The secondary endpoints of distant disease free survival (DDFS) and time to distant recurrence (TTDR) are based on the number of distant recurrence events. Distant recurrences tend to occur over the long term and hence with more time there are more distant recurrences. It is interesting to note as more time occurs and more distant recurrences occur, the DDFS and TTDR endpoints come closer to statistical significance (2 year results DDFS p=0.094, TTDR p=0.087; 5 year results DDFS p=0.032, TTDR p=0.039). This may suggest that with more time and more distant recurrence events, these two secondary endpoints may become statistically significant at a later date.