St. Louis Jury Awards $4.69B in Talc Case

July 2018 verdict awarded 22 women $4.69 billion for ovarian cancer linked to J&J baby powder, the largest talc verdict in history at the time.

Key Facts
$4.69 billion verdict (largest talc award at the time)
22 women awarded $25 million each in compensatory damages
$4.14 billion in punitive damages
Reduced to $2.11 billion on appeal in 2020

Landmark Verdict Rocks Johnson & Johnson

On July 12, 2018, a St. Louis jury awarded $4.69 billion to 22 women who claimed Johnson & Johnson’s talc-based baby powder caused their ovarian cancer. The verdict was the largest talc-related jury award in history.

The award included $550 million in compensatory damages ($25 million per plaintiff) and $4.14 billion in punitive damages, signaling the jury’s belief that J&J had acted with reckless disregard for consumer safety.

The Plaintiffs’ Case

The 22 women, from 12 different states, alleged that decades of using J&J’s baby powder and Shower to Shower products caused them to develop ovarian cancer. Their attorneys presented:

Internal documents showing:

  • J&J knew about potential asbestos contamination in talc supplies
  • Company tested talc products and found asbestos fibers
  • Executives discussed contamination concerns but continued sales
  • Marketing specifically targeted women for genital hygiene use

Scientific evidence linking:

  • Talc particles migrating through the reproductive tract to ovaries
  • Chronic inflammation leading to cancer development
  • Asbestos contamination in talc increasing cancer risk

Johnson & Johnson’s Defense

J&J maintained throughout the trial that:

  • Their talc products were safe and asbestos-free
  • Decades of testing confirmed product safety
  • Scientific evidence did not support a causal link to ovarian cancer
  • The plaintiffs’ experts relied on flawed studies

The company announced it would appeal the verdict, calling it “fundamentally unfair” due to the consolidation of 22 plaintiffs in a single trial.

Verdict Breakdown

CategoryAmount
Compensatory damages (22 plaintiffs)$550 million
Punitive damages$4.14 billion
Total verdict$4.69 billion

The punitive damages reflected the jury’s finding that J&J’s conduct warranted punishment beyond compensation for actual injuries.

Watershed Moment in Talc Litigation

The St. Louis verdict demonstrated juries would hold companies accountable for concealment. It established that massive punitive damages were possible and contributed to J&J’s eventual discontinuation of talc baby powder and over 90,000 lawsuits by 2025.

Aftermath and Appeals

Appeal outcome:

  • Missouri Court of Appeals reduced the verdict to $2.11 billion in 2020
  • Court affirmed liability but reduced punitive damages
  • Plaintiffs received approximately $96 million each after reduction

Broader impact:

  • Sent “shockwaves across the world” according to legal observers
  • Encouraged thousands more plaintiffs to file claims
  • Contributed to J&J’s decision to discontinue talc baby powder
  • Led to increased scrutiny of talc in cosmetics

The Talc-Ovarian Cancer Connection

Research presented at trial showed:

  • Women who used talc products for genital hygiene had increased ovarian cancer risk
  • Talc particles have been found in ovarian tumors
  • Some talc supplies were contaminated with asbestos from shared geological deposits
  • IARC later classified talc as “probably carcinogenic” (Group 2A) in 2024

Context: Growing Litigation

The St. Louis verdict came amid a wave of talc lawsuits:

YearDevelopment
2016First major talc verdicts (ovarian cancer)
2017Multiple verdicts against J&J
2018$4.69 billion St. Louis verdict
2018Reuters investigation reveals internal documents
2019FDA finds asbestos in J&J baby powder
2020J&J halts North American talc sales
2023Global talc baby powder discontinuation

What This Meant for Consumers

The verdict highlighted several concerns:

For those who used talc products:

  • Document usage history
  • Monitor for symptoms
  • Consult healthcare providers about cancer screening
  • Understand legal options if diagnosed

For the industry:

  • Increased pressure to reformulate products
  • Greater scrutiny of talc sourcing and testing
  • Consumer shift toward talc-free alternatives

Long-Term Significance

The St. Louis verdict was a turning point in talc litigation:

  • Demonstrated juries would hold companies accountable for concealment
  • Established that massive punitive damages were possible
  • Contributed to eventual IARC reclassification of talc
  • Paved the way for mesothelioma-specific talc lawsuits

By 2025, J&J faced over 90,000 talc-related lawsuits and had attempted multiple bankruptcy strategies to resolve claims, a direct consequence of verdicts like the 2018 St. Louis case.

What was the St. Louis talc verdict?

In July 2018, a St. Louis jury awarded $4.69 billion to 22 women who claimed J&J’s talc baby powder caused their ovarian cancer. It was the largest talc verdict in history, including $550 million in compensatory damages and $4.14 billion in punitive damages.

What happened on appeal?

The Missouri Court of Appeals reduced the verdict to $2.11 billion in 2020. The court affirmed liability but reduced punitive damages. Each plaintiff received approximately $96 million after the reduction.

What evidence did plaintiffs present?

Internal documents showing J&J knew about potential asbestos contamination, tested products and found asbestos fibers, discussed contamination concerns but continued sales, and specifically marketed talc to women for genital hygiene use.

What was the broader impact?

The verdict sent “shockwaves” through the industry, encouraged thousands more plaintiffs, contributed to J&J discontinuing talc baby powder, increased cosmetic talc scrutiny, and led to IARC classifying talc as “probably carcinogenic” in 2024.