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EKGvsHELXETF Comparison

ETF 1

EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of

Healthcare Technology

-0.67%

Full EKG fund page

VS

ETF 2

HELX

Franklin Genomic Advancements ETF

This fund is part of

BioTech & Genomics

-5.05%

Full HELX fund page

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. Franklin Genomic Advancements ETF (HELX) is part of the BioTech & Genomics segment. EKG's top 1 sector exposures are Healthcare. In contrast, HELX's top sector exposures are Healthcare, Non-Energy Materials and Technology. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.5% for HELX. EKG is up 31.66% year-to-date (YTD) with +$6M in YTD flows. HELX performs worse with 24.75% YTD performance, and +$8M in YTD flows. Run a side-by-side ETF comparison of EKG and HELX 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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EKG vs HELX 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 10/29/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	EKG HELX	+5.76%+1.74%	+28.41%+14.13%	+31.66%+24.75%	+37.20%+30.17%	+107.33%+78.56%	n/a-15.82%
Flows	EKG HELX	+$5M+$2M	+$5M+$2M	+$6M+$8M	+$6M+$8M	+$7M+$17M	-+$8M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	EKG HELX	+25.55%+27.48%	+24.43%+24.12%	+23.86%+21.94%	n/a+23.68%
Max drawdown	EKG HELX	-5.73%-8.93%	-22.11%-17.89%	-24.32%-29.16%	n/a-55.27%
Max drawdown duration	EKG HELX	21d22d	208d206d	264d458d	n/a1823d

Trading data

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	EKG	HELX
Last sale 10/30/2026 at 1:30 PM	$23.93	$45.25
Previous close 10/29/2026	$25.00	$46.01
Consolidated volume 10/29/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of October 29, 2026

1-year trailing difference

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HELX

is actively managed and doesn’t replicate an index

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	EKG	HELX
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 10/30/2026 at 1:30 PM

Live

Closed

	EKG	HELX
Last price	$23.93	$45.25
1D performance	-4.30%	-1.65%
AuM	$10.01 M	$36.21 M
E/R	0.65%	0.5%

Characteristics

	EKG	HELX
Management strategy	Passive	Active
Provider	First Trust	Franklin Templeton
Benchmark	Nasdaq Lux Health Tech Index	-
N° of holdings	51	66
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	March 22, 2022	February 25, 2020
ESG	No	No

More EKG data on Trackinsight

More HELX data on Trackinsight

Exposure

Countries

EKG

USA

96.91%

Other

3.09%

HELX

USA

90.13%

Other

9.87%

Sectors

EKG

Healthcare

99.9%

Other

0.1%

HELX

Healthcare

97.01%

Other

2.99%

Diversification

EKG

Total weight of top 15 holdings out of 15

72.5%

HELX

Total weight of top 15 holdings out of 15

61.42%

Top 15 holdings

Data as of September 30, 2026

EKG

Natera, Inc.

9.62%

Intuitive Surgical, Inc.

8.07%

IQVIA Holdings, Inc.

7.56%

Veeva Systems, Inc.

7.47%

DexCom, Inc.

7.18%

Illumina, Inc.

4.71%

Guardant Health, Inc.

4.16%

ResMed, Inc.

3.48%

Globus Medical, Inc.

3.21%

Tempus AI, Inc.

3.06%

QIAGEN NV

2.99%

Twist Bioscience Corp.

2.85%

Align Technology, Inc.

2.75%

Insulet Corp.

2.73%

Oscar Health, Inc.

2.66%

HELX

Natera, Inc.

10.25%

Guardant Health, Inc.

9.72%

Krystal Biotech, Inc.

5.32%

Twist Bioscience Corp.

5.01%

Adaptive Biotechnologies Corp.

4.95%

Ligand Pharmaceuticals, Inc.

4.33%

BridgeBio Pharma, Inc.

2.79%

Travere Therapeutics, Inc.

2.72%

Medpace Holdings, Inc.

2.64%

Vertex Pharmaceuticals, Inc.

2.62%

Corteva, Inc.

2.33%

Eli Lilly & Co.

2.25%

Tempus AI, Inc.

2.25%

United Therapeutics Corp.

2.20%

Repligen Corp.

2.04%

Frequently asked questions about EKG and HELX

How have the EKG and HELX ETFs performed in 2026?

As of October 29, 2026, EKG is up 31.66% year-to-date (YTD), while HELX has returned 24.75%. That puts EKG better performer ahead so far this year.

Which ETF is attracting more investor money: EKG or HELX?

Year-to-date, the EKG ETF saw +$6M in flows, compared to +$8M for HELX.

Which ETF is more volatile: EKG or HELX?

Over the past year, EKG had a volatility of 24.43%, while HELX experienced 24.12%.

Which ETF is bigger: EKG or HELX?

As of October 29, 2026, EKG holds $10.01 M in assets under management (AUM), while HELX manages $36.21 M.

What sectors do the EKG and HELX ETFs invest in?

EKG leans toward sectors like Healthcare. Meanwhile, HELX focuses on Healthcare.

What are the top holdings of the EKG ETF and HELX ETF?

EKG top holdings include Natera, Inc., Intuitive Surgical, Inc. and IQVIA Holdings, Inc.. HELX holds in its top three: Natera, Inc., Guardant Health, Inc. and Krystal Biotech, Inc..

EKGvsHELXETF Comparison

First Trust Nasdaq Lux Digital Health Solutions ETF

Franklin Genomic Advancements ETF

EKG vs HELX 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

How have the EKG and HELX ETFs performed in 2026?

As of October 29, 2026, EKG is up 31.66% year-to-date (YTD), while HELX has returned 24.75%. That puts EKG better performer ahead so far this year.

Which ETF is attracting more investor money: EKG or HELX?

Year-to-date, the EKG ETF saw +$6M in flows, compared to +$8M for HELX.

Which ETF is more volatile: EKG or HELX?

Over the past year, EKG had a volatility of 24.43%, while HELX experienced 24.12%.

Which ETF is bigger: EKG or HELX?

As of October 29, 2026, EKG holds $10.01 M in assets under management (AUM), while HELX manages $36.21 M.

What sectors do the EKG and HELX ETFs invest in?

EKG leans toward sectors like Healthcare. Meanwhile, HELX focuses on Healthcare.

What are the top holdings of the EKG ETF and HELX ETF?

EKG top holdings include Natera, Inc., Intuitive Surgical, Inc. and IQVIA Holdings, Inc.. HELX holds in its top three: Natera, Inc., Guardant Health, Inc. and Krystal Biotech, Inc..

Which ETF is more diversified: EKG or HELX?

EKG holds 51 securities with 72.5% of its assets in the top 15. HELX has 66 securities and a top 15 weight of 61.42%.

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