The "x" in your first case, is a repetition operator, which takes the string as the left argument and the number of times to repeat as the right argument. Perl6 can replicate lists using the "xx" repetition operator.
Your second example uses the regular expression m{^a}x
. While you may use many different types of delimiters, neophytes may like to use the familiar notation, which uses a forward slash: m/^a/x
The "x" in a regex is called a modifier or a flag and is but one of many optional flags that may be used. It is used to ignore whitespace in the regex pattern, but it also allows the use of normal comments inside. Because regex patterns can get really long and confusing, using whitespace and comments are very helpful.
Your example is very short (all it says is if the first letter of the line starts with "a"), so you probably wouldn't need whitespace or comments, but you could if you wanted to.
Example:
m/^a # first letter is an 'a'
# <-- you can put more regex on this line because whitespace is ignored
# <-- and more here if you want
/x