XPH vs. MDEV

Last updated Jun 4, 2026

XPH (SPDR S&P Pharmaceuticals ETF) and MDEV (First Trust Indxx Medical Devices ETF) are both Health & Biotech Equities funds - XPH tracks the S&P Pharmaceuticals Select Industry Index while MDEV tracks the Indxx Global Medical Equipment Index. Both are passively managed. Over the past 3 years, XPH returned 13.07%/yr vs -2.86%/yr for MDEV. A 0.63 correlation means they provide meaningful diversification when combined. XPH charges 0.35%/yr vs 0.70%/yr for MDEV.

Performance

XPH vs. MDEV - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in SPDR S&P Pharmaceuticals ETF (XPH) 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, XPH achieves a 0.66% return, which is significantly higher than MDEV's -11.48% return.

XPH

• 1D: 1.10%
• 1M: -4.74%
• YTD: 0.66%
• 6M: 4.44%
• 1Y: 37.98%
• 3Y*: 13.07%
• 5Y*: 3.50%
• 10Y*: 3.44%

MDEV

• 1D: 0.04%
• 1M: 1.54%
• YTD: -11.48%
• 6M: -12.29%
• 1Y: -7.05%
• 3Y*: -2.86%
• 5Y*: —
• 10Y*: —

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

XPH vs. MDEV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021
XPH SPDR S&P Pharmaceuticals ETF	0.66%	31.60%	4.94%	2.97%	-9.83%	-10.01%
MDEV First Trust Indxx Medical Devices ETF	-11.48%	2.00%	1.79%	7.55%	-28.59%	4.16%

Correlation

The correlation between XPH and MDEV is 0.52, 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	0.52
Correlation (3Y) Calculated over the trailing 3-year period	0.57
Correlation (All Time) Calculated using the full available price history since Jun 24, 2021	0.63

The correlation between XPH and MDEV shifts across timeframes, from 0.52 (1 year) to 0.63 (all time), reflecting how their relationship changes across market environments.

XPH vs. MDEV - Sectors Allocation Comparison

Sectors	XPH	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

XPH vs. MDEV — Risk / Return Rank

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

XPH

XPH Risk / Return Rank: 55
XPH Sharpe Ratio Rank: 51
XPH Sortino Ratio Rank: 51
XPH Omega Ratio Rank: 46
XPH Calmar Ratio Rank: 64
XPH Martin Ratio Rank: 63

MDEV

MDEV Risk / Return Rank: 5
MDEV Sharpe Ratio Rank: 5
MDEV Sortino Ratio Rank: 5
MDEV Omega Ratio Rank: 5
MDEV Calmar Ratio Rank: 5
MDEV Martin Ratio Rank: 4

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.

XPH vs. MDEV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Pharmaceuticals ETF (XPH) 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.

	XPH	MDEV	Difference
Sharpe ratio Return per unit of total volatility	1.77	-0.44	+2.22
Sortino ratio Return per unit of downside risk	2.51	-0.53	+3.04
Omega ratio Gain probability vs. loss probability	1.30	0.94	+0.36
Calmar ratio Return relative to maximum drawdown	3.19	-0.39	+3.58
Martin ratio Return relative to average drawdown	11.37	-0.98	+12.35
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

XPH vs. MDEV - Sharpe Ratio Comparison

The current XPH Sharpe Ratio is 1.77, which is higher than the MDEV Sharpe Ratio of -0.44. The chart below compares the historical Sharpe Ratios of XPH 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.

Sharpe Ratios by Period

	XPH	MDEV	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.77	-0.44	+2.22
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.17	—	—
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.16	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.38	-0.32	+0.70

Drawdowns

XPH vs. MDEV - Drawdown Comparison

The maximum XPH drawdown since its inception was -48.03%, which is greater than MDEV's maximum drawdown of -42.34%. Use the drawdown chart below to compare losses from any high point for XPH and MDEV.

Drawdown Indicators

	XPH	MDEV	Difference
Max Drawdown Largest peak-to-trough decline	-48.03%	-42.34%	-5.69%
Max Drawdown (1Y) Largest decline over 1 year	-11.97%	-18.13%	+6.16%
Max Drawdown (3Y) Largest decline over 3 years	-23.57%	-22.50%	-1.07%
Max Drawdown (5Y) Largest decline over 5 years	-31.63%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-35.97%	—	—
Current Drawdown Current decline from peak	-7.22%	-33.76%	+26.54%
Average Drawdown Average peak-to-trough decline	-17.25%	-25.65%	+8.40%
Ulcer Index Depth and duration of drawdowns from previous peaks	3.35%	7.22%	-3.87%

Volatility

XPH vs. MDEV - Volatility Comparison

SPDR S&P Pharmaceuticals ETF (XPH) has a higher volatility of 7.03% compared to First Trust Indxx Medical Devices ETF (MDEV) at 4.60%. This indicates that XPH'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

	XPH	MDEV	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.03%	4.60%	+2.43%
Volatility (6M) Calculated over the trailing 6-month period	16.77%	11.42%	+5.35%
Volatility (1Y) Calculated over the trailing 1-year period	21.52%	16.00%	+5.52%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	20.84%	18.98%	+1.86%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	22.10%	18.98%	+3.12%

XPH vs. MDEV - Expense Ratio Comparison

XPH has a 0.35% expense ratio, which is lower than MDEV's 0.70% expense ratio.

Dividends

XPH vs. MDEV - Dividend Comparison

XPH's dividend yield for the trailing twelve months is around 0.66%, while MDEV has not paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
MDEV First Trust Indxx Medical Devices ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
XPH SPDR S&P Pharmaceuticals ETF	0.66%	0.83%	1.58%	1.28%	1.64%	0.95%	0.47%	0.64%	0.65%	0.67%	0.63%	7.15%

Frequently Asked Questions

Can I hold both XPH and MDEV in my portfolio?

XPH and MDEV have a correlation of 0.52, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, XPH or MDEV?

XPH has higher volatility (7.03%) compared to MDEV (4.60%). In terms of maximum drawdown, XPH dropped -48.03% vs MDEV's -42.34%.

Which ETF is better, XPH or MDEV?

On 3-year performance, XPH leads with 13.07% vs -2.86% for MDEV. On fees, XPH is cheaper at 0.35% per year. On volatility, MDEV has been the lower-risk option at 4.60%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XPH or MDEV?

Over the 3-year period, XPH has performed better with a 13.07% return vs -2.86%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XPH or MDEV?

XPH is cheaper with a 0.35% expense ratio, compared with 0.70% for MDEV.

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

XPH has the higher dividend yield at 0.66%, compared with 0.00% for MDEV.

What is the main difference between XPH and MDEV?

XPH tracks S&P Pharmaceuticals Select Industry Index, while MDEV tracks Indxx Global Medical Equipment Index. They also come from different issuers: State Street and First Trust. Their fees differ too: 0.35% for XPH and 0.70% for MDEV.

Which has better risk-adjusted returns?

XPH currently has the higher Sharpe Ratio (1.77 vs -0.44), 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.