FTXH vs. MDEV

Last updated Jun 26, 2026

FTXH (First Trust Nasdaq Pharmaceuticals ETF) and MDEV (First Trust Indxx Medical Devices ETF) are both Health & Biotech Equities funds from First Trust - FTXH tracks the Nasdaq U.S. Smart Pharmaceuticals Index while MDEV tracks the Indxx Global Medical Equipment Index. Both are passively managed. Over the past 5 years, FTXH returned 8.84%/yr vs -5.40%/yr for MDEV. A 0.61 correlation means they provide meaningful diversification when combined. FTXH charges 0.60%/yr vs 0.70%/yr for MDEV.

Performance

FTXH vs. MDEV - Performance Comparison

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

Returns By Period

In the year-to-date period, FTXH achieves a 13.18% return, which is significantly higher than MDEV's -8.24% return.

FTXH

• 1D: 1.20%
• 1M: 7.35%
• YTD: 13.18%
• 6M: 11.16%
• 1Y: 46.87%
• 3Y*: 14.15%
• 5Y*: 8.84%
• 10Y*: —

MDEV

• 1D: 1.72%
• 1M: 2.20%
• YTD: -8.24%
• 6M: -8.94%
• 1Y: -5.67%
• 3Y*: -2.09%
• 5Y*: -5.40%
• 10Y*: —

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

FTXH vs. MDEV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021
FTXH First Trust Nasdaq Pharmaceuticals ETF	13.18%	24.15%	2.98%	-1.41%	2.55%	5.25%
MDEV First Trust Indxx Medical Devices ETF	-8.24%	2.00%	1.79%	7.55%	-28.59%	3.83%

Correlation

The correlation between FTXH and MDEV is 0.59, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.59
Correlation (3Y) Calculated over the trailing 3-year period	0.60
Correlation (5Y) Calculated over the trailing 5-year period	0.61
Correlation (All Time) Calculated using the full available price history since Jun 23, 2021	0.61

The correlation between FTXH and MDEV has been stable across timeframes, ranging from 0.59 to 0.61 - a consistent structural relationship.

FTXH vs. MDEV - Sectors Allocation Comparison

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

Return for Risk

FTXH vs. MDEV — Risk / Return Rank

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

FTXH

FTXH Risk / Return Rank: 91
FTXH Sharpe Ratio Rank: 91
FTXH Sortino Ratio Rank: 93
FTXH Omega Ratio Rank: 86
FTXH Calmar Ratio Rank: 94
FTXH Martin Ratio Rank: 91

MDEV

MDEV Risk / Return Rank: 6
MDEV Sharpe Ratio Rank: 6
MDEV Sortino Ratio Rank: 6
MDEV Omega Ratio Rank: 6
MDEV Calmar Ratio Rank: 7
MDEV Martin Ratio Rank: 6

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.

FTXH vs. MDEV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Nasdaq Pharmaceuticals ETF (FTXH) and First Trust Indxx Medical Devices ETF (MDEV). 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.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	FTXH	MDEV	Difference
Sharpe ratio: Return per unit of total volatility	2.74	-0.35	+3.08
Sortino ratio: Return per unit of downside risk	3.97	-0.39	+4.36
Omega ratio: Gain probability vs. loss probability	1.46	0.96	+0.50
Calmar ratio: Return relative to maximum drawdown	6.30	-0.31	+6.62
Martin ratio: Return relative to average drawdown	18.56	-0.71	+19.27

FTXH vs. MDEV - Sharpe Ratio Comparison

The current FTXH Sharpe Ratio is 2.74, which is higher than the MDEV Sharpe Ratio of -0.35. The chart below compares the historical Sharpe Ratios of FTXH and MDEV, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

FTXH vs. MDEV - Drawdown Comparison

The maximum FTXH drawdown since its inception was -32.11%, smaller than the maximum MDEV drawdown of -42.34%. Use the drawdown chart below to compare losses from any high point for FTXH and MDEV.

Drawdown Indicators

	FTXH	MDEV	Difference
Max Drawdown Largest peak-to-trough decline	-32.11%	-42.34%	+10.23%
Max Drawdown (1Y) Largest decline over 1 year	-7.47%	-18.13%	+10.66%
Max Drawdown (3Y) Largest decline over 3 years	-19.51%	-22.50%	+2.99%
Max Drawdown (5Y) Largest decline over 5 years	-19.51%	-42.34%	+22.83%
Current Drawdown Current decline from peak	0.00%	-31.33%	+31.33%
Average Drawdown Average peak-to-trough decline	-5.80%	-25.72%	+19.92%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.53%	7.95%	-5.42%

Volatility

FTXH vs. MDEV - Volatility Comparison

First Trust Nasdaq Pharmaceuticals ETF (FTXH) has a higher volatility of 5.48% compared to First Trust Indxx Medical Devices ETF (MDEV) at 5.02%. This indicates that FTXH's price experiences larger fluctuations and is considered to be riskier than MDEV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FTXH	MDEV	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.48%	5.02%	+0.46%
Volatility (6M) Calculated over the trailing 6-month period	12.01%	12.09%	-0.08%
Volatility (1Y) Calculated over the trailing 1-year period	17.22%	16.30%	+0.92%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.38%	19.00%	-2.62%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.42%	18.97%	-0.55%

FTXH vs. MDEV - Expense Ratio Comparison

FTXH has a 0.60% expense ratio, which is lower than MDEV's 0.70% expense ratio.

Dividends

FTXH vs. MDEV - Dividend Comparison

FTXH's dividend yield for the trailing twelve months is around 1.38%, more than MDEV's 0.11% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016
FTXH First Trust Nasdaq Pharmaceuticals ETF	1.38%	1.41%	1.66%	1.55%	1.11%	1.03%	0.82%	0.67%	0.91%	2.18%	0.19%
MDEV First Trust Indxx Medical Devices ETF	0.11%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both FTXH and MDEV in my portfolio?

FTXH and MDEV have a correlation of 0.59, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FTXH or MDEV?

FTXH has higher volatility (5.48%) compared to MDEV (5.02%). In terms of maximum drawdown, FTXH dropped -32.11% vs MDEV's -42.34%.

Which ETF is better, FTXH or MDEV?

On 5-year performance, FTXH leads with 8.84% vs -5.40% for MDEV. On fees, FTXH is cheaper at 0.60% per year. On volatility, MDEV has been the lower-risk option at 5.02%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, FTXH or MDEV?

Over the 5-year period, FTXH has performed better with a 8.84% return vs -5.40%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, FTXH or MDEV?

FTXH is cheaper with a 0.60% expense ratio, compared with 0.70% for MDEV.

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

FTXH has the higher dividend yield at 1.38%, compared with 0.11% for MDEV.

What is the main difference between FTXH and MDEV?

FTXH tracks Nasdaq U.S. Smart Pharmaceuticals Index, while MDEV tracks Indxx Global Medical Equipment Index. Their fees differ too: 0.60% for FTXH and 0.70% for MDEV.

Which has better risk-adjusted returns?

FTXH currently has the higher Sharpe Ratio (2.74 vs -0.35), 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.