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SBIO

ALPS Medical Breakthroughs ETF (SBIO)

Rating:46Neutral
Price Target:$54.00â–¼(-1.59% Downside)

SBIO’s rating reflects a mix of promising medical breakthrough companies alongside the high risks typical of early-stage biotech. Stronger holdings like ACADIA Pharmaceuticals, with solid finances, positive earnings sentiment, and clear growth plans, help support the fund’s quality, while weaker, pre-revenue names such as Oruka Therapeutics and Edgewise Therapeutics, which face ongoing losses and bearish trading signals, weigh on the overall score. The main risk factor is SBIO’s heavy concentration in small, clinical-stage biotech firms that depend on successful trial outcomes and external funding, making the ETF more volatile and speculative.

Positive Factors
Strong Top Holdings PerformanceSeveral of the largest positions have delivered strong gains so far this year, helping support the ETF’s overall results.
Focused Healthcare ExposureThe fund is heavily invested in health care and medical breakthroughs, giving investors targeted exposure to a high‑innovation area of the market.
Meaningful Asset BaseThe ETF manages a sizable pool of assets, which can help support trading liquidity and ongoing fund operations.
Negative Factors
Recent Short-Term WeaknessThe ETF has shown weak performance over the past month and three months, indicating recent pressure on its holdings.
Single-Sector ConcentrationWith most assets in health care, investors face higher risk if the medical and biotech industries experience a downturn.
U.S.-Only Geographic ExposureThe portfolio is fully concentrated in U.S. companies, offering no diversification benefits from international markets.

SBIO vs. SPDR S&P 500 ETF (SPY)

AUM
187.80M
Region
North America
Expense Ratio
0.50%
Beta
1.16
Issuer
ALPS
Inception Date
Dec 31, 2014
Dividend Yield
2.14%
Asset Class
Equity
Index Tracked
S-Network Medical Breakthroughs Index

SBIO Summary

SBIO is the ALPS Medical Breakthroughs ETF, which follows the S-Network Medical Breakthroughs Index and focuses on smaller U.S. biotech companies working on new drugs and treatments, especially those in later-stage clinical trials. It holds many developing names, including firms like Travere Therapeutics and Amylyx Pharmaceuticals. Someone might invest in SBIO for the chance at higher growth by backing cutting-edge medical innovations and to get targeted exposure to the health care and biotech theme. A key risk is that these early-stage biotech stocks can be very volatile and may rise or fall sharply based on drug trial results and market sentiment.

How much will it cost me?

This ETF has an expense ratio of 0.50%, which means you’ll pay about $5 per year for every $1,000 you invest. That’s higher than the average ETF because it focuses on a specialized, actively selected group of small and mid-sized biotech companies, which typically cost more to manage.

What would affect this ETF?

Future performance of this U.S.-focused biotech ETF will be helped by strong demand for new drugs, supportive health care regulations, and successful trial results from its many small and mid-sized companies developing breakthrough therapies. On the downside, setbacks in clinical trials, tighter drug pricing rules, or rising interest rates that make it harder for these smaller firms to raise money could hurt the ETF’s returns.

SBIO Top 10 Holdings

SBIO is a pure play on U.S. small- and mid-cap biotech, so individual drug stories drive the show. Oruka Therapeutics and Veradermics have been rising lately, giving the fund some welcome lift as investors warm to their late-stage pipelines. Relay Therapeutics and Amylyx look steadier, helping to balance out the bumps typical in this space. On the downside, CG Oncology, Travere, and Xenon have been lagging, acting like a weight on the portfolio as trial setbacks and funding worries cool sentiment. Overall, it’s a concentrated bet on breakthrough medicine with plenty of volatility baked in.

SBIO top ten holdings
NameCompany NameWeight %Market ValueMarket CapYearly GainOverall Rating
ORKAORKAOruka Therapeutics4.27%$7.86M$6.41B244.61%41Neutral
MANEMANEVeradermics, Incorporated3.88%$7.15M$5.84B270.04%――
CGONCGONCG Oncology, Inc.3.82%$7.02M$5.73B52.30%58Neutral
DFTXDFTXDefinium Therapeutics3.25%$5.98M$4.88B171.32%40Neutral
TVTXTVTXTravere Therapeutics3.16%$5.82M$4.75B69.95%56Neutral
DNTHDNTHDianthus Therapeutics3.07%$5.64M$4.61B144.16%61Neutral
EWTXEWTXEdgewise Therapeutics2.81%$5.17M$4.22B108.36%40Underperform
RLAYRLAYRelay Therapeutics2.68%$4.92M$4.02B150.00%59Neutral
AMLXAMLXAmylyx Pharmaceuticals Inc2.41%$4.44M$3.62B105.41%52Neutral
XENEXENEXenon2.41%$4.44M$3.62B-12.33%48Neutral

SBIO Technical Analysis

Technical Analysis SentimentNegative
Last Price54.87

Price Trends

50DMA59.83Negative
100DMA61.69Negative
200DMA57.05Negative

Market Momentum

MACD-1.08Negative
RSI46.05Neutral
STOCH78.25Neutral

Evaluating momentum and price trends is crucial in ETF analysis to make informed investment decisions. For SBIO, the sentiment is Negative. The current price of 54.87 is above the 20-day moving average (MA) of 53.92, below the 50-day MA of 59.83, and below the 200-day MA of 57.05, indicating a neutral trend. The MACD of -1.08 indicates Negative momentum. The RSI at 46.05 is Neutral, neither overbought nor oversold. The STOCH value of 78.25 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for SBIO.

SBIO Peer Comparison

Comparison Results

SBIO against its peer funds
NamePricePrice TargetAUMExpense RatioOverall Rating
SBIOSBIO$54.87$54.00(-1.59% Downside)$187.80M0.50%46Neutral
RSPHRSPH$39.69$42.47(6.99% Upside)$991.68M0.40%71Outperform
PJPPJP$130.54$158.86(21.69% Upside)$575.09M0.58%70Neutral
XPHXPH$64.80$109.12(68.40% Upside)$466.58M0.35%56Neutral
PBEPBE$102.50$125.38(22.32% Upside)$445.63M0.59%70Outperform
BBPBBP$104.18$151.92(45.82% Upside)$136.83M0.34%60Neutral

Performance Comparison

0%20%40%60%SBIORSPHPJPXPHPBEBBPDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26
SBIO and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
SBIOALPS Medical Breakthroughs ETF54.8710.9224.84%
RSPHInvesco S&P 500 Equal Weight Health Care ETF39.699.6532.11%
PJPInvesco Dynamic Pharmaceuticals ETF130.5434.5736.02%
XPHSPDR S&P Pharmaceuticals ETF64.8015.3431.00%
PBEInvesco Dynamic Biotechnology & Genome ETF102.5029.0039.46%
BBPVirtus LifeSci Biotech Products ETF104.1830.4441.29%
Glossary
BuyAn ETF rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF is likely to deliver higher returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldAn ETF rated as a "Hold" s expected to perform in line with the overall market or a specific benchmark. This rating indicates that the ETF is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellAn ETF rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF may deliver lower returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
Disclaimer

This AI Analyst ETF Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in ETFs carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.