PILL vs. KURE

Last updated Aug 2, 2026

PILL (Direxion Daily Pharmaceutical & Medical Bull 3X Shares) and KURE (KraneShares MSCI All China Health Care Index ETF) are both exchange-traded funds - PILL is a Leveraged Equities fund tracking the Dynamic Pharmaceuticals Intellidex Index, while KURE is a China Equities fund tracking the MSCI China All Shares Health Care 10/40 Index. Both are passively managed. Over the past 5 years, PILL returned -1.67%/yr vs -12.04%/yr for KURE. Their 0.29 correlation means their historical movements had little consistent relationship. PILL charges 0.98%/yr vs 0.65%/yr for KURE.

Performance

PILL vs. KURE - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) and KraneShares MSCI All China Health Care Index ETF (KURE). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, PILL achieves a 53.57% return, which is significantly higher than KURE's 1.41% return.

PILL

• 1D: -7.82%
• 1M: 2.28%
• 6M: 62.55%
• YTD: 53.57%
• 1Y: 244.12%
• 3Y*: 27.36%
• 5Y*: -1.67%
• 10Y*: —
• ALL TIME*: -1.75%

KURE

• 1D: 0.06%
• 1M: 5.01%
• 6M: -2.43%
• YTD: 1.41%
• 1Y: -7.37%
• 3Y*: -0.53%
• 5Y*: -12.04%
• 10Y*: —
• ALL TIME*: -1.87%

*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)
KURE KraneShares MSCI All China Health Care Index ETF	$507.63K	$1.60M	$845.13K
PILL Direxion Daily Pharmaceutical & Medical Bull 3X Shares	$1.07M	$1.58M	$1.17M

PILL vs. KURE - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018
PILL Direxion Daily Pharmaceutical & Medical Bull 3X Shares	53.57%	75.14%	-7.26%	-12.06%	-43.16%	-37.33%	0.28%	19.26%	-32.21%
KURE KraneShares MSCI All China Health Care Index ETF	1.41%	24.87%	-17.83%	-17.70%	-25.43%	-16.01%	68.97%	34.30%	-30.01%

Correlation

The correlation between PILL and KURE is 0.22, which is low. Their historical price movements had little consistent relationship.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.22
Correlation (3Y) Balances recent behavior with more history.	0.21
Correlation (5Y) Shows whether the relationship held over a longer period.	0.25
Correlation (All Time) Calculated using the full available price history since Feb 1, 2018	0.29

PILL vs. KURE - Sectors Allocation Comparison

Sectors	PILL	KURE
Healthcare	100.0%	99.3%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	0.7%
Energy	-	-
Financial Services	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

PILL vs. KURE — Risk / Return Rank

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

PILL

PILL Risk / Return Rank: 95
PILL Sharpe Ratio Rank: 98
PILL Sortino Ratio Rank: 94
PILL Omega Ratio Rank: 92
PILL Calmar Ratio Rank: 97
PILL Martin Ratio Rank: 96

KURE

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

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.

PILL vs. KURE - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) and KraneShares MSCI All China Health Care Index ETF (KURE). 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.

	PILL	KURE	Difference
Sharpe ratio: Return per unit of total volatility	3.93	-0.30	+4.22
Sortino ratio: Return per unit of downside risk	3.65	-0.23	+3.88
Omega ratio: Gain probability vs. loss probability	1.45	0.97	+0.48
Calmar ratio: Return relative to maximum drawdown	7.71	-0.27	+7.98
Martin ratio: Return relative to average drawdown	25.14	-0.52	+25.65

PILL vs. KURE - Sharpe Ratio Comparison

The current PILL Sharpe Ratio is 3.93, which is higher than the KURE Sharpe Ratio of -0.30. The chart below compares the historical Sharpe Ratios of PILL and KURE, 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

PILL vs. KURE - Drawdown Comparison

The maximum PILL drawdown since its inception was -88.76%, which is greater than KURE's maximum drawdown of -68.53%. Use the drawdown chart below to compare losses from any high point for PILL and KURE.

Drawdown Indicators

	PILL	KURE	Difference
Max Drawdown Largest peak-to-trough decline	-88.76%	-68.53%	-20.23%
Max Drawdown (1Y) Largest decline over 1 year	-33.21%	-30.88%	-2.33%
Max Drawdown (3Y) Largest decline over 3 years	-60.43%	-34.05%	-26.38%
Max Drawdown (5Y) Largest decline over 5 years	-82.00%	-63.97%	-18.03%
Current Drawdown Current decline from peak	-47.38%	-55.84%	+8.46%
Average Drawdown Average peak-to-trough decline	-58.40%	-38.43%	-19.97%
Ulcer Index Depth and duration of drawdowns from previous peaks	10.17%	16.07%	-5.90%

Volatility

PILL vs. KURE - Volatility Comparison

Direxion Daily Pharmaceutical & Medical Bull 3X Shares (PILL) has a higher volatility of 24.20% compared to KraneShares MSCI All China Health Care Index ETF (KURE) at 10.91%. This indicates that PILL's price experiences larger fluctuations and is considered to be riskier than KURE based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	PILL	KURE	Difference
Volatility (1M) Calculated over the trailing 1-month period	24.20%	10.91%	+13.29%
Volatility (6M) Calculated over the trailing 6-month period	51.16%	20.85%	+30.31%
Volatility (1Y) Calculated over the trailing 1-year period	65.62%	28.26%	+37.36%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	60.99%	31.46%	+29.53%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	64.02%	32.44%	+31.58%

PILL vs. KURE - Expense Ratio Comparison

PILL has a 0.98% expense ratio, which is higher than KURE's 0.65% expense ratio.

Dividends

PILL vs. KURE - Dividend Comparison

PILL's dividend yield for the trailing twelve months is around 0.36%, less than KURE's 4.14% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017
KURE KraneShares MSCI All China Health Care Index ETF	4.14%	4.19%	1.29%	0.65%	0.05%	14.12%	0.00%	0.25%	0.21%	0.00%
PILL Direxion Daily Pharmaceutical & Medical Bull 3X Shares	0.36%	0.69%	1.28%	1.83%	0.67%	0.00%	0.00%	0.38%	0.91%	0.10%

Frequently Asked Questions

Can I hold both PILL and KURE in my portfolio?

PILL and KURE have a correlation of 0.22, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, PILL or KURE?

PILL has higher volatility (24.20%) compared to KURE (10.91%). In terms of maximum drawdown, PILL dropped -88.76% vs KURE's -68.53%.

Which ETF is better, PILL or KURE?

On 5-year performance, PILL leads with -1.67% vs -12.04% for KURE. On fees, KURE is cheaper at 0.65% per year. On volatility, KURE has been the lower-risk option at 10.91%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, PILL or KURE?

Over the 5-year period, PILL has performed better with a -1.67% return vs -12.04%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, PILL or KURE?

KURE is cheaper with a 0.65% expense ratio, compared with 0.98% for PILL.

Which ETF pays a higher dividend yield, PILL or KURE?

KURE has the higher dividend yield at 4.14%, compared with 0.36% for PILL.

What is the main difference between PILL and KURE?

PILL is categorized as Leveraged Equities, while KURE is China Equities. PILL tracks Dynamic Pharmaceuticals Intellidex Index, while KURE tracks MSCI China All Shares Health Care 10/40 Index. They also come from different issuers: Direxion and CICC. Their fees differ too: 0.98% for PILL and 0.65% for KURE.

Which has better risk-adjusted returns?

PILL currently has the higher Sharpe Ratio (3.93 vs -0.30), 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.