This study is exploring two treatments for a type of cancer called advanced proliferative chronic myelomonocytic leukemia (CMML). CMML is a blood cancer that affects how blood cells grow in the body. Two drugs will be tested: pacritinib and hydroxyurea. Participants will be randomly chosen to take either pacritinib or hydroxyurea for up to 48 weeks. Pacritinib is taken twice a day and aims to control the disease more effectively than hydroxyurea.
During the study, doctors will monitor participants' health and how well the drugs work. After the treatment period, there will be another year of follow-up to check on the participants' health.
- Duration: Up to 48 weeks of treatment, plus follow-up.
- Visits: Regular checks and follow-ups required.
- Risks: Possible side effects from the drugs.
This trial is open to adults with CMML. Participants cannot have had certain recent medical treatments or other conditions that could interfere with the study. If interested, be ready to commit to regular check-ups and follow safety guidelines.