XLVIvsTRUHETF Comparison
ETF 1
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
-0.49%
VS
State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies segment. VanEck Healthcare TruSector ETF (TRUH) is part of the Uncategorized Equities segment. Both ETFs have the same top 2 sector exposures: Healthcare and Consumer Non-Cyclicals. XLVI is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.1% for TRUH. Run a side-by-side ETF comparison of XLVI and TRUH 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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XLVI vs TRUH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/10/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLVI TRUH | -3.75%-1.68% | +3.97%+8.80% | +5.69%n/a | +16.54%n/a | n/an/a | n/an/a |
| Flows | XLVI TRUH | +$4M- | +$11M-$21K | +$14M- | +$25M- | -- | -- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI TRUH | +11.87%+19.45% | +11.09%n/a | n/an/a | n/an/a |
| Max drawdown | XLVI TRUH | -4.77%-5.69% | -8.21%n/a | n/an/a | n/an/a |
| Max drawdown duration | XLVI TRUH | 16d22d | 115dn/a | n/an/a | n/an/a |
Trading data
XLVI | TRUH | |
Last sale 9/11/2026 at 1:30 PM | $25.71 | $28.87 |
| Previous close 09/10/2026 | $25.73 | $28.91 |
| Consolidated volume 09/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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Main metrics
Last update 9/11/2026 at 1:30 PM
Live
Closed
XLVI | TRUH | |
|---|---|---|
| Last price | $25.71 | $28.87 |
| 1D performance | -0.07% | -0.14% |
| AuM | $25.47 M | $0.58 M |
| E/R | 0.35% | 0.1% |
Characteristics
XLVI | TRUH | |
|---|---|---|
| Management strategy | Active | Active |
| Provider | State Street Investment Management | VanEck |
| Benchmark | - | - |
| N° of holdings | 59 | 59 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | April 1, 2026 |
| ESG | No | No |
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Exposure
Countries
XLVI
USA
97.34%
Other
2.66%
TRUH
USA
97.81%
Other
2.19%
Sectors
XLVI
Healthcare
97.32%
Other
2.68%
TRUH
Healthcare
97.78%
Other
2.22%
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Diversification
XLVI
Total weight of top 15 holdings out of 15
71.63%
TRUH
Total weight of top 15 holdings out of 15
72.03%
Top 15 holdings
Data as of July 31, 2026
XLVI
Eli Lilly & Co.
15.45%
Johnson & Johnson
10.49%
AbbVie, Inc.
7.54%
UnitedHealth Group, Inc.
6.40%
Merck & Co., Inc.
5.47%
Thermo Fisher Scientific, Inc.
3.63%
Amgen, Inc.
3.53%
Abbott Laboratories
3.13%
Gilead Sciences, Inc.
2.75%
Pfizer Inc.
2.42%
Bristol Myers Squibb Co.
2.27%
CVS Health Corp.
2.27%
Intuitive Surgical, Inc.
2.13%
Danaher Corp.
2.09%
Vertex Pharmaceuticals, Inc.
2.06%
TRUH
Eli Lilly & Co.
15.53%
Johnson & Johnson
10.55%
AbbVie, Inc.
7.58%
UnitedHealth Group, Inc.
6.43%
Merck & Co., Inc.
5.50%
Thermo Fisher Scientific, Inc.
3.65%
Amgen, Inc.
3.53%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.77%
Pfizer Inc.
2.44%
CVS Health Corp.
2.28%
Bristol Myers Squibb Co.
2.28%
Intuitive Surgical, Inc.
2.16%
Danaher Corp.
2.11%
Vertex Pharmaceuticals, Inc.
2.08%
Frequently asked questions about XLVI and TRUH
Which ETF is bigger: XLVI or TRUH?
As of September 10, 2026, XLVI holds $25.47 M in assets under management (AUM), while TRUH manages $0.58 M.
What sectors do the XLVI and TRUH ETFs invest in?
XLVI leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.
What are the top holdings of the XLVI ETF and TRUH ETF?
XLVI top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: XLVI or TRUH?
XLVI holds 59 securities with 71.63% of its assets in the top 15. TRUH has 59 securities and a top 15 weight of 72.03%.
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