The Pennsylvania Supreme Court has denied efforts by drugmaker Janssen Pharmaceuticals to overturn a $70 million verdict out of the Risperdal mass tort in Philadelphia. The decision paves the way for the trial court to reconsider whether the facts of the case merit a punitive damages trial.

On Tuesday, the justices issued a per curiam order denying Janssen’s appeal in A.Y. v. Janssen Pharmaceuticals, which involved a male plaintiff who claimed that the anti-psychotic medication caused him to grow excessive breast tissue.