This paper reports the efficacy results of the randomized, placebo-controlled, field trial of SPf66 malaria vaccine in Costa Marques, Rondonia, Brazil. This region is characterized by the seasonal distribution of Plasmodium falciparum and P. vivax infections, and the recent occupation by migrants from nonendemic areas. A total of 800 individuals of both sexes, ranging in age from seven to 60 years, were included in the study. Of the initial cohort, 572 participants completed the vaccination schedule. Clinical and parasitologic evaluations were obtained by active and passive searches on a periodic basis. The overall protective efficacy against P. falciparum infections was Ϫ1.6% (Ϫ32.9% to 22.4%), and 14.1% (Ϫ17.0% to 36.9%) for the first episode. The overall protective efficacy for P. vivax infections was Ϫ19.7% (Ϫ44.8% to 1.03%), and Ϫ10.8% (Ϫ41.1% to 12.8%) for the first episode. No statistical evidence of an overall significant protective effect of SPf66 malaria vaccine against P. falciparum and P. vivax malaria was obtained in this trial. * IDv and IDp ϭ incidence density rates in the vaccinated and placebo groups. † VE (%) ϭ vaccine efficacy estimates; CI ϭ confidence interval.