I'm working on an iTunes modules for iTunes/Win32/COM an early alpha version is available here:

http://www.artymiak.com/software/perl-itunes-win32-com/COM.pm

write me at jacek {at} artymiak {dot} com if you want to work together with me on this project.

You can download some examples here:

http://www.artymiak.com/software/perl-itunes-win32-com/book-pdf.pdf