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TRUHvsIXJETF Comparison

ETF 1

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

+0.96%

Full TRUH fund page

VS

ETF 2

IXJ

iShares Global Healthcare ETF

This fund is part of

Global Large Cap

+0.79%

Full IXJ fund page

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. iShares Global Healthcare ETF (IXJ) is part of the Global Large Cap segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IXJ's top sector exposures are Healthcare, Consumer Non-Cyclicals and Consumer Cyclicals. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.38% for IXJ. Run a side-by-side ETF comparison of TRUH and IXJ 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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TRUH vs IXJ 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 10/27/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	TRUH IXJ	+4.65%+5.05%	+10.09%+8.78%	n/a+13.31%	n/a+19.41%	n/a+45.89%	n/a+36.10%
Flows	TRUH IXJ	--$103M	-$289K+$66M	--$490M	--$351M	--$619M	-+$13M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	TRUH IXJ	+17.56%+17.16%	n/a+15.87%	n/a+14.39%	n/a+14.64%
Max drawdown	TRUH IXJ	-5.82%-6.30%	n/a-10.83%	n/a-18.04%	n/a-18.04%
Max drawdown duration	TRUH IXJ	56d55d	n/a122d	n/a490d	n/a490d

Trading data

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	TRUH	IXJ
Last sale 10/28/2026 at 1:30 PM	$31.34	$109.36
Previous close 10/27/2026	$31.27	$109.25
Consolidated volume 10/27/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of September 30, 2026

1-year trailing difference

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TRUH

is actively managed and doesn’t replicate an index

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

Main metrics

Last update 10/28/2026 at 1:30 PM

Live

Closed

	TRUH	IXJ
Last price	$31.34	$109.36
1D performance	+0.22%	+0.10%
AuM	$0.62 M	$4.51 B
E/R	0.1%	0.38%

Characteristics

	TRUH	IXJ
Management strategy	Active	Passive
Provider	VanEck	iShares
Benchmark	-	S&P Global 1200 Health Care (Sector) Capped Index
N° of holdings	59	110
Asset class	-	-
Trailing 12m distribution yield	Join	Join
Inception date	April 1, 2026	November 13, 2001
ESG	No	No

More TRUH data on Trackinsight

More IXJ data on Trackinsight

Exposure

Countries

TRUH

USA

97.67%

Other

2.33%

IXJ

USA

70.51%

Switzerland

9.98%

Other

19.51%

Sectors

TRUH

Healthcare

97.97%

Other

2.03%

IXJ

Healthcare

97.1%

Other

2.9%

Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%

IXJ

Total weight of top 15 holdings out of 15

56.26%

Top 15 holdings

Data as of August 31, 2026

TRUH

Eli Lilly & Co.

14.98%

Johnson & Johnson

10.42%

AbbVie, Inc.

7.37%

Merck & Co., Inc.

5.94%

UnitedHealth Group, Inc.

5.76%

Amgen, Inc.

3.76%

Thermo Fisher Scientific, Inc.

3.74%

Abbott Laboratories

3.14%

Gilead Sciences, Inc.

2.98%

Pfizer Inc.

2.65%

Vertex Pharmaceuticals, Inc.

2.29%

Bristol Myers Squibb Co.

2.22%

Intuitive Surgical, Inc.

2.22%

Danaher Corp.

2.19%

CVS Health Corp.

1.96%

IXJ

Eli Lilly & Co.

9.97%

Johnson & Johnson

6.98%

AbbVie, Inc.

4.94%

Merck & Co., Inc.

4.48%

UnitedHealth Group, Inc.

3.90%

Roche Holding AG

3.76%

Novartis AG

3.43%

AstraZeneca PLC

3.09%

Amgen, Inc.

2.85%

Thermo Fisher Scientific, Inc.

2.81%

Abbott Laboratories

2.36%

Gilead Sciences, Inc.

2.23%

Pfizer Inc.

1.99%

Novo Nordisk A/S

1.78%

Vertex Pharmaceuticals, Inc.

1.70%

Frequently asked questions about TRUH and IXJ

Which ETF is bigger: TRUH or IXJ?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while IXJ manages $4.51 B.

What sectors do the TRUH and IXJ ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. IXJ holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

TRUHvsIXJETF Comparison

VanEck Healthcare TruSector ETF

iShares Global Healthcare ETF

TRUH vs IXJ 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: TRUH or IXJ?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while IXJ manages $4.51 B.

What sectors do the TRUH and IXJ ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. IXJ holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

Which ETF is more diversified: TRUH or IXJ?

TRUH holds 59 securities with 71.6% of its assets in the top 15. IXJ has 111 securities and a top 15 weight of 56.26%.

Healthcare Funds on the Rise

Healthcare Stocks Rebound

Continued tightening of the U.S. labor market

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