The issue with active cables, be they copper only or fiber, is that the chipsets in the source/sink end can fail over time, just like any other electronic device. I have seen cables fail but the failure rate seems to be very low, at least from the publically posted info that I can find. That's why we strongly recommend that any in-wall cable installation be done with conduit. That way it is easier and safer to replace/upgrade your cabling, because the likelyhood that you will be swapping out a cable for one reason or another down the road is high. The biggest problem with active cables is keeping the chipsets current. Valens, who is a mfr of active chipsets for HDBT and other externally active extenders just announced that they have upgraded their chipsets so those should be hitting the market soon. Using HDBT or other active extenders requires a power source close by, usually via a USB dongle so you need to plan for that.
Celerity, who is another mfr of fiber cables has detachable HDMI connectors so, in theory, you keep the fiber cable in the wall and just replace the connector ends as needed. Just like HDBT but with HDBT, the in-wall cable is either solid core CAT-6 or even CAT-7 (if you feel that's necessary). Unfortunately, there has been lots of issues reported with the Celerity product.
Another disadvantage of copper vs fiber is data compression. Copper will struggle with uncompressed data whereas a well designed fiber cable (usually hybrid fiber for the reasons I gave above) can easily handle uncompressed data with no errors. Copper can, up to a certain length, but that requires a thicker wire gauge, and thicker wire gauges have their own sets of issues.
The bottom line is that there are no guarantees. There's more to a successful cable connection than just the data pipe (cable). One just has to look at their setup (distance, connected devices, cable run, etc) and see what works best for them, cost-wise and expectation-wise. Connection technology will always lag behind video technology so there's always going to be some trial and error.