FTXH vs. TRUH

Last updated Aug 4, 2026

FTXH (First Trust Nasdaq Pharmaceuticals ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. FTXH is passively managed, while TRUH is actively managed. Their correlation of 0.87 means they have usually moved in the same direction. FTXH charges 0.60%/yr vs 0.10%/yr for TRUH.

Performance

FTXH vs. TRUH - Performance Comparison

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

Returns By Period

FTXH

• 1D: -0.77%
• 1M: -1.43%
• 6M: 12.69%
• YTD: 17.64%
• 1Y: 49.44%
• 3Y*: 15.53%
• 5Y*: 9.04%
• 10Y*: —
• ALL TIME*: 8.02%

TRUH

• 1D: -0.25%
• 1M: -0.53%
• 6M: —
• YTD: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

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

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
FTXH First Trust Nasdaq Pharmaceuticals ETF	$132.42M	$64.10M	$22.26M
TRUH VanEck Healthcare TruSector ETF	$24.34K	$32.62K	$24.57K

FTXH vs. TRUH - Yearly Performance Comparison

	2026 (YTD)
FTXH First Trust Nasdaq Pharmaceuticals ETF	11.82%
TRUH VanEck Healthcare TruSector ETF	10.68%

Correlation

The correlation between FTXH and TRUH is 0.87, meaning they have usually moved in the same direction, including during past declines.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.87

Return for Risk

FTXH vs. TRUH — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

FTXH

FTXH Risk / Return Rank: 95
FTXH Sharpe Ratio Rank: 95
FTXH Sortino Ratio Rank: 95
FTXH Omega Ratio Rank: 93
FTXH Calmar Ratio Rank: 96
FTXH Martin Ratio Rank: 94

TRUH

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

FTXH vs. TRUH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Nasdaq Pharmaceuticals ETF (FTXH) and VanEck Healthcare TruSector ETF (TRUH). 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	TRUH	Difference
Sharpe ratio: Return per unit of total volatility	2.92	—	—
Sortino ratio: Return per unit of downside risk	4.30	—	—
Omega ratio: Gain probability vs. loss probability	1.48	—	—
Calmar ratio: Return relative to maximum drawdown	6.65	—	—
Martin ratio: Return relative to average drawdown	19.78	—	—

Drawdowns

FTXH vs. TRUH - Drawdown Comparison

The maximum FTXH drawdown since its inception was -32.11%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for FTXH and TRUH.

Drawdown Indicators

	FTXH	TRUH	Difference
Max Drawdown Largest peak-to-trough decline	-32.11%	-4.51%	-27.60%
Max Drawdown (1Y) Largest decline over 1 year	-7.47%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-19.51%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-19.51%	—	—
Current Drawdown Current decline from peak	-2.77%	-2.99%	+0.22%
Average Drawdown Average peak-to-trough decline	-5.76%	-1.66%	-4.10%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.51%	—	—

Volatility

Volatility by Period

	FTXH	TRUH	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.91%	—	—
Volatility (6M) Calculated over the trailing 6-month period	12.81%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	17.04%	17.52%	-0.48%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.53%	17.52%	-0.99%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.43%	17.52%	+0.91%

FTXH vs. TRUH - Expense Ratio Comparison

FTXH has a 0.60% expense ratio, which is higher than TRUH's 0.10% expense ratio.

Dividends

FTXH vs. TRUH - Dividend Comparison

FTXH's dividend yield for the trailing twelve months is around 1.10%, more than TRUH's 0.30% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016
FTXH First Trust Nasdaq Pharmaceuticals ETF	1.10%	1.41%	1.66%	1.55%	1.11%	1.03%	0.82%	0.67%	0.91%	2.18%	0.19%
TRUH VanEck Healthcare TruSector ETF	0.30%	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 TRUH in my portfolio?

FTXH and TRUH have a correlation of 0.87, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, FTXH or TRUH?

On fees, TRUH is cheaper at 0.10% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, FTXH or TRUH?

TRUH is cheaper with a 0.10% expense ratio, compared with 0.60% for FTXH.

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

FTXH has the higher dividend yield at 1.10%, compared with 0.30% for TRUH.

What is the main difference between FTXH and TRUH?

They also come from different issuers: First Trust and VanEck. Their fees differ too: 0.60% for FTXH and 0.10% for TRUH.