21.47M$-2.54M$16.40M202020212022202320242025Last 12 moLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns Spruce Biosciences, Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

53
funds hold it
0 of 35
superinvestors hold it
$13.66M
held by funds, at market
8.8%
of shares held by funds

Largest fund holders · Spruce Biosciences, Inc.’s weight in each

VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.00%of fund net assets
iShares Russell 2000 ETF
IWM · iShares Trust
0.00%of fund net assets
VANGUARD EXTENDED MARKET INDEX FUND
VXF · VANGUARD INDEX FUNDS
0.00%of fund net assets
iShares Russell 2000 Value ETF
IWN · iShares Trust
0.01%of fund net assets
iShares Micro-Cap ETF
IWC · iShares Trust
0.03%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Could not be determined for this company: bond issues.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

Put this business in context.

Compare this company with peers, find it in your funds and follow its financial history with your connected AI:

  • “How do Spruce Biosciences, Inc. and its peers compare on margins and cash generation over ten years?”
  • “Where did five years of Spruce Biosciences, Inc.'s earnings go — cash, debt, buybacks, reinvestment?”
  • “What changed in Spruce Biosciences, Inc.'s last four quarterly filings that the numbers alone won't show?”
See how it works →All research tools with a subscription. Use your own AI account.