Structure of eltrombopag. Eltrombopag [3′-{N′-[1-(3,4-Dimethyl-phenyl)-3-methyl-5-oxo-1,5-dihydropyrazol-4-ylidene]hydrazino}-2′-hydroxybiphenyl-3-carboxylic acid] has an acidic (COOH) group at one end, lipophilic (CH3) groups at the other end, and a metal chelate group in the center, which create a potent, orally available TPO nonpeptide agonist. Illustration by Paulette Dennis.