Dequalinium Lactic Acid Composition for Bacterial Vaginosis

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Solution Overview

Problem

Current treatments for bacterial vaginosis (BV) often lead to relapses, antibiotic resistance, and side effects such as candidiasis, and fail to effectively promote the growth of lactobacilli, which are crucial for maintaining vaginal health.

Innovation Solution

A composition comprising dequalinium salt, maltodextrin, and lactic acid, which synergistically exerts an antibacterial effect while promoting the growth of lactobacilli, thereby restoring the vaginal ecosystem's pH and inhibiting pathogenic microorganisms.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If antibiotics are used to treat bacterial vaginosis, then pathogenic bacteria are eradicated, but relapses occur and antibiotic resistance develops

Engineering Contradiction:
Improvetreatment effectivenessVSAvoidantibiotic resistance and relapses
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The patent converts the harmful effect of broad-spectrum antibiotics that kill both pathogenic and beneficial bacteria into a beneficial selective treatment. Dequalinium chloride is used at a concentration (0.1-10 mg/mL) that selectively eradicates pathogenic bacteria (Gardnerella vaginalis, anaerobes) while preserving lactobacilli, thereby eliminating the need for antibiotic rotation and reducing resistance development.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

Solution Approach 2:

The patent changes the treatment parameter from broad-spectrum antibiotic coverage to selective antimicrobial action. By adjusting the concentration of dequalinium chloride and using it in combination with lactic acid (pH 3.5-4.5), the treatment achieves selective toxicity against pathogenic bacteria while sparing beneficial lactobacilli, thus preventing relapses caused by ecosystem disruption.

Inventive Principle:
Principle #35Parameter changes

2Object-affected harmful factors

If broad-spectrum antibiotics are used, then pathogenic organisms are eliminated, but lactobacilli are also neutralized

Engineering Contradiction:
Improvepathogenic bacteria eliminationVSAvoidlactobacilli preservation
Core Design Contradiction:
Object-affected harmful factorsVSReliability

Solution Approach 1:

The patent applies local quality by creating a selective chemical environment in the vaginal ecosystem. Lactic acid maintains pH 3.5-4.5, which is naturally favorable for lactobacilli, while dequalinium chloride at specific concentrations provides selective antimicrobial pressure that eliminates pathogenic bacteria without affecting lactobacilli. This localized chemical differentiation preserves beneficial flora while treating the infection.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

Instead of using antibiotics that kill all bacteria and then hoping for beneficial flora recovery, the patent inverts the approach by using dequalinium chloride in combination with lactic acid to selectively eliminate pathogenic bacteria first, thereby preserving and even promoting lactobacilli growth from the outset. This inverted sequence prevents the ecological vacuum that leads to candidiasis and relapses.

Inventive Principle:
Principle #13The other way round (Inversion)

3Productivity

If the vaginal ecosystem is disrupted, then pathogenic bacteria proliferate, but the natural protective mechanisms are weakened

Engineering Contradiction:
Improvepathogenic bacteria controlVSAvoidecosystem stability
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent enables self-service by restoring the vaginal ecosystem's natural protective mechanisms. Lactic acid (0.1-10 mL per 100 mL solution) directly replenishes the acidic environment that lactobacilli naturally produce, while dequalinium chloride selectively removes pathogenic bacteria. This combination allows the ecosystem to self-regulate and maintain stability without continuous antibiotic intervention, preventing the cycle of disruption and recovery.

Inventive Principle:
Principle #25Self-service

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The composition effectively treats BV by inhibiting pathogenic bacteria growth and promoting lactobacilli proliferation, creating a favorable vaginal environment, with a reduced risk of relapses and side effects, and is stable in various forms for administration.

Implementation Method 1

lactic acid, the substance that has the key role of ensuring an acidic pH in the vaginal environment comprised between 3.5 and 4.5

Methodology Applied
Scientific EffectpH regulation:

Implementation Method 2

The composition comprises a dequalinium salt, maltodextrin and lactic acid for application in the treatment of the bacterial vaginosis... whose antibacterial effect is greater than the sum of the effects exerted by the individual substances

Methodology Applied
Scientific EffectAntimicrobial action:

Implementation Method 3

maltodextrin... able to simultaneously promote the growth of the lactobacilli, naturally present in the vagina

Methodology Applied
Scientific EffectNutrient support for microbial growth:

Data Source

PatentEP3658131B1Composition for the treatment of bacterial vaginosis
Publication Date: 2021.05.26 FARMA DERMA
  • EP3658131B1 patent drawingFigure 1
  • EP3658131B1 patent drawing
  • EP3658131B1 patent drawing

AI summary

The present invention relates to a composition comprising a dequalinium salt, maltodextrin and lactic acid for application in the treatment of the bacterial vaginosis. The inventor proposes an improved therapeutic strategy based on the action synergy of the three components of the composition, whose antibacterial effect is greater than the sum of the effects exerted by the individual substances. Furthermore, the aforementioned composition is able to simultaneously promote the growth of the lactobacilli, naturally present in the vagina. The composition according to the invention is stable both in a liquid solution and in a solid or semi-solid solution. The preferred form of administration is via the vaginal route, in the form of a liquid solution, a solid form such as ovules or semi-solid such as cream.