I can confirm that the page builder works when you exclude the /cmsctx
path. This is the rewrite rule that I'm using:
<rewrite>
<rules>
<rule name="LowerCaseRule1" stopProcessing="true">
<match url="[A-Z]" ignoreCase="false" />
<conditions>
<add input="{URL}" negate="true" pattern="^\/cmsctx\/?" />
</conditions>
<action type="Redirect" url="{ToLower:{URL}}" />
</rule>
</rules>
</rewrite>