Start-Up Spruce Repurposes Lilly Drug For Genetic Adrenal Condition

Emerging Company Profile: Spruce and Neurocrine are both testing CRF-R1 antagonists for the orphan disease congenital adrenal hyperplasia, with Phase II data coming soon.

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Big pharma didn't get anywhere with corticotropin releasing factor-receptor 1 (CRF-R1) antagonism in broad psychiatric conditions like depression and anxiety, but like its San Diego peer Neurocrine Biosciences Inc., privately-held San Francisco start-up Spruce Biosciences sees a role now for the small molecule class in treating a condition called congenital adrenal hyperplasia (CAH).

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