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Spruce Biosciences

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Developing novel therapies for rare endocrine diseases, starting with our lead product candidate for the treatment of congenital adrenal hyperplasia

South San Francisco, United StatesFounded 2016Biotech & Life Sciences
Valuation $134M Market cap · 2026

About Spruce Biosciences

Spruce Biosciences is a clinical-stage biotechnology company focused on developing innovative therapies for rare endocrine disorders. The company primarily targets conditions like congenital adrenal hyperplasia (CAH), a rare disorder that impairs cortisol production. Unlike existing treatments that rely on high-dose steroids and come with significant side effects, Spruce Biosciences is pioneering non-steroidal alternatives. Their lead product candidate, Tildacerfont (SPR001), aims to correct hormone imbalances without the adverse effects associated with steroidal treatments.

Spruce Biosciences operates in the biotechnology sector, specifically within the niche market of rare endocrine diseases. Their business model revolves around the research and development (R&D) of novel small molecule treatments, which they advance through clinical trials. The company generates revenue through funding rounds, such as Series B financing, and aims to monetize its products through eventual FDA approval and commercialization.

The primary clients for Spruce Biosciences are patients suffering from rare endocrine disorders, healthcare providers, and potentially pharmaceutical companies interested in licensing their therapies. The company’s mission is to improve the quality of life for patients who have been underserved by existing treatments.

Source: Dealroom company data

At a glance

Status
Listed
Founded
2016
Headquarters
South San Francisco, United States
Listing
IPO 2020
Employees
36
Open positions
None listed
Dealroom signal
86.6/100
Industry
Health
Sub-industry
BioTechnology
Sector
Biotech & Life Sciences, Lead Generation, Biotechnology, Biotech and Pharma, Hard Tech, DT and LS, science-based
Business model
Manufacturing
Client focus
b2b

Funding history

7 recorded events

Company financing events and reported valuations.

Deal typeDateAmountValuationInvestorsSource
POST IPO EQUITYOther financing Apr 2026 $69M — Undisclosed ↗
POST IPO DEBTDebt Jan 2026 $0 — Avenue Capital Group ↗
Showing the latest 2 of 7 recorded eventsBook a demo for the full funding history →

Financials

Revenue, earnings and profit over time

Revenue, earnings and other financial measures where available. Years marked “E” are estimates.

YearRevenueGrowthEBITDAMargin
2026 $0 — −$35M —
2025 $0 -100% −$35M —
2024 $4.9M -51.3% −$53M -1072.8%
2023 $10M — −$47M -469.5%
2022 $0 — −$46M —
2021 $0 — −$42M —
2020 $0 — −$29M —
Company filings, research estimates and Dealroom dataBook a demo for the full financial model →

Growth signals

Spruce Biosciences website traffic

Latest recorded traffic for Spruce Biosciences is 90 monthly website visits, down 93.1% over the last three months. Spruce Biosciences's team grew 56.5% over the past year.

Latest monthly visits90 3-month web change-93.1% 1-year team growth+56.5%
Summary metrics are public; monthly history is available with a demoCompare with peers →

Investments and acquisitions

Capital deployed

Recent portfolio relationships for companies that also act as investors or acquirers.

Investors

11 investors on the cap table

From Dealroom's funding and investor records, grouped by the round each investor first entered.

Series A8 investors entered at this stage

  • Novo Holding
  • RiverVest Venture Partners
  • Abingworth
  • HealthCap
  • Aisling Capital
  • Rock Springs Capital
  • Novo Holdings
  • Omega Funds

Series B and later1 investor entered at this stage

  • Avenue Capital Group

Other known investors2 additional known investors

  • 5AM Ventures
  • Armistice Capital
Team profiled 10 named & role-tagged
Founders Hidden — book a demo/100 quality score
Key operators 4 quality Hidden — book a demo/100
Potential founders Hidden — book a demo likely future founders
Startup mafia Hidden — book a demo alumni-founded startups
Talent movements Hidden — book a demo in · Hidden — book a demo out past 12 months

Source: Dealroom Talent Intelligence.

Global footprint

Workforce and web traffic by country
Workforce by country
1 countries with
team presence
🇺🇸 United States100%
1 country shown

Market sentiment

Posts on X, past 7 days

An AI-synthesised read of the highest-engagement posts about Spruce Biosciences on X, ranked by likes and reposts, corporate channels excluded.

Reading the room on X — pulling top posts and synthesizing themes…

Source: X recent search ranked by engagement (likes + retweets) · Synthesis by Claude · Cached for 1 hour

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