Background: ALK1 is a TGF- receptor essential for angiogenesis. An anti-ALK1 antibody is being tested in clinical trials as an inhibitor for tumor angiogenesis. Results: Anti-hALK1 antibody selectively recognizes ALK1 and interferes with ALK1 ligand binding, signaling, and endothelial sprouting. Conclusion: Anti-hALK1 antibody is a function-blocking antibody that prevents ALK1 signaling. Significance: This study shows mechanistically how anti-hALK1 antibody exerts its effect on angiogenesis.