The sample size, statistical analysis, interpretation, and assumption as you enquired are highly driven by your objective and hypothesis.
For lipid lowering clinical trial, the classic endpoint is percentage change from baseline on low density lipoprotein cholesterol level. If you are using this specific outcome, normality check can be very appreciated. However, you need to be very careful that once you fail the normality assumption, the conclusion drawn from invalidate model is questionable.
So, I suggest you pre-specify what kind of analysis you will perform first. And followed by normality check, if succeed, that's the end. Otherwise, you can perform sensitivity analysis such as robust methods to support your argument.
Outside the business here. Don't know why you have 4 group rather than 2, pay extra attention on the multiplicity problem. And do not expect you can observe meaningful adverse experience. Let's face it. 20 per group may be statistically powered, but not clinical significant at all.
Have a good day.


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