SPRUCE BIOSCIENCES, INC. (SPRB) — Institutional Holders, Q2 2026

65 institutional investment managers reported a SPRB position on SEC Form 13F-HR for the quarter ended June 30, 2026, with a combined reported value of $116.3M. Every filer is listed below, ranked by position value. Put and call option positions are excluded, and a firm filing several lots or share classes is shown once with its total.

SPRB in Q2 2026: what funds did

Funds that filed a 13F for both Q1 2026 and Q2 2026, by what they did with the common stock. Share counts are adjusted for any split between the two quarters; dollar figures are the change in shares at this quarter’s price.

New positions

39

Added to

14

Trimmed

3

Sold out

4

Biggest buyers

  1. AIGH Capital ManagementNew · +250,000 sh+$13.5M
  2. ORBIMED ADVISORSNew · +200,000 sh+$10.8M
  3. BlackRockAdded · +170,898 sh+$9.2M
  4. VANGUARD CAPITAL MANAGEMENTNew · +119,331 sh+$6.4M
  5. Cable Car CapitalNew · +60,000 sh+$3.2M

Biggest sellers

  1. WELLINGTON MANAGEMENT GROUP LLPSold out · -48,796 sh-$2.6M
  2. BALYASNY ASSET MANAGEMENT L.P.Trimmed · -27,862 sh-$1.5M
  3. CITADEL ADVISORSTrimmed · -18,094 sh-$977.1K
  4. Squadron Capital ManagementSold out · -12,200 sh-$658.8K
  5. Resolute Capital Asset PartnersSold out · -4,000 sh-$216.0K

SPRB 13F holders ranked 1–65 of 65

Institutional investors reporting a position in SPRUCE BIOSCIENCES, INC. on SEC Form 13F-HR for Q2 2026, ranked by reported value.
InstitutionValueQoQ
AIGH Capital Management#1 · 250,000 sh$13.5MNew
ORBIMED ADVISORS#2 · 200,000 sh$10.8MNew
BlackRock#3 · 187,836 sh$10.1M+1009.0%
MILLENNIUM MANAGEMENT#4 · 160,981 sh$8.7M+43.9%
AWM Investment Company#5 · 146,988 sh$7.9MNew
Ikarian Capital#6 · 121,356 sh$6.6M0.0%
VANGUARD CAPITAL MANAGEMENT#7 · 119,331 sh$6.4MNew
Alyeska Investment Group, L.P.#8 · 81,671 sh$4.4M+58.1%
GEODE CAPITAL MANAGEMENT#9 · 70,548 sh$3.8M+447.4%
ADAR1 Capital Management#10 · 67,717 sh$3.7M+15.6%
Cable Car Capital#11 · 60,000 sh$3.2MNew
CITADEL ADVISORS#12 · 51,905 sh$2.8M-25.8%
STATE STREET#13 · 50,450 sh$2.7M+834.3%
BOOTHBAY FUND MANAGEMENT#14 · 42,080 sh$2.3M0.0%
StemPoint Capital#15 · 41,388 sh$2.2M+550.8%
Eversept Partners#16 · 40,000 sh$2.2MNew
Carlyle Group#17 · 38,620 sh$2.1M0.0%
GOLDMAN SACHS GROUP#18 · 32,348 sh$1.7M+487.5%
Affinity Asset Advisors#19 · 30,000 sh$1.6MNew
DIADEMA PARTNERS#20 · 30,000 sh$1.6M+200.0%
Stonepine Capital Management#21 · 28,795 sh$1.6MNew
Point72 Asset Management, L.P.#22 · 28,278 sh$1.5MNew
Quinn Opportunity Partners#23 · 26,810 sh$1.4M0.0%
UBS Group AG#24 · 23,381 sh$1.3M+496.6%
ExodusPoint Capital Management#25 · 22,000 sh$1.2M0.0%
NORTHERN#26 · 21,083 sh$1.1MNew
Rosalind Advisors#27 · 20,000 sh$1.1MNew
Knott David M Jr#28 · 20,000 sh$1.1MNew
AMERIPRISE FINANCIAL#29 · 18,834 sh$1.0MNew
VANGUARD PORTFOLIO MANAGEMENT#30 · 18,496 sh$998.8KNew
VANGUARD FIDUCIARY#31 · 18,361 sh$991.5KNew
BALYASNY ASSET MANAGEMENT L.P.#32 · 12,138 sh$655.5K-69.7%
DIMENSIONAL FUND ADVISORS#33 · 8,813 sh$476.6KNew
Persistent Asset Partners Ltd#34 · 7,677 sh$414.6K+203.7%
STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM#35 · 7,182 sh$387.8KNew
Bank of New York Mellon#36 · 6,779 sh$366.1KNew
CHARLES SCHWAB INVESTMENT MANAGEMENT#37 · 5,896 sh$318.4KNew
RENAISSANCE TECHNOLOGIES#38 · 4,700 sh$253.8KNew
MORGAN STANLEY#39 · 4,411 sh$238.2K+211.7%
Pale Fire Capital SE#40 · 3,818 sh$206.2KNew
RHUMBLINE ADVISERS#41 · 3,519 sh$190.0KNew
SkyView Investment Advisors#42 · 3,000 sh$162.0KNew
DEUTSCHE BANK AG\#43 · 2,652 sh$143.2KNew
WELLS FARGO & COMPANY#44 · 2,329 sh$125.8KNew
NEW YORK STATE COMMON RETIREMENT FUND#45 · 1,900 sh$102.6KNew
CITIGROUP#46 · 1,265 sh$68.3K+34.7%
MIRAE ASSET GLOBAL ETFS Ltd.#47 · 1,252 sh$67.6KNew
JPMORGAN CHASE#48 · 1,127 sh$63.0KNew
Lion Point Capital#49 · 1,000 sh$54.0K0.0%
Police & Firemen's Retirement System of New Jersey#50 · 864 sh$46.7KNew
BARCLAYS PLC#51 · 674 sh$36.4KNew
BNP PARIBAS FINANCIAL MARKETS#52 · 453 sh$24.5KNew
Vanguard Global Advisers#53 · 452 sh$24.4KNew
FMR#54 · 343 sh$18.5KNew
Legal & General Group Plc#55 · 264 sh$14.2KNew
Ameritas Investment Partners#56 · 247 sh$13.3KNew
Tower Research Capital (TRC)#57 · 246 sh$13.3K+75.7%
Russell Investments Group, Ltd.#58 · 217 sh$11.7KNew
SBI Securities , Ltd.#59 · 201 sh$10.9KNew
ROYAL BANK OF CANADA#60 · 166 sh$8.0KNew
Sterling Capital Management#61 · 43 sh$2.3KNew
JONES FINANCIAL COMPANIES LLLP#62 · 30 sh$1.7K-84.5%
CALDWELL SUTTER CAPITAL#63 · 13 sh$702.000.0%
Friedenthal Financial#64 · 7 sh$378.00New
Cassaday & Wealth Management#65 · 2 sh$108.000.0%

Funds that sold out of SPRB in Q2 2026 (4)

Held SPRB at the end of Q1 2026 and filed a Q2 2026 13F without it. Not in the list above, because they no longer hold it. Largest prior position first.

Institutions that held SPRB in Q1 2026 and reported no position in Q2 2026.
InstitutionValue in Q1 2026
WELLINGTON MANAGEMENT GROUP LLP48,796 sh$3.2M
Squadron Capital Management12,200 sh$797.3K
Resolute Capital Asset Partners4,000 sh$261.4K
Sound Income Strategies200 sh$13.9K

Source: Form 13F-HR filings on SEC EDGAR, Q2 2026. Values are as reported by each manager at quarter end. “% of portfolio” is the position’s share of the manager’s total reported 13F value for the same quarter. “New” means the manager filed a 13F for Q1 2026 without this position; a dash means no comparison is available. Where a manager’s own filing is internally inconsistent its value is withheld and it is listed last. 13F data shows reported holdings, not recommendations.