FBTvsFXHETF Comparison
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First Trust NYSE Arca Biotechnology Index Fund ETF (FBT) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FBT is less expensive with a Total Expense Ratio (TER) of 0.54%, versus 0.61% for FXH. FBT is down -0.95% year-to-date (YTD) with +$1.07B in YTD flows. FXH performs better with 0.02% YTD performance, and -$61M in YTD flows. Run a side-by-side ETF comparison of FBT and FXH 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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FBT vs FXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FBT FXH | +7.20%+8.51% | -7.12%-2.07% | -0.95%+0.02% | +26.96%+15.45% | +35.51%+6.64% | +23.43%-0.20% |
| Flows | FBT FXH | --$5M | +$57M-$67M | +$1.07B-$61M | +$1.08B-$123M | +$617M-$719M | +$297M-$505M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FBT FXH | +23.35%+17.05% | +21.73%+16.21% | +20.18%+15.23% | +21.87%+16.67% |
| Max drawdown | FBT FXH | -13.36%-9.86% | -14.27%-12.07% | -19.92%-17.89% | -29.98%-29.40% |
| Max drawdown duration | FBT FXH | 90d57d | 95d110d | 237d331d | 1243d1694d |
Trading data
FBT | FXH | |
Last sale 4/29/2026 at 1:30 PM | $200.65 | $111.91 |
| Previous close 04/28/2026 | $203.28 | $112.31 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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FBT | FXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/29/2026 at 1:30 PM
Live
Closed
FBT | FXH | |
|---|---|---|
| Last price | $200.65 | $111.91 |
| 1D performance | -1.29% | -0.36% |
| AuM | $2.30 B | $874.42 M |
| E/R | 0.54% | 0.61% |
Characteristics
FBT | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | First Trust |
| Benchmark | NYSE Arca Biotechnology Index | StrataQuant Health Care Index |
| N° of holdings | 28 | 71 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 19, 2006 | May 8, 2007 |
| ESG | No | No |
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Exposure
Countries
FBT
USA
95.76%
Other
4.24%
FXH
USA
95.47%
Other
4.53%
Sectors
FBT
Health Care
90.59%
Other
9.41%
FXH
Health Care
93.76%
Other
6.24%
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Diversification
FBT
Total weight of top 15 holdings out of 15
56.66%
FXH
Total weight of top 15 holdings out of 15
35.37%
Top 15 holdings
Data as of March 31, 2026
FBT
MODERNA INC
5.14%
ALKERMES
4.16%
UTD THERAPEUT
4.15%
GILEAD SCIENCES
4.08%
CORCEPT THERAPEUTICS
3.94%
AXSOME THERA CMN STK
3.91%
AMGEN-T
3.81%
EXELIXIS
3.52%
KRYSTAL BIOTECH INC
3.49%
BIOGEN INC
3.45%
NEUROCRINE BIOSCIENCES
3.44%
REGENERON PHARMACEUTICALS
3.44%
BIOMARIN PHARMACEUTICAL
3.42%
VERTEX PHARMACEUTICALS
3.39%
US04016X1019
3.32%
FXH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
MERCK & CO INC
2.11%
LILLY
2.04%
NATERA
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
Frequently asked questions about FBT and FXH
How have the FBT and FXH ETFs performed in 2026?
As of April 27, 2026, FBT is down -0.95% year-to-date (YTD), while FXH has returned 0.02%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FBT or FXH?
Year-to-date, the FBT ETF saw +$1.07B in flows, compared to -$61M for FXH.
Which ETF is more volatile: FBT or FXH?
Over the past year, FBT had a volatility of 21.73%, while FXH experienced 16.21%.
Which ETF is bigger: FBT or FXH?
As of April 27, 2026, FBT holds $2.30 B in assets under management (AUM), while FXH manages $874.42 M.
What sectors do the FBT and FXH ETFs invest in?
FBT leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.
What are the top holdings of the FBT ETF and FXH ETF?
FBT top holdings include MODERNA INC, ALKERMES and UTD THERAPEUT. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.
Which ETF is more diversified: FBT or FXH?
FBT holds 30 securities with 56.66% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 35.37%.
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