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IBBQvsFXHETF Comparison

ETF 1

IBBQ

Invesco Nasdaq Biotechnology ETF

This fund is part of

US Health Care

-1.08%

Full IBBQ fund page

VS

ETF 2

FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of

US Health Care

-1.08%

Full FXH fund page

Invesco Nasdaq Biotechnology ETF (IBBQ) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. IBBQ's top 3 sector exposures are Health Care and Consumer Staples. In contrast, FXH's top sector exposures are Health Care IBBQ is less expensive with a Total Expense Ratio (TER) of 0.19%, versus 0.61% for FXH. IBBQ is up 3.49% year-to-date (YTD) with +$290K in YTD flows. FXH performs worse with -0.82% YTD performance, and -$61M in YTD flows. Run a side-by-side ETF comparison of IBBQ 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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IBBQ vs FXH 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 04/24/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	IBBQ FXH	+5.67%+6.43%	-0.91%-4.04%	+3.49%-0.82%	+41.67%+14.86%	+41.72%+3.56%	n/a-1.76%
Flows	IBBQ FXH	-$8M-$11M	-$9M-$67M	+$290K-$61M	+$14M-$123M	+$34M-$719M	--$505M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	IBBQ FXH	+22.23%+17.12%	+21.05%+16.17%	+19.62%+15.26%	n/a+16.67%
Max drawdown	IBBQ FXH	-8.38%-10.81%	-8.39%-12.07%	-23.78%-18.39%	n/a-29.40%
Max drawdown duration	IBBQ FXH	48d88d	33d107d	375d464d	n/a1691d

Trading data

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	IBBQ	FXH
Last sale 4/27/2026 at 1:30 PM	$29.23	$113.62
Previous close 04/24/2026	$29.34	$112.52
Consolidated volume 04/24/2026
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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	IBBQ	FXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 4/27/2026 at 1:30 PM

Live

Closed

	IBBQ	FXH
Last price	$29.23	$113.62
1D performance	-0.36%	+0.97%
AuM	$66.29 M	$867.10 M
E/R	0.19%	0.61%

Characteristics

	IBBQ	FXH
Management strategy	Passive	Passive
Provider	Invesco	First Trust
Benchmark	NASDAQ Biotechnology Index	StrataQuant Health Care Index
N° of holdings	192	71
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	June 9, 2021	May 8, 2007
ESG	No	No

More IBBQ data on Trackinsight

More FXH data on Trackinsight

Exposure

Countries

IBBQ

USA

92.77%

Other

7.23%

FXH

USA

95.47%

Other

4.53%

Sectors

IBBQ

Health Care

85.9%

Other

14.1%

FXH

Health Care

93.76%

Other

6.24%

Diversification

IBBQ

Total weight of top 15 holdings out of 15

51.37%

FXH

Total weight of top 15 holdings out of 15

35.37%

Top 15 holdings

Data as of March 31, 2026

IBBQ

GILEAD SCIENCES

7.85%

AMGEN-T

7.82%

VERTEX PHARMACEUTICALS

7.59%

REGENERON PHARMACEUTICALS

6.48%

ALNYLAM PHARMACEUTICALS

3.56%

INSMED

2.65%

BIOGEN INC

2.28%

UTD THERAPEUT

1.94%

ROYALTY PHARMA

1.68%

US04016X1019

1.66%

MODERNA INC

1.66%

ROIVANT SCIENCES LTD

1.61%

REVOLUTION MEDICINES INC

1.55%

ILLUMINA

1.52%

INCYTE

1.52%

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 IBBQ and FXH

How have the IBBQ and FXH ETFs performed in 2026?

As of April 24, 2026, IBBQ is up 3.49% year-to-date (YTD), while FXH has lost -0.82%. That puts IBBQ better performer ahead so far this year.

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

Year-to-date, the IBBQ ETF saw +$290K in flows, compared to -$61M for FXH.

Which ETF is more volatile: IBBQ or FXH?

Over the past year, IBBQ had a volatility of 21.05%, while FXH experienced 16.17%.

Which ETF is bigger: IBBQ or FXH?

As of April 24, 2026, IBBQ holds $66.29 M in assets under management (AUM), while FXH manages $867.10 M.

What sectors do the IBBQ and FXH ETFs invest in?

IBBQ leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

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

IBBQ top holdings include GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

IBBQvsFXHETF Comparison

Invesco Nasdaq Biotechnology ETF

First Trust Health Care AlphaDEX Fund ETF

IBBQ vs FXH 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 IBBQ and FXH ETFs performed in 2026?

As of April 24, 2026, IBBQ is up 3.49% year-to-date (YTD), while FXH has lost -0.82%. That puts IBBQ better performer ahead so far this year.

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

Year-to-date, the IBBQ ETF saw +$290K in flows, compared to -$61M for FXH.

Which ETF is more volatile: IBBQ or FXH?

Over the past year, IBBQ had a volatility of 21.05%, while FXH experienced 16.17%.

Which ETF is bigger: IBBQ or FXH?

As of April 24, 2026, IBBQ holds $66.29 M in assets under management (AUM), while FXH manages $867.10 M.

What sectors do the IBBQ and FXH ETFs invest in?

IBBQ leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

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

IBBQ top holdings include GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

Which ETF is more diversified: IBBQ or FXH?

IBBQ holds 256 securities with 51.37% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 35.37%.

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