use warnings;
use strict;

my $text = <<'EOT';
I am IntErEsted in making changes to the following lines.
However, START thE chAnges mUst bE \CME madE hErE. END
There may be cases whErE
START chAngEs  nEEd to be mAdE  \CME  hErE
tOO. END
EOT

$text =~
    s{ (?<= START) (.*?) (?= END) }
     { (my $replacement = $1) =~
         s{ (?<! \S) ([^\s\\] \S*) }
          { lc $1                  }xmsge;
       $replacement;
     }xmsge;

print qq{[[$text]] \n\n};

##</code><code>##

[[I am IntErEsted in making changes to the following lines.
However, START the changes must be \CME made here. END
There may be cases whErE
START changes  need to be made  \CME  here
too. END
]]