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**ACEXO** is an experimental, CD20-targeted exosome-based delivery construct consisting of Adriamycin (doxorubicin)-loaded exosomes surface-modified with an anti-CD20 aptamer. It was reported in preclinical CD20-positive melanoma models, where it preferentially delivered doxorubicin to CD20-positive melanoma cancer stem cells, increased tumor accumulation after intravenous administration, reduced tumorsphere formation, and suppressed tumor growth in mice without reported body-weight loss. ([pmc.ncbi.nlm.nih.gov](https://pmc.ncbi.nlm.nih.gov/articles/PMC9838758/)) Doxorubicin is an anthracycline cytotoxic agent that damages DNA and inhibits topoisomerase II. ([cancer.gov](https://www.cancer.gov/about-cancer/treatment/drugs/doxorubicinhydrochloride))
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