FIELD OF THE INVENTION

[0001] This invention is directed to alcohol-based hand sanitizers, in particular to non-aerosol foaming hand sanitizers having high alcohol content, enhanced and prolonged antimicrobial efficacy and tolerance for organic loads and dilution, and excellent residual activity. The invention is also directed to a foaming, high alcohol content hand saniiizer having superior moisturization and aesthetic skin feel properties.

BACKGROUND OF THE INVENTION

[0002] Hand sanitizing products, including those that are alcohol-based, are known in the art. The use of alcohol-based hand sanitizing products, in particular, continues to grow, both within the United States and internationally, Alcohol-based sanitizers can be found in hospitals and other healthcare environments, the workplace, and in everyday home use. These products are considered especially useful when microbial contamination is a concern, particular in high risk areas of hospitals and prior to surgical procedures.

[0003] Some examples of high alcohol content sanitizers include U.S. Patent No. 6,723,889, which describes an emollient antimicrobial composition comprising high alcohol content (60-95 wt.%), preservatives, a cationic cellulose polymer thickening agent, and silicone-based moisturizers and emollients, useful as a hand healthcare preparation or a pre-surgicai scrub; U.S. Patent Nos. 6,610,315; 6,562,360; 6,352,701 and 5,951 ,993, which describe alcohol compositions useful as pre- surgicai scrub replacements or as a lotion or other hand preparation, comprising alcohol and a non-polymeric thickener system that includes mixtures of at least two emulsifiers; and U.S. Patent No. 6,423,239, which describes a gel product for use as a skin sanitizer having a higher alcohol content and comprising, humectants, silicones as detackifying agents, moisturizers, and thickeners, [0004] Alcohol and alcohol gels in which alcohol levels exceed about 50% have the most pronounced immediate aniimiciObiai effects; however, they Sack persistent antimicrobial properties, i.e., residual activity or effect. Although alcohol may kill microbes on contact upon drying, there is no means for killing or controlling microbial growth. As such, sanitizers using alcohol alone are often less effective over time. Hence, some alcohol-based compositions utilize additional antimicrobial compounds, which may themselves cause skin irritation and sensitization.

[0005] In addition, many alcohol-based products comprise thickening agents or emollients that increase the viscosity of the composition, in order to lower the alcohol evaporation rate and increase the exposure time that the alcohol is present on the skin. These thickened compositions often result in a less than optimal aesthetic skin feel in use or upon rinsing. Prolonged contact of high alcohol content may also dry and irritate the skin, and thickeners may trap dead skin and bacteria on the surface of the skin.

[0006] Alcohol-based antimicrobial compositions that provide prolonged and enhanced activity against various microorganisms without the need for additional antimicrobial agents have been described in the art. For example, United States Patent Nos. 7,268,165 B2 and 7,985,773 B2 (both to Greten et al., STERIS Corporation) describe antimicrobial compositions comprising a synergistic combination of a simple aliphatic alcohol and an activity enhancing substance (an aromatic alcohol or cationic substrate binding compound) that provides unexpected and persistent activity against a broad range of microorganisms, while, at th same time, moisturizing the skin. While additional antimicrobials may be added as an option, they are not required in order to provide enhanced and prolonged antimicrobial effect. The Greten et al. compositions are stated to be useful as hand sanitizers or pre-surgicai scrubs, but are not foaming compositions.

[0007] Foaming alcohol sanitizers have been commercially available for many years, especially in healthcare settings. Traditionally, most foaming alcohol sanitizers used propelSant-based, i.e., aerosol, technologies to create and stabilize foam, and these products are still widely used in this market. However, due to recent concerns about disposal of propelSant systems, environmental sustainability, various safety issues, and regulatory scrutiny, non-aerosol, .alcohol-based products have recently found their way into the market as replacements for aerosol products.

[0008] Most non-aerosol, alcohol-based foaming hand sanitizers utilize either fluorosurfactant or linear silicone surfactant chemistries to lower the surfac tension of the alcohol system to a level that creates foam in an alcohol-rich environment. Most of these products have poor moisturizatton and aesthetic properties, when dispensed through an appropriate dispenser (mechanical). By way of example, U.S. Patent No. 7,723,279 describes a foaming non-aerosol, alcohol-based composition comprising polymeric fluorosurfactants as foaming agents; and U.S. Patent No. 7,683,018 describes a foaming non-aerosol, alcohol-based composition comprising anionic phosphate fluorosurfactants as the primary foaming agent. Other compositions are commercially available that utilize fluorinated surface active agents.

[0009] Other non-aerosol, alcohol-based compositions utilize silicone-hased compounds either as the sole foaming surfactant or in conjunction with fluorosurfactants or other surfactants, Some examples include: U.S. Patent Nos. 8,053,399, which discloses a foaming composition containing very little water that comprises the dimethicone copolyols PEG-10 dimethicone, PEG- 12 dimethicone, or mixtures thereof; 7,670,815 (polysifoxane-pofyether copolymers, such as, for example, a bis PEG-PFG-2Q/20 dimethicone); 7,651 ,990 (dimethicones and dimethicone copolyols with PEO and PPO side chains); 7,186,416 (polyoxyethyiene ethers, esters, fatty acids, sulfated acids, sulfosuccinafes, polystloxane, sorbitan fatty acid esters, polyoxamers, and the like); and 7,842,725 (linear PEG 8-PEG-12 dimethicones having foam heights greater than 20 mm), Dimethicone copolymers, such as PEG/PPG 18/18, 17/18, 4/12, 35/85, among others, are disclosed in U.S. Publication No. 2009/0326076; and derivatized dimethicones, such as PEG-8- 12 dimethicones coupled with foam strengthening agents are disclosed i U.S. Publication No. 2009/0098067, [0010] There are disadvantages to the currently available non-aerosol alcohol foam products that are currently in the market. First, there exists a general negative perception with regard to fluorosurfacianis and their persistence in the environment and overall toxicity profile. Based on this perception, some have used traditional linear silicone surfactants to achieve foam creation in alcohol systems. Though not as effective as fluorosurfactants from a foam-generation standpoint, silicone surfactants are capable of producing a moderate amount of stable foam, especially when used at fairl high concentrations (e.g., 3%-5%).

£0G11] Secondly, non-aerosol alcohol foam systems are very sensitive to excipient ingredients that could normally be used to enhance other attributes, specifically moisturization and overall feel. Alcohol sanitizers, due to the high level of alcohol required for acceptable microbial efficacy, can be inherently drying to the skin. Standard alcohol ge!s or liquids often contain water-insoluble, but alcohol soluble (or miscible) ingredients (such as occlusive agents) to improve overall moisturization benefits. However, due to the complex foam structure of alcohol-water mixtures, these ingredients often have a very significant negative impact on foam generation, quality and stability. Hence, ingredient selection may be limited.

[0012] The potential limitation for ingredient selection can also impact the microbial efficacy of the system. Though high levels of alcohol have good immediate efficacy against a broad range of microorganisms, due to its volatile nature, little prolonged microbial activity can be achieved without the addition of ingredients that either help retard the evaporation rate and/or bind to the skin. However, most ingredients traditionally used for this (e.g., cellulosic thickeners, high molecular weight occlusive agents) cannot be used in non-aerosol foam products.

[0013] As is evident from the foregoing, many non-aerosol alcohol foam systems have poor moisturization properties and/or limited microbial efficacy. While U.S Patent Nos. 7,268,165 and 7,985,773 to Greten et a!. describe composition that have enhanced and prolonged microbial efficacy and excellent moisturization properties, the compositions also contain thickeners that are not conducive to non- aerosol foam production.

[0014] In a healthcare environment, the CDC Guidelines for Hand Hygiene in Health Care Settings include recommendations for increased use of alcohol-based sanitizing products and, at the sam time, express significant concern with skin health issues resulting from their use. Alcohol-based sanitizing products are often used on hands that do not have a visible organic load; however, many currently available products are negatively impacted by both the presence of any organic load, even that not clearl visible, and dilution, in order to leverage the CDC guidelines properly and provide a product that also has enhanced moisturization capabilities that are equivalent or superior to current alcohol-based foam sanitizers, an alcohol- based foam sanitizer having efficacy and enhanced skin care properties in the presence of organic load and on repeated application is needed.

[0015] Further, the Tentative Final Monograph for Health-Care Antiseptic Drug Products sets forth the FDA criteria necessary to mak the claim of "Healthcare Personnel Handwash." It is believed that when the tentative monograph issues as a final version, the criteria outlined in the tentative version will remain. For example, the Healthcare Personnel Handwash Test outlined in the tentative monograph establishes criteria that require a 2 log (base 10) reduction in bacteria after the first application and a 3 log reduction in bacteria after the tenth application. Because of the high inoculums and organic load present in the required methodology, not all alcohol-based sanitizing products can meet these criteria, especially after the tenth application and, in fact, may actually demonstrate a decrease in log reduction when compared to the first application. Indeed, aicohoi gel products used alone were not considered as good, from both an overall microorganism reduction profile and skin irritation potential, as a combination of alcohol gel with either an antimicrobial or a plain lotion soap. Paulson et a!., Am. J. infect Control 1999; 27(4): 332-38, Combination regimens may, therefore, be preferred to achieve persistent antimicrobial properties that ar required by FDA criteria. [0018] There is a need, therefore, for non-aerosol, alcohol-based hand sanitizing foam products having enhanced and prolonged antimicrobial activity, tolerance to organic load and dilution, excelient residual activity, skin moisturization and aesthetic skin feel properties, while at the same time meeting all of the CDC and FDA requirements,

[0017] A novel non-aerosoi alcohol foam sanitize r has been discovered that resolves the disadvantages of current alcohol-based foam sanitizers and that will meet and exceed the criteria for a Healthcare Personnel Handwash claim. The invention is a non-aerosoi alcohol foam hand sanitizer that comprises a novel siitcone-dimer reaction product which, in combination with known components, resolves several issues encountered with alcohol-based sanitizing products in the past.

[0018] The inventive composition provides both the necessary surface tension reduction to allow a high alcohol system to foam without the use of propej.iants and aids in improving moisturization and aesthetic skin feel properties of the final product. The system contains certain ingredients previously known to enhance and prolong aniimicrobial efficacy in combination with moisturizing components, but also contains novel components, not used heretofore, that provide unexpectedly high-quality, stable foam and excelient moisturizing and skin feel properties over current commercially available products,

[0019] Specifically, the inventive composition contains a high level of an aliphatic alcohol, a silicone based surfactant system comprising a novel silicone dimer reaction product, i.e., bis-PEG-10 dimethicone/dimer diiinoieate, PEG-T7 dimethicone, or mixtures of both; activity enhancing substances, including an aromatic alcohol, a cationic substrate binding component, or mixtures thereof; a pQiyquaternium component; a blend of humectant ingredients; a cationic surfactant(s); and water-soluble emollient ingredients, all in an aqueous base. The composition is efficacious against a broad range of microorganisms, including gram- negative organisms. Importantly, the composition meets the Healthcare Personnel Handwash guidelines at both one and ten applications, based on the criteria set forth in the Tentative Final Monograph for Health-Care Antiseptic Drug Products (1994, 21 CFR Parts 333 and 369).

[0020] The final inventive compositions have unexpectedly superior moistunzaiion and aesthetic feel characteristics, making it more likely that they will he used multiple times throughout the course of the day. The aesthetics of the inventive composition are such that the rub-in time, residue and foam properties are similar to current commercially available non-aerosol a!cohol-hased foam products, but with superior after-feel properties.

[0021] It is an object of the invention to provide a non-aerosol, foaming alcohol- based hand sanitizer product, having excellent moisturization and aesthetic skin-feel properties, while still producing a large amount of quality foam that is stable even in the presence of high amounts of alcohol.

[0022} If is yet another object of the invention to provide a non-aerosol, foaming alcohol-based hand sanitizer product having enhanced and prolonged aniimicrobial activity against a broad range of microorganisms, including gram negative organisms, that is, at minimum, equivalent, but in many instances superior, to th antimicrobial activity of currently available non-aerosol, foaming alcohol-based hand sanitizers.

[0023] It is a further object of the invention to provide a non-aerosol, foaming alcohol-based hand sanitizer product that has superior tolerance for organic load and dilution, even with repeated applications, and excellent residual activity as compared to currently marketed non-aerosol, foaming alcohol-based hand sanitizers,

[0024] It is a further object of the invention to provide a non-aerosol, foaming alcohol-based hand sanitizer that is environmentally friendly, free of fluorosuffactants and that, meets CDC guidelines and FDA criteria for hand sanitizing compositions.

SUMMARY OF THE INVENTION

[0026] The novel inventive compositions combine known and novel components to achieve a non-aerosol, high-alcohol-containing foam hand sanitizer that has excellent antimicrobial properties, with tolerance for organic load and dilution, excellent residual activity, and superior skin conditioning (moisturizing, aesthetic skin - feel) characteristics. The composition comprises: an aliphatic alcohol; a silicone- based surfactant; an aromatic alcohol as an activity enhancing substance; a cationic substrate binding activity enhancing substance; a po!yquaternium; a hume.ctant; a cationic surfactant; an emollient; and water. More than one of each type of component may be utilized within the scope of the invention.

BRIEF DESCRIPTION OF THE DRAWINGS

[0026] FIG. 1 is a chart demonstrating Skicon Measurements reflecting moisturization characteristics of the inventive compositions.

[0027 FIG. 2 is a chart demonstrating Healthcare Persona! Handwash efficacy of an inventive composition (F) and showing an increased average log reduction as the number of applications of the composition increases.

[0028] FIG. 3 is a chart demonstrating superior moisturization properties of an inventive composition (C) as compared to an untreated control and an existing marketed product, using a NOVA DPM 9003 instrument, which measures relative hydration of the skin.

[0020] FIG. 4 is a chart reflecting results obtained using a pigskin model and an inocuiant, Serratia marcescens, comparing two ethanoi solutions at two different concentrations (N, O) with two inventive formulations having the same ethanoi coneentrations (P, Q) and demonstrating superior log reductions obtained with the inventive formulations compared to ethanoi alone at 1 and 5 inoculation/treatment cycles.

[0030] FIG, 5 is a chart reflecting results obtained using a 5-appIication (inoculation/treatment cycle) pigskin test, comparing an inventive composition (R) with a leading commercial sanitizing product and demonstrating superior efficacy and residual activity of the inventive formulation as compared to a commercial product. DETAILED- DESCRIPTION OF THE INVENTION

[©031] The novel inventive compositions of the invention meet and exceed criteria for a Healthcare Personnel Handwash claim as promulgated by the FDA. The invention provides a non-aerosol, foaming high alcohol content hand sanitizing composition with excellent antimicrobial and skin conditioning properties without the disadvantages of currently marketed hand sanitizens.

[0032] The antimicrobial activity of the present inventive compositions are the result of combining high amounts of an aliphatic alcohol, a preservative having known gram-negative activity, and emollients that have antimicrobia! activity of a persistent nature. The superior moisturization characteristics ar the result of the addition of known humectants, skin feel agents, and skin conditioners, and surfactants.

[0033] The key to a non-aerosol foaming alcohol-based hand sanitizer is the amount, quality and stability of the foam produced. Skin conditioning agents, while desirable and necessary, often affect the amount and qualify of the foam or its stability, A key material in the generation and stability of foam in the inventive compositions is a new silicone surfactant, which is a polyester made by the reaction of dimer acid and PEG-10 dimethicone. Alternatively, another dimethicone surfactant, PEG-17 dimethicone, has been found to produce unexpectedly large amounts of qualify foam with excellent stability. These surfactants, in combination with the other components of the inventive compositions, eliminate the need for foam strengthening agents or separate stabilizing agents that are required in current commercial products.

[0034] Preferred embodiments of the inventive compositions include: an aliphatic alcohol in amounts ranging from about 50 to about 60 wt.%; a silicone-based surfactant in amounts ranging from about 1 to about 5 wt.%; an activity enhancing component that is an aromatic alcohol or a cationic substrate binding component, or both; skin conditioning agents, such as polyquaternium compounds; humectants; a cationic surfactant; emollients and water. Each type of component may be present as a mixture of one or more components of that type. [0035] The aliphatic alcohol is an active ingredient for the formulation. The alcohol has from 1 to 8 carbon atoms. This component is recognized by the FDA as an antimicrobial ingredient. Ethano! is a preferred aliphatic alcohol for the inventive compositions. Ethanol, when used, is 200 proof, and may be Specifically Denatured Alcohol (SDA) 40-B, which utilizes both tert-foutyl alcohol (0.12%) and denatonium benzoate (0.0006%) as denaturants. Another appropriate alcohol is SDA 40-2, which utilizes both iert-buty! alcohol (0.12%) and brucine sulfate (0.014%), Other SDA alcohols are known to one skilled in the art and are within the scope of this invention. Ethanol has broad spectrum activity against bacteria and some viruses and evaporates on rub-in. As such, ethanol is highly preferred, but othe alcohols, including but not limited to butyl, n-propyl and isopropy! alcohol may also be used,

[0036] The aliphatic alcohol is present in amounts greater than about 40 wt.% up to about 85 wt.%; optimally, greater than about 50 wt.% and less than about 70 wt.%, based upon the total weight of the components of the inventive compositions, Preferable ranges are 50-60 wt.%.

[0037] The silicone- based surfactant component is primarily responsible for generating foam in the inventive compositions; however, the surfactants of the present invention surprisingly also add to the aesthetic feel of the product. An unexpectedly large amount of quality, stable foam is generated, even in view of the several skin conditioning/feel agents included in the composition. Preferably, the surfactant comprises bis-PEG-TO dimethicone/dimer dilinoleate, a dimer reaction product. This novel component is provided under the trade name ZENESTER ME (Zenifech LLC). Another acceptable silicone-based surfactant is PEG-17 dimethicone, which also produces an unexpectedly large amount of good quality, stable foam in the inventive compositions. This material is provided under the trade name SILSOFT 895 (Momentive Performance Materials, Inc.)

[0038] The silicone-based surfactant component is present in amounts of from about 1.0 wt.% to about 3,0 wt.%, based upon the total weight of the components of the inventive composition. The silicone-based surfactant component may be a mixture of the novel bis-PEG-10 dimethicone/dimer di!inoleate or PEG- 17 dimethicone.

[0039] The aromatic alcohol comprises phenoxyethanoi, also known as ethylene glycol monopheny!. ether, it is used as a preservative and provides activity against Gram-negative organism. It is combined in the inventive compositions with other components having antimicrobial activity yielding a broad range of coverage for the inventive compositions. Other suitable aromatic alcohols include benzyl alcohol and 1 -phenoxy-2-propanoL

[0040] The aromatic alcohol is present in amounts greater than about 0.1 wt.% up to about 5.0 wt.%, optimally, greater than about 0.5 wt.% up to about 3.0 wt.%, based upon the total weight of the components of the inventive composition.

[0041] The cationic substrate binding activity enhancing substance is behenfrimonium methosulfate. This emollient, is a quaternary ammonium, salt derived from Rapeseed Oil. Its C ₂ 2 chain length and cationic charge make it substantive to the skin and provide a smooth after-fee! that is aesthetically pleasing to the user. If has some antimicrobial activity as well. Other acceptable cationic substrate binding activity enhancing substances include without limitation behenaikonium chloride, behentrimonium chloride, behenoy! PG-trimontum chloride and behenamidopropyl PG-dimonium chloride.

[0042] The cationic substrate binding, activity enhancing substance is present in amounts greater than about 0.01 wt.% up to about 1.0 wt.%; optimally greater than about 0.05 wt.% up to about 0.5 wt.%, based upon the total weight of the components in the system.

[0043] The polyquaternium ingredient preferably comprises po!yquaternium-6. This component is a cationic polymer which acts as a skin conditioner. It is the quaternary ammonium salt of acrylamide and dimethyl diallyl ammonium chloride monomers. It aids lubricity while rubbing onto the skin and contributes a soft after- feel. Other suitable polyquaternium materials include poiyquaternium-7. [0044] The po.iyquaternium component ^' is present in amounts of about 0.1 wt.% up to about 2.0 wt.%, optimal!y, about 0.1 wt.% to about 1.0 wi%, based upon the total weight of the components of the inventive composition.

[0045] The humectant in the inventive compositions preferably comprises glycerin, a well-known humectant that results in significant impact on moistunzation properties of the inventive compositions, even when used at low levels. Another suitable humectant is 2-methyl~1,3-propanedioi, which is both a solvent and a humectant. The humectants can be used separately, or in combination. In particular, 2-methyi- 1 ,3-propanediol provides additional humectant properties, while reducing the tacky feel associated with glycerin, so that the combination of these two humectants is desirable. Other humectants usefui in the inventive compositions include propylene glycol, ethylene glycol, butyiene glycol, triethylene glycol, dieihyiene glycol, dipropylene glycol, tripropyiene glycol, hexyiene glycol, sorbitol, dimethyl isosorbide, sodium PGA, and hydrolyzed corn starch hydroxyethyl ether, Other humectants suitable in the present inventive compositions are known to one skilled in the art.

[0046] The humectant components) are present in total amounts of about 0.1 wt.% u to about 10.0 wt.%, optimally, about 1.5 wt.% up to about 3.0 wt.%, based upon the total weight of the components of the inventive composition.

[0047] The catiomc surfactant comprises cocamidopropyl PG-dimonium chloride phosphate (known as ARIAS ILK PTC (Croda)) a quaternary ammonium salt derived from coconut oil. Although it is classified as a surfactant, it provides additional skin conditioning properties to the inventive compositions and aids in stabilizing the foam generated by the silicone-based surfactants upon dispensing, eliminating the need for additional foam stabilizing agents.. Other suitable options include sodium coco PG-dimonium chloride, myristamidopropy! PG-dimonium chloride phosphate, lino!eamidopropyi PG-dimonium chloride phosphate, and stearamidopropyl PG- dimonium chloride phosphate, [0048] The cationic .surfactant is present in amounts of about 0.1 wt.% to 5.0 wt.%, optimally, about 1 .0 wt.% to about 3.0 wt.%, based upon the total weight of the components in the system.

[004S] Emollient ingredients may include, but are not limited to, PEG--45 palm kernel glycerides, cetyl lactate, C 12-1-5 alkyl benzoate, and PE.G-7 glyceryl cocoafe. Other emollients are known to those skilled in the art and include but are not limited to cetyl myiistate, glyceryl dioleate, isopropyi myristate, lanolin, methyl laurate, ΡΡΘ- 9 laurate, octyi palmstate, PPG-5 lanoate, and di~PPG-3 myristyi ether adipate. These emollients are skin conditioning agents that help improve rub-in characteristics and aid in the -after-feel aesthetics. A combination of emollients may be used,

[00503 Emollients ar present in total amounts of about 0.01 wt.% up to about 5.0 wt.%, optimally, about. 0.01 wt.% up to about 3.0 wt.%, based upon the total weight of the components of the inventive compositions.

[00513 h balance of the inventive composition is water. Use of cJeionized water is necessary for the inventive compositions and should have a relatively low bioburden to maintain preservative effectiveness.

[0052] The novel combination of components offers significant advantages over prior art compositions in that they provide superior foaming characteristics, without the use of aerosois or fiuorosurfaciants, both of which have negative environmental and toxicity profiles. The compositions also provide superior antimicrobial efficacy, both immediate and prolonged, against a wide range of microbes, including but not limited to gram-negative bacteria. The inventive compositions possess superio moisturizing characteristics and do not require the use of fragrance.

[0053] Generally, the inventive compositions may be prepared by simple mixing of components. One exemplary process for preparing one embodiment of the inventive compositions is set forth below: Raw Materia! Process

Deionized Water Charge water.

Behentrimonium Add with mixing to cold water

methosulfate

Begin heating to 76 °C (169 °F) to melt / dissolve the G073 into water. Once temperature is reached, turn off heat source, and cool to a target of 35 °C (95 "F). Once temperature of the batch reaches 35 °C (95 ), continue.

Po!yquatemium-6 Add with mixing.

Glycerin Add with mixing.

Methylpropanediol Add with mixing.

Phenoxyet anol Add with mixing.

Cocamidopropyl PG~ Add with mixing.

dimonium chloride

phosphate

PEG--7 glyceryl cocoate Add with mixing.

PEG-45 palm kernel Add with mixing.

glyceiides

Bis-PEG-10 dimethicone / Add with mixing.

dimer dilinoleate

Deionized Water Charge water (used to q.s. batch)

Ethanol, 200 proof, SDA Add with mixing (all normal precautions and equipment 40-B used to hand flammable materials must be followed). [0054] As is clear from the above, the behentrimonium methosu State is a solid material, and thus, it must be added at a high temperature, so it can melt into the system. After it has melted, other components facilitate bringing it into solution as they are added. The other components can he added in any order (once the batch has cooled to the appropriate temperature), except for the alcohol, which is added last, because if is volatile,

[OOSS] The invention is further described by the examples below.

Examples

[0056] Example 1 ~ Foam Quality and Stability.

[0057] A number of different components were screened to evaluate their ability to create a stable foam in a 70% w/w ethanol solution (aqueous). For this evaluation, approximately one gram of each component was added to 15 grams of the ethanol solution in a vial. The vial was shaken by hand for 15 seconds, then the foam profile was evaluated using the following evaluation scale:

® Poor - little to no foam generated

» Moderate - some foam generated and/or foam generated collapsed rapidly » Good - large amount of foam was generated and foam was stable (did not collapse rapidly)

[0058] The results of the foam testing are shown in Table 1 , below:

Table 1

[0059] The results obtained show that the surfactants used in the inventive compositions provided superior foam generation and stability compared to other components known and available for use. [0060] Example 2 - oisiurization/Hydraiion Studies

[0081] Several different iterations of the inventive compositions are shown be!o in Table 2.

Table 2

[0082] Two samples of inventive formulations (L and M from Table 2) were tested in a moisturization study. In the study, six subjects used IVORY bar soap to wash the test site (volar forearm) for one minute. After the wash with IVORY soap, the test site was allowed to equilibrate for 30 minutes. After equilibration, Skicon measurements were taken as a baseline. (Skicon measurements are conductance- based measurements in which conductance is used to determine the hydration levels of the skin.) Test product was then applied on a randomized test site on the forearm, and Skicon measurements were taken at specific time-points after product application. The results in Figure 1 showed that both samples achieved a significant improvement in skin hydration at all time-points evaluated versus the untreated control.

[0063] Additional testing was done to measure relative hydration of the skin after 1 hour, using a NOVA DPM 9003 ("NOVA") Evaluation of the inventive composition as compared to a currently available, commercial alcohol-based hand sanitizer foam. The NOVA Evaluation is an impedance-based conductance measurement of the hydration of the skin, which is similar to the Skicon test described above, but the mechanics of instrument used are slightly different. Higher values mean better hydration of the skin. Results in Figure 3 showed that the inventive composition was significantly better in hydrating the skin than the current commercial product

[00S4] Example 3 - Antimicrobial Efficacy - HCPHW

[0085] A Healthcare Personnel Hand Wash study was done to evaluate the efficacy of the inventive composition using the challenge organism Sermtia marcescens 14756. S, marcescens is a marker microorganism often used in testing because it produces a characteristic red colony that is easily distinguishable from norma! microbial populations of the hands, as well as from other contaminating organisms. Results in Figure 2 showed significant average log reductions in twelve subjects, which increased with increasing numbers of applications. [0088] Example 4 - ^■ Antimicrobial Efficacy - Residual Activity Testing

[0067] In yet another study, four samples were compared to evaluate whether the inventive compositions achieved a greater log reduction than plain ethanol solutions. Two of the samples contained ethanol alone at concentrations of 62% w/vv (N) and 70% w/w (Q), The other two samples were inventive compositions/formulations, one having 62% w/w (P) and the other having 70% w/w ethanol (Q) along with the other components of the inventive compositions. The components of each sample are set forth in Table 3 below.

Table 3

[00S8] Each sample was evaluated at two different inoculation/treatment cycles, i.e., at 1 inoculation/treatment and 5 inoculations/treatments. Tests were completed using the pigskin model, the inoculant, Serratia marcescens, and 1 and 5 inoculation/treatment cycles. The "pigskin model" is a method designed to simulate a HGPHW test using pigskins prepared according to the method described in U.S. Patent No. 7,985,773 to Greten et a!. , incorporated herein by reference.

[0069] In this example, pigskin pairs were inoculated with bacteria, rubbed togethe for 15 seconds, and allowed to air dry for 1 minute. The two different ethanol soiutions having concentrations of 62% w/w and 70% w/w and two different product formulations N and O, one having 62% w/w ethano! (N) and the other having 70% w/w ethanol (O), were applied to pairs of pigskins (0.2 ml per pair/ 0.1 ml per piece). The pairs of pigskins (having the same treatment) were rubbed together for 30 seconds and allowed to air dry for 4 minutes. Neutralize!" was then applied to the pigskins, they were debrided for 30 seconds, serially diluted and plated.

[0070] Results are shown in Figure 4 and show significant log reductions. Figure 4 shows that by adding other components of the formulation, such as the activit enhancing substances, efficacy was enhanced over simply using ethanol at the same concentration. The enhancement was seen at 1 application (inoculation/treatment cycle), but was more pronounced at 5 applications, showing excellent tolerance fo organic load and dilution with inoculum. The data showed that ethanol alone did provide efficacy upon initial treatment but the efficacy decreased upon multiple treatments due to the organic load. However, the two formulated systems (P and Q), which contained additional components of the inventive compositions maintained or increased the log-reduction (efficacy) at the fifth application.

[0071] in yet another study, the residua! activity of an inventive composition ( ) was compared to a commerciaily availabie alcohol-based product using a pigskin model and a 5-app!ication (5 treatments of the inventive composition R and marketed product; alcohol allowed to dry prior to inoculation). Formula R is set forth in Table 4, below:

Table 4

[0072] Results in Figure 5 showed thai at a 5~application pigskin study, a leading commercially available alcohol-based hand sanitizing foam product had almost no activity, whereas the inventive composition had a 1.5-log reduction, which for this type of pigskin study is expected for a good product that will stand up to organic load and dilution and result in a formulation that will pass FDA criteria for 10 applications in a Healthcare Personnel Handwash test.

[0073] This invention includes the use of a novel silicone surfactant that not only helps generate foam in a system with high amounts of alcohol, but also adds to the overall aesthetic feel and moisturization of the system. The addition of other Ingredients (phenoxyethanol, behentrimonium methosuifate and pofyquaternium-6) provides a system that exceeds the FDA ^! s Tentative Final Monograph requirements for Healthcare Personnel Handwash efficacy. The inventive compositions) show excellent tolerance for organic load and dilution and have excellent residual activity. The enhanced emollient system also provides moisturization to the user for hours after application, keeping the skin hydrated. [0074] In accordance with the patent statutes, the best mode and preferred embodiment have been set forth; the scope of the invention is not limited thereto, but rather by the scope of the attached claims.