XPH vs. TRUH
XPH (SPDR S&P Pharmaceuticals ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. XPH is passively managed, while TRUH is actively managed. Their 0.47 correlation means their historical movements had little consistent relationship. XPH charges 0.35%/yr vs 0.10%/yr for TRUH.
Performance
XPH vs. TRUH - Performance Comparison
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Returns By Period
XPH
- 1D
- 0.25%
- 1M
- 1.59%
- 6M
- 19.87%
- YTD
- 22.08%
- 1Y
- 64.62%
- 3Y*
- 17.93%
- 5Y*
- 7.45%
- 10Y*
- 4.80%
- ALL TIME*
- 9.39%
TRUH
- 1D
- -0.25%
- 1M
- -0.53%
- 6M
- —
- YTD
- —
- 1Y
- —
- 3Y*
- —
- 5Y*
- —
- 10Y*
- —
- ALL TIME*
- —
Liquidity Comparison
| Position | Avg. Volume Value (2W) | Avg. Volume Value (1M) | Avg. Volume Value (3M) |
|---|---|---|---|
| $24.34K | $32.62K | $24.57K | |
| $7.06M | $7.70M | $5.53M |
XPH vs. TRUH - Yearly Performance Comparison
| 2026 (YTD) | |
|---|---|
XPH SPDR S&P Pharmaceuticals ETF | 24.81% |
TRUH VanEck Healthcare TruSector ETF | 10.68% |
Correlation
The correlation between XPH and TRUH is 0.47, which is low. Their historical price movements had little consistent relationship.
| Correlation | |
|---|---|
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026 | 0.47 |
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Return for Risk
XPH vs. TRUH — Risk / Return Rank
XPH
TRUH
Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.
XPH vs. TRUH - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Pharmaceuticals ETF (XPH) 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.
| XPH | TRUH | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | — | — | |
| Sortino ratioReturn per unit of downside risk | — | — | |
| Omega ratioGain probability vs. loss probability | 1.46 | — | — |
| Calmar ratioReturn relative to maximum drawdown | 5.43 | — | — |
| Martin ratioReturn relative to average drawdown | 19.31 | — | — |
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Drawdowns
XPH vs. TRUH - Drawdown Comparison
The maximum XPH drawdown since its inception was -48.03%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for XPH and TRUH.
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Drawdown Indicators
| XPH | TRUH | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -48.03% | -4.51% | -43.52% |
Max Drawdown (1Y)Largest decline over 1 year | -11.97% | — | — |
Max Drawdown (3Y)Largest decline over 3 years | -23.57% | — | — |
Max Drawdown (5Y)Largest decline over 5 years | -30.92% | — | — |
Max Drawdown (10Y)Largest decline over 10 years | -35.97% | — | — |
Current DrawdownCurrent decline from peak | -2.60% | -2.99% | +0.39% |
Average DrawdownAverage peak-to-trough decline | -17.12% | -1.66% | -15.46% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 3.36% | — | — |
Volatility
XPH vs. TRUH - Volatility Comparison
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Volatility by Period
| XPH | TRUH | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 7.62% | — | — |
Volatility (6M)Calculated over the trailing 6-month period | 17.53% | — | — |
Volatility (1Y)Calculated over the trailing 1-year period | 22.59% | 17.52% | +5.07% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 21.02% | 17.52% | +3.50% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 22.14% | 17.52% | +4.62% |
XPH vs. TRUH - Expense Ratio Comparison
XPH has a 0.35% expense ratio, which is higher than TRUH's 0.10% expense ratio.
Dividends
XPH vs. TRUH - Dividend Comparison
XPH's dividend yield for the trailing twelve months is around 0.49%, more than TRUH's 0.30% yield.
| Position | TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
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% | 0.00% |
XPH SPDR S&P Pharmaceuticals ETF | 0.49% | 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
XPH and TRUH have a correlation of 0.47, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.
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.
TRUH is cheaper with a 0.10% expense ratio, compared with 0.35% for XPH.
XPH has the higher dividend yield at 0.49%, compared with 0.30% for TRUH.
They also come from different issuers: State Street and VanEck. Their fees differ too: 0.35% for XPH and 0.10% for TRUH.
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