... \s*([^,]+)\s*,...
Find some whitespace, or perhaps none at all.
Find anything that is not a comma, at least once,
which *includes* whitespace, then...
Find some more whitespace, perhaps none
Find a comma
####
m#(?:[^,]*,\s*){3}(.*?)\s*,#
####
(?: ## Group, but do not store it into $1
[^,]* ## Anything that is not a comma
, ## Followed by a comma
\s* ## Followed by possible whitespace
){3} ## Find three of these (the first three)
(.*?) ## Match any character, but don't be so greedy about it
\s* ## Possible whitespace
, ## Stops at first comma, because we are not being greedy