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BBHvsTRUHETF Comparison

ETF 1

BBH

VanEck Biotech ETF

This fund is part of

US Health Care

-3.27%

Full BBH fund page

VS

ETF 2

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

-2.39%

Full TRUH fund page

VanEck Biotech ETF (BBH) belongs to the US Health Care segment. VanEck Healthcare TruSector ETF (TRUH) is part of the Uncategorized Equities segment. BBH's top 1 sector exposures are Healthcare. In contrast, TRUH's top sector exposures are Healthcare and Consumer Non-Cyclicals. BBH is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.1% for TRUH. Run a side-by-side ETF comparison of BBH and TRUH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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BBH vs TRUH performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 11/05/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	BBH TRUH	+4.37%+10.47%	+19.27%+13.05%	+32.70%n/a	+38.73%n/a	+68.11%n/a	+34.27%n/a
Flows	BBH TRUH	+$15M-	+$29M-$289K	+$22M-	+$24M-	-$123M-	-$126M-

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	BBH TRUH	+29.42%+18.70%	+22.89%n/a	+20.65%n/a	+21.87%n/a
Max drawdown	BBH TRUH	-6.32%-5.82%	-10.54%n/a	-22.78%n/a	-33.06%n/a
Max drawdown duration	BBH TRUH	36d56d	150dn/a	440dn/a	1456dn/a

Trading data

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	BBH	TRUH
Last sale 11/5/2026 at 2:30 PM	$251.01	$32.26
Previous close 11/04/2026	$261.63	$33.07
Consolidated volume 11/04/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of October 30, 2026

1-year trailing difference

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TRUH

is actively managed and doesn’t replicate an index

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	BBH	TRUH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 11/5/2026 at 2:30 PM

Live

Closed

	BBH	TRUH
Last price	$251.01	$32.26
1D performance	-4.06%	-2.45%
AuM	$518.81 M	$0.64 M
E/R	0.35%	0.1%

Characteristics

	BBH	TRUH
Management strategy	Passive	Active
Provider	VanEck	VanEck
Benchmark	MVIS US Listed Biotech 25 Index	-
N° of holdings	25	60
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	December 20, 2011	April 1, 2026
ESG	No	No

More BBH data on Trackinsight

More TRUH data on Trackinsight

Exposure

Countries

BBH

USA

88.89%

Other

11.11%

TRUH

USA

97.73%

Other

2.27%

Sectors

BBH

Healthcare

100%

Other

-0%

TRUH

Healthcare

98.08%

Other

1.92%

Diversification

BBH

Total weight of top 15 holdings out of 15

85.93%

TRUH

Total weight of top 15 holdings out of 15

71.42%

Top 15 holdings

Data as of September 30, 2026

BBH

Amgen, Inc.

15.74%

Gilead Sciences, Inc.

13.28%

Vertex Pharmaceuticals, Inc.

8.21%

Regeneron Pharmaceuticals, Inc.

6.38%

Moderna, Inc.

6.35%

Natera, Inc.

5.31%

argenx SE

4.62%

IQVIA Holdings, Inc.

4.43%

Revolution Medicines, Inc.

4.17%

Illumina, Inc.

3.99%

Guardant Health, Inc.

2.97%

Alnylam Pharmaceuticals, Inc.

2.76%

BeOne Medicines Ltd.

2.74%

Biogen, Inc.

2.73%

Incyte Corp.

2.24%

TRUH

Eli Lilly & Co.

15.12%

Johnson & Johnson

10.46%

AbbVie, Inc.

7.59%

Merck & Co., Inc.

5.87%

UnitedHealth Group, Inc.

5.42%

Thermo Fisher Scientific, Inc.

4.12%

Amgen, Inc.

3.72%

Gilead Sciences, Inc.

3.03%

Abbott Laboratories

2.80%

Pfizer Inc.

2.66%

Intuitive Surgical, Inc.

2.35%

Danaher Corp.

2.26%

Vertex Pharmaceuticals, Inc.

2.13%

Bristol Myers Squibb Co.

2.09%

Medtronic Plc

1.82%

Frequently asked questions about BBH and TRUH

Which ETF is bigger: BBH or TRUH?

As of November 5, 2026, BBH holds $518.81 M in assets under management (AUM), while TRUH manages $0.64 M.

What sectors do the BBH and TRUH ETFs invest in?

BBH leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.

What are the top holdings of the BBH ETF and TRUH ETF?

BBH top holdings include Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

BBHvsTRUHETF Comparison

VanEck Biotech ETF

VanEck Healthcare TruSector ETF

BBH vs TRUH performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

Which ETF is bigger: BBH or TRUH?

As of November 5, 2026, BBH holds $518.81 M in assets under management (AUM), while TRUH manages $0.64 M.

What sectors do the BBH and TRUH ETFs invest in?

BBH leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.

What are the top holdings of the BBH ETF and TRUH ETF?

BBH top holdings include Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

Which ETF is more diversified: BBH or TRUH?

BBH holds 25 securities with 85.93% of its assets in the top 15. TRUH has 60 securities and a top 15 weight of 71.42%.

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