Patients must be suspected to have previously untreated acute myelogenous leukemia (AML) or myelodysplastic syndrome with excess blasts- (MDS-EB-) COHORT : Have received NO prior treatment for AML with the exception of hydroxyurea / leukapheresis\r\n* NOTE: Subjects may have been treated for pre-existent myeloid disorder such as myelodysplastic syndrome or myeloproliferative neoplasm including hypomethylating agents AML that progressed out of myelodysplastic syndrome (MDS) is eligible if the patient did not receive treatment directed at the MDS AML that transformed from previously treated myelodysplastic syndromes Clonal cytogenetic abnormalities consistent with pre-myelodysplastic syndrome (pre-MDS) or MDS on marrow examination (e.g. Monosomy ). Subject has received treatment with a hypomethylating agent and/or other chemotherapeutic agent either conventional or experimental for myelodysplastic syndrome (MDS) or AML A hypomethylating agent, venetoclax and/or chemo therapeutic agent for Myelodysplastic syndrome (MDS). Diagnosis of MDS (Myelodysplastic syndromes). Clonal cytogenetic abnormalities consistent with pre-myelodysplastic syndrome (pre-MDS) or MDS on marrow examination (e.g. monosomy ) Untreated secondary AML, including AML that has progressed from myelodysplastic syndrome (MDS) Patients with myelodysplastic syndrome (MDS) and myeloproliferative disorder (MPD) must have < % blasts in the bone marrow DIAGNOSIS REQUIREMENT FOR PHASE I PATIENTS: Myelodysplastic syndrome (MDS) with excess blasts (> %) and progressive disease at any time after initiation of deoxyribonucleic acid (DNA) hypomethylator treatment during the past years, OR failure to achieve complete or partial response or hematological improvement after at least six cycles of azacytidine or four cycles of decitabine administered during the past years, OR intolerance to azacytidine or decitabine; MDS patients with isolated q- abnormalities that meet these criteria after lenalidomide therapy and DNA hypomethylator therapy are also eligible Patient with FA must have moderately severe aplastic anemia (AA) myelodysplastic syndrome (MDS) or acute leukemia with or without chromosomal abnormalities History of other active malignancies, including myelodysplastic syndromes (MDS), within the past years (exceptions described in the protocol). Have received a hypomethylating agent for myelodysplastic syndrome (MDS). Cohort Inclusion Criteria - Group A: Subjects must have previously untreated acute myeloid leukemia (AML) according to the WHO classification with no prior treatment other than hydroxyurea. Prior therapy for myelodysplastic syndrome (MDS), myeloproliferative syndromes (MPD), or aplastic anemia is permitted but not with hypomethylating agents. Patient must not have a concurrent active malignancy for which they are receiving treatment (other than myelodysplastic syndromes [MDS]) Patients may not have undergone any prior therapy for their AML other than hydroxyurea; however, if patients had an antecedent myelodysplastic syndrome (MDS), prior treatment with a hypomethylating agent or any other therapy (with the exception of allogeneic stem cell transplant) used to treat their MDS is allowed Patients with evidence of myelodysplastic syndromes (MDS)/acute myeloid leukemia (AML) or abnormal cytogenetics analysis indicative of MDS on the pre-transplant bone marrow examination Subject has received treatment with the following hypomethylating agent and/or chemo therapeutic agent for for an antecedent hematologic disorder (AHD) (Subjects may have been treated with other agents for AHD i.e., Myelodysplastic syndrome [MDS]) AML with antecedent hematological disease (e.g., myelodysplastic syndrome (MDS), myelofibrosis, polycythemia vera, etc.) and not a candidate for stem cell transplantation (SCT) in their current disease state. AML with antecedent hematological disease (e.g., myelodysplastic syndrome (MDS), myelofibrosis, polycythemia vera, etc.) and not a candidate for SCT in their current disease state. Patients with secondary AML or therapy related disease (t-AML) are eligible; patients who received decitabine or -azacytidine as prior treatment for myelodysplastic syndrome (MDS) remain eligible Patients must have a confirmed diagnosis of non-M AML; antecedent myelodysplastic syndrome (MDS) is acceptable Subject has active malignant tumors other than AML or myelodysplastic syndrome (MDS). Previous treatment with chemotherapy (cytarabine, idarubicin, daunorubicin) for a hematological disorder; Exceptions: patients with prior diagnosis of myelodysplastic syndrome (MDS) and/or treatment with hypomethylating agent (azacytidine or decitabine) are not excluded, prior hydroxyurea allowed Previously untreated AML (except for hydroxyurea and/or corticosteroid therapy for no more than days (cumulative)). Previous therapy for Myelodysplastic Syndrome (MDS) is allowed. Received prior treatment with HMA or chemotherapy for antecedent myelodysplastic syndrome (MDS) Evidence of second malignancy, abnormal cytogenetics, or morphologic evidence of myelodysplastic syndromes (MDS) Prior treatment with decitabine for myelodysplastic syndrome (MDS) or AML In blast transformation of chronic myeloid leukemia (CML). Prior myelodysplastic syndrome (MDS) is acceptable; prior treatment for MDS does not count as an AML therapy. Newly Diagnosed Secondary AML age < years and ? to years, defined as having a history of an antecedent hematologic disorder (myelodysplastic syndromes [MDS], myeloproliferative disease [MPD]or history of cytotoxic treatment for non-hematologic malignancy) Subject has active malignant tumors other than AML or Myelodysplastic syndrome (MDS). Newly Diagnosed Secondary AML defined as having a history of an antecedent hematologic disorder (myelodysplastic syndromes [MDS], myeloproliferative disease [MPD]or history of cytotoxic treatment for non-hematologic malignancy) Patients may have had prior treatment for myelodysplastic syndrome (MDS) or AML, including prior lenalidomide for MDS or AML or another condition All patients who present for an initial consultation at the Dana Farber Cancer Institute (DFCI) for myelodysplastic syndrome (MDS) or a hematologic malignancy (transplantation consultation excluded) Patients undergoing HSCT for a benign hematologic condition (myelodysplastic syndrome [MDS] is not considered a benign hematologic condition and patients with MDS are eligible for the study) Rapidly-progressing MDS (MYELODYSPLASTIC SYNDROMES), defined as: