A Study of Ixazomib (NINLARO®) in Combination With Lenalidomide and Dexamethasone (IRD) for the Treatment of Participants With Multiple Myeloma (MM)

Inclusion Criteria:

1. Must have a diagnosis of a MM using current IMWG diagnostic criteria and havereceived 1 prior line of therapy.

• Participants must have completed 3 cycles of a bortezomib-based inductionregimen (as defined by current NCCN guidelines) and have no evidence of diseaseprogression as defined by IMWG criteria.

• Participants with light chain and free light chain (FLC) only may be enrolledif they meet all the criteria for a diagnosis of MM.

• Participants must be considered by their physician eligible to receiving theIRD regimen.

2. Must be transplant ineligible as determined by their physician, or if transplanteligible, not expect to undergo transplant for at least 24 months after studyenrollment. o Stem cell harvest and mobilization regimen is acceptable if clinically indicated,but must first be confirmed by the Takeda Medical Monitor.

3. Eastern Cooperative Oncology Group (ECOG) performance status and/or otherperformance status 0, 1, or 2 at time of enrollment.

4. Female participants who:

• Are postmenopausal for at least 1 year before the screening visit, OR

• Are surgically sterile, OR

• If they are of childbearing potential, agree to practice 2 effective methods ofcontraception, at the same time, from the time of signing the informed consentform through 90 days after the last dose of study drug, OR

• Agree to practice true abstinence when this is in line with the preferred andusual lifestyle of the participant (periodic abstinence [example, calendar,ovulation, symptothermal, post-ovulation methods] and withdrawal are notacceptable methods of contraception).

5. Male participants, even if surgically sterilized (that is, status post-vasectomy),must agree to one of the following:

• Agree to practice effective barrier contraception during the entire studytreatment period and through 90 days after the last dose of study drug, OR

• Agree to practice true abstinence when this is in line with the preferred andusual lifestyle of the participant. (Periodic abstinence (example, calendar,ovulation, symptothermal, post-ovulation methods] and withdrawal are notacceptable methods of contraception).

Exclusion Criteria:

1. Participation in other interventional clinical trials, including those with otherinvestigational agents not included in this trial, within 30 days of the start ofthis trial and throughout the duration of this trial. Non-interventional trials (that is, observational trials) are permitted at any time point.

2. Failure to have fully recovered (that is, less than or equal to [<=] Grade 1toxicity) from the reversible effects of prior chemotherapy.

3. Major surgery within 14 days before enrollment.

4. Radiotherapy within 14 days before enrollment (if the involved field is small, 7days will be considered a sufficient interval between treatment and administrationof the ixazomib).

5. Central nervous system involvement by MM.

6. Infection requiring systemic antibiotic therapy or other serious infection within 14days before study enrollment.

7. Evidence of current uncontrolled cardiovascular conditions, including uncontrolledhypertension, uncontrolled cardiac arrhythmias, symptomatic congestive heartfailure, unstable angina, or myocardial infarction within the past 6 months.

8. Systemic treatment, within 14 days before the first dose of ixazomib, with strongcytochrome P450 3A (CYP3A) inducers (rifampin, rifapentine, rifabutin,carbamazepine, phenytoin, phenobarbital), or use of Ginkgo biloba or St. John'swort.

9. Ongoing or active systemic infection, active hepatitis B or C virus infection, orknown human immunodeficiency virus positive.

10. Diagnosed or treated for another malignancy within 2 years before study enrollmentor previously diagnosed with another malignancy and have any evidence of residualdisease. Participants with nonmelanoma skin cancer or carcinoma in situ of any typeare not excluded if they have undergone complete resection.

11. Has greater than or equal to (>=) Grade 2 peripheral neuropathy, or Grade 1 withpain on clinical examination during the screening period.

12. Have previously been treated with ixazomib, or participated in a study with ixazomibwhether treated with ixazomib or not.

13. PD on first-line therapy.