TRUH vs. FTXH

Last updated Jun 30, 2026

TRUH (VanEck Healthcare TruSector ETF) and FTXH (First Trust Nasdaq Pharmaceuticals ETF) are both Health & Biotech Equities funds. Their correlation of 0.87 suggests significant overlap in exposure.

Performance

TRUH vs. FTXH - Performance Comparison

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

Returns By Period

TRUH

• 1D: 0.09%
• 1M: 7.85%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

FTXH

• 1D: 0.73%
• 1M: 10.14%
• YTD: 17.30%
• 6M: 15.80%
• 1Y: 52.21%
• 3Y*: 15.37%
• 5Y*: 9.78%
• 10Y*: —

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

TRUH vs. FTXH - Yearly Performance Comparison

	2026 (YTD)
TRUH VanEck Healthcare TruSector ETF	9.58%
FTXH First Trust Nasdaq Pharmaceuticals ETF	11.51%

Correlation

The correlation between TRUH and FTXH is 0.87, indicating a strong positive relationship between their price movements. Combining them offers limited diversification - they tend to fall together during downturns.

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

Return for Risk

TRUH vs. FTXH — Risk / Return Rank

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

TRUH

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

FTXH

FTXH Risk / Return Rank: 94
FTXH Sharpe Ratio Rank: 94
FTXH Sortino Ratio Rank: 95
FTXH Omega Ratio Rank: 91
FTXH Calmar Ratio Rank: 95
FTXH Martin Ratio Rank: 93

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.

TRUH vs. FTXH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for VanEck Healthcare TruSector ETF (TRUH) 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.

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.

	TRUH	FTXH	Difference
Sharpe ratio: Return per unit of total volatility	—	3.01	—
Sortino ratio: Return per unit of downside risk	—	4.33	—
Omega ratio: Gain probability vs. loss probability	—	1.50	—
Calmar ratio: Return relative to maximum drawdown	—	7.03	—
Martin ratio: Return relative to average drawdown	—	20.68	—

Drawdowns

TRUH vs. FTXH - Drawdown Comparison

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

Drawdown Indicators

	TRUH	FTXH	Difference
Max Drawdown Largest peak-to-trough decline	-4.51%	-32.11%	+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	0.00%	0.00%	0.00%
Average Drawdown Average peak-to-trough decline	-1.61%	-5.80%	+4.19%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	2.53%	—

Volatility

Volatility by Period

	TRUH	FTXH	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	6.02%	—
Volatility (6M) Calculated over the trailing 6-month period	—	12.32%	—
Volatility (1Y) Calculated over the trailing 1-year period	16.87%	17.47%	-0.60%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.87%	16.43%	+0.44%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.87%	18.43%	-1.56%

Dividends

TRUH vs. FTXH - Dividend Comparison

TRUH has not paid dividends to shareholders, while FTXH's dividend yield for the trailing twelve months is around 1.10%.

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	0.00%	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 TRUH and FTXH in my portfolio?

TRUH and FTXH 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 pays a higher dividend yield, TRUH or FTXH?

FTXH has the higher dividend yield at 1.10%, compared with 0.00% for TRUH.

What is the main difference between TRUH and FTXH?

They also come from different issuers: VanEck and First Trust.