Johnson & Johnson was ordered to pay $18.8 million to a California man who blames the company’s talcum-based powders for giving him cancer in the company’s first trial in almost two years over accusations it hid the health risks of its iconic baby powder.

Jurors in state court in state court in Oakland concluded Tuesday that J&J’s baby powder helped cause Anthony Hernandez Valadez’s mesothelioma, a specific type of cancer linked to asbestos exposure. Due to Valadez’s failing health, the case was cleared for trial as an exception to a court order putting all litigation on hold after J&J sought to wall off its talc liability in a Chapter 11 bankruptcy.

Valadez’s victory could make it harder for J&J to persuade talc victims to accept a $8.9 billion settlement offered as part of the bankruptcy case filed by its LTL Management unit. The accord would cover all current and future suits alleging J&J official sold its talc-based line of baby powder knowing some bottles contained asbestos.