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Spero Therapeutics (SPRO)


Market Price (5/2/2026): $2.475 | Market Cap: $139.8 Mil
Sector: Health Care | Industry: Biotechnology

Spero Therapeutics (SPRO)


Market Price (5/2/2026): $2.475
Market Cap: $139.8 Mil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Attractive yield
Total YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 6.1%

Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -27%

Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 118%

Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -47%

Megatrend and thematic drivers
Megatrends include Precision Medicine. Themes include Biopharmaceutical R&D, Targeted Therapies, and Antimicrobial Resistance Solutions.

Weak multi-year price returns
3Y Excs Rtn is -35%

Stock price has recently run up significantly
12M Rtn12 month market price return is 276%

Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -21%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -21%

High stock price volatility
Vol 12M is 251%

Key risks
SPRO key risks include [1] the discontinuation of its SPR720 program following a failed trial, Show more.

0 Attractive yield
Total YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 6.1%
1 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -27%
2 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 118%
3 Valuation becoming less expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -47%
4 Megatrend and thematic drivers
Megatrends include Precision Medicine. Themes include Biopharmaceutical R&D, Targeted Therapies, and Antimicrobial Resistance Solutions.
5 Weak multi-year price returns
3Y Excs Rtn is -35%
6 Stock price has recently run up significantly
12M Rtn12 month market price return is 276%
7 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -21%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -21%
8 High stock price volatility
Vol 12M is 251%
9 Key risks
SPRO key risks include [1] the discontinuation of its SPR720 program following a failed trial, Show more.

Valuation, Metrics & Events

Price Chart

Why The Stock Moved

Qualitative Assessment

AI Analysis | Feedback

Spero Therapeutics (SPRO) stock has gained about 15% since 1/31/2026 because of the following key factors:

1. Favorable Regulatory Progress for Tebipenem HBr.

Spero Therapeutics' partner, GSK, resubmitted the New Drug Application (NDA) for tebipenem HBr to the U.S. Food and Drug Administration (FDA) in December 2025 for complicated urinary tract infections (cUTI), including pyelonephritis. This resubmission was supported by positive results from the Phase 3 PIVOT-PO trial. Subsequently, in February 2026, GSK announced that the FDA had set a Prescription Drug User Fee Act (PDUFA) date of June 18, 2026, for tebipenem HBr, indicating a clear timeline for a potential approval decision.

2. Receipt of a Significant Milestone Payment from GSK.

The resubmission of the NDA for tebipenem HBr triggered a $25 million milestone payment from GSK to Spero Therapeutics, which the company expected to receive in the first quarter of 2026. This payment provided a substantial cash influx to Spero, bolstering its financial position.

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Stock Movement Drivers

Fundamental Drivers

The 13.2% change in SPRO stock from 1/31/2026 to 5/1/2026 was primarily driven by a 103.4% change in the company's Total Revenues ($ Mil).
(LTM values as of)13120265012026Change
Stock Price ($)2.192.4813.2%
Change Contribution By: 
Total Revenues ($ Mil)2960103.4%
P/S Multiple4.22.3-44.1%
Shares Outstanding (Mil)5656-0.4%
Cumulative Contribution13.2%

LTM = Last Twelve Months as of date shown

Market Drivers

1/31/2026 to 5/1/2026
ReturnCorrelation
SPRO13.2% 
Market (SPY)3.6%34.9%
Sector (XLV)-5.8%37.0%

Fundamental Drivers

The 2.1% change in SPRO stock from 10/31/2025 to 5/1/2026 was primarily driven by a 74.9% change in the company's Total Revenues ($ Mil).
(LTM values as of)103120255012026Change
Stock Price ($)2.432.482.1%
Change Contribution By: 
Total Revenues ($ Mil)346074.9%
P/S Multiple4.02.3-41.2%
Shares Outstanding (Mil)5656-0.8%
Cumulative Contribution2.1%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 5/1/2026
ReturnCorrelation
SPRO2.1% 
Market (SPY)5.5%34.3%
Sector (XLV)1.5%36.7%

Fundamental Drivers

The 276.9% change in SPRO stock from 4/30/2025 to 5/1/2026 was primarily driven by a 117.6% change in the company's Total Revenues ($ Mil).
(LTM values as of)43020255012026Change
Stock Price ($)0.662.48276.9%
Change Contribution By: 
Total Revenues ($ Mil)2760117.6%
P/S Multiple1.32.379.4%
Shares Outstanding (Mil)5556-3.4%
Cumulative Contribution276.9%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2025 to 5/1/2026
ReturnCorrelation
SPRO276.9% 
Market (SPY)30.4%-0.9%
Sector (XLV)5.2%-1.4%

Fundamental Drivers

The 40.1% change in SPRO stock from 4/30/2023 to 5/1/2026 was primarily driven by a 32.0% change in the company's P/S Multiple.
(LTM values as of)43020235012026Change
Stock Price ($)1.772.4840.1%
Change Contribution By: 
Total Revenues ($ Mil)496022.7%
P/S Multiple1.82.332.0%
Shares Outstanding (Mil)4956-13.5%
Cumulative Contribution40.1%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2023 to 5/1/2026
ReturnCorrelation
SPRO40.1% 
Market (SPY)78.7%6.3%
Sector (XLV)14.3%3.0%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
SPRO Return-17%-89%-15%-30%126%8%-87%
Peers Return7%6%2%11%23%-3%52%
S&P 500 Return27%-19%24%23%16%5%92%

Monthly Win Rates [3]
SPRO Win Rate33%17%42%33%25%50% 
Peers Win Rate42%47%37%38%52%45% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
SPRO Max Drawdown-37%-96%-42%-37%-46%-8% 
Peers Max Drawdown-21%-27%-31%-30%-30%-14% 
S&P 500 Max Drawdown-1%-25%-1%-2%-15%-7% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: INSM, GILD, PFE, MRK, ACXP.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 5/1/2026 (YTD)

How Low Can It Go

EventSPROS&P 500
2025 US Tariff Shock
  % Loss-33.2%-18.8%
  % Gain to Breakeven49.6%23.1%
  Time to Breakeven50 days79 days
2024 Yen Carry Trade Unwind
  % Loss-12.5%-7.8%
  % Gain to Breakeven14.3%8.5%
  Time to Breakeven5 days18 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-29.1%-9.5%
  % Gain to Breakeven41.0%10.5%
  Time to Breakeven61 days24 days
2023 SVB Regional Banking Crisis
  % Loss-24.2%-6.7%
  % Gain to Breakeven31.9%7.1%
  Time to Breakeven30 days31 days
2020 COVID-19 Crash
  % Loss-42.7%-33.7%
  % Gain to Breakeven74.6%50.9%
  Time to Breakeven42 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-49.6%-19.2%
  % Gain to Breakeven98.2%23.7%
  Time to Breakeven60 days105 days

Compare to INSM, GILD, PFE, MRK, ACXP

In The Past

Spero Therapeutics's stock fell -33.2% during the 2025 US Tariff Shock. Such a loss loss requires a 49.6% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventSPROS&P 500
2025 US Tariff Shock
  % Loss-33.2%-18.8%
  % Gain to Breakeven49.6%23.1%
  Time to Breakeven50 days79 days
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-29.1%-9.5%
  % Gain to Breakeven41.0%10.5%
  Time to Breakeven61 days24 days
2023 SVB Regional Banking Crisis
  % Loss-24.2%-6.7%
  % Gain to Breakeven31.9%7.1%
  Time to Breakeven30 days31 days
2020 COVID-19 Crash
  % Loss-42.7%-33.7%
  % Gain to Breakeven74.6%50.9%
  Time to Breakeven42 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-49.6%-19.2%
  % Gain to Breakeven98.2%23.7%
  Time to Breakeven60 days105 days

Compare to INSM, GILD, PFE, MRK, ACXP

In The Past

Spero Therapeutics's stock fell -33.2% during the 2025 US Tariff Shock. Such a loss loss requires a 49.6% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Spero Therapeutics (SPRO)

Spero Therapeutics, Inc., a clinical-stage biopharmaceutical company, focuses on identifying, developing, and commercializing treatments for multi-drug resistant (MDR) bacterial infections and rare diseases in the United States. The company's product candidates include tebipenem pivoxil hydrobromide (HBr), an oral carbapenem-class antibiotic to treat complicated urinary tract infections, including pyelonephritis for adults; SPR206, a direct acting IV-administered agent to treat MDR Gram-negative bacterial infections in the hospital; and SPR720, an oral antibiotic for the treatment of non-tuberculous mycobacterial pulmonary disease. It has license agreement with Meiji Seika Pharma Co., Ltd. to support the development of tebipenem HBr; license agreement with Everest Medicines to develop, manufacture, and commercialize SPR206 in Greater China, South Korea, and Southeast Asian countries; collaboration agreement with Bill & Melinda Gates Medical Research Institute to develop SPR720 for the treatment of lung infections caused by Mycobacterium tuberculosis; and license agreement with Vertex Pharmaceuticals Incorporated for patents relating to SPR720, as well as SPR719, an active metabolite. The company was founded in 2013 and is headquartered in Cambridge, Massachusetts.

AI Analysis | Feedback

Here are 1-2 brief analogies to describe Spero Therapeutics (SPRO):

  • Spero Therapeutics is like Gilead Sciences, but focused on developing new antibiotics for drug-resistant bacterial infections instead of antivirals for diseases like HIV or Hepatitis C.
  • Think of Spero as a 'startup' version of a big pharmaceutical company like Merck or Pfizer, but singularly dedicated to finding treatments for 'superbugs' (multi-drug resistant bacteria).

AI Analysis | Feedback

```html
  • Tebipenem Pivoxil Hydrobromide (HBr): An oral carbapenem-class antibiotic designed to treat complicated urinary tract infections, including pyelonephritis for adults.
  • SPR206: A direct-acting, IV-administered agent developed to treat multi-drug resistant Gram-negative bacterial infections in a hospital setting.
  • SPR720: An oral antibiotic intended for the treatment of non-tuberculous mycobacterial pulmonary disease.
```

AI Analysis | Feedback

Spero Therapeutics (SPRO) is a clinical-stage biopharmaceutical company. As such, it does not currently sell approved commercial products directly to individuals or healthcare providers. Instead, its revenue streams primarily come from licensing agreements, collaboration agreements, and development support from other companies and institutions for its product candidates and intellectual property.

Based on the provided information, Spero Therapeutics' major customers are other companies and institutions that partner with or license technology from Spero. These include:

  • Everest Medicines (1952.HK)
  • Bill & Melinda Gates Medical Research Institute
  • Vertex Pharmaceuticals Incorporated (VRTX)
  • Meiji Seika Pharma Co., Ltd. (a subsidiary of Meiji Holdings Co., Ltd., 2269.T)

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  • Meiji Seika Pharma Co., Ltd.
  • Vertex Pharmaceuticals Incorporated (VRTX)

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Esther Rajavelu, President, Chief Executive Officer, Chief Financial Officer, and Treasurer

Esther Rajavelu was appointed President and Chief Executive Officer of Spero Therapeutics, effective May 2, 2025, and continues to serve as Chief Financial Officer and Treasurer. She has over two decades of experience in the life sciences sector, encompassing equities research, investment banking, and strategy consulting. Before joining Spero, Ms. Rajavelu served as CFO at Fulcrum Therapeutics, a clinical-stage biopharmaceutical company, where she led equity financings and developed strategic plans to optimize capital deployment. Her career on Wall Street included roles as a senior equities research analyst at UBS, Oppenheimer, and Deutsche Bank, and a healthcare investment banker at Bank of America Merrill Lynch and EY Capital Advisors.

Timothy Keutzer, Chief Operating Officer

Timothy Keutzer serves as the Chief Operating Officer at Spero Therapeutics, bringing over 30 years of experience in the pharmaceutical industry across various functional and therapeutic areas. Prior to his current role, he was Spero's Chief Development Officer. Before joining Spero, Mr. Keutzer was the Vice President of Program and Portfolio Management at Cubist Pharmaceuticals, where he notably led the program for ceftolozane/tazobactam from Phase 1 to Phase 3, leading to its U.S. approval in December 2014.

Kamal Hamed, Chief Medical Officer

Kamal Hamed is the Chief Medical Officer at Spero Therapeutics, a position he has held since 2022. He possesses over 20 years of experience in leading anti-infective clinical development programs for antibacterials, antivirals, antimalarials, and antifungals. His prior roles include serving as CMO at Lysovant Sciences, a subsidiary of Roivant Sciences, and as Head of Clinical Development & Medical Affairs at Basilea Pharmaceutica. Dr. Hamed also held senior positions in clinical development and medical affairs at Novartis, Bristol-Myers Squibb, and Bayer.

John Raymond, Senior Vice President of Finance and Business Operations

John Raymond is the Senior Vice President of Finance and Business Operations at Spero Therapeutics. He has more than 25 years of experience in the life sciences sector, specializing in financial management, strategic planning and analysis, and commercial/business operations. Before joining Spero, Mr. Raymond held roles of increasing responsibility at companies such as Abbott Laboratories, Cubist Pharmaceuticals, Genzyme/Sanofi, and ImmunoGen.

AI Analysis | Feedback

The key risks to Spero Therapeutics (SPRO) primarily revolve around the inherent challenges of biopharmaceutical development and commercialization, especially given its focus on multi-drug resistant bacterial infections.

  • Regulatory Approval and Commercialization of Tebipenem HBr: Despite positive Phase 3 results for tebipenem HBr in complicated urinary tract infections (cUTI) and its resubmission by partner GSK for FDA approval, there remains a significant risk regarding the ultimate regulatory decision. Spero Therapeutics previously faced a complete response letter (CRL) from the FDA for tebipenem HBr, and though a new pivotal Phase 3 trial (PIVOT-PO) demonstrated efficacy, final approval is not guaranteed. The company's financial future, including potential milestone payments and royalties, is heavily dependent on GSK successfully navigating the regulatory pathway and achieving commercial success for this lead product candidate.
  • Pipeline Concentration and Clinical Development Risk: Spero Therapeutics recently suspended the development of SPR720, an oral antibiotic for non-tuberculous mycobacterial pulmonary disease, after it failed to meet its primary endpoint in a Phase 2a study and showed potential dose-limiting safety issues. This significant setback highlights the high attrition rate inherent in drug development and leaves the company's pipeline heavily reliant on the success of tebipenem HBr. The remaining clinical candidate, SPR206, is in earlier stages, with its Phase 2 trial contingent on continued non-dilutive funding, further emphasizing the concentration of risk on their lead asset.
  • Capital Requirements and Funding Dependence: As a clinical-stage biopharmaceutical company, Spero Therapeutics faces ongoing significant capital demands for its research and development activities. While the company has extended its cash runway into 2028 through a partnership with GSK and workforce reductions following the SPR720 failure, its financial stability remains largely dependent on the successful regulatory approval and commercialization of tebipenem HBr, which would trigger milestone payments and royalties. Any delays or negative outcomes for tebipenem HBr could impact these expected funds, potentially necessitating further capital raises through dilutive financing or additional restructuring.

AI Analysis | Feedback

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AI Analysis | Feedback

Spero Therapeutics (SPRO) operates in markets addressing serious bacterial infections and rare diseases. The addressable markets for its main product candidates are as follows:

  • Tebipenem pivoxil hydrobromide (HBr) for complicated urinary tract infections (cUTI), including pyelonephritis: The addressable market for tebipenem HBr is significant. Spero Therapeutics has estimated the total addressable market at approximately 2.9 million annual cUTI treatment episodes in the United States alone. These cases contribute to more than $6 billion in US healthcare costs. Other reports suggest the complicated urinary tract infection treatment market globally was valued at $9.44 billion in 2025 and is projected to reach $12.74 billion by 2030. The 7 major complicated urinary tract infections (cUTIs) market, including the US, EU4, UK, and Japan, was valued at approximately USD 1,375 million in 2025 and is projected to reach USD 2,259 million by 2034. The United States accounted for approximately 57% of the total 7MM cUTI market share in 2024.
  • SPR206 for multi-drug resistant (MDR) Gram-negative bacterial infections in the hospital: The global hospital-treated Gram-negative infections market was valued at USD 10.87 billion in 2025 and is expected to reach USD 22.10 billion by 2033. North America held the largest revenue share, accounting for 37.2% of this market in 2025. Separately, the global multidrug resistant bacteria market size was valued at USD 12.19 billion in 2024 and is projected to reach USD 18.85 billion by 2032.
  • SPR720 for non-tuberculous mycobacterial (NTM) pulmonary disease: The global Nontuberculous Mycobacterium Treatment Market size was valued at USD 9.8 billion in 2025 and is projected to reach USD 12.8 billion by the end of 2035. North America is anticipated to be the largest region, holding a 39% share by 2035, and is also projected to be the fastest-growing region. In the United States specifically, the total Nontuberculous Mycobacterial Treatment Market was approximately USD 360 million in 2023.

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Spero Therapeutics (SPRO), a clinical-stage biopharmaceutical company, is anticipated to drive future revenue growth over the next two to three years primarily through the advancement and potential commercialization of its lead product candidate, tebipenem HBr, and through development milestones from its partnership for SPR206.

Here are 3-5 expected drivers of future revenue growth:

  1. Tebipenem HBr Regulatory Approval and Initial Commercialization: The successful Phase 3 PIVOT-PO trial for tebipenem HBr, an oral carbapenem for complicated urinary tract infections (cUTI), met its primary endpoint, leading to an early halt of the trial for efficacy in May 2025. Spero's development partner, GSK, plans to submit the New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) in the fourth quarter of 2025, with a regulatory decision anticipated in the second half of 2026. If approved, tebipenem HBr would be the first oral carbapenem antibiotic in the U.S., offering a significant alternative to intravenous therapies for cUTI, potentially reducing hospital stays. This approval and subsequent commercial launch by GSK are expected to generate royalties on net sales for Spero.
  2. Tebipenem HBr Milestone Payments from GSK: Beyond potential royalties from commercialization, Spero is eligible to receive significant milestone payments from GSK. An initial $25 million milestone payment is expected in the first quarter of 2026 upon GSK's NDA submission for tebipenem HBr. Additionally, Spero could qualify for up to $351 million in further contingent milestones based on commercialization and sales ramp as outlined in the licensing agreement with GSK.
  3. SPR206 Development Milestones from Pfizer Partnership: Spero's other product candidate, SPR206, an IV-administered agent for multi-drug resistant (MDR) Gram-negative bacterial infections, is progressing. In February 2024, Spero received FDA clearance for its Investigational New Drug (IND) application to conduct a Phase 2 clinical study for SPR206. This Phase 2 study will evaluate SPR206 in combination with other antibiotics for hospital-acquired or ventilator-associated bacterial pneumonia. Spero has a licensing agreement with Pfizer Inc., granting Pfizer rights to develop, manufacture, and commercialize SPR206 in ex-U.S. and ex-Asia territories. Spero is eligible to receive up to $80 million in development and sales milestones, along with tiered royalties on net sales in these territories, as the program advances through clinical development.

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Share Issuance

  • In June 2021, Pfizer Inc. made a $40 million equity investment, purchasing 2,362,348 shares of Spero Therapeutics' common stock at $16.93 per share.
  • In November 2022, GSK invested $9 million in Spero's common stock by purchasing 7,450,000 shares at approximately $1.21 per share.
  • Spero Therapeutics had net proceeds of $14.2 million from the sale of common stock under an "at-the-market" offering program in 2022.

Inbound Investments

  • In June 2021, Spero Therapeutics received a $40 million equity investment from Pfizer Inc. and entered into a licensing agreement for SPR206, which included potential development and sales milestones of up to $80 million and royalties.
  • In September 2022, Spero Therapeutics entered an exclusive license agreement with GSK for tebipenem HBr, receiving an upfront payment of $66 million and eligibility for up to $525 million in development, sales, and commercial milestones, along with tiered royalties.
  • Spero Therapeutics qualified for $95 million in development milestones from GSK for the PIVOT-PO clinical trial, payable in four equal installments, with the final $23.8 million payment received in August 2025.

Capital Expenditures

  • Spero Therapeutics expects its existing cash and cash equivalents, along with non-dilutive funding commitments, to fund operating expenses and capital expenditures into 2028, as reported in Q2 and Q3 2025.
  • Capital expenditures are primarily focused on funding research and development activities for the company's clinical programs, notably the Phase 3 PIVOT-PO trial for tebipenem HBr.
  • A strategic restructuring in October 2024, which included a reduction in force and the suspension of SPR720 development plans, aimed to streamline operations and extend the company's cash runway.

Better Bets vs. Spero Therapeutics (SPRO)

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Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
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Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

SPROINSMGILDPFEMRKACXPMedian
NameSpero Th.Insmed Gilead S.Pfizer Merck Acurx Ph. 
Mkt Price2.48133.26131.6526.33112.162.1669.25
Mkt Cap0.128.5163.4149.7278.30.089.1
Rev LTM6060629,44162,57965,011015,024
Op Inc LTM7-99511,69917,40622,108-85,853
FCF LTM-13-9689,4569,07512,360-74,534
FCF 3Y Avg-23-7419,0617,90113,200-93,946
CFO LTM-13-93510,01911,70416,472-75,006
CFO 3Y Avg-23-7189,61811,04916,982-94,804

Growth & Margins

SPROINSMGILDPFEMRKACXPMedian
NameSpero Th.Insmed Gilead S.Pfizer Merck Acurx Ph. 
Rev Chg LTM117.6%66.7%2.4%-1.6%1.3%-2.4%
Rev Chg 3Y Avg48.4%36.8%2.6%-12.0%3.2%-3.2%
Rev Chg Q323.9%152.6%4.7%-1.2%5.0%-5.0%
QoQ Delta Rev Chg LTM103.4%35.7%1.2%-0.3%1.2%-1.2%
Op Inc Chg LTM109.9%-26.5%10.4%16.5%9.3%42.9%13.5%
Op Inc Chg 3Y Avg-24.4%-28.1%3.6%55.5%170.1%8.5%6.1%
Op Mgn LTM12.0%-164.0%39.7%27.8%34.0%-27.8%
Op Mgn 3Y Avg-75.0%-201.1%36.4%19.6%23.5%-19.6%
QoQ Delta Op Mgn LTM165.8%57.5%1.1%0.9%-0.9%-1.1%
CFO/Rev LTM-21.2%-154.2%34.0%18.7%25.3%-18.7%
CFO/Rev 3Y Avg-47.0%-172.6%33.7%17.8%26.8%-17.8%
FCF/Rev LTM-21.2%-159.6%32.1%14.5%19.0%-14.5%
FCF/Rev 3Y Avg-47.0%-177.9%31.8%12.7%20.8%-12.7%

Valuation

SPROINSMGILDPFEMRKACXPMedian
NameSpero Th.Insmed Gilead S.Pfizer Merck Acurx Ph. 
Mkt Cap0.128.5163.4149.7278.30.089.1
P/S2.347.05.52.44.3-4.3
P/Op Inc19.6-28.614.08.612.6-0.610.6
P/EBIT19.6-23.915.114.712.4-0.613.5
P/E16.3-22.319.219.315.2-0.615.8
P/CFO-11.1-30.516.312.816.9-0.76.1
Total Yield6.1%-4.5%7.7%11.7%9.5%-170.1%6.9%
Dividend Yield0.0%0.0%2.5%6.5%2.9%0.0%1.2%
FCF Yield 3Y Avg-35.1%-6.8%7.5%5.3%5.1%-667.5%-0.9%
D/E0.00.00.20.40.20.00.1
Net D/E-0.3-0.00.10.30.1-1.60.0

Returns

SPROINSMGILDPFEMRKACXPMedian
NameSpero Th.Insmed Gilead S.Pfizer Merck Acurx Ph. 
1M Rtn1.2%-19.2%-6.2%-7.8%-7.2%-44.5%-7.5%
3M Rtn13.2%-15.1%-6.7%-0.4%2.5%-8.7%-3.6%
6M Rtn2.1%-29.7%11.3%10.5%32.5%-57.0%6.3%
12M Rtn275.8%83.5%30.9%18.0%39.6%-73.9%35.3%
3Y Rtn43.4%592.3%81.2%-19.2%4.3%-96.2%23.8%
1M Excs Rtn-8.7%-29.1%-16.1%-17.7%-17.1%-54.4%-17.4%
3M Excs Rtn9.0%-19.2%-10.9%-4.6%-1.7%-12.9%-7.8%
6M Excs Rtn1.5%-25.1%7.5%7.2%26.7%-66.9%4.4%
12M Excs Rtn247.1%55.3%-3.0%-14.1%6.6%-104.7%1.8%
3Y Excs Rtn-34.9%510.1%-4.2%-96.6%-69.9%-174.7%-52.4%

Comparison Analyses

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Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Identifying and developing novel treatments for rare diseases and diseases caused by multi-drug104    
Collaboration revenue 3305
Collaboration revenue - related party 46   
Grant revenue 515913
Total1045418918


Net Income by Segment
$ Mil20252024202320222021
Identifying and developing novel treatments for rare diseases and diseases caused by multi-drug23    
Total23    


Price Behavior

Price Behavior
Market Price$2.48 
Market Cap ($ Bil)0.1 
First Trading Date10/07/2014 
Distance from 52W High-18.4% 
   50 Days200 Days
DMA Price$2.50$2.31
DMA Trenddownup
Distance from DMA-0.7%7.3%
 3M1YR
Volatility46.4%252.1%
Downside Capture0.43-0.58
Upside Capture108.4080.49
Correlation (SPY)34.7%-0.6%
SPRO Betas & Captures as of 4/30/2026

 1M2M3M6M1Y3Y
Beta1.511.211.081.10-0.180.63
Up Beta0.910.841.351.250.550.36
Down Beta-0.142.091.851.371.371.56
Up Capture167%169%110%110%69%31%
Bmk +ve Days15223166141428
Stock +ve Days11213059117318
Down Capture327%62%41%87%-230%82%
Bmk -ve Days4183056108321
Stock -ve Days9172858118376

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with SPRO
SPRO278.9%252.1%1.06-
Sector ETF (XLV)5.2%16.0%0.13-1.5%
Equity (SPY)30.6%12.5%1.88-0.9%
Gold (GLD)39.5%27.2%1.200.3%
Commodities (DBC)51.5%17.9%2.20-2.3%
Real Estate (VNQ)13.1%13.5%0.670.4%
Bitcoin (BTCUSD)-18.2%42.1%-0.361.4%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with SPRO
SPRO-29.3%151.4%0.19-
Sector ETF (XLV)5.0%14.6%0.177.8%
Equity (SPY)12.8%17.1%0.598.3%
Gold (GLD)20.5%17.9%0.940.8%
Commodities (DBC)14.3%19.1%0.611.4%
Real Estate (VNQ)3.5%18.8%0.096.3%
Bitcoin (BTCUSD)7.4%56.1%0.356.0%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with SPRO
SPRO-14.2%125.3%0.23-
Sector ETF (XLV)9.1%16.5%0.4512.2%
Equity (SPY)14.9%17.9%0.7112.8%
Gold (GLD)13.6%15.9%0.712.1%
Commodities (DBC)9.7%17.7%0.463.3%
Real Estate (VNQ)5.7%20.7%0.2411.2%
Bitcoin (BTCUSD)67.4%66.9%1.075.2%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date4152026
Short Interest: Shares Quantity0.7 Mil
Short Interest: % Change Since 331202621.9%
Average Daily Volume0.5 Mil
Days-to-Cover Short Interest1.4 days
Basic Shares Quantity56.5 Mil
Short % of Basic Shares1.3%

Earnings Returns History

Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
3/26/2026-1.7%2.5%12.7%
11/13/2025-1.2%-7.4%-7.0%
8/12/2025-18.0%-22.0%-17.4%
3/27/2025-10.9%-27.5%-17.5%
1/10/2025-2.0%-16.5%-20.4%
10/29/2024-1.5%0.0%-13.7%
8/5/2024-5.2%-3.7%-2.2%
3/13/20244.8%6.0%-1.2%
...
SUMMARY STATS   
# Positive377
# Negative171313
Median Positive2.3%4.9%26.3%
Median Negative-3.3%-7.9%-17.4%
Max Positive4.8%25.9%31.8%
Max Negative-18.3%-27.5%-41.5%

SEC Filings

Expand for More
Report DateFiling DateFiling
12/31/202503/26/202610-K
09/30/202511/13/202510-Q
06/30/202508/12/202510-Q
03/31/202505/13/202510-Q
12/31/202403/27/202510-K
09/30/202411/14/202410-Q
06/30/202408/05/202410-Q
03/31/202405/15/202410-Q
12/31/202303/13/202410-K
09/30/202311/13/202310-Q
06/30/202308/10/202310-Q
03/31/202305/11/202310-Q
12/31/202203/30/202310-K
09/30/202211/14/202210-Q
06/30/202208/10/202210-Q
03/31/202205/16/202210-Q

Recent Forward Guidance [BETA]

Latest: Q4 2025 Earnings Reported 3/26/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
Q1 2026 Milestone Payment 25.00 Mil    

Prior: Q3 2025 Earnings Reported 11/13/2025

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2028 Cash Runway     AffirmedGuidance: 2,028 for 2028

Insider Activity

Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Rajavelu, EstherSee RemarksDirectSell20920262.3687,917207,4842,388,535Form
2Keutzer, TimothyChief Operating OfficerDirectSell20920262.3618,65244,0191,752,314Form
3Rajavelu, EstherSee RemarksDirectSell20420262.2018,44240,5722,420,018Form
4Rajavelu, EstherSee RemarksDirectSell111220252.3740,27095,4402,060,596Form
5Mahadevia, Ankit DirectSell90220251.976,57212,9471,385,489Form