This doesn't get at $A$-theory specifically, but it seems to be already interesting to ask to what extent we can recover $X$ from knowing $\Sigma^\infty_+ \Omega X$. I believe that very often we can -- but take what I say with a grain of salt -- this is not my area of expertise:
EDIT: The following is wrong, as Gregory Arone's answer shows. Thanks to Maxime Ramzi for pointing out the error in the comments below. I will leave this up for the time being and possibly try to salvage some sort of positive statement later.
Claim 1: Let $X,Y$ be connected spaces. Suppose that $\Sigma^\infty_+ \Omega X \simeq \Sigma^\infty_+ \Omega Y$ as $A_\infty$ ring spectra. Then $X \simeq Y$.
Proof: Suppose that $\Sigma^\infty_+ \Omega X \simeq \Sigma^\infty_+ \Omega Y$ as $A_\infty$ ring spectra. Then we have an equivalence of module categories $Mod(\Sigma^\infty_+ \Omega X) \simeq Mod(\Sigma^\infty_+ \Omega Y)$ preserving the unit (the module category is not monoidal, but it does have a unit!). In other words, we have an equivalence of functor categories $Spectra^X \simeq Spectra^Y$ which preserves the representables. Preserving the representables amounts to saying that the equivalence commutes with the forgetful / evaluation functor to $Spectra$. This implies that the equivalence $Spectra^X \simeq Spectra^Y$ carries the comonad $\Sigma^\infty_X \Omega^\infty_X$ to the comonad $\Sigma^\infty_Y \Omega^\infty_Y$. The preservation of the unit also means that the equivalence preserves connectivities, so that we have an equivalence $(Spectra_{\geq 2}^X, \Sigma^\infty_X \Omega^\infty_X) \simeq (Spectra_{\geq 2}^Y, \Sigma^\infty_Y \Omega^\infty_Y)$, and so also an induced equivalence of categories of comonads. By a theorem of Blomquist and Harper, the $\Sigma^\infty \dashv \Omega^\infty$ adjunction is comonadic after restricting to the simply-connected case. We may apply this fact levelwise to conclude that we have an equivalence $Spaces_{\ast,\geq 2}^X \simeq Spaces_{\ast,\geq 2}^Y$ of categories of functors valued in pointed, simply-connected spaces, which preserves the representables. By Lemma 2 below, this implies that $\overline{X^+} \simeq \overline{Y^+}$, where $X^+$ is the $\infty$-category $X$ with a zero object added and $\overline C$ is the completion of $C$ under splitting of idempotents. But as $X$ is an $\infty$-groupoid, it is clear that there are no nontrivial idempotents in $X^+$, and similarly for $Y$. So $X^+ \simeq Y^+$. As the equivalence preserves the representables, we must have $X \simeq Y$.
Lemma 2: For any $\infty$-category $C$ enriched in $Spaces_{\ast,\geq 2}$, define $\overline{C^+}$ to be $C$ with a zero object added and idempotents split. Then if $C,D$ are two such $\infty$-categories, we have an equivalence $Spaces_{\ast,\geq 2}^C \simeq Spaces_{\ast,\geq 2}^D$ of $Spaces_{\ast,\geq 2}$-enriched categories of $Spaces_{\ast,\geq 2}$-enriched functor categories to $Spaces_{\ast,\geq 2}$ if and only if $\overline{C^+} \simeq \overline{D^+}$.
Proof: When $Spaces_{\ast,\geq 2}$ is replaced by $Spaces_\ast$, this is well-known, an application of the theory of Cauchy completion in enriched category theory. The same argument works in this case.