Triple-negative breast most cancers (TNBC) is extremely invasive with a poor prognosis, and chemotherapy stays the medical therapy of alternative. Paclitaxel is a generally used first-line chemotherapy drug, however its untargeted distribution poses medical challenges. Impressed by antibody-drug conjugates, we develop a exactly structured framework nucleic acid-programmed aptamer–paclitaxel conjugates (FAPC) with chemically well-defined paclitaxel loading dosing, enabling the regulation of receptor-aptamer affinity to facilitate tumor-targeted chemotherapy. Using framework nucleic acids as a exact addressing scaffold, we arrange the AS1411 aptamer with correct intermolecular spacing and discover that an inter-aptamer spacing of 19.04 nm might improve the affinity of FAPC for tumor cells. Then, the multifunctional FAPC can disrupt actin reorganization to realize cytotoxicity in tumor cells. Moreover, the AS1411-specifically modified FAPC additional enhances the structure-dependent selective accumulation of medicine at tumor websites in a human xenograft mannequin of triple-negative breast most cancers, subsequently resulting in considerably improved antitumor efficacy and lowered toxicity. The FAPC gives a exactly programmable platform for environment friendly focused supply of chemotherapeutic brokers to malignancies.