SBIO
Price
$63.47
Change
-$2.06 (-3.14%)
Updated
Jul 16, 04:57 PM (EDT)
Net Assets
208.44M
Intraday BUY SELL Signals
XBI
Price
$152.00
Change
-$4.22 (-2.70%)
Updated
Jul 16 closing price
Net Assets
10.57B
Intraday BUY SELL Signals
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SBIO vs XBI

SBIO vs XBI Comparison Chart in %
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Jul 10, 2026

Which ETF would AI Choose? ALPS Medical Breakthroughs ETF (SBIO) vs. SPDR S&P Biotech ETF (XBI)

Key Takeaways

  • SBIO and XBI both provide targeted exposure to the biotechnology sector within healthcare but differ significantly in strategy focus and diversification.
  • SBIO employs a thematic approach emphasizing small- and mid-cap companies with late-stage clinical drug candidates, resulting in higher concentration and a 0.50% expense ratio.
  • XBI tracks an equal-weighted index of a broader set of biotechnology companies, offering greater diversification across approximately 150 holdings and a lower 0.35% expense ratio.
  • SBIO’s structure suits investors seeking exposure to innovative clinical-stage breakthroughs, while XBI provides more balanced representation across the biotech landscape.
  • Both ETFs are passively managed and fully allocated to the healthcare sector, exposing investors to similar macro drivers such as regulatory developments and capital flows in life sciences.
  • XBI generally exhibits lower structural costs and wider liquidity, potentially enhancing its appeal for long-term positioning in volatile biotech markets.

Introduction

SBIO and XBI represent two distinct approaches to biotechnology investing within the healthcare sector. While both target U.S.-listed biotech companies, they do not compete directly as identical products. Instead, they offer alternative exposure strategies for investors seeking growth opportunities in innovative therapies. SBIO narrows its focus to firms with drugs in advanced clinical trials, whereas XBI delivers broader, equal-weighted access to the sector. This comparison helps investors evaluate which structure aligns better with their risk tolerance and thematic objectives in the current environment of evolving medical innovation and sector-specific catalysts.

ALPS Medical Breakthroughs ETF (SBIO) Overview

The ALPS Medical Breakthroughs ETF (SBIO) is a passively managed exchange-traded fund that seeks to track the performance of the S-Network Medical Breakthroughs Index before fees and expenses. The index targets small- and mid-cap biotechnology and pharmaceutical companies with one or more drugs in Phase II or Phase III of U.S. Food and Drug Administration (FDA) clinical trials. SBIO typically holds approximately 100 securities, with top holdings often representing 3% to 5% each and the top 10 comprising around 30% of assets. Holdings concentrate in healthcare, with notable subsector allocations to areas such as oncology and rare diseases. The fund carries a 0.50% expense ratio and maintains a market-capitalization-weighted structure with periodic rebalancing to reflect index changes. Its distinguishing feature is the thematic emphasis on late-stage clinical development, which differentiates it from broader biotech vehicles.

SPDR S&P Biotech ETF (XBI) Overview

The SPDR S&P Biotech ETF (XBI) is a passively managed exchange-traded fund designed to track the S&P Biotechnology Select Industry Index before fees and expenses. The equal-weighted index provides exposure to a wide range of U.S.-listed biotechnology companies engaged in research, development, and commercialization. XBI typically holds approximately 150 to 160 securities, with the top 10 holdings each under 2% and collectively accounting for roughly 13% to 15% of assets. The portfolio remains 100% allocated to the healthcare sector. The fund features a 0.35% expense ratio and rebalances quarterly to maintain equal weights. Its primary distinguishing characteristic is the equal-weighting methodology, which reduces concentration risk compared to market-cap-weighted alternatives and promotes broader participation across market capitalizations.

Industry and Thematic Backdrop

The biotechnology sector operates within the broader healthcare industry and remains sensitive to regulatory approvals, clinical trial outcomes, interest rate environments, and capital availability for research and development. Recent market cycles have highlighted the impact of FDA decisions, mergers and acquisitions (M&A) activity, and shifts in investor sentiment toward innovation-driven companies. Macroeconomic factors such as inflation trends and monetary policy influence funding for early- and late-stage trials. Sector risks include high failure rates in drug development, pricing pressures, and evolving reimbursement policies. Both ETFs benefit from ongoing advances in areas such as oncology, gene therapy, and rare disease treatments, while facing volatility tied to earnings cycles and broader risk appetite in growth equities.

Performance and Positioning Comparison

In recent market cycles, the equal-weighted structure of XBI has contributed to more balanced participation across holdings during sector rotations, potentially moderating volatility relative to more concentrated strategies. SBIO’s emphasis on clinical-stage companies has aligned its returns more closely with binary events such as trial readouts and regulatory milestones, leading to distinct performance patterns versus the broader biotech universe. During periods of heightened interest rate sensitivity or shifts in growth stock leadership, XBI’s wider diversification and lower expense ratio have supported relative positioning. Both ETFs exhibit elevated volatility characteristic of the biotech sector, with performance influenced by earnings cycles of key holdings and overall capital flows into healthcare innovation.

AI Screener

Tickeron’s AI Screener is an AI-powered stock and ETF discovery tool that helps traders and investors filter the market based on technical patterns, fundamentals, trends, volatility, and AI-driven signals. Users can scan thousands of stocks and ETFs using customizable filters such as industry, market capitalization, technical indicators, price patterns, and performance metrics. The screener helps identify trade ideas, trending stocks, breakout candidates, and market opportunities more efficiently than manual screening. Investors seeking data-driven insights on ETFs like SBIO and XBI may find the platform useful for refining their analysis.

Tickeron AI Verdict

Based on observable structural factors, Tickeron’s AI would currently assign a higher probability of favorability to XBI. The ETF’s lower expense ratio, greater number of holdings, equal-weighted diversification, and established liquidity profile provide advantages in cost efficiency and risk distribution within the biotech sector. While SBIO offers compelling thematic exposure to clinical-stage innovation, XBI’s broader positioning and lower structural costs align more consistently with durable portfolio characteristics across varying market environments.

Disclaimer

The information on this webpage is provided for general informational and educational purposes only and is not intended as investment advice, a recommendation to purchase or sell any security, or an offer or solicitation related to investments. It does not consider your personal financial situation, goals, or risk profile, and all investing carries inherent risks, including the possibility of losing your entire investment. For more details, please review our full disclaimer.

Disclaimers and Limitations

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SBIO vs. XBI commentary
Jul 17, 2026

To compare these two companies we present long-term analysis, their fundamental ratings and make comparative short-term technical analysis which are presented below. The conclusion is SBIO is a Hold and XBI is a Hold.

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SUMMARIES
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FUNDAMENTALS
Fundamentals
XBI has more net assets: 10.6B vs. SBIO (208M). SBIO has a higher annual dividend yield than XBI: SBIO (27.938) vs XBI (24.784). SBIO was incepted earlier than XBI: SBIO (12 years) vs XBI (20 years). XBI (0.35) has a lower expense ratio than SBIO (0.50). SBIO has a higher turnover XBI (43.00) vs XBI (43.00).
SBIOXBISBIO / XBI
Gain YTD27.93824.784113%
Net Assets208M10.6B2%
Total Expense Ratio0.500.35143%
Turnover58.0043.00135%
Yield0.000.36-
Fund Existence12 years20 years-
TECHNICAL ANALYSIS
Technical Analysis
SBIOXBI
RSI
ODDS (%)
Bearish Trend 2 days ago
87%
Bearish Trend 2 days ago
90%
Stochastic
ODDS (%)
Bearish Trend 2 days ago
90%
Bullish Trend 2 days ago
90%
Momentum
ODDS (%)
Bullish Trend 2 days ago
90%
Bearish Trend 2 days ago
90%
MACD
ODDS (%)
Bearish Trend 2 days ago
89%
Bearish Trend 2 days ago
82%
TrendWeek
ODDS (%)
Bearish Trend 2 days ago
88%
Bearish Trend 2 days ago
88%
TrendMonth
ODDS (%)
Bullish Trend 2 days ago
89%
Bullish Trend 2 days ago
90%
Advances
ODDS (%)
Bullish Trend 8 days ago
88%
Bullish Trend 2 days ago
90%
Declines
ODDS (%)
Bearish Trend 3 days ago
88%
Bearish Trend 4 days ago
89%
BollingerBands
ODDS (%)
Bearish Trend 2 days ago
88%
Bearish Trend 2 days ago
83%
Aroon
ODDS (%)
Bullish Trend 2 days ago
89%
Bullish Trend 2 days ago
90%
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SBIO
Daily Signal:
Gain/Loss:
XBI
Daily Signal:
Gain/Loss:
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SBIO and

Correlation & Price change

A.I.dvisor indicates that over the last year, SBIO has been loosely correlated with RARE. These tickers have moved in lockstep 64% of the time. This A.I.-generated data suggests there is some statistical probability that if SBIO jumps, then RARE could also see price increases.

1D
1W
1M
1Q
6M
1Y
5Y
Ticker /
NAME
Correlation
To SBIO
1D Price
Change %
SBIO100%
+0.37%
RARE - SBIO
64%
Loosely correlated
-1.00%
RCUS - SBIO
60%
Loosely correlated
-1.09%
FATE - SBIO
59%
Loosely correlated
N/A
ROIV - SBIO
58%
Loosely correlated
-0.06%
EDIT - SBIO
58%
Loosely correlated
-3.80%
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