CA2291249C - Mild, leave-on antimicrobial compositions - Google Patents

Mild, leave-on antimicrobial compositions Download PDF

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CA2291249C
CA2291249C CA002291249A CA2291249A CA2291249C CA 2291249 C CA2291249 C CA 2291249C CA 002291249 A CA002291249 A CA 002291249A CA 2291249 A CA2291249 A CA 2291249A CA 2291249 C CA2291249 C CA 2291249C
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leave
acid
antimicrobial
composition
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CA2291249A1 (en
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Peter William Beerse
Jeffrey Michael Morgan
Kathleen Grieshop Baier
Wei Cen
Theresa Anne Bakken
Mannie Lee Clapp
Raphael Warren
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Procter and Gamble Co
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Priority claimed from US08/967,972 external-priority patent/US6287577B1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • A61K8/365Hydroxycarboxylic acids; Ketocarboxylic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/34Alcohols
    • A61K8/347Phenols
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/46Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur
    • A61K8/463Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur containing sulfuric acid derivatives, e.g. sodium lauryl sulfate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/10Anti-acne agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q17/00Barrier preparations; Preparations brought into direct contact with the skin for affording protection against external influences, e.g. sunlight, X-rays or other harmful rays, corrosive materials, bacteria or insect stings
    • A61Q17/005Antimicrobial preparations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q19/00Preparations for care of the skin

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
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  • Dermatology (AREA)
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  • Medicinal Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Organic Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Cosmetics (AREA)
  • Detergent Compositions (AREA)
  • Agricultural Chemicals And Associated Chemicals (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention relates to a leave-on antimicrobial composition characterized in that it comprises from 0.001 % to 5 % of an antimicrobial active; from 0.05 % to 10 % of an anionic surfactant; from 0.1 %
to 10 % of a proton donating agent; and from 0 % to 99.85 % of water; wherein the composition is adjusted to a pH of from 3.0 to 6.0;
wherein the leave-on antimicrobial composition has a Gram Positive Residual Effectiveness Index of greater than 0.5; and wherein the leave-on antimicrobial composition has a Mildness Index of greater than 0.3. The present invention also relates to a leave-on antimicrobial cleansing composition which has a Gram Positive Residual Effectiveness Index of greater than 0.5. It also relates to a leave-on antimicrobial cleansing composition which has a One-wash Immediate Germ Reduction Index of greater than 1Ø The invention also encompasses methods for cleansing skin and providing residual effectiveness versus Gram positive bacteria using these products.

Description

MILD, LEAVE-ON ANTIMICROBIAL COMPOSITIONS
TECHNICAL FIELD
The present invention relates to leave-on, topical antimicrobial compositions which provide improved antimicrobial effectiveness when they are applied to the skin. Specifically, the leave-on antimicrobial compositions of the invention provide provide previously unseen residual effectiveness against transient Gram negative bacteria, previously unseen levels of residual effectiveness against Gram positive bacteria, provide improved immediate germ reduction on the skin compared to prior art compositions.
BACKGROUND OF THE INVENTION
Human health is impacted by many microbial entities. Inoculation by viruses and bacteria cause a wide variety of sicknesses and ailments. Media attention to cases of food poisoning, strep infections, and the like is increasing public awareness of microbial issues.
It is well known that the washing of hard surfaces, food (e.g. fruit or vegetables) and skin, especially the hands, with antimicrobial or non-medicated soap, can remove many viruses and bacteria from the washed surfaces. Removal of the viruses and bacteria is due to the surfactancy of the soap and the mechanical action of the wash procedure. Therefore, it is known and recommended that people wash frequently to reduce the spread of viruses and bacteria.
Bacteria found on the skin can be divided into two groups: resident and transient bacteria.
Resident bacteria are Gram positive bacteria which are established as permanent microcolonies on the surface and outermost layers of the skin and play an important, helpful role in preventing the colonization of other, more harmful bacteria and fungi.
Transient bacteria are bacteria which are not part of the normal resident flora of the skin, but can be deposited when airborne contaminated material lands on the skin or when contaminated material is brought into physical contact with it. Transient bacteria are typically divided into two subclasses: Gram positive and Gram negative. Gram positive bacteria include pathogens such as Staphylococcus aureus, Streptococcus pyogenes and Clostridium botulinum.
Gram negative bacteria include pathogens such as Salmonella, Escherichia coli, Klebsiella, Haemophilus, Pseudomonas aeruginosa, Proteus and Shigella dysenteriae. Gram negative bacteria are generally distinguished from Gram positive by an additional protective cell membrane which generally results in the Gram negative bacteria being less susceptible to topical antibacterial actives.
Antimicrobial cleansing products have been marketed in a variety of forms, for some time.
Forms include antibacterial soaps, hard surface cleaners, and surgical disinfectants. Rinse-off antimicrobial soaps have been formulated to provide bacteria removal during washing.
Antimicrobial liquid cleansers are disclosed in U.S. Patent Numbers:
4,847,072, Bissett et al., issued July I I, 1989, 4,939,284, Degenhardt, issued July 3, 1990 and 4,820,698, Degenhardt, issued April 11, 1989-. Finally, these traditional aritimicrobial soaps have been developed for use in a washing process with water.
This limits their use to locations with available water.
Some of these traditional products, especially the hard surface cleaners, surgical disinfectants, and some alcohol-based leave-on lotions (e.g. Purellm), utilize high levels of alcohol and/or harsh surfactants which have been shown to dry out and irritate skin tissues.
Ideal persona) cleansers should gently cleanse the skin, cause little or no irritation, and_not leave the skin overly dry after frequent use and preferably should provide a moisturizing bereft to the skin.
Leave-on, topical lotions, foams and gels have been used, in the past, to moisturize skin, along with a variety of other purposes. However, these leave-on compositions provide minimal antimicrobial effectiveness.
PC? application WO 92/18100, Keegan et al., published October 29, 1992 and PCT
application WO 95132705, Fujiwara. et al., published December 7, 1995 teach liquid skin cleansers comprising mild surfactants, antibacterial agents and acidic compounds to buffer the pH, which provide improved germ hostility. However, the use of the acid compounds for only pH adjustment therein, result in compositions which do not deliver the undissociated acid required to ~pcovide good aatimicrobia) effectiveness. 'Ibis situation is compounded in Keegan and Fujiwara by the preference of mild surfactants, including nonionic surfactants. Neither Keegan nor Fujiwsra teach the use of their compositions in a form which can be used without available water, e.g. a leave-on lotion. .
U.S. Palest Number 3,141,821. issued to Campesu July 21, 1964 and Irgasan DP

(Trichraam) technical literawte from Cibs-Giegy, Inc., "Basic Formulation for Hand Disinfectiaa 89142/01" teach the use of aaionie surfactants, antimicrobial actives and acids in aatibactaial skin clansas. However, the xla:yon of highly active surfactants result in leave-on eompositioas which are drying u~d hanlt to the skin. Here, also, neither rcfen~ce teaches the ux of aatimicrobial compositions in s form which can be used without available water, e.g.
a a ksvc-on lotion.
Given the heahh impa~aaeg~ttixe bacteria lt'ke Surlmonella, Erclrtrichia cell and Slrigella ark of Gram positive fit like Staphylxoccirs a~reus, Streptococcus pywgenu and Closrridiran borulprurr:, it would be highly desirable to formulate leave-on, topical antimicrobial compositions which provide improved rrsidual effactivenas versus these transient ~ Gram negative bactais, improved residual effectiveness versus these resident and transient Gram positive bacteria, or provide improved immediate germ reduction on the skin during application;
which are also mild to the skin and which can be used without water. Existing products have been unable to deliver all of these benefits.
Applicants have found that leave-on, topical antimicrobial compositions which provide such mildness and antimicrobial effectiveness can be formulated by using known antimicrobial actives in combination with specific organic and/or inorganic acids as proton donating agents, and specific anionic surfactants, all of which are deposited on the skin. The deposited proton donating agent and anionic surfactant work in combination with the selected active, to provide a new level of hostility to bacteria contacting the skin.
SUMMARY OF THE INVENTION
The present invention relates to a leave-on antimicrobial composition characterized in that it comprises from 0.001% to 5% of an antimicrobial active; from 0.05% to 10%
of an anionic surfactant; from 0.1 % to 10% of a proton donating agent; and from 0% to 99.85% of water;
wherein the composition is adjusted to a pH of from 3.0 to 6.0; wherein the leave-on antimicrobial composition has a Gram Negative Residual Effectiveness Index of greater than 0.3; and wherein the leave-on antimicrobial composition has a Mildness Index of greater than 0.3.
The present invention also relates to a leave-on antimicrobial cleansing composition which has a Gram Positive Residual Effectiveness Index of greater than 0.5. It also relates to a leave-on antimicrobial cleansing composition which has a One-wash Immediate Germ Reduction Index of greater than 1Ø
The present invention also relates to methods for decreasing the spread of transient Gram positive bacteria using the leave-on antimicrobial compositions described herein.
DETAILED DESCRIPTION OF THE INVENTION
The leave-on antimicrobial compositions of the present invention are highly efficacious for providing residual antimicrobial effectiveness versus Gram negative bacteria, residual antimicrobial effectiveness versus transient Gram positive bacteria, or for reducing the number of germs on the skin; and are mild to the skin.
The term "leave-on antimicrobial composition" is used herein to mean products suitable for application to the human skin for the purpose controlling the growth and viability of transient bacteria on the skin.
By "residual effectiveness" it is meant that bacteria growth on a surface is controlled for some period of time following the washinglrinsing process.
The compositions of the present invention can also be useful for treatment of acne. As used herein "treating acne" means preventing, retarding and/or arresting the process of acne formation in mammalian skin.
The compositions of the invention can also potentially be useful for providing an essentially immediate (i.e., acute) visual improvement in skin appearance following application of the composition to the skin. More particularly, the compositions of the present invention are useful for regulating skin condition, including regulating visible and/or tactile discontinuities in skin, including but not limited to visible and/or tactile discontinuities in skin texture and/or color, more especially discontinuities associated with skin aging. Such discontinuities may be induced or caused by internal and/or external factors. Extrinsic factors include ultraviolet radiation (e.g., from sun exposure), environmental pollution, wind, heat, low humidity, harsh surfactants, abrasives, and the like. Intrinsic factors include chronological aging and other biochemical changes from within the skin.
Regulating skin condition includes prophylactically andlor therapeutically regulating skin condition. As used herein, prophylactically regulating skin condition includes delaying, minimizing and/or preventing visible and/or tactile discontinuities in skin.
As used herein, therapeutically regulating skin condition includes ameliorating, e.g., diminishing, minimizing and/or effacing, such discontinuities. Regulating skin condition involves improving skin appearance and/or feel, e.g., providing a smoother, more even appearance and/or feel. As used herein, regulating skin condition includes regulating signs of aging.
"Regulating signs of skin aging" includes prophylactically regulating and/or therapeutically regulating one or more of such signs (similarly, regulating a given sign of skin aging, e.g., lines, wrinkles or pores, includes prophylactically regulating and/or therapeutically regulating that sign).
"Signs of skin aging" include, but are not limited to, all outward visibly and tactilely perceptible manifestations as well as any other macro or micro effects due to skin aging. Such signs may be induced or caused by intrinsic factors or extrinsic factors, e.g., chronological aging and/or environmental damage. These signs may result from processes which include, but are not limited to, the development of textural discontinuities such as wrinkles, including both fine superficial wrinkles and coarse deep wrinkles, skin lines, crevices, bumps, large pores (e.g., associated with adnexal structures such as sweat gland ducts, sebaceous glands, or hair follicles), scaliness, flakiness and/or other forms of skin unevenness or roughness, loss of skin elasticity (loss and/or inactivation of functional skin elastin), sagging (including puffiness in the eye area and jowls), loss of skin firmness, loss of skin tightness, loss of skin recoil from deformation, discoloration (including undereye circles), blotching, sallowness, hyperpigmented skin regions such as age spots and freckles, keratoses, abnormal differentiation, hyperkeratinization, elastosis, collagen breakdown, and other histological changes in the stratum corneum, denmis, epidermis, the skin vascular system (e.g., telangiectasia or spider vessels), and underlying tissues, especially those proximate to the skin.

All percentages and ratios used herein, unless otherwise indicated, are by weight and all measurements made are at 25°C, unless otherwise designated. The invention hereof can comprise, consist of, or consist essentially of, the essential as well as optional ingredients and components described therein.
I. INGREDIENTS
The leave-on antimicrobial compositions of the present invention comprise an antimicrobial active, an anionic surfactant, and a proton donating agent.
These components are selected so that the efficacy and mildness requirements hereinafter defined for the compositions herein are met. The selection of each component is necessarily dependent on the selection of each of the other components. For example, if a weak acid is selected as the proton donating agent, then in order to realize an efficacious composition, either a more biologically active (but possibly less mild) surfactant must be employed, and/or a high level of acid within the prescribed range must be used and/or a particularly efficacious active must be employed.
Similarly, if a mild, but nonefficacious surfactant is employed, then a stronger acid and/or a high level of acid may be necessary to realize an efficacious composition. If a harsh surfactant is utilized, then a mildness agent may have to be utilized. Guidelines for the selection of the individual components are provided herein.
A. ANTIMICROBIAL ACTIVE
The leave-on antimicrobial composition of the present invention comprises from 0.001%
to 5%, preferably from 0.05% to 1%, more preferably from 0.05% to 0.5% and more preferably from 0.1% to 0.25%, by weight of the leave-on antimicrobial composition, of an antimicrobial active. The exact amount of antibacterial active to be used in the compositions will depend on the particular active utilized since actives vary in potency. Non-cationic actives are required in order to avoid interaction with the anionic surfactants of the invention.
Given below are examples of non-cationic antimicrobial agents which are useful in the present invention .
Pyrithiones, especially the zinc complex (ZPT) Octopirox~
Dimethyldimethylol Hydantoin (Glydant~) Methylchloroisothiazolinone/methylisothiazolinone (Kathon CG~) Sodium Sulfite Sodium Bisulfate Imidazolidinyl Urea (German 115~) Diazolidinyl Urea (Germaill II~) Benzyl Alcohol 2-Bromo-2-nitropropane-1,3-diol (Bronopol~) Formalin (formaldehyde) Iodopropenyl Butylcarbamate (Polyphase P100~) Chloroacetamide Methanamine Methyldibromonitrile Glutaronitrile (1,2-Dibromo-2,4-dicyanobutane or Tektamer~) Glutaraldehyde 5-bromo-5-nitro-1,3-dioxane (Bronidox~) Phenethyl Alcohol o-Phenylphenol/sodium o-phenylphenol Sodium Hydroxymethylglycinate (Suttocide A~) Polymethoxy Bicyclic Oxazolidine (Nuosept C~) Dimethoxane Thimersal Dichlorobenzyl Alcohol Captan Chlorphenenesin Dichlorophene Chlorbutanol Glyceryl Laurate Halogenated biphenyl Ethers 2,4,4'-trichloro-2'-hydroxy-diphenyl ether (Triclosan~ or TCS) 2,2'-dihydroxy-5,5'-dibromo-diphenyl ether Phenolic Compounds Phenol 2-Methyl Phenol 3-Methyl Phenol 4-Methyl Phenol 4-Ethyl Phenol 2,4-Dimethyl Phenol 2,5-Dimethyl Phenol 3,4-Dimethyl Phenol 2,6-Dimethyl Phenol 4-n-Propyl Phenol 4-n-Butyl Phenol 4-n-Amyl Phenol 4-tert-Amyl Phenol 4-n-Hexyl Phenol 4-n-Heptyl Phenol Mono- and Poly-Alkyl and Aromatic Halophenols p-Chlorophenol Methyl p-Chlorophenol Ethyl p-Chlorophenol n-Propyl p-Chlorophenol n-Butyl p-Chlorophenol n-Amyl p-Chlorophenol sec-Amyl p-Chlorophenol n-Hexyl p-Chlorophenol Cyclohexyl p-Chlorophenol n-Heptyl p-Chlorophenol n-Octyl p-Chlorophenol o-Chloropheno!
Methyl o-Chlorophenol Ethyl o-Chlorophenol n-Propyl o-Chlorophenol n-Butyl o-Chlorophenol n-Amyl o-Chlorophenol tent-Amyl o-Chlorophenol n-Hexyl o-Chlorophenol n-Heptyl o-Chlorophenol o-Benzyl p-Chlorophenol o-Benxyl-m-methyl p-Chlorophenol o-Benzyl-m, m-dimethyl p-Chlorophenol o-Phenylethyl p-Chlorophenol o-Phenylethyl-m-methyl p-Chloropheno) 3-Methyl p-Chlorophenol 3,5-Dimethyl p-Chlorophenol 6-Ethyl-3-methyl p-Chlorophenol 6-n-Propyl-3-methyl p-Chlorophenol 6-iso-Propyl-3-methyl p-Chlorophenol 2-Ethyl-3,5-dimethyl p-Chlorophenol 6-sec-Butyl-3-methyl p-Chlorophenol 2-iso-Propyl-3,5-dimethyl p-Chlorophenol 6-Diethylmethyl-3-methyl p-Chlorophenol 6-iso-Propyl-2-ethyl-3-methyl p-Chlorophenol 2-sec-Amyl-3,5-dimethyl p-Chlorophenol 2-Diethylmethyl-3,5-dimethyl p-Chlorophenol 6-sec-Octyl-3-methyl p-Chlorophenol p-Chloro-m-cresol p-Bromophenol Methyl p-Bromophenol Ethyl p-Bromophenol n-Propyl p-Bromophenol n-Butyl p-Bromophenol n-Amyl p-Bromopheno) sec-Amyl p-Bromophenol n-Hexyl p-Bromophenol Cyclohexyl p-Bromophenol o-Bromophenol tert-Amyl o-Bromophenol n-Hexyl o-Bromophenol n-Propyl-m,m-Dimethyl o-Bromophenol 2-PhenylPhenol 4-Chloro-2-methyl phenol 4-Chloro-3-methyl phenol 4-Chloro-3,5-dimethyl phenol 2,4-Dichloro-3,5-dimethylphenol 3,4,5,6-Terabromo-2-methylphenol 5-Methyl-2-pentylphenol 4-Isopropyl-3-methylphenol Para-chloro-meta-xylenol (PCMX) Chlorothymol Phenoxyethanol Phenoxyisopropanol 5-Chloro-2-hydroxydiphenylmethane Resorcinol and its Derivatives Resorcinol Methyl Resorcinol Ethyl Resorcinol n-Propyl Resorcinol n-Butyl Resorcinol n-Amyl Resorcinol n-Hexyl Resorcinol n-Heptyl Resorcinol n-Octyl Resorcinol n-Nonyl Resorcinol Phenyl Resorcinol Benzyl Resorcinol Phenylethyl Resorcinol Phenylpropyl Resorcinol p-Chlorobenzyl Resorcinol 5-Chloro 2,4-Dihydroxydiphenyl Methane 4'-Chloro 2,4-Dihydroxydiphenyl Methane 5-Bromo 2,4-Dihydroxydiphenyl Methane 4' -Bromo 2,4-Dihydroxydiphenyl Methane Bisphenolic Compounds 2,2'-Methylene bis (4-chlorophenol) 2,2'-Methylene bis (3,4,6-trichlorophenol) 2,2'-Methylene bis (4-chloro-6-bromophenol) bis (2-hydroxy-3,5-dichlorophenyl) sulphide bis (2-hydroxy-5-chlorobenzyl)sulphide Benzoic Esters (Parabens) Methylparaben Propylparaben Butylparaben Ethylparaben Isopropylparaben Isobutylparaben Benzylparaben Sodium Methylparaben Sodium Propylparaben Halogenated Carbanilides 3,4,4'-Trichlorocarbanilides (Triclocarban~or TCC) 3-Trifluoromethyl-4,4'-dichlorocarbanilide 3,3',4-Trichlorocarbanilide Another class of antibacterial agents, which are useful in the present invention, are the so-called "natural" antibacterial actives, referred to as natural essential oils.
These actives derive their names from their natural occurrence in plants. Typical natural essential oil antibacterial actives include oils of anise, lemon, orange, rosemary, wintergreen, thyme, lavender, cloves, hops, tea tree, citronella, wheat, barley, lemongrass, cedar leaf, cedarwood, cinnamon, fleagrass, geranium, sandalwood, violet, cranberry, eucalyptus, vervain, peppermint, gum benzoin, basil, fennel, fir, balsam, menthol, ocmea origanum, Hydastis carradensis, Berberidaceae daceae, Ratanhiae and Curcuma Tonga. Also included in this class of natural essential oils are the key chemical components of the plant oils which have been found to provide the antimicrobial benefit. These chemicals include, but are not limited to anethol, catechole, camphene, carvacol, eugenol, eucaiyptol, ferulic acid, farnesol, hinokitioi, tropolone, limonene, menthol, methyl salicylate, thymol, terpineol, verbenone, berberine, ratanhiae extract, caryophellene oxide, citroneliic acid, curcumin, nerolidol and geraniol.
Additional active agents are antibacterial metal salts. This class generally includes salts of metals in groups 3b-7b, 8 and 3a-Sa. Specifically are the salts of aluminum, zirconium, zinc, silver, gold, copper, lanthanum, tin, mercury; bismuth, selenium, strontium, scandium, yttrium, cerium, praseodymium, neodymium, promethum, samarium, europium, gadolinium, terbium, dysprosium. holmium, erbium, thulium, ytterbium, lutetium and mixtures thereof.
Preferred antimicrobial agents for use herein are the broad spectrum actives selected from the group consisting of Triclosan~, Triclocarban~, Octopirox~, PCMX, ZPT, natural essential oils and their key ingredients, and mixtures thereof. The most prefcis~ed antimicrobial active for use in the present invention ,is Triclosan~.
B: ANIONIC SURFACTANT
The leave-on antimicrobial composition of the present invention comprise from 0.05% to .10, preferably from 0:1 to 2%, and more preferably from 0.2% to I %, by weight of the leave-on composition, of an anionic surfactant. Without being limited by theory, it is believed that the anionic surfactant disrupts the lipid in the cell membrane of the bacteria.
The particular acid used herein reduces the negative charges on the cell wall of the bacteria, crosses through the cell membrane, weakened by the surfactant, and acidifies the cytoplasm of the bacteria. The antimicrobial active can then pass more easily through the weakened cell wall, and more ef~lciently poison the bacteria.
Nonlimiting examples of anionic latheratg surfactants useful in the compositions of the present invention are disclosed in McCuutseocs's, l~tenu and Ernulsi~ers.
North American edition ( I99Qj, published by The Manufa~etuting Confectioner Publishing Co.;
.MeCutcheon's, Functional Materials, Nerds Amaicxrs Edition (1992); and U.S. Patent No.
3,929,678, to Laughlin et al., issued December 30,1975,.
A wide variety of anionic surfactants are potentially useful herein.
Noniimiting examples of anionic lathering surfactants include those selected from the group consisting of alkyl and alkyl ether sulfates, sulfated monoglycaides, sulfonated olefins, alkyl aryl sulfonates, primary or secondary alkasse sutfonates, alkyl suifosuccinates, aryl taurates, acyi isethionates, ,alkyl gtycerylether sulfonatr, sulfonatted methyl esters, suifonated fatty acids, alkyl phosphates, acyl glutamates, acyl sarcosinata, alkyl suifoalcetates, acylat~ed peptides, alkyl ether carboxylates, acyl lactylates, anionic fluorosurfactants, and mixtures thereof. Mixtures of anionic surfactants can be used effectively in the present invention.
Anionic surfactants for use in the leave-on compositions include alkyl and alkyl ether sulfates. These materials have the respective formulae RIO-S03M and R1(CH2H40)X
O-S03M, wherein RI is a saturated or unsaturated, branched or unbranched alkyl group from 8 to 24 carbon atoms, x is I to 10, and M is a water-soluble cation such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanolamine and monoethanolamine.
The alkyl sulfates are typically made by the sulfation of monohydric alcohols (having from 8 to 24 carbon atoms) using sulfur trioxide or other known sulfation technique. The alkyl ether sulfates are typically made as condensation products of ethylene oxide and monohydric alcohols (having from 8 to 24 carbon atoms) and then sulfated. These alcohols can be derived from fats, e.g., coconut oil or tallow, or can be synthetic. Specific examples of alkyl sulfates which may be used in the cleanser compositions are sodium, ammonium, potassium, magnesium, or TEA salts of iauryl or myristyl sulfate. Examples of alkyl ether sulfates which may be used include ammonium, sodium, magnesium, or TEA laureth-3 sulfate.
Another suitable class of anionic surfactants are the sulfated monoglycerides of the form R1C0-O-CH2-C(OH)H-CH2-O-S03M, wherein RI is a saturated or unsaturated, branched or unbranched alkyl group from 8 to 24 carbon atoms, and M is a water-soluble cation such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanolamine and monoethanolamine. These are typically made by the reaction of glycerin with fatty acids (having from 8 to 24 carbon atoms) to form a monoglyceride and the subsequent sulfation of this monoglyceride with sulfur trioxide. An example of a sulfated monoglyceride is sodium cocomonoglyceride sulfate.
Other suitable anionic surfactants include olefin sulfonates of the form RI
S03M, wherein RI is a mono-olefin having from 12 to 24 carbon atoms, and M is a water-soluble cation such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanolamine and monoethanolamine. These compounds can be produced by the sulfonation of alpha olefins by means of uncomplexed sulfur trioxide, followed by neutralization of the acid reaction mixture in conditions such that any sultones which have been formed in the reaction are hydrolyzed to give the corresponding hydroxyalkanesulfonate. An example of a sulfonated olefin is sodium C I 4~C 16 alpha olefin sulfonate.
Other suitable anionic surfactants are the linear alkylbenzene sulfonates of the form RI-C6H4-S03M, wherein RI is a saturated or unsaturated, branched or unbranched alkyl group from 8 to 24 carbon atoms, and M is a water-soluble cation such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanolamine and monoethanolamine.
These are formed by the sulfonation of linear alkyl benzene with sulfur trioxide. An example of this anionic surfactant is sodium dodecylbenzene sulfonate.
Still other anionic surfactants suitable for this leave-on composition include the primary or secondary alkane sulfonates of the form R1S03M, wherein RI is a saturated or unsaturated, branched or unbranched alkyl chain from 8 to 24 carbon atoms, and M is a water-soluble cation such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanoiamine and monoethanolamine. These are commonly formed by the sulfonation of paraffins using sulfur dioxide in the presence of chlorine and ultraviolet light or another known sulfonation method.
The sulfonation can occur in either the secondary or primary positions of the alkyl chain. An example of an alkane sulfonate useful herein is alkali metal or ammonium C 13-C 1 ~ paraffin sulfonates.
Still other suitable anionic surfactants are the alkyl sulfosuccinates, which include disodium N-octadecylsulfosuccinamate; diammonium lauryl sulfosuccinate;
tetrasodium N-(1,2-dicarboxyethyl}-N-octadecylsulfosuccinate; diamyl ester of sodium sulfosuccinic acid; dihexyl ester of sodium sulfosuccinic acid; and dioctyl. esters of sodium sulfosuccinic acid.
Also useful are taurates which are based on taurine, which is also known as 2-aminoethanesulfonic acid. Examples of taurates include N-alkyltaurines such as the one prepared by reacting dodecylamine with sodium isethionate according to the teaching of U.S.
Patent .'.,b58,072 . Other examples based flntaurine include the acyl taurines formed by the reaction of n-methyl taurine with fatty acids (having from 8 to 24 carbon atoms).
Another class of anionic surfactants suitable for use in the leave-on composition are the acyl isethionates. The aryl isethionstes typicslly have the formula R1C0-O-wherein R1 is a sattuatod or unsaturated, branched or unbcanched alkyl group having from 10 to 30 carbon atoms, and M is a cuion. These are typically formed by the reactioh of fatty acids (having from 8 to 30 carbon atoms) with as alkali metal isethionate.
Nonlimiting examples of these aryl isahiooates include ammonium cocoyl isethionate, sodium cocoyl isethionate, sodium lauroyl isethioaate, and mixtures thereof.
Still otha suitable anionic surfactants are the alkylglyceryl ether sulfonates of the form R1-OCHZ-C(OH~I-CHZ-S03M, wheetin R1 is a saturated or unsaturated, branched or unbranched alkyl group from 8 to 24 carbon atoms, and M is a water-soluble canon such as ammonium, sodium, potassium, magnesium, triethanolamine, diethanolamine and monoethanolamine. These can be formed by the reaction of epichtorohydrin and sodiuiti bisulfite with fatty alcohols (hsving from 8 to 24 carbon atoms) or other known methods. One example is sodium cocoglyceryl etha sulfonate.

Other suitable anionic surfactants include the sulfonated fatty acids of the form R1-CH(S04)-COOH and sulfonated methyl esters of the from R1-CH(S04)-CO-O-CH3, where R1 is a saturated or unsaturated, branched or unbranched alkyl group from 8 to 24 carbon atoms.
These can be formed by the sulfonation of fatty acids or alkyl methyl esters (having from 8 to 24 carbon atoms) with sulfur trioxide or by another known sulfonation technique.
Examples include alpha sulphonated coconut fatty acid and lauryl methyl ester.
Other anionic materials include phosphates such as monoalkyl, dialkyl, and trialkylphosphate salts formed by the reaction of phosphorous pentoxide with monohydric branched or unbranched alcohols having from 8 to 24 carbon atoms. These could also be formed by other known phosphation methods. An example from this class of surfactants is sodium mono or dilaurylphosphate.
Other anionic materials include acyl glutamates corresponding to the formula N(COOH)-CH2CH2-C02M wherein RI is a saturated or unsaturated, branched or unbranched alkyl or alkenyl group of 8 to 24 carbon atoms, and M is a water-soluble cation. Nonlimiting examples of which include sodium iauroyl glutamate and sodium cocoyl glutamate.
Other anionic materials include alkanoyl sarcosinates corresponding to the formula RICON{CH3)-CH2CH2-C02M wherein R1 is a saturated or unsaturated, branched or unbranched alkyl or alkenyl group of 10 to 20 carbon atoms, and M is a water-soluble canon.
Nonlimiting examples of which include sodium lauroyl sarcosinate, sodium cocoyl sarcosinate, and ammonium lauroyl sarcosinate.
Other anionic materials include alkyl ether carboxylates corresponding to the formula Rl-(OCH2CH2~-OCH2-C02M wherein R1 is a saturated or unsaturated, branched or unbranched alkyl or alkenyl group of 8 to 24 carbon atoms, x is 1 to 10, and M is a water-soluble cation.
Nonlimiting examples of which include sodium laureth carboxyiate.
Other anionic materials include acyl lactylates corresponding to the formula R1C0-[O-CH(CH3)-CO]x-C02M wherein R1 is a saturated or unsaturated, branched or unbranched alkyl or alkenyl group of 8 to 24 carbon atoms, x is 3, and M is a water-soluble cation. Nonlimiting examples of which include sodium cocoyl lactylate.
Other anionic materials include the carboxylates, nonIimiting examples of which include sodium lauroyl carboxylate, sodium cocoyl carboxylate, and ammonium lauroyl carboxylate.
Anionic flourosurfactants can also be used.
The chain length of the anionic surfactant of the present invention can range from 8 to 24 carbon atoms, preferably from 10 to 18 carbon atoms and most preferably from 12 to 16 carbon atoms. Without being limited by theory, it is believed that surfactants with a chain length of 12 to 16 optimally interact with the biology of the cell membrane.

Any counter cation, M, can be used on the anionic surfactant. Preferably the counter cation is selected from the group consisting of sodium, potassium, ammonium, monoethanolamine, diethanolamine, and triethanolamine. More preferably the counter cation is ammonium.
Two factors must be taken into account when selecting the surfactant or surfactants to be employed in the leave-on antimicrobial compositions herein: 1 ) the activity of the surfactant molecule at the cell membrane of the bacteria; and 2) the mildness of the surfactant insofar as it affects the Mildness Index (hereinafter described) for the antibacterial composition.
Biological Activity/Mildness of Surfactant In general, the higher the biological activity of the surfactant, the more residual effectiveness is provided by the composition comprising the surfactant.
Typically, however, the biological activity of a surfactant and the mildness of a surfactant are inversely proportional; the higher the biological activity of the surfactant, the harsher the surfactant and the lower the biological activity of the surfactant, the milder the surfactant. Whether a bioiogically active, but harsh surfactant or a mild, but biologically inactive surfactant is desired will, of course, depend on (or influence) the selection of the other components.
The biological activity/mildness of a pure surfactant can measured directly via a Microtox Response Test hereinafter described in the Analytical Methods section and can be reported as a Microtox Response Index. By "pure surfactant" it is meant a chemical composition consisting essentially of a single surfactant entity, wherein the entity has essentially one chain length, head group and salt counter ion. From a standpoint of high biological activity, preferred anionic surfactants of the leave-on antimicrobial compositions of the present invention have a Microtox Response Index of less that 150, more preferably less than 100 and most preferably less than 50.
From a standpoint of mildness, preferred anionic surfactants of the leave-on antimicrobial compositions of the present invention have a Microtox Response Index of greater than 25, more preferably greater than SO and most preferably greater than 100. Surfactants with a Microtox Response Index ranging from 25 to 150 are typically moderately biologically active and moderately mild.
For surfactant compositions which are mixtures of surfactants rather than pure surfactants (this includes "commercial grade" surfactants which typically comprise mixtures of entities with different chain lengths and potentially have higher levels of impurities), the Microtox Response Index for any individual surfactant component is not a reliable measurement of biological activity or mildness. In the case of mixtures, the Microtox Index of each individual component can be determined and the weighted average used as the Index for the mixture if all the individual components of the mixture are known. If the individual components of a mixture are CA 02291249 2003-02i 21 not known, then the primary head group and chain lengths of the surfactant mixture are better indicators of biological activity/mildness.
Anionic surfactants or mixtures of surfactants with a chain length primarily in the range of from 8 to 24 carbon atoms, preferably primarily from 10 to 18 carbon atoms and most preferably primarily from 12 to 16 carbon atoms are preferred from the standpoint of high biological activity. As used herein "primarily" means at least 50%. From a standpoint of mildness, it is preferable to minimize C12.
From the standpoint of biological activity, it is 'preferred that the head group 'of the anionic surfactant be less than I S Angstroms, preferably ltss than 10 Angstoms, and more preferably less than 7 Angstoms. The "head group" is defined as the hydrophilic portion (non-hydrocarbon) of the anionic surfactant, measured from the first polar atom to the end of the molecule. The head group size is estimated from the Van der Waals radius of the atoms arid the configuration of the surfactant molecule. Head groups with sizes less than 7 Angstroms include sulfates, sulfonates, and phosphates. From the standpoint of mildness, it is preferred that the head group size is greater than 7 Angstoms, and pr~erably greater than 10 Angstoms. Head groups with sizes greater than 10 Angstroms include ethoxylated sulfates;
glyceryl ether sulfonates, and isethionates. It is believed that as the head group size increases, more stearic hindrance at the cell wall prevents disruption by the surfactant and, thus, biological activity is dccrtased and mildness is increased.
The mildness of a surfactant or mixturt of surfactants can also be determined by a number of other known, conventional methods for measuring surfactant mildness. For example, the Bacreer Destruction Test set forth in T. J. Franz, J. Invest. ~ermatol.. 1975, 64, pp. 190-195 and in U.S. Patent 4,673.525 to Small et al; issued June 16, 1987, -is a way of measuring mildness of surfactants. In general, the milder the surfaeiant, the less skin barrier that is dauoycd in the barrier destruction test Skin barrier des~trwtioo is measured by relative amount of radiotabeled water which passes from the test solution t3trvugit the skin epidermis into ttte physiological butler contained in the diffusate charttba. Surfactants having a Relative Skin Baaia Penetration Value of as close to um as possibk up w 75 are considerod mild for purposes herein. Surfactants having a Relative Skin Barrier Penetration Value of than 75 are considered harsh for purposes herein.
In order for the atttimicrobia! coatposition herein to be effective, oø~l the biological activity of ttte surfsctant and the mildness of the surfa,ctaat and acid employed in the composition must be taken into account For example, ammonium lauryl sulfate, ALS, is very biologically active (Microtox Index = 1.0). Compositions comprising ALS are capable of prrnriding very effective residual antibacterial effectiveness due to its activity, even with Lower levels of antibacterial active and proton donating agent. However, compositions containing ALS may require the addition of co-surfactants or polymers, described herein in the Optional Ingredient Section, to achieve most preferred mildness levels for the present invention.
A selection of ammonium laureth-3 sulfate (Microtox = 120) as a surfactant will result in compositions which are very mild, but which would require higher levels of proton donating agent and antimicrobial active in order to achieve the residual effectiveness of the present invention.
Paraffin sulfonate, a commercial grade surfactant sold under the name Hastapur SAS~
from Hoechst Celanese, with a small head group and average chain length of 15.5 is a relatively active surfactant. Compositions comprising lower levels of active and acid can be used with higher levels of paraffin sulfonate, where the surfactant provides a larger component of residual effectiveness. Alternately, compositions comprising lower levels of paraffin sulfonate can be combined with even higher levels of active to achieve a mild and effective composition.
Nonlimiting examples of preferred anionic surfactants useful herein include those selected from the group consisting of sodium and ammonium alkyl sulfates and ether sulfates having chain lengths of predominantly I2 and 14 carbon atoms, olefin sulfates having chain lengths of predominantly 14 and 16 carbon atoms, and paraffin sulfonates having chain lengths of from 13 to 17 carbon atoms, and mixtures thereof. Especially preferred for use herein is ammonium and sodium lauryl sulfate, ammonium and sodium myristyl sulfate, ammonium and sodium laureth-1 to laureth-4 sulfate, C 14-C 16 olefin sulfonates, C 13-C 17 paraffin sulfonates, and mixtures thereof.
Non-anionic surfactants of the group consisting of nonionic surfactants, cationic surfactants, amphoteric surfactants and mixtures thereof, have been found to actually inhibit residual effectiveness benefits. It is believed that these surfactants interfere with the anionic surfactant disruption of the lipid in the cell membrane. The ratio of the amount of these non-anionic surfactants to the amount of anionic surfactant should be less than 1:1, preferably less than 1:2, and more preferably less than 1:4.
The leave-on antimicrobial compositions of the present invention preferably do not comprise hydrotropic sulfonates, particularly salts of terpenoids, or mono- or binuclear aromatic compounds such as sulfonates of camphor, toluene, xylene, cumene and naphthene.
C. PROTON DONATING AGENT
The leave-on antimicrobial composition of the present invention comprise from 0.1% to 10%, preferably from 0.5% to 8%, more preferably from 1% to 5%, based on the weight of the leave-on composition, of a proton donating agent. By "proton donating agent"
it is meant any acid compound or mixture thereof, which results in undissociated acid on the skin after use.

Proton donating agents can be organic acids, including polymeric acids, mineral acids or mixtures thereof.
Organic Acids Proton donating agents which are organic acids which remain at least partially undissociated in the neat composition. These organic proton donating agents can be added directly to the composition in the acid form or can be formed by adding the conjugate base of the desired acid and a sufficient amount of a separate acid strong enough to form the undissociated acid from the base.
Buffering Capacity Preferred organic proton donating agents are selected and formulated based on their buffer capacity and pKa. Buffer capacity is defined as the amount of protons (weight %) available in the formulation at the product pH for those acid groups with pKa's less than 6Ø Buffer capacity can be either calculated using pKa's, pH, and the concentrations of the acids and conjugate bases, ignoring any pKa greater than 6.0, or it can be determined experimentally through a simple acid-base titration using sodium hydroxide or potassium hydroxide using an endpoint of pH equals 6Ø
Preferred organic proton donating agents of the antibacterial composition herein have a buffer capacity of greater than 0.005%, more preferably greater than 0.01%, even more preferably greater than 0.02%, and most preferably greater than 0.04%.
Mineral Acids Proton donating agents which are mineral acids will not remain undissociated in the neat composition . Despite this, it has been found that mineral acids can be effective proton donating agents for use herein. Without being limited by theory, it is believed that the strong mineral acid, acidify the carboxylic and phosphatidyl groups in proteins of the skin cells, thereby providing in-situ undissociated acid. These proton donating agents can only be added directly to the composition in the acid form.
It is critical to achieving the benefits of the invention that the undissociated acid from the proton donating agent (deposited or formed in-situ) remain on the skin in the protonated form.
Therefore, the pH of the leave-on antimicrobial compositions of the present invention must be adjusted to a sufficiently low level in order to either form or deposit substantial undissociated acid on the skin. The pH of the compositions should be adjusted and preferably buffered to range from 3.0 to 6.0, preferably from 3.0 to 5.0 and more preferably from 3.5 to 4.5.
A non-exclusive list of examples of organic acids which can be used as the proton donating agent are adipic acid, tartaric acid, citric acid, malefic acid, malic acid, succinic acid, glycolic acid, glutaric acid, benzoic acid, malonic acid, salicylic acid, gluconic acid, polymeric WO 98/55081 PCT/~JS98/10978 acids, their salts, and mixtures thereof. A non-exclusive list of examples of mineral acid for use herein are hydrochloric, phosphoric, sulfuric and mixtures thereof.
Polymeric acids are especially preferred acids for use herein from the standpoint that they cause less stinging to the skin than other acids. As used herein, the term "polymeric acid"
refers to an acid with repeating units of carboxylic acid groups joined together into one chain.
Suitable polymeric acids can include homopolymers, copolymers and terpolymers, but must contain at least 30 mole% carboxylic acid groups. Specific examples of suitable polymeric acids useful herein include poly(acrylic) acid and its copolymers, both ionic and nonionic, (e.g., malefic-acrylic, sulfonic-acrylic, and styrene-acrylic copolymers), those cross-linked poly(acrylic) acids having a molecular weight of less than 250,000, preferably less than 100,000 poly (a-hydroxy) acids, poly (methacrylic) acid, and naturally occurring polymeric acids such as carageenic acid, carboxy methyl cellulose, and alginic acid. Straight-chain poly(acryiic) acids are especially preferred for use herein.
Water The leave-on antimicrobial compositions of the present invention comprise from 0% to 99.85%, preferably from 3% to 98%, more preferably from 5% to 97.5%, and most preferably from 38% to 95.99% water.
Leave-on antimicrobial compositions of the present invention, preferably have an apparent or neat viscosity of from 500 cps to 60,000 cps at 26.7°C, preferably 5,000 to 30,000 cps. The term "viscosity" as used herein means the viscosity as measured by a Brookfield RVTDCP with a spindle CP-41 at 1 RPM for 3 minutes, unless otherwise specified. The "neat"
viscosity is the viscosity of the undiluted liquid cleanser.
E. PREFERRED OPTIONAL INGREDIENTS
Mildness Enhancers In order to achieve the mildness required of the present invention, optional ingredients to enhance the mildness to the skin can be added. These ingredients include cationic and nonionic polymers, co-surfactants, moisturizers and mixtures thereof. Polymers useful herein include polyethylene glycols, polypropylene glycols, hydrolyzed silk proteins, hydrolyzed milk proteins, hydrolyzed keratin proteins, guar hydroxypropyltrimonium chloride, polyquats, silicone polymers and mixtures thereof. When used, the mildness enhancing polymers comprise from 0.1% to 1%, preferably from 0.2% to I.0%, and more preferably from 0.2% to 0.6%, by weight of the leave-on antimicrobial composition, of the composition. Co-surfactants useful herein include nonionic surfactants such as the Genapol~ 24 series of ethoxylated alcohols, POE(20) sorbitan monooleate (Tween~ 80), polyethylene glycol cocoate and Pluronic~
propylene oxide/ethylene oxide block polymers, and amphoteric surfactants such as alkyl betaines, alkyl sultaines, alkyl amphoacetates, alkyl amphodiacetates, alkyl amphopropionates, and alkyl Ig amphodipropionates. When used, the mildness enhancing cosurfactants comprise from 20% to 70%, preferably from 20% to 50%, by weight of the anionic surfactant, of the leave-on composition.
Another group of mildness enhancers are lipid skin moisturizing agents which provide a moisturizing benefit to the user of the leave-on composition when the lipophilic skin moisturizing agent is deposited to the use>'s skin. When used in the antimicrobial leave-on compositions herein, lipophilic skin moisturizing agents are used, they are employed at a level of 0.1% to 30%, preferably from 0.2% to 10%, most preferably from 0.5% to S%
by weight of the composition.
In some cases, the lipophilic skin moisturizing agent can desirably be defined in terms of its solubility parameter, as defined by VauQhan in Cosmetics and Toiletries, Vol. 103, p. 47-69, October 1988. A lipophilic skin moisturizing agent having a Vaughan solubility Parameter (VSP) from 5 to 10, preferably from S.S to 9 is suitable for use in the leave-on antimicrobial compositions herein.
A wide variety of lipid type materials and mixtures of materials are suitable for use in the leavo-on antimicrobial compositions of the present invention. Preferably, the lipophilic skin conditioning. agent is selected from the group consisting of hydrocarbon oils and waxes, .
silicones, fatty acid derivatives, cholesterol, cholesterol derivatives, di and tri-glycerides, vegetable oils, vegetable oil derivatives, liquid nondigestible oils such as those described ~n U.S.
Patents 3,600,186 to Mattson; Issued August 17, 1971 and 4,00S,195 and 4,00S,196 to Jandacek et al; both issued January 25, 1977, or blends of liquid digestible or nondigestible oils with solid polyol polyesters such as those described in U.S. Patent 4,797,300 to Jandacek; issued January 10, 1989; U.S Patents 5,306,5 I 4, 5,306,516 and 5,306,5 I S to Letton; all issued Aprit 26, 1994, and acetoglyceride esters, alkyl esters, alkenyl esters, lanolin and its derivatives, milk tri-gly~oaides, wax ~" bxswax derivatives, sterols, phospholipids and mixtures thereof:
Fatty acids, fatty acid soaps and water soluble polyols are specifically excluded from our definition of a lipophilic skia moisturizing agent.
~yø~rbon oils and waxes: Some examples are petrolawm, mineral oil micro-crystalline waxes, potyalkenes (e_g. hydrogenated and nonhydrogenated polybutene and polyd~cene~, parafFtns, caasin, ozokerite, polyethylene and perhydrosqualene.
Blends of petrolatum and hydrogenated and nonhydrogenated high molecular weight polybutenes wherein the ratio of petrolatum to polybutene ranges from 90:10 to 40:60 are also suitable for use as the lipid skin mois~rrizing agent in the compositions herein.
Silicone Oils: Some examples are dimethicone copolyol, dimethylpolysiloxane, diethylpolysiloxane, high molecular weight dimethicone, mixed Ci-C30 alkyl polysiloxane, phenyl dimethicone, dimethiconol, and mixtures thereof. More preferred are non-volatile silicones selected from dimethicone, dimethiconol, mixed C1-C30 alkyl polysiloxane, and mixtures thereof. Nonlimiting examples of silicones useful herein are described in U.S. Patent No. 5,011,681, to Ciotti et al., issued April 30, 1991r Di and tri-glycerides: Some examples are castor oil, soy beanoil, derivatized soybean oils such as maleated soy bean oil, safflower oil, cotton seed oil, corn oil, walnut oil, peanut oil, olive oil, cod liver oil, almond oil, avocado oil, palm oil and sesame oil, vegetable oils and vegetable oil derivatives; coconut oil and derivatized coconut oil, cottonseed oil and derivatized cottonseed oil, jojoba oil, cocoa butter, and the like.
Acetoglyceride esters are used and an example is acetylated monoglycerides.
Lanolin and its derivatives are preferred and some examples are lanolin, lanolin oil, lanolin wax, lanolin alcohols, lanolin fatty acids, isopropyl ianolate, acetylated lanolin, acetylated lanolin alcohols, lanolin alcohol linoleate, lanolin alcohol riconoleate.
It is most preferred when at least 75 % of the lipophilic skin conditioning agent is comprised of lipids selected from the group consisting: petrolatum, blends of petrolatum and high molecular weight polybutene, mineral oil, liquid nondigestible oils (e.g.
liquid cottonseed sucrose octacsters) or blends of liquid digestible or nondigestible oils with solid polyol polyesters (e.g. sucrose octaesters prepared from C22 fatty acids) wherein the ratio of liquid digestible or nondigestible oil to solid polyol polyester ranges from 96:4 to 80:20, hydrogenated or nonhydrogenated polybutene, micro-crystalline wax, polyalkene, paraffin, cerasin, ozokerite, polyethylene, perhydrosqualenc, dimethicooa, alkyl siloxane, potymethylsiloxanc, methytphenylpoiysiloxane, and ~aixtura thereof. When as blend of petrolatum and other lipids is used, tire ratio of petrotswm to the othe selected lipids (hydrogenated or unhydrogenated polybutene or palydecene or mineral oil) is preferably from 10:1 to 1:2, more preferably from 5:1 to 1:1.
Stabilizes .
a lipophilic skin moisturizing ageat is employed as the mildness enhancer in the antimicrobial compositions herein, a stabilize may also be included at a level ranging from 0.1% to 10~°, preferably fran O.1W to 8'k, more preferably from 0.1% to 5°/v by wtight of the leave-on antimicrobial composition.
The stabilize is used to form a crystalline stabilizing network in the leave-on composition that prevents the lipophilic skin moisturizer agent droplets from coalescing and phase splitting in the product The network exhibits time dependent recovery of viscosity after shearing (e.g., thixotropy).

The stabilizers used herein are not surfactants. The stabilizers provide improved shelf and stress stability. Some preferred hydroxyl-containing stabilizers include 12-hydroxystearic acid, 9,10-dihydroxystearic acid, tri-9,10-dihydroxystearin and tri-12-hydroxystearin (hydrogenated castor oil is mostly tri-12-hydroxystearin). Tri-12-hydroxystearin is most preferred for use in the compositions herein. When these crystalline, hydroxyl-containing stabilizers are utilized in the leave-on compositions herein, they are typically present at from 0. I % to 10%, preferably from 0.1 % to 8%, more preferably from 0.1 % to 5% of the leave-on antimicrobial compositions.
The stabilizer is insoluble in water under ambient to near ambient conditions.
Alternatively, the stabilizer employed in the leave-on compositions herein can comprise a polymeric thickener. When polymeric thickeners as the stabilizer in the leave-on compositions herein, they are typically included in an amount ranging from 0.01% to 5%, preferably from 0.3% to 3%, by weight of the composition. The polymeric thickener is preferably an anionic, nonionic, cationic or hydrophobically modifier polymer selected from the group consisting of cationic polysaccharides of the cationic guar gum class with molecular weights of 1,000 to 3,000,000, anionic, cationic, and nonionic homopolymers derived from acrylic and/or methacrylic acid, anionic, cationic, and nonionic cellulose resins, cationic copolymers of dimethyldialkylammonium chloride, and acrylic acid, cationic homopolymers of dimethylalkylammonium chloride, cationic polyalklene, and ethoxypolyalkylene imines, polyethylene glycol of molecular weight from 100,000 to 4,000,000, and mixtures thereof.
Preferably, the polymer is selected from the group consisting of sodium poiyacrylate, hydroxy ethyl cellulose, cetyl hydroxy ethyl cellulose, and Polyquaternium 10.
Alternatively, the stabilizer employed in the leave-on compositions herein can comprise C10-C22 ethylene glycol fatty acid esters. C10-C22 ethylene glycol fatty acid esters can also desirably be employed in combination with the polymeric thickeners hereinbefore described.
The ester is preferably a diester, more preferably a C 14-C I 8 diester, most preferably ethylene glycol distearate. When C10-C22 ethylene glycol fatty acid esters are utilized as the stabilizer in the leave-on compositions herein, they are typically present at from 3% to 10%, preferably from 5% to 8%, more preferably from 6% to 8% of the leave-on compositions.
Another class of stabilizer which can be employed in the leave-on antimicrobial compositions of the present invention comprises dispersed amorphous silica selected from the group consisting of fumed silica and precipitated silica and mixtures thereof.
As used herein the term "dispersed amorphous silica" refers to small, finely divided non-crystalline silica having a mean agglomerate particle size of less than 100 microns.
Fumed silica, which is also known as arced silica, is produced by the vapor phase hydrolysis of silicon tetrachloride in a hydrogen oxygen flame. It is believed that the combustion process creates silicone dioxide molecules which condense to form particles. The particles collide, attach and sinter together. The result of this process is a three dimensional branched chain aggregate. Once the aggregate cools below the fusion point of silica, _which is 1710°C, further collisions result in mechanical entanglement of the chains to form agglomerates.
Precipitated silicas and silica gels are generally made in aqueous solution.
See, Cabot Technical Data Pamphlet TD-100 entitled "CAB-O-SILO Untreated Fumed Silica Properties and Functions", October 1993, and Cabot Technical Dat Pamphlet TD-104 entitled "CAB-O-SILO
Fumed Silica in Cosmetic and Personal Care Products", March 1992.
The fumed silica preferably has a mean agglomerate particle size ranging from 0.1 microns to 100 microns, preferably from 1 micron to 50 microns, and more preferably from 10 microns to 30 microns. The agglomerates arc composed of aggregates which have a mean particle size ranging from _0.01 microns to 15 microns, preferably from 0.05 microns to 10 microns, more preferably from 0.1 microns to 5 microns-and most preferably from 0.2 microns to 0.3 microns. The silica preferably has a surface area greater than SO sq.
m/gram, more preferably greater than 130 sq. mJgram, most preferably greater than 180 sq.
mJgram.
When amorphous silicas are used as the stabilizer herein, they are typically included in the leave-on compositions at levels ranging from 0.1% to 10%, preferably from 0.25% to 8%, more preferably from 0.5% to 5%.
A fourth class of stability which can be employed in the leave-on antimicrobial compositions of the present invention comprises dispersed smcctite clay selected from the group consisting of bentoaite and hectorite and mixtures thereof. Bentonite is a colloidal aluminum clay sulfate. See Merck Index, Eleventh Edition, 1989, entry 1062, p. 164, Hectorite is a clay containing sodium, magnesium; lithium, silicon, oxygen, hydrogen and flourine. See Merck Index, eleventh Edition, 1989, entry 4538, p. 729.
What smectite clay is anployed as the stabilizer in the leave-on composirions of the iavamion, it is typically included in amounts ranging from 0.1 % to~10%, preferably from 0.25Yo to 8'/., more preferably from OS% to 5%.
Other known stabilizers, wch as fatty acids and fatty alcohols, can also be anployed in the compositions 6aria. Palmitic acid and lauric acid arc especially preferred for use herein.
Other Optional InQredieats The compositions of the present invention can comprise a wide range of optional ingredierns. 'i?te f,~'iFA International Cosmetic Instredient Dictionary Sixth Edition, 1995, describes a wide variety of nonlimiting cosmetic and pharmaceutical iagrodients commonly used in the skin care industry, which are suitable for rue in the compositions of the present invention. Nonlimiting examples of functional classes of ingredients are described at page 537 of this reference.
Examples of these functional classes include: abrasives, anti-acne agents, anticaking agents, antioxidants, binders, biological additives, bulking agents, chelating agents, chemical additives, colorants, cosmetic astringents, cosmetic biocides, denaturants, drug astringents, emulsifiers, external analgesics, film fonmers, fragrance components, humectants, opacifying agents, plasticizers, preservatives, propellants, reducing agents, skin bleaching agents, skin-conditioning agents (emollient, humectants, miscellaneous, and occlusive), skin protectants, solvents, foam boosters, hydrotropes, solubilizing agents, suspending agents (nonsurfactant), sunscreen agents, ultraviolet light absorbers, and viscosity increasing agents (aqueous and nonaqueous).
Examples of other functional classes of materials useful herein that are well known to one of ordinary skill in the art include solubilizing agents, sequestrants, and keratolytics, and the like.
II. CHARACTERISTICS
The leave-on antimicrobial compositions herein, have the following characteristics.
A. BACTERIAL EFFECTIVENESS
The rinse of antimicrobial cleansing compositions of the present invention have one of three characteristics of bacterial effectiveness.
Gram Negative Residual Effectiveness Index The leave-on antimicrobial compositions of the present invention have a Gram Negative Residual Effectiveness Index of greater than about 0.3 (50% reduction), preferably greater than about 1.0 (90% reduction), and more preferably greater than about 2.0 (99%
reduction). The Gram Negative Residual Effectiveness Index is measured by the In-Vivo Residual Effectiveness on Escherichia toll Test described hereinafter in the Analytical Methods Section. The index represents a difference in base ten logarithm values of bacterial concentrations between a test sample and a control. For example, an index of 0.3 represents a reduction in log values of 0.3 (0 log = 0.3) which in turn represents a 50% reduction of bacteria counts.
Gram Positive Residual Effectiveness Index The leave-on antimicrobial compositions of the present invention comprise a Gram Positive Residual Effectiveness Index of greater than 0.5 (68% reduction), preferably greater than 1.0 (90.0% reduction), more preferably greater than 2.0 (99% reduction), and most preferably greater than 2.3 (99.5% reduction). The Gram Positive Residual Effectiveness Index is measured by the In-Vivo Residual Effectiveness on Staphylococcus aureus Test described herein. The index represents a difference in base ten logarithm values of bacterial concentrations between a test sample and a placebo control. For example, an index of 1.0 represents a reduction in log values of 1.0 (olog = 1.0) which in turn represents a 90.0%
reduction of bacteria counts.
Immediate Germ Reduction Indexes The leave-on antimicrobial compositions provide improved immediate germ reduction.
The degree of reduction can be measured after one-wash (application) of the In-Vivo Health Care Personal Handwash Test described herein. When measured after one wash the leave-on antimicrobial composition has One-wash Immediate Germ Reduction Index of greater than about 1.0 (90% reduction), preferably greater than about 1.5 (96.8%
reduction), more preferably greater than about 2.0 (99% reduction), and most preferably greater than about 2.3 (99.5%
reduction). The index represents a difference in base ten logarithm values of bacterial concentrations between before and after washing. For example, an index of 1.0 represents a reduction in log values of I.0 (olog = 1.0) which in turn represents a 90%
reduction of bacteria counts.
B. MILDNESS -Mildness Index The leave-on antimicrobial compositions of the present invention comprise a Mildness Index of greater than 0.3, preferably greater than 0.4, and more preferably greater than 0.6. The Mildness Index is measured by the Forearm Controlled Application Test (FCAT) described herein.
III. METHODS OF MANUFACTURE OF THE LEAVE-ON ANTIMICROBIAL
COMPOSITIONS
The Leave-on antimicrobial compositions of the present invention are made via art recognized techniques for the various forms of leave-on products.
IV. METHODS OF USING THE LEAVE-ON ANTIMICROBIAL COMPOSITION
The leave-on antimicrobial compositions of the present invention are useful for controlling the spread of Gram positive bacteria over time. Typically, a suitable or effective amount of the composition is applied to the area to be treated. Alternatively, a suitable amount of the cleansing composition can be applied via intermediate application to a washcloth, sponge, pad, cotton ball, puff or other application device. Generally, an effective amount of product to be used will depend upon the needs and usage habits of the individual. Typical amounts of the present compositions useful for cleansing range from 0.1 mg/cm2 to 10 mg/cm2, preferably from 0.6 mg/cm2 to 5 mg/cm2 skin area to be cleansed.
ANALYTICAL TEST METHODS
MICROTOX RESPONSE TEST
Reference: Microtox Manual: A Toxicity Testing_Handbook, 1992 Volume I IV; Microbics Corporation.
Equipment: Microtox M500 Toxicity Testing Unit; Microbics Corporation Connected to computer for data acquisition and analysis according to above reference.
Procedure:

WO 98/55081 PCTlUS98/10978 1. Preparation of Samule Stock Solution (Standard Concentration: I 000 nnm) The stock solution of the test anionic surfactant sample is prepared and used as a stock solution from which all other dilutions are made. The standard "starting concentration", the highest concentration to be tested, is 500 ppm. (If a 500 ppm starting concentration fails to give a calculable result, e.g. an active surfactant kills all reagent at all dilutions, the starting concentration can be adjusted based on a known range of EC50 values of previously tested surfactants.) The stock solution is prepared at two times the starting concentration.
a) Add O.lg (or adjusted amount if required) of anionic surfactant, accounting for activity of raw material, to beaker.
b) Microtox Diiuent (2% NaCI, Microbics Corp.) is added to total 100g.
c) Stir solution to make sure of adequate mixing.
2. Reconstitution of Microtox Reagent and Preparation of Assay a) Turn on test unit and allow reagent well temperature to equilibrate at S.5°C and incubator block and read well temperature to equilibrate at 15°C.
b) Place a clean cuvette (Microbics Corp.) in the reagent well, and fill with I.0 ml of Microtox Reconstitution Solution (distilled water, Microbics, Corp.). Allow to cool for I S
m mutes.
c) Reconstitute standard vial of Microtox Acute Toxicity Reagent (Vibrio fischerio, Microbics Corp.) by quickly adding the 1.0 ml of the cooled reconstitution solution to the reagent vial.
d) Swirl solution in the reagent vial for 2-3 seconds then pour reconstituted reagent back into the cooled cuvette and return the vial to the reagent well. Allow to stabilize for 15 minutes.
e) Place 8 cuvettes containing 500 p.1 of Microtox Diluent, as assay, into the incubator wells of the test unit. Let cool for 15 minutes.
3. Test Substance Dilution Prepare 7 serial dilutions of the test substance from the sample stock solution. The final volume of all cuvettes must be 1.0 ml.
a) Place 8 empty cuvettes into a test tube rack.
b) Add 1.0 ml of Microtox Diluent solution to tubes 1-7.
c) Add 2.0 ml of the sample stock solution (1000 ppm) in cuvette 8.
d) Transfer 1.0 ml solution from cuvette 8 to cuvette 7 and mix cuvette 7.
e} Serially transfer 1.0 ml from the newly formed solution to the subsequent cuvette (7 to 6, 6 to 5 etc.). Remove 1.0 ml of solution from cuvette 2 and discard.
Cuvette I is the blank containing only Microtox Diluent. Place the cuvettes into the test unit incubation wells keeping them in order of lowest to highest concentration. These cuvettes should correspond with the 8 cuvettes prepared in step 2 above. Allow to cool for 15 minutes.
4. Assay and Sample Bioluminescence Testing a) Add 10 pl of reconstituted reagent to the 8 precooled cuvettes of assay prepared in step 2 above (containing 500 p.l of diluent). Allow 15 minutes for reagent to stabilize.
b) Start Microtox Data Capture and Reporting Software (Microbics Corp.), select START TESTING, input file name and description, correct starting concentration in ppm (500 if standard concentration is used) and number of controls ( 1 ) and dilutions (7). Time 1 should be selected as 5 minutes, time 2 is NONE. Press enter then the space bar to begin testing.
c) Place the assay cuvette containing reagent which corresponds to the test blank into the read well and press SET. After the cuvette has resurfaced press READ and the value will be captured by the computer.
d) Similarly read the remaining 7 cuvettes containing reagent when prompted by the computer by pressing the READ button with the correct cuvette in the READ
well.
e) After all 8 initial reading have been taken, transfer S00 pl of the diluted test substance into their corresponding cuvette containing the reagent. Mix by vortexing or swirling and return to the incubation wells. The computer will count for five minutes and prompt you to begin final readings.
f) Take final readings by placing the correct cuvette containing reagent and diluted test surfactant into the read well and pressing READ when prompted by the computer.
5. Data Analysis The concentration of test substance, in ppm, that decreases the bioluminescence of the Microtox Acute Toxicity Reagent by 50% from the starting value (EC50 Value) can be calculated using the Run Statistics on Data File option of the Microtox Software (recommended) or by conducting a linear regression of the data (% reduction vs. log of concentration). % Reductions are calculated using the following formulas:
Final Reading of Reagent Blank - Con.ection Factor Initial Reading of Reagent Blank Final Reading of Reagent with Diluted Test Substapce = Reduction FactorX
Initial Reading of Reagent with Diluted Test Substance where x means at a corresponding concentration Correction Factor x - Reduction Factor Reduction =
Correction Factor The Microtox Index is the EC50 value in ppm.
IN VIVO RESIDUAL EFFECTIVENESS ON E.coli References: Aly, R; Maibach, H.L; Aust, L.B.; Corbin, N.C.; Finkey, M.B. 1994.
1. In vivo effect of antimicrobial soap bars containing 1.5% and 0.8%
trichlorocarbanilide against two strains of pathogenic bacteria. J. Soc.
Cosmet.
Chem., 35, 351-355, 1981.
2. In vivo methods for testing topical antimicrobial agents. J. Soc. Cosmet.
Chem., 32, 317-323.
1. Test Design Residual Antibacterial efficacy of liquid and bar soap antimicrobial products are quantified in the following method. Reductions are reported from a control, non-antibacterial placebo soap, without further treatment, used on one of the subjects forearms.
By definition the antibacterial placebo will show no residual effectiveness in the test.
2. Pre-Test Phase Subjects are instructed not to use antibacterial products for 7 days prior to testing.
Immediately before test, the subjects hands are examined for cuts/broken skin that would preclude them from participating.
3. Application Procedure for Leave-on Test Product a) Wash both forearms with placebo soap one time to remove any contaminants or transient bacteria. Rinse and dry forearms b) Test monitor marks l Ocm x Scm treatment area on forearm.
c) Test monitor applies 0.5 m1 of test product over the treatment site rubbing in for 10 seconds.
d) Arm is allowed to air dry and test sites are marked (~8.6 cm2 circle with rubber stamp).
e) Mark site with stamp on other forearm of subject for placebo product evaluation.
4. Inoculation Procedure a) E. coli inoculum (ATCC 10536, grown from lyophilized stock in Soybean-casein broth at 37C for 18-24 hrs) is adjusted to approximately 108 organisms/ml (0.45 transmittance vs. TSB blank on specrophotometer).
b) Each test site is inoculated with 10 p,1 of E. coli. Inoculum is spread with inoculating loop into a ~3 cm2 circle and covered with a Hilltop Chamber (Hilltop Research Inc.).
c) This procedure is repeated for each test site on each forearm.

5. Sampling Bacteria (Extraction Procedure) - a) Prepare sampling solution of 0.04% KH2P04, 1.01 % Na2HP04, 0.1 % Triton X-100, 1.5% Polysorbate 80, 0.3% Lecithin in water, adjusted to pH 7.8 with 1 N
HCI.
b) Exactly 60 minutes after inoculation, the Hilltop Chamber is removed from the site from which a sample is to be taken. A 8.6 cm2 sampling cup in placed over the site c) 5 ml of sampling solution is added to the cup.
d) Extract the bacteria by gently rubbing site with glass police man for 30 seconds.
e) Remove sampling solution with pipette and place in a sterile labeled test tube.
f) Repeat extraction with 5 ml of sampling fluid. This entire extraction procedure is repeated for each site 60 minutes after inoculation.
6. Ouantifyin~ Bacteria a) Prepare phosphate buffer solution of 0.117% Na2HP04, 0.022% NaH2P04, and 0.85% NaCI adjusted to pH 7.2-7.4 with 1 N HC1.
b) 1.1 ml of the sampling solution is aseptically removed from the tube, 0.1 ml of the solution is spread plated onto trypticase-soy agar containing I.5% Polysorbate 80 .
Remaining 1 ml is placed into 9 m! of sterile phosphate buffer achieving a 1:10 dilution of the sampling solution. This process is repeated 3 more times (each serial dilution).
c) The plates are inverted and incubated for 24 hours at 35C.
d) Colonies formed on plates are then enumerated and results are calculated by multiplying the counts by the dilution factor (original sample = 10, first dilution = 100, second dilution = 1000, etc.) and the final results are reported as the number of colony forming units per ml {CFU's/ml).
7. Index Calculation Gram Negative Residual Efficacy Index =
logl0 (CFU's/ml of placebo site) - logl0 (CFU's/ml of test product site) IN VIVD RESIDUAL EFFECTIVENESS ON Stavhylococcus aureus References: Aly, R; Maibach, H.L; Aust, L.B.; Corbin, N.C.; Finkey, M.B. 1994.
1. In vivo effect of antimicrobial soap bars containing 1.5% and 0.8%
trichlorocarbanilide against two strains of pathogenic bacteria. J. Soc.
Cosmet.
Chem., 35, 351-355, 1981.
2. In vivo methods for testing topical antimicrobial agents. J. Soc. Cosmet.
Chem., 32, 317-323.
1. Test Desien Residual Antibacterial efficacy of liquid and bar soap antimicrobial products are quantified in the following method. Reductions are reported from a control, non-antibacterial placebo soap, without further treatment, used on one of the subjects forearms.
By definition the antibacterial placebo will show no residual effectiveness in the test.
2. Pre-Test Phase Subjects are instructed not to use antibacterial products for 7 days prior to testing.
Immediately before test, the subjects hands are examined for cuts/broken skin that would preclude them from participating.
3. Application Procedure for Leave-on Test Product a) Wash both forearms with placebo soap one time to remove any contaminants or transient bacteria. Rinse and dry forearms b) Test monitor marks l Ocm x Scm treatment area on forearm.
c) Test monitor applies 0.5 ml of test product over the treatment site rubbing in for 10 seconds.
d) Arm is allowed to air dry and test sites are marked (~8.6 cm2 circle with rubber stamp).
e) Mark site with stamp on other forearm of subject for placebo product evaluation.
4. Inoculation Procedure a) S. aureus inoculum (ATCC 27217, grown from lyophilized stock in Soybean-casein broth at 37C for 18-24 hrs) is adjusted to approximately 108 organisms/m1 (0.45 transmittance vs. TSB blank on specrophotometer).
b) Each test site is inoculated with 10 ~1 of S. aureus. Inoculum is spread with inoculating loop into a ~3 cm2 circle and covered with a Hilltop Chamber (Hilltop Research Inc.).
c) This procedure is repeated for each test site on each forearm.
5. Sampling_Bacteria (Extraction Procedure) a) Prepare sampling solution of 0.04% KH2P04, 1.0l J/o Na2HP04, 0.1 % Triton X-100, 1.5% Polysorbate 80, 0.3% Lecithin in water, adjusted to pH 7.8 with 1 N
HCI.
b) Exactly 60 minutes after inoculation, the Hilltop Chamber is removed from the site from which a sample is to be taken. A 8.6 cm2 sampling cup in placed over the site.
c) 5 ml of sampling solution is added to the cup.
d) Extract the bacteria by gently rubbing site with glass police man for 30 seconds.
e) Remove sampling solution with pipette and place in a sterile labeled test tube.
f) Repeat extraction with 5 ml of sampling fluid. This entire extraction procedure is repeated for each site 60 minutes after inoculation.
6. QuantifyinQ Bacteria a) Prepare phosphate buffer solution of 0.117% Na2HP04, 0.022% NaH2P04, and 0.85% NaCI adjusted to pH 7.2-7.4 with I N HCI.
b) 1.1 ml of the sampling solution is aseptically removed from the tube, 0.1 ml of the solution is spread plated onto trypticase-soy agar containing 1.5% Polysorbate 80 .
Remaining I ml is placed into 9 ml of sterile phosphate buffer achieving a I:10 dilution of the sampling solution. This process is repeated 3 more times (each serial dilution).
c) The plates are inverted and incubated for 24 hours at 35C.
d) Colonies formed on plates are then enumerated and results are calculated by multiplying the counts by the dilution factor (original sample = 10, first dilution = 100, second dilution = 1000, etc.) and the final results are reported as the number of colony forming units per ml (CFU's/ml).
7. Index Calculation Gram Positive Residual Efficacy Index =
logl0 (CFU's/ml of placebo site) - logl0 (CFU's/ml of test product site) IN VIVO HEALTH CARE PERSONAL HANDWASH TEST (HCPHWT) Reference: Annual Book of ASTM Standards. Vol. I I .05; ASTM Designation: E
1174 - 94;
"Standard Test Method for Evaluation of Health Care Personnel Handwash Formulation"
1. The test method used is identical to the method explained in this reference with the following changes/clarifications.
a. Testing on a subject was finished after the one wash extraction, when only one-wash data was desired. The test requires at least four subjects.
b. Historical Data was used as a control in this protocol. (i.e. a control soap was not run in every test) c. Test Materials O~r anism: Serratia marcescens ATCC 14756 (incubated 18-24 hrs. at 25C in soybean casein broth, adjusted to 108 organisms/ml by diluting to 0.45 transmittance with a spectrophotometer) Dilution Fluid: phosphate buffer (0.1% Triton X-100, 00.3% Lecithin, I.5%
Tween 80) adjusted to pH 7.2 with 1 N HCI
Agar: Soybean casein agar with I .5% polysorbate 80 d. Application Procedure Laboratory technical places 2.0 ml of test leave-on composition in subject's hand.
Subject then spreads composition on hands, rubbing for thirty (30) seconds, covering palm, back of hand, fingers and web areas between fingers, cuticles, and nail beds.
Hands are not dried.
e. Bacteria were enumerated by performing serial dilutions (1:10) of inoculum or extracted samples and spreading 0.1 ml of dilution on plates. Results are reported as the log reduction of bacteria from baseline.
One-wash Immediate Germ Reduction Index= Log (CFU's) in Baseline Extraction-Log (CFU's) in Post-One Wash Extraction Ten-wash Lnmediate Germ Reduction Index=Log (CFU's) in Baseline Extraction-Log (CFU's) in Post-Ten Wash Extraction e. Hands were decontamined by submersion in 70% ethanol for 15 sec. and then a five minute wash with control soap and water.
FOREARM CONTROLLED APPLICATION TEST fFCAT) Reference: Ertel, K. D., et al.; "A Forearm Controlled Application Technique for Estimating the Relative Mildness of Personal Cleansing Products"; J. Soc. Cosmet. Chem. 46 (1995) 67-76.
The Forearm Controlled Application Test, or FCAT, is a comparative test which discriminates differences in product mildness to the skin. A test product is compared to a standard soap based cleansing bar control.
Test Group Restrictions Test groups of 20-30 subjects, 18 to 55 years of age, who regularly wash with soap are used. Potential subjects who {1) have an initial dryness grade of 3.0 or higher on the forearms as assessed during the initial examination, (2) have skin cancer, eczema, or psoriasis on the forearms, (3) are receiving injectable insulin, (4) are pregnant or lactating, or (5) are receiving treatment for skin problems or contact allergy are excluded. Subjects are to avoid hot tubs, swimming, and sun lamps, and to refrain from applying any soaps, cleansing products, creams, or gels to their forearms for the duration of the study. Subjects are to keep water off their forearms for at least two hours before the grading process. The studies are executed using a blinded, random product order format. Clinical assistant should verify the correct treatment sequence and document such before washing each subject.
Products are applied to the forearms a total of nine (9) times: two (2) times each day on the first four (4) days of the study and one ( 1 ) time on the final day.
Visits to the test facility for washing must be spaced by a minimum of three (3) hours.
All clinical assistants must wear disposable gloves during wash procedure, rinsing them between treatments, and changing between subjects.
Control Product The control product is a rolled bar soap containing:
56.1% Sodium Tallowate 18.7% Sodium Cocoate 0.7% Sodium Chloride 24% Water 0.5% Minors (Perfume, Impurities) Product Application Procedure Both test and control products are tested on the same arm. The following test procedure is used.
1. The subject wets the entire surface of his/her volar forearm with 95-100°F tap water by holding the arm briefly under running tap water.
2. A clinical assistant wets one-quarter sheet (approximately 8" x 6") of Masslinn~ towel with tap water, then squeezes the towel gently to remove excess water.
3. A clinical assistant applies the products to the arm, beginning with the product designated for the site nearest the elbow, using the appropriate procedure as follows:
Liquid Product a. Dispense 0.10 cc of test product from a syringe into the center of the appropriate marked area.
b. Wet two finders of gloved (latex) hand under the running tap (index and middle fingers).
c. Move wetted fingers in a circular motion over the application site for 10 seconds to lather product.
d. Lather remains on the application site for 90 seconds, then is rinsed off with running tap water for 15 seconds, taking care not to wash lather off the adjacent sites. After seconds of the rinse has expired, the Clinical Assistant will gently rub the site being rinsed with her two gloved fingers for the remaining 5 seconds of the rinse..
Bar Product a. Wet two finders of gloved (latex) hand under the running tap (index and middle fingers).
b. Wet bar by holding bar briefly under running tap water. Test bars must be wet under a running tap at the start of each day.
c. Rub wetted fingers in a circular motion, over the surface of the bar, for 15 seconds to form lather on bar and fingers.
d. Rub the lathered fingers on the application site in a circular motion for 10 seconds to lather product on the skin.
e. Lather remains on the application site for 90 seconds, then is rinsed off with running tap water for 15 seconds, taking care not to wash lather off the adjacent sites. After seconds of the rinse has expired, the Clinical Assistant will gently rub the site being rinsed with her two gloved fingers for the remaining 5 seconds of the rinse..
Wye Products a. Fold wipe in half, crosswise, and gently rub the wipe in a curricular motion within the appropriate area.
b. Allow site to air dry for 90 seconds. Do not rinse site.
Leave-on Product a. Dispense 0.10 cc of test product from a syringe into the center of the appropriate marked area.
b. Move gloved fingers in a circular motion over the application site for 10 seconds.
c. Allow site to air dry for 90 seconds. Do not rinse site.
4. While waiting for the 90 second residence time to expire, the above procedure will be repeated on the remaining application site on that arm, working down the arm toward the west.
5. Steps 1-4 are repeated on the appropriate test areas so two applications of product are made to test areas.
6. After all of the application areas have two applications of products, the clinical assistant gently pats the subject's arm dry with a disposable paper towel.
Evaluation The skin on each treatment area is evaluated by an expert grader at baseline and three hours after the final study wash. The treatment areas are evaluated under 2.75x magnification (model KFM-lA Luxo Illuminated Magnifying Lamp, Marshall Industries, Dayton, OH) with controlled lighting (General Electric Cool White, 22-watt, 8" Circuline fluorescent bulb).
The skin is evaluated by an expert grader, for dryness and a rating is assigned based on the definitions set forth below.
Table 1 Forearm Grading Scale Rating Skin Dryness 0 No dryness 1.0 Patches of slight powderiness and occasional patches of small scales may be seen.
2.0 Generalized slight powderiness. Early cracking or occasional small lifting scales may be present.
3.0 Generalized moderate powderiness and/or heavy cracking and lifting scales.
4.0 Generalized heavy powderiness and/or heavy cracking and lifting scales.
S.0 Generalized high cracking and lifting scales. Eczematous change may be present.
Powderiness may be present but not prominent. May see bleeding crack.

6.0 Generalized severe cracking. Eczematous change may be present. Bleeding cracks may be present. Scales large, may be beginning to disappear.
The FCAT generally produces only mild to moderate skin irritation; however, if a treated site reaches a rating of 5.0 or greater, at any time during the study, treatment of all sites on that subject should be discontinued.
Data After all subjects have been evaluated at the end of the test, the following values are determined:
Rco = The average rating of control product area at baseline Rc f= The average rating of control product area at test end Rto = The average rating of test product area at baseline Rt f= The average rating if test product area at test end.
There are many external conditions which could influence the FCAT, such as relative humidity and water softness. The test is valid only if sufficient response is observed in the skin to the control product. The control response must be greater than 1.0 (i.e., Rcf- Rco >_ 1.0) for the test to be valid.
Given a valid test, the Mildness Index of the test product is the difference in the skin responses to two products.
Mildness Index = ( Rc f- Rco ) - ( Rtf- Rto ) CONSISTENCY (k) AND SHEAR INDEX (n) OF
THE LIPOPHILIC SKIN MOISTURIZING AGENT
The Carrimed CSL 100 Controlled Stress Rheometer is used to determine Shear Index, n, and Consistency, k, of the lipophilic skin moisturizing agent used herein.
The determination is performed at 35°C with the 4 cm 2° cone measuring system typically set with a 51 micron gap and is performed via the programmed application of a shear stress (typically from 0.06 dynes/sq.
cm to 5,000 dynes/sq. cm) over time. If this stress results in a deformation of the sample, i.e.
strain of the measuring geometry of at least 10-4 rad/sec, then this rate of strain is reported as a shear rate. These data are used to create a viscosity a Vs. shear rate y' flow curve for the material. This flow curve can then be modeled in order to provide a mathematical expression that describes the material's behavior within specific limits of shear stress and shear rate. These results were fitted with the following well accepted power law model (see for instance:
Chemical Engineering, by Coulson and Richardson, Pergamon, 1982 or Transport Phenomena by Bird, Stewart and Lightfoot, Wiley, 1960):
Viscosity, p, - k (y~)n-1 VISCOSITY OF THE LEAVE-ON ANTIMICROBIAL COMPOSITION

The Wells-Brookfield Cone/Plate Model DV-II+ Viscometer is used to determine the viscosity of the leave-on antimicrobial compositions herein. The determination is performed at 25°C with the 2.4 cm° cone (Spindle CP-41 ) measuring system with a gap of 0.013 mm between the two small pins on the respective cone and plate. The measurement is performed by injecting 0.5 ml of the sample to be analyzed between the cone and plate and rotating the cone at a set speed of 1 rpm. The resistance to the rotation of the cone produces a torque that is proportional to the shear stress of the liquid sample. The amount of torque is read and computed by the viscometer into absolute centipoise units (mPa's) based on geometric constants of the cone, the rate of rotation, and the stress related torque.
EXAMPLES
The following examples further describe and demonstrate embodiments within the scope of the present invention. In the following examples, all ingredients are listed at an active level.
The examples are given solely for the purpose of illustration and are not to be construed as limitations of the present invention, as many variations thereof are possible without departing from the spirit and scope of the invention.
Ingredients are identified by chemical or CTFA name.
Fifteen leave-on antimicrobial compositions are prepared according to the tables below.
Component Ex. Ex. Ex. Ex. Ex.

Mineral oil 1.00% 1.00% 1.00% 1.00% 0.00%

Propylene glycol 1.00% 1.00% 1.00% 1.00% 1.00%

Ammonium Lauryl Sulfate 0.60% 0.60% 0.60% 0.60% 0.60%

Citric Acid 4.00% 0.00% 0.00% 0.00% 0.00%

Sodium Citrate 3.30% 0.00% 2.00% 0.00% 0.00%

Succinic Acid 0.00% 4.00% 0.00% 0.00% 4.00%

Sodium Succinate 0.00% 3.30% 0.00% 0.00% 3.20%

Malic Acid 0.00% 0.00% 2.50% 0.00% 0.00%

Malonic Acid 0.00% 0.00% 0.00% 4.00% 0.00%

Sodium Malonate 0.00% 0.00% 0.00% 3.20% 0.00%

Steareth 20 0.55% 0.55% 0.55% 0.55% 0.00%

Steareth 2 0.45% 0.45% 0.45% 0.45% 0.00%

Triclosan~ 0.1 0.15% 0.1 0.15% 0.15%
S% S%

Miscellaneous 0.36% 0.36% 0.36% 0.36% 0.36%

Water q.s. q.s. q.s. q.s. q.s.

pH 4.0 4.5 3.9 3.9 3.9 Microtox of Anionic Surfactant1 1 1 1 1 Head Group Size of AnionicSmall Small Small Small Small Surfactant Primary Chain Length of 12 12 12 12 Anionic Surfactant Component Ex.6 Ex.7 Ex.8 Ex.9 Ex.lO Ex.lOa Mineral oil 0.00% 0.00% 1.00% 1.00% 1.00% 1.00%

Propylene glycol 1.00% 1.00% 1.00% I .00%1.00% 1.00%

Ammonium Lauryl 0.60% 0.60% 0.60% 0.60% 1.00% 0.60%
Sulfate Citric Acid 0.00% 0.00% 2.50% 2.50% 4.00% 0.00%

Sodium Citrate 0.00% 3.70% 2.00% 2.00% 3.20% 0.00%

Succinic Acid 4.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Sodium Succinate 3.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Malic Acid 0.00% 4.00% 0.00% 0.00% 0.00% 0.00%

polyacrylic acid/sodium0.00% 0.00% 0.00% 0.00% 0.00% 2.5%

polyacrylate*

Steareth 20 0.55% 0.00% 0.55% 0.08% 0.28% 0.08%

Steareth 2 0.45% 0.00% 0.45% 0.07% 0.23% 0.07%

Oleth 20 0.00% 0.00% 0.00% 0.08% 0.28% 0.08%

Oleth 2 0.00% 0.00% 0.00% 0.07% 0.23% 0.07%

Triclosan~ 0.00% 0.50% 0.50% 0.15% 0.25% 0.15%

Thymol 1.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Miscellaneous 0.36% 0.36% 0.36% 0.36% 0.36% 0.36%

Water q.s. q.s. q.s. q.s. q.s. q.s.

pH 3.2 S.0 3.9 3.9 3.9 3.8 Microtox of Anionic1 1 Surfactant Head Group Size Small Small Small Small Small Small of Anionic Surfactant Primary Chain Length12 12 12 12 12 of Anionic Surfactant Acumer 1020 sold by Rohm & Haas.

Component Ex.ll Ex. Ex. Ex. Ex.lS
l2 l3 l4 Mineral oil 1.00% 1.00% 1.00% 1.00% 1.00%

Propylene glycol 1.00% 1.00% 1.00% 1.00% 1.00%

Ammonium Lauryl Sulfate0.00% 0.00% 0.00% 0.00% 0.60%

Ammonium Laureth Sulfate0.00% 5.00% 0.00% 0.00% 0.00%

Hostapur SAS 60 (SPS)1.00% 0.00% 0.00% 0.00% 0.00%

C14-C16 Sodium Alpha 0.00% 0.00% 2.00% 0.00% 0.00%

Olefin Sulfonate Sodium Lauroyl Sarcosinate0.00% 0.00% 0.00% 1.00% 0.00%

Citric Acid O.OSS% 7.50% 0.00% 0.00% 0.00%

Sodium Citrate 0.00% 4.00% 2.00% 0.00% 0.00%

Succinic Acid 4.00% 0.00% 0.00% 0.00% 0.00%

Sodium Succinate 0.67% 0.00% 0.00% 0.00% 0.00%

Malic Acid 0.00% 0.00% 2.50% 0.00% 0.00%

Malonic Acid 0.00% 0.00% 0.00% 4.00% 0.00%

Sodium Malonate 0.00% 0.00% 0.00% 3.20% 0.00%

Salicylic Acid 0.00% 0.00% 0.00% 0.00% O.SO%

Steareth 20 O.SS% O.SS% O.SS% O.SS% O.SS%

Steareth 2 0.45% 0.45% 0.45% 0.45% 0.45%

Triclosan~ 0.15% 3.00% O.IS% 0.01% 0.15%

Cocamidopropyl Betaine0.00% 0.00% 0.00% 4.00% 0.00%

Polyquat 10 0.00% 0.00% 0.00% 0.40% 0.00%

Miscellaneous 0.36% 0.36% 0.36% 0.36% 0.36%

Water q.s. q.s. q.s. q.s. q.s.

pH 3-6 3-6 3-6 3-6 3-6 Microtox of Anionic ~a 150 20 <l50 1 Surfactant Head Group Size of Small Large Small Large Small Anionic Surfactant Primary Chain Length 15.5 12 14-16 12 12 of Anionic Surfactant The leave-on antimicrobial compositions shown ail have a Gram Negative Residual Effectiveness Index of greater than about 0.3, a Gram Positive Residual Effectiveness Index of greater than 0.5, have a One-wash Immediate Germ Reduction Index of greater than about 1.0;
and a Mildness Index of greater than 0.3.
Procedure for Making Leave-on Antimicrobial Composition Examules When mineral oil is used, premix mineral oil, propylene glycol, active, steareth 2 and 20, oleth 2 and 20, and 50%, by weight of the oil, glycol, active, steareth and oleth materials, water to a premix vessel. Heat to 165°F ~ 10°F. Add additional 50%, by weight of the oil, glycol, active, steareth and oleth materials, of water to the premix tank.
Add all but S weight percent of remaining water to second mix tank. If required, add premix to the mix tank. Add surfactants to mix tank. Heat materials to 155°F ~10°F and mix until dissolved. Cool to )ess than 100°F, add acid and antibacterial active, if not in premix, and perfumes. Mix until materials are dissolved. Adjust pH to target with required buffer (NaOH or buffer salt). Add remaining water to complete product.

Claims (15)

WHAT IS CLAIMED IS:
1. A leave-on antimicrobial composition comprising:
a. from about 0.001% to 5% of an antimicrobial active;
b. from about 0.05% to 10% of an anionic surfactant;
c. from about 0.1 % to 10% of a proton donating agent; and d. from about 0% to 99.85% of water;
wherein the composition is adjusted to a pH of from 3.0 to about 6.0;
wherein the anionic surfactant has a Microtox Index of less than 150;
wherein the leave-on antimicrobial composition has a Gram Negative Residual Effectiveness Index of greater than 0.5; and wherein the leave-on antimicrobial composition has a Mildness Index of greater than 0.3.
2. A leave-on antimicrobial composition comprising:
a, from about 0.001% to 5% of an antimicrobial active;
b. from about 0.05% to 10% of an anionic surfactant;
c. from about 0.1 % to 10% of a proton donating agent; and d. from about 0% to 99.85% of water;
wherein the composition is adjusted to a pH of from 3.0 to about 6.0;
wherein the anionic surfactant has a Microtox Index of less than 150; and wherein the leave-on antimicrobial composition has a Gram Positive Residual Effectiveness Index of greater than 0.5; and wherein the leave-on antimicrobial composition has a Mildness Index of greater than 0.3.
3. A leave-on antimicrobial composition characterized in that it is effective against Gram positive bacteria, Gram negative bacteria, fungi, yeasts, molds and viruses, comprising:
a. from about 0.001% to 5% of an antimicrobial active;
b. from about 0.05% to 10% of an anionic surfactant;
c. from about 0.1 % to 10% of a proton donating agent; and d. from about 0% to 99.85% of water;
wherein the composition is adjusted to a pH of from 3.0 to about 6.0;

wherein the anionic surfactant has a Microtox Index of less than 150; and wherein the leave-on antimicrobial composition has an One-wash Immediate Germ Reduction Index of greater than 1.0; and wherein the leave-on antimicrobial composition has a Mildness Index of greater than 0.3.
4. A leave-on antimicrobial composition according to any one of claims 1 to 3 wherein the antimicrobial active is selected from the group consisting of Triclosan®, Triclocarban ®, Octopiroxt®, PCMX, ZPT, natural essential oils and their key ingredients, and mixtures thereof.
5. A leave-on antimicrobial composition according to any one of claims 1 to 4 wherein the proton donating agent is an organic acid having a Buffering Capacity of greater than 0.005.
6. A leave-on antimicrobial composition according to any one of claims 1 to 5 wherein the proton donating agent is selected from the group comprising adipic acid, tartaric acid, citric acid, maleic acid, malic acid, succinic acid, gtycotic acid, glutaric acid, benzoic acid, malonic acid, salicylic acid, gluconic acid, polyacrylic acid, their ,salts, and mixtures thereof.
7. A leave-on antimicrobial composition according to any one of claims 1 to 4 wherein the proton donating agen is a mineral acid.
8. A leave-on antimicrobial composition according to any one of claims 1 to 7 further comprising a non-ionic surfactant and wherein the ratio of the amount of non-anionic surfactants to the amount of anionic surfactant is less than 1:1.
9. A leave-on antimicrobial composition according to any one of claims 1 to 8 further comprising from 0.2% to 10% of a lipophilic skin moisturizing agent.
10. A method for providing residual effectiveness against Gram negative bacteria comprising the use of a safe and effective amount of the composition of any one of claims 1 to 9 on human skin.
11. A method for treating acne comprising the use of a safe and effective amount of the composition of any one of claims 1 to 9 on human skin.
12. A use of a safe and effective amount of the composition of any one of claims 1 to 9 for providing on human skin, residual effectiveness against Gram negative bacteria.
13. A use of a safe and effective amount of the composition of any one of claims 1 to 9 for preparing a medicament for providing on human skin, residual effectiveness against Gram negative bacteria.
14. A use of a safe and effective amount of the composition of any one of claims 1 to 9 for treating acne on human skin.
15. A use of a safe and effective amount of the composition of any one of claims 1 to 9 for preparing a medicament for treating acne on human skin.
CA002291249A 1997-06-04 1998-05-29 Mild, leave-on antimicrobial compositions Expired - Fee Related CA2291249C (en)

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US86930397A 1997-06-04 1997-06-04
US86871897A 1997-06-04 1997-06-04
US86930197A 1997-06-04 1997-06-04
US08/869,303 1997-06-04
US08/868,718 1997-06-04
US08/869,301 1997-06-04
US08/967,972 1997-11-12
US08/967,972 US6287577B1 (en) 1997-11-12 1997-11-12 Leave-on antimicrobial compositions which provide improved residual benefit versus gram positive bacteria
PCT/US1998/010978 WO1998055081A2 (en) 1997-06-04 1998-05-29 Mild, leave-on antimicrobial compositions

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US6482423B1 (en) 1999-04-13 2002-11-19 The Procter & Gamble Company Antimicrobial wipes which provide improved residual benefit versus gram positive bacteria
US6413529B1 (en) 1999-04-13 2002-07-02 The Procter & Gamble Company Antimicrobial wipes which provide improved residual benefit versus gram negative bacteria
US6488943B1 (en) 1999-04-13 2002-12-03 The Procter & Gamble Company Antimicrobial wipes which provide improved immediate germ reduction
JP2003520809A (en) * 2000-01-20 2003-07-08 ザ プロクター アンド ギャンブル カンパニー Antibacterial composition
US20020172656A1 (en) 2000-01-20 2002-11-21 Biedermann Kimberly Ann Cleansing compositions
FR2825618B1 (en) * 2001-06-07 2008-01-18 Oreal USE OF A POLAR ADDITIVE IN A COSMETIC COMPOSITION COMPRISING A LIQUID FATTY PHASE STRUCTURED BY AT LEAST ONE ORGANOGELER TO GIVE THE COMPOSITION A THIXOTROPIC CHARACTER
JP6324781B2 (en) * 2014-03-19 2018-05-16 花王株式会社 Disinfectant cleaning composition

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DE4026756C2 (en) * 1990-08-24 1995-03-23 Turner Gmbh Preservatives and their use
CA2107001A1 (en) * 1991-04-15 1992-10-16 Arthur E. Keegan, Jr. Antibacterial mild liquid surfactant skin cleanser
ATE179883T1 (en) * 1993-07-03 1999-05-15 Procter & Gamble PERSONAL CLEANING PRODUCT
CZ267396A3 (en) * 1994-03-11 1997-03-12 Procter & Gamble HYDROLYTIC STABLE COSMETIC, PREPARATION WITH LOW pH VALUE CONTAINING ACID ACTIVE SUBSTANCES
GB2288811B (en) * 1994-04-26 1998-07-15 Procter & Gamble Cleansing compositions
US5681802A (en) * 1994-06-01 1997-10-28 Lever Brothers Company, Division Of Conopco, Inc. Mild antimicrobial liquid cleansing formulations comprising buffering compound or compounds as potentiator of antimicrobial effectiveness
US5607980A (en) * 1995-07-24 1997-03-04 The Procter & Gamble Company Topical compositions having improved skin feel
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CO4940379A1 (en) 2000-07-24
CA2291249A1 (en) 1998-12-10
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AU7704898A (en) 1998-12-21
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