Phase I only: Patients must have mean hemoglobin concentration < . g/dL of measurements (not influenced by RBC transfusion within days of measurement) and having received < units of RBCs within weeks prior to start of treatment OR, No consecutive days that was RBC transfusion-free during the days immediately preceding Cycle Day . Administration of regular RBC transfusion therapy, defined as receiving or more transfusion events per year (in the months before enrollment) to prevent vaso-occlusive clinical complications (i.e. pain, stroke, and acute chest syndrome) Serum conjugated (direct) bilirubin < x upper limit of normal for age as per local laboratory. Patients with hyperbilirubinemia as a consequence of hyperhemolysis, or who experience a sudden, profound change in the serum hemoglobin after a RBC transfusion are not excluded. Red Blood cell transfusion dependent (defined as ? RBC units required in the weeks prior to starting in the study). Prior Red blood cell (RBC) transfusion < months prior to starting CC-. Patients must have symptomatic anemia untransfused with hemoglobin =< . g/dL within weeks of registration or with red blood cell (RBC) transfusion-dependence (i.e., >= units/month) confirmed for a minimum of weeks before randomization Patients with hyperbilirubinemia as a consequence of hyperhemolysis or who experience a sudden, profound change in the serum hemoglobin after a RBC transfusion are not excluded Hemoglobin ? g/dL (uncorrected by RBC transfusion) Patients who are receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion) or have received a RBC transfusion for any reason within days of signing the ICF RBC transfusion-dependent anemia defined as: anemia requiring RBC transfusions of at least unit of RBC every weeks for hemoglobin =< . g/dL PART GROUP A INCLUSION CRITERIA: Hgb >= g/dL (may receive RBC transfusion) PART GROUP INCLUSION CRITERIA: Hgb >= g/dL (may receive RBC transfusion) Anemia or red blood cell (RBC)-transfusion dependence defined as follows: a) Anemia: defined for the purpose of this protocol as ) a hemoglobin level < g/L on every determination over days before study-entry, without RBC-transfusions, or ) a hemoglobin level < g/L on a patient that is receiving RBC-transfusions periodically but not meeting criteria for transfusion-dependent patient as defined below; the baseline hemoglobin value for these subjects is the lowest hemoglobin level during the antecedent days; b) RBC-transfusion-dependence: RBC-transfusion-frequency of >= units packet red blood cell (PRBC)/ days averaged over days immediately pre-study-entry; there must not be any consecutive days without an RBC-transfusion during this interval Anemic patient OR red blood cell (RBC)-transfusion-dependent patient Clinical diagnosis of TDT with ? documented RBC transfusion events per year on an annualized basis in the -years prior to screening Medical history of RBC transfusion dependent anemia ? units of RBCs during the weeks prior to admin of study drug & ? units of RBCs over prior weeks (day - to day prior to treatment; baseline period) for documented Hgb of ? g/dL (during baseline). Didn't have a day RBC transfusion-free period during weeks prior to administration of study drug. Transfusion dependence, defined as having had transfusion (in the setting of active disease) of or more units of RBC or platelets within weeks prior to randomization. Transfusion dependency defined by transfusion of at least units of RBC (red blood cells) within weeks before Screening; pre-transfusion Hgb (hemoglobin) values must be ? g/dL to be taken into account. Subjects with a history of bleeding related to cancer under study requiring a medical intervention (eg, embolization procedure, RBC transfusion, or hospitalization) within days of study enrollment (Treatment Groups B and C only). Red blood cell (RBC) transfusion dependent, ) Received at least units of RBCs over any consecutive weeks during the weeks prior to randomization, ) Pretransfusion Hb must have been less than or equal to (<=). gram per deciliter (g/dL) Residual Cancer Burden (RBC) classification II or III Red blood cell (RBC) transfusion dependent, defined as requiring at least RBC units transfused over an -week period during the weeks prior to Study Entry; pre-transfusion hemoglobin (Hb) should be less than or equal to . gram per deciliter (g/dL) to count towards the units total Hemoglobin ? . g/dL (Use of erythropoietic stimulating factors and red blood cell [RBC] transfusion per institutional guidelines is allowed, however the most recent RBC transfusion may not have been done within days prior to obtaining screening hemoglobin.) Hematologic function, as follows (no platelet transfusion within weeks and no RBC transfusion within days before the first dose of study drug) Platelet transfusion within weeks and RBC transfusion within days before the first dose of study drug Requirement for RBC transfusion while on ruxolitinib treatment, OR Residual Cancer Burden (RBC) classification II or III EXPANSION COHORT ONLY: Hemoglobin >= g/dL; subjects may not have had an RBC transfusion within days of screening assessment Hemoglobin ? g/dL (uncorrected by RBC transfusion) Transfusion dependent at baseline, defined as ? U red blood cell (RBC) transfusion in the weeks prior to first dose of MMB History of transfusions < RBC units and must not be RBC transfusion dependent Subjects with documented diagnosis of a type of sickle cell disorder who require RBC Exchange or RBC Depletion/Exchange treatment. Medically stable subjects who have been previously treated for sickle cell disease with RBC Exchange or RBC Depletion/Exchange. Hemoglobin ? . g/dL within days prior to randomization. Use of erythropoietic stimulating factors and red blood cell (RBC) transfusions per institutional guidelines is allowed, however most recent RBC transfusion may not have been done within days prior to obtaining screening hemoglobin. Received any red blood cell (RBC) transfusion within days prior to randomization. Plan to receive any RBC transfusion between randomization and study day . meaningful worsening in RBC (RED BLOOD CELL) or platelet transfusion requirement Definition of stable disease is based on modified IWG (INTERNATIONAL WORKING GROUP) criteria: