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EKGvsIBBQETF Comparison

ETF 1
EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of
Healthcare Technology
-0%
VS
ETF 2
IBBQ

Invesco Nasdaq Biotechnology ETF

This fund is part of
US Health Care
+0.07%

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. Invesco Nasdaq Biotechnology ETF (IBBQ) is part of the US Health Care segment. EKG's top 1 sector exposures are Healthcare. In contrast, IBBQ's top sector exposures are Healthcare and Non-Energy Materials. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.19% for IBBQ. EKG is up 17.24% year-to-date (YTD) with +$963K in YTD flows. IBBQ performs better with 21.33% YTD performance, and +$19M in YTD flows. Run a side-by-side ETF comparison of EKG and IBBQ 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 IBBQ performance and flow charts

Performance

0.02.04.06.08.0%Aug 17Aug 24Aug 31Sep 8Sep 15

Cumulative Flows

0 M2 M4 M6 M8 M10 M12 M14 MAug 17Aug 24Aug 31Sep 8Sep 15

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Historic performance and flows
Data as of 09/15/2026
1M3MYTD1Y3Y5Y
Perf.
EKG
IBBQ
+6.16%+0.21%
+25.66%+16.01%
+17.24%+21.33%
+28.39%+46.24%
+49.43%+75.38%
n/a+33.28%
Flows
EKG
IBBQ
-+$13M
+$963K+$18M
+$963K+$19M
+$963K+$38M
+$2M+$54M
-+$28M
Volatility and drawdown
3M1Y3Y5Y
Volatility
EKG
IBBQ
+26.58%+23.85%
+23.58%+21.55%
+23.88%+20.91%
n/a+22.09%
Max drawdown
EKG
IBBQ
-7.45%-6.89%
-22.11%-8.38%
-24.32%-23.78%
n/a-37.23%
Max drawdown duration
EKG
IBBQ
28d28d
208d48d
264d375d
n/a1485d
Trading data

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EKG
IBBQ
Last sale
9/17/2026 at 1:30 PM
$22.88
$35.13
Previous close
09/16/2026
$22.32
$34.36
Consolidated volume
09/16/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of August 31, 2026
1-year trailing difference

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EKG
IBBQ
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 9/17/2026 at 1:30 PM
Live
Closed
EKG
IBBQ
Last price
$22.88
$35.13
1D performance
+2.52%
+2.24%
AuM$4.46 M$95.49 M
E/R0.65%0.19%
Characteristics
EKG
IBBQ
Management strategyPassivePassive
ProviderFirst TrustInvesco
BenchmarkNasdaq Lux Health Tech IndexNASDAQ Biotechnology Index
N° of holdings37249
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateMarch 22, 2022June 9, 2021
ESGNoNo
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Exposure

Countries

EKG
USA
95.72%
Other
4.28%
IBBQ
USA
88.05%
Other
11.95%

Sectors

EKG
Healthcare
98.67%
Other
1.33%
IBBQ
Healthcare
99.91%
Other
0.09%
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Diversification

EKG

Total weight of top 15 holdings out of 15

74.55%
IBBQ

Total weight of top 15 holdings out of 15

50.47%

Top 15 holdings

Data as of July 31, 2026
EKG
IQVIA Holdings, Inc.
9.37%
Veeva Systems, Inc.
9.01%
DexCom, Inc.
8.04%
Guardant Health, Inc.
5.85%
ResMed, Inc.
5.83%
Illumina, Inc.
5.19%
Natera, Inc.
5.11%
Intuitive Surgical, Inc.
4.87%
Oscar Health, Inc.
3.90%
Tempus AI, Inc.
3.64%
QIAGEN NV
2.95%
Globus Medical, Inc.
2.94%
Align Technology, Inc.
2.74%
10X Genomics, Inc.
2.57%
Hims & Hers Health, Inc.
2.54%
IBBQ
Amgen, Inc.
8.55%
Vertex Pharmaceuticals, Inc.
8.03%
Gilead Sciences, Inc.
7.34%
Regeneron Pharmaceuticals, Inc.
5.08%
Revolution Medicines, Inc.
2.73%
Alnylam Pharmaceuticals, Inc.
2.71%
Biogen, Inc.
2.19%
Illumina, Inc.
2.09%
Royalty Pharma Plc
1.86%
Incyte Corp.
1.80%
argenx SE
1.73%
Roivant Sciences Ltd.
1.68%
Insmed, Inc.
1.58%
United Therapeutics Corp.
1.58%
Moderna, Inc.
1.53%
Frequently asked questions about EKG and IBBQ

How have the EKG and IBBQ ETFs performed in 2026?

As of September 15, 2026, EKG is up 17.24% year-to-date (YTD), while IBBQ has returned 21.33%. That puts IBBQ better performer ahead so far this year.

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

Year-to-date, the EKG ETF saw +$963K in flows, compared to +$19M for IBBQ.

Which ETF is more volatile: EKG or IBBQ?

Over the past year, EKG had a volatility of 23.58%, while IBBQ experienced 21.55%.

Which ETF is bigger: EKG or IBBQ?

As of September 15, 2026, EKG holds $4.46 M in assets under management (AUM), while IBBQ manages $95.49 M.

What sectors do the EKG and IBBQ ETFs invest in?

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

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

EKG top holdings include IQVIA Holdings, Inc., Veeva Systems, Inc. and DexCom, Inc.. IBBQ holds in its top three: Amgen, Inc., Vertex Pharmaceuticals, Inc. and Gilead Sciences, Inc..

Which ETF is more diversified: EKG or IBBQ?

EKG holds 37 securities with 74.55% of its assets in the top 15. IBBQ has 249 securities and a top 15 weight of 50.47%.

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