MDEV vs. TRUH

Last updated Aug 2, 2026

MDEV (First Trust Indxx Medical Devices ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. MDEV is passively managed, while TRUH is actively managed. Their 0.62 correlation means they have sometimes moved together and sometimes differently. MDEV charges 0.70%/yr vs 0.10%/yr for TRUH.

Performance

MDEV vs. TRUH - Performance Comparison

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

Returns By Period

MDEV

• 1D: 0.39%
• 1M: 2.37%
• 6M: -2.88%
• YTD: -3.39%
• 1Y: 2.88%
• 3Y*: -0.73%
• 5Y*: -5.32%
• 10Y*: —
• ALL TIME*: -4.28%

TRUH

• 1D: -0.52%
• 1M: -0.28%
• 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)
MDEV First Trust Indxx Medical Devices ETF	$145.15K	$110.14K	$63.91K
TRUH VanEck Healthcare TruSector ETF	$23.58K	$32.63K	$24.16K

MDEV vs. TRUH - Yearly Performance Comparison

	2026 (YTD)
MDEV First Trust Indxx Medical Devices ETF	6.07%
TRUH VanEck Healthcare TruSector ETF	10.96%

Correlation

The correlation between MDEV and TRUH is 0.62, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.62

Return for Risk

MDEV vs. TRUH — Risk / Return Rank

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

MDEV

MDEV Risk / Return Rank: 13
MDEV Sharpe Ratio Rank: 14
MDEV Sortino Ratio Rank: 13
MDEV Omega Ratio Rank: 13
MDEV Calmar Ratio Rank: 13
MDEV Martin Ratio Rank: 13

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.

MDEV vs. TRUH - Risk-Adjusted Trends Comparison

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

	MDEV	TRUH	Difference
Sharpe ratio: Return per unit of total volatility	0.15	—	—
Sortino ratio: Return per unit of downside risk	0.33	—	—
Omega ratio: Gain probability vs. loss probability	1.04	—	—
Calmar ratio: Return relative to maximum drawdown	0.13	—	—
Martin ratio: Return relative to average drawdown	0.29	—	—

Drawdowns

MDEV vs. TRUH - Drawdown Comparison

The maximum MDEV drawdown since its inception was -42.34%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for MDEV and TRUH.

Drawdown Indicators

	MDEV	TRUH	Difference
Max Drawdown Largest peak-to-trough decline	-42.34%	-4.51%	-37.83%
Max Drawdown (1Y) Largest decline over 1 year	-18.13%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-20.43%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-42.34%	—	—
Current Drawdown Current decline from peak	-27.70%	-2.75%	-24.95%
Average Drawdown Average peak-to-trough decline	-25.80%	-1.64%	-24.16%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.45%	—	—

Volatility

Volatility by Period

	MDEV	TRUH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.70%	—	—
Volatility (6M) Calculated over the trailing 6-month period	12.79%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	16.63%	17.62%	-0.99%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.12%	17.62%	+1.50%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.97%	17.62%	+1.35%

MDEV vs. TRUH - Expense Ratio Comparison

MDEV has a 0.70% expense ratio, which is higher than TRUH's 0.10% expense ratio.

Dividends

MDEV vs. TRUH - Dividend Comparison

MDEV's dividend yield for the trailing twelve months is around 0.11%, less than TRUH's 0.30% yield.

Position	TTM
MDEV First Trust Indxx Medical Devices ETF	0.11%
TRUH VanEck Healthcare TruSector ETF	0.30%

Frequently Asked Questions

Can I hold both MDEV and TRUH in my portfolio?

MDEV and TRUH have a correlation of 0.62, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, MDEV 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, MDEV or TRUH?

TRUH is cheaper with a 0.10% expense ratio, compared with 0.70% for MDEV.

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

TRUH has the higher dividend yield at 0.30%, compared with 0.11% for MDEV.

What is the main difference between MDEV and TRUH?

They also come from different issuers: First Trust and VanEck. Their fees differ too: 0.70% for MDEV and 0.10% for TRUH.