In the five years since Philadelphia’s first hormone-replacement therapy case went to trial, a jury has awarded punitive damages as high as $75 million, more than 1,000 cases have been tossed out of court and then revived on appeal, and HRT drugmaker Wyeth was bought by Pfizer.

Now, settlement is the name of the game in Philadelphia’s largest pharmaceutical litigation since the 10,000-strong diet drug litigation of the mid-2000s.