FBT vs. FTXH

Last updated Jun 4, 2026

FBT (First Trust Amex Biotechnology Index) and FTXH (First Trust Nasdaq Pharmaceuticals ETF) are both Health & Biotech Equities funds from First Trust - FBT tracks the NYSE Arca Biotechnology Index while FTXH tracks the Nasdaq U.S. Smart Pharmaceuticals Index. Both are passively managed. Over the past 5 years, FBT returned 6.79%/yr vs 7.80%/yr for FTXH. A 0.66 correlation means they provide meaningful diversification when combined. FBT charges 0.57%/yr vs 0.60%/yr for FTXH.

Performance

FBT vs. FTXH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Amex Biotechnology Index (FBT) and First Trust Nasdaq Pharmaceuticals ETF (FTXH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, FBT achieves a 7.08% return, which is significantly higher than FTXH's 5.00% return.

FBT

• 1D: 2.92%
• 1M: 6.19%
• YTD: 7.08%
• 6M: 3.95%
• 1Y: 35.94%
• 3Y*: 12.40%
• 5Y*: 6.79%
• 10Y*: 8.86%

FTXH

• 1D: 1.69%
• 1M: 1.65%
• YTD: 5.00%
• 6M: 6.02%
• 1Y: 36.24%
• 3Y*: 11.48%
• 5Y*: 7.80%
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

FBT vs. FTXH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
FBT First Trust Amex Biotechnology Index	7.08%	24.25%	5.88%	2.55%	-4.83%	-2.26%	12.96%	19.74%	-0.30%	37.07%
FTXH First Trust Nasdaq Pharmaceuticals ETF	5.00%	24.15%	2.98%	-1.41%	2.55%	6.14%	11.73%	22.13%	-9.51%	19.44%

Correlation

The correlation between FBT and FTXH is 0.82, indicating a strong positive relationship between their price movements. Combining them offers limited diversification - they tend to fall together during downturns.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.82
Correlation (3Y) Calculated over the trailing 3-year period	0.80
Correlation (5Y) Calculated over the trailing 5-year period	0.75
Correlation (All Time) Calculated using the full available price history since Sep 23, 2016	0.66

The correlation between FBT and FTXH shifts across timeframes, from 0.66 (all time) to 0.82 (1 year), reflecting how their relationship changes across market environments.

FBT vs. FTXH - Sectors Allocation Comparison

Sectors	FBT	FTXH
Healthcare	100.0%	100.0%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

FBT vs. FTXH — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

FBT

FBT Risk / Return Rank: 49
FBT Sharpe Ratio Rank: 50
FBT Sortino Ratio Rank: 52
FBT Omega Ratio Rank: 48
FBT Calmar Ratio Rank: 52
FBT Martin Ratio Rank: 45

FTXH

FTXH Risk / Return Rank: 71
FTXH Sharpe Ratio Rank: 64
FTXH Sortino Ratio Rank: 69
FTXH Omega Ratio Rank: 60
FTXH Calmar Ratio Rank: 87
FTXH Martin Ratio Rank: 74

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

FBT vs. FTXH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Amex Biotechnology Index (FBT) and First Trust Nasdaq Pharmaceuticals ETF (FTXH). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	FBT	FTXH	Difference
Sharpe ratio: Return per unit of total volatility	1.74	2.14	-0.41
Sortino ratio: Return per unit of downside risk	2.56	3.16	-0.60
Omega ratio: Gain probability vs. loss probability	1.31	1.37	-0.06
Calmar ratio: Return relative to maximum drawdown	2.53	4.87	-2.34
Martin ratio: Return relative to average drawdown	7.43	14.07	-6.64
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

FBT vs. FTXH - Sharpe Ratio Comparison

The current FBT Sharpe Ratio is 1.74, which is comparable to the FTXH Sharpe Ratio of 2.14. The chart below compares the historical Sharpe Ratios of FBT and FTXH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	FBT	FTXH	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.74	2.14	-0.41
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.31	0.48	-0.17
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.37	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.51	0.38	+0.14

Drawdowns

FBT vs. FTXH - Drawdown Comparison

The maximum FBT drawdown since its inception was -40.51%, which is greater than FTXH's maximum drawdown of -32.11%. Use the drawdown chart below to compare losses from any high point for FBT and FTXH.

Drawdown Indicators

	FBT	FTXH	Difference
Max Drawdown Largest peak-to-trough decline	-40.51%	-32.11%	-8.40%
Max Drawdown (1Y) Largest decline over 1 year	-14.26%	-7.47%	-6.79%
Max Drawdown (3Y) Largest decline over 3 years	-20.05%	-19.51%	-0.54%
Max Drawdown (5Y) Largest decline over 5 years	-29.05%	-19.51%	-9.54%
Max Drawdown (10Y) Largest decline over 10 years	-32.37%	—	—
Current Drawdown Current decline from peak	-0.72%	-2.88%	+2.16%
Average Drawdown Average peak-to-trough decline	-11.17%	-5.84%	-5.33%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.85%	2.58%	+2.27%

Volatility

FBT vs. FTXH - Volatility Comparison

First Trust Amex Biotechnology Index (FBT) has a higher volatility of 6.94% compared to First Trust Nasdaq Pharmaceuticals ETF (FTXH) at 4.83%. This indicates that FBT's price experiences larger fluctuations and is considered to be riskier than FTXH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FBT	FTXH	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.94%	4.83%	+2.11%
Volatility (6M) Calculated over the trailing 6-month period	15.87%	11.73%	+4.14%
Volatility (1Y) Calculated over the trailing 1-year period	20.79%	16.98%	+3.81%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	21.89%	16.31%	+5.58%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	23.91%	18.41%	+5.50%

FBT vs. FTXH - Expense Ratio Comparison

FBT has a 0.57% expense ratio, which is lower than FTXH's 0.60% expense ratio.

Dividends

FBT vs. FTXH - Dividend Comparison

FBT has not paid dividends to shareholders, while FTXH's dividend yield for the trailing twelve months is around 1.22%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FBT First Trust Amex Biotechnology Index	0.00%	0.00%	0.71%	0.00%	0.00%	1.37%	0.00%	0.00%	0.00%	0.00%	0.00%	0.12%
FTXH First Trust Nasdaq Pharmaceuticals ETF	1.22%	1.41%	1.66%	1.55%	1.11%	1.03%	0.82%	0.67%	0.91%	2.18%	0.19%	0.00%

Frequently Asked Questions

Can I hold both FBT and FTXH in my portfolio?

FBT and FTXH have a correlation of 0.82, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FBT or FTXH?

FBT has higher volatility (6.94%) compared to FTXH (4.83%). In terms of maximum drawdown, FBT dropped -40.51% vs FTXH's -32.11%.

Which ETF is better, FBT or FTXH?

On 5-year performance, FTXH leads with 7.80% vs 6.79% for FBT. On fees, FBT is cheaper at 0.57% per year. On volatility, FTXH has been the lower-risk option at 4.83%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, FBT or FTXH?

Over the 5-year period, FTXH has performed better with a 7.80% return vs 6.79%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, FBT or FTXH?

FBT is cheaper with a 0.57% expense ratio, compared with 0.60% for FTXH.

Which ETF pays a higher dividend yield, FBT or FTXH?

FTXH has the higher dividend yield at 1.22%, compared with 0.00% for FBT.

What is the main difference between FBT and FTXH?

FBT tracks NYSE Arca Biotechnology Index, while FTXH tracks Nasdaq U.S. Smart Pharmaceuticals Index. Their fees differ too: 0.57% for FBT and 0.60% for FTXH.

Which has better risk-adjusted returns?

FTXH currently has the higher Sharpe Ratio (2.14 vs 1.74), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.