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Spruce Biosciences reported a first quarter 2026 net loss of $12.3 million, or $(8.94) per share, improving from a $14.0 million loss a year earlier as total operating expenses fell to $12.0 million from $14.5 million on lower R&D spending.
Cash and cash equivalents were $54.1 million as of March 31, 2026 and approximately $107.3 million as of April 30, 2026, supported by a $69.0 million underwritten equity offering and a term loan facility of up to $50.0 million. The company expects this liquidity, together with the April financing, to fund planned operations and debt obligations into the second half of 2027 as it advances its lead therapy TA‑ERT toward a planned BLA submission in the fourth quarter of 2026.
Spruce Biosciences ownership update: Ikarian Capital, LLC and Neil Shahrestani report shared beneficial ownership of 121,356 shares of Common Stock, representing 4.8% of the class.
The percentage is calculated using 2,522,043 shares outstanding as of April 22, 2026, per the Issuer's prospectus. The filing states these shares are held by Ikarian Healthcare Master Fund, L.P. and certain managed accounts, with Ikarian Capital exercising investment discretion and Mr. Shahrestani deemed to indirectly control Ikarian Capital.
Spruce Biosciences, Inc. ownership disclosure: ExodusPoint entities and Michael Gelband report shared beneficial ownership of 22,000 shares of Common Stock. The statement says these shares are held by ExodusPoint Partners Master Fund and that, as of April 27, 2026, each reporting person may be deemed to beneficially own approximately 0.8% of the outstanding class.
The filing states ExodusPoint Capital Management retains investment and voting power over the fund's holdings, ExodusPoint Capital Partners is the fund's general partner, and Mr. Gelband controls both entities. A Joint Filing Agreement is attached as Exhibit 1.
Spruce Biosciences is offering 1,150,000 shares of common stock and pre-funded warrants to purchase 50,000 shares. The offering prices are $50.00 per share and $49.99 per pre-funded warrant, with expected gross proceeds of $59,999,500 before underwriting discounts. Net proceeds are estimated at approximately $55.9 million, intended to fund pre-commercial and launch activities, planned clinical trials, working capital, capital expenditures and general corporate purposes.
The pre-funded warrants have a $0.01 exercise price, do not expire, are not expected to be listed, and include beneficial-ownership exercise limits (4.99% default, electable to 9.99%). The underwriters have a 30-day option to purchase up to 180,000 additional shares.
Spruce Biosciences, Inc. is offering shares of its common stock and pre-funded warrants to purchase common stock in a registered primary offering under its shelf registration. The pre-funded warrants have a $0.01 exercise price and do not expire; they are offered in lieu of common stock to certain investors. The prospectus discloses liquidity limits for the pre-funded warrants (no exchange listing expected), an ownership exercise limitation (4.99% default, electable up to 9.99%), and that net proceeds will be used for pre-commercial and launch activities, planned clinical trials, working capital and general corporate purposes. The document also states key capitalization figures as of December 31, 2025 and references an ATM Program with capacity up to $75.0 million.
Spruce Biosciences, Inc. will hold its 2026 virtual annual meeting of stockholders on May 21, 2026 at 10:00 a.m. Pacific Time. Holders of 1,372,278 shares of common stock as of March 24, 2026 may vote online.
Stockholders will vote on electing three Class III directors to terms ending at the 2029 annual meeting, ratifying BDO USA, P.C. as independent auditor for 2026, approving on an advisory basis executive compensation, and choosing how often future advisory pay votes should occur. The filing also explains a previously effected 1-for-75 reverse stock split, board independence and structure, committee memberships, ownership of major holders and insiders, and key governance policies, including an insider trading policy and clawback framework.
Spruce Biosciences terminated its collaboration and license agreement with Kaken Pharmaceutical for tildacerfont in Japan, effective March 31, 2026, eliminating rights to up to approximately $65.0 million in potential milestone payments and future royalties, though no early termination penalties apply.
The company reported full-year 2025 net loss of $39.0 million, improved from $53.0 million in 2024, as total operating expenses fell to $36.5 million from $61.1 million, driven by ending tildacerfont development and focusing on tralesinidase alfa enzyme replacement therapy (TA-ERT) for Sanfilippo syndrome type B.
Cash and cash equivalents were $48.9 million as of December 31, 2025, and a loan facility with Avenue Capital provides up to $50 million, including an initial funded tranche of $15 million. Positive FDA Type B meetings support a planned biologics license application for TA-ERT in the fourth quarter of 2026, and new commercial and development leaders were added ahead of a potential launch.
Hooks Corwin Dale reported acquisition or exercise transactions in this Form 4 filing.
Spruce Biosciences, Inc. reported that Chief Commercial Officer Corwin Dale Hooks received a grant of 11,000 Restricted Stock Units. Each RSU represents a contingent right to one share of common stock. The units vest in four equal 25% installments each March 15 from 2027 through 2030, conditioned on continued service.
SPRUCE BIOSCIENCES, INC. filed a Form 3 identifying Corwin Dale Hooks, its Chief Commercial Officer, as a reporting person. The filing lists no transactions, indicating that no purchases, sales, acquisitions, or dispositions of SPRB securities are reported in this initial ownership statement.
Spruce Biosciences is offering up to $75.0 million of common stock under an at-the-market sales agreement with Jefferies LLC. The sales may occur from time to time on the Nasdaq Capital Market and other trading venues, with Jefferies acting as agent and receiving a 3.0% commission on gross proceeds.
The prospectus supplement states proceeds may be used to fund clinical programs and for general corporate purposes, including working capital, operating expenses and capital expenditures. The assumed illustrative offering price referenced is $55.87 per share (last reported sale price on March 6, 2026), and the filing notes potential dilution and variability in the number and timing of shares sold.