FMED vs. FTXH

Last updated Apr 2, 2026

Compare and contrast key facts about Fidelity Disruptive Medicine ETF (FMED) and First Trust Nasdaq Pharmaceuticals ETF (FTXH).

FMED and FTXH are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. FMED is an actively managed fund by Fidelity. It was launched on Apr 16, 2020. FTXH is a passively managed fund by First Trust that tracks the performance of the Nasdaq U.S. Smart Pharmaceuticals Index. It was launched on Sep 20, 2016.

Performance

FMED vs. FTXH - Performance Comparison

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

FMED vs. FTXH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
FMED Fidelity Disruptive Medicine ETF	-8.72%	9.69%	2.29%	-4.20%
FTXH First Trust Nasdaq Pharmaceuticals ETF	5.20%	24.15%	2.98%	2.69%

Returns By Period

In the year-to-date period, FMED achieves a -8.72% return, which is significantly lower than FTXH's 5.20% return.

FMED

• 1D: 0.50%
• 1M: -5.09%
• YTD: -8.72%
• 6M: -1.81%
• 1Y: 6.64%
• 3Y*: —
• 5Y*: —
• 10Y*: —

FTXH

• 1D: 0.69%
• 1M: -2.33%
• YTD: 5.20%
• 6M: 17.23%
• 1Y: 31.34%
• 3Y*: 11.55%
• 5Y*: 7.51%
• 10Y*: —

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

FMED vs. FTXH - Expense Ratio Comparison

FMED has a 0.50% expense ratio, which is lower than FTXH's 0.60% expense ratio.

FTXH

First Trust Nasdaq Pharmaceuticals ETF

FMED

Fidelity Disruptive Medicine ETF

Return for Risk

FMED vs. FTXH — Risk / Return Rank

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

FMED

FMED Risk / Return Rank: 18
FMED Sharpe Ratio Rank: 19
FMED Sortino Ratio Rank: 21
FMED Omega Ratio Rank: 19
FMED Calmar Ratio Rank: 16
FMED Martin Ratio Rank: 17

FTXH

FTXH Risk / Return Rank: 73
FTXH Sharpe Ratio Rank: 78
FTXH Sortino Ratio Rank: 77
FTXH Omega Ratio Rank: 70
FTXH Calmar Ratio Rank: 75
FTXH Martin Ratio Rank: 64

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.

FMED vs. FTXH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fidelity Disruptive Medicine ETF (FMED) 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.

	FMED	FTXH	Difference
Sharpe ratio Return per unit of total volatility	0.31	1.51	-1.19
Sortino ratio Return per unit of downside risk	0.61	2.06	-1.45
Omega ratio Gain probability vs. loss probability	1.07	1.27	-0.20
Calmar ratio Return relative to maximum drawdown	0.25	2.17	-1.92
Martin ratio Return relative to average drawdown	0.77	7.06	-6.29
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

FMED vs. FTXH - Sharpe Ratio Comparison

The current FMED Sharpe Ratio is 0.31, which is lower than the FTXH Sharpe Ratio of 1.51. The chart below compares the historical Sharpe Ratios of FMED and FTXH, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	FMED	FTXH	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.31	1.51	-1.19
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	—	0.47	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.04	0.38	-0.42

Correlation

The correlation between FMED and FTXH is 0.63, which is considered to be moderate. This suggests that the two assets have some degree of positive relationship in their price movements. Moderate correlation can be acceptable for portfolio diversification, offering a balance between risk and potential returns.

Dividends

FMED vs. FTXH - Dividend Comparison

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

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016
FMED Fidelity Disruptive Medicine ETF	0.00%	0.00%	0.46%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
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%

Drawdowns

FMED vs. FTXH - Drawdown Comparison

The maximum FMED drawdown since its inception was -21.84%, smaller than the maximum FTXH drawdown of -32.11%. Use the drawdown chart below to compare losses from any high point for FMED and FTXH.

Drawdown Indicators

	FMED	FTXH	Difference
Max Drawdown Largest peak-to-trough decline	-21.84%	-32.11%	+10.27%
Max Drawdown (1Y) Largest decline over 1 year	-18.33%	-12.74%	-5.59%
Max Drawdown (5Y) Largest decline over 5 years	—	-19.51%	—
Current Drawdown Current decline from peak	-14.38%	-2.69%	-11.69%
Average Drawdown Average peak-to-trough decline	-6.65%	-5.88%	-0.77%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.96%	3.92%	+2.04%

Volatility

FMED vs. FTXH - Volatility Comparison

Fidelity Disruptive Medicine ETF (FMED) has a higher volatility of 8.13% compared to First Trust Nasdaq Pharmaceuticals ETF (FTXH) at 6.01%. This indicates that FMED'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

	FMED	FTXH	Difference
Volatility (1M) Calculated over the trailing 1-month period	8.13%	6.01%	+2.12%
Volatility (6M) Calculated over the trailing 6-month period	13.94%	11.84%	+2.10%
Volatility (1Y) Calculated over the trailing 1-year period	21.32%	21.09%	+0.23%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.30%	16.15%	+2.15%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.30%	18.45%	-0.15%